Leading by Success: Impact of a Clinical & Translational
Research Infrastructure Program to Address Health Inequities
Bruce Shiramizu1, Vicki Shambaugh2, Helen Petrovich2, Todd B. Seto3, Tammy Ho4,
Noreen Mokuau5, and Jerris R. Hedges4
1Department of Tropical Medicine, Medical Microbiology & Pharmacology, John A. Burns School
of Medicine (JABSOM), University of Hawaii at Manoa (UHM), Honolulu, HI
2Pacific Health Research and Education Institute, Honolulu, HI
3Department of Medicine, JABSOM, UHM, Honolulu, HI
4JABSOM, UHM, Honolulu, HI
5Myron B. Thompson School of Social Work, UHM, Honolulu, HI
Abstract
Building research infrastructure capacity to address clinical and translational gaps has been a focus
of funding agencies and foundations. Clinical and Translational Sciences Awards, Research
Centers in Minority Institutions Infrastructure for Clinical and Translational Research (RCTR) and
the Institutional Development Award Infrastructure for Clinical and Translational Research funded
by United States (US) government to fund clinical translational research programs have existed for
over a decade to address racial and ethnic health disparities across the US. While the impact on the
nation’s health can’t be made in a short period, assessment of a program’s impact could be a
litmus test to gauge its effectiveness at the institution and communities. We report the success of a
Pilot Project Program in the University of Hawaii RCTR Award in advancing careers of emerging
investigators and community collaborators. Our findings demonstrated that the investment has a
far-reaching impact on engagement with community-based research collaborators, career
advancement of health disparities investigators, and favorable impacts on health policy.
Keywords
health disparity; clinical research; health inequity; translational research
INTRODUCTION
Health inequities continue to persist in communities across the disease spectrum throughout
the United States (US) and globally1–3. Contributing to the culture of health disparities has
Correspondence: Bruce Shiramizu, 651 Ilalo Street, BSB 325AA, Honolulu, Hawaii, 96813; [email protected]
COMPLIANCE WITH ETHICAL STANDARDS
The scope of the work did not involve human participants as reviewed by the University of Hawaii Institutional Review Board.
The authors have no other potential conflicts of interests except for the funding agencies as acknowledged.
HHS Public Access
Author manuscript
J Racial Ethn Health Disparities. Author manuscript; available in PMC 2018 April 28.Au
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partly been a function of the imbalance of biomedical research funding from government
agencies, private foundations, industry and other sources4–7. Innovative concepts and bold
initiatives to increase collaborations and partnerships were established through government,
industry and fou ...
5th Annual Early Age Onset Colorectal Cancer Summit - Session II: Family History Ascertainment in the US - What Steps are Needed to Improve the Well Documented Less Than Optimal Status of this Situation?
Forty years ago, the Region of the Americas played a critical JeanmarieColbert3
Forty years ago, the Region of the Americas played a critical role in the develop-
ment and negotiation of the Alma-Ata Declaration, which identified primary health
care as a central strategy to the goal of health for all and a comprehensive approach to
the organization of health systems. Since then, the values and principles of primary
health care, which include the right to health, equity, solidarity, social justice and par-
ticipation, and multisectoral action, among others, have formed the basis of many
PAHO mandates and have guided health systems transformation in the Region. The
positive impact of primary health care on the reduction of mortality, morbidity, and
inequities in health is well known. (1) What’s more, primary health care consumes less
financial resources than curative approaches and promotes a chain of positive results
from improved health to increased economic output, growth and productivity. (2)
In 2007, PAHO’s position paper on Renewing Primary Health Care in the Americas
included the definition of elements and functions of a primary healthcare-based
health system with the intention of providing guidance to countries as they worked
to transform their systems. (3) In 2014, the 53rd PAHO Directing Council’s resolution
on Universal Access to Health and Universal Health Coverage (4) recognized the
values and principles of Alma-Ata. The resolution urged PAHO Member States to
promote intersectoral action to address social determinants of health and move
toward health systems where all people and communities have access, without any
discrimination, to comprehensive, appropriate and timely, quality health services, as
well as access to safe, effective, and affordable quality medicines, while ensuring that
the use of such services does not expose users to financial difficulties. (4) The Sustai-
nable Health Agenda for the Americas 2018–2030, which represents the commitment
of Member States to the 2030 Agenda for Sustainable Development and unfinished
business from previous engagements, established areas of action that reinforce and
complement the recommendations of the Alma-Ata Declaration. These include stren-
gthening the national health authority; tackling health determinants; increasing so-
cial protection and access to quality health services; diminishing health inequalities
among countries and inequities within them; reducing the risk and burden of disease;
strengthening the management and development of health workers; harnessing
knowledge, science, and technology; and strengthening health security. (5)
In the Region, the lessons that have been learned about the primary health care
approach since Alma-Ata have been overwhelmingly positive. We have seen that
countries that have implemented policies and programs based on primary health
care have registered the lowest levels of infant and maternal mortality. Other achie-
vements include improvement in public spending, increase in primary care s ...
Low Functional health literacy is a problem affecting 90 million residents of the United States. Among the 90 million, 36% are adults who have “below basic” health literacy skills. Assessing health literacy is important in improving health behaviors, health outcomes, and perceived communication barriers related to health. The Patient Protection and Affordable Care Act enacted in 2010 brought about changes that demand a more coordinated approach to manage health care services. This research focused on the efforts being made to promote health literacy at Medicaid health homes such as Greater Buffalo United Accountable Healthcare Network (GBUAHN). This research consisted of observation of Patient Health Navigator interactions with patients in order to identify best practices of health literacy initiatives within GBUAHN. Results suggest best practices include promoting and establishing relationship to effectively enhance patients understanding of all their healthcare needs. This study suggests that GBUAHN should continue making use of recommendations related health literacy promotion while exploring areas of improvement as noted on scorecard. Patient Health Navigators are engaging patient in manner that will establish adherence within patients.
5th Annual Early Age Onset Colorectal Cancer Summit - Session II: Family History Ascertainment in the US - What Steps are Needed to Improve the Well Documented Less Than Optimal Status of this Situation?
Forty years ago, the Region of the Americas played a critical JeanmarieColbert3
Forty years ago, the Region of the Americas played a critical role in the develop-
ment and negotiation of the Alma-Ata Declaration, which identified primary health
care as a central strategy to the goal of health for all and a comprehensive approach to
the organization of health systems. Since then, the values and principles of primary
health care, which include the right to health, equity, solidarity, social justice and par-
ticipation, and multisectoral action, among others, have formed the basis of many
PAHO mandates and have guided health systems transformation in the Region. The
positive impact of primary health care on the reduction of mortality, morbidity, and
inequities in health is well known. (1) What’s more, primary health care consumes less
financial resources than curative approaches and promotes a chain of positive results
from improved health to increased economic output, growth and productivity. (2)
In 2007, PAHO’s position paper on Renewing Primary Health Care in the Americas
included the definition of elements and functions of a primary healthcare-based
health system with the intention of providing guidance to countries as they worked
to transform their systems. (3) In 2014, the 53rd PAHO Directing Council’s resolution
on Universal Access to Health and Universal Health Coverage (4) recognized the
values and principles of Alma-Ata. The resolution urged PAHO Member States to
promote intersectoral action to address social determinants of health and move
toward health systems where all people and communities have access, without any
discrimination, to comprehensive, appropriate and timely, quality health services, as
well as access to safe, effective, and affordable quality medicines, while ensuring that
the use of such services does not expose users to financial difficulties. (4) The Sustai-
nable Health Agenda for the Americas 2018–2030, which represents the commitment
of Member States to the 2030 Agenda for Sustainable Development and unfinished
business from previous engagements, established areas of action that reinforce and
complement the recommendations of the Alma-Ata Declaration. These include stren-
gthening the national health authority; tackling health determinants; increasing so-
cial protection and access to quality health services; diminishing health inequalities
among countries and inequities within them; reducing the risk and burden of disease;
strengthening the management and development of health workers; harnessing
knowledge, science, and technology; and strengthening health security. (5)
In the Region, the lessons that have been learned about the primary health care
approach since Alma-Ata have been overwhelmingly positive. We have seen that
countries that have implemented policies and programs based on primary health
care have registered the lowest levels of infant and maternal mortality. Other achie-
vements include improvement in public spending, increase in primary care s ...
Low Functional health literacy is a problem affecting 90 million residents of the United States. Among the 90 million, 36% are adults who have “below basic” health literacy skills. Assessing health literacy is important in improving health behaviors, health outcomes, and perceived communication barriers related to health. The Patient Protection and Affordable Care Act enacted in 2010 brought about changes that demand a more coordinated approach to manage health care services. This research focused on the efforts being made to promote health literacy at Medicaid health homes such as Greater Buffalo United Accountable Healthcare Network (GBUAHN). This research consisted of observation of Patient Health Navigator interactions with patients in order to identify best practices of health literacy initiatives within GBUAHN. Results suggest best practices include promoting and establishing relationship to effectively enhance patients understanding of all their healthcare needs. This study suggests that GBUAHN should continue making use of recommendations related health literacy promotion while exploring areas of improvement as noted on scorecard. Patient Health Navigators are engaging patient in manner that will establish adherence within patients.
Understanding the Dynamics of Successful Health System Strengthening Interven...HFG Project
Evidence is scarce, scattered, and not widely disseminated on how interventions to strengthen health system performance contribute to sustained improvements in health status, particularly toward ending preventable child and maternal deaths and fostering an AIDS-free generation. Without this evidence, decision-makers lack a sound basis for investing scarce health funds in health system strengthening (HSS) interventions in an environment of competing investment options. This evidence gap impedes support for HSS from numerous stakeholders, both within and outside of USAID. This study will help address this evidence gap by exploring the dynamics of successful HSS interventions in low-income countries. The study seeks to address four key questions:
How were a range of successful HSS interventions implemented in different countries?
What factors facilitated and constrained the successful implementation and documented outcomes of the interventions?
What were important factors about implementation that emerged across the different cases?
What are the implications of this study for implementing future HSS interventions?
The study will comprise three main activities:
Six qualitative, retrospective case studies of successful USAID-supported HSS interventions to explore what factors contributed to successful implementation
Qualitative cross-case analysis to identify patterns of policy processes, circumstances, relationships, and characteristics that may be associated with successful HSS reforms
Develop and propose a set of strategic recommendations for introducing and sustaining HSS reforms in low-income countries
The Clinical and Translational Science Awards (CTSA) Program: What can it do ...CTSciNet .org
Meeting: Physician-Scientist Career Development Meeting, New York Academy of Sciences, November 3-5, 2010
Panel: Successful Strategies for the Physician-Scientist
Presentation: The Clinical and Translational Science Awards (CTSA) Program: What can it do for you?
Speaker: Lisa Guay-Woodford, M.D., Professor and Vice Chair of Genetics, CTSA director, University of Alabama, Birmingham
View online with audio at http://community.sciencecareers.org/ctscinet/groups/sessions/2010/12/the-ctsa-program.php
As populations increase, health resources shrink, and access and quality of life equity differences widen, the clarion call for innovation in healthcare is growing louder around the world. Both international groups such as the World Health Organization and national groups, e.g., ministry of health, continue to set aggressive goals and billions have been spent to design and implement global health innovations.
Many global health innovations (GHI) have set high goals but had limited success in implementation or never scaled to serve a wider population. The barriers to implementing global healthcare innovations include policies or political priorities, lack of commitment, limited infrastructure, and limited healthcare staff. Some health entrepreneurs have overcome such barriers; Yet other, well intentioned and planned GHI have not met expectations.
Although some articles provide suggestions for avoiding, overcoming and addressing these barriers, few offer new models for global health innovation. In this research, we offer a four component model that considers the adoptive community, implementation team, the delivery strategy and the delivery approach as key enablers for successful GHI. This model is supported by the literature and in-depth case studies in Uganda, Ghana, Mozambique, and Haiti.
A retrospective review of the Honduras AIN-C program guided by a community he...HFG Project
Factors that influence performance of community health workers (CHWs) delivering health services are not well understood. A recent logic model proposed categories of support from both health sector and communities influence CHW performance and program outcomes. This logic model has been used to review a growth monitoring program delivered by CHWs in Honduras, known as Atención Integral a la Niñez en la Comunidad (AIN-C). A retrospective review of AIN-C was conducted through a document desk review and supplemented with in-depth interviews. Documents were systematically coded using the categories from the logic model, and gaps were addressed through interviews. Authors reviewed coded data for each category to analyze program details and outcomes as well as identify potential issues and gaps in the logic model.
Summary Various industries, including health care, have adop.docxpicklesvalery
Summary
Various industries, including health care, have adopted quality
improvement (QI) to enhance practices and outcomes. As
demands on the U.S. public health system continue to increase,
QI strategies may play a vital role in supporting the system and
improving outcomes. Therefore, public health practitioners, like
leaders in other industries, are developing QI approaches for
application in public health settings.
Quality improvement in public health involves systematically
evaluating public health programs, practices, and policies and
addressing areas that need to be improved to increase healthy
outcomes. Although QI methods and techniques have only
recently been applied to public health, public health systems offer
a wide range of opportunities for implementing, managing, and
evaluating QI efforts.
The growing field of Public Health Systems and Services Research
(PHSSR) offers the potential to contribute to and support QI efforts
in public health. PHSSR examines the delivery of public health
services within communities as well as the outcomes that result from
dynamic interactions within the public health system. By examining
the public health system, stakeholder interactions, delivery of services,
and outcomes, PHSSR can inform and support the implementation
of QI initiatives.
Most recently, national, state, and local levels have made notable
progress in quality improvement in public health.1, 2 One initia-
tive credited with achieving progress is the Multi-State Learning
Collaborative (MLC). The MLC aims to inform the national accredi-
tation program, incorporate quality improvement practice into pub-
lic health systems, promote collaborative learning across states and
partners, and expand the knowledge base in public health.
Bringing together state and local practitioners and other stakeholders
in a community of practice to achieve MLC goals has yielded several
best practices and lessons for public health stakeholders. However,
more work is needed if QI is to become standard practice in public
health—particularly in understanding health departments’ readiness
for change, building the evidence base for effective public health QI
practices in the context of the public health system, and examining the
sustainability of successful projects, and identifying the determinants
of transformational change.
ÆResearchInsights
Quality Improvement in Public Health: Lessons Learned
from the Multi-State Learning Collaborative
Background: AcademyHealth’s 2009 Annual Research Meeting
At the 2009 Annual Research Meeting (ARM), June 28–30, in Chicago, AcademyHealth convened a panel of three experts, members of the
Multi-State Learning Collaborative (MLC), to discuss their experiences in implementing quality improvement collaboratives in public health.
Leslie Beitsch, M.D., J.D., associate dean for health affairs and professor of family medicine and rural health at the College of Medicine, Florida
State ...
What is Global Health?: Miguel Ángel González BlockUWGlobalHealth
As proposed by the Declarations of the Alma Ata and challenged by the Millennium
Development Goals, action by players and stakeholders of diverse specialties and
backgrounds is required to achieve health for all. This assembled expert panel
drawn from different backgrounds will enrich the discussion with their own experiences.
Doctors of Tomorrow – A Pipeline Program for Getting a Head Start in Medicineinventionjournals
Purpose: Pipeline programs have long been embraced as a strategyto recruit students from groups underrepresented in medicine into medical careers. Despite the prevalence of these programs, we know little about why students seek out participation and even less about their perceptions of the potential long-term benefits. This study explored the motivations and expectations of pipeline program participants. Method: Twenty-three high school students participated in the Doctors of Tomorrow (DoT) program, a high school and medical school partnership pipeline program from September 2014 through March 2015. Data for this study included students’ application essays, critical incident narratives, focus group discussions and transcripts from individual interviews. Thematic analysis was used to analyze all narrative materials and transcripts. Results: Our analysis of all program data revealed that DoT participants were motivated to participate in the program to learn about becoming a physician, gain access to individuals in medicine and develop a competitive advantage over other students when applying to college and medical school. Conclusions: Barriers to careers in medicine for individuals from groups underrepresented in medicine is well documented. These findings suggest that students seek to participate in pipeline programs as astrategy to secure goal-oriented, experiential encounters to help improve access points and mitigate barriers to becoming physicians
Sec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994 Printed in .docxbagotjesusa
Sec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994
Printed in Great Britain.
THE HOUSEHOLD PRODUCTION
0277.9536/94 $6.00 + 0.00
Pergamon Press Ltd
OF HEALTH:
INTEGRATING SOCIAL SCIENCE PERSPECTIVES ON
MICRO-LEVEL HEALTH DETERMINANTS
PETER BERMAN’, CARL KENDALL’ and KARABI BHATTACHARYYA’
‘Department of Population and International Health, Harvard School of Public Health , 665 Huntington
Avenue, Boston, MA 02115 and ‘Department of International Health, School of Hygiene and Public
Health. The Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, U.S.A.
Abstract-Efforts to control disease and improve health in developing countries require increasing
collaboration between social and medical scientists. This collaboration should extend from the early stages
of technology development to the evaluation and improvement of population-wide interventions. This
paper provides an integrating framework for social science research on health producing processes at the
household level, drawing on recent work in economics, anthropology, and public health. Further
development of theory and methods in this area would benefit from interdisciplinary research in categories
as defined by social and behavioral science in addition to those related to specific diseases and intervention
programs.
Key words-health, development, social science methods. household economics
The natural locus of disease is the natural locus of life - the
family: gentle, spontaneous care, expressive of love and a
common desire for a cure, assists nature in its struggle
against the illness, and allows the illness itself to attain its
own truth [I, p.171.
lNTRODUCTION
In medicine and public health in developing
countries, technology has captured center stage. Oral
rehydration therapy, vitamin supplements, recombi-
nant vaccines-these are the vanguard of the ‘revolu-
tion’ in child survival. Whereas once the eradication
of a single disease was a dream, today elimination of
a host of killers is deemed a likelihood.
While technology can certainly hasten public
health improvements, historical experience suggests
that other factors are also needed. As is well known,
major health improvements in the West preceded
rather than accompanied the advent of antibiotics
and most vaccines [2]. Some low income countries
and regions have achieved levels of infant mortality
below those of some American cities with low cost,
decentralized systems of primary health care [3].
There is reason to believe that such successes of
health development depend on a combination of
appropriate technology, sound health care delivery,
and social and economic changes affecting house-
holds and communities. Where health care provision
of adequate quality or related social advances are
absent or lagging, simple mass extension of clinically
efficacious medical techniques, such as promotion of
oral rehydration may exhibit high initial rates of
success and r.
httphpp.sagepub.comHealth Promotion Practice http.docxMARRY7
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Health Promotion Practice
http://hpp.sagepub.com/content/10/1/24
The online version of this article can be found at:
DOI: 10.1177/1524839906289048
2009 10: 24Health Promot Pract
Katz
Kari A. Hartwig, Richard Louis Dunville, Michael H. Kim, Becca Levy, Margot M. Zaharek, Valentine Y. Njike and David L.
Promoting Healthy People 2010 Through Small Grants
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Promoting Healthy People 2010
Through Small Grants
Kari A. Hartwig, DrPH
Richard Louis Dunville, MPH
Michael H. Kim, MPH
Becca Levy, PhD
Margot M. Zaharek, MS
Valentine Y. Njike, MD, MPH
David L. Katz, MD, MPH
objectives (U.S. Department of Health and Human
Services [DHHS], 2000a). Today’s Healthy People 2010
(HP 2010) goals and objectives build on the previous
two decades’ accomplishments and set national targets
for reducing disease and disability and promoting
healthier, longer lives (DHHS, 2000b). Led by the U.S.
DHHS, the overarching goals of the current initiative
are to increase quality and years of life and to eliminate
health disparities (Davis, 2000; DHHS, 2003). DHHS
(2001) encourages working through communities and
local organizations to influence individual behavior
and the promotion and maintenance of environments
conducive to healthier lifestyles.
>>BACKGROUND
Building on the health promotion premise that orga-
nizations and communities are instruments of change
(McLeroy, Bibeau, Steckler, & Glanz, 1988; Stokols,
1992), the DHHS Office of Disease Prevention and
Health Promotion (ODPHP) initiated a pilot study in
October 2001 to develop a national model for engaging
community organizations in health promotion and dis-
ease prevention activities that reflect the national HP
2010 goals and objectives. ODPHP awarded the Healthy
People 2010 Microgrant Project, one of two pilot stud-
ies, to Yale Univer ...
1. Discuss the organization and the family role in every one of the.docxcroysierkathey
1. Discuss the organization and the family role in every one of the heritages mentioned about and how they affect (positively or negatively) the delivery of health care.
2. Identify sociocultural variables within the Irish, Italian and Puerto Rican heritage and mention some examples.
References must be no older than 5 years. A minimum of 700 words is required.
.
1. Compare and contrast DEmilios Capitalism and Gay Identity .docxcroysierkathey
1. Compare and contrast D'Emilio's
Capitalism and Gay Identity
with the
From Mary to Modern Woman
reading. What patterns do you see that are similar to the modern American society? What can be said about global notions of gender in the modern age? Feel free to invoke Foucault.
2. How is the writer's experience important in the story being told in
Middlesex
? Describe your reaction to the reading and invoke some of the concepts discussed in the
Queer Theory
reading to try to make sense of sexuality when it does not match your own conventions. Compare both readings, but go deeper to explore your own stereotypes and socialization.
**PLEASE READ THE READINGS IN ODER TO DO THIS ASSIGNMENT.
.
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Understanding the Dynamics of Successful Health System Strengthening Interven...HFG Project
Evidence is scarce, scattered, and not widely disseminated on how interventions to strengthen health system performance contribute to sustained improvements in health status, particularly toward ending preventable child and maternal deaths and fostering an AIDS-free generation. Without this evidence, decision-makers lack a sound basis for investing scarce health funds in health system strengthening (HSS) interventions in an environment of competing investment options. This evidence gap impedes support for HSS from numerous stakeholders, both within and outside of USAID. This study will help address this evidence gap by exploring the dynamics of successful HSS interventions in low-income countries. The study seeks to address four key questions:
How were a range of successful HSS interventions implemented in different countries?
What factors facilitated and constrained the successful implementation and documented outcomes of the interventions?
What were important factors about implementation that emerged across the different cases?
What are the implications of this study for implementing future HSS interventions?
The study will comprise three main activities:
Six qualitative, retrospective case studies of successful USAID-supported HSS interventions to explore what factors contributed to successful implementation
Qualitative cross-case analysis to identify patterns of policy processes, circumstances, relationships, and characteristics that may be associated with successful HSS reforms
Develop and propose a set of strategic recommendations for introducing and sustaining HSS reforms in low-income countries
The Clinical and Translational Science Awards (CTSA) Program: What can it do ...CTSciNet .org
Meeting: Physician-Scientist Career Development Meeting, New York Academy of Sciences, November 3-5, 2010
Panel: Successful Strategies for the Physician-Scientist
Presentation: The Clinical and Translational Science Awards (CTSA) Program: What can it do for you?
Speaker: Lisa Guay-Woodford, M.D., Professor and Vice Chair of Genetics, CTSA director, University of Alabama, Birmingham
View online with audio at http://community.sciencecareers.org/ctscinet/groups/sessions/2010/12/the-ctsa-program.php
As populations increase, health resources shrink, and access and quality of life equity differences widen, the clarion call for innovation in healthcare is growing louder around the world. Both international groups such as the World Health Organization and national groups, e.g., ministry of health, continue to set aggressive goals and billions have been spent to design and implement global health innovations.
Many global health innovations (GHI) have set high goals but had limited success in implementation or never scaled to serve a wider population. The barriers to implementing global healthcare innovations include policies or political priorities, lack of commitment, limited infrastructure, and limited healthcare staff. Some health entrepreneurs have overcome such barriers; Yet other, well intentioned and planned GHI have not met expectations.
Although some articles provide suggestions for avoiding, overcoming and addressing these barriers, few offer new models for global health innovation. In this research, we offer a four component model that considers the adoptive community, implementation team, the delivery strategy and the delivery approach as key enablers for successful GHI. This model is supported by the literature and in-depth case studies in Uganda, Ghana, Mozambique, and Haiti.
A retrospective review of the Honduras AIN-C program guided by a community he...HFG Project
Factors that influence performance of community health workers (CHWs) delivering health services are not well understood. A recent logic model proposed categories of support from both health sector and communities influence CHW performance and program outcomes. This logic model has been used to review a growth monitoring program delivered by CHWs in Honduras, known as Atención Integral a la Niñez en la Comunidad (AIN-C). A retrospective review of AIN-C was conducted through a document desk review and supplemented with in-depth interviews. Documents were systematically coded using the categories from the logic model, and gaps were addressed through interviews. Authors reviewed coded data for each category to analyze program details and outcomes as well as identify potential issues and gaps in the logic model.
Summary Various industries, including health care, have adop.docxpicklesvalery
Summary
Various industries, including health care, have adopted quality
improvement (QI) to enhance practices and outcomes. As
demands on the U.S. public health system continue to increase,
QI strategies may play a vital role in supporting the system and
improving outcomes. Therefore, public health practitioners, like
leaders in other industries, are developing QI approaches for
application in public health settings.
Quality improvement in public health involves systematically
evaluating public health programs, practices, and policies and
addressing areas that need to be improved to increase healthy
outcomes. Although QI methods and techniques have only
recently been applied to public health, public health systems offer
a wide range of opportunities for implementing, managing, and
evaluating QI efforts.
The growing field of Public Health Systems and Services Research
(PHSSR) offers the potential to contribute to and support QI efforts
in public health. PHSSR examines the delivery of public health
services within communities as well as the outcomes that result from
dynamic interactions within the public health system. By examining
the public health system, stakeholder interactions, delivery of services,
and outcomes, PHSSR can inform and support the implementation
of QI initiatives.
Most recently, national, state, and local levels have made notable
progress in quality improvement in public health.1, 2 One initia-
tive credited with achieving progress is the Multi-State Learning
Collaborative (MLC). The MLC aims to inform the national accredi-
tation program, incorporate quality improvement practice into pub-
lic health systems, promote collaborative learning across states and
partners, and expand the knowledge base in public health.
Bringing together state and local practitioners and other stakeholders
in a community of practice to achieve MLC goals has yielded several
best practices and lessons for public health stakeholders. However,
more work is needed if QI is to become standard practice in public
health—particularly in understanding health departments’ readiness
for change, building the evidence base for effective public health QI
practices in the context of the public health system, and examining the
sustainability of successful projects, and identifying the determinants
of transformational change.
ÆResearchInsights
Quality Improvement in Public Health: Lessons Learned
from the Multi-State Learning Collaborative
Background: AcademyHealth’s 2009 Annual Research Meeting
At the 2009 Annual Research Meeting (ARM), June 28–30, in Chicago, AcademyHealth convened a panel of three experts, members of the
Multi-State Learning Collaborative (MLC), to discuss their experiences in implementing quality improvement collaboratives in public health.
Leslie Beitsch, M.D., J.D., associate dean for health affairs and professor of family medicine and rural health at the College of Medicine, Florida
State ...
What is Global Health?: Miguel Ángel González BlockUWGlobalHealth
As proposed by the Declarations of the Alma Ata and challenged by the Millennium
Development Goals, action by players and stakeholders of diverse specialties and
backgrounds is required to achieve health for all. This assembled expert panel
drawn from different backgrounds will enrich the discussion with their own experiences.
Doctors of Tomorrow – A Pipeline Program for Getting a Head Start in Medicineinventionjournals
Purpose: Pipeline programs have long been embraced as a strategyto recruit students from groups underrepresented in medicine into medical careers. Despite the prevalence of these programs, we know little about why students seek out participation and even less about their perceptions of the potential long-term benefits. This study explored the motivations and expectations of pipeline program participants. Method: Twenty-three high school students participated in the Doctors of Tomorrow (DoT) program, a high school and medical school partnership pipeline program from September 2014 through March 2015. Data for this study included students’ application essays, critical incident narratives, focus group discussions and transcripts from individual interviews. Thematic analysis was used to analyze all narrative materials and transcripts. Results: Our analysis of all program data revealed that DoT participants were motivated to participate in the program to learn about becoming a physician, gain access to individuals in medicine and develop a competitive advantage over other students when applying to college and medical school. Conclusions: Barriers to careers in medicine for individuals from groups underrepresented in medicine is well documented. These findings suggest that students seek to participate in pipeline programs as astrategy to secure goal-oriented, experiential encounters to help improve access points and mitigate barriers to becoming physicians
Sec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994 Printed in .docxbagotjesusa
Sec. S-i. Med. Vol. 38, No. 2, pp. 205-215, 1994
Printed in Great Britain.
THE HOUSEHOLD PRODUCTION
0277.9536/94 $6.00 + 0.00
Pergamon Press Ltd
OF HEALTH:
INTEGRATING SOCIAL SCIENCE PERSPECTIVES ON
MICRO-LEVEL HEALTH DETERMINANTS
PETER BERMAN’, CARL KENDALL’ and KARABI BHATTACHARYYA’
‘Department of Population and International Health, Harvard School of Public Health , 665 Huntington
Avenue, Boston, MA 02115 and ‘Department of International Health, School of Hygiene and Public
Health. The Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, U.S.A.
Abstract-Efforts to control disease and improve health in developing countries require increasing
collaboration between social and medical scientists. This collaboration should extend from the early stages
of technology development to the evaluation and improvement of population-wide interventions. This
paper provides an integrating framework for social science research on health producing processes at the
household level, drawing on recent work in economics, anthropology, and public health. Further
development of theory and methods in this area would benefit from interdisciplinary research in categories
as defined by social and behavioral science in addition to those related to specific diseases and intervention
programs.
Key words-health, development, social science methods. household economics
The natural locus of disease is the natural locus of life - the
family: gentle, spontaneous care, expressive of love and a
common desire for a cure, assists nature in its struggle
against the illness, and allows the illness itself to attain its
own truth [I, p.171.
lNTRODUCTION
In medicine and public health in developing
countries, technology has captured center stage. Oral
rehydration therapy, vitamin supplements, recombi-
nant vaccines-these are the vanguard of the ‘revolu-
tion’ in child survival. Whereas once the eradication
of a single disease was a dream, today elimination of
a host of killers is deemed a likelihood.
While technology can certainly hasten public
health improvements, historical experience suggests
that other factors are also needed. As is well known,
major health improvements in the West preceded
rather than accompanied the advent of antibiotics
and most vaccines [2]. Some low income countries
and regions have achieved levels of infant mortality
below those of some American cities with low cost,
decentralized systems of primary health care [3].
There is reason to believe that such successes of
health development depend on a combination of
appropriate technology, sound health care delivery,
and social and economic changes affecting house-
holds and communities. Where health care provision
of adequate quality or related social advances are
absent or lagging, simple mass extension of clinically
efficacious medical techniques, such as promotion of
oral rehydration may exhibit high initial rates of
success and r.
httphpp.sagepub.comHealth Promotion Practice http.docxMARRY7
http://hpp.sagepub.com/
Health Promotion Practice
http://hpp.sagepub.com/content/10/1/24
The online version of this article can be found at:
DOI: 10.1177/1524839906289048
2009 10: 24Health Promot Pract
Katz
Kari A. Hartwig, Richard Louis Dunville, Michael H. Kim, Becca Levy, Margot M. Zaharek, Valentine Y. Njike and David L.
Promoting Healthy People 2010 Through Small Grants
Published by:
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On behalf of:
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can be found at:Health Promotion PracticeAdditional services and information for
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Promoting Healthy People 2010
Through Small Grants
Kari A. Hartwig, DrPH
Richard Louis Dunville, MPH
Michael H. Kim, MPH
Becca Levy, PhD
Margot M. Zaharek, MS
Valentine Y. Njike, MD, MPH
David L. Katz, MD, MPH
objectives (U.S. Department of Health and Human
Services [DHHS], 2000a). Today’s Healthy People 2010
(HP 2010) goals and objectives build on the previous
two decades’ accomplishments and set national targets
for reducing disease and disability and promoting
healthier, longer lives (DHHS, 2000b). Led by the U.S.
DHHS, the overarching goals of the current initiative
are to increase quality and years of life and to eliminate
health disparities (Davis, 2000; DHHS, 2003). DHHS
(2001) encourages working through communities and
local organizations to influence individual behavior
and the promotion and maintenance of environments
conducive to healthier lifestyles.
>>BACKGROUND
Building on the health promotion premise that orga-
nizations and communities are instruments of change
(McLeroy, Bibeau, Steckler, & Glanz, 1988; Stokols,
1992), the DHHS Office of Disease Prevention and
Health Promotion (ODPHP) initiated a pilot study in
October 2001 to develop a national model for engaging
community organizations in health promotion and dis-
ease prevention activities that reflect the national HP
2010 goals and objectives. ODPHP awarded the Healthy
People 2010 Microgrant Project, one of two pilot stud-
ies, to Yale Univer ...
1. Discuss the organization and the family role in every one of the.docxcroysierkathey
1. Discuss the organization and the family role in every one of the heritages mentioned about and how they affect (positively or negatively) the delivery of health care.
2. Identify sociocultural variables within the Irish, Italian and Puerto Rican heritage and mention some examples.
References must be no older than 5 years. A minimum of 700 words is required.
.
1. Compare and contrast DEmilios Capitalism and Gay Identity .docxcroysierkathey
1. Compare and contrast D'Emilio's
Capitalism and Gay Identity
with the
From Mary to Modern Woman
reading. What patterns do you see that are similar to the modern American society? What can be said about global notions of gender in the modern age? Feel free to invoke Foucault.
2. How is the writer's experience important in the story being told in
Middlesex
? Describe your reaction to the reading and invoke some of the concepts discussed in the
Queer Theory
reading to try to make sense of sexuality when it does not match your own conventions. Compare both readings, but go deeper to explore your own stereotypes and socialization.
**PLEASE READ THE READINGS IN ODER TO DO THIS ASSIGNMENT.
.
1.Purpose the purpose of this essay is to spread awareness .docxcroysierkathey
1.
Purpose: the purpose of this essay is to spread awareness around stereotyping and how it can be very hurtful to some people.
2.
Audience: Anyone that uses stereotypical jokes or saying around people that are different than them even without realizing that they are making a stereotypical joke or statement.
3.
Genre: the genre that I will be trying to reach out to in this essay will be informational, reason being is that I mainly look at informational online documentaries and stories.
4.
Stance and tone: I’m just a young man who grew up around a lot of people from different places and have different cultures and never paid attention in my younger years to what was happening from stereotyping others that they are different till recently.
5.
Graphic design
: My essay will be a strict academic essay
.
1. Tell us why it is your favorite film.2. Talk about the .docxcroysierkathey
1. Tell us why it is your favorite film.
2. Talk about the interconnection between the aesthetic and the technical aspects of the film. This should include at least seven of the following: Editing, Film Structure, Cinematography, Lighting, Colors, Screenwriting, Special effects, Sound and Music.
3. After this course, will you see you favorite film in a different light? Why or why not?
.
1.What are the main issues facing Fargo and Town Manager Susan.docxcroysierkathey
1.What are the main issues facing Fargo and Town Manager Susan Harlow?
Fargo and Town Manager Harlow are on a slippery slope to corruption. I think that Harlow is handling her position the correct way by trying to remain neutral and sticking to a code of ethics so the problem really comes down to the political actors in the town. It is good that Harlow declined the invite to the dinner party, and cracked down on employees playing politics at work, that is a step in the right direction to removing the possibility of political corruption.
2.What is the basis for your answer to question #1?
At the end of the article Harlow remembers another city manager saying “you never have more authority than the day you walk into your office” What I get from that, and what I think Harlow got from that is that when you come into a position as a public manager everyone is going to want something from you. Political actors are going to want political favors, quid pro quos, you have something that everyone else wants and they are going to try and get that from you.
3.What are your recommended solutions to the problems you identified?
I think the best thing to do would be to continue to try to remain neutral. It will always be impossible to please absolutely everybody so the best thing to do is try to avoid doing everything everyone asks and stick to some sort of code of ethics.
4.What points do you agree, disagree or want further discussion from your fellow classmates and why? (tell them not me)
I think the overarching theme of this article is that people are going to want things from the government. I agree with Harlow's steps to avoid political corruption in her administration by cracking down on political favors with the snow plows and referring to the ICMA code of ethics.
.
1.Writing Practice in Reading a PhotographAttached Files.docxcroysierkathey
1.
Writing: Practice in Reading a Photograph
Attached Files:
Bachman, Ieshia Evans, Baton Rouge (2016).jpg
(277.283 KB)
For this assignment, you will practice analyzing how various rhetorical elements contribute to the overall meaning of a visual image--in this case, a photograph. To begin, click on the attached image.
By way of some context, this photo was taken in 2016 at a protest rally in Baton Rouge, Louisiana. The woman in the photo is named Ieshia Evans. The photographer is named Jonathan Bachman. Bachman's photo, which was first published by Reuters, was a finalist for a Pulitzer Prize in 2017. You can use this information to do more research on the image, if you like.
Now, review once again the Elements and Methods of Visual Rhetoric document and select from it
three
elements that you wish to discuss in relation to this photo. Please note that this is not a formal essay assignment, so do not treat it as such. For example, you do not need to create a formal introduction.
Begin by simply providing an
interpretive claim
--i.e., stating what you believe is the meaning or message of Bachman's photo. Ideally, this should be just
one
sentence (tho you can write two if necessary). After that, your document simply needs to contain
three paragraphs
, one for each rhetorical element you have selected. In each paragraph, you need to explain fully how the particular element contributes to the overall meaning or message of the image.
Note: Your assignment must be submitted as an attached .doc or .docx file. Name your file correctly, using your last name and brief description of assignment (e.g., Martinez, Photograph.docx).
2.
DB: Interpreting Political Ads
In this discussion board, you will be discussing and interpreting a recent political ad entitled "Mourning in America," which was produced by The Lincoln Project, a political action committee (PAC). If you are not familiar with the group, take a moment to research it, as that context will add to your understanding and interpretation. You can
click here
to view the ad.
As you watch "Mourning in America", think carefully about how this political advertisement compares and contrasts with Ronald Reagan's "Morning in America" ad, in terms of its rhetorical methods as well as its overall message. You will be asked to comment on
three
specific rhetorical elements, so decide which ones stand out most to you and take careful notes on those to prepare for the discussion.
When you are ready, click the link above to enter the Discussion Board, and then follow the instructions in the first thread posted in this forum for responding to this material.
Questions:-
Mourning in America
COLLAPSE
Your task here is to share with your peers your ideas on how
three
specific rhetorical elements or your choosing are used in this ad to make its appeal to an audience and to convey a message.
1. Identity the three rhetorical elements that you have selected and then
explain
how each .
1.Some say that analytics in general dehumanize managerial activitie.docxcroysierkathey
1.Some say that analytics in general dehumanize managerial activities, and others say they do not. Discuss arguments for both points of view.
2.What are some of the major privacy concerns in employing intelligent systems on mobile data?
3. Identify some cases of violations of user privacy from current literature and their impact on data science as a profession.
4.Search the Internet to find examples of how intelligent systems can facilitate activities such as empowerment, mass customization, and teamwork.
Note: Each question must be answered in 5 lines and refrences must be APA cited.
.
1.What is the psychological term for the symptoms James experiences .docxcroysierkathey
1.What is the psychological term for the symptoms James experiences after abstaining from consuming
alcohol? How do changes in the functioning of neurotransmitter systems produce these symptoms?
2.With reference to associative learning principles/models/theories, why does James consume alcohol
to alleviate these symptoms? What motivates his drinking behaviour given that he no longer enjoys this
activity (most of the time)?
3.How do these factors prevent James from quitting his drinking, and lead to a cycle of relapse when he
attempts to do so? Why are these processes important for our understanding of addiction and
substance use disorders.
1 Page
at least 3 sources
APA
.
1.Write at least 500 words discussing the benefits of using R with H.docxcroysierkathey
1.Write at least 500 words discussing the benefits of using R with Hadoop. Use APA format and Include at least 3 quotes from your sources enclosed in quotation marks.
2.Write at least 500 words discussing how insurance companies use text mining to reduce fraud. Use APA format and Include at least 3 quotes from your sources enclosed in quotation marks.
.
1.What is Starbucks’ ROA for 2012, 2011, and 2010 Why might focusin.docxcroysierkathey
1.What is Starbucks’ ROA for 2012, 2011, and 2010? Why might focusing specifically on ROA be misleading when assessing asset management (aka management efficiency)?
2.Why is ROE considered the most useful metric in measuring the overall ability of a business strategy to generate returns for shareholders?
3. How do the financial statements reveal company strategy (i.e., what story do the numbers tell and does that story align with the strategy of Starbucks?)?
.
1. Discuss the cultural development of the Japanese and the Jewis.docxcroysierkathey
1. Discuss the cultural development of the Japanese and the Jewish heritage.
2. What are the cultural beliefs of the Japanese and Jewish heritage related to health care and how they influence the delivery of evidence-based healthcare?
A minimum of 2 evidence-based references
no older than 5 years is required.
A minimum of 600 words
(excluding the first and references page) is required.
.
1. Discuss at least 2 contextual factors(family, peers, school,.docxcroysierkathey
1.
Discuss at least 2 contextual factors(family, peers, school, community, work, etc.) that might make young people more or less likely to experience adolescence as a period of storm and stress.
2. How might the dramatic physical changes that adolescents undergo—and the accompanying reactions from others—influence other aspects of development, such as social or emotional development?
3. Describe some ways in which adolescent decision making is a product of interactions among puberty, brain development, cognitive growth, and contextual influences such as parents, peers, and community.
.
1.Write at least 500 words in APA format discussing how to use senti.docxcroysierkathey
1.Write at least 500 words in APA format discussing how to use sentiment analysis how political speech affects voters. Use at least 3 references in APA format.
2.Read the below article(link below) on statistics for categorical variables. Write at least 500 words in APA format discussing how to use these statistics to help understand big data.
Link: https://uc-r.github.io/descriptives_categorical
.
1.The following clause was added to the Food and Drug Actthe S.docxcroysierkathey
1.The following clause was added to the Food and Drug Act:
“the Secretary [of the Food and Drug Administration] shall not approve for use in food any chemical additive found to induce cancer in man, or, after tests, found to induce cancer in animals.”
After this clause was adopted, no new additives could be approved for use in food if they caused cancer in people or animals.
The public loved this and industry hated it.
What do you think of this clause? Do you support it or do you oppose it?
At the top of your post, please indicate SUPPORT or OPPOSE and then give your rationale. Then after you can view your classmates' posts, make your case to your fellow students.
2.There was a law that individuals who were indigent and who wished to litigate could apply to the courts for a total waiver of the normal filing fee. In the legislative session, however, a statute was enacted which limits the courts' authority to waive filing fees in lawsuits brought by prisoners against the state government.
Under this new law, a court has to require the prisoner to pay a filing fee "equal to 20 percent ... of the average monthly deposits made to the prisoner's [prison] account ... or the average balance in that account", whichever is greater (unless this calculation yields a figure larger than the normal filing fee).
A prisoner (who was indigent) wanted to appeal his case and was to be charged this fee. He filed suit claiming it was unconstitutional to charge this fee to prisoners.
Choose the side of the prisoner or the side of the state and tell why you would rule for the side you chose.
At the top of your post, please indicate SUPPORT PRISONER or OPPOSE PRISONER and then give your rationale. After you can view your classmates' posts, make your case to your fellow students.
3.A defendant pleaded guilty to receiving and possessing child pornography and was sentenced to 108 months in prison. The sentencing judge raised the defendant’s base offense level….by two levels because "a computer was used for the transmission" of the illegal material.
The appeal filed challenged the punishment enhancement (not his guilt of the base punishment.)
The defendant argued the law did not apply to him because he did not use a computer to transmit the material. (ie He was the receiver, not the sender, of the child pornography.)
Do you believe that the sentence enhancement should be upheld? Give an economic analysis and rational for your choice.
At the top of your post, please indicate SENTENCE UPHELD or SENTENCE REVERSED and then give your economic analysis/rationale. After you can view your classmates' posts, make your case to your fellow students.
4.The ordinance was enacted that gives tenants more legal rights including:
the payment of interest on security deposits;
requires that those deposits be held in Illinois banks;
allows (with some limitations) a tenant to withhold rent in an amount reflecting the cost to him of the landlord's v.
1.What are social determinants of health Explain how social determ.docxcroysierkathey
1.What are social determinants of health? Explain how social determinants of health contribute to the development of disease. Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain.
Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.
2. Select a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues.
Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.
.
1.This week, we’ve been introduced to the humanities and have ta.docxcroysierkathey
1.
This week, we’ve been introduced to the humanities and have taken some time to consider the role of the humanities in establishing socio-cultural values, including how the humanities differ from the sciences in terms of offering unique lenses on the world and our reality. Since one of the greatest rewards of being a human is engaging with different forms of art, we’ve taken some time this week to learn about what it means to identify and respond to a work of art. We’ve learned about the difference between abstract ideas and concrete images and concepts like structure and artistic form. To help you deepen your understanding of these foundational ideas, your Unit 1 assignment will consist of writing an essay addressing using the following criteria:
Essay Requirements:
• 1,000 words or roughly four double-spaced pages.
• Make use of at least three scholarly sources to support and develop your ideas. Our course text may serve as one of these three sources.
• Your essay should demonstrate a thorough understanding of the READ and ATTEND sections.
• Be sure to cite your sources using proper APA format (7th edition).
Essay Prompt:
• In this essay, you will consider the meaning of art and artistic form by responding to these questions:
o To what extent does Kevin Carter’s Pulitzer Prize-winning photograph (figure 2-5) have artistic form?
o Using what you’ve learned in Chapters 1, 2 and 14 explain if you consider Carter’s photograph a work of art? Be sure to point to specific qualities of the photograph to support/develop your response.
o How do you measure the intensity of your experience in response to Carter’s photograph? What does it make you see/feel/imagine and how does your response/reaction support Carter’s image as a work of art?
.
1.What are barriers to listening2.Communicators identif.docxcroysierkathey
1.
What are barriers to listening?
2.
Communicators identified the following as major listening poor habits. Search what each poor habit means and try to set an example using your own experience.
Poor listening habit:
Pseudo-listening, Stage hogging, Filling in gaps, Selective listening, Ambushing (
Definition & Example)
.
1.Timeline description and details There are multiple way.docxcroysierkathey
1.
Timeline description and details
: There are multiple ways to construct a timeline. Find one that fits you and your information.
Include 10-15 events, each including the following descriptors:
- titles of books or writings or some sort of identifier
- your age or some time reference
- and whether it was a positive or negative experience
.
1.The PresidentArticle II of the Constitution establishe.docxcroysierkathey
1.
The President
Article II of the Constitution established the institution of the presidency. Select any TWO Presidents prior to 1933 and any TWO Presidents since 1933 and for EACH one:
a.
Discuss
any
expressed
power used by each president and the
impact
that decision had on American society at the time of its use
b.
Explain
whether you
agree/disagree
with the presidential action taken and
WHY
c.
Describe
one
legislative initiative
promoted by each president and the
impact
on America at the
time of its passage
as well as what the impact of that legislation is
TODAY
d.
Discuss
one
executive order
issued by each president and whether you
agree/disagree
with the order and
WHY
1.
Select any FOUR United States Supreme court decisions related to Civil Rights/Civil Liberties and for
each one
:
a.
Describe
the facts of the case
b.
Discuss
the arguments of each side as it pertains to the
Constitutional issue
being addressed
c.
Explain
the decision citing
Constitutional rationale
of the court including any dissenting opinion if not a unanimous verdict
d.
Explain
whether you
agree/disagree
with the court’s decision and
WHY
.
1.What other potential root causes might influence patient fal.docxcroysierkathey
1.
What other potential root causes might influence patient falls?
2.
Equipped with the data, what would you do about the hypotheses that proved to be unsupported?
3.
Based on the correctly identified hypothesis in the case scenario, what would be your course of action if you were the CEO/president of St. Xavier Memorial Hospital?
4.
What do you think of the CNO’s (Sara Mullins) position of “waiting and seeing what the data tells us” instead of immediately jumping to conclusions?
.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Thesis Statement for students diagnonsed withADHD.ppt
Leading by Success Impact of a Clinical & Translational Res.docx
1. Leading by Success: Impact of a Clinical & Translational
Research Infrastructure Program to Address Health Inequities
Bruce Shiramizu1, Vicki Shambaugh2, Helen Petrovich2, Todd
B. Seto3, Tammy Ho4,
Noreen Mokuau5, and Jerris R. Hedges4
1Department of Tropical Medicine, Medical Microbiology &
Pharmacology, John A. Burns School
of Medicine (JABSOM), University of Hawaii at Manoa (UHM),
Honolulu, HI
2Pacific Health Research and Education Institute, Honolulu, HI
3Department of Medicine, JABSOM, UHM, Honolulu, HI
4JABSOM, UHM, Honolulu, HI
5Myron B. Thompson School of Social Work, UHM, Honolulu,
HI
Abstract
Building research infrastructure capacity to address clinical and
translational gaps has been a focus
of funding agencies and foundations. Clinical and Translational
Sciences Awards, Research
Centers in Minority Institutions Infrastructure for Clinical and
Translational Research (RCTR) and
2. the Institutional Development Award Infrastructure for Clinical
and Translational Research funded
by United States (US) government to fund clinical translational
research programs have existed for
over a decade to address racial and ethnic health disparities
across the US. While the impact on the
nation’s health can’t be made in a short period, assessment of a
program’s impact could be a
litmus test to gauge its effectiveness at the institution and
communities. We report the success of a
Pilot Project Program in the University of Hawaii RCTR Award
in advancing careers of emerging
investigators and community collaborators. Our findings
demonstrated that the investment has a
far-reaching impact on engagement with community-based
research collaborators, career
advancement of health disparities investigators, and favorable
impacts on health policy.
Keywords
health disparity; clinical research; health inequity; translational
research
INTRODUCTION
Health inequities continue to persist in communities across the
disease spectrum throughout
3. the United States (US) and globally1–3. Contributing to the
culture of health disparities has
Correspondence: Bruce Shiramizu, 651 Ilalo Street, BSB
325AA, Honolulu, Hawaii, 96813; [email protected]
COMPLIANCE WITH ETHICAL STANDARDS
The scope of the work did not involve human participants as
reviewed by the University of Hawaii Institutional Review
Board.
The authors have no other potential conflicts of interests except
for the funding agencies as acknowledged.
HHS Public Access
Author manuscript
J Racial Ethn Health Disparities. Author manuscript; available
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5. partly been a function of the imbalance of biomedical research
funding from government
agencies, private foundations, industry and other sources4–7.
Innovative concepts and bold
initiatives to increase collaborations and partnerships were
established through government,
industry and foundations to increase translation of research into
practice to accelerate
medical research6–10. Concepts and ideas to increase capacity
to address clinical and
translational gaps in the health of the population included new
approaches to discovery,
developing partnerships between government and private
sectors, identifying research teams,
and redesigning the clinical research paradigm6, 10. A number
of research initiatives were
instituted by various funding agencies to address clinical and
translational gaps to bring
entities together to accelerate the pace of discovery, from the
earliest discovery stages
through clinical research11–17. What followed in the USA,
amongst many other
infrastructure programs, were the Clinical and Translational
6. Sciences Award program
(CTSA) funded by the National Center for Advancing
Translational Sciences (NCATS)18, 19,
Research Centers in Minority Institutions (RCMI) Infrastructure
for Clinical and
Translational Research (RCTR) funded by National Institute of
Minority Health and Health
Disparities (NIMHD)20, and the Institutional Development
Award Program Infrastructure
for Clinical and Translational Research (IDeA-CTR) funded by
National Institute of General
Medical Sciences (NIGMS), Table 1.
Recognizing that building capacity to engage in clinical
translational research at institutions
across the USA requires collaborations and partnerships, the
CTSA mechanism was
launched to support programs and infrastructures for
translational science7, 19. The success
of the CTSA programs impacted geographical regions based at
the institutions involved with
their respective CTSA programs21–25. On a smaller scale and
owing to the limitations placed
by the NIH IDeA Program, institutions from IDeA-eligible
states developed clinical and
7. translational research capacity at their institutions beginning in
201426. In a similar fashion,
RCMI institutions were provided opportunities to develop
infrastructures to conduct clinical
and translational research11–17. The University of Hawaii
(UH), as an RCMI institution,
established the RCMI Multidisciplinary And Translational
Research Infrastructure
Expansion (RMATRIX) Program as an RCTR which has grown
to be a successful clinical
and translational research foundation for faculty members at
UH.20 Nationally, millions of
federal and foundation dollars have been invested into these and
other clinical and
translational research infrastructure programs. We report the
success of a Pilot Project
Program of RMATRIX at UH which not only built research
capacity locally but also
impacted clinical and translational research far beyond Hawaii
through the support of
academic investigators with Pilot Project Awards. One of
unique characteristics of Hawaii
was that as the 50th state of the USA, its geographical isolation
in the Pacific Ocean
8. distinguished it as having the only accredited USA medical
school within a 2400 mile
radius. With its diverse ethnic population including Native
Hawaiians, Pacific Islanders,
Asians and Filipinos, the RMATRIX program at UH was
uniquely situated with its
infrastructure to potentially contribute to the clinical
translational landscape in Hawaii to
benefit its population. One component of the RMATRIX
program was the Pilot Project
program which provided resources and funds for emerging
investigators to support research
projects focusing on health inequities in the communities. We
report that the investment not
only built the clinical and translational research infrastructure
at UH but the dollars had a
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far-reaching impact that connected communities and
collaborators both locally and
nationally where health inequities also persisted.
METHODS
RMATRIX Program
The Institutional Review Board (IRB) of the UH Human Studies
Program reviewed the
principle of the project. The RMATRIX Program was initially
funded as an RCTR in 2010
for 3 years with a 1 year no-cost extension in response to an
NIH Program Announcement,
PAR-09-261, "Limited Competition for Research Centers in
Minority Institutions
11. Infrastructure for Clinical and Translational Research".
Following a competitive renewal
application, RMATRIX was refunded for 5 years in 2014.
Through the RCTR award,
RMATRIX was established as the integrated "home" for clinical
and translational science in
Hawaii through the UH.
In the first 4 years, we reorganized and expanded existing (and
previously disconnected)
RCMI research infrastructure programs at UH working with
community and hospital
partners. The RMATRIX Key Functions were carefully designed
to provide the clinical and
translational research infrastructure to expand proposed
HEALTH (Health, Equity and
Lifestyle Transformation in Hawai’i) Initiatives to address
health disparities throughout
Hawaii. The RMATRIX Key Functions which served as
resources to support investigators
(during study development and implementation and career
development) included: Program
Administration, Professional Development, Collaborations and
Partnerships, Biomedical
12. Informatics, Clinical Research Resources and Facilities,
Community-Based Research,
Research Design and Biostatistics, Regulatory Knowledge, and
Evaluation. These 8 Key
Functions focused initially on projects and investigators
interested in health disparity issues
related to six HEALTH Initiatives: cardiovascular; respiratory;
nutrition & metabolic;
cancer; perinatal, growth, & development; and aging &
neurocognition. In the successful
renewal application, lessons learned allowed the program to
focus on three HEALTH
Initiatives which resonated with the communities and
investigators through needs
assessments: nutrition & metabolic health; reproductive growth
& developmental health; and
aging & chronic disease prevention/management.
While RMATRIX supported investigators interested in clinical
and translational research
across the spectrum of the HEALTH Initiatives, this report will
highlight the continuing
activities of investigators from the first three years of the
RMATRIX Pilot Project Program.
Data from 3–5 years after the pilot projects were award
13. provided facts and figures on the
ongoing impact of the RMATRIX program which informed this
report.
RMATRIX Pilot Project Program
The Pilot Project Program promoted inter-professional
translational research in health
disparities by supporting research endeavors and collaborations
among emerging
investigators. The Pilot Project Program released an annual
institution-wide request for
proposals which encouraged multiple principal investigators
and/or collaborators across
disciplines. Presentations at department and school faculty
meetings were also held to
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disseminate information about the funding opportunities. Direct
costs up to $30,000 per year
for 1-year projects were allowed, with priority given to those
studies which focused on one
of the HEALTH Initiatives. From 2010–2012, 18 Pilot Project
Investigators were awarded
from 55 Pilot Project applications which were submitted in
response to the RFP. At the time
of the RFP release, webinars were held to guide and provide
potential applicants information
on the Pilot Project application process. Each cycle of
applications underwent external
review with at least 2 experienced external reviewers assigned
to each application and scored
similarly to the current NIH extramural grant review
guidelines.27 The level of funding
16. available in 2010–2012 determined the number of Pilot Project
Awards which were provided
in each year: 3 awards to 3 investigators in 2010; 8 awards to 8
investigators in 2011; and 6
awards to 7 investigators in 2012. The Pilot Project
investigators’ disciplines and Pilot
Project titles are summarized in Table 2.
RMATRIX Pilot Project Program Evaluation
The RMATRIX evaluators (from the second funding cycle)
consisted of one MD and one
MA/MPH with over 30 years each in health research including
federal funding on multi-year
grants and contracts as well as infrastructure development
grants in minority health
involving academia, medical centers, and community
organizations throughout Hawaii. The
Evaluators were from an independent, nonprofit organization
with research backgrounds
who were each funded by grants and contracts and each
understanding challenges that
researchers faced. They employed qualitative methodology
using semi-structured interviews
to collect information on Pilot Project Investigators’
17. perspectives and experiences. The semi-
structured interview process permitted maximum use of face-to-
face time with each Pilot
Project Investigator. Interviews were conducted at a location
selected by the Pilot Project
Investigator; usually a conference room at their department or
in their office at the
University or Medical Center.
Data were collected beginning 1 year after each Pilot Project
Investigator was awarded the
RMATRIX Pilot Award through December 2015. RMATRIX
Pilot Project Investigators
received their awards in 2010, 2011, and 2012, providing 3 to 5
years of follow-up data for
analysis. A standardized list of outcomes was used to guide the
interview process while not
restricting the Pilot Project Investigator from sharing additional
information he/she felt
important. This included: publications; presentations; patents;
further research after pilot
award; continuation of pilot or new research; research role;
awards/recognitions;
promotions; job/career change; research findings that brought
change to clinical or social
18. service practice, resulted in change in organizational, local,
state, or federal policies;
findings used in advocacy; collaborators; disciplines;
community involvement; and federal
contacts, Table 3. A copy of the outcomes to be discussed as
well as evaluation questions
were sent to all Pilot Project Investigators before their
interview. Each Pilot Project
Investigator was requested to send an updated resume to the
Evaluators prior to the in-person
meeting. This allowed the Evaluators to review the resume, note
outcomes, and identify
additional questions for the meeting. This helped to maximize
the interview process and
keep the total interview time to one hour. The academic
professional outcomes and
measurements were reported based on the interview information
of the pilot project
investigators, Table 3.
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RESULTS
Eighteen Pilot Project Investigators received seventeen pilot
awards from 2010–2012 in
RMATRIX. Seventeen of eighteen investigators in RMATRIX
were contacted; however, the
lack of contact information for the last investigator prevented
follow-up. Fifteen
investigators provided updated resumes and met with the
Evaluators. One Pilot Project
Investigator provided a resume but elected to not participate in
21. the interview while a second
who moved to the mainland United States furnished an updated
resume and answered the
evaluation questions via email. The data presented summarizes
information from 17
investigators based on self-report and public documentation.
The academic demographics of
the investigators represented diverse disciplines across the
spectrum and academic ranks,
Table 4.
Scholarly Assessment
Scholarly assessment was measured by the publications,
presentations at scientific meetings
and by funded grants. The successful achievements of the Pilot
Project Investigators were
highlighted by publications in peer-reviewed journals and books
since receiving their pilot
awards as well as their contributions at scientific meetings with
presentations, Table 4. Since
the completion of their Pilot Project, the 17 investigators had 47
grants which were currently
active at the time of this report. An additional 34 grants were
funded and completed since
22. their Pilot Projects. In addition to the funding agencies noted in
Table 2, private foundations
and pharmaceutical companies also contributed as sources. The
81 grants contributed over
$79.5 million in research with each of the 17 investigators being
Principal Investigators (PI)
on 60 grants which totaled $22.4 million in direct award dollars.
The litmus test for
RMATRIX investigators’ research successes was based on being
awarded federally-funded
grants4.
Professional Academic Assessment
Pilot project investigators were assessed on their academic
achievements since being
awarded the pilot project funds including promotions and new
academic appointments, Table
4.
Entrepreneurship Assessment
Entrepreneurship achievements were assessed by successful
business ventures or related
enterprises, Table 3. Three investigators developed new startup
companies based on their
research and contributions from their Pilot Project data. These
23. startup companies are
employing graduates from UH, providing them with jobs in
Hawaii in their discipline. Three
patents were received and four intellectual property agreements
were filed.
Training the Next Generation of Faculty Researchers
Assessment
Career development of faculty includes developing skills and
ability to train emerging
investigators and students to contribute to the pipeline of new
clinical translational research
faculty, Table 3. To accomplish this, continued collaborations
with other investigators
contribute to the foundation. All of the Pilot Project
Investigators continued collaborations
from their RMATRIX pilot work. Additionally, they have all
become mentors themselves for
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students and other faculty. In 2015 alone, the 17 investigators
have mentored 159 mentees
including medical students, MDs, Master Candidates, PhD
Candidates, PhDs and
undergraduate students.
Awards/Honors Assessment
Recognition of the accomplishments as a direct or indirect
result of the pilot project awards
can contribute to clinical translation research through additional
funding opportunities and
scientific opportunities, Table 3. Among the numerous awards
and recognitions cumulatively
26. bestowed upon the RMATRIX Pilot Project Investigators were:
the Robert W. Clopton
Award, Distinguished Community Service, Certificate of
Recognition and Invited Member
National Academy of Inventors, Institute of Electrical and
Electronics Engineers Fellow,
Hawaii Comprehensive Cancer Coalition Chair, American
Cancer Society Hawaii/Pacific
Chapter Board, Royal Geographical Society Research Fellow,
Migrant Clinicians Network
External Advisory Board, Washington State Commission on
Asian Pacific American Affairs,
Queens’s Health Systems, Queen’s Medical Center and Hawaii
Pacific Health Board
members, American Academy of Neurology Emerging
Leadership Forum Award, NSF
Career Award, and American College of Physicians Laureate
Award.
Scientific Impact Assessment
The scientific impact of the pilot project and/or contribution by
the investigator was assessed
by how the knowledge gained or results contributed to the
health of the communities, Table
3. Because of Hawaii’s unique geographic location and diverse
27. population, there are rich
opportunities to examine how the environment, race and
ethnicity, and culture impact the
access, delivery and outcomes of care, and contribute to the
significant health inequities
identified among Native Hawaiians and Other Pacific Islanders.
The potential scientific
impact that the awarded Pilot Projects proposed were viewed
positively by the external
reviewers. As such, the success of the Pilot Projects provided
scientific contributions across
a wide spectrum including: 1) Physiological radar technology
for sleep monitoring; 2)
Behavioral modification to reduce health disparities and chronic
disease in Native Hawaiians
and other high risk populations; 3) Neuroimaging technique
targeting monocytes for brain
inflammation; 4) Properties of pulmonary surfactant in
premature infants; 5) Patent award
and product development of a compound to effectively treat box
jellyfish stings; and 6)
Patent on methods for prevention of cardiac hypertrophy.
Advocacy Assessment
28. The litmus test for effective clinical and translational research
that impacts the population in
Hawaii is policy and advocacy Table 3. RMATRIX Pilot Project
Investigators reported the
following actions: 1) Hawaii State Senate Resolution to convene
Native Hawaiian Health
Task Force addressing health inequities; 2) Establishment of
Hawaii State Stroke Registry;
and 3) Disparities findings used for advocacy by community
leaders and health professionals
locally, nationally, and internationally.
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Synergy and Collaborations Assessment
Establishing synergy and collaborations between the pilot
project investigator and other
leaders locally, nationally, and internationally has the potential
to increase the impact that
the research has on the population health in Hawaii as well as
beyond the state, Table 3. The
creation and launching of a new interdisciplinary translational
class at UH combining
engineering and pediatrics was one of the first of its kind at the
institution. A statewide effort
involving communities, health professionals, and academia
united to support healthy choices
to address obesity with launch of a successful program weight
control program for children
and families. The synergy and collaboration between
engineering investigators working
alongside health professionals to apply radar for sleep
monitoring in the medical center
31. bridged the engineering and medical disciplines in a positive
and successful effort.
Collaborations amongst academia, communities, and industry
from local, national, and
international regions are summarized in Figure 1 which also
shows the direct connections of
the collaborators from other geographical regions of the world.
DISCUSSION
The RMATRIX Pilot Project Program successfully launched and
expanded clinical
translational research opportunities for the emerging faculty
who were instrumental in
leveraging the resources and their pilot project data to benefit
the institution and state. In
addition to enhancing their respective academic careers, their
efforts contributed to policies
and launched collaborations to start new ventures and projects
to potentially benefit the
populations in Hawaii and expand beyond the state.
At its inception, RMATRIX was conceived and envisioned to be
a catalyst to build a critical
mass of investigators who would conduct translational and
clinical research in the HEALTH
32. Initiatives that disproportionately affect Native Hawaiian and
other Pacific Peoples in
Hawaii. For many clinical and translational research
infrastructure programs in the US, a
similar theme purveys to benefit the populations they serve or
with whom they engage in
their activities4, 6, 7, 16–18, 20, 23, 26, 28. While the long-
term goal of promoting and improving
health equity across all stages of life for the most disparate
populations (by contributing to
improving the health of all people in Hawaii) is an ambitious
undertaking and not quickly
attainable in a short period of time (3 years), the RMATRIX has
put in place a valuable
infrastructure for academic and community investigators to
work together on approaches for
the prevention, diagnosis and treatment of diseases to improve
health and reduce health
disparities. RMATRIX is committed to further expanding and
strengthening the
infrastructure to lead by its success. Ultimately, the next steps
for RMATRIX will be to
demonstrate its success in improving health equities for the
population in Hawaii.
33. RMATRIX has demonstrated the importance of career
development and mentorship through
the building of a critical mass of investigators committed to
eliminating health inequities
through clinical and translational health disparities research and
collaborations with other
institutions and communities as well as various professional
disciplines locally, nationally
and internationally. RMATRIX further strengthened the synergy
between organizations,
professional disciplines and individual investigators.
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With the large number of clinical and translational research
infrastructure awards in
existence7, 12, 14, 16, 17, 24, 26, 29, 30, RMATRIX is likely
not unique in its impact or
importance to the institution, state, or communities. Other
successful infrastructure programs
have Pilot Project mechanisms to jumpstart research careers of
faculty28, 30, however,
because of the uniqueness of its size, location, and modest
landscape in clinical and
translational research at the UH, the magnitude of its impact
may be more pronounced. As
one of our pilot investigators noted, RMATRIX changed the
intellectual atmosphere at UH
and JABSOM, raising awareness of ethnic disparities in health,
work that is supported by
funding agencies, and bringing local indigenous investigators
together with other groups
36. nationally and internationally providing an avenue for new
research. This successful
program demonstrated how support for clinical and translational
research could be leveraged
and could set the cornerstone for similar programs to
collaborate to ultimately benefit the
health and well-being of the populations.
It has taken decades to recognize and acknowledge health
inequities in our communities.
Addressing these issues now using the mechanism of successful
clinical and translational
research infrastructure programs will help communities move
from identification of the
causes of health inequities toward the training of investigators
with strong community
partners who will develop effective interventions with strong
scientific support that will lead
to commercial products, changes in health professional practice,
and well-grounded health
policy that can turn the tide of health disparities affecting the
population.
Acknowledgments
The authors would like to thank the RMATRIX Key Function
Directors (Venkataraman Balaraman, Kathryn Braun,
37. John Chen, Judith Inazu, J. Keawèaimoku Kaholokula, Kari
Kim, Marjorie Mau, Neal Palafox, Cecilia Shikuma,
Alexander Stokes, JoAnn Tsark) and Grace Matsuura and
Lauren Soto. Support was provided by the National
Institute on Minority Health and Health Disparities
(U54MD007584; U54MD008149), National Institutes of
Health. The content is solely the responsibility of the authors
and does not necessarily represent the official views
of the National Institutes of Health.
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investigators/collaborators nationally and internationally.
Shiramizu et al. Page 10
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in PMC 2018 April 28.
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Table 1
Clinical Translational Research Infrastructure Programs,
Funding Agencies & Institutions
Programs/Agencies/Institutions Abbreviations
Air Force Research Laboratory AFRL
Clinical and Translational Science Award CTSA
Department of Defense DOD
Health Resources and Services Administration HRSA
Institutional Development Award IDeA
49. National Center for Research Resources NCRR
National Heart, Lung, and Blood Institute NHLBI
National Institute of Diabetes and Digestive and Kidney
Diseases NIDDK
National Institute of General Medical Sciences NIGMS
National Institute of Minority Health and Health Disparities
NIMHD
National Institute of Neurological Diseases & Stroke NINDS
National Institute on Alcohol Abuse and Alcoholism NIAAA
National Science Foundation NSF
National Institute on Drug Abuse NIDA
Office of Naval Research ONR
Pacific Command PACOM
Research Centers in Minority Institutions RCMI
Research Centers in Minority Institutions Infrastructure for
Clinical and Translational Research RCTR
United States Special Operations Command USSOCOM
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Table 3
Outcome Measurements Used to Assess Impact of Pilot Projects
Assessment Outcome Measurements
Scholarly Work Publications, presentations at
national/international
meetings, funded grants/awards
Professional Academic Promotion Academic promotion, new
128. academic position
Entrepreneurship New startup company, patents, intellectual
property
agreements
Training the Next Generation of Faculty Researchers Providing
mentorship to students (medical students,
Master Candidates, PhD Candidates, undergraduate
students), physicians, postdocs, faculty
Awards/Honors Awards and recognitions from regional,
national and
international institutions and organizations
Scientific Impact Scientific impact on how the pilot project
impacted
access, delivery and outcomes of care, or contributed to
health among Native Hawaiians and Other Pacific
Islanders
Advocacy Impact of the pilot project on the population in
Hawaii
through new policy and advocacy.
Synergy and Collaborations As a result of the pilot projects,
new collaborations
which were formed amongst academia, communities,
and industry from local, national, and international
regions.
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Table 4
Professional & Academic Demographics of Pilot Project
Investigators
Professional Discipline Highest
Academic
Degree
Obtained
Academic Rank Academic
Promotions
131. Metric Outcomes
Public Health,
Psychology, Nursing,
Engineering, Tropical
Medicine, Cell and
Molecular Biology,
Medicine
PhD (n=12),
MD/PhD (n=2),
MD (n=3)
Assistant Professor (n=10),
Associate Professor (n=3),
Professor (n=4)
Promoted to
Associated
Professor (n=2); to
Professor (n=2);
New academic
appointments
(n=2)
224 publications and
311 presentations (141
local, 93 national, and
77 international)
132. J Racial Ethn Health Disparities. Author manuscript; available
in PMC 2018 April 28.
AbstractINTRODUCTIONMETHODSRMATRIX
ProgramRMATRIX Pilot Project ProgramRMATRIX Pilot
Project Program EvaluationRESULTSScholarly
AssessmentProfessional Academic AssessmentEntrepreneurship
AssessmentTraining the Next Generation of Faculty Researchers
AssessmentAwards/Honors AssessmentScientific Impact
AssessmentAdvocacy AssessmentSynergy and Collaborations
AssessmentDISCUSSIONReferencesFigure 1Table 1Table
2Table 3Table 4
Resources for discussion WK 9
(A) Milstead, J. A., & Short, N. M. (2019). Health policy and
politics: A nurse’s guide (6th ed.). Burlington, MA: Jones &
Bartlett Learning.
· Chapter 7, “Health Policy and Social Program Evaluation”
(pp. 116–124 only)
(B) Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003).
Why don’t we see more translation of health promotion research
to practice? Rethinking the efficacy-to-effectiveness transition.
American Journal of Public Health, 93(8), 1261–1267.
Note: You will access this article from the Walden Library
databases.
(C) Williams, J. K., & Anderson, C. M. (2018). Omics research
ethics considerations. Nursing Outlook, 66(4), 386–393.
doi:10.1016/j.outlook.2018.05.003
Note: You will access this article from the Walden Library
databases
(D)
https://class.waldenu.edu/bbcswebdav/institution/USW1/201970
_27/MS_NURS/NURS_6050/artifacts/USW1_NURS_6050_Shira
133. mizu_et_al._2016.pdf
Discussion week 9 module 5 question
Discussion: The Role of the RN/APRN in Policy Evaluation
In the Module 4 Discussion, you considered how professional
nurses can become involved in policy-making. A critical
component of any policy design is evaluation of the results.
How comfortable are you with the thought of becoming
involved with such matters?
Some nurses may be hesitant to get involved with policy
evaluation. The preference may be to focus on the care and
well-being of their patients; some nurses may feel ill-equipped
to enter the realm of policy and political activities. However, as
you have examined previously, who better to advocate for
patients and effective programs and polices than nurses?
Already patient advocates in interactions with doctors and
leadership, why not with government and regulatory agencies?
In this Discussion, you will reflect on the role of professional
nurses in policy evaluation.
To Prepare:
· In the Module 4 Discussion, you considered how professional
nurses can become involved in policy-making.
· Review the Resources and reflect on the role of professional
nurses in policy evaluation.
By Day 3 of Week 9
Post an explanation of at least two opportunities that currently
exist for RNs and APRNs to actively participate in policy
review. Explain some of the challenges that these opportunities
may present and describe how you might overcome these
challenges. Finally, recommend two strategies you might make
to better advocate for or communicate the existence of these
opportunities. Be specific and provide examples.