Patient Engagement in Transitional Care

The Clinical Nurse Leader Master’s project was conducted about a public health program called the Transitional Care Program that was working in partnership with a county hospital system, Santa Clara Valley Medical Center. The specific aim was to reduce hospital re-admissions of high-risk patients by supporting patient motivation and engagement in the Transitional Care Program by May 2015. Over a four-month period, data was collected through ten client visits, interviews with two public health nurses, information available about the program, and current research conducted on transitional care, hospital discharges, and patient engagement. Various aspects of the program were assessed, such as the general microsystem relationships, stakeholders involved in the program, the patient population at risk for re-admissions, and processes of the program. Findings identified weaknesses and strengths of the microsystem and challenges that decrease that ability of the program staff to prevent re-admissions into the hospital system. Evidence-based research collected highlighted communication as a pain point in transitional care practices. Focus of project development was aimed at the nurse-patient relationship in transitional care, and a communication tool was developed to engage the patient in goal development and decrease the risk of hospital re-admissions. This tool was presented to the program staff for review and approval of testing with clients. Implementation of the communication tool was used with two client cases and at the close of each case, the patient will be asked to fill out a survey about the use of the communication tool related to their transitional care experience. Evaluation data to be collected include the number of urgent care visits, goals accomplished as stated by the patient, and incidents of re-admissions to the hospital

Otaku: Images and Identity in Flux

An analysis of the changing stereotypical image of the Otaku, primarily as the subculture is viewed in Japan with parallels to Otaku subculture in the United States. Also included are an examination of the subculutre, the formation of its identity, and its interactions with the mainstream culture

Electrodeposition of copper using additive-containing low metal ion concentration electrolytes for EnFACE applications

In the past decade a new electrodeposition process called Electrochemical nano and micro Fabrication by flow and Chemistry (EnFACE) was developed which enabled mask-less pattern transfers onto a metallic substrate. EnFACE uses a novel acid-free, additive-free plating electrolyte containing low concentrations of metal salts (0.1 MCuSO4), as the process requires electroplating under conditions of fast kinetics and low electrolyte conductivity. However, for electronic applications,industry requires the use of additives, which improve deposit properties such as thickness uniformity, strength, ductility, and conductivity. The use of pulsed current is also known to improve deposit properties such as grain structure, mechanical strength and throwing power. Therefore, in order to use EnFACE for fabrication of industrially useful products, the effect of additives on the electrochemical behaviour and deposit properties of this process needs to be assessed. In addition, the influence of current modulation; i.e. direct current vs pulsed current, on deposit properties also warrants investigation. Potentiodynamic polarisation experiments were performed on additive-free and additive-containing EnFACE electrolyte (0.1 M CuSO₄). The additives tested were Copper Gleam A, Copper Gleam B, and chloride ions (Cl⁻). The effect of two parameters: (i) additive type and (ii) additive concentration, on cathode polarisation were studied.Copper films were electroplated on stainless steel substrates from electrolytes containing different concentrations of plating additives (0%, 17%, 33%, 50%, 100%,200% of the industry recommended additive concentration). Both direct current (DC)ABSTRACT|ii and pulsed current (PC) plating were used. The deposit was characterised using scanning electron microscope (SEM), electron back scattered diffraction (EBSD),tensile test machine (UTM), four-point probe and X-ray diffraction (XRD).Cathode polarisation occurred when the additives were used individually. Thecombination of Copper Gleam B and Cl- suggested synergistic inhibition, particularly in the diffusion-limited region. The addition of Copper Gleam A to the CopperGleam B-Cl⁻ mix increased the limiting current and suggested plating acceleration.These effects are interpreted in terms of the adsorption-desorption behavior of the additives on the cathode surface. SEM and EBSD images indicated that additives caused a concentration dependent decrease in the grain size of the deposit in both the DC and PC plated deposit. This grain refinement resulted in an increase in yield and tensile strength,but reduced the ductility and resistivity of deposits. The PC-plated copper from theEnFACE electrolytes generally possessed better mechanical properties than its DC-plated counterparts, though both plating modes created copper films that can meet industry standards. The optimum additive concentration for the EnFACE electrolyte was 50% of the recommended value when using DC plating; while the optimum was only 33% when using PC plating.In the past decade a new electrodeposition process called Electrochemical nano and micro Fabrication by flow and Chemistry (EnFACE) was developed which enabled mask-less pattern transfers onto a metallic substrate. EnFACE uses a novel acid-free, additive-free plating electrolyte containing low concentrations of metal salts (0.1 MCuSO4), as the process requires electroplating under conditions of fast kinetics and low electrolyte conductivity. However, for electronic applications,industry requires the use of additives, which improve deposit properties such as thickness uniformity, strength, ductility, and conductivity. The use of pulsed current is also known to improve deposit properties such as grain structure, mechanical strength and throwing power. Therefore, in order to use EnFACE for fabrication of industrially useful products, the effect of additives on the electrochemical behaviour and deposit properties of this process needs to be assessed. In addition, the influence of current modulation; i.e. direct current vs pulsed current, on deposit properties also warrants investigation. Potentiodynamic polarisation experiments were performed on additive-free and additive-containing EnFACE electrolyte (0.1 M CuSO₄). The additives tested were Copper Gleam A, Copper Gleam B, and chloride ions (Cl⁻). The effect of two parameters: (i) additive type and (ii) additive concentration, on cathode polarisation were studied.Copper films were electroplated on stainless steel substrates from electrolytes containing different concentrations of plating additives (0%, 17%, 33%, 50%, 100%,200% of the industry recommended additive concentration). Both direct current (DC)ABSTRACT|ii and pulsed current (PC) plating were used. The deposit was characterised using scanning electron microscope (SEM), electron back scattered diffraction (EBSD),tensile test machine (UTM), four-point probe and X-ray diffraction (XRD).Cathode polarisation occurred when the additives were used individually. Thecombination of Copper Gleam B and Cl- suggested synergistic inhibition, particularly in the diffusion-limited region. The addition of Copper Gleam A to the CopperGleam B-Cl⁻ mix increased the limiting current and suggested plating acceleration.These effects are interpreted in terms of the adsorption-desorption behavior of the additives on the cathode surface. SEM and EBSD images indicated that additives caused a concentration dependent decrease in the grain size of the deposit in both the DC and PC plated deposit. This grain refinement resulted in an increase in yield and tensile strength,but reduced the ductility and resistivity of deposits. The PC-plated copper from theEnFACE electrolytes generally possessed better mechanical properties than its DC-plated counterparts, though both plating modes created copper films that can meet industry standards. The optimum additive concentration for the EnFACE electrolyte was 50% of the recommended value when using DC plating; while the optimum was only 33% when using PC plating

The Effect of Women Executive on Bank Performance (Study on Banking Firms Listed in Indonesia Stock Exchange in The Period Of 2010 – 2019)

The aim of this study is to determine the effect of Women Executive on the bank performance of banking firms listed in Indonesia Stock Exchange period of 2010- 2019. Independent variables used in this study is women executive which is measured with female CEO. Dependent variable used in this study is bank performance which is measured with Return on Asset (ROA) and Return on Equity (ROE). This study also uses control variables including board of commissioner size, the proportion of foreign commissioner, the proportion of independent commissioner, firm size, firm growth, dividend policy, firm age, Net Performing Loan (NPL), and Loan to Deposit Ratio (LDR). The data used in this study is taken from annual report of banking firms that are listed in Indonesia Stock Exchange during 2010-2019. The sampling method of this study is purposive sampling. The research model used is unbalanced panel data with Random Effect Model approach. The results obtained from this research is female CEO has significant effect on ROE, but does not have significant effect on ROA. &nbsp

The Employment permit system and the Filipino migrant workers in Korea

Thesis(Master) --KDI School:Master of Public Policy,2013masterpublishedDela Cruz, Mary Sol Dela Pena

PENGARUH EKSEKUTIF WANITA TERHADAP KINERJA BANK (STUDI PADA PERUSAHAAN PERBANKAN YANG TERDAFTAR DI BURSA EFEK INDONESIA PERIODE 2010 - 2019)

Tujuan dari penelitian ini adalah untuk mengetahui pengaruh eksekutif wanita terhadap kinerja bank pada perusahaan perbankan yang terdaftar di Bursa Efek Indonesia periode 2010-2019. Variabel bebas yang digunakan dalam penelitian ini adalah eksekutif wanita yang diproksikan dengan CEO wanita. Variable terikat yang digunakan dalam penelitian ini adalah kinerja bank yang diproksikan dengan Return on Assets (ROA) dan Return on Equity (ROE). Penelitian ini juga menggunakan variabel kontrol yaitu ukuran dewan komisaris, proporsi anggota dewan komisaris asing, proporsi dewan komisaris independen, ukuran perusahaan, pertumbuhan perusahaan, kebijakan dividen, umur perusahaan, Net Performing Loan (NPL) dan Loan to Deposit Ratio (LDR). Sumber data yang digunakan dalam penelitian ini berupa laporan keuangan perusahaan perbankan yang terdaftar di Bursa Efek Indonesia periode 2010-2019. Metode pengambilan sampel yang digunakan dalam penelitian ini menggunakan teknik purposive sampling. Model yang digunakan dalam penelitian ini adalah data panel dengan pendekatan Random Effect Model. Hasil yang diperoleh dari penelitian ini bahwa CEO wanita berpengaruh signifikan terhadap ROE tetapi tidak berpengaruh terhadap ROA. Dengan demikian teori Pemangku kepentingan (Stakeholders Theory), teori Agensi (Agency Theory), dan Teori Ketergantungan Sumber Daya (Resource Dependence Theory) diterima. Kata kunci: Eksekutif Wanita, CEO wanita, Kinerja Bank. The aim of this study is to determine the effect of women executive on the bank performance of banking firms listed in Indonesia Stock Exchange period of 2010-2019. Independent variables used in this study is women executive which is measured with female CEO. Dependent variable used in this study is bank performance which is measured with Return on Asset (ROA) and Return on Equity (ROE). This study also uses control variables including board of commissioner size, the proportion of foreign commissioner, the proportion of independent commissioner, firm size, firm growth, dividend policy, firm age, Net Performing Loan (NPL), and Loan to Deposit Ratio (LDR). The data used in this study is taken from annual report of banking firms that are listed in Indonesia Stock Exchange during 2010-2019. The sampling method of this study is purposive sampling. The research model used is unbalanced panel data with Random Effect Model approach. The results obtained from this research is female CEO has significant effect on ROE, but does not have significant effect on ROA. Thus the Stakeholders Theory, Agency Theory, and Resource Dependence Theory are accepted. Key Words: Women Executive, Female CEO, Bank Performance

"Avengers Assemble!": The Implications of Assembling an Edition of the Marvel Cinematic Universe on Textual Scholarship

In the last couple of decades, the word “social” has become increasingly ubiquitous not just in everyday life with the advent of social media sites such as Facebook, Instagram and Twitter but also in the field of textual scholarship with the increased attention paid to the construction of “social editions.” Concomitantly, in the film world, the format of the cinematic universe is becoming one of the main modes of storytelling with unprecedented success of the Marvel Cinematic Universe (MCU). As film critics like Graeme McMillan claim that “whatever lightning Marvel captured in its onscreen bottle is not a trick that’s easily replicable,” tackling the cinematic universe might seem to be a daunting task for screenwriters and filmmakers. For textual scholars who have been struggling to create a truly “social” edition, however, the MCU’s success only presents an opportunity to achieve their goal and exponentially expand the field. Taking the MCU as a case study, this paper explores the implications of approaching a cinematic universe as a subject for textual editing and argues that because of its massively collaborative, transmedial, and inherently commercial nature as a work, the MCU invites reconsiderations of current practices in textual scholarship. In conversation with other attempts at social editing, this paper demonstrates that the collaboration and transmediality behind the MCU not only allows it to fit but also encourages the expansion of current definitions of the text. As well, it argues that attempting to edit the MCU keeps the creation of a truly “social” edition in the realm of possibility exactly because of its commerciality. Ultimately, in theorizing what an edition of the MCU would look like, this paper asserts that editing the MCU would also require a reconsideration of what “scholarly editing” means, both in terms of what constitutes “scholarly” work and what the duties of editors and editions are, and where and when they should look for meaning

"Avengers Assemble!": The Implications of Assembling an Edition of the Marvel Cinematic Universe on Textual Scholarship

In the last couple of decades, the word “social” has become increasingly ubiquitous not just in everyday life with the advent of social media sites such as Facebook, Instagram and Twitter but also in the field of textual scholarship with the increased attention paid to the construction of “social editions.” Concomitantly, in the film world, the format of the cinematic universe is becoming one of the main modes of storytelling with unprecedented success of the Marvel Cinematic Universe (MCU). As film critics like Graeme McMillan claim that “whatever lightning Marvel captured in its onscreen bottle is not a trick that’s easily replicable,” tackling the cinematic universe might seem to be a daunting task for screenwriters and filmmakers. For textual scholars who have been struggling to create a truly “social” edition, however, the MCU’s success only presents an opportunity to achieve their goal and exponentially expand the field. Taking the MCU as a case study, this paper explores the implications of approaching a cinematic universe as a subject for textual editing and argues that because of its massively collaborative, transmedial, and inherently commercial nature as a work, the MCU invites reconsiderations of current practices in textual scholarship. In conversation with other attempts at social editing, this paper demonstrates that the collaboration and transmediality behind the MCU not only allows it to fit but also encourages the expansion of current definitions of the text. As well, it argues that attempting to edit the MCU keeps the creation of a truly “social” edition in the realm of possibility exactly because of its commerciality. Ultimately, in theorizing what an edition of the MCU would look like, this paper asserts that editing the MCU would also require a reconsideration of what “scholarly editing” means, both in terms of what constitutes “scholarly” work and what the duties of editors and editions are, and where and when they should look for meaning

CD4+ T Cells in Infant Immunity

Age and immune maturation are interdependent and dynamic processes. The infant immune system undergoes many developmental changes after birth, and compared to adults, cellular and molecular differences have been observed in infant immune responses. This dissertation is focused on the functional features of CD4+ T helper cells, as these cells are critical players in adaptive immunity. In general, infants show a bias toward CD4+ T helper 2 (Th2) responses, whereas adults generate Th1 responses against infectious diseases caused by intracellular pathogens. The infant's Th2 bias is reflected in increased susceptibility to infectious pathogens, and higher morbidity and mortality rates. We hypothesized that reduced functionality of infant CD4+ T cells would be due to intrinsic differences in the CD4+ T cell signaling that alters responsiveness of these cells, and thereby influences maturation, function and the generation of protective immunity. Specifically, we sought to i) characterize the immune development of CD4+ T cells in infants, (ii) determine infant CD4+ T cell response to exogenous cytokine stimulations, and (iii) assess the effectiveness of infant immunity in the control of a viral infection. First, we used rhesus macaques raised as specific pathogen free (SPF) and conventional status (non-SPF) to characterize basic immunological changes in peripheral blood cell populations with age and how they are affected by chronic cytomegalovirus infection (RhCMV). Our findings indicated that some age-related changes in major blood cell populations from birth to adulthood were common to both SPF and non-SPF macaques. We also demonstrated that chronic RhCMV infection modulated immune development over the lifetime of the host, evident in a more inflammatory response of juvenile RhCMV-infected macaques compared to SPF-juveniles. Second, we investigated the functional capacity of the infant immune system to control viral replication. We found that infant rhesus macaques were rapidly infected with RhCMV via the oral route and shed virus more frequently in bodily fluids and in higher titers when compared to adult macaques. Lastly, we used cross sectional human blood samples to test the hypothesis that the propensity towards Th2 response in infants is due to altered cytokine-receptor mediated signaling in CD4+ T cells. Our data showed that CD4+ T cells from cord blood (CB) and older infants differed in Th1 and Th2-associated cytokine receptor expression from adults. We also found that cytokine-signaling factors (JAKs and STATs) were differentially phosphorylated after cytokine treatment. Lastly, in vitro stimulation through the TCR and exogenous addition of IFN-gamma revealed differences in JAK/STAT related gene expression and cytokine productions between CB and adult CD4+ T cells. Together, our findings imply that cytokine signaling is developmentally controlled because responsiveness to cytokines increased with age in infant CD4+ T cells. The assessment of important functional parameters in CD4+ T cell development, such as cytokine and TCR signaling, from birth to adulthood can reveal mechanistic insights into how and why cellular immunity changes with age. How lifelong infections and other perturbation affect these immunological processes will likely impact both disease outcome and the generation of immunity. Unraveling the molecular mechanisms involved in these processes may aid in pediatric vaccine designs and therapeutic interventions.Doctor of Philosoph