Search results

In the state of Hawaii, it has been shown that certain ethnic minority groups, such as Filipinos and Pacific Islanders, suffer disproportionally high rates of cardiovascular disease, evidence that local health-care systems and governing bodies fail to equally extend the human right to health to all. This study aims to examine whether these ethnic health disparities in cardiovascular disease persist even within an already globally disadvantaged group, the houseless population of Hawaii.

A retrospective chart review of records from Hawaii Houseless Outreach and Medical Education Project clinic sites from 2016 to 2020 was performed to gather patient demographics and reported histories of type II diabetes, obesity, hyperlipidemia, hypertension and other cardiovascular disease diagnoses. Reported disease prevalence rates were compared between larger ethnic categories as well as ethnic subgroups.

Unexpectedly, the data revealed lower reported prevalence rates of most cardiometabolic diseases among the houseless compared to the general population. However, multiple ethnic health disparities were identified, including higher rates of diabetes and obesity among Native Hawaiians and other Pacific Islanders and higher rates of hypertension among Filipinos and Asians overall. The findings suggest that even within a generally disadvantaged houseless population, disparities in health outcomes persist between ethnic groups and that ethnocultural considerations are just as important in caring for this vulnerable population.

To the best of the authors’ knowledge, this is the first comprehensive study focusing on ethnic health disparities in cardiovascular disease and the structural processes that contribute to them, among a houseless population in the ethnically diverse state of Hawaii.

The purpose of this study is to explore the effect of popularity appeals (appearance popularity and media popularity) on online experiential gift purchase intention based on different types of givers (close or distant givers) and different gift attributes (conspicuous or inconspicuous gifts), a novel research consideration.

This study was conducted with two experiments and examined four hypotheses. These hypotheses were examined using a 2 × 2 between-subjects design, and a two-factorial variance analysis was conducted.

This study found that for close givers, appearance popularity appeals created a greater purchase intention than media popularity appeals. That is, gift-givers faced appearance popularity rather than media popularity, driving them to face a strong feeling of excitement for their idol worship. This finding implies that the human brand theory works.

The empirical results can shed light on brand or product managers in raising the ratio of appearance popularity appeals to marketing in online experiential gift-giving. Gift marketers should accurately understand the current trends and social preferences using a database and big data analysis tools.

This study is the first to investigate whether the two types of popularity appeals affect gift purchase intention in online experiential gifts.

The purpose of this paper is to outline considerations and steps taken to introduce electronic reporting and verification from systems design and multidisciplinary collaborations to gap analysis and devising solutions. It also evaluates carefully placed forcing functions’ impact on verification rates.

A multidisciplinary workgroup was formed to stop print and establish electronic reporting. The electronic verification's success was assessed by weekly activity analysis.

Introducing a verification forcing function markedly improved verification activity. Thereafter, non-verified results stabilized at 7 percent up to 75 weeks post-implementation.

This paper illustrates how results reporting and verification could be implemented in a tertiary hospital using a mixed electronic and paper record. Factors that were critical to success include stakeholder engagement and applying systems design that focussed on patient safety as a key priority. The electronic reporting system was augmented by strategically inserted forcing functions, clear clinical-responsibility lines and ancillary alert systems.

The systems design method's value in managing non-critical but abnormal results appears to have been under-appreciated. This paper describes how systems design could be used to improve health information delivery and management.

In today’s highly competitive milieu, many organizations are entering into the international market to gain greater share and take advantage of higher production. However, the introduction of advanced technology has brought a significant amount of competition within the supply chain especially within the bounds of the power distribution sector. This study aims to examine how information and knowledge sharing influence supply chain performance in the power distribution sector.

The quantitative method and cross-sectional survey design were used in the study. A sample of 200 officers specifically selected from power distribution companies was used for the study. Data was analysed using descriptive, correlation, regression and structural equation models.

The relationship between information sharing, knowledge sharing and performance of the supply chain are positively mediated by supply chain collaboration. The findings indicate that technological innovation positively moderates the relationship between information sharing, knowledge sharing and supply chain performance.

Information sharing, knowledge sharing and technological innovation are critical indicators driving the supply chain operation of power distribution organizations.

This study presents a contemporary approach towards understanding knowledge and information sharing as antecedents of supply chain performance.

The chapter introduces the reader to select language of human sexuality and the definitions and characteristics of some key terms related to lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ+), identifies different theoretical perspectives of human sexuality and sexual orientation, and discusses select LGBTQ+ theories and concepts in a historical context that library and information science (LIS) professionals should consider while performing their roles related to information creation–organization–management–dissemination–research processes. It helps better understand the scope of what is LGBTQ+ information and traces its interdisciplinary connections to reflect on its place within the LIS professions. The chapter discusses these implications with the expectation of the LIS professional to take concrete actions in changing the conditions that lack fairness, equality/equity, justice, and/or human rights for LGBTQ+ people via the use of information. Important considerations in this regard include the need for an integrative interdisciplinary LGBTQ+ information model, growth of a diversified LGBTQ+ knowledge base and experiences, holistic LGBTQ+ information representations, LGBTQ+ activism, and participatory engagement and inclusion of LGBTQ+ users.

The purpose of this paper is to study the variance of post‐privatization performance outcomes by three institutional arrangements taken place in the process of ownership transfer in Taiwan.

The logistic regression models were used for the study to link the likelihood of performance improvements after privatization with a set of explanatory variables.

The findings from the research suggest an indispensable role of supportive policy measures, including market openness, post‐privatization involvement of government and corporate reforms prior to privatization, in the performance effects of privatization.

Both the sample size and time frame available for a quantitative analysis are constrained by the progress of Taiwan's privatization. A questionnaire survey, as part of a more integrated model, is suggested to follow this study and probe into organizational or strategic changes after privatization.

The study shows that performance improvement of privatized firms cannot be taken for granted merely by ownership change; instead, the performance gains of privatization could be realized only in concert with other institutional arrangements, including market openness, the modest and short‐term bureaucratic control after privatization, and corporate health prior to privatization.

The study aims to add to the body of literature by identifying sources of performance changes in privatized firms, based on Taiwan's experience in privatization. Taiwan represents an interesting example of a country in the process of catching up in terms of economic development, as well as one whose institutional environment stands between western and transition countries. As such, the use of Taiwan's data may lead to an assessment of the generalizability of conclusions drawn from prior research conducted in both kinds of countries.

Teacher well-being has been a concern, but there has been a lack of research on how teacher leadership can contribute to teacher well-being in a high-accountability context and a hierarchical education system such as that of China, particularly through the meditating roles of trust in the leader and teacher efficacy. Therefore, the purpose of this study was to understand the relationship between teacher leadership and teacher well-being while exploring the mediating roles of trust in leaders and teacher efficacy in this relationship.

Using structural equation modeling (SEM) and bootstrap methods with valid answers from 1,144 teachers in 25 primary schools in 1 Chinese city, this study mainly answered three questions: Is there a significant relationship between teacher leadership and teacher well-being? Is there a significant mediating effect of trust in leaders on the relationship between teacher leadership and teacher well-being? Is there a significant mediating effect of teacher efficacy on the relationship between teacher leadership and teacher well-being?

This study reported a positive relationship between teacher leadership and teacher well-being. This study also found positive mediating roles for trust in leaders and teacher efficacy in the relationship between teacher leadership and teacher well-being in a high-accountability and hierarchical system like that of China.

This study provides an understanding of the transferability of teacher leadership theories across cultures and has practical significance for educational practice in high-accountability and hierarchical education contexts similar to that of China.

The purpose of this study is to explore the formative development of construction supply chain guidelines or proposals in a UK region's schools' estates procurement process to more effectively address a forthcoming increase in investment.

The research approach is interpretive. Using an action research approach, repeated semi‐structured interviews and focus groups with a range of stakeholders are conducted.

The current construction supply chain in schools' estate procurement has many difficulties, not least given the highly fragmented and disconnected nature of the projects. Synergies are being missed and there is little or no continuous improvement. Drawing on these findings, the research iteratively develops a range of proposals and guidelines to address this situation.

This research adds weight to the current focus on pressing for change in the construction industry. It presents potentially valuable insights into the benefits of partnering arrangements and how these might usefully be incorporated into schools' estate supply chain.

A set of guidelines is developed to guide the public procurement of schools' estate in a UK region. These guidelines are set within the context of the Modernising and Rethinking Construction agenda.

The action research approach enabled the researchers to gain a unique insight into how public procurement and contractor personnel interact and to establish effective practical guidelines.

This paper examines the evolution of massive open online courses (MOOCs) literature over the past 15 years and identifies its significant developments.

Utilizing main path analysis (MPA) on a dataset of 1,613 articles from the Web of Science (WoS) databases, the authors construct the main pathway in MOOC literature through a citation analysis. Pajek software is used to visualize the 34 influential articles identified in the field.

Three phases emerge in MOOC research: connectivism as a learning theory, facilitating education reform and breaking barriers to MOOCs adoption. Multiple-Global MPA highlights sub-themes including self-regulated learning (SRL), motivation, engagement, dropouts, student performance and the impact of COVID-19.

First, data limitations from the WoS core collection might not cover all research, but using reputable sources enhances data validity. Second, despite careful algorithm selection to enhance accuracy, there remains a limitation inherent in the nature of citations. Such biased citations may result in findings that do not fully align with scholars' perspectives.

The authors' findings contribute to the understanding of MOOCs literature development, enabling educators and researchers to grasp key trends and focus areas in the field. It can inform the design and implementation of MOOCs for more effective educational outcomes.

This study presents novel methodologies and important findings for advancing research and practice in MOOCs.