Decision Making in The Culture and Creative Industries Environment: Lessons from The Cultural Village

<p align="justify">Cultural village is an area-based development concept that engages with the culture and creative industries as well as tactical urbanism. Typically, a cultural village is situated in geographical areas that have traditionally had strong cultural themes and have the potential for socio-economic growth in the surrounding region. Decision-making in this environment differs from pure-profit sector decision-making. This study set out to draw lessons from the cultural village, especially in Global South, where the culturally-led consensus approach is used to reshape group decision-making processes. This study uses a systematic review method as a way to search, screen, analyze and synthesize knowledge from the academic database. The Scopus academic database is used for the search process. This paper concludes that the inclusion of culture into decision-making offers three stages of fundamental lessons for the community, which are flexibility, openness, and innovation. These three forms the foundation for the five main elements of decision-making in the cultural village, which include inclusive, participatory, collaborative, agreement-seeking, and cooperative. These findings suggest that the culturally-led consensus approach is a potential tool for policymakers to work with the community, especially to organize more bottom-up decision-making processes in traditional environments.</p>

Transitioning From Consult-Based to Automatic Pharmacy-Driven Vancomycin Management: Results From a Single, Primary Care Center

Objective: The transition to area under the curve (AUC) vancomycin monitoring requires substantial updates in pharmacy policies and procedures. The study facility was tasked with transitioning from a consult-based collaborative agreement to an automatic pharmacist management policy on all intravenous (IV) vancomycin orders. The purpose of this quality assessment (QA) study was to evaluate the effectiveness of this transition. Methods: The primary outcome was the proportion of patients with pharmacist assessment of pharmacokinetics and dosing with documentation in IV vancomycin treated patients from January-June 2020. Secondary outcomes included the proportion of AUC24 levels within therapeutic range, the incidence of acute kidney injury (AKI) and treatment failures in patients treated ≥72 hours compared to a historical, trough-based cohort. Results: There were 88 patients in the QA analysis with 100% having a pharmacist assessment with documentation. There were 34 patients treated ≥72 hours in the AUC group, 36 in the trough-based group. AUC24 fell within desired range in 45% of monitored patients. Rates of AKI (9% vs 11%, p = 0.75) and treatment failures were similar (3% vs 0%, p = 0.3). Conclusion: The transition from consult-based to an automatic pharmacy management agreement was successful with similar safety and efficacy compared to a historical trough-based cohort.

Games Theory and Real Options: A model to asses strategies, agreements and penalties

In competitive environments, the design and election of strategies demand to consider three potential sources of uncertainty: risks derived from self-actions, risks emerged from states of nature and risks derived from competitors´ decisions. For that, a numerical model that considers the competitors´ actions is required, for value strategies, join venture design and penalty quantification. The paper proposes a simple numerical model of Game Theory and Real Options with multiples source of risk. The first part exposes the mathematical basis of the model. Its functioning is illustrated with the cases valuation related to strategies without collaborative agreement. Next, the cooperation strategy and default monetary penalties are valued. Finally, the main conclusions are exposed.

Measuring Impact and Sustainability of Evidence-Based Dementia Care Treatment in the Community

Through a collaborative agreement with the Administration for Community Living, Memory Care Home Solutions translated the evidence-based program (EBP) Care of Persons with Dementia in their Environments (COPE) into community practice as a covered benefit through Medicare and commercial health insurance for people living with dementia. While many studies have demonstrated the efficacy of family-centered behavioral interventions for this population, few of these interventions have been translated from academic studies into successful community practice. This session will describe the process of translating an EBP into community practice utilizing social work and occupational therapy interventionists with a diverse population of people living in both urban and rural areas of Missouri and Illinois, including modifications required and lessons learned in rural service delivery. Attendees will gain an understanding of the translation process, differential treatment outcomes for people living with dementia and care partners and Medicare billing mechanisms for sustainability.

Age-Friendly Initiatives at Arizona State University: Building Transformative Learning Systems for All

The AFU global initiative begin with a collaborative agreement by Arizona State University (ASU), Dublin City University (DCU), and the University of Strathclyde in 2012. The vision was to spur other universities to be fully inclusive of all generations. In 2013, ASU and DCU created a Trans-Atlantic Catalyst Fund to spur AFU initiatives at each institution, with an early focus on research in on dementia, technologies for “aging in place,” challenges of caregiving, healthy and active aging, and retirement community design. Since then, ASU has embedded Age Friendly practices throughout the institution via creation of a new foundational charter (success is “measured not by whom ASU excludes, but by whom ASU includes”), creation of ASU-wide Center for Innovation in Healthy and Resilient Aging, a re-purposed Osher Lifelong Institute, construction of the Mirabella community (twenty-story gateway for older adults into ASU), new inter-generational learning platforms, and implementation of universal learning systems.

Cooperation under conflict: a framework for participatory modeling under severe social and climate change pressures

&lt;p&gt;Hydrological modeling tools are usually used to obtain broad scale understandings of ecological and hydrological interconnections in a basin. They have also been presented as useful to support collaborative decision processes by visually displaying hydrological systems connections, uncertainties and gaps, as well conflicting preferences over water management strategies. However, many challenges remain at capturing and communicating the complexity of couple human-hydrological systems. The Aculeo basin in Chile is an internationally publicized case due to the disappearance of a 12 km&lt;sup&gt;2&lt;/sup&gt; lake that leaded to increasing conflicts over water scarcity and the cause of the catastrophe. A traditional hydrological model study and a separate collaborative agreement process were implemented in parallel to find answers and discuss solutions to the water scarcity crisis. The model initially designed to answer a single water balance question, was finally turned in a question-driven socio-hydrological modeling process used to explore a diversity of uncertainties emanating from the collaborative agreement process. Model development and some results of this integration are presented, displaying how science-policy process forces adjusting model structure, challenging official information and searching for alternatives sources and approaches to find answers. This research presents how a hydrological model can be used as a dynamic framework to address poor knowledge on the system behavior, disagreements on the water crisis causes and contradictions on the management options proposed. However, it also shows that participation can be an instance used by stakeholders to question and challenge the rigidity, scope and accuracy of the model information being presented. Therefore, flexible approaches and research agendas should support the exploration of this type of synergies towards more collaboration and production of useful and legitimate socio-hydrological models.&amp;#160;&lt;/p&gt;

LB16. The Role of Adults in the Measles Outbreak in New York State Outside of New York City, 2018–2019

Background The United States is experiencing the largest measles outbreak since elimination was declared in 2000, with the majority of cases in NYS reported in undervaccinated communities. The objective of this evaluation was to describe adult measles cases in the NYS measles outbreak outside of New York City (NYC). Methods We included all confirmed cases aged ≥18 years in NYS residents (excluding NYC) during October 1, 2018–July 25, 2019 that met the CSTE measles case definition. We defined measles cases attributable to adults as the sum of measles cases among adults and children who contracted disease directly from adults. Results Among 371 confirmed measles cases, the median age was 5.5 years (range: 1 day to 64 years); 79 (21%) were in adults, 4 (5%) of whom were born before 1957 (3 unvaccinated and 1 with unknown vaccine status). Among the 75 cases born during or after 1957, 65 (87%) were unvaccinated or had unknown vaccine status, while 3 had one dose and 7 had 2 doses of measles vaccine. Notably, 5 of 11 internationally imported measles cases were adults, and all were unvaccinated or had unknown vaccine status. During the first month of the outbreak, 26 of the 51 (51%) cases were attributable to adults; of the 26, 15 (58%) were in adults and 11 (42%) were in children who acquired infection from adults (Figure 3). Conclusion The majority of measles cases occurred in unvaccinated children emphasizing the importance of ongoing and focused efforts on pediatric vaccination. However, measles cases in unvaccinated adults played an important role in both importations and disease transmission early in the outbreak. These data strongly support current recommendations of 1 dose of measles, mumps, rubella vaccine (MMR) for most adults and 2 doses of MMR for adults traveling internationally and at high-risk such as those in outbreak areas, as determined by local/state public health. Disclosures Kirsten St. George, MAppSc, PhD, Akonni Biosystems (Other Financial or Material Support), ThermoFisher (Grant/Research Support), Zeptometrix (Other Financial or Material Support, royalty generating collaborative agreement). .

PTS Evaluation Case Study Considering Actual Through-Wall Fracture Toughness Distribution

The surveillance test specified in JEAC4201 requires the fracture toughness evaluation of base metal at 1/4-T thickness and T-L orientation, where the initial fracture toughness generally is the minimum in whole thickness at any orientation. In the present study, actual through-wall fracture toughness distribution from a commercial RPV base metal on both of T-L and L-S (actual through crack orientation) orientations were evaluated from Zion Unit 1, which was decommissioned after 25 years (15EFPY) commercial operation. A base metal block of 40mm(T) × 216mm(L) × 216mm(S) was retrieved from belt line region by effort of ORNL and provided to CRIEPI under the USA - Japan collaborative agreement on civil nuclear research framework called CNWG. Through-wall fracture toughness distribution was characterized by means of the Master Curve method utilized by 4mm thickness C(T) “Mini-C(T)” specimens. Near surface material possessed significantly high fracture toughness at amount of 40 degrees Celsius lower reference temperature (To) than those in center thickness locations, despite of higher neutron fluence gained during service operation. Pressurized thermal shock evaluation by probabilistic fracture mechanics code PASCAL4 demonstrated that through-wall fracture probability can be remarkably lowered by considering through-wall fracture toughness distribution.

Collaborative Agreement between the Regional Government of West Nusa Tenggara and the Private Sector through the Elements in the Build Operate Transfer System

This study aims to examine the arrangement of regional cooperation agreements with third parties through the Build-Up System based on Indonesian laws and regulations, and how the parties regulate the rights and obligations of the parties in the regional cooperation agreement with third parties in West Nusa Tenggara through the Build-Up pattern This research is a normative study so that the approach used is the legislative approach and case approach. The results of the research show that the legal source of cooperation in the management of goods belonging to the region is Law No. 23 of 2014 concerning Regional Government, Government Regulation No. 50 of 2007 concerning Procedures for Implementing Regional Cooperation, Regional Regulation of West Nusa Tenggara Province No. 8 of 2007 concerning Management of Regional Property.