Government of the District of Columbia

Urban space foregrounds the knowledge-workers for producing the sign value of goods.Urban residents construct their identities through patterns of consumption and their market positions.People produce objects thinking about their market profitability.Privatisation and commodification are key features through which capitalist markets extend into new spatial contexts.All these facets compel individuals to negotiate intricate forms of society.Individual freedom and rationality form connections with market relations.Individuals gain new status and power in the changing scenarios.Reflexive modes of production create new consumer ethos.This integrates numerous people into a nexus of information, thereby increasing the possibilities of impersonal demeanour.Furthermore, contemporary economic sociology intensifies the production of recreational items.The present paper will analyse the transformation of individual identity in a market-oriented urban space.

ABSTRACT This study examines the interplay between digital modernization and transformation in the public sector, challenging the notion that they are mutually exclusive strategies. Through interviews with public sector leaders, we find that modernization and transformation can be jointly implemented rather than managed as competing efforts. Thus, we highlight hybrid strategies that integrate both approaches, allowing public organizations to balance operational stability with innovation in their overall digital evolution. Our findings offer practical insights for practitioners seeking to align system structures, methodologies, and procurement strategies with the realities of digital change. For scholars, this article lays the groundwork for future research on how modernization and transformation can co‐evolve in public administration, thus challenging existing dichotomies and opening new avenues for investigation.

Abstract In divided societies, can museums contribute to healing and recovery? While efforts to memorialize past violence typically aim to promote tolerance and reconciliation, remembering could exacerbate divisions in recovering societies where the past is deeply contested. We examine a transitional justice museum exhibit in Northern Ireland. We combine evidence from nearly 1,400 participants across focus groups, a field experiment at the Troubles and Beyond exhibit in the Ulster Museum, and a survey that randomly exposed respondents to exhibit materials. Our findings indicate that although individuals experience strong emotional responses to the exhibit materials, these emotions do not correspond to shifts in perceptions of past violent conflict or preferences for addressing it. These results may reflect the balanced curation of the museum exhibit, which avoids imposing a singular narrative. While this approach prevents further polarization, it also limits the potential for fostering social cohesion.

Razia Sajjad Zaheer and Ismat Chughtai are both big names in Urdu literature. And has an important place. As much as they have gained popularity among people, most women have not been able to make their name and place alive and immortal in this way in literature. Razia Sajjad Zaheer was born in Ajmer on 15th October 1918. She was a member of Progressive movement and was a writer of a very high standard, etc. and succeeded in bringing her name to the front page in every genre. She was honored with the Sovietland Nehru Award and the Uttar Pradesh Sahitya Akademi Award. Razia Sajjad Zaheer died in Delhi on 18 December 1979 ۔While Ismat Chughtai was born on 21 August 1915 in Uttar Pradesh. Ismat Chughtai is also a fiction writer and a novelist, biographer and an excellent cartoonist. His brother Mirza Azim Baig Chughtai was also a good writer and was famous for comic writing. He died in ۔1991 at the age of 77. Ismat Chughtai was a member of the progressive movement and received the Ghalib Award in 1948 and the Film fare Award in 1975.Both of them has served in all genres of literature. But we will review the sketching and writing of both. Keywords: Raziz Sajjad, Ismat Chaghatai, Sketch writing, Progressive movement, fiction

Drug importation raises several ethical and safety concerns relevant to prescribers and policy makers considering costs and benefits of international medicine importation. This article suggests key points to consider, especially from a policy perspective, when weighing imported medicines' perceived affordability and accessibility against additional resource expenditure needed to assure sufficient regulatory oversight and equitable distribution and to mitigate potential risks of harm to patients.

Rapid antiretroviral therapy initiation (R-ART) for treatment of HIV has been recommended since 2017, however it has not been adopted widely across the US. The study purpose was to understand facilitators and barriers to R-ART implementation in the U.S. This was a qualitative design involving semi-structured interviews. The study sample was comprised of the medical leadership of nine US HIV clinics that were early implementers of R-ART. In-depth, semi-structured interviews were performed. The Consolidated Framework for Implementation Research (CFIR) was used to guide thematic analysis. We identified three main content areas: strong scientific rationale for R-ART, buy-in from multiple key stakeholders, and the condensed timeline of R-ART. The CFIR construct of Evidence Strength and Quality was cited as an important factor in R-ART implementation. Buy-in from key stakeholders and immediate access to medications ensured the success of R-ART implementation. Patient acceptance of the condensed timeline for ART initiation was facilitated when presented in a patient-centered manner, including empathetic communication and addressing other patient needs concurrently. The condensed timeline of R-ART presented logistical challenges and opportunities for the development of intense patient-provider relationships. Results from the analysis showed that R-ART implementation should address the following: 1) logistical planning to implement HIV treatment with a condensed timeline 2) patients' mixed reactions to a new HIV diagnosis and 3) the high cost of HIV medications.

ObjectivesHealth systems must rapidly move knowledge into practice to address disparities impacting sexual and gender minority (SGM) patients. This qualitative study explores barriers and facilitators that arose during an initiative to improve care for SGM patients in federally qualified health centres (FQHCs) from the perspectives of FQHC staff.DesignCross-sectional qualitative content analysis, using a general inductive approach, of secondary data from transcripts of intervention events offered to FQHC staff and semistructured interviews with staff and FQHC leadership during the intervention.Setting10 FQHCs from nine states in the USA.ParticipantsFQHC quality improvement (QI) and clinical care staff, and leaders at each FQHC.InterventionsThe transforming care for lesbian, gay, bisexual and transgender people QI initiative combined two evidence-based programmes, Learning Collaborative (LC) and Project Extension for Community Healthcare Outcomes (ECHO), to assist primary care health centres in developing capacity to identify SGM patients, monitor their health and care, and improve disparities.Primary and secondary outcome measuresThe primary outcome was identification of barriers and facilitators to implementing initiatives to improve care for SGM patients. The secondary outcome was clarification of how intervention participants used Project ECHO sessions versus LC meetings to obtain information that influenced implementation of the initiative at their FQHC.ResultsBarriers and facilitators mapped to two major themes: ‘Clinical’ (patients’ health, wellness, and available treatment) and Health Systems and Institutional Culture (FQHC operations, and customs and social institutions within the FQHCs and in the external environment). Common ‘Clinical’ inquiries were for assistance with behavioural health, pre-exposure prophylaxis and transgender hormone therapy. Prevalent facilitators included workflow change and staff training, while adapting electronic health records for data collection, decision support and data extraction was the most prevalent barrier.ConclusionsProject ECHO and LC provided complimentary forums to explore clinical and operational changes needed to improve care for SGM at FQHCs.

Achieving accurate, timely, and complete HIV surveillance data is complicated in the United States by migration and care seeking across jurisdictional boundaries. To address these issues, public health entities use the ATra Black Box-a secure, electronic, privacy-assuring system developed by Georgetown University-to identify and confirm potential duplicate case records, exchange data, and perform other analytics to improve the quality of data in the Enhanced HIV/AIDS Reporting System (eHARS). We aimed to evaluate the ability of 2 ATra software algorithms to identify potential duplicate case-pairs across 6 jurisdictions for people living with diagnosed HIV. We implemented 2 matching algorithms for identifying potential duplicate case-pairs in ATra software. The Single Name Matching Algorithm examines only 1 name for a person, whereas the All Names Matching Algorithm examines all names in eHARS for a person. Six public health jurisdictions used the algorithms. We compared outputs for the overall number of potential matches and changes in matching level. The All Names Matching Algorithm found more matches than the Single Name Matching Algorithm and increased levels of match. The All Names Matching Algorithm identified 9070 (4.5%) more duplicate matches than the Single Name Matching Algorithm (n = 198 828) and increased the total number of matches at the exact through high levels by 15.4% (from 167 156 to 192 932; n = 25 776). HIV data quality across multiple jurisdictions can be improved by using all known first and last names of people living with diagnosed HIV that match with eHARS rather than using only 1 first and last name.