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1

Elliott, D. K., S. R. Rose, and J. C. Ronan. "Changing the Culture Around Cultures." Hospital Pediatrics 4, no. 6 (November 1, 2014): 405–7. http://dx.doi.org/10.1542/hpeds.2014-0064.

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2

Giffords, Elissa D., and Richard P. Dina. "Changing Organizational Cultures." Administration in Social Work 27, no. 1 (March 24, 2003): 69–81. http://dx.doi.org/10.1300/j147v27n01_05.

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3

Philippon, Daniel J. "Changing food cultures, changing global environments." Global Environment 11, no. 1 (January 1, 2018): 4–11. http://dx.doi.org/10.3197/ge.2018.110101.

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4

Adams, Jane, Thomas File, Matthew England, Nancy Reynolds, Patricia Wells, and Paula Politis. "Changing the Culture of Ordering Urine Cultures." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s162. http://dx.doi.org/10.1017/ice.2020.685.

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Background: Inappropriate ordering of urine cultures and the resulting unnecessary use of antibiotics can lead to complications of antimicrobial therapy including resistance, adverse effects (eg, disruption of microbiome and C. difficile infection), and increased healthcare costs, as well as the erroneous determination of CAUTI in patients with Foley catheters. A retrospective analysis of patients with CAUTI revealed frequent ordering of urine cultures for conditions and symptoms not supported by current IDSA guidelines. As a result, we created an action plan to reverse the trend of inappropriate urine culture ordering. Methods: Our urine culture reduction campaign was developed with input from the infectious disease service, antibiotic stewardship team (AST), infection prevention, pharmacy, and the microbiology service. The following educational efforts were included: (1) distribution of outpatient pocket cards with communication to providers about appropriate ordering of urine cultures; (2) creation of an evidence-based order set for urinalysis and urine cultures distributed electronically as emails and screensavers on computer stations and in person via didactic sessions with physicians and nursing staff; (3) a practice pointer for staff nurses that included recommended changes to urine culture ordering and encouraged open dialogue with physicians regarding the appropriateness of urine cultures; (4) didactic and personal communications to counter long-standing myths, such as “Urine cultures always for change in mental status”; (5) a peer-review process to evaluate and justify deviations from the testing algorithm.Results: The first and second months after the introduction of the campaign, the microbiology laboratory reported 23% and 37% reductions in urine cultures ordered, respectively. During the same period, a 48% reduction in CAUTIs was reported for the entire health system. Conclusions: Reducing the number of inappropriate urine cultures is achievable with intense communication utilizing a multifaceted approach. With continued educational activities, we expect to sustain and even improve our successful reduction of inappropriate urine culture orders, ultimately improving patient outcomes.Funding: NoneDisclosures: None
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5

Okely, Judith. "Changing Senses Across Cultures." Senses and Society 1, no. 2 (July 2006): 277–81. http://dx.doi.org/10.2752/174589206778055510.

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6

Siebritz, Felicia. "Changing practices, changing cultures: transforming the inclusion agenda." Race Equality Teaching 23, no. 3 (September 1, 2005): 4–7. http://dx.doi.org/10.18546/ret.23.3.02.

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7

Martin, Biddy. "Introduction: Teaching Literature, Changing Cultures." PMLA/Publications of the Modern Language Association of America 112, no. 1 (January 1997): 7–25. http://dx.doi.org/10.1632/s0030812900060326.

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8

Shaw, L. M. A., and S. L. J. Shaw. "Menopause, evolution and changing cultures." Menopause International 15, no. 4 (November 20, 2009): 175–79. http://dx.doi.org/10.1258/mi.2009.009044.

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9

Swe, Viviana, and Brian H. Kleiner. "Managing and changing mistrustful cultures." Industrial and Commercial Training 30, no. 2 (April 1998): 66–70. http://dx.doi.org/10.1108/00197859810207689.

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10

McCormack, Mark. "Changing Masculinities in Youth Cultures." Qualitative Sociology 33, no. 1 (December 18, 2009): 111–15. http://dx.doi.org/10.1007/s11133-009-9146-0.

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11

Ayello, Elizabeth A. "Changing Systems, Changing Cultures: Reducing Pressure Ulcers in Hospitals." Joint Commission Journal on Quality and Patient Safety 37, no. 3 (March 2011): 120–22. http://dx.doi.org/10.1016/s1553-7250(11)37014-6.

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12

Holt, Alexis. "Changing Perspective: Linking Cultures Through Hearing." Purdue Journal of Service-Learning and International Engagement 2, no. 1 (August 26, 2015): 12–16. http://dx.doi.org/10.5703/1288284315690.

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13

Skeggs, Beverley, and Mica Nava. "Changing Cultures: Feminism, Youth and Consumerism." Feminist Review, no. 47 (1994): 105. http://dx.doi.org/10.2307/1395262.

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14

Ashworth, Christina. "Changing Cultures and Building Shared Ownership." Local Economy: The Journal of the Local Economy Policy Unit 15, no. 3 (September 2000): 256–61. http://dx.doi.org/10.1080/02690940050174265.

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15

Pugliese, Gina, and Martin S. Favero. "The Changing Microbiology of Blood Cultures." Infection Control & Hospital Epidemiology 18, no. 6 (June 1997): 466. http://dx.doi.org/10.1017/s0195941700005312.

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16

Bryntse, Karin. "Changing cultures in a local authority." Local Government Studies 12, no. 3 (May 1986): 17–20. http://dx.doi.org/10.1080/03003938608433270.

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17

Varma, Roli. "Changing Research Cultures in U.S. Industry." Science, Technology, & Human Values 25, no. 4 (October 2000): 395–416. http://dx.doi.org/10.1177/016224390002500401.

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18

Harlow, V. Kenneth, and Kevin Young. "Asset Management: Successes in Changing Cultures." Proceedings of the Water Environment Federation 2006, no. 13 (January 1, 2006): 786–804. http://dx.doi.org/10.2175/193864706783711072.

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19

Blowers, Paul M. "Changing Cultures in Early Byzantium (review)." Journal of Early Christian Studies 6, no. 4 (1998): 690–92. http://dx.doi.org/10.1353/earl.1998.0057.

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20

Carter, Madeline. "Changing cultures: Bullying in the NHS." Practice Management 27, no. 1 (January 2, 2017): 27–29. http://dx.doi.org/10.12968/prma.2017.27.1.27.

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21

Daulay, Meirina, Rosmayanti Siregar, Oke Rina Ramayani, Supriatmo Supriatmo, Rafita Ramayati, and Rusdidjas Rusdidjas. "Association between the frequency of disposable diaper changing and urinary tract infection in children." Paediatrica Indonesiana 53, no. 2 (April 30, 2013): 70. http://dx.doi.org/10.14238/pi53.2.2013.70-5.

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Background Urinary tract infection (UTI) is the most commoncause of fever in children. Less frequent disposable diaper changingis thought to be a cause ofUTI in children. While wearing a diapei;the perinea! area becomes damp with urine allowing bacteria tomigrate from the anus to the external urethral orifice.Objective To assess for an association between the frequencyof disposable diaper changing and urinary tract infections inchildren.Methods This cross-sectional study was conducted in thechildren's outpatient clinic of Haji Adam Malik Hospital fromApril to June 2010. Urine culture was performed in children withsuspected UTI who wore disposable diapers every day. Subjects'ages ranged from 2 months to 2 years 6 months, with samplesmatched and collected by consecutive sampling. Diagnosis ofUTIwas based on urine cultures with bacterial count 2:: 105/mL. Eightychildren were followed in this study and divided into two groups:positive (n=40) and negative (n=40) urine cultures. Chi squaretest was use d to analyze the association between the frequency ofdaily disposable diapers changing during a one week period andthe urine culture results.Results The frequency of daily disposable diapers changing in80 subjects was as follows: < 4 times (22.5%), 4-5 times (40%),and 2::6 times (37.5%) . The frequency of daily disposable diaperchanging in children with positive urine culture was as fo llows:< 4 times (1 8 out of 40), 4-5 times (22 out of 40), and 2::6 times(O out of 40); (P < 0.0001). The most common bacterial speciesfound in urine cultures was Escherichia coli.Conclusion Lower frequency of daily disposable diaper changingis significantly associated with higher UTI incidence in children.
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22

Sanderson, Stephen K., and Wendy Griswold. "Cultures and Societies in a Changing World." Social Forces 75, no. 1 (September 1996): 352. http://dx.doi.org/10.2307/2580783.

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23

Pettit, Robert B., and W. Griswold. "Cultures and Societies in a Changing World." Teaching Sociology 23, no. 3 (July 1995): 293. http://dx.doi.org/10.2307/1319226.

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24

Pickersgill, Martyn, Sarah Cunningham-Burley, Lukas Engelmann, Agomoni Ganguli-Mitra, Rebecca Hewer, and Ingrid Young. "Challenging social structures and changing research cultures." Lancet 394, no. 10210 (November 2019): 1693–95. http://dx.doi.org/10.1016/s0140-6736(19)32635-2.

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25

Digby, A. "Changing Welfare Cultures in Region and State." Twentieth Century British History 17, no. 3 (May 25, 2006): 297–322. http://dx.doi.org/10.1093/tcbh/hwl017.

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26

Mark, Annabelle, and Hilary Scott. "Changing Cultures—Determining Domains in the NHS." Health Services Management Research 4, no. 3 (November 1991): 193–205. http://dx.doi.org/10.1177/095148489100400304.

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27

Jin, Lixian, and Martin Cortazzi. "Changing Practices in Chinese Cultures of Learning." Language, Culture and Curriculum 19, no. 1 (May 2006): 5–20. http://dx.doi.org/10.1080/07908310608668751.

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28

Steinmetz, James C. "Inoculating Blood Cultures: Changing Needles Is Useful." JAMA: The Journal of the American Medical Association 266, no. 15 (October 16, 1991): 2081. http://dx.doi.org/10.1001/jama.1991.03470150053027.

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29

Leisure, Marketa K. "Changing the Needle When Inoculating Blood Cultures." JAMA 264, no. 16 (October 24, 1990): 2111. http://dx.doi.org/10.1001/jama.1990.03450160081034.

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30

Steinmetz, J. C. "Inoculating blood cultures: changing needles is useful." JAMA: The Journal of the American Medical Association 266, no. 15 (October 16, 1991): 2081b—2081. http://dx.doi.org/10.1001/jama.266.15.2081b.

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31

Daniels, Harry. "Rethinking intervention: changing the cultures of schooling." Emotional and Behavioural Difficulties 11, no. 2 (June 2006): 105–20. http://dx.doi.org/10.1080/13632750600619273.

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32

Lloyd, John. "The Changing Cultures of Health and Education." Health Manpower Management 20, no. 3 (August 1994): 23–24. http://dx.doi.org/10.1108/09552069410064874.

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33

Griswold, Wendy, and Soraj Hongladarom. "Cultures and Societies in a changing world." AI & Society 13, no. 4 (December 1999): 446–49. http://dx.doi.org/10.1007/bf01205989.

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34

Fox, Miriam, Marion Molesky, John E. Van Aerde, and Sarah Muttitt. "Changing Parental Nutrition Administration Sets Every 24 h versus Every 48 h in Newborn Infants." Canadian Journal of Gastroenterology 13, no. 2 (1999): 147–51. http://dx.doi.org/10.1155/1999/160897.

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OBJECTIVE: To determine whether changing total parenteral nutrition fluid administration sets (TAS) every 48 h rather than every 24 h results in a greater infusate contamination rate.PATIENTS AND METHODS: Prospectively, 166 infants were assigned at random to have TAS changed either every 24 h or every 48 h. Samples of the infusate were cultured to determine contamination rates of the infusate in the sets and were tested from 149 of these infants. TAS was replaced every 24 h in the control group, and 445 amino acid plus dextrose solutions (AADS) and 449 lipid emulsions samples were taken for bacterial culture. Fungal cultures were also performed on 449 samples. The study group had TAS replaced every 48 h, and 454 samples of AADS were cultured for bacteria. The numbers of lipid emulsion samples sent for bacterial culture and fungal culture were 449 and 440, respectively. Information on type of intravenous access device, administration of antibiotics and blood cultures was also collected.RESULTS: There was no difference in bacterial contamination rates for AADS or lipid emulsion from TAS changed every 24 or 48 h (Χ2, P>0.05). Lipid emulsion sampled from the 24 h group showed a statistically significant higher rate of fungal contamination than specimens from the 48 h group (P<0.01).CONCLUSIONS: Changing TAS every 48 h versus 24 h does not increase the contamination rate of infusate in newborns.
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35

HAMILTON, ROBERT, LEO-PAUL DANA, and CAMILLA BENFELL. "CHANGING CULTURES: AN INTERNATIONAL STUDY OF MIGRANT ENTREPRENEURS." Journal of Enterprising Culture 16, no. 01 (March 2008): 89–105. http://dx.doi.org/10.1142/s0218495808000053.

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This is a comparative study about the assimilation and integration of migrant entrepreneurs of Chinese and Indian origins. The research is based on surveys of 320 entrepreneurs who migrated to Manchester and 885 entrepreneurs whose ancestors moved to Singapore. With the dramatic change in national cultures associated with such migration, the study sought to identify the emergence of differences over time in the business behaviour and adherence to traditional family values. The main finding of the study is that these migrant communities are willing to adapt in terms of their traditional family values and that their lack of integration into mainstream society should not be ascribed to their strict adherence to such values.
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36

Woodrow, Philip. "Interventions for confusion and dementia 5:Changing cultures." British Journal of Nursing 7, no. 21 (November 26, 1998): 1329–31. http://dx.doi.org/10.12968/bjon.1998.7.21.5543.

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37

Cook, Scott. "Commodity Cultures, Mesoamerica and Mexico's Changing Indigenous Economy." Critique of Anthropology 26, no. 2 (June 2006): 181–208. http://dx.doi.org/10.1177/0308275x06064978.

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38

Skelton, Alan. "The Place of Men in Changing Family Cultures." International Studies in Sociology of Education 9, no. 3 (November 1, 1999): 301–13. http://dx.doi.org/10.1080/0962021990020148.

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39

Liff, Sonia, and Ivy Cameron. "Changing Equality Cultures to Move Beyond ‘Women’s Problems’." Gender, Work & Organization 4, no. 1 (January 1997): 35–46. http://dx.doi.org/10.1111/1468-0432.00022.

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40

Chandler, Michael, and Travis Proulx. "Changing Selves in Changing Worlds: Youth Suicide on the Fault-Lines of Colliding Cultures." Archives of Suicide Research 10, no. 2 (July 2006): 125–40. http://dx.doi.org/10.1080/13811110600556707.

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41

Kwon, Jung Yul, Alexandra S. Wormley, and Michael E. W. Varnum. "Changing cultures, changing brains: A framework for integrating cultural neuroscience and cultural change research." Biological Psychology 162 (May 2021): 108087. http://dx.doi.org/10.1016/j.biopsycho.2021.108087.

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42

Fallon, Mary Pat. "The tale of two cultures: Reflections on changing roles." College & Research Libraries News 70, no. 10 (November 1, 2009): 581–82. http://dx.doi.org/10.5860/crln.70.10.8271.

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43

Spillman, Lyn. "Book Review: Cultures and Societies in a Changing World." Teaching Sociology 33, no. 1 (January 2005): 111–12. http://dx.doi.org/10.1177/0092055x0503300120.

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44

Newton, N. J., P. Chauhan, and T. C. Antonucci. "CONTEXTS AND CULTURES: CHANGING NEIGHBORHOODS, SOCIAL NETWORKS, AND RETIREMENT." Innovation in Aging 2, suppl_1 (November 1, 2018): 755–56. http://dx.doi.org/10.1093/geroni/igy023.2791.

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45

Bates, Richard. "An anarchy of cultures: aesthetics and the changing school." Critical Studies in Education 53, no. 1 (February 2012): 59–70. http://dx.doi.org/10.1080/17508487.2012.635673.

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46

Cortis, Natasha, Ciara Smyth, Catherine Wade, and Ilan Katz. "Changing practice cultures in statutory child protection: Practitioners' perspectives." Child & Family Social Work 24, no. 1 (May 16, 2018): 50–58. http://dx.doi.org/10.1111/cfs.12580.

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47

Berlin, Irving N. "Effects of changing native American cultures on child development." Journal of Community Psychology 15, no. 3 (July 1987): 299–306. http://dx.doi.org/10.1002/1520-6629(198707)15:3<299::aid-jcop2290150303>3.0.co;2-6.

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48

Benhamou, Francoise, and Tyler Cowen. "Creative Destruction: How Globalization Is Changing the World's Cultures." Southern Economic Journal 71, no. 2 (October 2004): 459. http://dx.doi.org/10.2307/4135302.

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49

Head, Lesley, and Pat Muir. "Changing cultures of water in eastern Australian backyard gardens." Social & Cultural Geography 8, no. 6 (December 2007): 889–905. http://dx.doi.org/10.1080/14649360701712651.

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50

Al-Aali, Ebtihaj. "Book Reviews : Woman Managers Changing Organisational Cultures Giselle Asplund." Management Education and Development 21, no. 1 (April 1990): 79–80. http://dx.doi.org/10.1177/135050769002100111.

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