Digital Commons Network^™

Investigation Of Patients' Use Of Non-Pharmacological Substances In Dental Pain Management, Neslihan Yılmaz Çırakoğlu, Özgenur Kaya

Journal of Dentistry Indonesia

Background: Dental pain is a complex condition influenced by biological, biochemical, environmental, and psychological factors. Before seeking professional care, many patients attempt to relieve dental pain using self-administered, non-medical agents. This study aimed to investigate patients’ use of non-pharmacological substances in dental pain management and to identify factors influencing these practices.

Methods: The questionnaire consisted of four sections addressing demographic characteristics, oral hygiene habits, pain characteristics, and pain-relief agents. Categorical variables were analyzed using Pearson’s chi-square test. Categorical data are presented as frequencies and percentages, while continuous data are expressed as mean ± standard deviation and median values. …

Orthodontic Camouflage Treatment Of A Severe Class Iii Skeletal Pattern With Anterior Open Bite: A Case Report, Dikeledi Maureen Letsholo, Mandla Dominic Nyakale, Mosimane Peter Silas Sethusa

Journal of Dentistry Indonesia

Background: Class III malocclusion combined with anterior open bite (AOB) is one of the most challenging occlusal problems to treat. The objective of this article was to report a case of an adult female patient diagnosed with Class III malocclusion combined with an anterior open bite and a hyperdivergent facial pattern.

Case Report: Camouflage orthodontic treatment with the extraction of maxillary and mandibular first premolars was used to treat the patient. Anterior teeth were retracted maximally against the Nance holding arch and fixed lingual arch appliances, and box elastics were used to close AOB. At the end of …

Middle Class Affordability In The Mountain West, 2023, Kian Parikh, Krish Sharma, Mohit Pande, Kristian Thymianos, Caitlin J. Saladino, William E. Brown Jr.

Economic Development & Workforce

This fact sheet presents 2023 data on the share of middle-class households that can afford basic necessities in the five Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. The Brookings Institution report, “In every corner of the country, the middle class struggles with affordability,” provides metropolitan-level estimates across all 50 U.S. states and the District of Columbia. This fact sheet focuses on middle class affordability data for the largest metro area in each Mountain West state and, where available, explores middle class affordability by race and ethnicity.

What Drives Consumers To Use Insurtech Apps? The Role Of Insurance Literacy, Jia Chun Chia, Hui Shan Lee, Bik Kai Sia

International Journal of Management, Finance and Accounting

Although financial technology has spread worldwide, the adoption of InsurTech in Malaysia is still low because of the knowledge-action gap, in which people continue to use traditional agents. This study examines the factors that determine behavioral intention to use InsurTech apps by incorporating the Unified Theory of Acceptance and Use of Technology (UTAUT) and including a novel insurance literacy factor. A cross-sectional quantitative research design was adopted, and 406 valid responses were gathered from 406 Malaysian Generation Z individuals and analyzed using partial least squares structural equation modelling (PLS-SEM). The findings indicate that the model explains 58% of the variance …

Analysis Of The Determinants Of Buy-Now-Pay-Later Payment Mode Among Malaysians In Klang Valley, Wai Zhi Tay, Chi Hau Tan

International Journal of Management, Finance and Accounting

The Buy Now, Pay Later (BNPL) service has become increasingly popular in Malaysia in recent years, especially in the Klang Valley. The BNPL service offers consumers a more convenient payment method and access to credit, raising concerns about increased household debt and financial vulnerability. In this study, this paper used financial literacy, perceived risk, credit attitude, and economic vulnerability to examine which factors influence the intention to use the BNPL payment mode. The Theory of Planned Behaviour (TPB) is used to explain the factors influencing consumers’ intention to use BNPL services. This study adopts a quantitative research design and collects …

Scrolling, Following, Deciding: The Hidden Power Of Digital Influence On Wise Financial Decision, Nur Fatihah Muhamad Irwan, Wan Rasyidah Wan Nawang

International Journal of Management, Finance and Accounting

The effect of social media and digital influencers on financial behaviours has been well documented, but there is yet any solid evidence of their role in driving wise financial decision-making among Malaysians in particular. This study hence sets out to examine the impact of social media engagement and parasocial interaction in shaping financial attitudes, and the influence of financial attitude, subjective norms, and perceived behavioural control on the intention to practice wise financial decision-making. The mediating role of financial attitude was also studied, specifically in the link between social media engagement, parasocial interaction, and intention. A total of 250 Malaysian …

Dividend Yield Modelling And Forecasting Under The Wilkie Investment Model With Inflation Effects: Evidence From Malaysia, Ilya Adlina Abd Halim, Norizarina Ishak, Siti Raihana Hamzah, Ahmad Fadly Nurullah Rasedee

International Journal of Management, Finance and Accounting

This study uses the Wilkie Investment Model in the context of the Malaysian stock exchange, incorporating inflation as a significant factor in explaining investment behavior in line with local economic conditions. Although the Wilkie model is broadly utilised in actuarial science and has been assessed in many developed countries, its use in emerging markets such as Malaysia is still limited. Based on historical data from Malaysia, both the dividend yield and inflation series were revealed to be stationary using the Augmented Dickey-Fuller (ADF) test. Therefore, the series is applicable for time series analysis. The study used Malaysian data to estimate …

Impact Of Environmental, Social, And Governance (Esg) Practices On The Stability And Profitability Of Financial Institutions In Malaysia, Sharifah Najihah Syed Ishar, Sharifah Fairuz Syed Mohamad, Nurul Sima Mohamad Shariff, Mazlynda Md Yusuf

International Journal of Management, Finance and Accounting

This study examines how Environmental, Social, and Governance (ESG) activities affect the stability and profitability of Malaysian financial institutions, in light of the country's growing emphasis on sustainable finance. Using annual data from 2014 to 2024, the study focuses on three main objectives: assessing whether stronger ESG practices enhance financial stability, identifying the most influential ESG pillar among environmental, social, and governance components, and evaluating whether ESG performance affects profitability. This study employs random-effects panel regression with robust standard errors, yielding empirical evidence relevant to Malaysia’s dual banking landscape. The results show that stronger ESG performance raises the stability of …

"Why Do Students Save Less?” A Study Of The Determinants Of Saving Intentions And Behaviours Among Undergraduate Students, Rna Hamza Ahmed Eissa, Chi Hau Tan, Ben Hou

International Journal of Management, Finance and Accounting

Despite the issue of low savings being a serious concern, limited research has been conducted on students’ saving behaviour in Malaysia, especially when it comes to private universities. This research focuses on examining factors that affect saving behaviour among undergraduate students at a private university in Malaysia, in reference to the Theory of Planned Behaviour. A mixed-method design was applied. Quantitative research was conducted, in which 122 valid responses were collected via an online survey and analysed using Partial Least Squares Structural Equation Modelling (PLS-SEM). In addition, qualitative research with 11 respondents was conducted, and the data were analysed using …

Understanding Trust As A Mediating Mechanism In Ai-Based Medical Tools And Clinical Decision Processes, Shanthi Isparan, Seow Ai Na, Chang Jing Jing, Hew Jun Jie

International Journal of Management, Finance and Accounting

The growing integration of artificial intelligence (AI) in healthcare has transformed clinical decision-making. Nevertheless, doctors’ engagement with AI-based tools remains hindered, particularly due to trust-related concerns. The purpose of this study is to examine the factors influencing doctors’ engagement with AI-based medical tools, with a focus on the mediating role of trust within the Unified Theory of Acceptance and Use of Technology (UTAUT). Data were collected from 197 doctors in Selangor and Kuala Lumpur through a structured survey and analysed using Partial Least Squares Structural Equation Modelling (PLS-SEM) with SmartPLS 4 software. The findings reveal that performance expectancy, effort expectancy, …

Hkc09 - Climate Change Increases Bilateral Trade Costs, Maximilian Huppertz

Oberlin College Kasper Economics and Business Working Paper Series

It is well established that climate change affects productivity, but its effects on trade costs have not been studied. I combine international trade and weather data covering 190 years and show how an augmented gravity framework can be used to estimate the impact of climate change on bilateral trade cost. I find that climate change, as measured by decadal temperature shifts at the origin or destination country, increases them. Adaptation to these changes seems slow. They appear to be driven by impacts on maritime trade in particular, perhaps due to the vulnerability of seaports to climate change. Combining these results …

The Role Of Green Accounting In Achieving Sustainable Development Through The Quality Of Accounting Information: An Empirical Study Of Iraqi Industrial Companies, Ahmed Neamah Abed, Anmar Adnan Khudhair, Farqad Mohammed Bakr Al Saadi

Muthanna Journal of Administrative and Economics Sciences

The goal of this study is to highlight the role of green accounting, both direct and indirect, via the quality of accounting information, in achieving sustainable development goals in industrial companies in Iraq. The methodology was done based on data obtained in 2026 through a questionnaire sent to a random sample of 110 employees (accountants, heads of finance departments, finance managers and internal auditors) in industrial companies listed on the Iraq Stock Exchange. Structural equation modelling (SEM) was used to test the hypotheses and pathways by applying AMOS software. Furthermore, the results indicated that the green accounting is positively and …

The Mediating Role Of Production Process Efficiency Through Lean Production In Enhancing Institutional Excellence: An Applied Study At The Maysan Oil Factory, Asst. Lect. Wasan Jawad Kadhim

Muthanna Journal of Administrative and Economics Sciences

This study aimed to analyze the mediating role of production process efficiency in the relationship between lean production and organizational excellence, through an applied study at the Maysan Oils Factory. This was done within the framework of efforts to improve operational performance and enhance the competitiveness of industrial enterprises. The study’s significance stems from its highlighting of lean production as a modern strategic approach and its showcasing of the role of production process efficiency as an intermediary mechanism that contributes to achieving organizational excellence in the industrial environment. The study adopted a descriptive-analytical approach. The study population consisted of employees …

Connecting Families Through Cash Transfers And An Enabling Environment In Colombia, Mexico, And The Philippines: A Qualitative Study, Johanna K P Greeson, John Gyourko, Sarah Wasch, Kristin Mallory, Lory Fehlig, Cesar Jácome, Nestor David Lara Yanes, Fátima Areli Ruiz Gutiérrez, Dennis Guamos, Adele R. Lehman

Faculty Scholarship

Nearly 700 million people worldwide live in extreme poverty, and almost half of the world’s population lives below the poverty line. Cash transfer programs are increasingly used to address poverty’s effects on family well-being, yet less is known about how families experience programs that combine cash transfers with peer-driven mutual aid. Children International’s (CI) Community Independence Initiative (CII) provides conditional cash transfers and promotes family-led goal setting, mutual support, and shared learning. This qualitative study explored how families in Colombia, Mexico, and the Philippines experienced CII and made meaning of its material and relational components. We conducted focus groups with …

The Mundlak Estimator In A Panel Data Model With Serially Correlated Error Component Disturbances, Badi H. Baltagi, Long Liu

Center for Policy Research

This paper shows that the classic Mundlak (1978) result where the random effects estimator reduces to the fixed effects estimator when the regressors are all correlated with the individual effects, may not hold if the remainder disturbances have a general serial correlation variance-covariance matrix. This includes the popular AR(1), MA(1) and ARMA(p, q) processes for serial correlation. This is illustrated with an empirical example for the AR(1) case.

The Ecological Impacts Of Un-Protecting Forests: The Case Of Gold Mining In Ghana, Tate Alexander Barend

Master's Theses

This paper estimates the causal effect of Ghana’s Legislative Instrument 2462 (L.I. 2462) on deforestation in protected areas. The policy redefined the regulatory regime governing small-scale gold mining in protected areas, moving from prohibition to discretionary permitting. I exploit the implementation of L.I. 2462 as a policy shock and apply a difference-in-differences event-study framework to a propensity score–matched sample of pixels derived from high-resolution satellite images. Contrary to widespread concerns that the policy would accelerate deforestation, the results provide no evidence of large-scale vegetation loss in exposed protected areas following the policy change. Instead, protected area pixels located within 5 …

Can The Safety Net Support Families Through Childbirth?, Hyojeong Kim, Colleen Heflin, Taryn Morrissey

Center for Policy Research

Childbirth is a life event that often disrupts maternal employment and household earnings just as family expenses increase. In the United States, families do not have access to a national paid parental leave program and must rely on a patchwork of safety net programs that were not designed specifically to support households during pregnancy and the immediate postpartum period. This brief uses linked administrative data from the Virginia Longitudinal Data System (2016–2021) to describe changes in household earnings and social welfare benefits before and after childbirth among low-income mothers receiving the Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for …

The Lottery You Do Not Want To Win: The Role Of Local Institutional Quality In Brazil's Fight Against The Persistent Transmission Of Poverty, Adaye Sosthene Yvan N'Guettia

Economics Honors Projects

When does improving local institutions increase the poverty-reducing effectiveness of transfers? This paper examines whether federal oversight strengthens municipal administration of anti-poverty programs in Brazil. I develop a governance model in which incumbents allocate resources across diversion, effort, and institutional investment under audits and incentives. Using exogenous variation from Brazil's random CGU audit lottery across 5,500 municipalities, I find audits reduce irregularities, strengthen capacity, improve nutritional monitoring and school infrastructure, and reduce extreme poverty — with effects largest in municipalities with weakest institutions. A marginal-value-of-public-funds analysis confirms the program is self-financing. Results show the poverty-reducing power of transfers depends critically …

Assessing Healthcare Access Among Overweight And Obese Individuals In Türkiye Using Latent Variable Modeling, Banu Beyaz Sipahi

Makara Journal of Health Research

Background: Overweight and obesity are critical determinants of healthcare access, yet evidence on how the COVID-19 pandemic reshaped these dynamics in Türkiye remains limited. This study investigates whether the early post-pandemic recovery period altered healthcare access patterns for individuals with excess weight.

Methods: Using nationally representative microdata from the 2014, 2016, 2019, and 2022 Turkish Health Surveys, we constructed a latent Healthcare Access Index based on six indicators of unmet care needs. Probit models were estimated to assess associations between BMI categories and healthcare access, controlling for socioeconomic and demographic factors. The 2022 wave serves as the early …

Unpacking Treatment Effect Heterogeneity In A Large-Scale Dropout Prevention Experiment, Thomas Dee, Chloe R. Gibbs, Rebecca Margolit-Chan, Lillian Morrell, James X. Sullivan

Upjohn Institute Working Papers

Timely high school completion is a critical step in successful transitions to post-secondary schooling and the labor market. This randomized controlled trial, deployed in two urban, disadvantaged school districts, tests the effectiveness of a mature and comprehensive student-support program on an unusually large scale (n=2,528). While overall effects on graduation rates are small and statistically insignificant, exploratory analyses reveal notable variation by site and over time, mirroring heterogeneity in treatment timing and program implementation. These findings highlight the challenges of scaling interventions and raise concerns about generalizing results from small-scale, single-site evaluations.

Preventive Interventions Targeting Social Determinants Of Health: Implications For Healthcare Utilization And Cost, Audrey Wrinkle

NEXUS: The Liberty Journal of Interdisciplinary Studies

Preventive interventions targeting social determinants of health could reduce avoidable healthcare utilization and positively impact long-term cost outcomes within healthcare systems. Evidence indicates that financial and social barriers to preventive care lead to delayed treatment and increased use of high-cost healthcare services in the long term. Preventive interventions focusing on upstream social factors, like home-based care and digital health programs, could improve patient outcomes and reduce avoidable service utilization. Also, incorporating social needs data into policy creation could promote better allocation of healthcare resources. This research highlights the role of prevention-focused strategies in promoting cost-effective, sustainable healthcare delivery.

Bridging Fiscal Sustainability And Health Equity: A Policy Analysis Of California’S Healthcare Coverage Safeguards, Guadalupe Castaneda Martinez

Master's Projects and Capstones

Without structural policy intervention, approximately 4.6 million Californians remain at risk of being uninsured by 2030, worsening racial and ethnic health disparities and hospital uncompensated care burdens. This policy analysis advocates for a hybrid universal coverage model combining sliding-scale subsidies (California Senate Bill 78) with full-scope Medi-Cal expansion for all income-eligible residents regardless of legal status (California Assembly Bill 133). The framework relies on existing funding mechanisms, including the Managed Care Organization tax and the Health Care Affordability Reserve Fund. Comparative analysis indicates that market-only subsidies leave severe equity gaps, whereas immediate single-payer transitions pose substantial fiscal and administrative risks. …

Lessons From Tanzania’S Ujamaa For Smart Settlements In Nepal: Social Justice And Economic Development, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

Nepal’s constitutional commitment to a “socialism-oriented” state places social justice, equitable access to resources and housing, and protection of marginalized populations at the center of national development discourse. However, persistent landlessness, informal settlements, unemployment, youth outmigration, and unequal access to infrastructure reveal a significant gap between constitutional aspirations and socioeconomic realities.

This article examines lessons Nepal can draw from Tanzania’s experience with Ujamaa, the African socialist development model initiated by President Nyerere in 1967. Using comparative policy analysis, published research, official documents, and exploratory field observations from selected Tanzanian locations, including the capital and villages in the Iringa Region, the …

The Person As Foundation Of Responsibility: The Insufficiency Of Rights-Based Human Development Approaches, Jaclyn Berg

Electronic Theses and Dissertations

Building on the plethora of research that demonstrates the way rights language has been more useful for those with wealth and power to further expand capitalist markets, this text extends that criticism to human development programs and institutions. While they claim to be directed towards addressing global issues of poverty and hunger as well as climate crises, they continue to treat the symptoms without accurately diagnosing the disease. Approaches to development that rely on rights without questioning the way rights have been influenced by neoliberal capitalists or without questioning the capitalist global economic system will never be able to achieve …

Ai And The Music Industry: Its Current Status And A Speculative Projection Of Its Evolutionary Trajectory, Rhett D. Morris, Clayton Rosati, Stefan Fritsch

Honors Projects

Music serves as one of society's biggest cultural outlets, allowing millions to share in what used to be a uniquely human form of expression. The commodification of music has built a huge industry full of companies and platforms that have used technology and property laws to shape music's relationship with the public. This study aims to look into the future to see how AI and its implementation could affect the structure of the music industry. To look into the future, this piece establishes two of the most pressing kinds of AI technology for the music industry and looks to contextualize …

The Introduction Of High-Speed Rail And Its Impact On Mode Choice The Case Of Morocco’S Al Boraq, Michael Stewart

Theses and Dissertations

Morocco's Al Boraq, Africa's first high-speed rail line, reshaped mode choice along the Casablanca-Tangier corridor. Drawing on ONCF ridership data, 234 rider surveys, and nine months of fieldwork, this ex-post assessment finds accelerated passenger growth, substantial induced demand, and mode shift from automobiles, informing Global South HSR development.

Teen Suicide And The Outcomes Of Surviving Peers, Emily Cuddy, Janet Currie, Elisa Jácome, Lucy Manly

Cowles Foundation Discussion Papers

By age 17, a quarter of U.S. students have experienced a peer suicide. Using linked administrative data from South Carolina and a matched difference-in-differences design, we find that exposure to a peer’s self-harm death increases the probability of a self-harm diagnosis by nearly 50% and both the incidence and frequency of mental health visits. Effects on care use and criminal behavior are concentrated among white boys, and responses diverge by prior mental health history: students without a prior diagnosis increase felony offending rather than care-seeking. Deaths from assault and transportation accidents produce no comparable rise in self-harm, consistent with contagion.

Three Essays In Discrete Choice Analysis: Valuation, Attention Level, And Spatial Heterogeneity, Marcelo Pignatari

All Graduate Theses and Dissertations, Fall 2023 to Present

Understanding how people value food labels and environmental goods is essential for designing policies, incentives, and market mechanisms that improve the well-being of the population. In this study, we found that a local label indicating that fruit was produced in Utah makes Utahns value strawberries, gala apples, and dried tart cherries more. An organic label has a similar effect, which is especially strong for dried tart cherries. In contrast, a freshness label only increases value for fruits with a shorter shelf life, such as strawberries. We also found that people who chose to access clarifying information about what these labels …

Hkc07 - Bayesian Conspiracy Theorists? Equivocal Signals And Persistent Polarization, Javier A. Granados Samayoa, Timothy Hyde

Oberlin College Kasper Economics and Business Working Paper Series

Conspiracy beliefs are the subject of a rich literature in psychology, which explains them through personal dysfunction. The corresponding economics literature is scant. We offer a demand-side model of belief in specific conspiracy theories with no biases, misspecification, or strategic manipulation. A conspiracy, by its nature, generates equivocal evidence about its own existence, because the same strength that produces more to detect also produces better concealment. We model belief in a specific conspiracy theory as learning about the strength 𝑞 of a cabal, a stand-in for the secretly coordinating actors of any conspiracy theory. In the baseline the cabal influences …

Hkc08 - Neglect At Your Own Risk? Evidence On Risk-Taking Prevalence And Motives From The Field, Saurabh Bhargava, Timothy Hyde

Oberlin College Kasper Economics and Business Working Paper Series

We study risky choice in a field setting where employees choose among goal-reward contracts resembling financial lotteries and where we observe both choices and beliefs. We find risk aversion and choice heterogeneity far exceeding expected utility predictions and unexplained by prominent behavioral motives like overconfidence, nonlinear decision weights, and loss aversion. We propose and experimentally validate a heuristic explanation for risk taking involving contingency neglect during pairwise evaluation. The heuristic fits the field and lab data better than leading alternative models, uniquely predicts the belief distortions and framing effects we document, and offers a potential explanation for empirical insurance puzzles.