Digital Commons Network^™

Towards Primary Health Care Education Reform: A Reflexive Thematic Analysis Of Nursing Supervisors' Perceptions, Experiences And Challenges, Debbie Procter, Mccullough, Debbie Massey, Karen Strickland

Research outputs 2022 to 2026

Aim: To explore Primary Health Care nurses' experiences of supervising nursing students on clinical placements and their perceptions of academic preparation for placement and future employment. Background: Primary Health Care nurses are essential workers within sustainable health systems but pre-registration educational preparation and access to clinical experiences can be limited. Previous research correlates positive clinical experiences with workforce intentions. Furthermore, nursing supervisors are pivotal to maximising student experiences and education, yet little is known about their perceptions, challenges, and views about how current curriculum prepares students to commence professional careers in primary care. Understanding their perceptions may inform curriculum, improve …

The Prospector, September 1, 2026, Student Publications

The Prospector

No abstract provided.

Real-World Testing Of An Artificial Intelligence Conversational Agent As An Early Intervention And Support Tool In The Mental Health Referral Care Pathway: A Mixed-Methods Study, Rohit Shankar, Edward Meinert, Madison Milne-Ives, Emma Taylor, B Inkster, Alina Paik, Ananya Ananthakrishnan, Martin Orr, Ceire Costelloe

Peninsula Medical School

Background: The incidence of mental health concerns is growing, and demand for support is exceeding service capacity.Digital tools can provide additional support but risk causing harm if not delivered safely.Aims: We aimed to establish real-world evidence of the impact of an artificial intelligence-based mental healthconversational agent (Wysa) on depression and anxiety in patients waiting for Talking Therapies treatment.Methods: A mixed-methods randomized controlled trial was conducted with patients referred to Talking Therapies inthe Central and Northwest London NHS Foundation Trust. The primary outcome was change in depression severityover 12weeks between groups; secondary outcomes included anxiety severity, quality of life, safety, engagement, …

“I Really Like Being On The Floor, Because I Spend All The Time In My Chair”: Children With Disabilities’ Experiences Of Physical Activity In School, Katherine Gulliver, Rachel Knight Lozano, Kathrin Paal

School of Law, Humanities and Social Sciences

Children with multiple disabilities often encounter significant barriers to participating in physical activity, impacting not only their physical health but also their overall experience in school. This study places the voices of four children at the centre of their own research, exploring their lived experiences of participating in physical activity in school. Using Clark’s (2017) Mosaic approach, this child-centred participatory study shows how children take part and engage with physical activity as part of their school day. Using videos and photography, child-led tours and ethically sensitive conversations with researchers, children shared a range of opportunities for enjoyment, exploration and interactions …

Parents' Views On Family Care At A Neonatal Intensive Care Unit — A Qualitative Study, Linea Grothe Larsen, Suzanne Forsyth Herling, Sanne Allermann Beck, Anne Brødsgaard, Jos M. Latour, Rikke Louise Stenkjaer

School of Nursing and Midwifery

PurposeThe current study aims to explore parents' views on family care at a neonatal intensive care unit.MethodsWe conducted a qualitative exploratory study with a descriptive approach based on open-ended written narrative responses from the Danish version of EMpowerment of PArents in The Intensive Care—Neonatology questionnaire. The study was conducted at a Danish level IV NICU working with family-centred care and family integrated care. The data was analysed using inductive content analysis by Graneheim and Lundman. The Standards for Reporting Qualitative Research checklist was followed.Main FindingsIn total, 311/727 parents responded to the distributed questionnaire. Of those, 210 responded to the open-ended …

Nurses' And Families' Experiences Of A Feasibility Trial Comparing Single‐Use And Multiple‐Use Endotracheal Suction Catheters In Mechanically Ventilated Patients: A Qualitative Study, Mohamed H. Eid, Kevin Hambridge, Patricia Schofield, Jos M. Latour

School of Nursing and Midwifery

BackgroundIn resource-limited Intensive Care Units (ICUs), reusing endotracheal suctioning catheters is often standard practice due to supply constraints or staffing pressures. Randomised controlled trials (RCTs) have explored the impact of these practices on patient outcomes. However, less is known about the experiences of nurses and family members involved in RCTs testing endotracheal suctioning interventions.AimTo explore the experiences of ICU nurses and family members participating in a feasibility RCT comparing single-use versus multiple-use endotracheal suction catheters flushed with chlorhexidine or normal saline in a resource-limited ICU setting.Study DesignA qualitative study was embedded within a feasibility RCT. Semi-structured interviews were conducted with …

Discomfort Avoidance And Desire For Normality Are Decision-Making Drivers Of Footwear Choice In Underserved Communities At Risk Of Diabetic Foot Ulcer, Krithika Anil, Neeraj Sharma, Sonal Patel, Jess Bailey, Catherine Smith, Sally Abey, Kayce Allcock, Richard Collings, Joanne Paton

School of Health Professions

BackgroundDiabetes-related foot ulceration (DFU) is a serious complication that can lead to lower limb amputation or death. Custom-made footwear is a key preventative strategy, yet adherence to use is often low. The factors influencing decision-making for footwear use remain unclear, particularly among underserved groups such as people from low socioeconomic and South Asian backgrounds. This study aimed to identify the psychological mechanisms underlying footwear choice and adherence in people with diabetes from low socioeconomic and South Asian populations.MethodsThis study used a qualitative approach conducted in two parts. Part 1 explored footwear-related experiences using one-to-one interviews informed by the COM-B model …

Exploring Factors Affecting The Use Of Blended Diets For Children And Young People In Health, Education And Social Care Settings In The Uk: The Protocol For A Realist Mixed Methods Study, Gemma Phillips, Jane Coad, Mary Hickson, Joseph C. Manning

School of Health Professions

Background Enteral tube feeding provides supplementary or alternative nutrition for individuals who cannot meet their nutritional needs orally and remains essential for a number of children and young people with complex health needs. Commercial formula remains standard practice in the UK, although increasing numbers of children and their families are choosing a blended diet and reporting significant physical and social benefits. However, support for families in using blended diets varies across health, education and social settings in the UK. Aim To explore factors affecting the use of blended diets in health, education and social care settings. Methods This sequential mixed …

Catalysts For Third-Country Market Entry: The Role Of Preferential Trade Agreements, Qiugu He, Xuan Luo

Research Collection School Of Economics

Preferential trade agreement (PTA) membership is known to divert trade volumes away from nonmember (third) countries along the intensive margin of trade, yet much less is known about its effects on third-country market entry along the extensive margin of trade. This paper examines whether PTAs catalyze market entry into third countries, and more broadly whether PTAs create spillover effects beyond member countries that matter for development. Using bilateral trade data from 1948 to 2020, we employ a difference-in-differences strategy, and find that the third-country market entry rate rises by 2.1% when the origin country has a PTA partner in the …

Threshold Spatial Panel Regression With Fixed Effects, Xiaoyu Meng, Zhenlin Yang

Research Collection School Of Economics

We introduce general estimation and inference methods for threshold spatial panel regression with two-way fixed effects in a diminishing-threshold-effects framework. A valid objective function is obtained through a simple adjustment on the concentrated quasi loglikelihood with fixed effects being concentrated out, which leads to a consistent estimation of all common parameters. We show that the estimation of threshold parameter has a negligible effect on the asymptotic distribution of the main parameter estimators and thereby regular inference methods apply, though a bias correction may be necessary. The limiting distribution of the threshold parameter estimator is shown to be non-regular and infeasible, …

How Conditions Within Immigration Removal Centres In The United Kingdom Affect The Mental Wellbeing Of Detainees: A Scoping Review, Niamh Gallagher, Tristan Price, Matthew Griggs

Peninsula Medical School

BackgroundImmigration Removal Centres (IRCs) are used to detain people for immigration control by the UK government. This scoping review aims to examine the experiences of detainees within UK IRCs, specifically how conditions within them, including the regime, affect their mental wellbeing.MethodsThe Joanna Briggs Institute guideline for scoping reviews was followed. Six bibliographic databases and additional grey literature sources were searched for quantitative and qualitative evidence. Descriptive analyses and quality assessments were conducted.ResultsFifteen research studies and nine pieces of grey literature were included, comprising a total of 1353 participants and 11 IRCs. The majority of data was qualitative in methodology and …

Underfunded And Undervalued: Community-Based Health Promotion Practitioners’ Experiences Of Western Australia’S Prevention Sector, Ruth M. Wallace, Leesa N. Costello, Elizabeth J. Cook

Research outputs 2022 to 2026

Prevention is a central policy focus of contemporary health promotion, offering cost-effective strategies to reduce disease burden and improve population well-being. Despite this, Australia allocates a small proportion of its health budget to prevention, with funding models characterized by short-term cycles and competitive tendering. While the consequences for public health are well documented, the impact on the health promotion workforce remains underexplored. Workforce health and stability are critical for program delivery, ethical practice, continuity of relationships with communities, and the capacity to sustain long-term prevention efforts. This qualitative study examined the experience of 19 community-based health promotion practitioners in Western …

Schizophrenia Spectrum Biomarkers Consortium: Establishment Of A Biorepository For The Discovery Of Quantitative Fluid Biomarkers, Mohini Ranganathan, Susanne Jakob, Felecia Cerrato, Lia Urban Spillane, Tarlan S. Daryoush, Sophie Shuster, Katherine Dokholyan, Shaynna Herrera, Brian Koo, Clyde Markowitz, Pojen Deng, Sage Rush, Monica E. Calkins, Scott Troyan, Kosha Ruparel, Ruben C. Gur, Holly Reynolds, Claire Wegel, Matthew B. Johnson, Lauren Hom, Sam Bryant, Ross W. Mair, Randy L. Buckner, Rebecca Birnbaum, Christian G. Kohler, Cheryl M. Corcoran, Raquel E. Gur, Steven E. Hyman

Student Publications [Scholarly]

Background and Hypothesis: Schizophrenia spectrum disorders (SSDs) produce severe symptoms, disability, and premature mortality, but only partially effective symptomatic treatments exist. Treatment development is impeded by lack of insight into disease mechanisms or objective biomarkers for clinical trials. Advances in genetics and neurobiology have converged on strong pathogenic hypotheses for SSDs centered on synapse dysfunction and excessive pruning, pathogenic processes that may produce measurable proteomic evidence in cerebrospinal fluid (CSF). Leveraging design precedents from successful fluid biomarkers discovery for Alzheimer’s disease, we undertook a pilot study to test the feasibility of repeated CSF and blood samples collection from individuals with …

The Timing Of Albedo Declines With Reforestation, Christopher A. Williams, Surendra Shrestha, Susan Cook-Patton, Natalia Hasler, Drew E. Terasaki-Hart, Samantha Yeo

Geography

Reforestation is a leading climate solution for removing carbon dioxide from the atmosphere, but generally decreases surface albedo, which diminishes its climate mitigation value. Knowing how quickly this albedo effect unfolds relative to carbon removal is critical for planning climate mitigation actions, yet the temporal changes in albedo are poorly described. This study uses satellite observations to characterize temporal changes in albedo with stand development for different forest types and ecoclimatic settings around the world. We find that about half of the climate warming effect from decreased albedo occurs within 40 years, but that it takes anywhere from 50 to …

The Coming Health Insurance Transition, Brendan S. Maher

Faculty Scholarship

For decades, the dominant form of private health insurance in the United States—by far—has been employment-based group health insurance. Somewhere in the range of 175 million employees and their families receive health care coverage through a system in which employers serve as financiers, procurers, administrators, and fiduciaries of the health insurance promise. An overwhelming percentage of those health insurance arrangements are governed by ERISA, with little room for state law.

That is going to change.

This Article explains—for the first time anywhere—why and how. Because of the tremendous and as-yet unrecognized power of an obscure-sounding funding arrangement called the Individual …

¿Digno Retorno? De La Ciudadanía Cultural A La Ciudadanía Truncada En El Retorno A México, Nancy Plankey-Videla, Luz E. Herrera

Faculty Scholarship

The chapter revisits citizenship by drawing on the findings of the Mexican Reintegration Project that interviewed 333 Mexicans that the U.S. deported or who returned to Mexico, and 18 civil society organizations that were part of the study. Many Mexicans in the United States experience a form of belonging, or cultural citizenship, even while being monitored by immigration and law enforcement. Upon returning to Mexico —whether forcibly or “voluntarily” - they experience a truncated citizenship that also complicates their sense of belonging to their own country of origin. They often do not have all the documentation needed to prove their …

Coastal Empire Economic Monitor, 2nd Quarter, 2026, Georgia Southern University Center For Business Analytics And Economic Research

Coastal Empire Economic Monitor

No abstract provided.

Heroclix®: A Multiplayer Chess Game For Teaching The Fundamentals Of Human Capital Management, Chin Heng Low, Jiunwen Wang, Paul Lim, Bernie Koh

Research Collection Lee Kong Chian School Of Business

This article describes the adaptation and use of the HeroClix® board game to teach critical real-world principles for effective human capital management within teams. In a HeroClix® game, players pit their team of miniature figurines against other players’ miniatures in combat. This is akin to organizations striving in the business environment today, with well-structured human capital within their teams as a key competitive advantage. In this article, we suggest how the game can be applied in the classroom for undergraduate students to experience, reflect on, and learn more about the prerequisite considerations in proficient people management, the dynamic nature of …

Cerebellar Atrophy In Pediatric-Onset Opsoclonus-Myoclonus-Ataxia Syndrome: A Large International Cohort Study, Rebecca Macrae, Kierstin Hederstedt, Christopher Cortina, Kumaran Deiva, Andrea Klein, Ming Lim, Thomas Rossor, Elizabeth A Sokol, Yasmin Khakoo, Nikita Malani Shukla, Timothy E Lotze, Wendy G Mitchell, Sarah Hopkins, Bo Zhang, Mark P Gorman

Faculty, Staff and Students Publications

Background and objectives: Pediatric-onset opsoclonus-myoclonus-ataxia syndrome (POOMAS) is a rare, neuroinflammatory syndrome that targets the cerebellum and can cause irreversible cerebellar structural changes, namely cerebellar atrophy. We investigated the frequency of cerebellar atrophy, as well as associated risk factors and functional outcome measures, using the largest active POOMAS registry.

Methods: This was a retrospective observational study of participants with POOMAS with disease onset from 1995 to 2025 using data from the multinational, multicenter POOMAS registry. Variables were compared between the cerebellar atrophy subgroups using the Fisher exact test or Wilcoxon rank-sum test.

Results: Of participants with follow-up imaging, cerebellar atrophy …

Towards Human-Centered Digital Health Interventions, Kristin M Kostick-Quenet, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

This article discusses the potential of digital health interventions (DHIs) in mental health care, emphasizing the importance of designing them to foster genuine humanistic care. It highlights current challenges in measuring engagement and outcomes, advocating for integrating human-centered endpoints such as dignity, autonomy, and therapeutic alliance into evaluation frameworks. The authors call for mechanistic research to identify effective engagement strategies and context-specific implementation approaches. Ultimately, successful DHIs should demonstrate both clinical efficacy and the preservation of humane, person-centered care, ensuring ethical and meaningful mental health support through technology.

Organic Pesticides: A General Overview, Marion Murray, Ann Mull

All Current Publications

Organic pesticides are naturally occurring, nonsynthetic, or minimally processed substances that control unwanted organisms in the environment. Categories include insecticides, herbicides, fungicides, and miticides.

Bivip: A Competitive Neural Network For Bilateral Visuo-Haptic Processing, Eleonore Federica Di Rosa, Aaisha Sheth, Jeffrey Min-In Yau, Laura Astolfi, Cristiano Cuppini

Faculty, Staff and Students Publications

Visuo-haptic interactions are gaining interest in perception research because of their relevance to robotics and rehabilitation. While the benefits of integrating concurrent visuo-tactile cues are well-documented, the temporal dynamics of competitive interactions between vision and touch remain less understood. Building on extant empirical evidence of unilateral intersensory switching, we ask whether bilateral detection of visual and tactile stimuli can be explained by cross-sensory competition and explore the underlying sensorineural dynamics via a multi-level neural network model. Tested against results from a speeded reaction time task to unilateral and bilateral visual, tactile, and visuo-tactile targets, the network successfully predicts higher switch …

2026-09-22 Executive Council Minutes, Susie Salazar

Executive Council Minutes

No abstract provided.

Generalized Logit Adjustment: Improved Fine-Tuning By Mitigating Label Bias In Zero-Shot Vision Models, Beier Zhu, Qianru Sun, Xun Yang, Hanwang Zhang

Research Collection School Of Computing and Information Systems

Foundation models like CLIP allow zero-shot transfer on various tasks without additional training data. Yet, the zero-shot performance is less competitive than a fully supervised one. Thus, fine-tuning and ensembling are also commonly adopted to better fit the downstream tasks. However, we argue that such prior work has overlooked the inherent biases in foundation models. Due to the highly imbalanced Web-scale training set, foundation models are inevitably skewed toward frequent semantics, and thus the subsequent fine-tuning or ensembling is still biased. In this study, we systematically examine the biases in foundation models and demonstrate the efficacy of our proposed Generalized …

Prevalence And Availability Of Specialty Dental Care Sites For Children Covered By Medicaid And Chip In The United States, Jonmichael Cope, Aaron David, Chase Otto, Inder Sehgal

Student Publications

Introduction: Access to dental care is a critical aspect of children's healthcare. For these reasons, Medicaid and Children's Health Insurance Program (CHIP), administered by states, cover medically necessary services. Specialty providers can enroll and participate in state or state-contracted plans, but availability varies widely. Our research objective was to evaluate the availability of non-general dentist specialists in endodontics, oral and maxillofacial surgery, orthodontics/dentofacial orthopedics on the InsureKidsNow website for Medicaid/CHIP enrollees, on a state-by-state basis, and to compare these with pediatric dental availability.

Methods: This is an observational, cross-sectional descriptive study. InsureKidsNow.gov was searched to identify and compare available and …

Patents And Incentives To Assign, License, Or Litigate, Keith N. Hylton

Faculty Scholarship

This paper presents a model of the activity of patent intermediaries and potential infringers in a system of costly patent litigation.  Because the intermediary, in comparison to the inventor, has a more credible threat to sue, both the revenue from infringement litigation and the intrinsic value of the patent are greater in the intermediary’s hands.  The central finding is that intermediaries license patents to potential infringers when infringement litigation is inefficient. Intermediaries tend to acquire high-quality patents from inventors and assign low-quality patents to potential infringers. Another issue this model addresses is the differential between the private and the social …

Ai Slop, Jessica Silbey, Woodrow Hartzog

Faculty Scholarship

The term “AI slop” has become popular to describe the output of generative AI systems seen as voluminous, low quality, or the result of little effort. When AI-generated music and videos flood platforms, they are called slop. Peer-reviewed journals and legal tribunals are drowning in low-quality and low-reliability AI slop submissions.  Employees are seen to be producing mountains of slop in their reports and communications with each other. The term has inertia and heft, and the phenomenon has significant consequences. Most of them are not good.

But the boundaries of “AI slop” and its usefulness in policy discussions are not …

Directing The Absent Tool: Friction Embodiment And Competency Progression In Ai Assisted Creative Learning, Daniel Suarez, James Hutson

Faculty Scholarship

Generative artificial intelligence complicates the relationship between successful creative production and the development of independent disciplinary judgment. Task allocation offers a practical response by identifying operations that learners should protect, perform with support, or delegate, yet the educational value of an allocation depends on conditions that change beyond a single assignment. This article extends a process-centered framework along three connected axes: absence, modality, and time. Constructivist friction describes difficulty encountered when learners must reconstruct judgments previously supplied by an available tool; its educational value depends on subsequent diagnosis, feedback, and transfer rather than difficulty alone. A spatial and embodied extension …

Social Prescribing For People In Vulnerable Situations In Europe: Protocol For A Process Evaluation Of An Rct In Eight Countries, Kerryn Husk, Elizabeth Gilmour, Stephanie Tierney, Debra Westlake, Anuschka Arni, Hendrik Napierala, Farhad Rezvani, Marius Dierks, Wolfram J. Herrmann

Peninsula Medical School

Objective Social prescribing is a pathway that connects individuals to non-clinical services. It supports and addresses social needs, such as those related to loneliness, housing instability and mental health. Social Prescribing Europe (SP-EU), a European Union funded project, seeks to co-create an adaptation of the social prescribing pathway based on the needs of the following target groups: LGBTIQ+ people, refugees and first-generation immigrants, older people living alone. This adapted social prescribing pathway will be tested in a pragmatic randomised controlled trial (RCT) in ten hubs, covering eight countries, across Europe. The aim of this process evaluation is to explore the …

Longstanding Mental Representations Of Familiar Faces, Sarah Laurence, A. Mike Burton, Camilla During, Jennifer Pink, Lucy Wilson, Mila Mileva

School of Psychology

As we recognise people we know over many years, their faces can change, sometimes profoundly, and yet we continue to recognise them with ease. How do we update our representations over time? We present four pre-registered experiments to examine this. In Experiment 1, using likeness ratings and speeded name verification, fans of a long-running TV soap opera demonstrated that their representations of the characters’ faces were weighted towards their most recent encounters – when the characters were oldest. While we initially hypothesised that this was due to recency, Experiment 2 showed this not to be the case. When new participants …