Digital Commons Network^™

Impact Of Volume-Based Procurement Policy On Coronary Stent Use In Tianjin: Interrupted Time Series Analysis, Zhao Yang, Liangyu Ni, Wei Zhao, Yuxi Li, Yongyi Wu, Qiyun Zhu, Linlin Da, Weijia Liu, Qi Zhang, Jianping Li, Bin Jiang

Health Behavior, Policy & Management Faculty Publications

Objectives

This study aimed to analyze the impact of China’s centralized volume-based procurement policy on the procurement and utilization of coronary stents in Tianjin from 2019 to 2021.

Methods

An interrupted time-series design was used to assess monthly procurement data of coronary stents and balloons in Tianjin from January 2019 to December 2021.

Results

The volume-based procurement policy significantly reduced coronary stents prices, with an average price reduction of 92.67% for ten selected stents, and the lowest price dropped to 469 CNY. Following policy implementation, annual procurement in Tianjin increased by 59.55%, and tertiary hospitals demonstrated a significant monthly level …

Examining Low-Income Caregivers' Knowledge And Comprehension Of The Dental Caries Process, Melissa Sullivan, Denise C. Mckinney, Deanne Shuman, Qi Zhang

Dental Hygiene Faculty Publications

Purpose Dental caries among young children remains a public health concern in the United States (US). Children of caregivers with low oral health literacy (OHL) tend to have greater unmet dental needs and poorer oral health status. The purpose of this study was to examine the understanding of pediatric dental terms associated with the dental caries process among low-income caregivers.

Methods This study included 14 caregivers with children enrolled in a Special Supplemental Nutrition Program for Women, Infants and Children (WIC) in the Southeastern US. Through structured phone interviews, the validated Oral Health Literacy Inventory for Parents (OH-LIP) was used …

A "New" New Departure, Paula A. Monopoli

Faculty Scholarship

In the wake of enactment of the Fourteenth and Fifteenth Amendments, women’s rights activists embarked on an exercise in popular constitutionalism known as “the New Departure.” Frustrated by the failure of Congress to include women in the Reconstruction Amendments, suffragists turned to a strategy based, in part, upon republican theory. They argued that women had an inherent right to vote grounded in natural law and in their status as citizens of the United States under the Fourteenth Amendment. They operationalized that theory by engaging in mass-voting events and were prosecuted for illegal voting. These activist efforts came to an end …

The Phenomenon Of Collaborative Leadership At Gensler: Work-Life Balance Of Co-Leaders, Chidimma Abuka

Theses and Dissertations

This mixed methods phenomenological case study investigates the lived experiences of co-leaders operating within a male-female leadership dyad, with a particular focus on how collaborative leadership influences work-life balance. As organizations increasingly explore shared leadership as a strategy for adaptability and innovation, the co-leadership model - defined by the equal sharing of roles and responsibilities - offers a compelling alternative to traditional hierarchical leadership structures. Grounded in shared leadership theory (Pearce & Conger, 2003) and dual leadership theory (Hasija et al., 2017), this study examines the dynamics of co-leadership within a global architecture and design firm, shedding light on the …

Agency, Index & Process: Investigating The Role Of The Artist’S Body In Digital Sculpture Production, Alan Magee

Doctoral

Contemporary Digital Sculpture has emerged out of recent developments in digital art, 3d modelling and virtual modes of production. These advances range from the creation of more powerful software and hardware systems to the to nascent XR sectors, and the potential for materialisation through technologies such as 3d printing, laser-cutting, or CNC1 machining. However, critical discourse remains predominantly focused on the end product, often overlooking the embodied labour processes inherent in its creation. As revealed through indexical traces of the artist’s body, these processes encapsulate the gestures, actions and subjective agency of artistic activity. Consequently, with the limitations of digital …

Public Art Coordination: Shaping The Irish Arts Landscape, Jennifer Haughton

Doctoral

Appointing public art coordinators responsible and accountable for programming and commissioning in the public sphere is a growing trend internationally. My aim in this PhD thesis is to undertake an inquiry into the practice of how public art coordination facilitates artists in producing ambitious public art works. Appropriating Mary Parker Follett’s (1866–1933) concept of multiple leadership in addition to curatorial, rights, and management theory, I argue for an increased accommodation of public art coordination as a public leadership service arising from the construction sector. Adopting Ricoeurian hermeneutics alongside vignettes, my thesis constitutes a deep dive into the habitat and culture …

Mapping Engineering Ethics Education, R Tormey, T Børsen, Shannon Chance, T T Lennerfors, Diana Adela Martin, G Bombaerts

Research Outputs: 2025-Present

Writing a handbook implies describing the fundamental information needed by those teaching or researching in a field. This is a challenging task when the field is still maturing. This handbook grew from the idea that we could ‘collaboratively write’ engineering ethics education. In this introduction, we define the field in three dimensions: engineering, ethics, and education. The latter dimension is divided into three parts: the subjects that shape the teaching of engineering ethics education, the understanding of learners and learning that informs the pedagogical choices made, and the fusion of these two in the pedagogical methods used in teaching engineering …

Exploring The Mechanisms Of Functional Imagery Training For Sleep Problems: A Single Arm Pilot Study, Ross Allen, Jackie Andrade

School of Psychology Theses

Functional Imagery Training (FIT) is a brief motivational intervention grounded in the Elaborated Intrusion theory of desire. It helps individuals use personalised, emotionally vivid mental imagery to support goal pursuit by drawing on past successes to plan actions, overcome obstacles, and rehearse behavioural strategies. Delivered in the client-centred style of Motivational Interviewing (MI), FIT aims to strengthen motivation for sustained behaviour change. While FIT has shown promise in areas such as weight loss and anxiety, its application to sleep-related behaviour change remains unexplored. This single-arm pilot study examined whether FIT is associated with improvements in sleep quality and motivation to …

What Helps And Hinders Staff Supporting People With Intellectual Disabilities Regarding Sex And Relationships, Laurence Constable, Deanna Gallichan

School of Psychology Theses

Background Studies have suggested that staff experience multiple obstacles to providing effective support around relationships and sexuality. The literature has suggested several potential solutions yet it is not clear what impedes the implementation of these. Understanding these barriers could improve care. Methods Two focus groups were carried out with a total of 13 participants recruited from the Southwest of England. Participants were recruited from client-facing roles across care providers, education provision, and social care provision. The focus groups were analysed using reflexive thematic analysis. Findings Four themes were drawn from the data. These were ‘Fear hinders care’, ‘Care is led …

Ethnographically Informed Research Exploring The Impact Of Embedding Trauma-Informed Principles In A Befriending Programme For Refugees., Zahraa Abdulreda

School of Psychology Theses

Refugees often experience trauma from war, displacement, and post-migration stressors, leading to collective and transgenerational trauma. This study explored the impact of embedding trauma-informed principles (TIP) within a refugee befriending programme, where refugees were paired with local volunteers. Ethnographic Action informed research was used through completing interviews, observations, and a focus group. Participants included five befrienders and seven refugees, alongside observational data. Thematic and framework analyses identified five key themes: The Relationship, Safety for Befrienders, Inclusivity, Supporting Befriendees with Integration, and Challenges of Befriending. TIP enhanced understanding of how community-based, trauma-informed interventions can support refugee recovery and resilience. The study …

Exploring The Relationship Between Attachment State Of Mind, Emotional Development And Distress In Adults With Intellectual Disabilities – A Pilot Study, Amy Pantridge

School of Psychology Theses

BackgroundAttachment theory and emotional development are increasingly considered important for understanding distress in people with intellectual disabilities, yet no prior studies have empirically explored relationships between these constructs.MethodAdults with intellectual disabilities and informants were recruited from UK community organisations. Participants completed an attachment measure (AAP), brief cognitive measure, and questionnaire on perceived emotional support. Informants completed a distress measure (HoNOS-LD), emotional development measure (SED-S), and provided feedback on the SED-S. ResultsNo significant relationship was found between attachment and emotional development, though some specific associations emerged. Unresolved attachment was common. Discrepancies were observed between informant-reported and participant-reported data. Informants found elements …

Is Al-Driven Threat Detection An Effective Substitute For Current Threat Detection Architectures?, Connor J. Ford

Annual Research Symposium

This research evaluates the use of Artificial Intelligence (Al] in the development of cyber defense systems.

Dispute System Counter-Design, Andrew B. Mamo

FIU Law Review

This article introduces the concept of “counter-design” as a practice of challenging and reimagining dispute resolution systems from the ground up and from the inside out. Counter-design provides a critical response to traditional Dispute System Design (DSD) by positing that designs necessarily privilege certain perspectives and interests over others, even when designers follow best practices and ethical principles. Through practices of counter-design, individuals interact with dispute resolution systems, not merely to seek resolutions within the existing framework, but to actively challenge and reshape these systems from within. This concept underscores the dynamics of power, inclusion, and representation within DSD. Counter-design …

Individual Academic Freedom And The Current Forces Of Economics And Technology, George R. Wright

FIU Law Review

There are always a number of cultural constraints on higher education institutions. Such cultural constraints always matter. But sometimes, as in our day, such constraints are especially severe. These constraints are broadly economic; more specifically market-based; and technological in nature. They operate on public and private universities and on law schools in particular. Our concern herein is for such constraints in the many cases in which a faculty member’s speech on some matter of public interest arguably impairs a legitimate interest of the employer-university or law school. The weight of the educational institution’s interests in such academic speech cases is, …

The Legitimacy Of Israel: A Sociological Perspective, Luis Fleischman

FIU Law Review

The article focuses on the foundations of Israel’s legitimacy. It explores the issue of Israel’s legitimacy from the viewpoint of the sociology of law and the sociology of politics. It aims to provide perspective and nuance to some highly problematic and inherently anti-Zionist arguments raised by the Palestinian narrative and academic paradigms, such as "settler colonialism" and reductionist manichean theories of conflict.

Should Hate Speech Be Criminalized? Lessons From The Canadian Experience In R V. Zundel And R V. Keegstra, Kenneth Grad

FIU Law Review

There is a global trend toward increased use of criminal law to combat hate speech. In assessing this trend, one should be mindful of the experience of countries that have long had criminal laws targeting harmful expression. Canada is one such country. Using the leading Canadian cases of R v. Zundel and R v. Keegstra, this article argues that the Canadian experience suggests the criminal law is a flawed mechanism for countering harmful expression. This is so for at least three reasons. First, hate-speech prosecutions may undermine the group dignity and sense of inclusion of minority groups. Second, criminal laws …

Lessons For The Trump Administration From The Biden U.S. National Strategy To Counter Antisemitism, Lili Levi

FIU Law Review

In May 2023, the Biden Administration issued the first-ever U.S. National Strategy to Counter Antisemitism with a goal of hindering further normalization of antisemitism by increasing public awareness of antisemitism and highlighting positive Jewish contributions to America. Recent events, however, particularly the social and political upheaval over protests of the war in Gaza, have led to public contestation over Israel, increased instances of antisemitism, and the partisan politicization of Jewish issues. All this has raised questions about whether the National Strategy's assumptions about public attitudes, the viability of antisemitism awareness initiatives, and the possibility of whole-of-society agreement on countering antisemitism …

How Much Antisemitism Is There In The United States? Incidences Vs. Impacts, Ira Sheskin

FIU Law Review

The Anti-Defamation League (ADL) (www.adl.org), founded in 1913, is one of the nation's premier civil rights organizations and was formed to stop the defamation of the Jewish people and to secure justice and fair treatment to all. Every year since 1979, the ADL has published an Audit of Antisemitic Incidents in the US (https://www.adl.org/resources/report/audit-antisemitic-incidents-2023). The Audit receives significant publicity and is important in communicating the problem of serious antisemitic incidents and the year-to-year increases in such incidents. But, based on surveys of American Jews, the Audit underestimates the extent to which American Jews are being impacted by antisemitism. Survey data …

Exploring The Intersectionality Of Antisemitism And The Law: A Case Study Of The Crown Heights Riots And Aftermath, Stephen Sussman, Carole Huberman

FIU Law Review

Antisemitism does not exist in isolation; it often intersects with other forms of discrimination and prejudice. Examining these intersections is crucial to understanding the broader dynamics of discrimination and developing effective strategies. Antisemitism and racism often intersect in complex ways. Historical examples include the portrayal of Jews as racially inferior or “other” during periods of heightened racial tension. This intersection has implications for policies related to hate crimes, racial profiling, and equal protection under the law. This research examines the complex interplay between antisemitism and the legal system, using the Crown Heights Riots of 1991 as a focal point. The …

The Motherhood Myth, Traditional Firms, And The Underrepresentation Of Women, Paula Schaefer

FIU Law Review

This Article explains that the motherhood narrative—that women are underrepresented in partnership and leadership ranks of law firms because they are their children’s primary caregivers—is a myth. After detailing how the motherhood myth has been used as an excuse for poor retention of women, the Article provides evidence of an alternative explanation: traditional firms—characterized by extreme work expectations and reliance on the unpaid labor of attorneys’ stay-at-home spouses or partners (SAHSs)—are structurally and culturally hostile to women. To thrive in a traditional firm, an attorney needs a SAHS—not just an equal parenting partner as the motherhood myth claims. Traditional firms’ …

Unvaccinated By Doubt: How Covid-19 Governance Sparked A Measles Revival, Ellen Black

FIU Law Review

A measles outbreak occurred in the United States this year, with measle cases reaching the highest levels in over two decades, even though the disease had been declared eliminated in 2000. In large part, this measles resurgence can be traced to unvaccinated individuals who have chosen to disregard public health officials' vaccination guidance. Clearly, the public has lost trust in their governmental public health officials. As the next disease outbreak looms, the need for restoration of trust becomes imperative.

This article demonstrates how the government's actions during COVID-19 further led to this lack of trust, by providing conflicting guidance as …

Absent Words, Absent Consent: Gisèle Pélicot And The Limits Of French Rape Law, Victoria Baez

FIU Law Review

France's force-based definition of rape, which centers on violence, coercion, threat, or surprise, fails to adequately protect victims who are unconscious, incapacitated, or otherwise unable to resist. This deficiency was highlighted by the Mazan case, where structural gaps in French law made prosecuting mass sexual assaults involving an unconscious victim unusually complex. Under this framework, the legal requirements to establish rape distort the understanding of consent and perpetuate longstanding rape myths, including the presumption that silence implies agreement. Although convictions were ultimately secured in the Mazan case, they occurred despite the structure of the law. Without reform, France's current rape …

Defending Form Contract Consent, Wayne R. Barnes

FIU Law Review

The issue of standard form contracts has bedeviled Contracts scholars for a century. The basic problem has long been known. Contract is supposed to be a quintessentially consensual activity, whereby both parties are operating with full knowledge and comprehension of the array of terms and conditions being negotiated and agreed to. But by employing standard forms replete with boilerplate fine print, companies have created a regime whereby it is most likely irrational for consumers to bother reading the terms before consenting to the transaction. The existing “duty to read” doctrine is that consumers fully consent to all terms when they …

The Role Of Complex Posttraumatic Stress Disorder In The Associations Between Minority Stressors And Self-Reported Suicide Likelihood In Lgbtq+ Adults., Ines Cano-Gonzalez, Ruby Charak, Roman Ronzon-Tirado, Jorge I. Cantu

Psychological Science Faculty Publications

Lesbian, gay, bisexual, trans, and queer individuals (LGBTQ+) report higher rates of suicide-related behaviors when compared to heterosexual cisgender individuals. The minority stress theory proposes that the suicide risk disparities among LGBTQ+ individuals may be explained by the additional exposure to stressors unique to their minority sexual orientation and gender identity. However, less is known about the mechanism of minority stressors and suicide risk among trauma-exposed LGBTQ+ individuals. The present study aimed to explore the role of the International Classification of Diseases, version-11 posttraumatic stress disorder (PTSD) and complex PTSD (disturbances in self-organization [DSO] + PTSD) in the associations between …

‘Like A 6-Year-Old Dropped On Mars Without Parents’: Faculty Members’ Intercultural Competence And Cultural Adaptation In The Uae, Mustafa Aydogan, Esra İzmir, Hana Shahin

All Works

This study examines the intercultural competence and sociocultural adaptation of international faculty members (IFMs) in the United Arab Emirates (UAE), a highly multicultural educational setting. Using a mixed-methods approach, the study explores IFMs’ adaptation experiences and the impact of multicultural teaching training. Quantitative analysis of 167 IFMs revealed a significant relationship between intercultural competence and sociocultural adaptation, with training enhancing both. Participants from Muslim or Arab backgrounds adapted better, emphasizing the role of cultural familiarity with the host culture. Qualitative findings from 14 interviews identified five key themes: (a) UAE’s diverse environment, (b) cultural distance, (c) language and communication challenges, …

What Are Teacher Beliefs And Perceptions About Teaching Children To Read Within A One-Way Spanish Immersion School?, Kathleen Konrardy

Dissertations and Theses @ UNI

Immersion schools are a growing portion of schools in the United States. In 2021, there were over 3,600 immersion schools across the United States, a 1000% percent increase in the number of immersion schools in the last 40 years. Immersion schools may follow different models for instruction. In one model, children learn to read and write in the second language before they are taught to read and write in English. The purpose of this study was to explore practices in English literacy instruction delivered to students enrolled in one-way language immersion programs. The study also sought to examine the experiences …

Intrinsic Motivation, Future Orientation, And Financial Stress: A Student-Centered Model Of Metaverse Classroom Adoption In Low-Income Contexts, Mousa Al-Kfairy, Omar Alfandi, Saed Alrabaee

All Works

The rapid rise of immersive technologies has placed metaverse-based classrooms at the center of higher education innovation. Yet, little is known about how students in low-income contexts perceive and adopt these platforms, particularly when motivation, career goals, and financial pressures intersect. This study develops and tests a student-focused model that integrates intrinsic motivation, future time perspective, career relevance, and financial stress to explain behavioral intention toward metaverse adoption. A survey of 292 university students in Jordan—a lower-income national setting—was analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Results showed all hypothesized paths were significant. Future time perspective and career …

The Effectiveness Of A Proposed Guide To Improve The Role Of Parents In Developing Their Kindergarten Children English Language Skills, Laila Mohebi, Ghadah Al Murshidi, Asmaa Awad, Bushra Areashi, Ahmed Al Zaabi, Ahlam Hendawy

All Works

The aim of this study is to explore United Arab Emirates (UAE) parents’ perceptions of their involvement in their kindergarten children’s English language learning as a second language (L2) and the challenges they face. The study consisted of two phases: the first investigated the role of 329 parents using a questionnaire, revealing a strong need for guidance on how to support their children’s English learning. The second phase assessed the effectiveness of a structured educational guide. Pre/post-test results showed that the guide enhanced parents’ abilities to teach English as an L2 and apply strategies aligned with their children’s learning styles.

Deep Learning Models Based On Cnn, Rnn, And Lstm For Rainfall Forecasting: Jordan As A Case Study, La'aly A. Al-Samrraie, Ayman M. Abdalla, Khalideh Al Bkoor Alrawashdeh, Abeer Al Bsoul, Mohammad Abu Awad, Kamel Alzboon, Ahmed A. Al-Taani

All Works

This study is the first to compare deep learning models for rainfall prediction across several Jordanian cities representing diverse climates using 11 years of recorded climate data, something that previous studies have not addressed in the Jordanian context. The climate records for four Jordanian cities (Amman, Irbid, Karak, and Ajloun) were recorded hourly. The data was divided into training sets (80%) and test sets (20%), with and without the application of correlation analysis, feature selection, and data standardization steps applied. Three neural network models, Recurrent Neural Network (RNN), Long Short-Term Memory (LSTM), and Convolutional Neural Network-Recurrent Neural Network (CNN-RNN) were …

Making The Jump: A Self-Study Of The Implementation Of Gamification And Student Discussion In Middle School Mathematics, John Pauly

Dissertations and Theses @ UNI

Middle school mathematics teaching is a complex practice that incorporates both cognitive and emotional factors (Sen, 2022). Students must have permission to get stuck and unstuck in their thinking while critically considering their approaches (Kapp, 2016), along with opportunities to engage in decision-making, deep reasoning, and discussions about mathematics (Stein et al., 1996). Gamification and game-based learning can place students in an environment where discussion, collaboration and perseverance are highly valued in overcoming challenges and achieving common goals (Kapp, 2016).

This qualitative self-study reflects on the journey of John Pauly, a middle school mathematics teacher, told through his experiences and …