Digital Commons Network^™

Tolerance Of Ambiguity And Psychological Wellbeing In Newly Qualified Doctors: An Analysis Over Multiple Time Points, Tom Gale

Peninsula Medical School

Introduction: There is evidence of an association between tolerance of ambiguity and psychological wellbeing in doctors, but this relationship is not well understood. We explored this relationship, and the individual or workplace factors moderating it, in a population of newly qualified doctors. Methods: We examined the experiences of newly qualified doctors in the UK as they started a novel interim role (Time 1) and later moved into foundation year 1 roles (Times 2 and 3) during the COVID-19 pandemic. Doctors completed the Tolerance of Ambiguity of Medical Students and Doctors scale (TAMSAD Range: 0–100), the Perceived Stress Scale (PSS: 0–40), …

Systematic Review Of Paediatric Sudep And Epilepsy-Related Deaths To Inform A Safety Counselling Checklist For Clinical Practice, Rohit Shankar

Peninsula Medical School

BackgroundOne in 200 children - in the UK have epilepsy. Approximately, 1 in 1,000 children with epilepsy die yearly from Sudden unexpected death in epilepsy (SUDEP), a leading cause of death in epilepsy. Various risk factors contributing to epilepsy mortality particularly SUDEP, some modifiable, have been identified. Structured discussion of risks results in behavioural change that reduces individual risk factors.AimTo investigate and collate risk factors for SUDEP and epilepsy mortality in children to propose a structured communication tool (“Checklist”) for person centred communication.MethodsA Systematic review for children’s epilepsy mortality risk factors was conducted. The search strategy was developed by clinical …

Patterns Of Intra-Cluster Correlation Coefficients In School-Based Cluster Randomised Controlled Trials Of Interventions For Improving Social-Emotional Functioning Outcomes In Pupils: A Secondary Data Analysis Of Five Uk-Based Studies, Kitty Parker, Michael Nunns, Zhi Min Xiao, Tamsin Ford, Paul Stallard, Willem Kuyken, Nick Axford, Obioha C. Ukoumunne

Peninsula Medical School

Background: The cluster randomised trial (CRT) design is increasingly used to evaluate the impact of school-based interventions for improving social-emotional functioning outcomes in pupils. Good knowledge is required on plausible values of the intra-cluster correlation coefficient (ICC) of the outcome to calculate the required sample size in such studies. Using data from five school-based CRTs in the UK, we estimate, and describe patterns in, ICCs for social-emotional functioning outcomes. Methods: Mixed effects linear regression models were fitted to estimate the ICC and variance components. Estimates for baseline data were obtained by fitting “null” models that had no predictor variables; estimates …

How Epilepsy Risks Might Be Introduced And Discussed In Clinical Consultations, Rohit Shankar

Peninsula Medical School

AbstractAdverse impacts of epilepsy (e.g., injury, depression, and Sudden Unexpected Death from Epilepsy (SUDEP) can be mitigated by factors that patients may control, such as medication adherence, improved sleep and diet, reduced alcohol and taking care around pregnancy. New guidelines state that risk should be discussed at the time of diagnosis but some clinicians express concern about not wanting to raise anxiety.ObjectiveTo explicate practices by which epilepsy expert clinicians broach discussions of risk in specialist epilepsy clinics.Methods24 recordings of initial telephone appointments at specialist clinics where epilepsy is diagnosed from two specialist outpatient epilepsy services in England were subjected to …

Consensus-Based Research Priorities For Post-Collision Care In The Western Cape Province Of South Africa, Naseef Abdullah, Tim Nutbeam, Colleen J. Saunders, Craig Wylie, Nigel Lang, Willem Stassen

Peninsula Medical School

Introduction: Road traffic injuries constitute a significant global health burden, causing 1.3 million deaths and 50million injuries annually, with 92 % of fatalities occurring in low-and middle-income countries (LMICs). Despitethis disproportionate impact, research priorities in post-collision care often reflect high-income country contexts,creating a critical misalignment between evidence generation and contextual realities in LMICs.Methods: This mixed-methods study employed a three-phase approach to identify research priorities for postcollision care in the Western Cape, South Africa. Phase 1 consisted of a comprehensive literature review toidentify preliminary thematic areas and research questions. Phase 2 involved a stakeholder engagement workshop using modified nominal group techniques …

Ceo Turnover And Shareholder Awareness In Cartel Cases, Catarina Marvão, Giancarlo Spagnolo

Research Outputs: 2025-Present

We examine the consequences of cartel detection for the careers of CEOs in the US and the EU; the characteristics of colluding CEOs (e.g., tenure, age); and shareholders’ awareness of management misbehavior. Additionally, we examine at what level cartel decisions are made according to the available case documents. We find that only 4% of all CEOs in convicted EC cartel firms (1998-2020) are explicitly fired due to collusion, and that 30% of CEOs indicted in DOJ cartels (1985-2011) are fired. Often, CEOs remain in place or take on other high-level positions in the firm. This suggests that (most) shareholders are …

Which Discourses Underpin Long-Term, Autistic/Non-Autistic Romantic Couples’ Understandings Of Their Relationship As They Live With And Accommodate Each Other? A Critical Discourse/Narrative Inquiry, Vivien Southall

School of Law, Humanities and Social Sciences Theses

This piece of work draws on both critical discourse and critical narrative inquiry to examine the long-term romantic relationship experiences of those in autistic/non-autistic long-term romantic relationships. Four couples participated, three heterosexual and one female same-sex couple. The participants were given the opportunity to tell their narratives in a variety of forms, through interviews, emails, stories and with photographs and mementoes as prompts. These forms inspired the way that the data was retold in the research using a variety of styles reflecting the narrative choices of the participants. Through interviews with participants individually and as a couple, over sixteen months, …

Exploring Inclusive Education And Listening In Relation To Children's Experiences And Teachers' Perspectives, Ramazan Merk

School of Law, Humanities and Social Sciences Theses

This thesis addressed the field of inclusive education and the importance of listening from the perspectives of both children and teachers. Drawing on experiences in pre-school and reception classrooms in England, I explored the essence of inclusive education and effective implementation strategies to meet the needs of children, including those with diverse needs. Emphasis was placed on the necessity for teachers to acknowledge and address each child's individual needs when developing early years learning environments. Moreover, the study underlined the important role of active listening in promoting communication and understanding between teachers and children as a cornerstone of inclusive pedagogy. …

Ontological Machines: Subjectivity And Relational Desire In Immersive And Interactive Environments, Toby Chanter

School of Art, Design and Architecture Theses

This practice-based artistic research focuses on two contemporary spaces; namely the pedagogical spaces of healthcare Simulation Based Education (SBE), and the exhibition spaces of installation art. These seemingly unrelated activities share a range of technological and operational similarities that render their combined study under the banner of ‘immersive and interactive environments’ both novel and necessary. The lack of broad engagement with questions of representation, aesthetics, and affect is conspicuous in an educational practice that is reliant on, and implemented through, a network of overtly visual mediums, material technologies, and sensory modalities. In healthcare SBE, clinical skills are acquired, and medical …

Un-Framing Transiting Trajectories: A ‘Beyond Disciplinary’ Approach To Curating In The Context Of Art And Science Discourse, Christina Ioanna Kazakou

School of Art, Design and Architecture Theses

Abstract

Facilitating Student Engagement In Elementary Science Classrooms With Reformed Teaching Principles, Nathaniel Bryant

Dissertations and Theses @ UNI

Science performance among elementary school students in the United States has stagnated in recent years. To address this issue, the Next Generation Science Standards (NGSS) were introduced, advocating for a reform in science education. Traditionally, hands-on laboratory work has been used to help students understand scientific concepts through a "learn by doing" approach. However, students often become disengaged during practical work, as following a set procedure to replicate scientific phenomena does not reflect how scientists approach problems in their daily practice. It is now argued that hands-on laboratories should not only involve observation or manipulation of materials and equipment but …

The Impact Of Structural Gamification On Student Motivation And Engagement In A Middle School Language Arts Classroom, Natalie Campbell

Dissertations and Theses @ UNI

Engagement through gamification can play a crucial role in enhancing student motivation. Gamification provides direct feedback, makes learning interactive, fosters collaboration, and makes learning more autonomous (Kuh, 2001; Reeve & Tseng, 2011). Including game-thinking and game mechanics in the classroom adds an aspect of engagement that may otherwise be lacking.

This action research study explored the impact of structural gamification on student engagement and motivation when incorporated in a middle school language arts classroom. Using a mixed-methods approach, the researcher measured student engagement and motivation. It reported detailed perceptions of participants through survey responses, examined achievement data from summative assessments, …

Socioeconomic Status And Educational Opportunities Through The Eyes Of Students And Teachers: Diverse Realities, Shared Insights, Jill Schany

Dissertations and Theses @ UNI

Sowl and Crain (2021) argue that despite recognizing the uniqueness of the place when it comes to rural demographics and needs, policies regarding education and the economy often prioritize urban areas, defining rural in opposition to urban without adequately addressing the specific needs of rural youth. Studies examining geographical disparities in educational outcomes traditionally concentrated on achievement gaps within urban and suburban areas, highlighting more startling gaps in cities with heightened racial, ethnic, and socioeconomic inequality and segregation. Literature also extensively discusses neighborhood effects on educational outcomes in densely populated regions, offering valuable insights into the distribution of educational opportunities …

Learning To Learn: Underprepared College Students Who Succeeded, Todd Spellman

Dissertations and Theses @ UNI

Post-secondary remediation is a topic of great concern for legislators and educators alike. Many describe it as a problem in need of a solution and try to pursue what they see as possible remedies. But solutions are already present in the stories of those who have already successfully navigated this pathway of remediation in college. This study will explore student successes through their remedial coursework at colleges in the American Midwest. While recognizing the historical and cultural context that makes remediation necessary in open-enrollment institutions like community colleges, this study sought student feedback to explore what factors the students felt …

Exploring Postsecondary Students’ Beliefs Relative To Behavior That Promotes Sleep, Levi T. Kirkpatrick

Dissertations and Theses @ UNI

Sleep research has extensively quantified poor sleep among postsecondary students and established associations with adverse consequences; however, research exploring students’ beliefs toward sleep-promoting behavior is scarce. The current qualitative study explored postsecondary students’ beliefs toward behavior that promotes sleep at a midwestern state university. Using the integrated behavioral model, the current study aimed to expand the understanding of how students perceive and engage with behaviors that promote better sleep. The primary research question was: “How do currently enrolled postsecondary students attending a state university located in the Midwest region of the United States describe their beliefs relative to behavior that …

Equity Leadership In Independent Schools In Seattle, Nimisha Joshi

Dissertations and Theses @ UNI

No abstract provided.

Anxious, Persistent, And Resilient; Oh My!, Samantha Hilbert

Dissertations and Theses @ UNI

No abstract provided.

Organization Communication Policy To Emphasize Student Employee Productivity, Yohan Fernando

Dissertations and Theses @ UNI

This study explored student perceptions of organizational communication policies and their impact on student employee productivity at a mid-sized Midwestern university. In-depth interviews with student employees revealed key themes—fairness, uniformity, openness, and communication—as essential elements of transparency. Additionally, academic work-life balance and scheduling flexibility emerged as critical factors in supporting productivity. The findings show that student employees view transparency and flexibility as central to both job satisfaction and productivity. Policies that promote equitable treatment and adaptable scheduling were especially influential. While organizational vision, mission, and values were recognized, they were not seen as major drivers of productivity. Similarly, rewards and …

More Than Just A Game: What Higher Education Can Learn From Player Agency, Kyle Haiman

Dissertations and Theses @ UNI

Higher education presents students with the challenge of balancing institutional expectations for autonomy with the need for community and support. In a world that is becoming more individualized and less empathetic, agency, or engaging in intentional action,plays a crucial role in navigating this tension. Agency has been linked to academic success and real-world problem solving, yet its development among college-aged students remains an ongoing challenge. Games and game-based learning offer a unique lens through which to explore agency, as players regularly engage in decision making, problem solving, and self-directed learning.

This qualitative study examined how college students at a regional, …

Check All That Apply: The Persistence And Problem Of The Black/White Racial Binary In Iowa Public Schools, Jessica Nessan Kluck

Dissertations and Theses @ UNI

The promotion of monoracial normativity has profoundly influenced the language used in policies, creating societal expectations that other the identification of Black/white Biracial and multiracial identities. Despite the reality of our quickly shifting demographics, multiracial identities continue to be marginalized and misconstrued through racial reporting guidelines. Racial reporting used on forms required by the Iowa Department of Education are comingled with non-racially categorized data to further distance reality in education and the public-school rankings (Iowa Department of Education, 2012; State of Iowa, 2024).

The purpose of this study was to trace the legacy of the socially constructed racial binary, preserved …

The Influence Of Honor Culture Ideology On Juror Decision Making, Aubrey K. Paschal

Dissertations and Theses @ UNI

Culture of honor is a system of cultural beliefs in which one’s honor is seen to be of the utmost importance (Nisbett & Cohen, 1996). Due to the importance of personal honor, defending one's honor could be seen as an adequate defense for crimes committed in the name of personal honor. This study examined the influence that honor culture ideology has on juror decision making. A total of 190 participants read a brief trial summary of either a crime in which the participants’ honor was threatened, or a crime that did not involve a threat to the defendant’s honor. The …

The Organization Of Serotonergic Fibers In The Pacific Angelshark Brain: Neuroanatomical And Supercomputing Analyses, Skirmantas Janušonis, Ralf Metzler, Thomas Vojta

Physics Faculty Research & Creative Works

Serotonergic axons (fibers) are a universal feature of all vertebrate brains. They form meshworks, typically quantified with regional density measurements, and appear to support neuroplasticity. The self-organization of this system remains poorly understood, partly because of the strong stochasticity of individual fiber trajectories. In an extension to our previous analyses of the mouse brain, serotonergic fibers were investigated in the brain of the Pacific angel shark (Squatina californica), a representative of a unique (ray-like) lineage of the squalomorph sharks. First, the fundamental cytoarchitecture of the angel shark brain was examined, including the expression of ionized calcium-binding adapter molecule 1 (Iba1, …

Cognitive Fatigue Detection Using Photoplethysmography (Ppg) And Reaction Time Data, Anhar Sami Mohammed, Prajoy Podder, Maciej Jan Zawodniok, Cihan Dagli

Electrical and Computer Engineering Faculty Research & Creative Works

This paper presents a framework for real-time cognitive fatigue detection among shift workers using an integrated approach that combines photoplethysmography (PPG) data and reaction time analysis with advanced deep learning models, including Long Short-Term Memory (LSTM) networks and Feedforward Neural Networks (FNNs). The system leverages heart rate variability (HRV) and reaction time data to identify fatigue indicators. The results demonstrate significant performance, with the first FNN model achieving a test accuracy of 98.94% and a loss of 0.2928, while the second FNN model achieved the same accuracy with a slightly higher loss of 0.3089. The LSTM model, designed for sequential …

Filter Based Motor Control For Robotic Applications, Shuzan Kumar Sarkar, Noah Wilding, Shruti Pandey, Nicholas Hawkins, Michael L. Mcintyre

Electrical and Computer Engineering Faculty Research & Creative Works

Controlling coreless DC motor in the field of humanoid robotic application involves considering various surrounding electromagnetic environment interference and sudden change of load with parameters variation of motor dynamics which makes the system complex. This paper presents a filter-based control scheme for a coreless DC motor drive system using an H-bridge inverter as the input circuit of the motor which is easy to implement and cost effective. From the electromagnetic characteristics, the dynamic model of the motor along with the control scheme is implemented in the commercial software PLECS. Then the effectiveness of this approach is validated through simulations demonstrating …

Appearances Can Be Deceiving: How Naturalistic Changes To Target Appearance Impact On Lineup-Based Decision-Making, Dominic T. Jordan, Adrian J. Scott, Donald M. Thomson

Research outputs 2022 to 2026

The present study examined the influence of appearance, procedure and position on identification decisions, post-decisional confidence ratings and estimates of discrimination and confidence-specific accuracy. Regarding appearance, the study examined the combined influence of three naturalistic changes that occur day-to-day (i.e. a reduction in cranial hair length, the removal of stubble, and a change of clothing), two of which have not been considered before in a lineup-decision context. Participants (N = 350) completed four experimental lineups which involved: viewing a target person, completing a brief distractor task, and making an identification decision and a post-decisional confidence rating from a photographic lineup. …

The Role Of Team Compassion In Mitigating The Impact Of Hierarchical Bullying, Ben Farr-Wharton, Ace V. Simpson, Yvonne Brunetto, Tim Bentley

Research outputs 2022 to 2026

Hierarchical bullying in public healthcare organizations is an entrenched negative behaviour that results in a range of adverse outcomes for staff, including diminished wellbeing. This study integrates social exchange and conservation of resources theories as a lens for formulating hypotheses and employs multilevel statistical modelling to examine whether team-level compassion moderates the impact of hierarchical bullying on wellbeing. Using multilevel statistical modelling, the study analysed cross-sectional data from 632 healthcare workers nested within 48 teams in a single public health district in Australia. The findings indicate that work teams with higher levels of team compassion can mitigate the negative effects …

Rapid Force Generation During Unilateral Isometric Hamstring Assessment: Reliability And Relationship To Maximal Force, N. J. Ripley, J. Fahey, M. Cuthbert, J. J. Mcmahon, Paul Comfort

Research outputs 2022 to 2026

Limited research has reported the reliability of rapid force generation characteristics during isometric assessments of the hamstrings. Therefore, the purpose of the present study was to determine the between-session reliability of rapid force generating characteristics of the hamstrings and relationship to maximal force production. Twenty-three female soccer players (age: 20.7 ± 4.7 years; height: 168.7 ± 5.9 cm; body mass: 64.4 ± 6.7 kg) performed three unilateral trials of the 90–90 isometric hamstring assessment, on two separate occasions, separated by 7 days. Peak force, force at 100- and 200 ms and average rate of force development (aRFD) over 100- and …

Processing Of Verbal Versus Adjectival Agreement: Implications For Syntax And Psycholinguistics, Zuzanna Fuchs, Olga Parshina, Irina A. Sekerina, Maria Polinsky

Publications and Research

Linguistic theories distinguish between external and internal agreement (e.g., noun-verb agreement vs. noun-modifier agreement, the latter also known as concord) and model them using different mechanisms. While this distinction has garnered considerable attention in syntactic theory, it remains largely unexplored in experimental work. In an effort to address this gap, we conducted two studies of external/internal agreement in Russian using self-paced reading and eye-tracking while reading. We measured the response to violations generated when native speakers encounter a noun that mismatches the features on an earlier element inflected for agreement (verb, modifying adjective, and predicative adjective). Both experimental studies found …

Investigating The Interplay Of Thermal, Lighting, And Acoustics In Intensive Care For Enhanced Patient Well-Being And Clinical Outcomes, Emil E. Jonescu, Edward Litton, Benjamin Farrell

Research outputs 2022 to 2026

This research explores the interplay among noise levels, thermal conditions, and lighting intensity in an intensive care unit (ICU), focusing on preserving circadian rhythm and promoting nighttime sleep to advance patient-centric care. This investigation assesses lighting levels (Lux), natural versus artificial light ratios, ICU room temperature, and correlations with acoustic data during a field research period and examines the collective impact of patient exposure to sleep linked to delirium and health outcomes, addressing critical gaps in understanding. Findings reveal that noise levels between 60 and 90 dB(A) during patient occupancy exceed sleep disruption thresholds, with daytime averages of 53.6 dB(A) …

The Autonomy Paradox, Working From Home And Psychosocial Hazards, Alexis Vassiley, Azadeh Shafaei, Mehran Nejati, Leigh Ann Onnis, Tim Bentley

Research outputs 2022 to 2026

This article investigates the experience of knowledge workers in New South Wales (NSW), Australia, who worked from home during the COVID-19 pandemic to understand their exposure to psychosocial hazards, specifically: workload and work pace; the work-home interface and social isolation. We explored how the increased autonomy afforded by working from home fitted with workers’ actual experience during the pandemic. Drawing on interviews with 33 NSW remote workers and 19 line-managers conducted in early 2021, this article argues that the increased autonomy afforded to employees by remote work is paradoxical. Many interviewees worked longer hours and experienced work intensification, as well …