Digital Commons Network^™

Integrating Self-Determination Theory And Continuous Glucose Monitoring: Promoting Youth Development Among Campers With Type 1 Diabetes, Eddie Hill, Bethany Arrington, Taylor Harvey, Alexis Barmoh, Rowan Williams, Laura Hill

Human Movement Studies & Special Education Faculty Publications

The purpose of this cohort study was to evaluate participants’ general self-management and experiences of autonomy while attending diabetes camp using quantitative and qualitative data collection. Through a partnership, an outdoor diabetes camp was designed to assist youth with type 1 diabetes (T1D) in their management. The REACH Teen program conducted a week-long summer camp for youth with T1D. The study was designed through Outcome-Focused Programming grounded in Self-Determination Theory (SDT) to meet campers’ needs of autonomy, competence, and relatedness. Campers participated in outdoor activities and diabetes education designed to increase healthy behaviors. Twenty-three campers completed a 24-item pre- and …

International Law, The Courts, And The Political Branches Of Singapore: Painting A Complete Picture, Benjamin Joshua Ong

Research Collection Yong Pung How School Of Law

In line with Singapore's vision of the separation of powers, the courts' duty is primarily to give effect to domestic law; the political branches take the lead in engaging with international law. A study of Singapore's interface with international law would therefore be incomplete were it to consider only the courts' role and not the political branches' model of international law as primarily a guarantor of Singapore's sovereignty and standing as a participant on the international stage. The political branches have been circumspect in engaging with international law in other areas, such as human rights, preferring a specifically Singaporean vision …

Dollar Challenger? Cbdcs, Complexities, And Monetary Hegemony, Heng Wang

Research Collection Yong Pung How School Of Law

Digitalization is transforming the architecture of the international monetary system, reshaping how currencies function and financial infrastructures evolve. Among the significant developments are central bank digital currencies (CBDCs)—new digital forms of national currencies. While CBDCs promise benefits such as efficiency, they also generate relational, technological, legal, and governance complexities that would profoundly affect the global financial landscape. Against this backdrop, a compelling question arises: will CBDCs, particularly cross-border CBDCs, challenge U.S. dollar dominance?

To address this, this Article adopts a forward-looking approach to examine three interrelated crucial questions: what makes CBDCs complex? What governance complexity is likely to arise? Will …

The Shareholder’S Standing To Challenge The Exercise Of Directorial Power: Tianrui (International) Holding Company V China Shanshui Cement Group Ltd, Pearlie M. C. Koh

Research Collection Yong Pung How School Of Law

An enduring problem with the proper purposes duty is the apparent right of the shareholder to enforce the same despite the duty being owed to the company. The cases on the proper purpose duty have thus far simply assumed the right of the shareholder to do so without dealing with the question of standing. In Tianrui (International) Holding Company Ltd v China Shanshui Cement Group Ltd, the Privy Council dealt with this issue directly and affirmed the shareholder's right to bring the action on the basis of the statutory contract constituted by the memorandum and articles of association of the …

Relevance Between Strict Liability Theory And Banking Crimes In The Transfer Of Customer Funds: Negligence And Intent, Astrid Athina Indradewi, Evi Kongres, Ananda Chrisna D. Panjaitan, Evelyn Hutami Gunawarman

Research Collection Yong Pung How School Of Law

This article discusses the relevance of the Strict Liability theory to banking crimes in the transfer of customer funds involving elements of negligence as well as intent committed by bank managers. Strict liability places responsibility on the perpetrator without the need to prove fault, but rather by establishing a causal relationship between the act and the harm. In the context of civil law, Articles 1365 and 1367 of the Indonesian Civil Code recognize a form of liability resembling this concept through the mechanism of vicarious liability, whereby the bank as employer may be held liable for the unlawful acts of …

The Experience Of Homelessness Among Older Adults In Bhutan - A Narrative Inquiry Study, Phuntsho Om

Theses: Doctorates and Masters

A shift in the demographics of homelessness started to occur in the 1900s, with a significant increase in the number of middle-aged or elderly men and women being recognised as a part of the homeless population. The rising urgent global concern of homelessness of older adults necessitates a deeper understanding of the lived experience and holistic well-being of these marginalised adults. This thesis aimed to explore the phenomenon of homelessness of older adults in Bhutan, which is an often neglected topic in both national and international gerontological research.

Employing narrative inquiry within the constructivist approach as articulated by Pino Gravidia …

Patient Experiences Of Receiving Home-Based Immunotherapy Infusions - A Constructivist Grounded Theory Study, Patricia Ann Cook

Theses: Doctorates and Masters

Context: The treatment of cancer and chronic health conditions has been greatly revolutionised via intravenous immunotherapy infusions. Demand, both globally and in Australia, is increasing due to several factors including aging and increased populations, subsequent increases of cancer cases, new immunotherapy indications and increased survival rates.

In Perth, Western Australia, a private service provider commenced delivering a home based immunotherapy infusions model of care as a hospital substitution service provider in 2013 and the service has now been extended across Australia. The safety and efficacy of home-based infusions have been well documented in research, and an increasing number of patients …

Evaluation Of The Performance Of An Artificial Intelligence Model In Recognizing The Habitual Mixed Language In Taiwan For Generating Periodontal Charting Text Reports, Yi-June Lo, Yung-Chun Chang, Chien-Hung Chen, Hsuan-Po Wang, Hao-Chen Wang, Yoichi Ohiro, Chih-Yuan Fang

Journal of Dental Sciences

Background/purpose “Periodontal charting” in Taiwan typically involves a two-person collaboration. However, while advances in voice technology has made it feasible to use voice recognition to reduce these manpower demands in English-speaking countries, these artificial intelligent (AI) voice recognition tools have lacked localized features to make them feasible in our context of Taiwan. Materials and methods To fill this research gap, we integrated GPT-4o-transcribe and GPT-4.1-mini into a two-stage system for this study, where stage 1 worked on speech-to-text and stage 2 focused on text-to-report. To evaluate this AI model's performance, five representative periodontal charting scenarios were constructed, and 15 voice …

Synergistic Effect Of Combined Cisplatin And Rosmarinic Acid On Apoptosis And Migration Of Head And Neck Cancer Cell Lines, Suppanut Jongjitaree, Paopanga Kokilakanit

Journal of Dental Sciences

No abstract provided.

A Scientometric Study On Research Trends And Characteristics Of Diabetes-Associated Periodontal Disease, Man Yang, Wenxiao Shi, Yan Xiong, Mengjie Chen, Linjun Shi, Huiwen Chen

Journal of Dental Sciences

Background/purpose: Substantial evidence demonstrates that diabetes is associated with periodontal disease. The purpose of this study was to analyze the scientometric characteristics and research trends of diabetes-associated periodontal disease (DAPD).

Materials and methods: All the papers on DAPD were comprehensively retrieved from the Scopus database. The years of publication were divided into before 2019 and after 2019 in the analysis of research trends.

Results: There were 2466 papers on DAPD, with total citations of 73,553 and the h index of 120. The trend of clinical investigations has highlighted periodontal examination, bone development, micro-computed tomography, tooth brushing, cardiovascular …

Nasal Polyp With Ossification In The Right Maxillary Sinus: Differential Diagnosis Of Radiopaque Lesions In Maxillary Sinus Region, Ssu-Li Li, Shan-Ju Chou, Yang-Che Wu, Chun-Yu Ho

Journal of Dental Sciences

Nasal polyps are soft, droplet-like lumps that develop on the inner lining of the nose or sinuses due to long-term inflammation in those areas. Nasal polyps are common lesions, however, the occurrence of osseous metaplasia within them is relatively rare. Besides, without a CT scan, relying solely on plain X-ray films to assist clinical diagnosis can easily be misleading due to the uncertainty of the lesion’s location. In this report, our treatment steps were described as medical image analysis, removing the lesion, confirming the pathological result, and regularly follow-up. The Caldwell-Luc approach rather than endoscopic surgery was performed due to …

Competency-Based Medical Education And Entrustable Professional Activities In Dental Education: Global Perspectives And Implications For Taiwan, Johnson Hsin-Chung Cheng, Sharon Hsuan-Jung Chen

Journal of Dental Sciences

Background/purpose:

Competency-based medical education (CBME) and entrustable professional activities (EPAs) have been adopted in medical education as frameworks to align training with real-world clinical practice. Although international dental education has begun to explore EPA-based assessment, the implementation of CBME in dentistry remains inconsistent and underdeveloped, particularly in Taiwan. This narrative review aimed to summarize global and local developments in CBME and EPAs, identify current gaps in Taiwanese dental education, and clarify the rationale for examining faculty readiness in future CBME implementation.

Materials and methods:

A narrative literature review incorporating international and Taiwan-specific sources

was conducted and thematically synthesized to …

Performance Of Large Language Models In Answering Orthodontic Questions: A Scoping Review, Tu Manh Nguyen, Fang-Yu Fan, Ying-Sui Sun, Yang-Che Wu, Sheng-Wei Feng, Hao-Ting Chen, I-Ta Lee, Pao-Chang Chiang

Journal of Dental Sciences

Large language models (LLMs) are increasingly explored as novel platforms for delivering orthodontic information. Although their capacity to generate rapid, structured, and accessible responses has been widely recognized, concerns persist regarding performance variability and the risk of generating inaccurate outputs. Given the heterogeneity of existing evidence, this scoping review aimed to systematically map the current research landscape and synthesize findings on the application of LLMs in addressing orthodontic queries. This review was conducted in accordance with the PRISMA-ScR guidelines. Studies were retrieved from PubMed, Scopus, and the Cochrane Library up to November 30, 2025. Twenty-six studies met the eligibility criteria …

International Comparison Of Oral Hypofunction Among Community-Dwelling Older Adults In Three Asian Countries: A Cross-Sectional And Multi-National Study, Ryosuke Yanagida, Kohei Yamaguchi, Kazuharu Nakagawa, Chantaramanee Ariya, Patcharaphol Samnieng, Megan F Liu, Nai-Chia Teng, Ting-Yi Renn, Rieko Moritoyo, Sirinthip Amornsuradech, Kanako Yoshimi, Haruka Tohara

Journal of Dental Sciences

Background/purpose: In aging Asian societies, oral hypofunction among older adults has gained importance, with most epidemiological studies conducted in Japan. We aimed to compare oral function in community-dwelling older adults in Japan, Taiwan, and Thailand.

Materials and methods: Community-dwelling older adults aged ≥ 60 years who participated in Yokohama, Taipei, and Phitsanulok health surveys (May 2022–September 2024) were included. Age, sex, body mass index (BMI), and denture use data were recorded. Using the Japanese Society of Gerodontology diagnostic framework, seven oral hypofunction components were evaluated: oral hygiene, oral dryness, occlusal force, tongue–lip motor function, tongue pressure, masticatory function, …

A Scientometric Study On Research Trends And Characteristics Of Lymph Node Metastasis In Oral Cancer, Linjian Huang, Xiaocui Tong, Wei Liu, Xinyu Zhang

Journal of Dental Sciences

Background/purpose: Cervical lymph node metastasis (LNM) is the most critical prognostic factor in oral cancer (OC) patients. The purpose of this study was to analyze the scientometric characteristics and research trends of LNM in OC.

Materials and methods: All the papers on LNM in OC were comprehensively retrieved from the Scopus database. The years of publication were divided into before 2016 and after 2016 in the analysis of research trends.

Results: There were 946 papers on LNM in OC, with total citations of 21,154 and the h index of 70. The trend of clinical aspect including lymph …

Tools Used To Measure Fear Avoidance Behaviour In The Management Of Mild Traumatic Brain Injury (Concussion), Liam Sherwood

Theses: Doctorates and Masters

Concussion can present challenges with respect to diagnosis and management. Fear avoidance behaviour and beliefs may be perpetuating factors in the clinical course of concussion. Understanding which patients may adopt such behaviours and beliefs can offer important information to allow tailoring of clinical management and implementing strategies to minimise the risk of progression to persisting post-concussion symptoms.

In this thesis, I:

-       systematically reviewed the current measurement tools used to assess fear avoidance behaviours and beliefs associated with concussion;

-       explored the experience of clinicians, researchers and people with lived experience of concussion in relation to fear avoidance behaviours;

- …

Heat Misers, Snow Misers, And Cognitive Misers: The 'Nukewarm' Perceptions Of Nuclear Power, Tyler Williams

Dissertations and Theses

Rising energy demand in the United States necessitates alternatives to fossil fuels, yet renewable energy sources alone are insufficient to meet this demand. Nuclear power presents a promising option but faces persistent public hesitancy. This study examines how heuristic-based biases relate to American's risk-benefit perceptions towards nuclear power. Guided by the heuristic-systematic model. Results indicate that competence and affect are related to risk-benefit perceptions, and naturalness shows no relationship with risk perceptions but does correlate with benefit perceptions. Implications highlight the importance of affect-driven communication strategies for nuclear communicators, while also underscoring the need for participatory approaches that foster trust …

Cervical Laminectomy For Degenerative Cervical Myelopathy: Is There A Role In The Modern Day? A Systematic Review And Meta-Analysis, Christopher S. Lozano, Armaan K. Malhotra, Husain Shakil, Vishwathsen Karthikeyan, Neevya Balasubramaniam, Uzondu Agochukwu, Ankit I. Mehta, Aditya Vedantam, C. Rory Goodwin, Nathan Evaniew, Aminul I. Ahmed, Ricardo Rodrigues-Pinto, Michael Fehlings, James S. Harrop, Shekar N. Kurpad, Jefferson R. Wilson

Department of Neurosurgery Faculty Papers

Study DesignSystematic Review and Meta-Analysis.ObjectivesTo compare clinical outcomes in degenerative cervical myelopathy (DCM) patients treated with laminectomy alone (LA) vs laminectomy with fusion (LF) and determine post-laminectomy kyphosis incidence.MethodsWe searched PubMed, Scopus, Embase, Web of Science, and MEDLINE from inception-September 2024 for studies comparing LA and LF for DCM. Outcomes assessed included post-laminectomy kyphosis, neurological recovery outcomes, patient-reported outcomes (PROs), and complication rates. Meta-analyses were performed using random-effects models.ResultsTwenty-seven studies including 3286 patients (2272 LA and 1014 LF), met the inclusion criteria. The pooled incidence of post-laminectomy kyphosis in the LA patients was 2.02 events per 100 person-years (95% CI: …

Meaningful Work: A Phenomenological Study Of Embedded Writing Peer Mentors, Susan S. Detwiler

Electronic Theses & Dissertations (2024 - present)

This phenomenological case study examines the experiences of writing peer mentors who are embedded in a first-year inquiry-based writing seminar. It aims to understand how peer mentors who are engaged in the complex practice of supporting first-year writers in a writing classroom make sense of themselves and writing. At a large R-1 diverse university, I interviewed 6 writing peer mentors 3 times over 1 calendar year. I traced their development from mentees, (first-year writing students), through their three semesters of peer mentoring. They also shared written reflections from their training praxis course (a course for peer mentors focusing on their …

The Effect Of A Functionally Indicated Choice-Based Antecedent Intervention On Academic And Behavioral Outcomes For Students In A Public School, Alyssa M. Rodriguez

Electronic Theses & Dissertations (2024 - present)

The present study examined the effects of functionally indicated choice-based antecedent interventions on academic and behavioral outcomes for elementary general education students exhibiting elevated levels of off-task behavior during independent seat work. A replicated hybrid single-case design was used to compare two interventions: choice of task sequence (across-activity choice) and choice of peer (within-activity choice). Brief functional behavioral assessments (FBAs) informed hypothesized behavioral function and intervention match. Dependent variables included academic engagement (on-task behavior), with off-task behavior conceptualized as its inverse, as well as academic completion and accuracy; social validity was assessed from teachers and students. Results indicated support for …

Spectral Analysis Of Traffic Accidents In New York's Capital Region, Michael Barr

Electronic Theses & Dissertations (2024 - present)

In this paper we estimate the spectral density of traffic accident events in the Capital Distict, NY area using a band-pass filter known as the Kolmogorov-Zurbenko Fourier Transform (KZFT). The source data is provided by Moosavi, et al. (2019) and originally captured from various public entities and sensors in the road network. Spectral density estimation with KZFT suppresses noise to reveal the constituent frequencies embedded in the noisy signal. Signal reconstruction based on KZFT produces an approximate weekly accident arrivals for this noisy signal, or in other words a pattern which is proportionate to the event expectation viewed over a …

Categories, Homology And Sheaves For Hypergraphs, Robert Green

Electronic Theses & Dissertations (2024 - present)

Hypergraphs are a prominent tool for representing networks with connections among three or more entities. There is an inherent flexibility that allows hypergraphs to more naturally represent certain types of networks than graphs or simplicial complexes can on their own. This flexibility, however, comes at a cost, as there is a zoo of various categories and homology theories that are applicable to hypergraphs. The first chapter of this dissertation explores various categorical perspectives on hypergraphs, focusing on what the natural notion of morphism between hypergraphs should be. It also contains an exploration of the functoriality of vertex-edge duality in these …

Photo And Spatial Control Of Rna Structures And Functions: Exploring Positional Effects And Photo-Responsiveness Of Azobenzene Modified Nucleotides, Jinxi Du

Electronic Theses & Dissertations (2024 - present)

RNA molecules perform many important biological functions by forming complex three-dimensional structures stabilized by base pairing, tertiary interactions, and metal ion coordination. Because RNA function depends strongly on its structure, methods that allow reversible control of RNA conformation and activity are important for understanding RNA behavior and for potential therapeutic applications. However, achieving reversible and site-specific control of RNA structure, especially at the single-nucleotide level, remains challenging. In this dissertation, I developed and applied azobenzene-modified nucleotides as a chemical tool to enable optical and spatial control of RNA structure and function.

The first part of this dissertation focuses on establishing …

When Civilians Involve Themselves In Crime Control: Do Perceived Police Legitimacy And Trust In The Police Predict Support For Vigilantism And Citizen’S Arrests?, Charlotte T. Parque

Electronic Theses & Dissertations (2024 - present)

Recent cases in which civilians involved themselves in the crime control process have garnered divided reactions, with some people supporting and others disapproving the civilians’ actions. Although existing research shows that perceptions of the police predict support of civilians involved in crime control, exact directions of the effects conflict. I address these conflicting findings by examining how people conceptualize police legitimacy and trust in the police, whether those conceptualizations align with scholarly definitions of legitimacy and trust, and explore if the two constructs differentially predict support of vigilantism. Additionally, I explore whether people approve of two types of civilian crime …

Understanding The Experiences Of First-Generation College Students Working As Resident Assistants, Mairead S. Murray

Electronic Theses & Dissertations (2024 - present)

First-generation college students have been a population of interest in higher education for several decades as they are both a historically underserved group and make up a significant portion of the college-going population (RTI International, 2019a; Schuyler et al., 2021), making them an impactful group of students to research. As a whole, first-generation college students tend to fall behind their non-first-generation college student peers in key areas that are indicators of student success, including engagement, persistence, and degree completion (Goldman et al., 2022; Kezar & Kitchen, 2020; Kuh et al., 2007; McCallen & Johnson, 2020; Means & Pyne, 2017; Pendakur, …

Investigation Of Fine-Grain Cu And Cu Alloys For Low-Temperature Hybrid Bonding Applications, Sarabjot Singh

Electronic Theses & Dissertations (2024 - present)

Hybrid bonding has emerged as a key enabler for next-generation three-dimensional (3D) integration, offering fine-pitch interconnects and improved electrical performance. However, conventional Cu–Cu hybrid bonding typically requires elevated temperatures to achieve sufficient diffusion and interface quality, posing challenges for temperature-sensitive device integration and process compatibility. This work investigates materials engineering approaches to enable low-temperature Cu–Cu bonding through both microstructure design and alloying strategies.

This work begins by examining grain refinement in Cu as a pathway to enhance diffusion through increased grain boundary density, providing efficient atomic transport without introducing additional elements. Three Cu-based systems Cu–Co, Cu–Ag, and Cu–Al were systematically …

Next-Generation Computing Hardware: Advancements In Tantalum Oxide Reram For Ai And Neuromorphic Applications, Rajas Ravindra Mathkari

Electronic Theses & Dissertations (2024 - present)

The rapid development of artificial intelligence, machine learning, and data-intensive computing has exposed the fundamental limitations of conventional von Neumann architectures, in which energy and time are continuously lost transferring data between physically separate memory and processing units. In contrast, the human brain performs complex computations directly at the point of memory storage through billions of parallel synaptic connections, a paradigm known as in-memory computing. Realizing this in hardware requires memory devices that are fast, energy-efficient, non-volatile, and capable of storing multiple resistance levels in an analog manner. Resistive Random Access Memory (ReRAM) based on tantalum oxide (TaOx) is one …

Addressing Mental Health In College Athletics: Developing A Mindfulness-Centered Curricular Intervention For Student-Athletes And Coaches, Douglas W. Lampman

Electronic Theses & Dissertations (2024 - present)

Rising rates of mental health concerns among collegiate student-athletes have intensified calls for a more holistic approach to athlete development and well-being.  While student-athletes regularly interact with coaches and educators, few curricular interventions explicitly address mental and emotional wellness in the athletic context.

The purpose of this qualitative study was to examine the development, implementation, and perceived impact of a mindfulness-centered approach and curriculum.  This curriculum is designed explicitly for collegiate student-athletes and coaches.  Grounded in mindfulness-based pedagogy, the curriculum addressed stress management, emotion regulation, interpersonal relationships, performance anxiety, and personal growth.

Using a multi-tiered qualitative design, data were collected …

From Sparks To Insights: An Aggregate Analysis On Arson And Explosive Data Reporting Published By The Atf (2014-2024), Zahra A. Khan

Electronic Theses & Dissertations (2024 - present)

This thesis provides an aggregate assessment of arson and explosives incidents reported by the Bureau of Alcohol, Firearms, and Tobacco, from 2014 to 2024. This thesis is written to highlight trends, investigative outcomes, and evolving patterns of criminal activity. Analysis of the data reveals notable shifts in incident frequencies, data distributions, and case resolution rates. This suggests both emerging technologies and changing operational dynamics that have affected long-term trends in arson and explosive incidents. Variations in incident types and investigative outcomes underscore the interplay between law enforcement priorities, resource allocation, and reporting practices over the ten-year period. The study also …

Graph-Based And Graph-Transformer Representation Learning For Healthcare Data, Rui Wang

Electronic Theses & Dissertations (2024 - present)

Healthcare data exhibit complex structures, including heterogeneous clinical entities, sparse observations, and longitudinal patient trajectories. Effectively modeling such data remains a fundamental challenge in computational healthcare research. Traditional machine learning approaches often rely on flat feature representations that fail to capture relationships among clinical events, limiting their ability to model complex healthcare processes. These challenges motivate structured learning frameworks that capture both relational structure and temporal dynamics in healthcare data. This dissertation develops a series of graph-based representation learning approaches, extended through graph-transformer architectures for modeling complex healthcare data. Such data can be represented as graphs, where nodes correspond to …