Digital Commons Network^™

Modifiable Risk Factors And Hearing Loss: The National Health And Nutrition Examination Survey 1999–2020, Yulu Zheng, Tingting Li, Zhiyuan Wu, Yahong Zhu, Zheng Guo, Xingang Li

Research outputs 2022 to 2026

Objective: To explore the associations between major modifiable risk factors and hearing loss.

Methods: This serial cross-sectional study was conducted within the National Health and Nutrition Examination Survey 1999–2020 in the United States. Associations were assessed using modified Poisson regression and within-sample population attributable fraction (PAF).

Results: Eight thousand seven hundred and seventy adults aged 40–85 years were included in the analyses, the mean (SD) age was 58.0 (11.7) years, with 4002 men (45.6%). Hearing loss was associated with low educational attainment with prevalence ratio 1.23, 95% confidence interval (1.15, 1.31); low income 1.11 (1.04, 1.19); diabetes 1.10 (1.03, 1.18); …

Nurses' Perceptions Of Their Non-Technical Skills In Recognising And Responding To Clinical Deterioration In Hospital Settings: A Systematic Review, Darlene Archer, Amineh Rashidi, Rajbeer Kaur, Allison Roderick, Olivia Gallagher

Research outputs 2022 to 2026

Aim: To understand nurses' perceptions of non-technical skills in recognising and responding to clinical deterioration in hospital settings.

Design: A mixed methods systematic review was undertaken, guided by the Joanna Briggs Institute Manual for Evidence Synthesis.

Methods: A systematic search of the primary research literature published between 2012 and October 2025 was undertaken. A convergent integrated approach to synthesis, without meta-analysis, was undertaken.

Data Sources: The MEDLINE, CINAHL, Scopus, PsychInfo and Embase electronic databases were searched. Reference lists of full-text articles retrieved were reviewed for additional data sources.

Results: Twenty-four primary studies were included. Narrative synthesis resulted in six main …

Pharmacist-Led Educational Intervention To Improve Knowledge, Medication Adherence, And Asthma Control Among Asthma Patients At Ayder Comprehensive Specialized Hospital: A Protocol For Randomized Controlled Trial, Mekuriaw Dereje Tekele, Goitom Belay Kassa, Yainu Welegerima Welekidane, Derbew Fikadu Berhe, Abadi Kahsu Gebre, Afewerki Gebremeskel Tsadik

Research outputs 2022 to 2026

Objective: To evaluate the effect of a pharmacist-led educational intervention on medication knowledge, adherence, and asthma control among adult asthma patients at Ayder Comprehensive Specialized Hospital, Ethiopia.

Methods: A single-blind, parallel-group randomized controlled trial will be conducted. All eligible adult asthma patients on active follow-up at the chest clinic of Ayder Comprehensive Specialized Hospital will be included. Participants will be randomly assigned via a computer-generated sequence to an intervention group (structured pharmacist-led education using teach-back, illustrated pamphlets, a follow-up phone call and SMS) or a control group (routine care). Outcome assessors will be blinded to group allocation. Outcomes will be …

Relationships Between Physical Performance Characteristics And Match Characteristics Of English Academy Soccer Players, B. Dickinson, P. Jones, P. Comfort

Research outputs 2022 to 2026

The aim of this study was to determine the relationships between physical performance and match characteristics of Elite academy soccer players using pooled data across U15, U16, U18, U23 age groups. Sixty elite academy soccer players including u15 (Subject: N = 15; age: 14.64 ± 0.25; mass: 59.88 ± 9.12 kg; height: 171 ± 6.69 cm), u16 (Subject: N = 15; age: 15.42 ± 0.36; mass: 65.11 ± 8.70 kg; height: 175 ± 7.21 cm), u18 (Subject: N = 15; age: 17.00 ± 1.00; mass: 72.85 ± 7.43 kg; height: 179 ± 6.43 cm), u23 (Subject: N = 15; age: …

The Contribution Of Nursing And Midwifery To Achieving The Sustainable Development Goals: A Bibliometric Analysis, David C. Benton, Andrew D. Benton, Kate Buchanan, Gemma Doleman, Karen Strickland, Lisa Whitehead

Research outputs 2022 to 2026

Background: Nurses and midwives are central to achieving the Sustainable Development Goals (SDGs) as the largest regulated sector of the global health workforce and as professions explicitly encouraged by the International Council of Nurses and the World Health Organization to advance the 2030 Agenda. This paper updates a 2016 bibliometric analysis to examine changes in nursing and midwifery scholarly engagement with the SDGs.

Methods: A bibliometric analysis of Scopus, CINAHL Ultimate, and PubMed was undertaken for publications from 2000 to 2025 containing Millennium Development Goal (MDG) or Sustainable Development Goal (SDG) terminology in nursing and midwifery literature. VOSviewer was used …

Understanding Barriers And Motivators For Fruit And Vegetable Intake In Female Stroke Survivors: A Qualitative Study, Caroline R. Hill, Jack Dalla Via, Lauren C. Blekkenhorst, Montana Dupuy, Rosanne Freak-Poli, Liezhou Zhong, Jonathan M. Hodgson, Moira Sim, Mandy Stanley, Amanda Devine, Simone Radavelli-Bagatini

Research outputs 2022 to 2026

Purpose: Adequate fruit and vegetable (FV) intake is the foundation of a healthy diet; however, intake is especially low among stroke survivors. This study explores barriers and motivators to FV intake in female stroke survivors and informs strategies to improve well-being.

Methods: Female stroke survivors completed questionnaires and attended either a focus group or an interview, with the resulting transcripts analysed using reflexive thematic analysis.

Results: Ten female stroke survivors aged (mean [SD]) 66.3 [17.1] years completed the study. Across the focus groups (n = 3) and interviews (n = 2), three themes emerged: (1) “Navigating alone,” reported that survivors …

Women Are Discriminated Against On The Basis Of Sex: Anti-Trans Epistemologies In Australian Universities, Emily M. Gray, Jacqueline Ullman, Mindy Blaise

Research outputs 2022 to 2026

This article offers an analysis of qualitative data from a multi-phased project entitled Understanding and Addressing Everyday Sexisms in Australian Universities. The project’s key aim was to improve the ways in which gender-based discrimination is understood and addressed in Australian universities. It achieved this aim through adopting a situated, intersectional, and creative approach to data generation and analysis. The authors examine data from phase three of the project, a large-scale survey that was distributed across 12 of Australia’s 39 public universities, yielding 1257 responses. The survey was designed to encourage academic staff of all genders to participate and aimed to …

Regional Arts Network 2019-2025. Case Study 2: Outcome: Empowered Local Arts Leaders And Advocates, Vahri G. Mckenzie, Jo Pickup

Research outputs 2022 to 2026

In its first five years, the RAN has proven effective in bolstering the arts leadership skills of many Hub organisation staff working in leadership and coordination roles. In particular, the RAN Advocacy and Leadership Group, established and led by RAWA, has allowed “a strong fellowship of colleagues” to emerge, where previously no such solid and united network for regional arts leaders existed. Many RAN organisations mentioned RAWA’s Network Coordinator as a key element to the success of the RAN, with the role facilitating increased communications between organisation Hub Coordinators as well as executives across WA. RAWA invested in and established …

Investigating Policy Enactment In Community Sport Coaching: Directions For Future Research, Ben Ives, Dawn Penney, Jimmy O’Gorman, Adam J. Nichol, Paul Potrac, Lee Nelson

Research outputs 2022 to 2026

This article calls for a sophisticated investigation of policy enactment in sport-related environments, with community sport coaching used as an example case. Emphasis is placed on the need for in-depth empirical research into and theorisation of: 1) political skills involved in the enactment of policy; 2) emotion management when enacting policy; 3) performative and fabricated aspects of policy enactment; and 4) impacts of policy enactment for the health and wellbeing of workers. In doing so, this article challenges scholars to move beyond the study of policy actor types and to develop more nuanced understandings of the political, economic, organisational, interpersonal, …

Essays On Accelerated Failure Time Models For Recurrent Event Data, Emmanuel Masavo Djegou

Doctoral Dissertations

Recurrent event data arise in many fields such as medicine, reliability, insurance, and economics, where the same event may occur repeatedly for a subject. Accelerated Failure Time (AFT) models provide an intuitive framework for relating covariates to event times and offer a useful alternative to proportional hazards models, allowing direct prediction of event timing under right censoring. However, existing AFT extensions for recurrent events, such as accelerated gap time (AGT) models, often fail to account for interventions between events and may not capture complex temporal patterns.

In this work, we first propose a class of semiparametric AGT models incorporating an …

Restructuring The Institutional Logics Of Taiwan's Prison Labor: A Human Rights-Based Approach, Mao-Hong Lin

Fordham International Law Journal

In Taiwan, inmates are mandated to participate in work programs, a system long criticized for its mistreatment of prisoners. Despite numerous reform efforts, substantive change remains elusive. This Article investigates the persistence of Taiwan’s in-prison work programs through the lens of institutional logics theory and proposes a human rights-based approach to address the issue. Drawing on in-depth interviews and a focus group discussion, the study identifies four key logics sustaining these programs: security and management, bureaucracy, accounting imperatives, and competitive disadvantages. These logics stem from two opposing ideologies, market-driven and state-driven, yet collectively function to resist reform. Consequently, reform initiatives …

Due Diligence In Global Supply Chains: The Troubled Journey Of The Eu Legislation And The Global Perspective, Fabrizio Cafaggi, Federico Pistelli

Fordham International Law Journal

No abstract provided.

The Wto Is Dead, Long Live The Wto: The Lingering Interpretive Problem Of Article 27.1 Of The Trips Agreement, Faisal Chaudhry

Fordham International Law Journal

No abstract provided.

Allies As Collateral: U.S. Economic Warfare And The Erosion Of Allied Autonomy, Julien Chaisse

Fordham International Law Journal

No abstract provided.

A Council Of Europe Tribunal To Prosecute Putin For The Crime Of Aggression In Ukraine, Erin A. Kenny

Fordham International Law Journal

No abstract provided.

Considering Humanity: How The Martens Clause Implies A Legal Obligation To Conduct Risk Analysis In Decisions Regarding The Actual Or Threatened Use Of Nuclear Weapons, Emily Jones

Fordham International Law Journal

No abstract provided.

Ex Ante, Ex Post, Or A Combo Of Both? A Comparative Analysis Of Biometric Artificial Intelligence Across The Atlantic & The Self-Regulatory Solution, Ariana Tagavi

Fordham International Law Journal

No abstract provided.

Relationships Between Smartphone Use, Mental Health, And Personality, Christina M. Frederick, Gabriel Fredrich

Publications

The present study examined how patterns of smartphone use relate to mental health and personality variables. Ninety-four individuals reported information from their iPhones on pick-ups and screen time, as well as completing a measure of depression, anxiety and stress, and a short personality test. Higher numbers of iPhone pick-ups related to lower levels of depression, anxiety, and stress, but also to lower levels of emotional stability. Greater phone usage may correlate with mental health concerns but also raises new questions about how smart phone use patterns might help to lessen feelings of anxiety, depression or stress in users. This study …

External Validation Of A Knowledge-Based Clinical Toxicology Consultant For Diagnosing Single Exposures, Hugo Lerogeron, Joel D. Schipper, Jay L. Schauben, Laurent Guéguen, Valentine Lacotte, Kim An Nguyen

Publications

Introduction

Clinical prediction models assist healthcare providers in estimating disease likelihood using multiple patient-specific factors. While these models are increasingly used, few undergo the essential process of external validation, which limits their clinical utility. In toxicology, timely diagnosis is crucial and expertise scarce, making knowledge-based systems an excellent choice to support medical decision making. A knowledge-based system developed using data from the Florida Poison Information Center Network has shown promise but lacks external validation. This study aims to evaluate its performance using data from the Lyon Poison Information Center to assess its generalizability

Methods

To externally validate the Florida diagnostic …

Stop-Falling A Checklist Tool For Fall Prevention In A Long-Term Care Nursing Facility, Latoya Shirley

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Falls are common among the elderly population. Falls affect not only residents but also staff in long-term care facilities (LTCFs). Approximately one in three individuals aged 65 years or older will have a fall within a year. As the population ages, the incidence of falls continues to rise globally. Falls, overall, have a significant and widespread impact on the overall health and wellbeing of individuals, leading to increased hospitalizations, rehabilitation, reduced quality of life, and increased mortality. 
Evidence Summary: Multifactorial fall prevention programs have proven to be effective in reducing falls when implemented in various settings, such as clinics, …

Differentiation Of Cell Populations In Saliva-Skin Mixtures Using Autofluorescence Profiling, Kara Fairfax

Master of Science in Forensic Science Directed Research Projects

While DNA profiling of sexual assault evidence can identify biological contributors, determining the tissue source of recovered profiles remains a significant challenge, particularly in cases of suspected oral assault involving mixtures of epithelial cells. The initial goal of this study was to identify non-genetic signatures for differentiating two types of epithelial cells relevant to oral assaults, saliva epithelial cells and epidermal skin cells. To develop tissue-specific signatures, reference cell populations from saliva and epidermal skin surfaces were collected from 20 donors and analyzed using full spectrum flow cytometry.

Results from single-source reference samples showed that saliva-derived particle populations exhibited higher …

Impact Of Prostate Cancer Tumor Microenvironment On Alternative Splicing Landscapes In Nk Cells: An Lncap-Based In Vitro Model, Pratham N. Modi

Honors Undergraduate Theses

NK cells play a significant role in anti-tumor activity, yet the transcriptomic mechanisms underlying NK cell dysfunction in the prostate cancer tumor microenvironment remain generally poorly characterized. While most transcriptomic studies focus on gene-level expression, alternative splicing and isoform-level analysis may reveal additional levels of regulation not identified in traditional analysis. The overall goal of this study was to characterize gene and isoform-level changes in NK cells exposed to in vitro prostate cancer conditions and to evaluate whether isoform-level analysis could provide additional depth and insights beyond gene-level analyses. NK92-MI cells were co-cultured with LNCaP prostate cancer cells using direct-contact …

An Investigation Of The Impact Of Gender And Race On The Stigmatization Of Borderline Personality Disorder, Joshua Samet

Honors Undergraduate Theses

Stigma surrounding mental health reduces treatment-seeking behaviors and can worsen symptoms. Research on stigma surrounding borderline personality disorder (BPD) has shown that race and gender can impact the nature of the stigma associated with the disorder; however, less is known about the interaction between the two. This study investigated if stigma varies when considering both the race and gender of the stigmatized individual simultaneously. 218 undergraduate students read one of four vignettes describing either a Black male, White male, Black female, or White female, then completed the Attribution Questionnaire-20 (AQ-20) stigma scale. The results indicate that there is a statistically …

Variability In Parainfluenza Virus Derived From Persistently Infected Lung Epithelial Cells, Cassidy R. Conte

Honors Undergraduate Theses

An acute infection (AI) with RNA virus can progress to a persistent infection (PI) where infected cells continue to grow and replicate while producing progeny virions. PIs with respiratory viruses are clinically important, as they can lead to prolonged shedding of viruses and generation of mutant viruses that are altered in pathogenesis and/or immune responses. Parainfluenza type 5 (PIV5) is a prototypic RNA virus shown to cause PIs in cell culture. Plaques in tissue culture from an acute infection with parental PIV5 were homogeneous in size and shape. By contrast, plaques from PIV5 persistently infected cells were heterogeneous, having a …

Perceptions, Expectations, And Attitudes About Adolescent Telepsychiatry Among Indian American Family Caregivers, Udayvir Jalf

Honors Undergraduate Theses

Adolescent mental health concerns have risen sharply in the United States. The COVID-19 pandemic marked a significant turning point in mental health care access, with telehealth having become a central mode of care delivery. With adolescent telehealth, caregiver involvement has shown to improve treatment adherence and outcomes. Little is known, however, about how Indian American caregivers experience and navigate their adolescent’s virtual mental health care. This qualitative study investigated the perceptions, expectations, and attitudes of Indian American family caregivers regarding adolescent telepsychiatry and caregivers’ involvement. In depth semi-structured interviews were conducted with Indian American caregivers of adolescents who completed at …

Factors Related To Deviant Behavior, Chiara S. Popp

Honors Undergraduate Theses

Understanding the factors that contribute to deviant behavior across the life span remains an important goal in psychology and criminology. Guided by life course theory, the present study examined whether childhood trauma, social connectedness, perceived childhood socioeconomic status, and key life transitions are associated with deviant behavior in adulthood. The purpose of this research was to better understand how early life experiences and social relationships may shape behavioral outcomes later in life. A cross-sectional online survey was conducted with adult participants in the United States, aged 18 to 55. Participants completed measures assessing adverse childhood experiences, perceived childhood socioeconomic status, …

Industrial And Organizational Psychology Researchers’ Positive And Negative Experiences With The Peer-Review Process, Alexa Weaver

Honors Undergraduate Theses

Peer review plays a critical role in advancing the field of psychology; however, limited empirical research has examined psychologists’ experiences with the peer review process. The present study investigated both positive and negative peer review experiences among industrial and organizational (I/O) psychologists and assessed the prevalence of specific reviewer behaviors. A two-phase survey design was administered via Qualtrics. Study 1 employed open-ended questions to identify recurring themes in researchers’ experiences with peer review. Thematic analysis revealed distinct positive and negative patterns of reviewer behavior, which informed the development of Study 2.

Study 2 quantitatively assessed the prevalence of behaviors associated …

Decreasing Hospital Acquired Pressure Injuries Through A Multi-Intervention Approach: A Quality Improvement Project, Kendra D. Crawford

DNP Scholarly Projects

BACKGROUND: Hospital acquired pressure injuries (HAPIs) continue to plague hospitals across the country. HAPIs are an indication of the quality of care delivered by the hospital’s nursing workforce. These injuries are costly to organizations and can lead to increased length of stay (LOS). The development of a HAPI, depending on severity, is a reportable injury and is classified as patient harm. Patients who suffer from HAPIs can experience significant pain and at times, permanent disfigurement. This project’s focus is a community hospital that has seen a steady increase in HAPIs over the last 2 years. During 2025, 28% of the …

Improving Confidence In Certified Registered Nurse Anesthetists In Providing Care For Patients Undergoing Transcatheter Aortic Valve Replacements, Justin Alley

DNP Scholarly Projects

Abstract

Title: Improving Confidence in Certified Registered Nurse Anesthetists in Providing Care for Patients Undergoing Transcatheter Aortic Valve Replacements (TAVR)

Background: Anesthesia staffing for complex, high-risk procedures like Transcatheter Aortic Valve Replacements (TAVR) is challenging due to a national shortage of anesthesia providers and the company's heavy reliance on non-permanent (locum tenens and 1099) Certified Registered Nurse Anesthetists (CRNAs). At this TAVR procedure location, 70% of the team is comprised of non-permanent staff. A lack of specialized training and experience in TAVR procedures led to a decrease in provider confidence and staffing shortages for these critical cases.

Purpose: The primary …

Succession Planning As A Tool For Nursing Recruitment, Retention, And Resilience, Natalie Kennett

DNP Scholarly Projects

Background: Healthcare is facing a significant nursing shortage. This shortage not only impacts bedside nurses but also nurse leaders. Succession planning is a method for recruiting, retaining, and building resilience among nurse leaders.

Purpose: This quality improvement project applied principles of succession planning, including leadership education, training, and assessment of leadership retention and resilience.

Methods: Two interventions were implemented in this quality improvement project. The first was an assessment of a modification in nursing leadership organizational structure that was made in 2024 with the purpose of improving succession planning. This evaluation was completed with the use of …