Digital Commons Network^™

Factors Associated With Opioid And Antibiotic Prescribing At Us Academic Dental Institutions: 2011 To 2020, S Tungare, A-I Yansane, S Gantela, K K Kookal, S Mccurdy, T M Krause, S Sharma, M Walji

Faculty, Staff and Student Publications

Introduction: In the United States, dentists are one of the leading prescribers of opioids and antibiotics. Because dental schools are the training grounds for future dentists, it is crucial to understand how prescribing has changed and why these medications are being prescribed in academic settings.

Objectives: The objective of this research was to describe the prescribing trends and factors associated with opioid and antibiotic medication prescribing at US academic dental institutions between 2011 and 2020.

Methods: Data from electronic dental records collected through the BigMouth data repository from 9 anonymized dental institutions between 2011 and 2020 were used. Prescribing rates …

The Performance Of Machine Learning Algorithms In Predicting Under-Five Anaemia In Tanzania, Henry Ofori Duah, Derrick Nyantakyi Owusu, Godwin G. Duah, Paul Shidende

College of Nursing Faculty Research and Publications

Aim

Anaemia in children under five remains a major public health concern, contributing significantly to global child morbidity and mortality. With the rise of machine learning (ML), novel opportunities exist to model and predict anaemia more effectively. This study aimed to evaluate and compare the performance of five ML algorithms in predicting anaemia among under-five children in Tanzania.

Methods

We conducted a secondary data analysis using the 2017 Tanzania Malaria Indicator Survey (TMICS). The dataset (n = 5906) was randomly split into training (70%) and test (30%) sets. Five ML algorithms, Linear Discriminant Analysis (LDA), Logistic Regression, Random Forest (RF), …

Polysemicolon; Novice Programmers And Java Keywords, Briana C. Bettin

Michigan Tech Publications

Most industrial programming languages leverage the English language for reserved keywords – words which a program compiler recognizes as specific execution commands. The divide between expert and novice programmers showcases an intriguing middle-ground by which the polysemy of many keywords becomes revealed. This essay explores a sampling of the multitude of keyword interpretations that a novice programmer may derive from the Java language’s syntactic style and keywords specifically, and how the polysemy of both “English” and “code” meanings to these terms affects the novice-expert programmer transition.The transition from novice to expert, and the mapping of the career of metaphor to …

Equity And Justice In Water Pricing And The Effects On Water Distribution System Management, Brian Barkdoll

Michigan Tech Publications

Equity regarding access to potable water is paramount. Municipal Water Distribution Systems supply potable water to users and are essential to public health. To find the optimal price of water to maximize utility revenue and allow changes to the system components for capital and maintenance expenditures, network modeling was performed for 15 real MDWSs. A new power-law price-usage elasticity curve, entitled the Power Law Elasticity Function (PLEF), was used that allowed for various users, both high- and low-income, and a non-discretionary level of usage. It was found that: (1) the maximum profit was obtained when the price was approximately 0.8 …

Comparing Us Medicare Coverage Options As A Contributing Mechanism To Sticking Or Switching To An Insurance Plan, Lisa M. Grabert, Brian J. Miller, Kathryn L. Wagner

College of Nursing Faculty Research and Publications

Background

In 2025, the US Medicare program is expected to spend over $1.1 trillion taxpayer dollars. A growing trend in the US Medicare program is more beneficiaries electing a private insurer, referred to as Medicare Advantage (MA), to manage their care. Since 2023, a slight majority of Medicare beneficiaries have elected to enroll in MA, yet little is understood about the mechanisms that drive beneficiaries toward their choices.

Methods

Our objective was to examine the association between comparing coverage options and ‘switching’ or ‘sticking’ with Fee-for-Service (FFS) Medicare or Medicare Advantage (MA). We conducted a panel study, using data from …

An Educational Intervention On Mutual Goal Setting For Hospital Nurses: A Mixed-Methods Study, Teresa Jerofke-Owen, Kristi Opper, Joseph Beiler, Maharaj Singh

College of Nursing Faculty Research and Publications

Background:

Including patients in mutual goal setting is one mechanism to personalize care delivery and improve patient outcomes.

Objective:

The purpose of this study was to examine the impact of a nurse educational intervention about mutual goal setting on nurse engagement and self-efficacy for goal setting and the nurse/patient experience of goal setting.

Methods:

During this explanatory, sequential mixed-methods study, nurse engagement in goal setting and goal quality was assessed through chart audits 1-month pre-intervention (n = 173) and 1 and 3-months (n = 144, n = 137) post-intervention. Nurse self-efficacy was measured with the Appraisal Inventory Tool. Patient experience …

Artificial Intelligence And Mental Health: Promise, Pitfalls And Ethical Priorities, Maharaj Singh

College of Nursing Faculty Research and Publications

Mental health conditions are prevalent across the lifespan, yet workforce shortages, long waiting times, and fragmented systems mean many people never receive timely, evidence‑based care. Artificial intelligence (AI), including machine‑learning classifiers and large language models (LLMs), is being explored to support earlier detection, closer symptom monitoring and scalable psychoeducation. Early studies suggest AI can surface risk signals from language, sleep/activity traces and clinical notes; summarise complex records for clinicians; and deliver structured self‑help at scale. At the same time, safety, bias, privacy and accountability concerns remain salient.

Beyond Numbers: Bridging Statistical Significance And Clinical Relevance In Healthcare Research, Maharaj Singh, Waheeda Khan, Mehreen Fatima

College of Nursing Faculty Research and Publications

Objective: This study aims to bridge the gap between statistical significance and clinical relevance using rigorous statistical methodologies applied to simulated healthcare data, thereby enhancing the translational value of research outcomes for patient‑centered care. Methods: A synthetic dataset representing 10,000 patients was generated, and descriptive statistics were applied to compare two treatment groups. Binary outcomes were predicted using both a logistic regression model and a neural network. Two‑tailed tests with a significant level of 0.05 were employed, utilizing SAS version 9.4 and IBM SPSS Statistics, Version 29.0 (IBM Corp., Armonk, New York, United States of America). Results: The simulated dataset …

Government Agencies In The United States Are Obstructing Native Species Restoration, Creating Regulatory Pits For Wildlife, Jeremy T. Bruskotter, L. Mark Elbroch, John Vucetich

Michigan Tech Publications

No abstract provided.

Restoring The Wild East: Predicting Public Support For Cougar And Red Wolf Reintroduction In The Eastern United States, Benjamin Ghasemi, Jeremy T. Bruskotter, John A. Vucetich, L. Mark Elbroch, Robyn S. Wilson, Neil H. Carter, Axel Moehrenschlager, Shelby Perry, Joseph W. Hinton

Michigan Tech Publications

Restoring large carnivores to human-dominated landscapes remains ecologically and socially contentious, though reintroduction may offer important benefits where coexistence is possible. Yet, efforts to reintroduce cougars (Puma concolor) and red wolves (Canis rufus) in the Eastern U.S. face major challenges, largely due to human-caused mortality and opposition. We employed the hazard acceptance model and structural equation modeling to investigate the socio-psychological drivers of public support for reintroduction. Survey data were collected from residents of the Eastern U.S. for cougars (n = 2665) and red wolves (n = 3825). For both species, support was positively associated with perceived personal and societal …

Physical Activity And Health Outcomes In Children With Dyslexia During Summer Versus School Months, Tina J. Glatz

Graduate Studies Theses and Dissertations 2026

Children in the United States continue to experience rising rates of overweight and obesity. Children with learning disabilities are twice as likely to have obesity than typically developing peers, partly due to difficulties with motor skills and behavior regulation. The purpose of this study was to examine and compare differences in health outcomes and physical activity (PA) during summer versus school months in children with dyslexia, using a within- subject study design.

At three timepoints (May, August, December 2025), children’s height, weight, and fitness were measured via a portable stadiometer, dual-frequency foot-to-foot bioelectric impedance device, and Progressive Aerobic Cardiovascular Endurance …

Emotional Support Friends: Creating Social Impact Through Art And Polite Humor, Kenyari Gil Rosario

Graduate Studies Theses and Dissertations 2026

This thesis aims to provide new imagery to the conversation of mental health and neurodivergence. It does this through forms of soft sculpture, digital paintings, marker drawings, and community murals. Inspired by the practices of Keith Haring, iconographic characters are used to portray common struggles and coping habits of mental conditions in an endearing light. With the goal of social impact, this project is affiliated with the non-profit organization Providing Autism Links and Support (P.A.L.S). This partnership has given the community an opportunity to share their compassion through art and donations and uses art as a means of social impact …

Contested Air: Politics, Prejudice, And Radio Broadcasting In New York State, 1925-1928, Sebastian Garcia

Graduate Studies Theses and Dissertations 2026

This thesis examines the intersection between radio broadcasting as the "new media" of the 1920s and American political culture of the period, using New York Governor and 1928 Democratic presidential candidate Alfred E. Smith as a case study. Smith entered 1925 as a political lone wolf and left the year as a triumphant victor set to take the presidency. Building on the work of Smithian scholars, this thesis illuminates how Smith’s radio use remained central to this political transformation. Smith found in radio an apt space to bypass Republican opposition and mobilize the body politic through direct engagement, which, in …

Emotional Labor, Well-Being, And Community Care In Student Conduct Administration, Tiffany Shierling, Kelly A. Burlison

College of Education Faculty Publications & Presentations

This explanatory sequential mixed-methods study examined emotional labor, stress, and coping among student conduct administrators (SCAs). SCAs work in emotionally intensive, high-stakes environments that require balancing student development, institutional risk management, and legal compliance. Despite clear parallels to other helping professions, the emotional toll of student conduct work remains underexamined. Grounded in self-compassion theory and resilience theory, this explanatory sequential mixed-methods study examined the emotional labor demands, stressors, and coping strategies experienced by SCAs in higher education. Quantitative (n = 101) findings revealed strong relationships among stress, burnout, and anxiety, while individual self-care practices offered limited protection without institutional support. …

Clinicians’ Experiences And Perspectives On Robot-Assisted Lower Limb And Gait Neurorehabilitation In Western Australia: Robot-Assisted Lower Limb Neurorehabilitation, Nikki Bakhtazad, Amanda Timler, Matthew K. Bagg, Rachel Buckingham, Saran Chamberlain, Barbara Singer, Patricia Martinet, Taya Hamilton, Jodie Marquez, Stuart Hodgetts, Ann Maree Vallence, Eric Gaitho, Emma Gee, Jessica Nolan

Research outputs 2022 to 2026

Purpose: Robot-assisted lower limb rehabilitation (RALLR) may be an effective adjunct to conventional therapy for those with neurological conditions. Robot-assisted rehabilitation is emerging in Western Australia (WA) and local perspectives on this technology have not been explored. This study aimed to explore perspectives of WA clinicians on RALLR, to inform further implementation.

Methods: This was a cross-sectional survey of neurorehabilitation clinicians across metropolitan WA. A subset of respondents completed semi-structured interviews. Transcripts were analysed thematically.

Results: Fifty-six clinicians (across four professions) completed the survey. Eleven participated in an interview. The majority of clinicians expressed interest in upskilling in rehabilitation robotics …

Transforming The Public Plate: A Menu Of Options For Public Food Procurement That Nourishes People, Place And Planet, Leah Galvin, Emma-Kate Rose, Stephanie Godrich, Dheepa Jeyapalan, Joanna Horton

Research outputs 2022 to 2026

Public food procurement stands as one of the most powerful, yet chronically underutilised, policy levers available to Australian governments. Every day, publicly funded institutions – hospitals, residential aged care facilities, long day care, prisons, schools, defence facilities and community food programs – purchase and serve food to millions of Australians. These are not simply transactions. Collectively, these purchasing decisions shape production systems, supply chains, diets, livelihoods and environmental outcomes. They determine who thrives within our food system and who is left behind. Transforming the Public Plate is an Australian first. It provides the most comprehensive national picture to date of …

Barriers And Facilitators To Recruiting Older Adult Care Homeresidents Into Clinical Trials Of Medicines And Vaccines: A Scoping Review, Selvarani Subbarayan, Imogen A. Smith-Dodd, Gabriel Nicolson, Jennifer K. Burton, Janet T. Scott, Seshadri S. Vasan, Susan D. Shenkin, Roy L. Soiza, The Watch Consortium

Research outputs 2022 to 2026

Introduction: Excluding Care Home (CH) residents from clinical trials of medicines and vaccines has led to an evidence gap. Findings from younger adults may not be generalisable to CH residents with frailty and dementia. Therefore, it is essential to evaluate pharmacological treatments directly in CH residents to assess their safety and efficacy.

Methods: As part of the Widening Access to Trials in Care Homes project, we conducted a scoping review using Joanna Briggs Institute methodology to identify barriers and facilitators to recruiting CH residents into clinical trials of medicinal products. We searched EMBASE, MEDLINE, PsycINFO, CINAHL, and the Cochrane Library …

Noongar Culture, Arts Learning, And Wellbeing Literacy In Early Childhood: A Case Study Of The Song Room’S Deadly Arts Early Years Program In Western Australia Government Primary Schools, Jason Goopy, Narelle Lemon, Megan Mcpherson, Libby Jackson-Barrett, Jacqueline West

Research outputs 2022 to 2026

This report presents findings from a case study examining how The Song Room's Deadly Arts Early Years program supports wellbeing literacy in early childhood education through engagement with Noongar culture, arts, and storytelling at Western Australia government primary schools. Conducted on Whadjuk Noongar Boodjar at Huntingdale Primary School and Orelia Primary School, the research was co-designed with Indigenous and non-Indigenous teaching artists, school communities, and The Song Room.

The study adopted wellbeing literacy — the capability to understand and intentionally use language about and for wellbeing across contexts — as its theoretical framework. Creative arts-based methods, including draw and tell …

A Brunerian Theoretical Framework For Ece: A Review Of Jerome Bruner’S Theoretical Contributions To Early Childhood Education, Samantha Wynne, Christine Robinson, Dee O’Connor

Research outputs 2022 to 2026

This paper presents the findings of an independent study, a systemic narrative literature review, that identifies and synthesises Jerome Bruner’s theoretical propositions related to young children’s knowledge construction and learning from birth to the early years of schooling. The research contributes the Brunerian Theoretical Framework, the first contextualised synthetisation of Brunerian theory as it relates to Early Childhood Education (ECE). Bruner’s postmodern constructivist and culturalist perspectives related to epistemology, theory, and pedagogy are explicated in the review of literature. Importantly, this paper explores Bruner’s culturalist provocation to centre epistemological inquiry in education. Bruner proposes that when educators adopt an epistemic …

Association Between Protein Intake From Animal And Plant Sources And The Presence Of Frailty In Community-Dwelling Australian Women, Trent Bozanich, Jack Dalla Via, Simone Radavelli-Bagatini, Cassandra Smith, Elsa Dent, Anthony Villani, Robin M. Daly, Michael Tieland, Jonathan M. Hodgson, Kun Zhu, Richard L. Prince, Marc Sim

Research outputs 2022 to 2026

We investigated the cross-sectional association between total, animal and plant protein intake with the presence of a multidimensional measure of frailty in older women. Participants included 1380 community-dwelling Australian women, mean (SD) age 75.1 (2.7) years. A validated food frequency questionnaire was used to determine total, plant, and animal protein intake. Frailty was assessed using a frailty index across numerous health domains (scored 0–1, ≥0.25 indicating frailty). Cross-sectional associations were analysed using multivariable-adjusted logistic regression models. In total, 275 (19.9%) women were identified as frail. A non-linear inverse association was observed between higher intakes of total protein and the odds …

Beyond The Pandemic: How Covid-19 Highlighted The Need For Cross-Sector Healthcare Solutions For Young Australians Living With Adversity, Ennur Erbasi, Shannon Muir, Karen Mclean

Research outputs 2022 to 2026

We explored the perceived impacts of the COVID-19 pandemic on health and healthcare access among young people living with significant adversity in Victoria, Australia, using a convergent parallel mixed-methods design. Guided by a pragmatism epistemology, fifty-seven purposively sampled Victorian adolescents aged 15–19 years with lived experience of adversity completed a primarily quantitative online survey, and eight also participated in semi-structured interviews. Descriptive quantitative results indicated that a greater proportion of participants rated their mental health as fair or poor during COVID-19 (69%) compared to before the pandemic (40%). Similarly, more participants rated their physical health as fair or poor during …

Does Performing Partial Repetitions Beyond Momentary Failure Enhance Muscle Hypertrophy In Volume-Load-Equated Calf-Raise Resistance Training?, Amirali Goli, Parsa Attarieh, João Pedro Nunes, Saman Nehegadar, Saaed Khani, Mohmad Fashi, Sajjad Ahmadizad

Research outputs 2022 to 2026

The aim of this study was to determine whether extending traditional calf-raise resistance training sets with partial-range-of-motion (ROM) repetitions in the more dorsiflexed ROM enhances muscular hypertrophy. Sixteen untrained men (25.0±1.7y) completed 10 weeks of unilateral standing calf-raise training (2×/wk) in a within-subject design: one leg performed traditional 10-14RM sets to full-ROM momentary failure (MF; 4-6 sets/session) and the other leg performed half as many sets to full-ROM failure followed by partial-ROM repetitions to a second failure in the more dorsiflexed ROM (PBF; 2-3 sets/session). Total volume-load was equated between conditions; repetitions were counted the same way regardless of the …

Effectiveness, Reach, Uptake, And Feasibility Of Digital Health Interventions For Culturally And Linguistically Diverse Populations Living With Prediabetes Across The Lifespan: Systematic Review And Meta-Analysis, Lisa Whitehead, Min Zhang, Wai Hang Kwok, Diana Arabiat, Amanda Towell Barnard

Research outputs 2022 to 2026

Background: Culturally and linguistically diverse (CaLD) populations are at a higher risk of developing prediabetes; however, the effectiveness and implementation of digital health interventions for prediabetes management in this population are not well understood. Objective: This review aims to evaluate the effectiveness and implementation of digital health interventions (DHIs) versus usual care for glycemic control in CaLD populations living with prediabetes. Methods: This review aimed to include people of any age living with prediabetes who are from a CaLD background. Experimental and quasi-experimental studies that compare digital health interventions to usual care, waitlist, or active control were eligible. The primary …

Effects Of Maximal Versus Submaximal Intended Velocity Resistance Training On Muscular Fitness Adaptations In Older Adults: A Systematic Review And Meta-Analysis, Meiling Tao, Kaifang Liao, Mingyue Yin, Zhili Chen, Yuming Zhong, Chenwen Zhu, Yuou Song, Steve Thompson, Chris Bishop, Yongming Li

Research outputs 2022 to 2026

Purpose: This systematic review aimed to: 1) explore muscular fitness adaptations (e.g., muscle mass, muscle strength, functional performance) in older adults (≥ 60 years) following exercise with resistance training compared to control; and 2) investigate the moderating effects of load intensity, training frequency, and movement velocity on muscular fitness adaptations.Methods: Four databases were searched (April 2024, updated 2025). Pooled effects for each outcome were summarized using Standardized Mean Difference (Hedges’ g) through a three-level meta-analysis model, and subgroup was used to explore moderators. The certainty of evidence was assessed using the GRADE approach.Results: Sixteen studies were eligible (n = 801), …

Efficacy And Safety Of Tai Chi For Chronic Musculoskeletal Pain: A Systematic Review And Meta-Analysis, Shun Chen, Weiting Liu, Qinwei Fu, Mingyu Huang, Weilan Lin, Yanting Ding, Ming Li

Research outputs 2022 to 2026

Objectives: Tai Chi, a form of complementary intervention emphasizing breathing and mind-body connection, is increasingly recognized for its potential in pain management. This review aims to synthesize current evidence on the efficacy and safety of Tai Chi for chronic musculoskeletal pain management in adults. Design: Systematic review and meta-analysis. Data sources: AMED, EMBASE, MEDLINE, WoS, CBM, CNKI, VIP, Wanfang Databases, CENTRAL, and WHO ICTRP were searched from database inception through May 2025, with an additional supplementary search conducted in January 2026. Eligibility criteria for selecting studies: We included randomized controlled trials (RCTs) comparing Tai Chi with other interventions for chronic …

Exploring How Young Consumers Construct Identities In Socially Restrictive Societies: Managing Impressions Through Fashion Clothing, Muhammad Abid, Aron O’Cass, Hormoz Ahmadi, Vida Siahtiri

Research outputs 2022 to 2026

In many societies, fashion serves as a medium of self-expression and a site of social regulation, where sartorial decisions can expose consumers to social censure and physical risk. Consequently, consumers must navigate the tension between adhering to local norms and participating in global fashion cultures. This study draws on impression management theory to examine how young consumers in a socially restrictive society use fashion as a means of identity expression while mitigating potential social risks. It uses data from in-depth interviews (n = 40) and open-ended surveys (n = 150) with consumers aged 18 to 35 years, analysed using an …

Exploring The Las-Vict Principle Of Cryptocurrency Exchanges: A Belief–Action–Outcome Perspective, Cheuk Hang Au, Kevin K.W. Ho, Po Hsu Shieh, Kris M.Y. Law

Research outputs 2022 to 2026

Purpose – Cryptocurrency exchanges operate in a hyper-volatile, “wild west” environment, fundamentally challenging existing theories of FinTech success that were built for stable markets. The literature lacks a framework to explain how firms thrive amidst such extreme regulatory ambiguity and institutional distrust. This study resolves this theoretical puzzle by developing a new principle for success in nascent, high-stakes digital ecosystems. Design/methodology/approach – We conduct a multiple-case study of 14 leading cryptocurrency exchanges. Using the belief–action–outcome (BAO) logic as an analytical guide, we deconstruct the strategic actions that separate successful exchanges from failures, synthesising them into a new, empirically grounded framework. …

Influence Of Isometric Hamstring Assessment Modality: Asymmetries Across Bilateral And Unilateral Testing Procedures, Adam E. Sundh, Nicholas J. Ripley, A. J. Lamb, Conor J. Cantwell, Paul Comfort

Research outputs 2022 to 2026

Purpose: The aim of this study was to evaluate whether unilateral and bilateral assessments display comparable results during the isometric long-lever bridge and to examine the directionality of asymmetry fluctuations across testing occasions. Methods: Forty-four participants comprising of 30 men (age: 19.4 ± 1.3 years; height: 179.8 ± 6.3 cm; body mass: 80.4 ± 10.3 kg) and 14 women (age: 20.0 ± 1.3 years; height: 166.9 ± 7.2 cm; body mass: 64.4 ± 7.4 kg) volunteered to participate in the study. All participants completed two separate testing sessions consisting of two maximal bilateral and unilateral repetitions respectively of the isometric …

Migration Literacy And Commercial Intermediaries: The Debt Financed Labour Migrations Of Chinese Working-Class Tradesmen In Boomtime Australia, Catriona Turnbull

Research outputs 2022 to 2026

This paper explores how constrained informational capital makes migrants dependent upon commercial intermediaries to facilitate their migration. It proposes migration literacy as a critical dimension of mobility capital and as a way to articulate the dependencies engendered through low information capital in relation to the regulatory regimes of the immigration state. These ideas are illustrated with reference to a cohort of working-class labour migrants to Australia whose experiences are shaped by their low migration literacy. Trade skilled migrants from China paid high fees to chains of brokers to secure sponsored employment in Australian workshops. Their low migration literacy, the result …

Missing Planktivore Functions Drive Global Variation In Reef Fish Productivity, James Gahan, Helen F. Yan, David R. Bellwood, Graham J. Edgar, Leo T. Nankervis, Alexandre C. Siqueira, Rick D. Stuart-Smith, Sterling B. Tebbett

Research outputs 2022 to 2026

The functioning of high-diversity ecosystems, such as coral reefs, is intrinsically tied to the integrity and efficiency of the trophic pathways within these systems. Coral reef productivity depends, in part, on the input of external nutrients, primarily zooplankton, that is assimilated by extraordinarily diverse fish communities. The plankton–planktivore trophic pathway is thus crucial for sustaining the productivity that exemplifies coral reef ecosystems; however, it remains poorly understood at large spatial scales. Here we explore global patterns in reef fish community structure, revealing a major discrepancy between the Indo-Pacific and Caribbean in the productivity and fisheries potential of planktivorous reef fishes. …