Digital Commons Network^™

Sedentary Behaviors And Functional Disability Among Chinese Older Adults (2008–2018): Evidence Including Mahjong, Yen-Han Lee, Yen-Chang Chang, Minzhi Ye, Cai Xu

School of Social Work Faculty Publications

Purpose: This study examined how different types of sedentary behavior relate to changes in functional disability, measured by activities of daily living (ADL) and instrumental activities of daily living (IADL), among Chinese older adults.

Major findings: Using data from 17,939 participants in four waves (2008–2018) of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), sedentary behavior was categorized into four types: none, playing mahjong only, combining these with other sedentary activities, and other activities alone (e.g., reading and watching TV). Cox two-state regression models estimated the hazard of transitioning in ADL and IADL disability. Engaging in sedentary behaviors was generally …

The Impact Of Stigma On The Mmpi-3 Scores Of An Indo-Caribbean Community Sample, Julia Persaud-Naipaul

Theses and Dissertations

Evaluation of personality and psychological disorders is accomplished through the use of psychometric measures. However, tests require interpretation of test responses using a normative criterion based on a particular population that may not fully consider the effect of cultural influences on an individual’s level of willingness to report psychological difficulties. For example, individuals in collectivistic cultures may not be as willing to self-report problems because mental illness is often perceived as a source of embarrassment and shame. One culturally unique population that has been overlooked in psychological assessment is the Indo-Caribbean population. Their specific cultural values, beliefs, attitudes, and practices …

Non-Vigorous Physical Activity Associated With Reduced Hospitalization Risk With Or Without Diabetes Or Peripheral Artery Disease: Study Of Latinos., Sarah K. Alver, Carmen C. Cuthbertson, Kelly R. Evenson, Jennifer A. Schrack, Daniela Sotres-Alvarez, Natasha Z. Anita, Yasmin Mossavar-Rahmani, Linda C. Gallo, Jordan A. Carlson, Matthew Allison, Martha L. Daviglus, Olga Garcia-Bedoya, Christina Cordero, Xiaonan Xue, Jianwen Cai, Kunihiro Matsushita, Robert C. Kaplan

Manuscripts, Articles, Book Chapters and Other Papers

PURPOSE: This study assessed whether greater physical activity (PA) and lesser sedentary behavior (SB) reduce hospitalization risk equally among those with and without prediabetes, diabetes, or peripheral artery disease (PAD).

METHODS: We studied PA, SB and hospitalizations in 12,734 adults from the Hispanic Community Health Study/Study of Latinos, who were 52.2% female with mean (standard deviation) age 41.1 (14.9) yr at baseline. Participants reported 10,025 nonpregnancy-related hospitalizations (excluding emergency room only) over 13 yr. We modeled the association between accelerometer-measured activity (SB; light intensity physical activity [LPA]; moderate physical activity [MPA]; vigorous physical activity [VPA]) and hospitalization, using Andersen-Gill proportional …

Vomica And Respiratory Distress: A Complicated Lung Hydatid Cyst In A Child., Riccardo Guanà, Antonella Peduto, Maria Grazia Sacco Casamassima, Marco Denina, Marco Petraz, Cristina Giuliano, Giuseppe Farruggio, Lucia Gerbaudo, Fabrizio Gennari

Manuscripts, Articles, Book Chapters and Other Papers

Hydatid cyst, caused by Echinococcus infection, is the most common parasitic lung infection in children. Giant cysts are generally the result of a late diagnosis and are associated with a high risk of spontaneous rupture and life-threatening complications, including anaphylactic shock. We present the complex management of a large, complicated hydatid cyst of the lung in an 11-year-old boy in a nonendemic area. This case highlighted the specific work-up and surgical treatment of lung cysts as well as the differential diagnosis to consider when treating pulmonary masses or pneumonia.

Vicarious Trauma: The Psychological Impact On Counsellors And Psychotherapists Working With Survivors Of Sexual Abuse., Deborah Down, Alison Bacon

School of Psychology

Background: Vicarious trauma (VT), the psychological distress that occurs from exposure to the trauma of others, is prevalent among therapists, but has not previously been explored in those working specifically with survivors of sexual trauma. This qualitative study explores counsellors‘ and psychotherapists‘ experiences of VT when working with survivors of sexual abuse. Method: Semi-structured interviews uncovered complex emotional and psychological impacts, highlighting how exposure to traumatic sexual abuse narratives can affect counsellors‘ and psychotherapists‘ wellbeing, and professional and personal identity. A reflexive thematic analysis was conducted. Results: Four key themes were identified. (1) The Impact of VT reveals the emotional …

Green Information Systems Adoption And Business Outcomes In Ugandan Smes: An Extended Theory Of Planned Behaviour Approach, Sonny Juma Nyeko, Samali Mlay, Cosmas Ogenmungu, Abdallah Ibrahim Nyero

Business Management Review

The study assesses the relationship between TPB antecedents and GIS business outcomes in SMEs, using an expanded TPB framework. Researchers gathered data from SMEs via a survey and analysed it using PLS-SEM. The framework used in the study explains 58.5% of the differences in GIS business outcomes. The results reveal that subjective norms, attitude, benefits, and obstacles are significant predictors of GIS business outcomes such as ecological IT practices, although perceived behavioural control displays an insignificant negative relationship. The study extended the TPB model by incorporating GIS benefits and GIS obstacles as additional factors influencing GIS adoption, business outcomes, …

The Low Participation Of Women In The Truck Driving Industry, Aurora Floodine

Electronic Theses and Dissertations

Women remain underrepresented in the United States trucking industry, particularly in leadership roles, despite ongoing efforts to increase workforce diversity and address persistent driver shortages. This qualitative phenomenological study explored the lived experiences of female trucking professionals who began their careers as truck drivers and later advanced into leadership positions. The study examined the strategies that facilitated women’s progression into leadership and the systemic barriers that may limit their advancement within the trucking industry. Semistructured interviews were conducted with 11 female trucking professionals, and the resulting data were analyzed using thematic analysis. Six themes emerged from the findings: (a) independence, …

Nurses' And Families' Experiences Of A Feasibility Trial Comparing Single‐Use And Multiple‐Use Endotracheal Suction Catheters In Mechanically Ventilated Patients: A Qualitative Study, Mohamed H. Eid, Kevin Hambridge, Patricia Schofield, Jos M. Latour

School of Nursing and Midwifery

BackgroundIn resource-limited Intensive Care Units (ICUs), reusing endotracheal suctioning catheters is often standard practice due to supply constraints or staffing pressures. Randomised controlled trials (RCTs) have explored the impact of these practices on patient outcomes. However, less is known about the experiences of nurses and family members involved in RCTs testing endotracheal suctioning interventions.AimTo explore the experiences of ICU nurses and family members participating in a feasibility RCT comparing single-use versus multiple-use endotracheal suction catheters flushed with chlorhexidine or normal saline in a resource-limited ICU setting.Study DesignA qualitative study was embedded within a feasibility RCT. Semi-structured interviews were conducted with …

September 2026, Office Of Research

Research Update

No abstract provided.

How Conditions Within Immigration Removal Centres In The United Kingdom Affect The Mental Wellbeing Of Detainees: A Scoping Review, Niamh Gallagher, Tristan Price, Matthew Griggs

Peninsula Medical School

BackgroundImmigration Removal Centres (IRCs) are used to detain people for immigration control by the UK government. This scoping review aims to examine the experiences of detainees within UK IRCs, specifically how conditions within them, including the regime, affect their mental wellbeing.MethodsThe Joanna Briggs Institute guideline for scoping reviews was followed. Six bibliographic databases and additional grey literature sources were searched for quantitative and qualitative evidence. Descriptive analyses and quality assessments were conducted.ResultsFifteen research studies and nine pieces of grey literature were included, comprising a total of 1353 participants and 11 IRCs. The majority of data was qualitative in methodology and …

The Roddey Mcmillan Record - September 2026, Winthrop University

The RMR 2020-2029

The Roddey McMillan Record (RMR) is Winthrop’s monthly multicultural student publication. The RMR has been a significant voice of the minority population of the Winthrop community since its creation by Gail Harris in April 1986. It promotes awareness and understanding of issues concerning minorities for the prosperity of the entire Winthrop community. The purpose of the RMR is to shine light on the many diverse cultures at Winthrop, focusing on issues, concerns and happenings of those who represent the multicultural community on campus. The Roddey McMillan Record is named after Dr. Cynthia Roddey and Atty, Sheila McMillan. Cynthia Roddey was …

Gender-Responsive Knowledge Management Strategies For Vegetable Farmers Of Atok, Benguet , Philippines, Marianne R. De Luna, Farawyn E. Sarmiento

The Philippine Agricultural Scientist

Knowledge transfer in Philippine vegetable production often follows centralized pathways that neglect gendered roles, perpetuating productivity gaps. This study evaluated gender-responsive knowledge management pathways and technology adoption among smallholder vegetable farmers in Atok, Benguet, Philippines. Using a mixed-methods approach combining household surveys (n = 85), Social Network Analysis (SNA), vignettes, and key informant interviews, data were disaggregated by sex to map institutional disparities. Results showed that while women farmers demonstrate higher college completion rates (29%), men farmers cultivate larger average plots (0.57 vs. 0.37 ha), have higher off-farm income, and enjoy greater irrigation access (70.69% vs. 59.26%). Additionally, women derive …

Physical Soil Health Indicators In Paired Certified Organic And Conventional Farms: A Multi-Case Study In The Philippines, Victorino A. Bato, Gina Villegas Pangga

The Philippine Agricultural Scientist

There is a common perception that organic products and practices are good for the health of consumers, plants, the environment, and particularly the soil. In the Philippines, organic agriculture was enacted into law (i.e., Republic Act No. 10068) in order to encourage farmers to shift to organic farming and reap its benefits, including better soil health through improved soil physical properties. This study compared certain soil physical properties of certified organic farms in the Philippines with those of a conventional cropping system. Results showed significantly higher soil aggregate stability (high values of percent water-stable aggregates and mean weight diameter, both …

Assessment Of Muscular Activities And Working Postures During Common Maintenance Operations On The Ronnie Baugh Tractor (Oggun Ii), John Geoffrey T. Edrozo, John Kenneth P. Punongbayan, Josefa Angelie D. Revilla, Diana Marie R. De Silva

The Philippine Agricultural Scientist

Maintenance activities are among the highest-risk occupations, with hazards arising from machinery repair, task design, and workload demands, underscoring the need for ergonomic interventions to mitigate these risks. The recent introduction of the Ronnie Baugh Tractor (RBT) offers a cost-effective alternative to traditional tractors, but limited knowledge of its design highlights the need for rigorous testing to ensure its safety and effectiveness in farm operations. This study evaluated the muscular and postural workload associated with common maintenance tasks in operating the RBT. Thirteen (13) male participants performed 4 maintenance tasks: engine oil replacement, engine oil filter replacement, pre-start-up checks, and …

Is The Crisis Over? Fostering Innovative Work Behavior In Response To The Constant Pressure Of Resource-Deficiency For Street Level Bureaucrats: The Impact Of Psychosocial Safety Climate, Teamwork, And Work Engagement, Yvonne Brunetto, Matthew Xerri, Geremy Farr-Wharton

Research outputs 2022 to 2026

There is conflicting evidence about the pathways Street Level Bureaucrats’ (SLBs’) use to engage Innovative Work Behavior (IWB). This study uses Street Level Bureaucrat (SLB) and Conservation of Resources (COR) to examine the extent to which SLBs’ work engagement and/or burnout mediates the relationship between Psychosocial Safety Climate (PSC) and teamwork, and IWB. The methods comprised a sample of 259 healthcare SLBs (doctors, nurses, allied health) collected at two times, and analyzed using structural equation modeling. The results show that the variance of PSC and teamwork explained a third of engagement, and engagement-burnout mediated the impact of PSC and teamwork …

Sonographer Clinical Skills Training: What Can We Learn From International Education And Clinical Training Models To Address The Workforce Shortage?, Jennifer Alphonse, Gill Harrison, Christopher Edwards, Rebecca Perry, Afrooz Najafzadeh Abriz, Ignatius Pereira, Tara Chegwin, Pauline A. Mitchell, Adrienne J. Young, Shelley A. Park, Kate Russo, Michelle Fenech, Ann Quinton

Research outputs 2022 to 2026

Introduction: The sonographer workforce shortage is worldwide, with limited access to clinical training positions a major contributing factor to qualified sonographers entering the workforce. Our aim is to examine sonographer training models in English-speaking countries where sonographers are the primary providers of diagnostic ultrasound services and clinical training (work integrated learning/WIL) is embedded within accredited course curricula to troubleshoot the sonographer workforce shortage.

Methodology: An extensive search of Australian and international sonography course providers was performed. Accredited courses where WIL is a curriculum component and is assessable were included. Courses from Australia were compared to international courses and course elements …

Nurses' Perspectives Of Dysphagia Screening Practices In Irish Residential Long-Term Care Settings: A Qualitative Descriptive Study, Constantino Estupiñán Artiles, Claire Donnellan, Julie Regan, Mary Mooney

Research outputs 2022 to 2026

Objectives To examine nurses’ perspectives on current dysphagia screening practices in Irish residential long-term care settings (RLTCS), and to investigate barriers and facilitators to nursing-led dysphagia screening within this healthcare context. Methods This study employed a qualitative descriptive design and was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research checklist. Participants were recruited through purposive sampling from RLTCS located in the northeast of the Republic of Ireland. Eleven in-person focus group interviews were conducted with thirty-four nurses working in clinical and managerial roles. A semi-structured interview guide was utilised, and the data were subsequently analysed using reflexive …

Tennessee Archivist 45, No. 4, Society Of Tennessee Archivists

Tennessee Archivist newsletters

Fall 2026 issue of the Tennessee Archivist, a newsletter produced by the Society of Tennessee Archivists.

Deterring Political Deceit: A Constitutional Argument To Defend The People's Democracy (2026), David Chang

Books

More than ever, influencers and politicians communicate political messages that they do not believe to be true. This political deceit is constitutionally valueless, harms public discourse, and impedes effective public decision-making. Yet, under current doctrine, the Supreme Court would invalidate any regulation of deceitful political advocacy as an abridgment of political speech.

In Deterring Political Deceit, David Chang explores why traditional efforts to target falsity in political speech have been rooted in constitutional error. While the Court has determined that the defamation of public officials is unprotected, it wrongly declared that false statements of fact lack constitutional value, and …

Loss Of Function Dnmt3a Mutation Leads To Aberrant Neutrophil Migration, Frieda Zimmer, Daniel E Kennedy, Spencer L Redding, Ruoqiong Cao, Sarah M Waldvogel, Apoorva Thatavarty, Bryan Bahoua, Brandon T Tran, Arushana A Maknojia, Margaret A Goodell, Antony Rodriguez, Katie A Matatall, Katherine Y King

Faculty, Staff and Students Publications

Clonal hematopoiesis (CH), an age-related expansion of somatically mutated hematopoietic clones, is associated with increased risk of severe infections including coronavirus disease (COVID)-19, yet the underlying mechanisms remain unclear. Here, we investigated the impact of Dnmt3a deficiency in a murine model of influenza A virus (IAV) pneumonia. Dnmt3a-deficient mice exhibited increased pulmonary viral burden and reduced neutrophil accumulation in IAV-infected lungs despite comparable circulating neutrophil numbers. Functional analyses of neutrophils showed impaired chemotactic migration in vitro, whereas maturation, antimicrobial enzyme content, and metabolic capacity were unchanged. Transcriptomic profiling revealed downregulation of pathways involved in chemotaxis, cytokine signaling, and cellular activation, …

Perioperative Depression And Anxiety Care In Older Patients: A Randomized Clinical Trial, Joanna Abraham, Katherine J Holzer, Simon Haroutounian, Bethany Pennington, Ana Baumann, Ryan Calfee, Theresa Cordner, Kenneth E Freedland, Thomas Kannampallil, Benjamin Kozower, Emily Lenard, J Philip Miller, Mary Politi, Michael Yingling, Michael S Avidan, Eric J Lenze

2020-Current year OA Pubs

IMPORTANCE: Depression and anxiety are common among older adults undergoing surgery and are associated with adverse postoperative outcomes. However, effective tailored perioperative mental health interventions are lacking.

OBJECTIVE: To evaluate a perioperative intervention to optimize mental health.

DESIGN, SETTING, AND PARTICIPANTS: A single-blind, hybrid, type 1, effectiveness-implementation randomized clinical trial was conducted (November 1, 2022, to March 31, 2025), with 3-month postoperative follow-up, at a US academic and community practice hospital network. Participants were 60 years or older; scheduled for cardiac, oncologic, or orthopedic surgery; and had clinically meaningful symptoms of depression and/or anxiety based on the Patient Health Questionnaire-Anxiety …

The Impact Of Global Imbalance On Pelvic Fixation Failure: A Single Institution Matched Case-Control Study, Karan Joseph, Samuel Vogl, Jeffrey T Galla, Alexander T Yahanda, Vivek P Gupta, Salim Yakdan, Miguel A Ruiz-Cardozo, Benjamin Plog, Tim Bui, Noah D Poulin, Sundeep Chakladar, Francisco Narro-Garcia, Jason Ng, Matthew Wang, Braeden Benedict, Samuel Brehm, Hana Hallak, Karma Barot, Nicholas Pallotta, Munish C Gupta, Brian J Neuman, Jacob K Greenberg, Wilson Z Ray, Camilo A Molina

2020-Current year OA Pubs

Study DesignRetrospective matched case-control study.ObjectivesPelvic fixation failure (PFF) is a rare, underrecognized mechanical complication from surgical management of adult spinal deformity (ASD). Studies show that residual postoperative malalignment may increase mechanical stress on pelvic instrumentation, but the role of global radiographic parameters in predicting PFF remains poorly defined. Our study aims to identify radiographic predictors of PFF and evaluate the time-dependent relationship between residual deformity and PFF rates.MethodsThis was a single-center, retrospective, matched case-control study of ASD patients who underwent pelvic fixation from 2016-2024 and had >1-year postoperative follow-up. PFF was defined as any reoperation for pelvic screw or rod …

Biocorrosion And Biocompatibility Of Absorbable Mg-Li-Y Wires For Temporary Cardiovascular Scaffolds, Mitchell L. Connon, Weilue He, Ryan Jacoby, Kenneth Macleod, Carolyn W. Czerniak, Keith W. Macrenaris, Calum Macleod, David Bow, Alex Lamere, Zoe Haase, Jeremy Goldman, Mark Steckel, Roger J. Guillory

Michigan Tech Publications

The use of bioabsorbable metals in cardiovascular applications has shown potential to offer clinical advantages over conventional permanent materials such as stainless steel or cobalt-chromium. Among these, magnesium (Mg) is at the forefront of research for bioabsorbable stent design due to its favorable biocompatibility, suitable mechanical properties, controlled absorption kinetics, and a growing body of supportive clinical data. In this study, we determined that the novel magnesium-lithium-yttrium alloy system featured excellent properties as a bioabsorbable material candidate. The corrosion behavior and histological response were assessed at two levels of yttrium content, 0.5% and 2.0% (by weight). This study found that …

“I Really Like Being On The Floor, Because I Spend All The Time In My Chair”: Children With Disabilities’ Experiences Of Physical Activity In School, Katherine Gulliver, Rachel Knight Lozano, Kathrin Paal

School of Law, Humanities and Social Sciences

Children with multiple disabilities often encounter significant barriers to participating in physical activity, impacting not only their physical health but also their overall experience in school. This study places the voices of four children at the centre of their own research, exploring their lived experiences of participating in physical activity in school. Using Clark’s (2017) Mosaic approach, this child-centred participatory study shows how children take part and engage with physical activity as part of their school day. Using videos and photography, child-led tours and ethically sensitive conversations with researchers, children shared a range of opportunities for enjoyment, exploration and interactions …

Discomfort Avoidance And Desire For Normality Are Decision-Making Drivers Of Footwear Choice In Underserved Communities At Risk Of Diabetic Foot Ulcer, Krithika Anil, Neeraj Sharma, Sonal Patel, Jess Bailey, Catherine Smith, Sally Abey, Kayce Allcock, Richard Collings, Joanne Paton

School of Health Professions

BackgroundDiabetes-related foot ulceration (DFU) is a serious complication that can lead to lower limb amputation or death. Custom-made footwear is a key preventative strategy, yet adherence to use is often low. The factors influencing decision-making for footwear use remain unclear, particularly among underserved groups such as people from low socioeconomic and South Asian backgrounds. This study aimed to identify the psychological mechanisms underlying footwear choice and adherence in people with diabetes from low socioeconomic and South Asian populations.MethodsThis study used a qualitative approach conducted in two parts. Part 1 explored footwear-related experiences using one-to-one interviews informed by the COM-B model …

Parents' Views On Family Care At A Neonatal Intensive Care Unit — A Qualitative Study, Linea Grothe Larsen, Suzanne Forsyth Herling, Sanne Allermann Beck, Anne Brødsgaard, Jos M. Latour, Rikke Louise Stenkjaer

School of Nursing and Midwifery

PurposeThe current study aims to explore parents' views on family care at a neonatal intensive care unit.MethodsWe conducted a qualitative exploratory study with a descriptive approach based on open-ended written narrative responses from the Danish version of EMpowerment of PArents in The Intensive Care—Neonatology questionnaire. The study was conducted at a Danish level IV NICU working with family-centred care and family integrated care. The data was analysed using inductive content analysis by Graneheim and Lundman. The Standards for Reporting Qualitative Research checklist was followed.Main FindingsIn total, 311/727 parents responded to the distributed questionnaire. Of those, 210 responded to the open-ended …

School Leadership And Collaboration: A Case Study Of Leaders’ Experience Implementing Vertical Alignment Practices, Tara R. Wehmeyer

Electronic Theses and Dissertations

Changing student demographics within a large elementary school increased the need for collaboration between leadership and staff as they implemented a wide range of initiatives to support student learning. Grounded in the transformational leadership theoretical framework, this exploratory case study sought to systematically observe and gather knowledge about the experiences of campus leaders as they implement vertical alignment teams to foster a collaborative approach while instituting required initiatives. The sample included seven campus leadership team members and data collection utilized transcribed semistructured interviews, debriefing sessions after vertical alignment team meetings, meeting observations, and a researcher’s journal. All data were analyzed …

Don’T Let Us Down: A Phenomenological Study Of African American Employees’ Perceptions Regarding The Benefits Of Professional Development In Student Affairs, Courtney Nicole Demings

Electronic Theses and Dissertations

The experiences of student affairs professionals are critical to the success of higher education, allowing for a concentrated exploration of African American student affairs professionals who are often employed in 2-year U.S. community colleges. The general problem was that African Americans may leave student affairs in community colleges if they do not perceive supervisory support for professional development and, in turn, career advancement. The purpose of this dissertation was to understand and interpret their lived experiences, illuminate the barriers to their career advancement, and discuss the impact of supervisory support. As such, this action research employed qualitative research through the …

Harkness Seminars In The Humanities, Sarah S. Novlan

Electronic Theses and Dissertations

This participatory action research study explored the effects of Harkness seminars on students’ cognitive, affective, and metacognitive learning in secondary humanities classes. Educators need an effective, flexible, and adaptive method to promote student learning beyond superficial content acquisition. With the decoupling of virtue formation from knowledge acquisition, knowledge gaps from COVID-19 lockdowns, and the rise of artificial intelligence in student plagiarism, a proven method to address all aspects of student formation is needed. Using a participatory action research framework for this qualitative study, conducted at an independent K–12 school site in Texas, the researcher interviewed six secondary humanities teachers over …

Pda (Privacy-Preserving Distributed Algorithms) In Action: Ten Principles For High-Quality Multi-Site Clinical Evidence Generation, Yong Chen, Chongliang Luo, Et Al.

2020-Current year OA Pubs

BACKGROUND: Distributed Research Networks (DRNs) offer significant opportunities for collaborative multi-site research and have significantly advanced healthcare research based on clinical observational data. However, generating high-quality real-world evidence using fit-for-use data from multi-site studies faces important challenges, including biases associated with various types of heterogeneity within and across sites and data sharing difficulties. Over the last 10 years, Privacy-Preserving Distributed Algorithms (PDA) have been developed and utilized in numerous national and international real-world studies spanning diverse domains, from comparative effectiveness research, target trial emulation, to healthcare delivery, policy evaluation, and system performance assessment. Despite these advances, there remains a lack …