Digital Commons Network^™

Association Of Intended Mode Of Delivery With Neonatal And Maternal Outcomes At 22-25 Weeks Of Gestation, Jameaka L Hamilton, Paula L Mcgee, Baha M Sibai, Michael W Varner, Alan T N Tita, Monica Longo, Edward F Bell, Barbara J Stoll, John M Thorp, Uma M Reddy, Heather A Frey, Emily S Miller, Dwight J Rouse, Hyagriv N Simhan, Jennifer L Bailit, Lorraine Dugoff, George R Saade

Faculty, Staff and Student Publications

Objective: To compare the risk of neonatal and maternal morbidity and mortality among individuals who delivered between 22 and 25 weeks of gestation by intended mode of delivery.

Methods: This was a secondary analysis of an observational cohort including participants with a singleton pregnancy delivered by planned cesarean delivery or after a trial of labor from 22 0/7 to 25 6/7 weeks of gestation. This analysis was limited to those who received both antenatal steroids and neonatal resuscitation. The primary outcome was a composite of neonatal death or severe neonatal morbidity. Secondary outcomes included neonatal mortality and measures of neonatal …

Bayesian Posthoc Trial Analysis Of Cerclage Management In Preterm Prelabor Rupture Of The Membranes, Beth L Pineles, Kyung Hyun Lee, Baha M Sibai

Faculty, Staff and Student Publications

Background: There is inadequate evidence on whether to retain or remove a cervical cerclage after preterm prelabor rupture of the membranes (PPROM). The PROMCerclage trial was the only study to randomize patients to cerclage retention or immediate cerclage removal after PPROM. The trial was terminated early, and results were not statistically significant but the cerclage retention group had shorter latency and more chorioamnionitis. Bayesian post-hoc trial analysis maximizes available clinical trial data by formally integrating information from preexisting studies or prior beliefs into statistical modeling to estimate the probability of a treatment effect.

Objective: To re-analyze published results of the …

Development Of A Predictive Model For Cardiac Dysfunction In Mis-C Patients Utilizing Laboratory Biomarkers, Guliz Erdem, Brendan Galdo, Roshini S Abraham, Allayne Stephans, Simon Lee, Jun Yasuhara, Brent Merryman, Diego Cruz Vidal, Nathan M Money, Jennifer Colgan, Risa Bochner, Ron L Kaplan, Erin Aldag, Thomas Graf, Steve Rust

Faculty, Staff and Student Publications

Background and objectives: Early identification of cardiac dysfunction in multi-system inflammatory syndrome in children (MIS-C) is crucial for effective management. Our primary objective was to predict left ventricular systolic dysfunction (LVSD) through a multicenter collaborative assessing admission laboratory data and echocardiogram findings.

Methods: Laboratory and clinical data were collected by retrospective chart review from a cohort of pediatric patients admitted and treated for MIS-C in our institutions. Laboratory data including absolute lymphocyte count, albumin, sedimentation rate, C-reactive protein, procalcitonin, d-dimer, fibrinogen, ferritin, interleukin-6 level, and lymphocyte subsets (T, B and NK quantitation, TBNK) were collected. We built a LASSO logistic …

Stimulated Cytokine Production, Attachment, And Emotional Well-Being In Dementia Spousal Caregivers, Daniel L Argueta, Sarah Roberts, Kelly N Brice, E Lydia Wu-Chung, Vincent D Lai, Jensine Paoletti-Hatcher, Bryan T Denny, Charles Green, Samantha Henry, Luis D Medina, Paul E Schulz, Jennifer Stinson, Cobi Heijnen, Christopher P Fagundes

Faculty, Staff and Student Publications

Background: Proinflammatory cytokine production may be related to poor emotional adjustment in dementia spousal caregivers. People who display attachment insecurity may be at increased risk for adverse caregiving experiences and poor psychosocial outcomes.

Objective: This study aimed to understand whether proinflammatory cytokine production was associated with anticipatory grief, caregiver burden, and depressive symptoms and whether those relationships were stronger for caregivers higher on attachment anxiety or avoidance.

Method: A sample of 103 dementia spousal caregivers provided self-report data on demographics, health information, and psychosocial outcomes. We also determined lipopolysaccharide-induced whole-blood interleukin-6, interleukin-1β, tumor necrosis factor-α, and interleukin-10 production and combined …

Medical Aid In Dying: A Narrative Review Of The Recent Academic Literature In The United States., Holland Kaplan, Soraira Pacheco, Keziah M Thomas, Christopher L Ulmschneider, Anjiya Sulaiman, Chandni Lotwala, Derek Dawes, Issa A Hanna, Courtney Nguyen, Caroline G Snider, Gabriel M Aisenberg

Faculty, Staff and Student Publications

Medical aid in dying (MAiD) is a practice in which a healthcare professional provides assistance to a terminally ill patient seeking to end their life. To assess how academic discourse may shape public opinion and policy in the United States, we conducted a narrative review of the literature published between 2020 and 2024. Articles were categorized as supportive, opposing, or neutral, and patterns were examined across authorship, disciplinary focus, and target populations. Our findings reveal that most recent publications adopt supportive or neutral stances toward MAiD, with a slight increase in opposition beginning in 2022. Authorship discipline strongly influenced position, …

Are Fewer Damage Control Laparotomies Associated With A Decrease In The Rate And Severity Of Surgical Site Infections?, Stephanie Martinez Ugarte, Mokunfayo O Fajemisin, Chelsea J Guy-Frank, William D Rieger, Renee W Green, John A Harvin, Lillian S Kao

Faculty, Staff and Student Publications

Background: Damage control laparotomy (DCL) rates have declined and remained low. Given DCL's association with surgical site infections (SSIs), we hypothesize that SSI rates and severity, as per Clavien-Dindo (CD) classification, have decreased concurrently.

Patients and methods: A retrospective study was performed on patients (≥16 y) who underwent trauma laparotomy from January 2011 to December 2020. Patients who survived ≤48 hours were excluded. Data were divided into period 1 (January 2011-December 2015, DCL rates declined) and period 2 (January 2016-December 2020, low DCL rates were sustained). SSIs were defined as per the Centers for Disease Control and Prevention, and severity …

Performance And Mechanistic Insights Into Cement Systems Modified With Wastewater-Recovered Struvite, Ugochukwu Ewuzie, Rupack R. Halder, Abdulkareem O. Yusuf, Abiodun A. Saka, Godwin I. Ogbuehi, Titus C. Egbosiuba, Damilola A. Daramola, Monday Uchenna Okoronkwo

Chemical and Biochemical Engineering Faculty Research & Creative Works

Struvite, the stable hydration product and primary strength phase in magnesium ammonium phosphate cement (MAPC), derived from wastewater treatment, has recently been utilized as a sustainable additive to Portland cement (PC). However, its impacts on cement hydration kinetics, pore refinement, rheology, and the mechanisms underlying these processes have not been comprehensively studied. This study developed Portland cement-struvite (PCS) systems by replacing PC with 3–20 % struvite (ST wt.%: PCS3–PCS20) and evaluated these processes using isothermal calorimetry, 3D micro-computed tomography (μXCT), time-dependent rheometry, X-ray diffraction (XRD), and Fourier-transform infrared spectroscopy (FTIR), and the Krstulović-Dabić (K-D) model. The FTIR/XRD confirmed the coexistence …

Nanocatalytic Enhancement Of Local Heat Transfer In Continuous-Flow Thermal Reactors, Nasser Zouli, Nujud Maslamani, Ayman Yousef, Muthanna H. Al-Dahhan

Chemical and Biochemical Engineering Faculty Research & Creative Works

An experimental investigation was conducted to evaluate the thermal conductivity (TC) and local heat-transfer coefficients (LHTCs) of nanofluids containing alumina (Al₂O₃), hematite (Fe₂O₃), and copper oxide (CuO) nanoparticles dispersed in deionized water. A newly developed non-invasive LHTC probe was integrated into the inner wall of the test section to enable direct quantification of interfacial heat-transfer performance. The measurements were conducted under laminar and turbulent flow conditons across Reynolds numbers ranging from 1000 to 10,000. The selected nanoparticles were chosen based on their high intrinsic thermal conductivity, cost effectiveness, and, in the case …

A Social Norm Perspective On Distorted Information In China, Zhe Li, Massimo Massa, Nianhang Xu, Hong Zhang

Research Collection Lee Kong Chian School Of Business

Can social norms give rise to distorted information in China? We observe that China’s leading social norm related to alcohol consumption and social drinking enhance earnings management. An analysis of toxic alcohol scandals supports a causal interpretation. Further evidence suggests that the influence of alcohol may come from the negative externality that it creates, which is propagated by corporate leaders and cannot be attenuated by market-oriented institutions. Our results reveal a social norm externality that may have important normative implications.

Are Less Hierarchical Firms Organized Around Stronger Cultures? Evidence From Big Data, Arianna Marchetti, Phanish Puranam

Research Collection Lee Kong Chian School Of Business

Research Summary: Are less hierarchical firms organized around stronger cultures instead? We analyze 1.5 million employee reviews on Glassdoor.com from 23,000 US-based firms, alongside data on managerial hierarchy estimated from 42 million professional social media profiles. Our findings confirm a negative association between managerial hierarchy and organizational culture strength. We explore two potential explanations for this association: Functional equivalence between the two, and culture fragmentation caused by managerial hierarchy. Multiple correlational tests show support for functional equivalence as a plausible explanation for the observed negative correlation. Our findings enhance our understanding of the complex relationships between organizational structure and culture …

The Effects Of Linguistic Ostracism On Job Performance. A Replication And An Extension, John Fiset, Devasheesh P. Bhave

Research Collection Lee Kong Chian School Of Business

We examined the phenomenon of linguistic ostracism—instances where a focal workgroup member perceives other members of their workgroup have rejected and/or excluded them by using a language they cannot comprehend. In a 2021 article, Fiset and Bhave observed that linguistic ostracism was related to two dimensions of job performance (interpersonal citizenship and deviance) and that disidentification served as an explanatory mechanism for the linguistic ostracism–job performance relationship. We constructively replicate and extend their work in several ways. First, we replicate prior effects on interpersonal citizenship and deviance and extend their work to focus on a third dimension of job performance: …

Eliciting Supplier Cooperation For Value Chain Decarbonization: A Field Experiment With Smallholder Farmers In India, Sukti Ghosh, Jasjit Singh

Research Collection Lee Kong Chian School Of Business

Many firms are pledging to reduce greenhouse gas emissions across their value chains. However, this requires their suppliers to also adopt more climate-friendly practices for decarbonization. This can involve addressing gaps in not only the suppliers’ ability but also their willingness to adopt such practices, which can be challenging if the suppliers perceive the practices as risky or potentially detrimental to their economic well-being. We examine the effectiveness of relational investments to help mitigate this challenge, arguing that relational investments can serve as a signal of the firm’s commitment towards joint value creation. In a field experiment conducted with supplier …

The Distinctiveness Effect: How Cross-Country Dissimilarities Influence Governance Decisions, Ilya Cuypers, Gokhan Ertug, Niels G. Noorderhaven, Korcan Kavusan

Research Collection Lee Kong Chian School Of Business

Transaction cost theory is one of the most commonly used theories to explain how firms govern their economic activities. In the context of cross-border collaborations, transaction cost theory proposes that dissimilarities between the partners’ home countries, which constitute a key source of behavioral uncertainty, affect how collaborations are governed (i.e. whether firms opt for equity joint ventures or non-equity alliances). Although many firms are likely to face more than one dimension of dissimilarity—for example, in terms language and religion, as well as culture—studies in transaction cost theory typically focus on how each source of dissimilarity impacts governance choices independently, in …

A General Limit Theory For Nonlinear Functionals Of Nonstationary Time Series, Qiying Wang, Peter C. B. Phillips

Research Collection School Of Economics

New limit theory is provided for a wide class of sample variance and covariance functionals involving both nonstationary and stationary time series. Sample functionals of this type commonly appear in regression applications and the asymptotics are particularly relevant to estimation and inference in nonlinear nonstationary regressions that involve unit root, local unit root, or fractional processes. The limit theory is unusually general in that it covers both parametric and nonparametric regressions. Self-normalized versions of these statistics are considered that are useful in inference. Numerical evidence reveals interesting strong bimodality in the finite sample distributions of conventional self-normalized statistics similar to …

Efficient Bilateral Trade With Interdependent Values: The Use Of Two-Stage Mechanisms, Takashi Kunimoto, Cuiling Zhang

Research Collection School Of Economics

Efficient, voluntary bilateral trades are generally not implementable in an interdependent values environment with two-sided asymmetric information. To obtain more positive results, we consider two-stage mechanisms in which (i) the outcome (e.g., allocation of the goods) is determined first; (ii) the agents partially learn the state via their own outcome-decision payoffs; and (iii) transfers are finally made. We propose the approximate shoot-the-liar (AS) mechanism and identify Assumption 1, under which “approximately” efficient, voluntary trades are implementable. We further illustrate the permissiveness of the assumption, and characterize it in terms of the nature of interdependence in valuation functions – delineating the …

Dynamic Spatial Panel Data Models With Interactive Fixed Effects: M-Estimation And Inference Under Fixed Or Relatively Small T, Liyao Li, Ke Miao, Zhenlin Yang

Research Collection School Of Economics

We propose an M-estimation method for dynamic spatial panel data models with interactive fixed effects based on (relatively) short panels. Unbiased estimating functions are constructed by adjusting the concentrated conditional quasi scores, given the initial values and with the factor loadings being concentrated out, to account for the effects of conditioning and concentration. Solving the estimating equations gives the M-estimators of the common parameters and common factors. Under fixed T, n-consistency and joint asymptotic normality of the M-estimators are established. Under T = o(n), the M-estimators of the common parameters are shown to be nT-consistent and asymptotically normal. For inference, …

Corrigendum To “Interim Rationalizable Implementation Of Functions” (Kunimoto T, Saran R, Serrano R (2024) Mathematics Of Operations Research 49(3):1791–1824), Takashi Kunimoto, Rene Saran, Roberto Serrano

Research Collection School Of Economics

This is the brief corrigendum to “Interim rationalizable implementation of functions” [Kunimoto T, Saran R, Serrano R (2024) Interim rationalizable implementation of functions. Math. Oper Res. 49(3):1791–1824].

The Uncomfortable Truths About Inclusive Growth In Singapore, Kong Weng Ho

Research Collection School Of Economics

In a commentary, SMU Associate Professor of Economics (Education) Ho Kong Weng said that the Ministry of Finance’s Occasional Paper provides food for thought on the way forward on social mobility, growth and redistribution. Assoc Prof Ho stated that these macro statistics suggest Singapore’s socioeconomic compact has performed well, and suggests that sustaining inclusive growth is a multifaceted effort that cannot be boiled down to one single metric, whether income, wealth, inequality or mobility. He noted that pursuing ever-lower Gini coefficients through heavy regulation risks deadweight losses without guaranteeing better mobility outcomes. He added that Singapore’s approach of tempering market-driven …

Brand Switching Or Behavior Change: The 2023 Bud Light Boycott's Impact On Alcohol Purchases, Aljoscha Janssen

Research Collection School Of Economics

I study how the 2023 Bud Light boycott affected overall alcohol demand using household-level panel data and a set of difference-in-differences designs. Focusing on households that, before April 2023, regularly purchased Bud Light, I find a large drop in Bud Light volume (34%–37%), partial switching into other beer (＋70 to ＋90 ounces per month), and a net decline in total ethanol purchases of about 3–4 fl-oz per month, or roughly 5.5%–7.5% of pre-boycott intake. I detect no compensatory increase in wine or spirits. Scaled nationally, the quantity response is equivalent to roughly 150 million standard drinks per year; using CDC …

The Asymmetric Effects Of Posting An Online Review On Future Spending And The Dark Side Of Solicitations, Hulya Karaman

Research Collection Lee Kong Chian School Of Business

Motivated by the prevalence of online review creation and solicitation, this paper examines whether posting an online review impacts the reviewer’s future spending on the reviewed brand. Identifying the causal effects of posting an online review is challenging because reviewers self-select into posting, making it an endogenous decision. I overcome this challenge by using randomized online review solicitations as an instrument for the endogenous treatment variable of posting an online review and establish that doing so decreases the average future spending by the reviewers on the reviewed brand. Additionally, I show that soliciting customers to post increases their propensity to …

Perceptions Of Game-Based Assessments: The Role Of Test Takers' Occupational Background, Marie L. Ohlms, Klaus G. Melchers, Filip Lievens

Research Collection Lee Kong Chian School Of Business

Game-based assessments (GBAs) have become increasingly popular in personnel selection. However, research on perceptions of GBAs has yielded mixed results, highlighting the need to explore variables that may shape perceptions of GBAs. Therefore, we examined whether test takers' occupational background and other person-related characteristics (i.e., gender, age, video game usage, openness to experience) are associated with their perceptions of GBAs. N = 179 individuals from technical and social occupational backgrounds rated their perceptions of GBAs and non-gamified tests. We found that GBAs were generally rated more positively than non-gamified tests in terms of organizational attractiveness, behavioral intentions toward the organization, …

Women In Nursing Leadership In Saudi Arabia: A Narrative Review In The Context Of Vision 2030, Amal Arishi, Ali Hudays, Joyce J. Fitzpatrick

Faculty Scholarship

Despite women comprising the majority of the nursing workforce in Saudi Arabia, they remain under-represented in leadership roles. This narrative review explores the barriers and facilitators to women's advancement in nursing leadership within the framework of Saudi Arabia's Vision 2030. Key challenges include cultural norms, gender bias, limited recognition, and lack of leadership training. Facilitators such as national mentorship programs, leadership academies, and public image reforms offer promise. The review underscores the need for targeted nvestments in education, structured leadership pathways, and adaptation of international models to empower Saudi female nurses and support inclusive health system transformation.

Bridging Policy And Grassroots Action With Technology: A Framework For Civic Engagement In Environmental Sustainability, Mikhail Ola Adisa, Sonny Rosenthal, Shola Oyedeji, Ifeoma Adaji, Jari Porras

Research Collection College of Integrative Studies

Grassroots and civic organizations are increasingly recognized as “middle actors” in sustainability, leveraging ICT-driven solutions to bridge top-down policies with bottom-up citizen engagement and behavioral change. This study examines how civic organizations in Finland and Singapore integrate digital tools to support sustainable waste management practices aligned with Sustainable Development Goals 11, 12, and 17. Guided by a Design Science Research (DSR) approach and drawing on Middle-Out and multi-level governance theories, we developed and validated the Integrated Sustainability Engagement Framework (ISEF) based on interviews with 21 civic organizations and iterative feedback. Findings highlight the central roles of policy translation, localized practices, …

Leader Rounding For Outcomes To Improve Employee Retention, Laura R. Escobar

Electronic Theses and Dissertations

Intention to leave a nursing staff position, if not addressed, may lead to an increased rate of nursing turnover. High turnover rates can negatively affect staffing patterns, increase organizational costs, and disrupt the continuity of patient care. A quantitative quasi-experimental pre-/posttest design was used to evaluate the impact of the High Reliability Organization Leader Rounding for Outcomes tool to reduce the intent-to-leave scores, as measured by the Turnover Intention Scale (TIS-6), compared to current practice over 12 weeks. Implementation of the tool provided a structured leader rounding process designed to strengthen communication, recognize staff contributions, and proactively identify workplace concerns. …

Longevity, Resilience, And Thriving Of Women In Ministry: A Case Study Of Women In Ministry From A United Pentecostal Holiness Church, Eunice Cheryl Feltus Little

Electronic Theses and Dissertations

Abstract

The problem of ministry attrition caused by burnout is well documented. Research attributes the impact of burnout on the resilience, longevity, and thriving of ministry workers to role-related stress and adversity. High attrition rates throughout religious organizations and a lag in longevity and resilience contribute to a shortage of ministry workers. Some ministry workers leave the vocation because of stress and burnout, yet others persevere. Despite the possible adverse effects, many men and women find a sense of well-being and joy in ministry work. This qualitative distributive case study focused on those who stayed in ministry and the strategies …

Patient Wait Time And Throughput Interventions In The Cardiology Outpatient Setting, Chioma Ohiri Tawose

Electronic Theses and Dissertations

Healthcare collaboration and patient care require effective communication. Poor communication impacts wait time. Inadequate communication in the outpatient cardiology clinic can lead to disruptive patient throughput, or workflow, and extend patient length of visit. The purpose of this project was to implement a means of communication for clinicians and healthcare assistants to improve patient flow and cut down idleness, ultimately reducing patient wait time. The project established the incorporation of a built-in electronic health record communication notification system, the Event Button, for asynchronous communication between staff. A quantitative quality improvement design was used to conduct this project. Inferential and descriptive …

Grounding Is All You Need? Dual Temporal Grounding For Video Dialog, You Qin, Wei Ji, Xinze Lan, Hao Fei, Xun Yang, Dan Guo, Roger Zimmermann, Lizi Liao

Research Collection School Of Computing and Information Systems

In the realm of video dialog response generation, capturing both the essence of video content and the temporal nuances of conversation history is crucial. While some approaches rely on large-scale pretrained visual-language models, often neglecting temporal dynamics, others emphasize spatial-temporal relationships within videos but demand intricate object trajectory pre-extractions and overlook dialog temporal dynamics. This paper introduces the Dual Temporal Grounding-enhanced Video Dialog model (DTGVD), designed to bridge the gap between these two approaches. DTGVD uniquely integrates the strengths of both by emphasizing dual temporal relationships. It achieves this by predicting dialog turn-specific temporal regions, selectively filtering video content, and …

Learnable Game-Theoretic Policy Optimization For Data-Centric Self-Explanation Rationalization, Yunxiao Zhao, Zhiqiang Wang, Xingtong Yu, Xiaoli Li, Jiye Liang, Ru Li

Research Collection School Of Computing and Information Systems

Rationalization, a data-centric framework, aims to build self-explanatory models to explain the prediction outcome by generating a subset of human-intelligible pieces of the input data. It involves a cooperative game model where a generator generates the most human-intelligible parts of the input (i.e., rationales), followed by a predictor that makes predictions based on these generated rationales. Conventional rationalization methods typically impose constraints via regularization terms to calibrate or penalize undesired generation. However, these methods are suffering from a problem called mode collapse, in which the predictor produces correct predictions yet the generator consistently outputs rationales with collapsed patterns. Moreover, existing …

The Gains Do Not Make Up For The Losses: A Comprehensive Evaluation For Safety Alignment Of Large Language Models Via Machine Unlearning, Weixiang Zhao, Yulin Hu, Xingyu Sui, Zhuojun Li, Yang Deng, Yanyan Zhao, Bing Qin, Wanxiang Che

Research Collection School Of Computing and Information Systems

Machine Unlearning (MU) has emerged as a promising technique for aligning large language models (LLMs) with safety requirements to steer them forgetting specific harmful contents. Despite the significant progress in previous studies, we argue that the current evaluation criteria, which solely focus on safety evaluation, are actually impractical and biased, leading to concerns about the true effectiveness of MU techniques. To address this, we propose to comprehensively evaluate LLMs after MU from three aspects: safety, over-safety, and general utility. Specifically, a novel benchmark MuBench with 18 related datasets is first constructed, where the safety is measured with both vanilla harmful …

How The Dental Workforce Personifies Servant Leadership, William Chase Dds, Maom

The Journal of the Michigan Dental Association

This feature article explores various leadership styles, identifying servant leadership as the most relevant model for dental professionals. The author connects servant leadership to emotional intelligence (EI), detailing how traits like empathy, self-awareness, and active listening empower clinicians to build trusting patient relationships. By dedicating themselves to high standards of care and maintaining respect for patients, dental teams personify trusted providers. The feature encourages dentists to view themselves as leaders and oral health counselors.