Digital Commons Network^™

Dental Services Access And Oral Health Improvement In Gypsy, Romany And Traveller Communities: A Scoping Review, Martha Paisi, John Rowe, Joelle Booth, Lorna Burns, Janine Doughty, Afsha Musa, Robert Witton

Peninsula Dental School

BackgroundGypsy, Romany, and Traveller (GRT) populations experience poor oral health, with a recognised unmet need for care compounded by multiple barriers to accessing dental services. This scoping review aims to identify and map the available evidence, as well as gaps in the literature, relating to oral health improvement and access to care among GRT populations in Europe.MethodsStudies published in English relating to oral health improvement and/or access to care among GRT populations were included. Electronic databases searched comprised Embase (Ovid), Scopus (Elsevier), Web of Science (Clarivate), and Dentistry and Oral Sciences Source (EBSCOhost). In addition, a grey literature search was …

Obsessive-Compulsive Disorder In Three Understudied Populations: A Review Of Latino, Black, And Sexual & Gender Minority Individuals, Ryan J Mccarty, Ogechi C Onyeka, Caitlin M Pinciotti, Andrew D Wiese, Eric A Storch

Faculty, Staff and Students Publications

Purpose of review: This review overviews the research base for obsessive-compulsive disorder (OCD) among three historically understudied populations; Latino/Latin Americans, Black/African Americans, and Sexual and Gender Minority individuals.

Recent findings: Findings suggest that while core OCD symptoms are broadly similar across groups, sociocultural factors such as discrimination, minority stress, stigma, family context, spirituality, and access to care significantly influence symptom presentation, severity, and treatment utilization. Recent studies have evaluated assessment tools and provided evidence supporting exposure and response prevention, while emphasizing the importance of culturally responsive assessment and treatment. Large-scale initiatives are also improving representation in OCD research and addressing …

New Info On The Hunt For The Ring, Chad Bornholdt, Bill Fliss

Mythcon

With Bill Fliss's assistance, Chad plots the paths of all characters, including individual Nazgûl, throughout Book 1 of The Lord of the Rings.

Dari Teks Ke Makna: Model Interpretasi Bertingkat Sebagai Jawaban Atas Ketegangan Hukum Dan Keadilan, Erwin Susilo, Iustika Puspa Sari, Dharma Setiawan Negara

Jurnal Hukum & Pembangunan

The Indonesian rule of law emphasizes that law should not be understood merely in a legal-formal sense, but also in its moral and social dimensions. This study stems from the persistent tension between legal certainty and justice and the need for an interpretative method capable of bridging the two. The main objective of this research is to examine and formulate a model of tiered legal interpretation that integrates four approaches derived from the common law tradition—Literal Interpretation (LI), Golden Rule (GR), Mischief Rule (MR), and Purposive Approach (PA)—into the Indonesian legal system. This model has been contextually applied in jurisdictions …

Haunted, Will Travel: “Divided, Fractured, And Barely Legible” The Nightmare-Self In Harrow The Ninth, Atiyana Ringling

Mythcon

My research intends to bring Mark Fisher’s 2012 definition of Hauntology into conversation with the sci-fi journey in Tamsyn Muir’s Harrow the Ninth and its titular character. Using the lens of this Mythcon 54 to focus on the physical and parallel mental journey of Harrow, the physical journey traveled tracks and maps the “lost future” of the world’s inhabitants and questions the extent to which the physical road traveled can mask or hide its destructive inception. “The River” and road traveled in the novel are the result of catastrophic consumption and transformation of the Solar System by the novel's Emperor. …

From Dust Bowl To Digital: Fueling Your Research In The Mythsoc Archives, Phillip Fitzsimmons, Janet Brennan Croft, Victoria Gaydosik, Brice Odom

Mythcon

The 5,122 posted works in the Mythsoc digital collections have been downloaded 1,560,574 times from July 2017 to June 2026. These usage statistics show that scholarship posted on the Mythsoc digital collections serves the research needs of scholars internationally, provides free and easy discoverability to authors’ works, and usage reports to contributors that provide evidence of the impact of their work. The Panelists will present on the success of the first eight years of using the SWOSU Digital Commons as the platform for the Mythopoeic Society Archives. This presentation will introduce you to the Mythopoeic Society Collections page of the …

An Infinite Number Of Roads Diverged In A Wood: Robert Heinlein’S Maximalist Road Trip In The Number Of The Beast, Patrick Julian

Mythcon

Robert Heinlein, Grand Master of Speculative Fiction, was born in Butler, MO (one hour north of Route 66), raised in Kansas City, and lived much of his early adult life in Los Angeles, the westernmost terminus of Route 66. Given this proximity to the Mother Road, it’s no surprise that Heinlein spent a considerable portion of his career writing about various versions of the Road Trip, whether it was taken via foot, horse-drawn carriage, automobile or spaceship. The Roads Must Roll, his 3rd published short story (1940), name checks Route 66, while many of his early works of juvenile …

How To Use Your Mythsoc Membership Online, Megan B. Abrahamson, Alicia Fox-Lenz, Sean Marlow, Grace Moone

Mythcon

Panelists Grace Moone, Sean Marlow, and Alicia Fox-Lenz will give a tutorial on the new Mythopoeic Society membership platform. Now up and running and attached to our website, the new Membershipworks platform allows you to view your membership, getting us off a 30-year-old spreadsheet and into the 21st century! Bring your computer, phone or tablet as the Stewards showcase the uses of the platform and help you with any login issues.

International Student Athletes And The Covid-19 Global Pandemic: Disruption, Uncertainty, And Coping, Isabella M. Franks, Trent A. Petrie, Whitney G. Moore, Carmyn Hayes

Journal of Athlete Development and Experience

COVID-19 and its ripple effects (e.g., social distancing, sport cancellations, quarantining) negatively affected the careers of collegiate student-athletes. The disruption to university systems and collegiate athletics and the stress and uncertainty felt globally likely increased international student-athletes' (ISAs) risk for distress. Yet, ISAs also possessed unique characteristics and were immersed within supportive sport environments, which may have shaped their psychological responses in distinct ways. The COVID-19 pandemic created an opportunity to understand how ISAs, as individuals navigating both athletic and international identities, responded and coped. To date, no study has examined the initial coping experiences of international collegiate athletes, even …

'It's Going To Be Colder Than San Diego': Pre-Transition Experiences Of American Postgraduate Athletes At One British University, Lara Killick, Pete Schroeder

Journal of Athlete Development and Experience

Athlete migration is a visible element of the sport-globalization nexus. At the intercollegiate level, a new migration pattern has recently emerged. Numerous British universities are recruiting American postgraduate athletes for a variety of sports. International athlete migration has been examined using the cultural transition model (CTM) (Ryba et al., 2016). CTM features three phases that profile the developmental tracks migrant athletes experience in a new culture. This study used CTM to qualitatively explore the pre-transition experiences of American postgraduate athletes. Nineteen Americans playing at one British university were interviewed prior to the 2022-23 academic year. Data were recorded, transcribed, and …

The Scholar's Journey: The Limits Of Academic Discourse, Katherine Mcloone

Mythcon

Indrapramit Das's The Devourers (2015) follows a Kolkata historian who encounters a werewolf with a complicated past. As Alok learns more about the vibrancy of that past, he discovers truths about himself and about the mythic traditions still alive in the remote Sundarban forest.

Rivers Solomon’s The Deep (2019) portrays a historian from a culture of mermaid-like creatures descended from the pregnant women thrown overboard in the Middle Passage: She must leave her people so she can grapple with the weight of her profession. In R.F. Kuang's Katabasis (2025), two post-graduate students studying magick travel to the underworld to rescue …

The Road Goes Ever On: Teaching Tolkien In Colleges Today, Leslie A. Donovan, Megan B. Abrahamson, Cami D. Agan, Katherine Wyma, Joseph Rex Young

Mythcon

As Tolkien studies has evolved, Middle-earth no longer needs to be defended as a legitimate academic subject. Today, Tolkien’s works are commonly taught as literary classics in colleges and universities alongside other mythic traditions such as The Odyssey and Beowulf. For students, however, the meaning of “classic” can be complicated. Many students encounter Tolkien long before entering college through popular media, films, games, and digital fandom, while the historical, linguistic, and cultural contexts that informed his writing (war, philology, faith, and medievalism, among others) can feel increasingly distant. As a result, Tolkien’s works may seem both deeply familiar and …

Travel In Ryan Coogler’S Sinners: The Going-Ons Of The Smoke Stack Twins And Remmick, Mena Nizam

Mythcon

This paper explores the adventures of the Smoke Stack Twins, Remmick the Vampire, the themes of travel (via walking, running, driving) their jukebox joint, its placement in a sawmill along the Mississippi Travel/black issues/the character of Remmick. The theme is purely on travel and the symbolism of traveling while experiencing racism.

Shared Trauma, Shared Drama: Faërian Drama In Russian Doll And Elsewhere, Janet Croft

Mythcon

In his seminal essay “On Fairy-stories” (1939), J.R.R. Tolkien introduces the concept of Faërian drama: experiences with a “realism and immediacy beyond the compass of any human mechanism,” where the viewer feels he is “bodily inside [a] Secondary World” but instead is “in a dream that some other mind is weaving.” This framing structure is used, though not called by this name, in many other texts. In a series of four previously published essays, I have attempted to explore and codify this concept. Picking up a theme hinted at but not explored in my previous papers, what happens when the …

Kinship Caregivers Feel More Satisfied With Services And Better Supported With A Kinship Navigator, Berenice R. Rushovich, Kristin Sepulveda Muñoz, Brittany Mihalec-Adkins, Brooke Derrick, Karin Malm

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Kinship caregivers caring for children often lack access to services and supports they need to stabilize their families. Other kinship navigator programs have been shown to improve child permanency, child safety, child wellbeing, and adult wellbeing. This study evaluated Kinnections, a kinship navigator program provided by Wayfinder Family Services, operating since 2007 in seven counties in Northern California. Using propensity score matching, 116 kinship caregivers receiving Kinnections services were matched with 116 kinship caregivers in neighboring counties with no kinship navigator services available. The matched sample showed strong baseline equivalence on key caregiver, child, and household factors. Findings showed …

Vietnamese Grandparents' Caregiving Experiences For Grandchildren Impacted By Hiv/Aids: An Ethnographic Study, Lesley M. Harris, Nguyen D. Thang, Linh Thuy Nguyen

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

This ethnographic study explores the caregiving experiences of grandparents in northern Vietnam who are raising grandchildren impacted by HIV/AIDS. Specifically, what is the process of skipped-generation caregiving in families affected by HIV/AIDS in Vietnam? Data were collected between 2009 and 2011 through participant observation and in-depth interviews with 26 grandparent caregivers and eight key informants. Informed by the Caregiving Career framework as a sensitizing concept and using constructivist grounded theory analytic strategies, the study identifies four interconnected caregiving phases shaped by cultural expectations, stigma, and intergenerational disruption. Through fieldwork and analysis, we found that grandparents drew from previous and current …

Improving Student Engagement In Mastery Learning Through Improvement Science: A Study In A Stem Laboratory School, Jason C. Mcgregor

Education Theses and Dissertations

This improvement science dissertation seeks to address challenges in the effective implementation of a mastery-based instructional model in an open-enrollment K-12 charter school. Many students have demonstrated low motivation for completing formative learning activities, which are essential for personalized feedback and intervention. When students do not complete these activities, content mastery is hindered. This study utilizes improvement science to explore the root causes of the problem, evaluate the effects of previously used interventions, and test an intervention to improve student engagement. Preliminary analyses identified several contributing factors, including students’ feelings of incompetence with the content, frustration with grading policy, untimely …

Depression And Psychotic Disorders Elevate Inpatient Burden After Posterior Cervical Decompression And Fusion: Prioritizing Screening And Targeted Discharge Planning, Leonidas E. Mastrokostas, Paul G. Mastrokostas, Daniel Yusupov, Abigail Razi, Aaron B. Lavi, Luke B. Schwartz, Sean Inzerillo, Mohamed Said, Alexander Kucherina, Pemla Jagtiani, Arie Monas, John K. Houten, Christopher K Kepler, Jad Bou Bou Monsef, Afshin E. Razi, Mitchell K. Ng

Rothman Institute Papers

CONTEXT: Psychiatric comorbidity has been associated with worse perioperative outcomes and greater healthcare utilization after spine surgery.

AIMS: This study compared complications and healthcare utilization among posterior cervical decompression and fusion (PCDF) patients with depression, psychotic disorders, or no mental-health diagnosis.

SETTINGS AND DESIGN: Retrospective cohort analysis of the National Inpatient Sample from 2016 to 2022.

MATERIALS AND METHODS: The database was queried for elective adult PCDF encounters. Mental-health exposures were defined using Elixhauser indicators for depression and psychoses. Outcomes included medical complications, non-routine discharge, inpatient mortality, length of stay (LOS), and costs.

STATISTICAL ANALYSIS USED: Chi-square and multivariate logistic …

Incorporating Global Perspectives Through Coil In Reproductive Health Nursing Education, Catherine Crawford, Rhonda Lanning, Elisabeth Hemnes Aanensen, Grethe Aarreberg

International Nursing Research Congress (INRC)

Global learning is based on the principle that the world is a collection of interdependent systems and that higher education plays a vital role in fostering learners' ability to advance equity and justice (Zhou, 2022). Collaborative Online International Learning (COIL) is a pedagogical approach which allows students to participate in virtual global learning activities encouraging development of critical thinking, creativity, problem-solving and teamwork skills, while enhancing recognition of diverse and global perspectives (Shaw et al., 2025) viewed as essential for safe patient care (Te et al, 2019). COIL has been in use in many universities in the United States and …

Simbinder-If: Structure-Aware Antibody Affinity Optimization Via Efficient Preference Learning, Xinyan Zhao, Yi-Ching Tang, Rivaaj Monsia, Victor J Cantu, Ashwin Kumar Ramesh, Siyu Yang, Xiaozhong Liu, Zhiqiang An, Xiaoqian Jiang, Yejin Kim

The Brown Foundation: Institute of Molecular Medicine

Motivation: Antibody therapeutic efficacy depends on high-affinity target engagement, yet laboratory affinity maturation is slow and costly. Most protein language models (PLMs) lack explicit training for high affinity, and current preference optimization methods introduce computational overhead without clear affinity improvements. Therefore, structure-aware and parameter-efficient approaches for antibody affinity optimization are urgently needed.

Results: We propose SimBinder-IF, a structure-aware antibody optimization model trained by freezing the Evolutionary Scale Modeling inverse folding (ESM-IF) structure encoder and fine-tuning only its decoder via Simple Preference Optimization (SimPO) to prefer stronger binders. In generalization tests across seven held-out complexes (93 477 mutants), SimBinder-IF shows a …

Higher Mortality And Distinct Complications After Anterior Cervical Discectomy And Fusion In Dialysis Patients, Despite Improvements Over Prior Decade: A National Inpatient Study, Mitchell K. Ng, Leonidas E. Mastrokostas, Paul G. Mastrokostas, William A. Green, Joshua Mathew, Gregorio Baek, Yasmine Eichbaum, Yulia Lee, Morgan Hitchner, Jonathan Dalton, Adam Fano, Alec Giakas, Rajendra Singh, Brendan Reitman, Afshin E. Razi, Daniel R. Fassett, Alan S. Hilibrand, Alex R. Vaccaro, Christopher K. Kepler, Gregory D. Schroeder, Andrew P. Alvarez

Rothman Institute Papers

Introduction: Dialysis patients undergoing anterior cervical discectomy and fusion (ACDF) face elevated perioperative risk due to complex comorbidities. This study aimed to (1) identify associations between dialysis status and perioperative complications after ACDF, (2) quantify differences in length of stay (LOS), hospitalization costs, and discharge disposition, and (3) provide a contemporary national benchmark for outcomes in this high-risk population. Materials and Methods: The 2016–2022 National Inpatient Sample was queried for adult elective ACDF cases. Dialysis dependence was identified through International Classification of Diseases-10 codes for end-stage renal disease with hemodialysis or peritoneal dialysis. Demographics, comorbidities, complications, LOS, costs, and discharge …

How Christians Get "Calling" Wrong, David J. Mulder

Faculty Work Comprehensive List

"How can you faithfully follow Jesus, using what God has given you to joyfully work towards addressing... broken places?"

Posting about Christian vocation from In All Things, a blog which highlights the shared faithful and orthodox Reformed Christian perspective of our writers, exploring how to fearlessly engage with every aspect of modern life—until all is made new.

How Christians Get "Calling" Wrong

Dnp Final Report: Improving Length Of Stay Outcomes Using Structured Barrier Rounds: A Quality Improvement Project, Martha Kwamboka Apella

DNP Final Reports

Prolonged length of stay (LOS) in the acute care setting is a challenging issue driven by multiple factors. Increased LOS is associated with mortality, hospital-acquired infections, patient safety events, functional impairment, decreased quality of life, social isolation, and increased cost of care. The causes of increased LOS in the medical-surgical unit are unclear, necessitating an evidence-based project to address the problem. The purpose of this quality improvement initiative was to implement structured interdisciplinary barrier rounds and evaluate their effect on LOS, opportunity days, and estimated cost of care in a medical-surgical unit. The facility complex care coordinator (CCC) was identified …

Economic Warfare: A Foundation For Twenty-First-Century Strategic Practice, Greg Kennedy, Antulio J. Echevarria Ii, Anna Brinkman-Schwartz

Books, Monographs & Collaborative Studies

For over a decade and a half, concerns and tensions between states have been arising over the use of the economic domain in the peer-to-peer competition between large powers. Through this competition, powers aim to gain an economic advantage in their relative positions in the international order. The peer-to-peer competition between large powers has been seen as a growing facet of the strategic competition between the United States and China. The beginning of the Russia-Ukraine War in February 2022 elevated the Sino-American peacetime economic competition from one that could be classified as a hybrid form of warfare, a condition of …

Is Originalism Orthodoxy?, Neel Sukhatme

Articles

What theory of constitutional interpretation has the Supreme Court followed? We search Supreme Court opinions for a wide range of sources that originalists identify as central to their methodology, over the entire universe of cases beginning in 1791. We find that for much of Supreme Court history, conventional indicators of originalist practice--citations to Founding-era sources--are largely absent, raising questions about originalism's past orthodoxy. Originalist citation practices are absent for much of the 19th century and grow sharply in the late 20th century. The Article elaborates the implications of these findings for debates in constitutional law.

Ai-Based Multimodal Teaching: Effects On Nursing Students’ Learning Engagement And Oral Expression, Pei-Lin Hsieh

International Nursing Research Congress (INRC)

Over the past few decades, English-medium instruction (EMI) has been widely adopted in higher education to strengthen students’ global competence. In Taiwan’s nursing education, EMI courses aim to enhance professional communication in international healthcare settings; however, they also pose challenges in balancing language proficiency and clinical knowledge. Traditional lectures often fail to promote engagement or improve oral communication. Integrating artificial intelligence (AI) with multimodal teaching design offers a promising pathway for creating interactive, adaptive, and student-centered learning experiences. This study developed an EMI medical record reading curriculum integrating a multimodal design with AI technology and examined its effects on nursing …

Dupilumab For Patients With Allergic Fungal Rhinosinusitis, Amber U Luong, Joshua M Levy, Sarah K Wise, Joseph K Han, Mamoru Yoshikawa, Luo Zhang, Rodney Schlosser, Prerna Ranganathan, Paula Dakin, Jennifer Maloney, George D Yancopoulos, Andrew P Fontenot, Neelam A Phadke, Lacey R Robinson

The Brown Foundation: Institute of Molecular Medicine

Background: Allergic fungal rhinosinusitis (AFRS) is a severe subtype of chronic rhinosinusitis characterized by fungal hypersensitivity and accentuated type 2 inflammation. Dupilumab-a fully human mAb blocking IL-4/13, approved for type 2 inflammatory diseases, including chronic rhinosinusitis with nasal polyps-may benefit patients with AFRS.

Objective: We sought to understand the effect of dupilumab in AFRS.

Methods: In this phase 3 trial, patients with AFRS age ≥6 years were randomized to dupilumab or matched placebo for 52 weeks. The primary end point was Lund-Mackay computed tomography score, quantifying sinus opacification, at 52 weeks. Secondary end points were multiplicity-controlled and hierarchically tested.

Results: …

Effects Of Non-Surgical Periodontal Therapy On Dental Plaque Microbiome, Qingguo Wang, Bing-Yan Wang, Derek Wilus, Hua Xie

Faculty, Staff and Student Publications

Periodontitis, a chronic inflammatory disease affecting approximately 40% of U.S. adults aged 30 years and older, is characterized by dysbiosis of the dental plaque microbiome. However, although scaling and root planing (SRP) is the cornerstone of periodontal treatment, its effects on the taxonomic composition and functional potential of the dental plaque microbiome remain incompletely understood. In this study, we used whole-metagenome shotgun sequencing to characterize taxonomic composition and functional potential in dental plaque microbiomes collected from 39 patients with Stage II or III generalized periodontitis before and 3–4 months after SRP. Consistent with clinical improvement, periodontal therapy significantly reduced probing …

Hospital-Acquired Infections Among Hispanic Diabetic Patients: Considering Geographic And Substance Use Factors In Southern Puerto Rico, Fabian A. Ramirez Rivera

Walden Dissertations and Doctoral Studies

Hospital-acquired infections (HAIs) remain a major cause of preventable morbidity, mortality, and healthcare utilization among hospitalized patients. Limited research has examined the relationship between diabetes and HAIs in Puerto Rican populations. The purpose of this quantitative cross-sectional study was to examine the prevalence of type 2 diabetes mellitus (T2DM) and its association with HAI characteristics and hospitalization outcomes among patients in southern Puerto Rico. The chronic care model provided a framework for evaluating whether diabetes status, geographic location, and substance use were associated with outcomes. Data were obtained through retrospective review of electronic health records from N = 846 patients …

Board Of Trustees Agenda, Jul. 24, 2026, Indiana State University Board Of Trustees

Board of Trustees

Indiana State University Board of Trustees meeting agenda