Digital Commons Network^™

Evaluating Artificial Intelligence Large Language Mocdels In Dental Education: A Cross-Sectional Survey On Usage, Perceptions, And Integration At A U.S. Dental Scho, Celine Sheng, Camie Mcfarland, Nikola Angelov, Sridhar V K Eswaran, Richard Halpin, Jennifer Chang

Faculty, Staff and Student Publications

Introduction: The adoption of artificial intelligence (AI) in higher education presents opportunities and challenges for dental education. This study explores the use of Large Language Model (LLM) based AI tools, including ChatGPT and Grammarly AI, among faculty and students at the UTHealth School of Dentistry in Houston (UTSDH). This research assessed usage patterns, perceived benefits and concerns, and AI training demand.

Methods: A piloted, cross-sectional survey was administered via email. The survey included Likert-scale, multiple-choice, and open-ended questions. Respondents provided demographics and rated their LLM-based AI tools for use and perceptions in educational, clinical, and research contexts. Data was analyzed …

Treatment Manual For Sequential Format. Two Part Program For Symptom Self-Management (12 Session Course & Support Group For Booster Dose Of Course)., Robin Buccheri, Louise Nigh Trygstad, Martha D. Buffum

Nursing and Health Professions Faculty Research and Publications

This is the Treatment for Sequential Format Two Part Program for Symptom Self Management of Auditory Hallucinations (12-Session Course & Support for Booster Dose of Course).

Treatment Manual For Nonsequential Format. Two Part Program For Symptom Self-Management (12 Session Course & Support Group For Booster Dose Of Course)., Robin Kay Buccheri, Louise Nigh Trygstad, Martha D. Buffum

Nursing and Health Professions Faculty Research and Publications

This is the Treatment Manual for NonSequential Format: Two-Part Program for Symptom Self-Management of Auditory Hallucinations: 12 Session Course & Support Group for Booster Dose of Course

N Y State Dent J January 2026

The New York State Dental Journal

In the January 2026 issue, the reader will find the following feature articles:

• No Need to Travel the Road to Licensure Renewal Alone
• IPS Subperiosteal Implant for the Maxilla and Mandible
• Amyloidoma of the Palate
• Titanium Hypersensitivity as Possible Cause of Dental Implant Failures

This issue includes regular columns with regional news impacting the New York membership including editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Health Literacy/Numeracy-Related Factors Affecting Interpretation In Medical Laboratory Values, Rachel L. Childs

School of Medical Diagnostics & Translational Sciences Publications

Background

Health literacy and numeracy are broad terms that relate to a patient’s understanding of their health information. While there is a substantial amount of research on this topic in a general sense as well as in relation to how deficiencies in these skills impact patients’ understanding of laboratory results, little is known regarding the extent to which underlying factors, which are impacted by health literacy/numeracy, affect how patients interpret their results. This literature review attempts to shed light on the current literature on this more focused and narrow issue, including recommendations to address these barriers.

Content

To perform this …

A Complete Diploid Human Genome Benchmark For Personalized Genomics, Nancy F. Hansen, Nathan Dwarshuis, Hyun Joo Ji, Arang Rhie, Hailey Loucks, Glennis A. Logsdon, Mitchell R. Vallger, Jessica M. Storer, Juhyun Kim, Eleni Adam, Nicolas Alternose, Dmitry Antipov, Mobin Asri, Sofia Barreira, Stephanie C. Bohaczuk, Andrey V. Bzikadze, Sara A. Carioscia, Andrew Carroll, Kuan-Hao Chao, Yanan Chu, Arun Das, Peter Ebert, Adam English, Mark Fleharty, Laura E. Fleming, Giulio Formenti, Andrea Guarracino, Gabrielle A. Hartley, Katharine Jenike, Jenna Kalleberg, Yu Kang, Robert King, Josipa Lipovac, Mira Mastoras, Matthew W. Mitchell, Shloka Negi, Nathan D. Olson, Keisuke K. Oshima, Luis F. Paulin, Brandon D. Pickett, David Porubsky, Jane Ranchalis, Desh Ranjan, Mikko Rautiainen, Harold Riethman, Robert D. Schnabel, Fritz J. Sedlazeck, Kishwar Shafin, Mile Sikic, Steven J. Solar, Alexander P. Sweeten, Winston Timp, Justin Wagner, Dongahn Yoo, Ying Zhou, Erik Garrison, Evan E. Eichler, Michaeel C. Schatz, Andrew B. Stergachis, Rachel J. O'Neill, Karen H. Miga, Steven L. Salzberg, Sergey Koren, Justin M. Zook, Adam M. Phillippy

School of Medical Diagnostics & Translational Sciences Publications

Human genome sequencing typically relies on mapping reads to a reference genome to call variants, but this approach introduces technical biases, excluding duplicated and structurally polymorphic regions of the genome. To overcome this, we present a telomere-to-telomere genome benchmark with near-perfect accuracy across 99.4% of the diploid HG002 genome. This benchmark adds 701.4 Mb of autosomal sequence and both sex chromosomes (216.8 Mb), which were absent from prior benchmarks. We annotated genes and repeats on both haplotypes, including 19,956 protein-coding genes on the maternal haplotype and 19,190 on the paternal haplotype, and developed new methods to measure the accuracy of …

Commercial Determinants Of Health Revisited: Integrating Business Scholarship For Greater Public Health Impact, Junghoon Park, Bryan W. Husted

Management Faculty Works

In her influential 2020 review in Globalization and Health, Mialon synthesizes the commercial determinants of health (CDOH) literature and underscores how commercial actors are connected to public health through the institutional environments in which they operate. Much of this research conceptualizes firms as institutionally embedded but relatively homogeneous actors, emphasizing external practices such as the production and promotion of harmful commodities, lobbying, and corporate social responsibility initiatives. While recent CDOH scholarship has begun to recognize the importance of organizational-level factors, few studies analyze the internal processes through which corporate conduct with public health consequences emerges. We argue that integrating insights …

Pregnant Women’S Attitudes And Intentions Toward Tuberculosis, Malaria, Group B Streptococcus, And Respiratory Syncytial Virus Vaccines In Pregnant: Findings From A Cross-Sectional Study Of Pregnant Women Living In Brazil, Ghana, Kenya, And Pakistan, Rupali Limaye, Jessica Schue, Berhaun Fesshaye, Prachi Singh, Emily Miller, Renato Souza, Saleem Jessani, Marleen Temmerman, Caroline Dinam Badzi, Molly Sauer, Vanessa Brizuela, Ruth Karron

Centre of Excellence in Women and Child Health

There are numerous infections that can adversely impact a developing fetus, neonates, and pregnant women, and there is limited research related to how specific infections experienced during pregnancy can affect these populations. Tuberculosis (TB), malaria, Group B streptococcus (GBS) and respiratory syncytial virus (RSV) can cause negative outcomes to maternal and neonatal health. For TB and GBS, there are vaccines in various stages of clinical trial development, and malaria and RSV vaccines are available. This study aimed to examine pregnant women’s attitudes toward TB, malaria, GBS, and RSV vaccines in Brazil, Ghana, Kenya, and Pakistan. We administered a cross-sectional survey …

Alternative English Language Development Scheduling In High School: Long-Term English Learners’ Attitudes And Perceived Control, Kira Rashada

University of the Pacific Theses and Dissertations

This explanatory sequential mixed-methods study examined whether an alternative English Language Development (ELD) scheduling model influenced ninth-grade Long-Term English Learners’ (LTELs) attitudes toward school and perceived control at a California high school operating on a block schedule. Guided by Self-Determination Theory (Ryan & Deci, 2000), the study explored how differing ELD scheduling models may shape students’ experiences related to autonomy, competence, and relatedness. Specifically, the study compared ninth-grade LTEL students who participated in a traditional 90-minute ELD course during the 2023-24 school year with students who participated in an alternative scheduling model during the 2024-25 school year in which designated …

Words That Heal Or Harm: A Narrative Review On Language Use In Nursing Care.", R. Sudha, A.S. Neya

Manipal Journal of Nursing and Health Sciences

No abstract provided.

Challenges In Implementing Digital Health Solutions For Pressure Ulcer Management: A Narrative Review, Shreenidhi Jogi, Elsa Sanatombi Devi, Vishal Shanbhag

Manipal Journal of Nursing and Health Sciences

Background: Digital pressure ulcer care solutions are both accurate and well-developed in terms of technology. However, a gap remains between available digital solutions and their use in everyday pressure ulcer care practices. This review aims to summarize the technical, human, and system-level challenges that restrict the effective application of digital health solutions in pressure ulcer management.

Methods: The search was conducted in CINAHL, PubMed, Scopus, Web of Science, and EMBASE. Studies that reported implementation challenges in their findings were included.

Results: Infrastructure barriers were about more than just having internet access. Issues such as inconsistent system performance and hardware malfunctions …

The Connectedness Between Awareness And Practice Of Waste Control And Recycling In Urban Villages: A Cross-Sectional Community-Based Study., Nelifer Shreya Ammanna, Jeenal Valine Mendonca, Chethan Kunder, Sushwetha Poojary, Swagath Nayak, Ansuya Ansuya, Mitchelle Shilpa Lewis

Manipal Journal of Nursing and Health Sciences

Introduction: Waste management is an increasing problem that occurs globally due to expanding population around the globe. Researchers worldwide are working towards ending this problem that impacts the environment and people's health. The knowledge of the wastes produced and how we manage them is vital for the population to understand; knowing about it and practicing the same will create a ripple effect on the waste generated by the people.

Objective: To determine the condition of the urban villages in terms of awareness and practice of waste management, and to know whether these are interrelated.

Methods: A quantitative approach with …

Inward Versus Outward Foreign Direct Investment And Economic Growth: A Case Study Of China, Xiaoning Chen

Plymouth Business School Theses

The thesis aims to investigate the determinants of IFD and OFDI and their impact on economic growth. To bridge the research gap, this study uses China as a case study and structures three empirical chapters to investigate the relationship between IFDI, OFDI and economic growth.The structure of the study consists of six chapters, the first empirical study uses time series data and applies the Autoregressive Distributed Lag (ARDL) techniques to investigate the determinants of IFDI from 1980 to 2023, aiming to investigate the determinants of China’s IFDI. The findings demonstrate market openness, human capital, inflation and market size are the …

Prediction Of Phytocompounds For Environmental Sustainability: A Framework Using Computational Tools, Ankita Halder, Sayoni Dam, Sisir Nandi, Asmita Samadder

Trends in advanced sciences and technology

In response to the abruptly elevated environmental impact caused by the usage of chemical-based synthetic compounds in agricultural fields and pharmaceutical pollution, phytocompound-based products have become the choice of use for their ability to foster environmental sustainability. The potential of new phyto-based compounds has been explored in agriculture, phytoremediation, etc. Computer-based in silico prediction through ADMETlab 2.0, SwissADME, and Way2Drug software secured an important role in screening of these phyto-based compounds in terms of lethal concentration (LC₅₀FM, LC₅₀DM), Bioconcentration Factors, IGC50, and role in the TOX21 pathway ahead of their environmental exposure. These aforementioned softwares also …

Early Stem Impressions, Student Engagement, And Readiness For Digitalization, Myron Sheu

Journal of International Technology and Information Management

This study examines how early impressions of science, technology, engineering, and mathematics (STEM) shape business students’ learning behaviors and, ultimately, their readiness for organizational digitalization. Focusing on gender differences, subgroup identities, and perceived obstacles, the analysis uses survey data processed through correlation matrices, regression models, and subgroup heatmaps to trace the relationship between initial attitudes toward STEM and subsequent engagement patterns. The findings reveal consistent links between positive early impressions and active participation in structured STEM activities, along with gender-based distinctions in action preferences. Subgroup analyses further uncover nuanced patterns where stereotypes or perceived barriers correspond with reduced engagement. Collectively, …

Does Digital Innovation Matter For Hospital Efficiency? Evidence From U.S. Hospitals, C. Christopher Lee, Shihui Fan, Jung Young Lee, David W. Hwang

Journal of International Technology and Information Management

Purpose – This study examines the impact of digital innovation on hospital performance, providing evidence to guide healthcare administrators and policymakers in making informed decisions regarding digital investment.

Design/Methodology/Approach – Using data from the 2020 American Hospital Association (AHA) U.S. Hospital Survey and the 2019 AHA Information Technology Survey, we empirically analyze the relationship between five dimensions of digital innovation—automation, cybersecurity, telehealth, health information exchange (HIE), and IT spending—and three efficiency indicators: occupancy rate, capacity productivity, and manpower productivity.

Findings – The results show that digital innovation has varying effects on hospital efficiency. Automation is positively associated with capacity and …

Predicting Tilt In Esports: A Psychophysiological Approach To Understanding Player Emotional Regulation, Nathan Rhea

University of the Pacific Theses and Dissertations

Emotional regulation and stress management are important to both casual and competitive esports players. When players become dysregulated, they experience a phenomenon known as “tilt” within the gaming community, where they often lose control of their emotions and their performance declines. This study aimed to investigate whether a psychophysiological variable in heart rate variability could predict tilt in college-age esports players. Additionally, the relationship between heart rate variability and emotions predicted by the Tiltometer system with gameplay performance and winning or losing was tested.

This study used a quantitative correlational research design. Participants for this study were college-age players (N=23) …

Exploring Resiliency, Identity, And Access: Educational Narratives Of Adults Who Experienced Youth Homelessness, Taylor Mestres

University of the Pacific Theses and Dissertations

This study explored the educational experiences of adults who experienced homelessness during their youth, focusing on how instability, stigma, and resilience shaped their K-12 schooling. Guided by Maslow's hierarchy of needs and resiliency theory, the research employed a narrative inquiry approach with seven adult collaborators who reflected on their schooling while experiencing housing instability. Seven themes emerged: living between places, school as sanctuary, concealment and stigma, resilience and survival, the role of educators and support systems, thriving despite adversity, and retrospective recognition. Findings reveal that while housing instability and shame created significant barriers to learning and belonging, schools also functioned …

Organizational Executives’ Perspectives On Cultural Humility And Diversity, Lynette Piggee-Pinero

University of the Pacific Theses and Dissertations

The purpose of this action-oriented dissertation was to understand how executives perceive their own cultural humility and how their perceptions impact diversity promotion in the workplace. This study used action research to examine the perspectives of executives on their own cultural humility and how cultural humility promotes diversity. This study included data collected from interviews with eight executives. Findings from the study revealed that executives perceived their own cultural humility as evident in a commitment to learning about others, their ability to suspend their own biases, and their commitment to ongoing learning. The findings were also that executives expressed connections …

The Teacher Shortage Crisis: How Workplace Relationships Influence Retention, Attrition, And The Education Labor Market, Jeremy Brooks

University of the Pacific Theses and Dissertations

This study took a closer look at how high school teachers perceive the ongoing teacher shortage, with particular attention to how workplace conditions and the broader school climate impact whether they choose to stay in the profession. Special focus was given to teachers in their first five years, a group especially vulnerable to early attrition. As the conversation around teacher turnover grows louder, this research seeks to better understand what’s driving teachers’ decisions from their own perspectives, not just policy data or administrative assumptions.

The study used a basic qualitative research design, relying on one-on-one, in-depth interviews to gather insights …

Coaching-Based Leadership Communication In Higher Education Hybrid Work Environments, Lisa Erck

University of the Pacific Theses and Dissertations

This study examined how coaching-based leadership (CBL) communication practices were associated with participants’ perceptions of communication, collaboration, and engagement within a hybrid higher education work environment. Grounded in constructivist leadership theory (CLT), CBL, and action research (AR), the study explored how intentional shifts in leader communication behaviors influenced team interactions over time. Using a qualitative AR design, I partnered with a higher education administrative leader and their team in a hybrid setting. The participant group included the leader and their direct reports. Data were collected across iterative AR cycles through semistructured interviews, observational data, and participant reflection journals. Data analysis …

Empowering Equity: Latinas In Leadership – Navigating Work-Life Balance In The Post-Pandemic Era, Teresa Excinia

University of the Pacific Theses and Dissertations

This dissertation explored the lived experiences of Latina leaders as they navigated how cultural expectations influenced work–life balance in the post-pandemic era. The COVID-19 pandemic reshaped workplace dynamics, blurring boundaries between professional responsibilities and personal life. For Latinas, these challenges were compounded by cultural expectations that shaped their roles both at home and in the workplace. The purpose of this study was to understand how Latina leaders managed the dual pressures of balancing career demands with cultural and familial obligations. Using Testimonio as the methodological framework, this study captured the voices and narratives of Latina leaders across industries, offering an …

What Makes A Family: Steepparent's Experiences Supporting Children With Autism In School Systems, Veronica Barrera

University of the Pacific Theses and Dissertations

This qualitative multiple case study explored the lived experiences of stepparents of children with autism spectrum disorder, examining how they navigate their roles within school and family systems during early elementary years (kindergarten through second grade). Despite the increasing prevalence of blended families, stepparent perspectives remain largely absent from research. Stepparents often occupy ambiguous legal and social positions that limit their access to educational information and participation in IEP meetings and school decision-making. Two stepparents of children with Level 1 autism participated in semi-structured interviews. Data were analyzed using inductive coding and thematic analysis, with narrative restorying to preserve participants’ …

Inspiring Voices: The Impact Of Poetry Education, Nancy Aide Gonzalez St.Clair

University of the Pacific Theses and Dissertations

Poetry education is frequently viewed as an enrichment activity rather than a critical practice that supports academic, emotional, and social development. This qualitative exploratory case study examined how participation in a nonprofit creative writing program in northern California influenced the cognitive development, emotional well-being, communication skills, empathy, and perspective taking of young adults. The study was guided by constructivism, radical constructivism, and symbolic interactionism. It centered on the lived experiences of six poetry program alumni aged 18 to 25. The researcher collected data through semi-structured Zoom interviews and poetry portfolios containing three poems selected by each participant. I used inductive …

Chromnet: A Multi-Task Learning Framework For Cross-Cell Type Prediction Of 3d Chromatin Interactions Using Epigenetic Signals, Bin Wang, Shaokai Wang, Liqing Ding, Hongdong Li, Yaohang Li, Jianxin Wang

Computer Science Faculty Publications

The 3D organization of chromatin plays a fundamental role in gene regulation, cellular function, and disease mechanisms. However, current experimental techniques, such as Hi-C, remain costly and labor-intensive, limiting their application in large-scale and disease-related studies. To address this challenge, ChromNet is presented, a multi-task learning framework that integrates epigenetic signals across diverse cell types to enable high-precision prediction of chromatin architecture. By incorporating noise perturbation and auxiliary classification tasks, ChromNet improves the identification of topologically associating domains (TADs) and cell-type-specific chromatin structures, demonstrating superior generalization performance. Notably, ChromNet accurately predicts chromatin interactions in acute myeloid leukemia (AML) samples by …

A Comprehensive Overview Of Neurophysiological Correlates Of Cognitive Impairment In Amyotrophic Lateral Sclerosis, Seyyed Bahram Borgheai, Brie E. Achorn, Alyssa H. Zisk, Sarah M. Hosni, Karl E. G. Richter, Frank S. Menniti, Yalda Shahriari

Computer Science Faculty Publications

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that leads to the gradual loss of motor control, typically resulting in paralysis and death within 3 to 5 years of diagnosis. ALS shares neuropathological and genetic associations with fronto-temporal dementia (FTD), a neurodegenerative condition primarily impacting cognitive functions. These two conditions are increasingly viewed as manifestations of a single molecular disease process that affects distinct brain systems, impacting motor neuronal pathways in ALS and fronto-cortical functions in FTD. However, this simple dichotomy belies the complexity of these conditions. In particular, patients with primary motor ALS can also experience significant cognitive …

Near Real-Time Adaptive Isotropic And Anisotropic Image-To-Mesh Conversion For Cerebral Aneurysm Simulations, Kevin Garner, Chander Sadasivan, Nikos Chrisochoides

Computer Science Faculty Publications

This paper presents two performance optimization techniques for a mesh adaptation method that is designed to help streamline the discretization of complex vascular geometries within the numerical modeling process. This method is integrated into a pipeline with an image-to-mesh conversion tool to generate adaptive anisotropic meshes from segmented medical images. The pipeline is shown to satisfy quality, fidelity, smoothness, and robustness requirements while providing near real-time performance for medical image-to-mesh conversion. Tested with two brain aneurysm cases and utilizing up to 96 CPU cores within a single, multicore node on Purdue University’s Anvil supercomputer, the parallel adaptive anisotropic meshing method …

Sage: Spatially Aware Gene Selection And Dual-View Embedding Fusion For Domain Identification In Spatial Transcriptomics, Yi He, Yunpei Xu, Liqing Ding, Hong-Dong Li, Yaohang Li, Shaokai Wang

Computer Science Faculty Publications

Despite enabling high-resolution mapping of gene expression within tissues, spatial transcriptomics (ST) still faces challenges in accurately segmenting spatial domains due to complex tissue architecture and limitations of current methods. Most approaches rely on local spatial priors, lack gene-level interpretability, and fall short in capturing structure-discriminative genes or long-range functional relationships, limiting their ability to resolve biologically meaningful architectures. We present Spatially Aware Gene selection and dual-view Embedding fusion (SAGE), a unified and reproducible framework for domain identification in spatial transcriptomics that combines topic-driven gene selection with dual-view embedding fusion to address these gaps. SAGE integrates non-negative matrix factorization (NMF)-based …

Adaptive Self-Attention For Enhanced Segmentation Of Adult Gliomas In Multi-Modal Mri, Evan P. Savaria, Jiangwen Sun

Computer Science Faculty Publications

Every year there are an estimated 80,000–90,000 new glioma cases, highlighting the need for reliable imaging-based decision support. Although deep learning has improved tumor sub-region segmentation, many state-of-the-art models fail to fully capture complementary information across T1, T1Gd, T2, and FLAIR MRI modalities and often operate as “black boxes,” limiting physician trust when precise delineation is critical for surgical planning, radiation targeting, and treatment monitoring. To address these limitations, we propose AIMS, an Adaptive Integrated Multi-Modal Segmentation framework that maintains modality-specific feature streams and employs adaptive self-attention within a hierarchical CNN-Transformer architecture to prioritize and fuse multi-modal MRI features. We …

Voxvista: Enhancing Screen Reading Experience For Online User Comments, Yash Prakash, Akshay Kolgar Nayak, Mohammed Shoaib Alyaan, Sampath Jayarathna, Hae-Na Lee, Vikas Ashok

Computer Science Faculty Publications

Online discussions have become integral to how people exchange ideas, form opinions, and participate in collective deliberation. While sighted users can comfortably engage with online discussions, blind users who are dependent on screen readers are forced to listen to long threads narrated in a single, monotonic voice that lacks prosodic variation, rhythm, or emotion. This robotic auditory experience not only deteriorates the user engagement with the content but also increases cognitive strain, by making it difficult to remain attentive and discern meaning beyond literal words. In an interview study, most blind participants reported that monotonous narration hindered their ability to …