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Concordance In Medical Urgency Classification Of Discharge Diagnoses And Reasons For Visit, Theodoros V. Giannouchos, Benjamin Ukert, Brad Wright Jan 2024

Concordance In Medical Urgency Classification Of Discharge Diagnoses And Reasons For Visit, Theodoros V. Giannouchos, Benjamin Ukert, Brad Wright

APC Fund

Importance Current policies to divert emergency department (ED) visits for less medically urgent conditions to more cost-effective settings rely on retrospective adjudication of discharge diagnoses. However, patients present to the ED with concerns, making it challenging for clinicians.

Objective To characterize ED visits based on the medical urgency of the presenting reasons for visit and to explore the concordance between discharge diagnoses and reasons for visit.

Design, Setting, and Participants In this retrospective, cross-sectional study, a nationwide sample of ED visits by adults (aged ≥18 years) in the US from the 2018 and 2019 calendar years’ ED data of the …


A Case Study Of The Implementation Of The New Clery Act Guidelines, Eunice Adigun Jan 2024

A Case Study Of The Implementation Of The New Clery Act Guidelines, Eunice Adigun

Theses and Dissertations

The Clery Act requires all higher education institutions participating in federal financial aid programs to keep and disclose campus crimes by submitting an Annual Security Report by October 1st of every year. In October 2020, the U.S. Department of Education replaced the 265-page Clery Act guidelines for administrators with a 13-page Appendix with specific changes to geographical locations to include in the report, eliminated the definition of crimes, and limited individuals designated as Campus Security Authority to those with direct responsibilities over student affairs. This case study examined how campus security officers implement the new Clery Act guidelines in crime …


Sustainable Leadership During Turbulent Times, Paul Marietta Jan 2024

Sustainable Leadership During Turbulent Times, Paul Marietta

Dissertations and Theses

Teachers, administrators, and staff in schools are leaving the profession at unprecedented rates. The principal pipeline has significantly decreased in the past years and our public school system is at a breaking point. Now more than ever, we need to focus on sustainable leadership during turbulent times and helping the organization, students, families, teachers-and also their leaders-thrive. This dissertation proposal follows the Portland State University (PSU) multi-paper format which comprises a compilation of three papers in a journal article style format, with sole or multiple authors, and although PSU policy does not require it, the topic of the papers in …


Front Matter Jan 2024

Front Matter

The Writing Center Journal

Front matter and editors' introduction to The Writing Center Journal 41:3 (2023).


Regional Variability In The Prevalence Of Food Insecurity And Diet Quality Among United States Children, Jayna M Dave, Tzuan A Chen, Alexandra N Castro, Mamie White, Elizabeth A Onugha, Sloane Zimmerman, Debbe Thompson Jan 2024

Regional Variability In The Prevalence Of Food Insecurity And Diet Quality Among United States Children, Jayna M Dave, Tzuan A Chen, Alexandra N Castro, Mamie White, Elizabeth A Onugha, Sloane Zimmerman, Debbe Thompson

Children’s Nutrition Research Center Staff Publications

Understanding the association between food security status (FSS) and diet quality in children is crucial. This study investigated regional variability in FSS, participation in the federal nutrition assistance program (FNAP), and diet quality among US children. National Health and Nutrition Examination Survey (NHANES) data from 2013 to 2016 were analyzed. The association between FSS, FNAP participation, and diet quality (Healthy Eating Index—HEI-2015) was assessed using multiple linear/logistic regression models. The sample included 6403 children (mean age: 7.5 years; 51% male; 33% Hispanic). Within the sample, 13% reported child food insecurity, and 30% reported household food insecurity. Additionally, 90% participated in …


Mass Incarceration In The State Of Louisiana And Its Impact On The Mental Health Of Incarcerated Men, Samika Treniece Miner Jan 2024

Mass Incarceration In The State Of Louisiana And Its Impact On The Mental Health Of Incarcerated Men, Samika Treniece Miner

Walden Dissertations and Doctoral Studies

No abstract provided.


Minority Small Business Owner Perceptions Of Coronavirus Policies In Metropolitan Washington, Dc, Amara Omar Kuyateh Jan 2024

Minority Small Business Owner Perceptions Of Coronavirus Policies In Metropolitan Washington, Dc, Amara Omar Kuyateh

Walden Dissertations and Doctoral Studies

No abstract provided.


An Exploratory Study Of Mindsets, Sense Of Belonging, And Help-Seeking In The Writing Center, Traci Freeman, Steve Getty Jan 2024

An Exploratory Study Of Mindsets, Sense Of Belonging, And Help-Seeking In The Writing Center, Traci Freeman, Steve Getty

The Writing Center Journal

In this exploratory study, we took as our point of departure Lori Salem’s (2016) call to investigate the factors that affect students’ decisions to visit the writing center. Rather than exploring student decision-making through a sociological lens, as Salem does, we drew on insights from social psychology to understand students’ motivations. We explored two self-theories drawn from social psychology that are associated with students’ academic achievement and with students’ help-seeking: (1) implicit beliefs about intelligence or “mindsets”; and (2) sense of belonging. Using questions from previously validated scales, we measured first-year students’ mindsets and sense of belonging and tested the …


Phenomenology Of Incels With Aggrieved Entitlement Who Participate In Online Communities, Catherine Patterson-Sterling Jan 2024

Phenomenology Of Incels With Aggrieved Entitlement Who Participate In Online Communities, Catherine Patterson-Sterling

Walden Dissertations and Doctoral Studies

No abstract provided.


Peer Recovery Support Effects On Substance Abuse In Rural Outpatient Community Behavioral Health, Melissa Bruce Jan 2024

Peer Recovery Support Effects On Substance Abuse In Rural Outpatient Community Behavioral Health, Melissa Bruce

Walden Dissertations and Doctoral Studies

No abstract provided.


Fire Department Personnel Perspectives On Avoidable Emergency Medical Services Calls And Emergency Department Visits, Nathanial Render Jan 2024

Fire Department Personnel Perspectives On Avoidable Emergency Medical Services Calls And Emergency Department Visits, Nathanial Render

Walden Dissertations and Doctoral Studies

No abstract provided.


The Perceptions Of Single Parents Raising A Child Diagnosed With Attention Deficit Hyperactivity Disorder With Behavioral And Emotional Concerns, Peterann Marie Blackstock Jan 2024

The Perceptions Of Single Parents Raising A Child Diagnosed With Attention Deficit Hyperactivity Disorder With Behavioral And Emotional Concerns, Peterann Marie Blackstock

Walden Dissertations and Doctoral Studies

No abstract provided.


Mental Health Professionals’ Experience Bridging The Gap Between The Mental Health Community And Law Enforcement, Amber Nichole Anderson Jan 2024

Mental Health Professionals’ Experience Bridging The Gap Between The Mental Health Community And Law Enforcement, Amber Nichole Anderson

Walden Dissertations and Doctoral Studies

No abstract provided.


Social Media As A Health-Related Information Source About The Coronavirus Among A Sample Of Kuwaiti Youth Social Media As A Health-Related Information Source About The Coronavirus Among A Sample Of Kuwaiti Youth, Yagoub Yousif Al-Kandari, Maha Meshari Al-Sejari Jan 2024

Social Media As A Health-Related Information Source About The Coronavirus Among A Sample Of Kuwaiti Youth Social Media As A Health-Related Information Source About The Coronavirus Among A Sample Of Kuwaiti Youth, Yagoub Yousif Al-Kandari, Maha Meshari Al-Sejari

Journal of Arts and Social Sciences

Due to the rapid dissemination of COVID-19, the public community has begun following social media as a main source of health-related information daily due to the grave, life-threatening implications on patients’ health. The current study aims to (1) detect socio-demographic differences, knowledge of COVID-19 symptoms and general health, and social media trust among youth; (2) determine the degree of using social media and traditional media among youth; and (3) examine the relationship between using social media to track COVID-19 news (symptoms, general health knowledge, and social media trust) and the degree of using social media. This is a cross-sectional study …


Cost-Effectiveness Analysis Of Favipiravir And Remdesivir As Covid-19 Treatment In South Tangerang, Banten Province - Indonesia, Wahyu G. Putro, Andriani R. Fahriyati, Gilberto A. Julian, Tania R. Amalia, Zaki M. Riski Jan 2024

Cost-Effectiveness Analysis Of Favipiravir And Remdesivir As Covid-19 Treatment In South Tangerang, Banten Province - Indonesia, Wahyu G. Putro, Andriani R. Fahriyati, Gilberto A. Julian, Tania R. Amalia, Zaki M. Riski

Pharmacology and Clinical Pharmacy Research

COVID-19 is a contagious ailment primarily attributed to the severe acute respiratory syndrome coronavirus. Indonesia persists in confronting the COVID-19 pandemic, and South Tangerang City has emerged as one of the municipalities in Indonesia that has been significantly affected. There are two categories of medications employed for COVID-19 treatment according to government policies, namely favipiravir and remdesivir. This study aims to as- sess the cost-effectiveness of favipiravir and remdesivir medications at the South Tangerang General Hospital, Indonesia. The present study employs a retrospective research design characterized by a quantitative approach, utilizing cross-sectional methodologies. The analy- sis mostly consists of descriptive …


Tweeting For Change: Social Media Narratives For Sustainable Service, Maria Petrescu, Anjala S. Krishen, Jesse L. Barnes, Shaheena Janjuha-Jivraj Jan 2024

Tweeting For Change: Social Media Narratives For Sustainable Service, Maria Petrescu, Anjala S. Krishen, Jesse L. Barnes, Shaheena Janjuha-Jivraj

Publications

Purpose–This interdisciplinary study aims to analyze how service organizations communicate sustainable beliefs in their social media narratives and use them to generate brand awareness, customer recognition and ongoing demand for sustainable service.

Design/methodology/approach– A two-phase exploratory analysis of 10,342 tweets from 2019–2020 was conducted by sustainable global corporations to identify best practices for their social media teams operating within a service-based business model. First, the significant themes were identified using an unguided machine learning approach of three types of firms: services, goods and mixed. Next, the full set of tweets with linguistic sentiment analysis was analyzed followed by a deeper …


Milner Library: Centering Healing As An Act Of Radical Transformation, Maria Tudela, Mallory Jallas Jan 2024

Milner Library: Centering Healing As An Act Of Radical Transformation, Maria Tudela, Mallory Jallas

Faculty and Staff Publications – Milner Library

Milner Library is uniquely positioned as a unit to facilitate student, faculty, and community success with our services and engagement. At this intersection, we implement critical praxis to disrupt traditional notions of academic libraries. Specifically, this poster will address shifting the concept of thriving as a form of production to one that considers how thriving can support and encourage transformational healing. This poster will highlight how our library approaches programming, collection development, instruction, and physical space and examine these concepts as tangible connections in foregrounding critical praxis. Participants can expect to develop new and deeper perspectives on how Milner Library …


Enhancing Early-Stage Xai Projects Through Designer-Led Visual Ideation Of Ai Concepts, Helen Sheridan, Dympna O'Sullivan, Emma Murphy Jan 2024

Enhancing Early-Stage Xai Projects Through Designer-Led Visual Ideation Of Ai Concepts, Helen Sheridan, Dympna O'Sullivan, Emma Murphy

Books/Book chapters

The pervasive use of artificial intelligence (AI) in processing users’ data is well documented with the use of AI believed to profoundly change users’ way of life in the near future. However, there still exists a sense of mistrust among users who engage with AI systems some of this stemming from lack of transparency, including users failing to understand what AI is, what it can do and its impact on society. From this, the emerging discipline of explainable artificial intelligence (XAI) has emerged, a method of designing and developing AI where a systems decisions, processes and outputs are explained and …


How Genre-Trained Tutors Affect Student Writing And Perceptions Of The Writing Center, Lucy Bryan Malenke, Laura K. Miller, Paul E. Mabrey Iii, Jared Featherstone Jan 2024

How Genre-Trained Tutors Affect Student Writing And Perceptions Of The Writing Center, Lucy Bryan Malenke, Laura K. Miller, Paul E. Mabrey Iii, Jared Featherstone

The Writing Center Journal

Writing center scholars have long debated whether writers are best served by “generalist” tutors trained in writing center pedagogy or “specialist” tutors with insider knowledge about a course’s content or discipline-specific discourse conventions. A potential compromise that has emerged is training tutors in the purposes and features of specific genres. The writing center literature showcases many different approaches to genre training. However, little empirical research, if any, has explored how tutors’ genre knowledge affects session outcomes. The present study used a mixed-methods approach to compare session outcomes for students who worked with generalist and genre-trained tutors. We analyzed pre-consultation and …


Writing Centers And Neocolonialism: How Writing Centers Are Being Commodified And Exported As U.S. Neocolonial Tools, Brian Hotson, Stevie Bell Jan 2024

Writing Centers And Neocolonialism: How Writing Centers Are Being Commodified And Exported As U.S. Neocolonial Tools, Brian Hotson, Stevie Bell

The Writing Center Journal

In this paper, we explore the complicity of writing centers in the Global North in global neocolonialism despite its resounding rejection within Western writing center scholarship, in which Romeo García contends that writing tutors can be “decolonial agents.” We show that higher education is used by governments in the Global North as a neocolonial tool and situate international U.S. writing center initiatives within this context. Writing centers have remained complicit in global neocolonialism involving the commodification and exportation of American English as well as Western-style institutions, curricula, and pedagogies. This is most explicit in recent writing center initiatives undertaken by …


Review: Unwell Writing Centers: Searching For Wellness In Neoliberal Educational Institutions And Beyond, Aurora Matzke Jan 2024

Review: Unwell Writing Centers: Searching For Wellness In Neoliberal Educational Institutions And Beyond, Aurora Matzke

The Writing Center Journal

“Unwell Writing Centers: Searching for Wellness in Neoliberal Educational Institutions and Beyond” blends narrative, mixed methods research, and rhetorical analysis to make a case for the possibilities inherent in homegrown wellness practices that are “communal, political, and rooted in defiance of white supremacy.”


The Lived Experiences Of Military Contractors And Impact Of Stress On Their Perceived Productivity And Job Satisfaction During Covid-19 Mandated Telework, Laury Hales Jan 2024

The Lived Experiences Of Military Contractors And Impact Of Stress On Their Perceived Productivity And Job Satisfaction During Covid-19 Mandated Telework, Laury Hales

Walden Dissertations and Doctoral Studies

No abstract provided.


Effects Of Public Policy On Family Planning For Millennial Women In The United States, Rachel Marie Cole Jan 2024

Effects Of Public Policy On Family Planning For Millennial Women In The United States, Rachel Marie Cole

Walden Dissertations and Doctoral Studies

No abstract provided.


Are The Church Fathers Relevant In A 21st Century Inculturated And Contextualized Asian Theology?, Emmanuel C. Marfori Jan 2024

Are The Church Fathers Relevant In A 21st Century Inculturated And Contextualized Asian Theology?, Emmanuel C. Marfori

Landas

Is Patristics still relevant in the 21st century? This paper examines the decline of Patristic studies in the 19th–20th centuries and their brief revival before Vatican II, followed by a postconciliar downturn. It proposes that the Church Fathers remain vital for theology today, especially in Asia, where faith and culture intersect in inculturation. As witnesses to Tradition, the Fathers offer models for contextual theological reflection. The paper highlights Tertullian’s Adversus Marcionem, where he defends the unity of Scripture through the Transfiguration. Two key terms—contubernium (friendship) and repromissio (fulfillment of promise)—are translated into Tagalog as pagkakaibigan and katuparan ng pangako, bridging …


Listen Up: Children’S And Adults’ Listening Effort For Intelligible L1 And L2 Speech, Ruth Altmiller Jan 2024

Listen Up: Children’S And Adults’ Listening Effort For Intelligible L1 And L2 Speech, Ruth Altmiller

Arts & Sciences Graduate Student Theses and Dissertations

Understanding speech in an accent or dialect different than one’s own can be challenging. McLaughlin and Van Engen (2020) were the first to quantify this increase in listening effort using Task Evoked Pupillary Response (TEPR), a common measure of cognitive arousal. They found that monolingual, English speaking adults’ pupils dilated more quickly and to a larger degree when listening to nonnative English (here, L2 English) than when listening to natively spoken English (here, L1 English), indicating that the L2 English incurred greater processing demands than the L1 English even though it was fully intelligible. In this dissertation, I build upon …


The Influence Of A Cognitive-Behavioral Counselling Program On Marital Adjustment In Sudan The Influence Of A Cognitive-Behavioral Counselling Program On Marital Adjustment In Sudan, Abdelbagi Dafa Allah Ahmed, Aisha Elbalola Hasona Jan 2024

The Influence Of A Cognitive-Behavioral Counselling Program On Marital Adjustment In Sudan The Influence Of A Cognitive-Behavioral Counselling Program On Marital Adjustment In Sudan, Abdelbagi Dafa Allah Ahmed, Aisha Elbalola Hasona

Journal of Arts and Social Sciences

This study aims to examine the effects of a cognitive behavioral therapy counseling program on couples' adjustment and their relationship to variables such as their marital status, age, and number of children. In a semi-experimental design, a purposive sampling procedure was used to select a sample of ten couples attended counseling centers in Khartoum State who ranged in age from 20 to 50 years. T-tests, Cronbach's alpha, and Pearson's correlation coefficients in SPSS were used to analyze data collected by the basic information sheet, marital adjustment scale, and counseling program. Based on the study's most important findings, the program proved …


Evaluation Of Peer Bullying In Cartoons: The Case Of Miraculous: Tales Of Ladybug & Cat Noir, Melisa Daşdeler, Alev Üstündağ Jan 2024

Evaluation Of Peer Bullying In Cartoons: The Case Of Miraculous: Tales Of Ladybug & Cat Noir, Melisa Daşdeler, Alev Üstündağ

Journal of Social, Behavioral, and Health Sciences

Our research aimed to determine in a multiperspective way how peer bullying is addressed in animated cartoons. The basic data source of the research was 51 episodes of the Miraculous: Tales of Ladybug & Cat Noir cartoon. We used the Bullying Checklist in the document analysis design of the research. We analyzed the research data by determining the repetition of the items involved in the control list within the episodes. Our findings indicated that bullying was included in all of the cartoon’s episodes. The results of our research in the episodes investigated showed that bullying was mostly indirect, followed by …


Genome-Wide Study Investigating Effector Genes And Polygenic Prediction For Kidney Function In Persons With Ancestry From Africa And The Americas, Odessica Hughes, Amy R Bentley, Charles E Breeze, Francois Aguet, Xiaoguang Xu, Girish Nadkarni, Quan Sun, Bridget M Lin, Thomas Gilliland, Mariah C Meyer, Jiawen Du, Laura M Raffield, Holly Kramer, Robert W Morton, Mateus H Gouveia, Elizabeth G Atkinson, Adan Valladares-Salgado, Niels Wacher-Rodarte, Nicole D Dueker, Xiuqing Guo, Yang Hai, Adebowale Adeyemo, Lyle G Best, Jianwen Cai, Guanjie Chen, Michael Chong, Ayo Doumatey, James Eales, Mark O Goodarzi, Eli Ipp, Marguerite Ryan Irvin, Minzhi Jiang, Alana C Jones, Charles Kooperberg, Jose E Krieger, Ethan M Lange, Matthew B Lanktree, James P Lash, Paulo A Lotufo, Ruth J F Loos, Vy Thi Ha My, Jesús Peralta-Romero, Lihong Qi, Leslie J Raffel, Stephen S Rich, Erik J Rodriquez, Eduardo Tarazona-Santos, Kent D Taylor, Jason G Umans, Jia Wen, Bessie A Young, Zhi Yu, Ying Zhang, Yii-Der Ida Chen, Tanja Rundek, Jerome I Rotter, Miguel Cruz, Myriam Fornage, Maria Fernanda Lima-Costa, Alexandre C Pereira, Guillaume Paré, Pradeep Natarajan, Shelley A Cole, April P Carson, Leslie A Lange, Yun Li, Eliseo J Perez-Stable, Ron Do, Fadi J Charchar, Maciej Tomaszewski, Josyf C Mychaleckyj, Charles Rotimi, Andrew P Morris, Nora Franceschini Jan 2024

Genome-Wide Study Investigating Effector Genes And Polygenic Prediction For Kidney Function In Persons With Ancestry From Africa And The Americas, Odessica Hughes, Amy R Bentley, Charles E Breeze, Francois Aguet, Xiaoguang Xu, Girish Nadkarni, Quan Sun, Bridget M Lin, Thomas Gilliland, Mariah C Meyer, Jiawen Du, Laura M Raffield, Holly Kramer, Robert W Morton, Mateus H Gouveia, Elizabeth G Atkinson, Adan Valladares-Salgado, Niels Wacher-Rodarte, Nicole D Dueker, Xiuqing Guo, Yang Hai, Adebowale Adeyemo, Lyle G Best, Jianwen Cai, Guanjie Chen, Michael Chong, Ayo Doumatey, James Eales, Mark O Goodarzi, Eli Ipp, Marguerite Ryan Irvin, Minzhi Jiang, Alana C Jones, Charles Kooperberg, Jose E Krieger, Ethan M Lange, Matthew B Lanktree, James P Lash, Paulo A Lotufo, Ruth J F Loos, Vy Thi Ha My, Jesús Peralta-Romero, Lihong Qi, Leslie J Raffel, Stephen S Rich, Erik J Rodriquez, Eduardo Tarazona-Santos, Kent D Taylor, Jason G Umans, Jia Wen, Bessie A Young, Zhi Yu, Ying Zhang, Yii-Der Ida Chen, Tanja Rundek, Jerome I Rotter, Miguel Cruz, Myriam Fornage, Maria Fernanda Lima-Costa, Alexandre C Pereira, Guillaume Paré, Pradeep Natarajan, Shelley A Cole, April P Carson, Leslie A Lange, Yun Li, Eliseo J Perez-Stable, Ron Do, Fadi J Charchar, Maciej Tomaszewski, Josyf C Mychaleckyj, Charles Rotimi, Andrew P Morris, Nora Franceschini

Faculty, Staff and Students Publications

Chronic kidney disease is a leading cause of death and disability globally and impacts individuals of African ancestry (AFR) or with ancestry in the Americas (AMS) who are under-represented in genome-wide association studies (GWASs) of kidney function. To address this bias, we conducted a large meta-analysis of GWASs of estimated glomerular filtration rate (eGFR) in 145,732 AFR and AMS individuals. We identified 41 loci at genome-wide significance (p < 5 × 10−8), of which two have not been previously reported in any ancestry group. We integrated fine-mapped loci with epigenomic and transcriptomic resources to highlight potential effector genes relevant to kidney physiology and disease, and reveal key regulatory elements and pathways involved in renal function and development. We demonstrate the varying but increased predictive power offered by a multi-ancestry polygenic score for eGFR and highlight the importance of population diversity in GWASs and multi-omics resources to enhance opportunities for clinical translation for all.


Brain-Based Classification Of Youth With Anxiety Disorders: Transdiagnostic Examinations Within The Enigma-Anxiety Database Using Machine Learning, Willem B. Bruin, Paul Zhutovsky, Guido A. Van Wingen, Janna Marie Bas-Hoogendam, Nynke A. Groenewold, Kevin Hilbert, Anderson M. Winkler, André Zugman, Federica Agosta, Fredrik Åhs Jan 2024

Brain-Based Classification Of Youth With Anxiety Disorders: Transdiagnostic Examinations Within The Enigma-Anxiety Database Using Machine Learning, Willem B. Bruin, Paul Zhutovsky, Guido A. Van Wingen, Janna Marie Bas-Hoogendam, Nynke A. Groenewold, Kevin Hilbert, Anderson M. Winkler, André Zugman, Federica Agosta, Fredrik Åhs

School of Medicine Publications

Neuroanatomical findings on youth anxiety disorders are notoriously difficult to replicate, small in effect size and have limited clinical relevance. These concerns have prompted a paradigm shift toward highly powered (that is, big data) individual-level inferences, which are data driven, transdiagnostic and neurobiologically informed. Here we built and validated supervised neuroanatomical machine learning models for individual-level inferences, using a case–control design and the largest known neuroimaging database on youth anxiety disorders: the ENIGMA-Anxiety Consortium (N = 3,343; age = 10–25 years; global sites = 32). Modest, yet robust, brain-based classifications were achieved for specific anxiety disorders (panic disorder), but …


The Intervention Of Real Audiences In The Narrative Process: Exploring A Possible Narrative Theory, Yu Chen Jan 2024

The Intervention Of Real Audiences In The Narrative Process: Exploring A Possible Narrative Theory, Yu Chen

Theoretical Studies in Literature and Art

There is a phenomenon where a significant number of actual audience members actively participate and intervene in the narrative process during narrative activities. It is true that the field of narratology often leans towards a “text-centered” and “narrator-centered” approach, neglecting the examination of the real audience's role. Existing research on the real audience mainly focuses on areas such as reading and viewing psychology, audience consumption surveys, and similar aspects. Similarly, in the realm of performing arts, particularly drama, the emphasis is often placed on the performance itself rather than exploring the relationship between the real audience and the narrative. This …