Digital Commons Network^™

Evaluating The Role Of Bank Specific, Macroeconomic, And Institutional Factors In Determining Banking Sector Performance: Evidence From South Asian Economies, Samia Nasreen, Mehwish Gulzar, Xuan-Hoa Nghiem, Saira Arsh

Bulletin of Monetary Economics and Banking

This study investigates the bank-specific, macroeconomic, and institutional factors affecting the performance of the banking sector specifically profitability and stability in South Asian countries from 2011 to 2020. Using a two-step system GMM estimation method on a balanced panel dataset, the study identifies key determinants, including bank size, operating expenses, economic growth, exchange rates, and economic freedom. Institutional factors, particularly corruption, significantly influence banking sector profitability and stability. The findings offer several policy recommendations to enhance banking sector performance in the region.

Re-Visiting The Debt–Output Nexus From The Perspectives Of Long-Term Trend And Short-Term Volatility: An Application Of The Threshold Model, Hong Chen, Diviya Narayan, Baljeet Singh

Bulletin of Monetary Economics and Banking

Using the Hamilton filter and the panel threshold model, this study provides new evidence of the threshold effects of debt on output in 14 Asia-Pacific countries over the period 2005 to 2019. In the long term, we found a threshold debt value of 73.5 percent of GDP, below which debt has a positive effect on GDP, and the positive effect turns negative when debt goes above the threshold level. In the short term, we noted that debt volatility reduces output volatility, and the impact is greater with larger negative fluctuations in debts. The findings have important policy implications.

Fractionated Radiotherapy Adjuvant To Surgery Of Who-2 Meningioma With And Without Gross Total Resection: A Multicenter, Retrospective Cohort Study Of 1,452 Patients, Christian Mirian, Lasse Rehné Jensen, Adam Gorm Hoffmann, Tareq A Juratli, Andrea Daniela Maier, Pernilla Lindner, Anders Broechner, Sverre H Torp, Helen A Shih, Ramin A Morshed, Jacob S Young, Stephen T Magill, Walter Stummer, Dorothee Cäcilia Spille, Benjamin Brokinkel, Martin Proescholdt, Yasuhiro Kuroi, Konstantinos Gousias, Matthias Simon, Ricardo Prat-Acin, Stéphane Goutagny, Johannes Wach, Erdem Güresir, Junkoh Yamamoto, Young Zoon Kim, Joo Ho Lee, Daniel W Kim, Matthew Koshy, Donald M Cannon, Dennis C Shrieve, Chang-Ok Suh, Jong Hee Chang, Maria Kamenova, Sven Straumann, Jehuda Soleman, Ilker Y Eyüpoglu, Tony Catalan, Austin Lui, Philip V Theodosopoulos, Michael W Mcdermott, Pedro Góes, Fang Wang, Luis Souhami, Marie-Christine Guiot, Tamás Csonka, Toshiki Endo, Tejpal Gupta, Akash J Patel, Tiemo J Klisch, Jun Won Kim, Francesco Maiuri, Valeria Barresi, María Dolores Tabernero, Simon Skyrman, Mechthild Krause, Ian Law, Bjarne Winther Kristensen, Tina Nørgaard Munch, Torstein Meling, Kåre Fugleholm, Paul Blanche, Tiit Mathiesen

Faculty, Staff and Students Publications

Purpose

The role of adjuvant fractionated radiotherapy (aFRT) after gross total resection (GTR) of WHO-2 meningiomas remains unclear. We aimed to estimate the effect of aFRT on recurrence risk and survival following GTR and subtotal resection (STR).

Methods

We analyzed 1452 patients with WHO-2 from our international, multicenter database (followed between 1989 and 2019). Outcomes were recurrence (10-year follow-up) and death (5-year follow-up). Risk estimates were obtained using competing risks and survival analysis. Average treatment effects were estimated by G-computation, adjusted for potential confounding by age, sex, Simpson grade, Ki-67 proliferation index, location, country group (universal healthcare or not), …

Staff Education Project On Enhancing Provider Knowledge And Confidence In Adolescent Depression Assessment Using The Phq-9 Tool, Beatrice Ogoh Stephens

Walden Dissertations and Doctoral Studies

Adolescent depression is a developing public health issue, especially in underprivileged areas where delayed diagnosis and treatment are caused by uneven screening procedures and inadequate provider training. By increasing provider and staff knowledge, confidence, and use of the Patient Health Questionnaire-9 (PHQ-9) for systematic teen depression screening, this staff education project filled a practice gap in a primary care clinic. Fifteen clinic staff members who provide adolescent care participated in a four-hour evidence-based educational intervention that was guided by the ADDIE instructional design approach. Fifteen clinic staff members who provide adolescent care participated in a four-hour evidence-based educational intervention that …

Sepsis Bundle Compliance Initiative, Engleish Annette Flynn

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project focused on the development and evaluation of a clinical practice guideline (CPG) designed to improve compliance with the Centers for Medicare & Medicaid Services (CMS) SEP-1 sepsis bundle at a 300-bed Level III trauma center serving a rural population in West Virginia. Sepsis remains a leading cause of morbidity and mortality nationwide, and rural hospitals face additional challenges related to delayed presentation, limited resources, and workflow variability. Inconsistent adherence to evidence-based sepsis bundle elements have been associated with increased mortality risk, prolonged length of stay, and financial penalties (Evans et al., 2021). The purpose …

The Perspective Of Rural Secondary Vocational Education Instructors On Employability Skills, Unqualified Advancement, And Expulsion To Reduce Delinquency And Justice System Contact, Stacy Lynn

Walden Dissertations and Doctoral Studies

In this study, the problem in Tennessee and across the United States where the skills of employability, which are used in the reduction of recidivism, are not being emphasized at the secondary level to prevent delinquency and initial justice system contact was highlighted. The purpose of this study was to explore the perspective of rural secondary vocational educators on student unqualified advancement, expulsion, and program employability skills of students participating in vocational education, referencing the reduction of delinquency and justice system contact. Bandura’s social learning theory and subsequent social cognitive theory were the theoretical frameworks for thematic analysis using interpretative …

Development Of A Comfort Care Clinical Practice Guideline And Standardized Comfort Care Kits In Adult Home Hospice, Kelly Miller

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project focused on the development and expert appraisal of a clinical practice guideline (CPG) to improve home-based comfort care in hospice settings. Terminally ill patients frequently experience distressing symptoms such as pain, dyspnea, and nausea, yet inconsistent symptom management and documentation practices persist across hospice care (Henson et al., 2020). A CPG was developed to evaluate a comfort care kit for patients. The CPG was independently reviewed by a three-member expert panel using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, which consists of 23 items that are organized into …

Developing A Comprehensive Program Plan For Postpartum Mental Health Assessment And Follow-Up Care, Kimberly Osborne

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was an executive leadership proposal to develop an evidence-based program plan for standardized postpartum mental health screening and structured referral processes within an obstetric clinic. The practice problem was inconsistent postpartum mental health screening and follow up. Internal organizational data demonstrated elevated no-show and cancellation rates among obstetric patients referred for mental health services, reflecting gaps in care coordination, particularly for rural and underserved populations. The purpose of this project was to develop a comprehensive program plan guided by the following practice-focused question: Will a standardized postpartum mental health screening and structured referral program …

Staff Education Of Fall Prevention Intervention In The Emergency Department, Jonathan Jaramillo

Walden Dissertations and Doctoral Studies

Patient falls remain a significant patient safety concern in emergency departments (EDs) despite the routine use of fall risk screening tools. At the project site, continued fall events suggested a gap in staff knowledge, confidence, and consistent application of evidence-based fall prevention strategies. This Doctor of Nursing Practice (DNP) quality improvement project evaluated whether a targeted staff education intervention would improve ED nursing staff's knowledge, confidence, and intent to identify fall risk, implement prevention strategies, and respond appropriately to patient falls. Guided by the Analyze, Design, Develop, Implement, and Evaluate (ADDIE) instructional design model, an evidence-based educational intervention was developed …

Development Of An Evidence-Based Educational Intervention Designed To Increase Staff Knowledge And Competence In Comprehensive Fall-Prevention Practices, Jacqueline U. Becerra

Walden Dissertations and Doctoral Studies

Inpatient falls continue to represent a significant nurse-sensitive quality indicator associated with patient injury, extended hospital stays, and increased healthcare costs. Despite the presence of established fall-prevention protocols, inconsistent completion of fall-risk assessments and uneven application of prevention strategies contributed to ongoing fall events at the project site. The practice problem addressed in this Doctor of Nursing Practice (DNP) project was the lack of consistent staff knowledge and application of evidence-based fall-prevention practices. The purpose of this evidence-based quality improvement project was to implement and evaluate a structured fall-prevention staff education program to increase inpatient staff knowledge related to fall-prevention …

Staff Education To Enhance Phq-9 Depression Screening In A Mental Health Clinic, Constance Gawum Chingo

Walden Dissertations and Doctoral Studies

Doctor of Nursing Practice Project Summary Lack of standardization in the implementation and documentation of the Patient Health Questionnaire-9 (PHQ-9) was noted in this outpatient mental health clinic, impeding reproducible depression screening and evidence-based monitoring. The purpose of this Doctor of Nursing Practice (DNP) project was to examine whether staff education, enhanced by clinical workflow aids, could foster uniform PHQ-9 documentation in applicable patient encounters. Strategies employed included a systematic staff education session, a quick reference guide, an electronic health record (EHR) guide, and provision of prompt guidance and support during adoption. A pre- and post-quality improvement assessment was conducted …

Incarceration’S Impact On Young Adults’ Psychological Development, Well-Being, And Reintegration Into Society, Monica Murrell

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study explored how individuals who experienced incarceration during emerging adulthood understood and made meaning of their developmental, emotional, and psychosocial experiences. Emerging adulthood, defined as ages seventeen through twenty-five, is a critical developmental stage, and incarceration during this period may disrupt identity formation and emotional maturation. The purpose of the study was to examine the perspectives and coping mechanisms of individuals incarcerated during this stage to better understand how early adult imprisonment shapes trauma responses, identity development, and reintegration. Social learning theory served as the conceptual framework. Data was collected through interviews with six formerly incarcerated adults …

Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte

Walden Dissertations and Doctoral Studies

Within the United States, current strategies aimed to prevent terrorism focus on terrorist organizations and international terrorism. The predominant literature on lone-wolf terrorism has focused mainly on quantitative data, and the qualitative studies that have been conducted do not uncover all factors that led to the individual committing the attack. Lone-wolf terrorism, while less frequent than international terrorism, has a significantly higher number of victims per attack and is extremely difficult to predict and prevent. The existing qualitative literature has heavily focused on the mental state, emotional status, and cognitive ability of the offender. This study explored why an individual …

Staff Education To Improve Accuracy And Consistency Of Depression Assessment Through Structured Education On The Zung Self-Rating Depression Scale, Janenita D. Chukwu

Walden Dissertations and Doctoral Studies

Inaccurate and inconsistent administration and interpretation of standardized depression screening instruments can destabilize clinical accuracy and patient safety. Despite routine administration of the ZSDS during nursing intake, informal observation and documentation review indicated a gap in nurses' understanding of how to compute raw scores, convert them to index scores, and define the severity levels. The aim of the project was to determine whether a structured staff education intervention would enhance nurses' knowledge of ZSDS administration, scoring, and interpretation. Informed by the Johns Hopkins Evidence-Based Practice model, an educational intervention based on existing evidence on the accuracy and implementation fidelity of …

Enhancing Provider Understanding Of Antidepressant Side Effects Through An Evidence-Based Educational Initiative, Karrylee Johnson

Walden Dissertations and Doctoral Studies

The purpose of this doctoral project was to implement a quality improvement educational initiative to strengthen provider understanding of antidepressant side effects in an outpatient behavioral health setting. The project was conducted to address gaps in staff knowledge related to identifying and managing antidepressant adverse effects, which are essential skills for safe medication practices in mental health care. Addressing this gap was significant because unrecognized antidepressant side effects can contribute to poor adherence, worsening symptoms, preventable complications, and negative patient outcomes. The results of the project demonstrated meaningful improvements in provider knowledge. Six staff members completed pre- and posttest assessments. …

Integrating Music Therapy Into Dental Clinics For Whole Person Care, Dana Osterling Benoit Mba, Mt-Bc, Nisreen Al Jallad Dds, Ms2, Shasha Cui Ed.D. Mba, Mandy Fraser, Gaelen Mccormick Mm1, Rosemary Oliva Obi Ms, Lcat, Mtbc1, Adela Planerova Dds, Ms2, Madeline Vinolus Mt-Bc1, Angela Valeria Perez Pita Dds, Ms2

Journal of the American College of Dentists

This case study describes the integration of a board-certified music therapist into two specialty dental clinics at the University of Rochester Medical Center’s Eastman Institute for Oral Health. Initiated in collaboration with the Eastman Performing Arts Medicine Center, the effort reflects a humanistic and biopsychosocial approach to dentistry that leverages music therapy to reduce anxiety, improve patient experience, and support better clinical outcomes.

Before implementation, monthly interdisciplinary planning meetings were held, bringing together dental faculty, research and administrative staff, and the music therapy team. These meetings built a shared understanding of each clinic’s unique patient population, workflow, and clinical priorities, …

Age Structure And Inflation Dynamics In Pacific Island Economies, August Letlet, Karan Rai, Bhavesh Garg

Bulletin of Monetary Economics and Banking

This study uses the panel of six Pacific Island Countries (PICs) to investigate the relationship between changing age structures and inflation. The findings suggest that both aggregated and disaggregated shares of the working-age population exert disinflationary pressure. This supports the life cycle hypothesis, which postulates that people in their productive years tend to save and produce more than they consume, fostering economic stability and managing inflation. Conversely, the findings indicate that old-age dependency contributes to inflationary pressures. These insights underscore the importance of demographic dynamics in shaping inflation trends and provide valuable guidance for policymakers aiming to maintain price stability.

Disaggregated Economic Complexity And Inflation In Oecd Countries, Raymond L. Aor, Afees A. Salisu

Bulletin of Monetary Economics and Banking

This study probes the intricate relationship between economic complexity and inflation dynamics, an area that has been relatively under-researched despite the potential for economic complexity to predict inflation. We focus on selected OECD countries and use panel data from 1998 to 2021. Utilizing a Panel Autoregressive Distributed Lag (PARDL) model, we analyze both short- and long-term dynamics across various components of inflation. Our analysis encompasses both aggregate and disaggregated indicators of complexity, including ECI-Trade, ECI-Technology, and ECI-Research. The results indicate that the impact of economic complexity on inflation differs depending on the type of inflation and the time frame considered. …

Green Banking Disclosure And Financial Trade-Offs: Evidence From Indonesia’S Banking Sector, Nafis Dwi Kartiko, Amrie Firmansyah

Bulletin of Monetary Economics and Banking

This study explores the relationship between green banking disclosure, firm performance, and firm value, with firm size and age as moderating variables. The study analyzed 578 observations from 43 banking companies in Indonesia. The findings reveal that green banking disclosure significantly negatively impacts firm performance and value, suggesting that green banking efforts may not always yield positive shortterm financial outcomes. However, firm size and age were found to moderate these relationships. Based on these findings, the study highlights the importance of carefully designed green banking strategies and a deeper understanding of their financial impacts by banking management. It also emphasizes …

Fear From Eating Outside? Assessing The Impact Of Covid-19 Pandemic On Consumer’S Willingness To Utilize Catering Services In China, Yunwei Li, Qiuping Ji, Vivian Valdmanis, Jingqi Li, Guanrou Deng, Rui Guo, Yu Hao, Zhi-Nan Lu

Bulletin of Monetary Economics and Banking

Since the onset of economic reforms, the catering industry has been playing a crucial role in China’s economic development. However, due to the outbreak of the COVID-19 pandemic, the Chinese government has implemented strict pandemic prevention policies such as (home quarantine and suspending work and production facilities) leading to losses for a variety of industries, especially catering industry. As the main driving force on the demand side, residents’ willingness to pay for catering can play an important role in the post-pandemic economic recovery. In this study, we employ primary data of 1,072 respondents from an online survey to investigate the …

Design And Economic Assessment Of A Sustainable Standalone Photovoltaic System For Hospital Lift Applications, Tasneem M. Abed, Saad S. Eskander, Mohamed A. Elsayes, Mohamed Zaki

Mansoura Engineering Journal

This study presents an optimized design and operation strategy for a stand-alone solar photovoltaic power system to drive a 4.5 kW elevator at Mansoura University Hospital, Egypt. The research aims to reduce the battery bank capacity and overall system cost while maximizing the utilization of solar panels. A novel "Optimum Operator System" is proposed, incorporating three power switches controlled by an Arduino microcontroller. The system's performance is analyzed through extensive modeling, simulation, and experimental validation. Results show a significant reduction in battery bank capacity, with 7 fewer 100 Ah batteries required compared to conventional systems. The proposed method significantly enhances …

Generalization Under Sub-Population Shift: Equitable Models For Imbalanced, Long-Tailed, And Fair Representation Learni, Faizanuddin Ansari

Doctoral Theses

Machine learning systems often experience performance degradation in real-world scenarios due to subpopulation shift defined as mismatches in the distribution of classes or attributes within datasets. This thesis investigates generalization failures arising from class imbalance, long-tailed distributions, and attribute-level biases (specifically, attribute-level biases that originate from demographic imbalances in sensitive domains, such as medical imaging). It proposes principled strategies to mitigate these effects in both classical and deep learning frameworks. Class imbalance and long-tailed distributions pose significant challenges, especially in real-world applications where minority classes are underrepresented yet critically important. To address these challenges, this work develops novel algorithms and …

Research Review: "Black Veterans' Insight On Racial Disparities In Military Administrative Separations", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

Military service provides a path toward the middle class by granting veterans benefits, including healthcare and compensation for disabilities acquired during service. Military characterization of service, assigned by the Department of Defense at separation, can qualify or disqualify veterans from benefits access. Black service members are 50% more likely than White service members to receive an Other Than Honorable rather than an Honorable discharge, resulting in disproportionate impediments to the benefits designed to facilitate re-entry into civilian life and prevent poverty. Yet, the Department of Defense provides little meaningful remedy for Black veterans to correct less than Honorable discharges, instead …

Ndls Communicator: Week Of 02.09.26, Notre Dame Law School

NDLS Communicator

The Latest News

• Notre Dame Law 3L Analli Torres Contributes to Successful UK Patent Validity Challenge
• Professor Paul Miller Named Sir Percy Spender Visiting Fellow

Student News

• Perla Khattar

Alumni News

• Ann Claire Williams '75 J.D.
• Chris Stewar '15 J.D.

Faculty Briefs

• Jimmy Gurulé
• Sadie Blanchard
• Emily Bremer
• Francisco Urbina
• Paul Miller
• Sherif Girgis
• Haley Proctor

The Education Law Project, Program on Church, State & Society, and Lindsay and Matt Moroun Religious Liberty Clinic filed an amicus brief in the U.S. Supreme Court

ND in the News

• Notre Dame law students provide free legal advice through the immigration clinic
• The …

Ex Vivo Microfluidic Model Identifies A Role For Shear Stress During Ovarian Tumor Cell Attachment To Peritoneal Mesothelial Cells, Vasilios A Morikis, Breanna Baker, Jillian A Martin, Angela Schab, Alessandra Dimauro, Gregory D Longmore, Whitney R Grither

2020-Current year OA Pubs

Ascites, or a pathologic accumulation of intra-abdominal fluid, is a key feature of intraperitoneally disseminating cancers, such as ovarian cancer. This pathological fluid buildup can influence the adhesive abilities of ovarian cancer cells, as they spread throughout the abdominal cavity to form metastatic implants on organs lined with a specialized monolayer of mesothelial cells. Robust methods for assessing the impact of fluid shear stress on this cell-cell interaction are lacking. Here, we develop and characterize a novel microfluidic device that allows for the determination of the attachment of ovarian tumor cells to mesothelial cells under the influence of fluid flow. …

Ex Vivo Microfluidic Model Identifies A Role For Shear Stress During Ovarian Tumor Cell Attachment To Peritoneal Mesothelial Cells, Vasilios A Morikis, Breanna Baker, Jillian A Martin, Angela Schab, Alessandra Dimauro, Gregory D Longmore, Whitney R Grither

2020-Current year OA Pubs

Ascites, or a pathologic accumulation of intra-abdominal fluid, is a key feature of intraperitoneally disseminating cancers, such as ovarian cancer. This pathological fluid buildup can influence the adhesive abilities of ovarian cancer cells, as they spread throughout the abdominal cavity to form metastatic implants on organs lined with a specialized monolayer of mesothelial cells. Robust methods for assessing the impact of fluid shear stress on this cell-cell interaction are lacking. Here, we develop and characterize a novel microfluidic device that allows for the determination of the attachment of ovarian tumor cells to mesothelial cells under the influence of fluid flow. …

Striation Characteristics In Atmospheric Pressure Ac-Driven Glow Discharge Operating In Monoatomic Gas, Ayuob K. Alwahaibi, Sang Hee Won, Tanvir Farouk

Faculty Publications

Striation in an atmospheric pressure AC-driven helium glow discharge operating at 25 kHz is experimentally characterized. Striation behavior is characterized by the visualization of discharges and voltage–current measurements over a range of plasma power. Voltage–current characteris tics reveal that striations form in the “normal” glow regime of operation, with a higher number of strata at low current, diminishing as dis charge current increases. The relative differences and similarities in the striation patterns during the positive and negative cycles are identified. High-speed imaging shows the striations to be traveling in time—“moving striations.” The spatial luminosity of the striations is tracked over …

Intouch Week Of February 9, 2026, New York Medical College

InTouch

• Shaun Desai, M.D., to Lead Department of Otolaryngology
• NYMC Supports National Heart Month
• NYMC Alums Share Marriage, Memories, and a Lifetime Together
• CDM Strengthens Emergency Response Skills Through TECC and RTF Courses
• TCDM Celebrates Match Day Success
• Student Spotlight: SOM Student Juliet Manu Named SEQUINS Scholar

Determinants Of Big Data Analytics Adoption Among Small And Medium-Sized Enterprises In Ghana, Seth Owusu

Walden Dissertations and Doctoral Studies

Big data analytics (BDA) has the potential to drive sustainability through improved decision-making, innovation, and competitiveness; however, small and medium-sized enterprises (SMEs) in Ghana face significant challenges in adopting this technology. The specific research problem is whether technological readiness, organizational support, and external pressures influence SMEs’ adoption of BDA in Ghana. Grounded in the technology-organization-environment framework, the resource-based view, and institutional theory, the purpose of this descriptive survey study was to examine whether technological readiness, organizational support, and external pressures influence SMEs’ adoption of BDA in Ghana. The participants comprised 120 SMEs registered with the Ghana Enterprise Agency. They completed …

Staff Education On Integrating Holistic And Herbal Therapies For Adults With Depression, Kettelene P. Mcmorris

Walden Dissertations and Doctoral Studies

Adults with depression frequently use or inquire about holistic and herbal therapies; however, inconsistent and non-standardized staff education regarding the safe, evidence-based integration of these therapies may contribute to variable counseling practices and potential patient safety risks. The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to implement and evaluate a structured staff education intervention focused on integrating holistic and herbal therapies for adults with depression in an outpatient behavioral health practice. The practice-focused question examined whether staff education would improve staff knowledge related to commonly used holistic and herbal therapies and associated safety considerations. A …