Digital Commons Network^™

Preoperative Health During A Pandemic: An Observational Study Assessing Lifestyle Changes In Patients Associated With Covid-19 In Western Australia, Nadine Radin, Dana Hince, Jim Codde, Paola Chivers, Dale W. Edgar

Research outputs 2022 to 2026

Background and Aim: Healthcare service disruptions resulting from the COVID-19 pandemic led to substantial changes in surgical pathways across public hospitals in Western Australia (WA). These disruptions, compounded by restrictions and containment measures, influenced the health and lifestyle behaviours of the WA community, including patients awaiting surgery. This study aimed to assess changes in self-reported modifiable lifestyle risk factors among patients during COVID-19. Methods: This observational study analysed hospital patient data across three seasonally matched calendar periods: Period 1 (January–March 2019 vs 2020), Period 2 (March–July 2019 vs 2020), and Period 3 (July–December 2019 vs 2020). Multivariable regression models were …

Facilitating Food Security Systems Change In Regional Australia Through A Strengths-Based, Co-Design Process, Isabelle Chiera, Doe, Melissa Stoneham, Amanda Devine, Stephanie L. Godrich

Research outputs 2022 to 2026

Food security is a multifaceted, ‘wicked’ issue that refers to the sufficient physical, social, and economic access to food at all times. Given its complexity, food security action requires a systems-based, collaborative, and adaptive approach. This paper outlines the application of a strengths-based, co-design process to support food security systems change among government and community-led initiatives operating in rural, regional, and remote areas of Western Australia. Baseline, semistructured interviews were conducted with leaders of food initiatives to understand whether and how the initiatives were contributing to food security systems change and identify the ‘windows of opportunity’ where initiatives could be …

Mood Monitoring In Schools: A Promising Alternative To Single-Time-Point Screening, Shane L. Rogers, Brown, Kathryn Campbell, Matthew Goulding

Research outputs 2022 to 2026

School-based mental health screening typically relies on single-time-point assessments, which assume that students’ emotional well-being is sufficiently stable for classification based on a single measurement. The present study examined this assumption by evaluating the stability of emotional well-being classifications under repeated mood monitoring. Students from two secondary schools (United Kingdom, n = 413; Australia, n = 354) completed the Brief Emotional Experience Scale weekly across six to seven weeks. Emotional well-being classifications were examined relative to a predefined low well-being threshold to assess stability across time, and a post-monitoring survey examined students’ self-reported perceptions of the monitoring experience. Most students …

Prevalence Profile Perceived Stress And Impact On Quality Of Life For Recurrent Aphthous Ulcers: A Cross-Sectional Epidemiological Study In Egypt, Dalia Ghalwash

Dentistry

Recurrent Aphthous Ulcerations (RAU) are among the most frequent oral ulcers with unknown etiology and multiple risk factors. This study assessed the prevalence profile of aphthous ulcers, risk factors, levels of perceived stress, and their impact on quality of life in an Egyptian sample. This study involved screening 4100 individuals from the outpatient clinic, Faculty of Dentistry, The British University in Egypt, and several Egyptian governorates. Patients were subjected to clinical examination and patient interviews for accurate diagnosis and collection of data. The Perceived Stress Scale (PSS) was used to assess levels of perceived stress, and the Oral Health Impact …

Oral Health–Related Quality Of Life Following Complete Denture Rehabilitation In Diabetic Edentulous Patients: A 6-Month Prospective Study, Eri Hendra Jubhari, Edy Machmud, Mohammad Dharma Utama, Bahruddin Thalib, Stang Stang, Rifaat Nurrahma, Indah Tresnawati

Journal of Dentomaxillofacial Science

Objective: Edentulism and diabetes mellitus (DM) are associated with impaired oral function and diminished quality of life. Complete denture rehabilitation plays a pivotal role in the restoration of mastication, comfort, and self-confidence. This study aimed to examine changes in oral health–related quality of life (OHRQoL) after complete denture insertion in diabetic edentulous patients using the OHIP-14 and Geriatric Oral Health Assessment Index (GOHAI) questionnaires.

Materials and Methods: This prospective, longitudinal observational study included 25 completely edentulous diabetic patients. Their OHRQoL was evaluated at baseline and at 1, 2, and 6 months postdenture insertion using validated questionnaires, namely, OHIP-14 and GOHAI. …

Determinants Of Toothbrushing Behavior Among 12-Year-Old Children: An Application Of The Health Belief Model, Fitri D. Oktadewi, Riski A. Hidayah, Ryana B. Purnama, Ananda P. Yuliani

Journal of Dentomaxillofacial Science

Objective: Effective toothbrushing behaviors in school-aged children play an important role in preventing dental and oral health problems. At the age of 12, the behaviors constitute a critical phase in the formation of healthy lifestyle habits. Therefore, this study aimed to analyze the factors that influence toothbrushing behaviors in 12-year-old children based on the Health Belief Model (HBM) theory.

Material and Methods: A total of 92 12-year-old children were selected by cluster sampling method at elementary schools in Banyumas, Central Java. The independent variables included perceived susceptibility, severity, barrier, and benefit in accordance with HBM. The dependent variable comprised toothbrushing …

The Varying Strength Of Parental Rights, Mark Strasser

Missouri Law Review

The United States Supreme Court has recognized that parental rights implicate fundamental interests and that statutes adversely affecting those rights require close examination. However, the Court has been inconsistent in both its analysis and results when deciding which statutes burdening parental rights nonetheless pass constitutional muster. The Court’s ambivalence and lack of clarity have made parental rights jurisprudence confused and confusing, as illustrated by the dissensus among the state supreme courts regarding which visitation statutes are constitutional. Yet, this jurisprudential quagmire cannot be blamed on one particular decision, as if a single clarification or modification could resolve the problem. Rather, …

Dark Wave - Comics And Transgender Studies In Practice, Mieke Vanderveen

Dartmouth College Master’s Theses

This is a thesis in two parts. Its goal is to provoke the intersection of superhero comics and transgender studies in order to interrogate the parallels between those two identities and explore ways in which pairing them together can strengthen each other narratively and academically. Rather than seeking an answer to a question, the project as a whole serves as a way of communicating trans internalities from a transfeminine perspective in a format that brings the issues to the forefront of the narrative in an in-depth and entertaining way. The result is hopefully a coherent artistic work that achieves those …

Active Measures, Jacob Campbell

Dartmouth College Master’s Theses

            Active Measures is a Cold War era espionage drama, written for television. In the story, two mid-level agents in a centrally located, yet functionally unimportant CIA station are scapegoated after a high-level defection is sabotaged by an unknown mole, resulting in the defector’s death. Having found intelligence sewn into the defector’s jacket, the agents, John O’Neil and Sam Rosen, attempt to pursue his lead and clear their names while under internal investigation.

The story is influenced by the moral ambiguity of espionage novels by Alan Furst and John le Carre, and the television series The Americans. Like these predecessors, …

Getting Across That Stage: Identifying And Addressing Barriers To Degree Completion For Undergraduates At A Selective Four-Year Institution, Karen G. Afre

Dartmouth College Master’s Theses

Selective institutions, like Dartmouth College, offer students extensive academic opportunities and institutional support. Despite large endowments and strong alumni networks that provide holistic support for students, selective institutions still experience student drop-out and extended time-to-degree. For Dartmouth undergraduate students who matriculated in Fall 2018, the six‑year graduation rate was 96%, while only 75% graduated within four years. This gap indicates that 25% of students took longer than four years to complete their degrees and 4% had not graduated within six years. 

This thesis examines barriers to college completion at selective institutions to inform retention efforts and institutional initiatives. I use …

Exploring The Effect Of Counterstereotype And Perspective Taking In Reducing Bias And Promoting Empathy In Police, Sydney C. Timmer-Murillo, Keara Kangas, Nakia Gordon

Psychology Faculty Research and Publications

Racism in policing continues to be a serious issue in the United States (U.S.). While most efforts to reduce racism, focus on changing implicit (i.e., nonconscious) racial biases, other factors may also influence behavior. Intergroup emotion theory posits that emotions, especially empathy, may play a powerful role in changing behavior. In this study, using community-based participatory research design we created and tested a virtual reality (VR) experience designed to reduce implicit racial bias through perspective taking and counter-stereotypical information. Fifty-six police officers from a large city took part in the study. They completed questionnaires and an implicit association task (IAT) …

Not Forgetting The Fathers: A Qualitative Narrative Review Exploring The Involvement And Psychological Well-Being Of Fathers In The Neonatal Intensive Care Unit., Kayleigh Gahagan, Kevin Hambridge, Matt Carey

School of Nursing and Midwifery

BackgroundDespite policy commitments to family-centred care, neonatal services often remain implicitly structured around maternal presence. Fathers, although increasingly acknowledged as vital to early child development, frequently experience feelings of exclusion throughout the neonatal journey, from antenatal care through to the neonatal intensive care unit.AimThis review explores how fathers experience involvement and psychological wellbeing during their infant’s admission to a neonatal intensive care unit.MethodsA narrative review of qualitative studies was conducted using the SPIDER framework to guide the search strategy. The nine included studies, which met the inclusion criteria were identified via searching the databases CINAHL, PubMed, and PsycINFO. Studies were …

Evidence Base To Inform Health Service Configuration For Abortion Provision: The Sacha (Shaping Abortion For Change) Multi-Component Study, Kaye Wellings, Rebecca S. French, Annette Aronsson, Paula Baraitser, Sharon Cameron, Caroline Free, Louise Keogh, Maria Lewandowska, Patricia Lohr, Rebecca Meiksin, Ona Mccarthy, Clare Murphy, Wendy Norman, Melissa Palmer, Jennifer Reiter, Natasha Salaria, Rachel Scott, Jill Shawe, Sally Sheldon, Geoff Wong

School of Nursing and Midwifery

Background: Significant changes to the nature and context of abortion provision are taking place in the United Kingdom. Empirical evidence is needed to guide efforts to respond to these changes. Objective(s): To provide an evidence base to inform optimal configuration of health services and systems in response to current and future changes in abortion provision in the UK. Design and methods: Observational study comprising five integrated components: (1) a realist review to generate evidence to guide optimal abortion provision and a scoping review of interventions aimed at preparing non-specialist health professionals to provide abortion care and support; (2) country-based case studies identifying transferable …

Prioritising Follow-Up For People With Suspected Epilepsy Using A Digital Eeg Biomarker, Rohit Shankar, John Terry

Peninsula Medical School

Lengthy waits for follow-up testing are common for people with suspected epilepsy. This delays diagnosis, prolongs uncertainty and increases seizure risk. Initial EEGs are frequently inconclusive, yet follow-ups are often dictated by referral date, and there is no established method for risk-based prioritisation. Here, we tested whether an established digital EEG biomarker could help prioritise those most likely to have epilepsy for expedited follow-up EEG testing. We analysed 196 normal non-contributory (non-diagnostic) initial EEGs collected from six National Health Service (NHS) sites in England. From these recordings, we extracted eight previously validated computational features that quantify the likelihood that the …

Evaluating The Patient Journey Through Integrated Mental Health Services Using Routinely Collected Data: Utility Of The Dialog Patient-Reported Outcome And Experience Measure, Stuart G. Spicer, Rahul Bhattacharya, Katelyn Smalley, Akshith Shetty, Paul Sharpe, Richard Byng

Peninsula Medical School

Aims and method DIALOG is a patient-reported outcome and experience measure. We analysed anonymised DIALOG scores routinely collected from East London NHS Foundation Trust. We aimed to (a) examine changes in DIALOG scores through the patient journey (‘assessment’, ‘review’ and ‘discharge’); and (b) assess the impact of community mental health (CMH) transformation by comparing pre- and post-DIALOG scores. We analysed 11 198 DIALOG scores from 5007 patients in 2018–2019 and 2021–2022. Results DIALOG scores improved across treatment stages in both years. There was no clear difference pre- and post-CMH transformation, although in 2021–2022 there were lower satisfaction scores at referral. …

Price Endings Of Online And Offline Retailers: Round And Just-Below Pricing, Kwanho Suk, Gaeun Kim, Dongwon Lee, Xuanting Jin

Asia Marketing Journal

This study investigates and compares price-ending strategies employed by online and offline retailers. Analyzing 210,456 prices from retailers in US, South Korea, and China reveals significant differences in price-ending between online and offline retail formats. Online retailers exhibit a lower propensity to utilize round prices (e.g., ending in 0) and just-below prices (e.g., ending in 9) than offline retailers. This research discusses potential explanations for these observed discrepancies, focusing on the distinct price-setting environments and consumer purchasing behaviors of online and offline retail.

Internal Public Relations Influence On Organizational Citizenship Behaviors: Integrating Social Identity Perspectives In Organizational Contexts, Daewook Kim

Asia Marketing Journal

This study examined how internal public relations encourages employees to participate in organizational citizenship behaviors. Using a national survey of employees (N = 339), we tested a conceptual model that proposed linkages among dialogic internal communication, organizational social capital, communal relationships, and organizational citizenship behaviors. The results suggest dialogic internal communication can enhance organizational social capital and encourage internal publics to participate in organizational citizenship behaviors. Additionally, organizational social capital mediated the effects of dialogic internal communication on communal relationships and organizational citizenship behaviors. The findings highlight a critical connection between public relations and social identity perspectives within organizational …

Temporal Dynamics Of Online Shopping: A Multidimensional Clustering Approach For Optimizing Time-Specific Advertising Strategies, Hye Ra Oh, Yunjae Cheong

Asia Marketing Journal

This study clusters consumers according to their hourly online shopping consumption patterns and develops optimized advertising strategies that can be practically applied by companies. Specifically, we considered multidimensional variables related to consumers, including demographic characteristics, shopping frequency, information search and content consumption characteristics, and lifestyle traits. We explored consumer types by comparing various clustering algorithms and applying the optimal clustering method for each time period. The analysis results show significant differences in payment amounts according to payment time periods. Regarding consumer types, consumption tendencies are distinctly differentiated by payment time periods, with each cluster showing different characteristics. This study is …

Does Ai-Driven Empathy Work In Healthcare Marketing? The Impact Of Cognitive And Affective Empathy In Chatbots And The Moderating Role Of Illness Type, Jee Won Kim, Yeonsoo Kim, Jino Chung

Asia Marketing Journal

Recognizing the growing potential of AI-generated chatbots in healthcare and healthcare marketing, this study investigates how different types of chatbot-expressed empathy influence user responses in stigmatized versus non-stigmatized health contexts. Perceived authenticity is introduced as a key mediator. Drawing on Mind Perception Theory, a 3 (empathy: none, cognitive, affective) × 2 (illness type: stigmatized, non-stigmatized) online experiment was conducted. The findings show that affective empathy reduced perceived authenticity, which subsequently decreased user satisfaction, perceived understanding, reuse intention, and follow intention. These indirect effects varied by illness type: in stigmatized contexts, non-empathetic communication was viewed most favorably, whereas in non-stigmatized contexts, …

Unpacking Virtual Influencer Persuasiveness: Effects Of Social Attributes, Self-Congruence, And Attachment On Brand Attitude And Purchase Intention, You Jin Song, Sejung Marina Choi

Asia Marketing Journal

As virtual influencers (VIs) increasingly function as prominent intermediaries in brand–consumer interactions, there is a critical need for systematic investigation into their impact on consumer behavior. This study empirically explores how specific attributes of VIs—competence, warmth, and eeriness—shape consumer perceptions, attachment, and brand engagement. Results indicate that competence and warmth significantly enhance VI attractiveness, whereas eeriness diminishes attractiveness and weakens consumer responses. Furthermore, attractiveness emerges as a primary determinant of consumer attachment to VIs, with actual self-congruence acting as a moderator that reduces this attachment. Notably, stronger consumer attachment fosters more positive brand attitudes, which subsequently elevate purchase intention. These …

Are You Ready To Embrace Ai-Generated Art? Exploring The Differential Effects Of Ai Versus Human Agents On Consumer Response, Seojin Stacey Lee, Yaeri Kim, Kiwan Park

Asia Marketing Journal

With a growing integration of artificial intelligence (AI) into creative domains, understanding its impact on consumer responses remains a critical area of inquiry. This research examines how agent type (AI vs. human) and art type (fine art vs. art-infused product) influences consumer purchase intention, along with the underlying psychological mechanism. Across three empirical studies, we find that consumers report higher purchase intention for art-infused products compared to fine art when created by AI. In contrast, this difference in purchase intention is diminished when the products are created by human artists. Perceived incompatibility functions as a moderated mediator in this process. …

Asking Hospitals To Do Their Share, Kimberly Mutcherson

Fordham Law Review Online

No abstract provided.

Deferred Action Theory As A Framework For Adaptive Educational Procurement: Navigating Uncertainty And Digital Transformation In Education Systems, Herdiana Herdiana, B. Yuliarto Nugroho, Andreo Wahyudi Atmoko

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

Public procurement constitutes a significant portion of national expenditure and directly affects economic growth, service delivery, and governance quality. In Indonesia, education sector procurement absorbs more than half of the allocated budget but remains vulnerable to inefficiencies, rigid procedures, and corruption risks. This study aims to conceptualize an adaptive framework for Public Procurement Business Process Management (PP-BPM) that addresses environmental uncertainty, digital transformation, and governance challenges. This conceptual study integrates Deferred Action Theory (DAT), Emergent Business Processes (EBP), and Business Process Management (BPM) to develop a multi-level framework for procurement. The analysis covers strategic, managerial, and operational dimensions, emphasizing deferment …

Reimagining Instructional Planning: Balancing Real-Life Experiences With Ai Instantaneity, Shaanii-Grace Robinson-Ritzdorf

Essays in Education

Instructional planning challenges teachers to balance creativity, time, and application of real-life experiences. Artificial intelligence (AI) offers rapid lesson ideas, personalized resources, and adaptive tools, yet uncritical use risks generic, disengaging instruction. This essay was based on the background study that examined elementary teachers’ integration of real-life experiences in science and math lessons in northwestern New Mexico through lesson plans, professional development materials, and interviews. Results revealed teacher-centered, procedural approaches with limited connection to students’ lived experiences, while personally designed lessons allowed greater flexibility for meaningful examples. Thoughtfully guided AI can bridge this gap, supporting scenario-based learning, differentiation, and student …

Defying Conventions: The Marketing Alchemy Of Transforming 'Ugly' Into Iconic, Monisha Gupta, Rex Evans Mcclure

Atlantic Marketing Association Proceedings

No abstract provided.

The Association Between School Teachers’ Competence, Autonomy, And Relatedness And Their Capabilities In Leading Change And Self-Leadership In Al Ain City Government School, Asma Saeed Khethail

Thesis/ Dissertation Defenses

Education systems globally are experiencing ongoing reform due to globalization, rapid technological development, and increasing expectations for innovative and adaptable learning environments. Teachers are increasingly required to implement policy initiatives and be active leaders of change within schools. However, teachers’ ability to engage in change leadership and self-leadership is influenced by the psychological and relational conditions of their professional environments. Guided by Self-Determination Theory (SDT), this study investigates the association between teachers’ perceptions of competence, autonomy, and relatedness. It further examines how these perceptions relate to their capabilities in leading change and practicing self-leadership in government schools in Al Ain …

A Renewed American Conservativism Or The End Of The American Republic?, Virgile Samba Moussinga

Helms School of Government Spring Public Policy Conference

No abstract provided.

Application Of The Multi-Theory Model To Determine Predictors Of Initiating And Sustaining Stress Management Behaviors In Undergraduate College Students, Bishoy T. Samuel, Joshua Mann, Michael Welsch, Manoj Sharma, Vinayak K. Nahar

Journal of Public Health in the Deep South

Background: Undergraduate college students face stress and concomitant mental health issues that can be mitigated by proper stress management behavior.

Purpose: This article examines the multi-theory model (MTM) of health behavior as a predictor of change in the primary outcomes of initiation and sustenance of relaxation-seeking behavior in undergraduate college students for the purposes of stress mitigation. The two main research hypotheses tested were that (a) participatory dialogue, behavioral confidence, and change in physical environment have statistically significant effects on initiation of behavioral change, and (b) emotional transformation, practice for change, and change in social environment have statistically significant effects …

Promoting A Culture Of Academic Integrity In The Context Of Artificial Intelligence: Lessons From One School Of Public Health In The Southeast, Gregory Pavela, Lindsay C. Aycock, Mercy Aula, Angela Sullivan, Matthew Fifolt

Journal of Public Health in the Deep South

No abstract provided.

Physical And Physiological Profiles Of Competitive Fencers: A Systematic Review And Meta-Analysis Of Strength, Power, Endurance, Agility And Asymmetry, Joanna Motowidło, Miłosz Drozd, Petr Stastny, Dariusz T. Skalski, Izabella Socha, Adam Maszczyk

Baltic Journal of Health and Physical Activity

Background: Evidence on lower-limb strength, explosive power and bilateral asymmetry in competitive fencing is fragmented, and the relative impact of general neuromuscular capacity versus targeted training interventions remains unclear. The aim of this systematic review and meta-analysis is to provide a multidimensional, evidence-based synthesis of data on strength, power, and bilateral asymmetry of the lower limbs in professional fencers. Materials and methods: Following PRISMA 2020 (PROSPERO CRD420251041007), six databases were searched by 31 January 2025. Forty studies of fencers aged ≥ 12 years met the inclusion criteria. Three domain-specific random-effects meta-analyses (DerSimonian–Laird) were conducted: (1) integrated strength and power across …