Digital Commons Network^™

Sertraline To Reduce Recidivism In Impulsive Violent Offenders (Reinvest): A Randomised Double Blind Clinical Trial, Tony Butler, Emaediong I. Akpanekpo, Lee Knight, Kristy Robledo, David Greenberg, Andrew Ellis, Stephen Allnutt, Kay Wilhelm, Alison Jones, Rodney Scott, Bianca Ton, Luke Grant, Philip Mitchell, Ross Tynan, Jocelyn Jones, Dominic Villa, Duncan Chappell, Carolynn Dixon, Alison Churchill, Val Gebski, Tony Keech, Peter W. Schofield

Research outputs 2022 to 2026

Background: Biological studies suggest serotonin modulation via selective serotonin reuptake inhibitors (SSRIs) might reduce impulsive violence, however, robust evidence in offender populations is limited. We aimed to determine whether sertraline reduces violent reoffending compared with placebo in highly impulsive men with recurrent violent offending.

Methods: We conducted a double-blind, placebo-controlled, randomised clinical trial in community settings in New South Wales, Australia. Eligible participants were men aged 18 years or older with ≥2 prior violent convictions and a Barratt Impulsiveness Scale score ≥70. Following a 4-week single-blind active run-in phase with sertraline, participants were randomly assigned (1:1, minimization stratified by key …

The Effects Of Acute And Chronic Exercise On Lipocalin-2 In Middle-Aged And Older Adults: A Randomized Control Trial, Carlie Bauer, Marc Sim, Cassandra Smith, Rhiannon Healy, Andrew Garnham, Navabeh Zare-Kookandeh, Elizabeth Byrnes, Mary N. Woessner, Joshua R. Lewis, Itamar Levinger

Research outputs 2022 to 2026

Objective Chronically elevated circulating lipocalin-2 (LCN2) levels are implicated in poor energy regulation, increased cardio-metabolic disease risk, and poor physical function. Exercise is known to improve these factors, but whether LCN2 is modifiable by exercise is not clear. We examined the effect of acute and chronic exercise on LCN2 levels and whether this relates to glucose regulation, body composition, and physical function. Design and methods Thirty-three middle-aged and older adults (45–84 years, median body mass index 26.21 kg/m²) completed an acute high-intensity interval exercise session (HIIE). Participants were randomized to 4 weeks of high-intensity interval training (HIIT) or …

Up From The Archive: On Stigma, Resilience And Chosen Families. Hassan Khalil Thinks With Bernard Gardiner 2018, Hassan Khalil

Research outputs 2022 to 2026

This paper reflects upon Bernard Gardiner's qualitative study of the lived experiences of older gay people living with human immunodeficiency virus (PLHIV) in regional Queensland. The study explores how advancements in the biomedical field have extended the life expectancy of PLHIV, allowing this group to navigate through persistent challenges both psychosocial and structural. Central to Gardiner's study is the exploration of stigma, trauma and financial challenges. The core strength of the study is its participant-led narrative which offered valuable insight into complex lived experiences of ageing PLHIV. Gardiner's findings remain relevant in the contemporary and current context, highlighting the need …

Perfectionism And Compulsive Exercise: A Systematic Review And Preliminary Meta-Analysis, Elizabeth Bills, Shannon R. Muir, Rose Stackpole, Sarah J. Egan

Research outputs 2022 to 2026

Purpose: There is a consistent link between perfectionism and compulsive exercise, and both are implicated in the maintenance of eating disorders, however no meta-analysis to date has quantified this relationship. We hypothesised that there would be significant, small-moderate pooled correlations between perfectionism dimensions and compulsive exercise. Methods: Published, peer-reviewed articles with standardised measures of perfectionism and the Compulsive Exercise Test were included. There were 7 studies included (N = 3117 participants, M age = 21.78 years, 49% female). Results: Total perfectionism (r = 0.37), perfectionistic strivings (r = 0.33), and perfectionistic concerns (r = 0.32) had significant pooled positive associations …

A Thematic Analysis Of What Australians State Would Change Their Minds On Climate Change, Amy S.G. Lee, Kelly Kirkland, Samantha K. Stanley, Abby Robinson, Zoe Leviston, Iain Walker

Research outputs 2022 to 2026

What do Australians believe would change their current opinions about climate change? In this study, we used audience segmentation analysis through the Six Americas Short Survey to identify groups of climate opinion holders within a representative sample of Australians. We had 4857 participants tell us what it would take to change their current opinions about climate change and leveraged OpenAI’s Generative Pre-Trained Transformer (GPT) to identify the presence or absence of themes (Nothing, Evidence and Information, Trusted Sources, Action, and Unsure) and subthemes in their responses. GPT performed at near-human levels, proving to be a highly useful tool for thematic …

Full Issue (Volume 4, Issue 2): Evolving Englishes, Innovative Pedagogies, And Emerging Linguistic Insights

Journal of English and Applied Linguistics

Abstract not applicable.

The Influence Of Trauma-Informed Self-Care Practices On Compassion Fatigue, Secondary Traumatic Stress, And Burnout Among Educators, Giitoun Belinda Martin

Masters Theses and Doctoral Dissertations

Educators play a pivotal role in supporting students who have experienced trauma, yet the emotional toll of this work is often underestimated. This mixed-methods study examined the influence of trauma-informed self-care (TISC) practices on compassion satisfaction, compassion fatigue, secondary traumatic stress (STS), and burnout among K–12 educators in a large southeastern Tennessee district, including Priority Schools serving high-poverty communities. A total of 157 educators were surveyed, while 32 educators participated in focus groups to provide deeper insight into self-care supports. Quantitative analyses revealed that higher levels of TISC engagement were significantly associated with increased compassion satisfaction and personal accomplishment, and …

Safety In Stability: A Cdc-Guided Evaluation Of Hospital Fall Prevention Practices, Matthew C. Dougherty

Electronic Theses and Dissertations 2020 - Present

Hospital falls remain a persistent and preventable cause of patient harm, emphasizing the need for continuous evaluation of fall prevention practices. This project assessed the effectiveness of AdventHealth Orlando’s fall prevention policy using the Centers for Disease Control and Prevention (CDC) Program Evaluation Framework. A mixed-methods design incorporated quantitative analysis of 12 months of fall data and qualitative feedback from frontline staff surveys and discussions. Results demonstrated a decrease in total falls from 549 in the previous year to 528 in the current year, indicating early progress despite the incomplete reporting period. Unit-level analysis showed a mean improvement of 16.9% …

From Awareness To Action: Improving Advanced Directives With The Five Wishes In College Aged Young Adults, Dina M. Giovanetti

Electronic Theses and Dissertations 2020 - Present

This quality improvement project aimed to increase early education, initiation, documentation, and completion rates of advance directives (ADs), specifically the Five Wishes, among college-aged young adults (18–24 years old) in a concierge primary care setting. The project addressed the low engagement and completion rates of ADs in this population, which can result in inadequate end-of-life care planning. The initiative involved training all staff members through collaborative instruction, informational sessions, and personalized provider-patient discussions. A convenience sample of eligible patients was identified via chart review. Inclusion criteria included English-speaking young adults aged 18–24, regardless of comorbid conditions who were members of …

Breaking The Silence With Routine Genitourinary Syndrome Of Menopause Screening: A Quality Improvement Project, Ashley R. Noel

Electronic Theses and Dissertations 2020 - Present

Affecting upwards of 87% of women in post menopause, genitourinary syndrome of menopause is greatly under-diagnosed, and consequently, under-treated. Genitourinary syndrome of menopause refers to health conditions impacted by hypoestrogenic state experienced in menopause. Common symptoms of GSM include vaginal dryness, irritation, clitoral or labial atrophy, dyspareunia, decreased libido, anorgasmia, dysuria, recurrent UTI, urinary incontinence (Kaufman et al., 2025). Despite the burdensome consequences of GSM, women are unlikely to vocalize their symptoms and seek treatment. Additionally, societal beliefs of shame surrounding sexual health impede patients and clinicians from addressing GSM specifically (Mili et al., 2021). As a result, the North …

Improving Intimate Partner Violence Screening In Telehealth Mental Health Settings, Marina Oliynyk

Electronic Theses and Dissertations 2020 - Present

Intimate partner violence (IPV) is a pervasive yet frequently underrecognized public health concern, particularly within telehealth psychiatric care, where nonverbal cues may be absent. This quality improvement (QI) project aimed to improve the identification and response to IPV by implementing a standardized, evidence-based screening protocol in a private telepsychiatry practice. Guided by the Plan-Do-Study-Act (PDSA) framework, the validated E-HITS screening tool was introduced, along with structured trauma-informed care training, to six psychiatric-mental health nurse practitioners (PMHNPs). Six PMHNPs completed pre/post-confidence surveys (5-point Likert) and tracked screening activity across 100 telehealth encounters (98 of 100 visit were eligible). Over a three-month …

Persons With Alzheimer’S Disease And Related Dementias And Caregiver Burnout: A Quality Improvement Project, Reede A. Walke

Electronic Theses and Dissertations 2020 - Present

Alzheimer's Disease and Related Dementias (ADRD) represented an escalating public health challenge, profoundly affecting individuals, families, and healthcare systems. As the number of individuals diagnosed with ADRD rises, the prevalence of caregiver burden and burnout among those providing care also increases. The purpose of this quality improvement project was to evaluate the existing assessment processes for caregiver burnout and determine the effectiveness of the Zarit Burden Interview (ZBI), a measurement which identifies caregivers’ levels of stress, at a memory disorder center in south Florida. Sixteen caregivers reported overall mild-to-moderate caregiver burden, with a mean ZBI score of 22.19 (SD = …

Tai Chi For Cardiovascular Wellness: Integrating An Ancient Practice Into Modern Therapeutic Approaches, Chun-Han Cheng, Wen-Rui Hao, Huan-Yuan Chen, Po-Yuan Chen, Ju-Chi Liu, Tzu-Hurng Cheng

BioMedicine

Tai Chi, a traditional Chinese martial art characterized by gentle, fluid movements and deep breathing, has gained increasing recognition for its cardiovascular health benefits. This study investigated the integration of Tai Chi into contemporary cardiovascular health practices, focusing on its physiological and psychological effects. The slow, controlled movements characteristic of Tai Chi contribute to enhanced cardiovascular fitness, decreased blood pressure, and improved vascular function, while simultaneously alleviating stress and fostering emotional well-being. Through a review of clinical studies and trials, this study underscores the efficacy of Tai Chi in cardiovascular rehabilitation programs and its accessibility as a community-based intervention. Additionally, …

Circadian Rhythms And Neuroendocrine Dysregulation In Adhd: Therapeutic Insights From Omega-3 Fatty Acids, Ayesha Zafar Iqbal, Patricia Marest Suwindi, Sunny Yin-Shan Chen, Lindsay Liang-Tien Cho, Kuan-Pin Su, Jane Pei-Chen Chang

BioMedicine

Attention-deficit hyperactivity disorder (ADHD) is a common neurodevelopmental condition often accompanied by circadian rhythm disturbances, particularly delayed sleep phase. These involve superchiasmatic nucleus (SCN) dysregulation, altered melatonin secretion, and hypothalamic–pituitary–adrenal (HPA) axis activity, which may be exacerbated by artificial light exposure. Genetic studies further implicate circadian mechanisms, linking ADHD with polymorphisms in clock genes such as PER and CLOCK.

Nutraceuticals, particularly omega-3 polyunsaturated fatty acids (n-3 PUFAs), have been proposed as modulators of circadian rhythms. N-3 PUFAs are essential for brain health and may influence melatonin synthesis and sleep–wake regulation. Preclinical and clinical findings suggest that supplementation can improve cognitive …

The Integrative Role Of Melatonin In Psychiatric Disorders: A Systematic Review Of Evidence From Circadian Biology, Lifestyle Medicine, And Psychoneuroimmunology, Ho Bao Chau Le, Kollawat Somsri, Thansita Bhunyakarnjanarat, Nattiya Hirankarn, Asada Leelahavanichkul

BioMedicine

Melatonin, a hormone produced by the pineal gland, is known for regulating circadian rhythms and has emerging therapeutic potential in psychiatric disorders. This systematic review examines evidence from clinical and preclinical studies to assess melatonin’s efficacy in the following conditions: depression, anxiety, bipolar disorder, and schizophrenia. Beyond its role in circadian regulation, melatonin exhibits antioxidative, anti-inflammatory, and immunomodulatory properties, which intersect with nutrition, lifestyle medicine, and psychoneuroimmunology (PNI).

The review finds that melatonin improves sleep quality, restores circadian balance, and modulates stress-related neuroimmune pathways. It also supports neuroplasticity and reduces oxidative stress, contributing to resilience against psychosocial and environmental stressors. …

From Rhythm To Resilience: The Interplay Of Circadian Rhythm, Melatonin, Lifestyle, Nutrition In Psychoneuroimmunology (Pni), Jane Pei-Chen Chang, Kuan-Pin Su

BioMedicine

Emerging evidence reveals that circadian rhythm, melatonin signaling, nutrition, and inflammation are intricately intertwined in shaping both mental and physical health. Circadian disruptions and lifestyle imbalances contribute to neuroinflammation, mood dysregulation, and cardiometabolic dysfunction, as seen in attention-deficit/hyperactivity disorder (ADHD), major depressive disorder (MDD), metabolic syndrome,and cardiovascular diseases. This special issue highlights interdisciplinary research that integrates circadian biology, nutrition, and psychoneuroimmunology (PNI) toward personalized and preventive psychiatry. Featured studies explore circadian and melatonin mechanisms in ADHD and MDD, the therapeutic and prophylactic potential of omega-3 polyunsaturated fatty acids (n-3 PUFAs), the neuroprotective potentical of paeoniflorin, and the role of extracellular …

Review Of Resonance: A Sociology Of Our Relationship To The World By Hartmut Rosa, Ryan Derby-Talbot

Turning Toward Being: The Journal of Ontological Inquiry in Education

No abstract provided.

Disclosing That Which Has Been Made Invisible: Collective Ontological Inquiry With Vanessa Machado De Oliveira, Dorothy Cococinno Ladybugboss, Aiden Cinnamon Tea, And Aiden Senior, Raphael Borges, Witneiris Constanzo, Samantha Encarnacion, Kaley Klapisch, Carolyne J. White

Turning Toward Being: The Journal of Ontological Inquiry in Education

An unconventional and collaboratively written text begun as a Book Review that expands into a hybrid Book Review-Notes From The Field-Article as we sought to do justice to our encounter with three provocative books that elicit ontological inquiry inside and outside our classrooms, inquiry that challenges us, confuses us, confronts us to unlearn and loosen the grip of ontological constraints we were thrown into within modernity and our embeddedness within the everyday life. Our reading of these books elicits much needed hope for the precarious times we are living through with this earth.

One Individual’S Culmination Is Another’S Abyss: The Matter Of Mattering, Lou Agosta

Turning Toward Being: The Journal of Ontological Inquiry in Education

One individual’s culmination is another’s new beginning and yet another’s abyss. The abyss is nihilism. The challenge of such a Big Idea as The Culmination (the event, not the title of Robert Pippin’s book) is to weave the hermeneutic tapestry of the meaning of Being (Sein) as disclosed in poetry, aesthetics, and the life-world, while coaxing the lumbering Hegelian camel of German Idealism through the eye of the narrow needle of Dasein’s (Heideggerian) finitude. The world and entanglement are disclosed in a nondiscursive (preconceptual) manner as mattering. The way forward in philosophy lies through innovations in “mattering”—not a conceptual sense …

Book Review Of Go West! A Memoir For My Sons: Our Family Journey And Khmer Rouge Life Experiences, Lalinne Suon Bell

Journal of Southeast Asian American Education and Advancement

I came to Go West! A Memoir for My Sons not as a detached reader but as someone who holds Cambodia within me. Like Sideth D. Niev, I am a survivor of the Khmer Rouge, a child who grew up in exile and a mother now raising children in Minnesota, the same state where Niev rebuilt his life. Reading his memoir is like walking through a mirror: his words reflecting the past my family endured, my life reflecting the future his sons now inhabit. Both of us live in the long aftermath of genocide, where silence is both a burden …

Book Review Of Coloring And Learning About Cambodia In The Arts: Learning About Cambodia In The Arts, Lalinne Suon Bell

Journal of Southeast Asian American Education and Advancement

I have long been witness to the silence that trauma leaves behind. I understand how the body remembers what the tongue cannot say. The aftermath of genocide and displacement leaves not only human tragedy but also artistic ones: a fracture in how we imagine, how we create, how we see. For those of us shaped by the Cambodian diaspora, what we can’t express in words lives through art: through lines and colors. Cambodian classical dance shows this clearly: each gesture tells a story without words and that art has always been our language.

The Narrative Structure In The Novel "The Jewel And The Captain" By Zuwaina Al-Kalbani, Saad Mashi Oudah Alanzi

UB Journal for Humanities

This research deals with the novel The Jewel and the Captain by the Omani novelist Zuwaina Al-Kalbani, through an analytical and critical reading, trying to highlight how the novelist employed the elements of the fictional work; To show the reader what it aims at, and the importance of the subject of this research stems from the fact that it sheds light on the most important techniques of fictional work in a realistic historical novel. The study relied on the analytical descriptive approach that deals with the artistic form through description, analysis and criticism, while relying on the historical approach and …

Crisis Of Personalities And The Historical And Ideological Conflict In Ali Al-Amir's Novel "Qa'a Al-Yahud, Ibrahim Mohammad Abu-Talib

UB Journal for Humanities

This study focuses on clarifying the crisis of the characters and their conflict in one of the Saudi novels, which studied a topic that constitutes a recent phenomenon in the contemporary narrative discourse in the ego relationship with the other Jewish in (The Bottom of Jews) novel. The aim behind such a study is to clarify the main themes that the novel was built and its relationship with the characters and knowing the nature of its crisis through identifying the factors of that crisis and its causes in order to represent the relationship between personalities crisis and narration of history …

Gradual Deletion Of Diacritics From Reading Text For Learners Of Arabic For Non-Native Speakers At The Advanced Level: " Experimental Study ", Dhafer Ali Abdullah Alshehri

UB Journal for Humanities

The study aims to address the difficulties experienced by learners when exposed to unformed reading text, by proposing a mechanism to gradually remove diacritical marks in advanced levels, to achieve the objectives of the study, the descriptive approach based on analysis was followed, as it is most appropriate for the nature of the study. Study tools were prepared and pre and post tests were applied for the target sample (94) learners. The application of the proposed mechanism continued for a period of three months. Then the researcher measured and interpreted the results. The results of the study indicated that there …

Spatial Analysis Of The Problems Arising From The Movement Of Slum Dwellers: A Case Study Of Al-Harazat Neighborhood In Jeddah, Fatmah Musa Yahya Motaen

UB Journal for Humanities

A Jeddah-based researcher has discovered the spatial analysis of the movement of slums in Al-Harazat neighborhood with the aim of determining the locations of hot spots according to the type of sedatives in the neighborhood. Seeking to produce predictive maps of areas of fear using the concept of mind maps. The absence of any security services in the Harazat neighborhood, which affects trends in fighting crime, has been studied. The area has been divided into three zones, with violent crime concentrated in the east and center and random areas in the north. The application of the mind map concept proved …

The Principles And Directives Contained In The Sunnah Of The Prophet To Protect Societies From Epidemics, Maria Bassam Mohammed Abdel Rahman

UB Journal for Humanities

This research was titled (The Principles and Directives Contained in the Prophet’s Sunnah to Protect Communities from Epidemics), with the aim of deriving the principles contained in the Prophet’s texts to prevent epidemics and prevent their spread, and to explain the means of the Prophet’s Sunnah in facing the challenges of limiting the spread of epidemics. The prophetic texts and an inventory of the hadiths in which the topic of epidemics was mentioned, then classified, described and analyzed in the light of the prophetic context. The study concluded that the prophetic Sunnah included important principles and means to limit the …

Assessing Knowledge, Attitudes, And Consumption Of Traditional Chinese Herbal Medicine Among Filipinos Post Covid-19 Pandemic, Jane Yugioksing

Social Transformations Journal of the Global South

Traditional Chinese Medicine (TCM) in the Philippines has existed as early as the first wave of migrants but has remained confined within a prescribed settlement in the Manila district known as Parian. Over the years, TCM has existed independently as a modality of treatment to improve one’s health, mostly catering only to the Chinese in the country. At the height of the COVID-19 pandemic, the Philippines’s Food and Drug Administration (FDA) approved the use of the TCM capsule Lian Hua Qing Wen as part of the COVID-19 treatment option, which was highly patronized by the mainstream Philippine society at that …

Uni Scholarworks Readership Snapshot, October 2025, Bepress

Library Documents & Reports (entire collection)

No abstract provided.

A Review Of The Lifelong Learning And Continuing Education System In Singapore, Brian Teck Kin Heng, Mei Zhen Ng

The Qualitative Report

The workforce development field faces profound impacts due to rapid changes in the job landscape, necessitating new skill requirements driven by technological advancements. However, there remains a gap in studying and understanding the interaction between government support, employers/union support, and the learner themselves to influence a positive outcome for employment and employability. Therefore, this study will utilise semi-structured interviews where participants will be divided into two main groups: workforce leaders, and workforce members (comprises workers, employees and job seekers). The actor-oriented approach reveals the roles of the various identified players in the employment and skill-upgrading landscape. The interviews were designed …

Implementing Phq-2 In An Outpatient Mental Health Practice, Krishona Poignard

Doctor of Nursing Practice Projects

Depression remains widely underidentified in outpatient behavioral health settings, where variable screening practices limit early recognition and appropriate treatment. This quality improvement project addressed this gap by standardizing screening through targeted clinician education. The purpose was to improve clinician confidence and adherence to validated tools, specifically the Patient Health Questionnaire-2 (PHQ-2) and, when indicated, the Patient Health Questionnaire-9 (PHQ-9). The project aimed to increase consistent tool use through an evidence-based educational intervention guided by Lewin’s Change Theory and the Iowa Implementation for Sustainability Framework. A quasi-experimental, single-group pretest–posttest design was employed with licensed clinical staff, including licensed social workers (LSWs), …