Digital Commons Network^™

Dietary Inflammatory Index And Risk Of Colorectal Cancer In Japanese Men, Ayaka Kotemori, Kumiko Kito, Motoki Iwasaki, Taiki Yamaji, James Hébert Scd, Junko Ishihara, Manami Inoue, Shoichiro Tsugane, Norie Sawada On The Behalf Of Jphc Study Group

Faculty Publications

Background/Objectives: Unhealthy lifestyles lead to chronic low-grade inflammation, increasing the risk of colorectal cancer. Few studies in East Asia have examined the association between the dietary inflammation potential and colorectal cancer incidence. Therefore, we aimed to investigate this association further in the Japanese population. Methods: This study included 38,807 men aged 45–74 years who participated in the Japan Public Health Center-based prospective study (JPHC Study). The energy-adjusted dietary inflammatory index (E-DII) was derived from a food frequency questionnaire. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox proportional hazards regression models. Differences in risk due to a …

Socioecological Stressors During Covid-19 Among Urban Refugee Youth In Kampala, Uganda: A Qualitative Descriptive Analysis, Sikky Shiqi Chen, Carmen H. Logie, Frannie Mackenzie, Moses Okumu, Robert Hakiza, Brenda Katisi, Daniel Kibuuka Musoke, Aidah Nakitende, Isha Berry, Bay Bahri, Peter Kyambadde

Journal of Social, Behavioral, and Health Sciences

Limited studies have examined pandemic-related stressors among urban refugee youth in low and middle-income humanitarian countries (LMICs), such as Uganda. We explored the lived experience of COVID-19-related stressors among urban refugee youth in Kampala, Uganda. We analyzed qualitative data (text messages, WhatsApp chats, photos) collected in an interactive mobile health intervention with 346 refugee youth aged 16–24 in Kampala. Findings revealed stressors across socioecological levels: individual (e.g., financial-related distress), social (e.g., limited social interactions), community (e.g., food insecurity), and policy (e.g., unprecedented lockdowns). Findings can inform social work organization pandemic preparedness strategies for economic empowerment and social cohesion with youth.

Rab5c Increases Endothelial Release Of Vwf By Regulating Vesicle Trafficking, Paula Reventun, Pablo Toledano-Sanz, Maria Delgado-Marin, Maria Viskadourou, D Brian Foster, Paul S De Vries, Maria Sabater-Lleal, Nunzio Alcharani, Claudia Gonzalez-Cucharero, William O Osburn, Alanna C Morrison, Alisa S Wolberg, Nicholas L Smith, Marios Arvanitis, Charles J Lowenstein

Faculty, Staff and Student Publications

Background: Abnormal levels of VWF (von Willebrand Factor) are a risk factor for venous thromboembolism (VTE) and bleeding. Genome-wide association studies for VWF have identified novel candidate genes that may regulate VWF levels in humans, including RAB5C (RAS-associated protein RAB5C). We hypothesized that RAB5C regulates VWF release from endothelial cells.

Methods: We studied the effect of RAB5C on vesicle trafficking in human endothelial cells. We performed CRISPR (clustered regularly interspaced short palindromic repeats) interference targeting 2 genetic variants linked to altered VWF levels and evaluated RAB5C expression by reverse transcription-quantitative polymerase chain reaction. We silenced RAB5C or overexpressed RAB5C wild-type, …

A233: Digital Empowerment And Governance Innovation For Smart Sports Community Development In Urban China, Li Liu, Xuekai Qi, Jie Wu, Wei Shen

International Journal of Physical Activity and Health

Smart sports communities are emerging as a crucial component of China’s National Fitness Strategy, driven by digital empowerment and governance innovation. This study examines the historical evolution of urban community sports and investigates how technological innovations enhance governance, management, service efficiency, and user experience in the development of smart sports communities. Method: This research employs an empirical case study in the Yangtze River Delta region, encompassing 25 grassroots communities across cities such as Nanjing, Jiaxing, Shanghai, Hefei, and Wuhu. A historical analysis of policy documents, academic research, and media reports provides longitudinal insights into the transformation of urban community sports …

A270: Exerciser Adoption Of Personalized Workout Plan In Ai-Powered Fitness Apps: The Technology Affordance Perspective, Yike Jiao, Zhao Du, Ziyan Deng

International Journal of Physical Activity and Health

With the proliferation of artificial intelligence in the sports industry, AI-powered fitness apps that offer personalized fitness services are becoming increasingly prevalent. The personalized workout plan, a popular feature of AI-powered fitness apps, is being added to a growing number of fitness apps and embraced by a rapidly expanding user base. Personalized workout plans are tailored to exercisers’ fitness goals, demographics, body features, preferences, and skill levels. Although this feature is expected to enhance exerciser engagement and improve their satisfaction, scholarly works investigating the factors that drive and hinder exercisers from adopting it remain scarce. Based on the technology affordance …

A276: A Grounded Theory Study: Could Outdoor Hiking Foster Meaningfulness In Life For Urban Gen-Z?, Weikang Liao, Li Li

International Journal of Physical Activity and Health

Urban Generation Z (youth born between 1995 and 2009 in cities) has grown up in highly digitized and urbanized environments, facing contemporary challenges such as social alienation and a lack of meaning in life. While outdoor hiking is recognized as a stress-relief activity, its specific mechanisms for fostering meaning in life among Generation Z remain unclear. Existing studies predominantly focus on the physical and mental health benefits of outdoor activities, neglecting the dynamic construction of meaning in life and particularly overlooking the unique characteristics of this generational cohort. This study aims to uncover the distinct pathways through which urban Generation …

A305: The International Communication Path Of Table Tennis Sports Presentation, Mingchen Xu, Xiyu Zhao

International Journal of Physical Activity and Health

Table tennis carries a unique mission of cross-cultural communication. In 1971, the "Ping-Pong Diplomacy" with the strategic wisdom of "a small ball turning a big ball" set a classic model for sports public diplomacy. As a carrier of national cultural symbols, the international communication of table tennis should rely on major events to tell the table tennis story to achieve presentation and Presentation. As a key for event communication, in table tennis events, is driven by the synergy of three-dimensional elements: "competitive core + technological extension + commercial drive". Specifically, through the organic combination of visual and auditory elements and …

A041: “Sports Yuan”: The Body Expression Of Young Women's Digital Participation In Sports, Zongrui Ye

International Journal of Physical Activity and Health

With the rise of social media and the popularity of outdoor sports, more young women are sharing sports-related photos and videos online, giving rise to the “sports goddess” phenomenon. This trend has sparked debate, being seen as a reflection of modern women’s active and healthy lifestyle, yet criticized for excessive image focus, deviating from true sports spirit. This research aims to analyze the bodily expression behind the phenomenon and its impact on sports culture, using self-presentation theory and power-disciplinary theory to explore how social media shapes women’s self-expression. This study uses theoretical analysis based on Erving Goffman’s self-presentation theory and …

A051: Spatial Distribution Pattern And Influencing Factors Of Ice And Snow Tourism Resources In Shandong Province, Yu Zhang, Xinlong Zhao, Yan Wang

International Journal of Physical Activity and Health

At present, most studies focus on the three provinces in Northeast China, the Beijing-Tianjin-Hebei region, and Inner Mongolia, where the basic conditions of ice and snow tourism are relatively superior, while the spatial distribution characteristics of ice and snow tourism in Shandong Province are relatively scarce. In view of this, this study adopts ArcGIS spatial analysis technology to deeply explore the spatial distribution characteristics of ice and snow tourism resources in Shandong Province, and comprehensively analyze its influencing factors, aiming to provide theoretical suggestions and evidence-based policy references for optimizing the spatial layout of ice and snow tourism resources in …

A107: Multidimensional Influencing Factors And Psychosocial Mechanisms Of Eating Disorders In Female Athletes, Yajing Zhao, Peizhen Zhang, Lumeng Yang

International Journal of Physical Activity and Health

Eating disorders (ED) are prevalent mental health conditions that significantly threaten the physical and psychological well-being of female athletes. The risk of ED is driven by the interplay of multiple factors, including sport-specific training environments, psychological vulnerabilities, and sociocultural pressures. Although existing research has identified several independent risk factors, a systematic understanding of the sport-related psychosocial mechanisms remains insufficient. This study aims to synthesize empirical evidence from the past five years to elucidate the multidimensional pathways of ED in female athletes, with a particular focus on intervention targets from a sport psychology perspective. A systematic literature review was conducted, retrieving …

A133: Self-Aggrandizing In Badminton Teaching Short Videos Affects Learning Willingness, Mingxiang Yi, Yuanjing Huang

International Journal of Physical Activity and Health

Based on the new era of digital sports development, self-media platforms have become an important carrier of sports teaching communication; however, few studies have investigated the relationship between self-aggrandizing behavior during sports teaching on self-media platforms and platform users' learning intention. In this study, we take Jittery self-media platform as an example to explore the chain path that creators' boasting behavior (H1) positively affects users' learning intention (H2) by enhancing users' trust (H3), and to verify the mediating effect of trust in the relationship between boasting behavior and learning intention, as well as the two-way influence between badminton short video …

A135: 6-Week Intermittent Fasting And Aerobic Exercise: Effects On Body, Cardiovascular, And Sleep In Masked Obese Men, Boran Zhang, Meng Li, Runsheng Nie, Yuting Fu

International Journal of Physical Activity and Health

Masked obesity (MO), defined by normal BMI with elevated body fat percentage, poses elevated health risks. This randomized trial compares combined intermittent fasting (IF) and aerobic exercise (AE) with single-modality interventions in young males, assessing body composition, cardiovascular function, and sleep quality to establish optimal evidence-based interventions. A total of 36 participants were randomized into three groups (n=12 each): (1) intermittent fasting combined with aerobic exercise (IF+AE), (2) IF-only, and (3) AE-only. Baseline assessments included body composition (weight, fat/lean mass, waist-to-hip ratio), cardiovascular markers (carotid intima-media thickness [CIMT], ejection fraction), and Pittsburgh Sleep Quality Index (PSQI). The IF+AE group alternated …

A183: Research On The Path Of The Digital Development Of Sports Culture, Hanxiao Wu

International Journal of Physical Activity and Health

The party's 20th report proposed to build a sports power and promote cultural confidence and self-improvement. Campus sports culture needs to borrow digital technology innovation breakthroughs: through intelligent technology to promote the Chinese sports spirit into virtual events, wisdom teaching scenarios, combined with AI and big data implementation physical training and two-way conduction of core values, build "digital technology can assign movement practice-cultural gene deepening spiritual identity" synergy mechanism, for sports power and cultural confidence provide operational innovation path. To study the path of digital development of sports culture on the comprehensive development of teenagers by means of literature, expert …

A211: Ai-Driven Strategic Frameworks For Sport Event Propagation Under Media Affordance Theory, Wenqian Yao, Jingwang Zhang

International Journal of Physical Activity and Health

The advancement of intelligent technology has transformed interaction models across communication ecosystems, encompassing production, dissemination, and consumption. Exemplified by the Paris Olympics’ 180+ intelligent communication domains, “AI + Sports” has emerged as an industry paradigm. This study employs media affordance theory to analyze AI’s transformative role in sports communication and associated ethical challenges, offering insights for cultivating a robust digital sports ecosystem. Method: This study investigates the application pathways of artificial intelligence in 20 major sports events held between 2000 and 2024. Data on application frequency, audience feedback, and other relevant metrics w collected to analyze the impact patterns of …

A228: Preservation And Dissemination Of Taijiquan Culture In Digital Perspective, Songqi Wang, Bin Yan

International Journal of Physical Activity and Health

One of China’s most iconic cultural traditions has increasingly gained: Taijiquned global recognition: Taijiquned. However, rapid digitalization has significantly changed young people's cultural preferences and participation habits, posing challenges to traditional methods of cultural preservation, which often fail to resonate with youth, creating a noticeable disconnect. This study examines the potential of digital communication—especially short videos, livestreaming, and social media—to preserve and disseminate Taijiquan culture through interactive, youth-oriented methods. Specifically, it empirically explores whether digital media strategies effectively improve younger generations’ cultural awareness, participation motivation, and cultural identity, aiming to provide practical insights for digital heritage protection. A randomized controlled …

Protocol For The Development Of The Who Gestational Weight Gain Charts, Thais Rangel Bousquet Carrilho, Olufemi Taiwo Oladapo, Jennifer A. Hutcheon, Giovanna Gatica-Domínquez, Kathleen M. Rasmussen, Monica C. Flores-Urrutia, Richard Kumapley, Ӧzge Tunçalp, Dang Bahya-Batinda, Amel A. Fayed, Annick Bogaerts, Aris T. Papageorghiou, Cinthya Muñoz-Manrique, Dayana Rodrigues Farias, Eric Ohuma, Harshpal Sachdev, Hayfaa A. Wahabi, Helena J. Teede, Molin Wang, Nandita Perumal Phd

Faculty Publications

Introduction Gestational weight gain (GWG) is an important indicator of maternal nutrition to be monitored during pregnancy. However, there is no evidence-based tool that can be used to monitor it across all geographic locations and pre-pregnancy body mass index (BMI) categories. The WHO is undertaking a project to develop GWG charts by pre-pregnancy BMI category, and to identify GWG ranges associated with the lowest risks of adverse maternal and infant outcomes. This protocol describes all the steps that will be used to accomplish the development of these GWG charts.

Methods and analysis This project will involve the analysis of individual …

The Impact Of Awareness Of Campus Health Services On Utilization Of Medical Care Among Residential Students At Liberty University, Catherine Pandagade

Masters Theses

College students represent the most prominent group of individuals when considering their lifestyles throughout aging. Therefore, this age group serves as a good opportunity for health education that could build positive health behaviors for life. Existing literature have said that the 18-25 year olds tend to have fewer resources and be often uninsured and have the highest rates of preventable diseases.2 Objective: The aim of this research is to investigate the impact of awareness and its subsequent effect on utilization of available health resources on campus among the student population of Liberty University. Additionally, the purpose of the research through …

Genomics Reveal Staphylococcus Aureus Persists During Long-Term Urinary Catheterization Despite Antimicrobial Therapy And Catheter Exchanges, Jesus M Duran Ramirez, Chelsie E Armbruster, Blake M Hanson, Jennifer N Walker

Faculty, Staff and Student Publications

Urinary catheters, the most frequently placed medical devices in the US, increase the risk of developing symptomatic catheter-associated urinary tract infection (CAUTI) and asymptomatic bacteriuria (ASB) - the presence of bacteria in the urine - with those requiring long-term urinary catheters (LTUCs) at highest risk. While ASB and CAUTI are caused by a broad range of uropathogens, most remain understudied. We use whole-genome sequencing to investigate the understudied uropathogen, Staphylococcus aureus. Analysis of 153 longitudinal S. aureus isolates previously collected from urinary catheter or urine samples from 20 individuals with LTUCs (average of 8 longitudinal isolates/person) demonstrates that most strains …

Cancer Literacy And Social Determinants Of Health: An Epidemiological Analysis Of Trust, Digital Engagement, And Healthcare Utilization In Cancer Information Seeking, Kimberly Leeann Hazel

Walden Dissertations and Doctoral Studies

The rise of online health information has increased access to cancer resources but also amplified misinformation, creating trust gaps that threaten prevention, treatment, and health equity. This study examined how trust in cancer information sources, online information-seeking, and healthcare perceptions relate among U.S. adults. Guided by the health information seeking behavior, the socioecological model, and the structural influence model of health communication, data from the 2022 Health Information National Trends Survey (N = 6,197) were analyzed with logistic regression, mediation, and moderation modeling, controlling for demographics. Trust in government agencies predicted greater cancer information seeking (odds ratio [OR] = 1.94, …

Factors Affecting The Level Of Grief Experienced By Men Whose Female Partner Died In The United States, Keona C. Lee

Walden Dissertations and Doctoral Studies

Grief is an emotional reaction to the loss of a loved one through death. Although grief is a universal human experience, its perspective is unique, and research has often ignored the varied experiences of racial/ethnic and cultural groups, particularly men of color in the United States. The purpose of this quantitative study was to measure the level of grief experienced by men whose female partner died and to determine whether ethnicity, having a prior mental health diagnosis, social support, and traumatic or anticipated loss significantly impacted their level of grief. The study was guided by the social-ecological model to explain …

Circumciser Type And The Type Of Female Genital Mutilation/Cutting Prevalence For Girls Ages 0-14 Years In Ethiopia, Jean-Pierre Ramazani Abedi

Walden Dissertations and Doctoral Studies

Despite ongoing eradication efforts, female genital mutilation and cutting (FGM/C) remains a major public health and human rights concern in Ethiopia. This quantitative study was conducted to examine how circumciser type (traditional cutter, birth attendant, or health professional) influences FGM/C prevalence and severity among girls ages 0–14, considering the moderating effects of residence and mothers’ FGM status, while controlling for age and income. Guided by the social ecological model and using 2016 E Ethiopian Demographic Health Surveys data, analysis indicates a significant association between circumciser type and FGM/C type (χ² (2, N = 1,553) = 6.86, p = .032), which …

Trends In The Implementation Of The Cyberchondria Severity Scale: Bibliometric Analysis, Adam C Powell, Cayetana Calderon-Smith

College of Population Health Faculty Papers

BACKGROUND: Cyberchondria, a combination of the words "cyber" and "hypochondriasis," is a condition that is receiving increasing attention from clinicians and researchers globally. Researchers are currently using multiple instruments to quantify it. Furthermore, the instruments have been translated into multiple languages.

OBJECTIVE: This study aimed to examine the extent to which researchers are measuring cyberchondria using the 33-item Cyberchondria Severity Scale (CSS) and its 12-item abbreviated version, the CSS-12. It also examined the relative use of cyberchondria instruments in different languages.

METHODS: PubMed and PsycInfo were searched for articles published between May 1, 2019, and December 31, 2024, featuring the …

M-O-M-S On The Bayou: Implementation Of An Intervention To Improve Mental Health After Disaster, E. W. Harville, Gloria Giarratano, M. Patterson, M. Schultheis, K. S. Dorans, S. Turner, S. Harris, S. Longo, K. Weis

School of Nursing Faculty Publications

Pregnant women are a vulnerable population after disaster. Their health may be improved through community-based support programs in addition to their standard prenatal care. We conducted a prenatal peer support program, Mentors Offering Maternal Support (M-O-M-S), focused on improving mental health in hurricane-affected areas in southern Louisiana. M-O-M-S consists of six biweekly sessions covering pregnancy acceptance, maternal role identification, family and partner relationships, preparation for labor/fears around labor, well-being/safety of self and baby, and post-delivery health and maternal-infant bonding. The program is led by a “mentor”, an experienced mother but not necessarily a clinician or social worker, who guides the …

Sexually Transmitted Infections And Screening: An Educational, Evidence-Based, Quality Improvement Bundle, Misty D. White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: With sexually transmitted diseases on the rise in central Texas, advance practice providers were not following evidence-based practice recommendations for sexually transmitted infection screening, treatment, and follow-up. Screening for sexually transmitted diseases occurred at a rate of less than one patient every 7.75 days.

Objective: The objective of this project was to develop and implement an advanced practice provider training tool to educate the clinic providers on sexually transmitted infections, collect pre- and post-data for the educational sexually transmitted infection bundle, and collect sexually transmitted infection screening, identification, treatment, and follow-up data generated by the clinic advanced practice providers …

Guidelines For Community Engaged Health Research, Carrie Leach, Hayley Thompson, Alex Sass, Patricia Wren, Rodlescia Sneed, Rhonda Dailey, Elizabeth Towner, Maha Albdour, Carla Caringi, Alyssa W. Beavers, Theresa A. Hastert, Vanessa Rorai, Peter A. Lichtenberg, Angulique Outlaw, Ijeoma Nnodim Opara

Institute of Gerontology

Executive Summary:

Wayne State University’s Guidelines for Community Engaged Health Research provide a practical framework for designing, conducting, and evaluating ethical, equitable, and impactful health research that engages community experts in projects that advance health equity in Detroit.

Purpose 

Developed for WSU faculty, staff, and research teams, the guidelines support the meaningful involvement of community experts across all phases of research. They respond to common challenges in community-engaged work, including limited experience with engagement approaches, the need for reflexive and equitable practices, and the time and coordination required for authentic collaboration.

The document defines Community-Engaged Research (CEnR) as collaborative work …

Anti-Sars-Cov-2 Nucleoprotein Iga Is Associated With Worse Disease Severity In Critically Ill Covid-19 Pneumonia Patients, David Brett-Major, Dylan S. George, Eric D. Morrell, Carmen Mikacenic, Julie Carstens, Laura E. Evans, Mark M. Wurfel, Pavan K. Bhatraju, M. Jana Broadhurst

Journal Articles: Epidemiology

While humoral responses to vaccination and infection have largely focused on IgG, there is an evolving literature on ways in which IgA may drive neutrophil activity in lung injury secondary to viral infections, including COVID-19. We evaluated 238 immune-naïve, critically ill patients in the first year of the COVID-19 pandemic. Employing a laboratory-developed, multiplexed antibody testing, clinical history, medical record, and machine learning, we pursued relationships between systemic IgA and disease severity. Individuals with elevated anti-N IgA had 4-fold odds of more severe disease. This work emphasizes the importance of continued work to understand how different elements of the immune …

Meta-Analysis: Diabetes Mellitus And The Risk Of Endometrial Cancer, Tricia Ho, Marika Ongpauco, Han Ha Ngoc Nguyen

Physician Assistant Studies | Graduate Research Papers

Background: Many studies have looked at the relationship between diabetes mellitus and development of endometrial cancer. This study provides an updated systematic review and meta-analysis of the estimated effect of diabetes and the risk of endometrial cancer.

Methods: Some studies were found on databases such as PubMed and Iceberg. The remaining studies were extracted from the initial studies found. Binary data was collected and the raw data was imputed into a Fixed Effects Model.

Results: A total of 25 studies were included in this meta-analysis, generating statistically significant results (p < 0.001, OR 2.05, 95% Cl 1.92-2.19).

Discussion: Diabetes is found to be …

Caught In The Midwife’S Hands: A Black Feminist Exploration Of Reproductive Health And Justice In Massachusetts, Nina Bakum

Gender, Sexuality, and Intersectionality Studies Honors Papers

No abstract provided.

Purchasing A Healthier Future: A Nutrition-Focused, Community-Centered Approach To Reduce Obesity And Diabetes In Graves County, Kentucky, Marissa Stephens

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Obesity and type 2 diabetes are among the most significant public health challenges in the United States, with Kentucky consistently ranking among the states with the highest prevalence of both conditions. Together, these conditions contribute to reduced quality of life, rising healthcare costs, and increased morbidity and mortality, underscoring the need for targeted, community-centered interventions. The disease burden of obesity and diabetes is particularly pronounced in rural areas, including the state’s westernmost region, the Jackson Purchase. Among rural populations, chronic disease risk is driven by a combination of factors, including low socioeconomic status, limited access to healthcare/supermarket options, and food …

Delivering Safe Sleep And Breastfeeding Education To Pregnant And New Mothers Through Private Facebook Groups: Study Protocol For A 4-Armed Randomized Controlled Trial, Rebecca F. Carlin, Margaret G. Parker, Ann L. Kellams, Fern R. Hauck, Stephen Kerr, Benjamin T. Cornwell, Marc T. Kiviniemi, Nicole Geller, Katherine E. Boguszewski, Michael J. Corwin, Eve R. Colson, Rachel Y. Moon

Health, Behavior & Society Faculty Publications

Background: Annually, more than 3500 US infants die suddenly and unexpectedly. Many sudden unexpected infant deaths (SUID) are preventable with greater adherence to safe infant sleep guidelines. There are racial and economic disparities in guideline adherence and SUID rates. Education alone has proven ineffective at altering behavior for many parents, and social networks and social norms regarding infant care have been found to influence rates of unsafe sleep. Using the power of social networks to shape social norms by delivering education through moderated online social media groups provides a unique opportunity to influence these practices in large groups of parents. …