Digital Commons Network^™

Partial Insect-Based Meal Inclusion In The Diets Of Ross® 308 Broilers Upregulates Growth And Immune Related Genes, Victor K. Rotich, Isaac M. Osuga, Mathew G. Gicheha, Shaphan Y. Chia, Jandouwe Villinger, Anderson N. Maina, Jinhua Xiao, Dennis Beesigamukama, Chrysantus M. Tanga

All Peer-Reviewed Publications

This work investigated the effects of black soldier fly ( Hermetia illucens L.) larvae meal (BSFLM) on growth- and immune-related gene expression in Ross 308 broilers. Birds were fed diets containing soybean meal (SBM), fishmeal (FM), combinations with BSFLM, or BSFLM alone. Growth, organ weights, immune genes [interleukin-2 (IL-2), interleukin-6 (IL-6), tumor necrotic factor alpha (TNF-α), interferon-gamma (IFN-γ)] and growth-related genes [chicken growth hormone (cGH), insulin growth factor 1 (IGF-1)] expression were measured. Our results demonstrate that birds fed FM+BSFLM had significantly higher final liveweight, average daily weight gain (ADG), and low feed conversion ratio. Birds fed FM+BSFLM showed highest …

Paying For Participation: Equitable Compensation Models For Community Co-Researchers, Jamie Zimmerman, Prabhneet Girn

The Foundation Review

Community-engaged research is increasingly central to philanthropic practice, yet funders rarely provide guidance for compensating community members who participate as co-researchers. This gap is especially pronounced for youth, who often face administrative, legal, and developmental constraints that complicate what “fair pay” looks like in practice.

This article presents findings from a mixed-methods comparative case study of three youth participatory action-research projects involving 44 youth ages 16–24 across varied organizational settings. Data were collected through youth surveys, focus groups, staff interviews, financial analysis, and document review.

Findings show that each model carries distinct trade-offs related to feasibility, transparency, and administrative capacity, …

The Crossroads Between Osteosarcopenia And Intrinsic Capacity—A Narrative Review, Nailton J. Neto, Guy Hajj-Boutros, Wayne Lok Ok Choo, Miguel G. Borda, Konstantinos Prokopidis, Hassan Rammal, Daniel Rivas, Hussein Samhat, Ivan Baltasar-Fernandez, Mahdi Imani, Cristiano Dos Santos Gomes, Oscar Rosas Carrasco, Marc Sim, Julie A. Pasco, Julia Chabot, Ana M. Ayala-Copete, Francisco J. García-García, Claire Godard-Sebillotte, Raman Agnihotram, Lana J. Williams, Anna Andrianova, Robinson Ramirez-Vélez, Emma Connolly, Harmehr Sekhon, Hidenori Arai, Liang-Kung Chen, Andréa Faust, Howard Bergman, Alexandra Papaioannou, Pierrette Gaudreau, Tiago Alexandre, Leocadio Rodriguez-Mañas, Ricardo Oliveira Guerra, Gustavo Duque

Research outputs 2022 to 2026

Intrinsic capacity (IC) is defined as the composite of physical and mental abilities an individual possesses, encompassing 5 domains: cognition, psychological health, sensory function, vitality, and locomotion. This construct is central to the World Health Organization’s framework for assessing functional ability in older adults. Growing evidence highlights the critical role of the musculoskeletal system in maintaining these domains, while conditions such as sarcopenia, osteoporosis, and their coexistence as osteosarcopenia (OS) are increasingly associated with IC decline. This narrative review compiles current evidence on the modulatory role of muscles and bones in IC and the impacts of sarcopenia, osteoporosis, and OS. …

Body Mass-Normalized Handgrip Strength As A Better Indicator Of General Health Than Absolute Values In Middle-Aged Women, Ricardo M. Lima, Trezise, Sally Poppitt, Amanda Devine, Anthony J. Blazevich

Research outputs 2022 to 2026

Objectives: To examine the association between HGS and physical function, quality of life (QoL), and cardiometabolic risk markers in midlife women, and verify potential discrepancies between absolute and relative HGS on these relationships. Study design: This cross-sectional study enrolled 83 participants (50.7±5.3y) who completed handgrip (hydraulic dynamometer), knee extensor and plantar flexor (isokinetic dynamometry) strength tests, and body composition evaluations (DXA). A variety of physical function tests, QoL (SF-36) and cardiometabolic blood markers were also measured. Results: Participants below the cutoff for HGS/body mass (0.34) did not differ in height but were significantly (P<0.01) heavier (80.8±12.8 vs. 68.6±11.4 kg), had higher BMI (30.0±4.2 vs. 25.4±4.0 kg/m²) and body fat (39.9±4.4 …

From Institutions To Families: Assessing The Progress Of Egypt’S National Strategy For Alternative Child Care Reform, Yasmine M. El Hagry

Theses and Dissertations

This study serves as a critical mid-term review of the Egyptian National Strategy for Alternative Care for Children and Youth without Parental Care (NACS) (2021-2030). The 10-year strategy overall goal is to shift from institutional care, such as orphanages, to family-based care, such as kafala, the Islamic alternative to legal adoption, for children deprived of parental care. While the global literature strongly advocates deinstitutionalization, empirical research on the operational risks and unintended harms that can arise during such complex transformations remains scarce.

Adapting the International Civil Service Effectiveness (InCiSE) Framework, this research uses a qualitative approach to diagnose the …

Exploring The Role Of Vitamin D In Familial Mediterranean Fever: Pathogenesis, Triggers, And Immune Modulation, Hagop Sassounian, Saad Aad, Hilda E. Ghadieh, Lara Khouzami, Elsa Nicolas, Sami Azar, Frederic Harb

All Works

Familial Mediterranean Fever (FMF) is among the most frequent autoinflammatory diseases in populations originating from the area of Middle Eastern and Mediterranean countries. It is caused by mutations in the MEFV gene, which causes dysregulated pyrin expression and thus an immunologic anomaly. FMF is diagnosed by recurrent episodes of fever and serosal inflammation, predominantly peritonitis and pleuritis, as well as other systemic symptoms. Recent research is dedicated to searching for factors beyond genetic code contributing to how FMF evolves, the severity of its symptoms and response to conventional therapy—colchicine. These factors include epigenetic modifications of the MEFV gene and other …

4-H Summerfest Exhibit Building Premium Book, Extension

UNH Cooperative Extension

No abstract provided.

Birth Satisfaction, As Measured By The Birth Satisfaction Scale–Revised (Bss-R), And Its Role In Predicting Breastfeeding Duration, Maternal-Infant Attachment, And Postpartum Depression, Molly Parker

University Honors Theses

Birth satisfaction has been consistently associated with improved maternal outcomes such as reduced postpartum depression (PPD), stronger maternal-infant attachment, and longer breastfeeding duration. However, the extent to which birth satisfaction independently predicts these outcomes remains unclear. This study examined whether birth satisfaction, as measured by the Birth Satisfaction Scale–Revised (BSS-R), predicts postpartum depression, maternal-infant attachment, and breastfeeding duration in a longitudinal cohort.

Data were drawn from the Prenatal Environmental And Child Health (PEACH) study. Birth satisfaction was assessed at 12 months postpartum using the BSS-R. Postpartum depression was measured using the Edinburgh Postnatal Depression Scale (EPDS), maternal-infant attachment using the …

Social Determinants As A Predictor For Heart Disease Mortality: Oregon Regional Study, Jewel Jones

University Honors Theses

The study examined the association between selected social determinants of health and heart disease mortality across geographic regions in Oregon. Using a regional analysis design, county-level population and mortality data were grouped into nine geographic regions to evaluate patterns of cardiovascular disease burden across the state. Social determinant variables were obtained from publicly available U.S. Census Bureau datasets and included poverty, crowding among households, single-parent households, lack of broadband internet subscription, housing cost burden, high school diploma attainment, and unemployment.

Heart disease mortality counts per 100,000 population were derived from official birth and death certificate records. Statistical analyses were conducted …

Facilitators And Barriers That Exist For Patients Receiving Dental Care In Rural Communities, Monse Sandoval Brumbaugh

University Honors Theses

Rising healthcare costs and limited access to care have exacerbated the shortage of healthcare providers. Although multiple factors contribute to a clinician’s preference for practicing in rural areas, the imbalance created leads to rural communities with significantly reduced access to essential services, particularly dental care. The disparity between urban and rural healthcare is a well-documented global problem, but it remains a pressing issue in the United States, particularly in Oregon. The Full Time Equivalents (FTE) count of full-time practicing dentists in rural regions is significantly lower than in urban areas. Statewide, there are about 0.48 dentists per 1,000 residents. However, …

Geographic And Systemic Disparities In Maternal Health: A Systems Analysis Of Prenatal Care Access Across Rural Oregon, Cecelia Petrik

University Honors Theses

Objectives: In Oregon, 51% of hospitals providing labor and delivery services are located in rural areas. Consolidation of these hospitals and provider shortages has created severe geographic and systemic disparities in maternal healthcare. This thesis explores how geographic isolation and inadequate prenatal care access contribute to widening disparities in severe maternal morbidity (SMM) and mortality across Oregon's rural and frontier counties.

Methods: This study utilizes data from the Oregon Health Authority (OHA) Center for Health Statistics (2024) and analyzes spatial correlations across all 36 Oregon counties. A bivariate choropleth map was constructed to examine the structural intersection between health infrastructure …

Exercise Therapy For Mood Disorders In Retiring/Former Athletes, Christian Antos

Dissertations

This dissertation examined the potential integration of exercise therapy and psychotherapy as a treatment approach for mood-related difficulties experienced by former elite athletes during the transition out of competitive sport. Retirement from athletics is often associated with significant biopsychosocial challenges, including disruptions in identity, healthy routines, social support, and emotional well-being. Existing literature suggests that exercise may serve as an effective adjunctive intervention for improving mood and overall psychological functioning, though limited research has explored its application among retiring athletes within psychotherapeutic contexts. This literature review synthesized current research related to athletic retirement, neurobiological mechanisms associated with physical activity, and …

Afterschool Program Attendance And Academic Outcomesin A Vermont District, Hans W. Cabra Hernandez

Journal of Youth Development

Afterschool programs can bridge opportunity gaps by providing children with venues for learning and cultivating socioemotional skills. This paper examines the relationship between attendance in afterschool programs in a Vermont school district and two academic outcomes (the Scholastic Reading Inventory/SRI and the EasyCMB math test) using cross-sectional data from Spring 2018. Using multivariate regression analysis, this study found a positive association between afterschool program attendance and academic achievement on these tests. Moreover, the findings indicate the persistence of socioeconomic academic disparities. While the study’s design does not permit causal claims, the results suggest that afterschool programs are a valuable resource …

Fostering Developmentally Nurturant Relationships To Promote Character And Thriving: Perspectives Of Program Practitioners In Rural South Africa, Jonathan M. Tirrell, Alexa Hasse, Margaret Mackin, Elizabeth Dowling, Kirsten Olander, Roya Abbasi-Asl, Katherine Mcconnel, Thobeka Kwela, Raah Msimango, Justine Mccarthy-Martin, Tyler Howard, Angela Larkan, Richard Lerner

Journal of Youth Development

Developmentally nurturant relationships are fundamental to enabling children to thrive across contexts, including homes, schools, and communities. Such relationships are also a central feature of effective positive youth development (PYD) programming. As strengths-based PYD programs are increasingly being adopted in majority-world countries, a better understanding of how to foster and promote developmentally nurturant relationships is needed. As part of the Thanda Study of Character and Health, we interviewed 15 program practitioners about their understandings of and approaches to fostering developmentally nurturant relationships with children enrolled in Thanda programs in rural KwaZulu-Natal, South Africa. Phenomenological analysis indicated that practitioners’ understanding of …

The Color Of Combat: How Subtleties Of Resource Value Alter The Effects Of Fighting Ability In Hermit Crab Contests: How Subtleties Of Resource Value Alter The Effects Of Fighting Ability In Hermit Crab Contests, Thomas M. Chatfield, Mark Briffa

School of Biological and Marine Sciences

During contests over resources, the intensity of fighting and the outcome is often influenced by an interaction between the difference between opponents in the fighting abilities (resource holding potential [RHP]) and the difference in how they subjectively value the resource. Additionally, because fighting can involve vigorous activity, engaging in a fight can make the opponents more noticeable to predators. Thus, predation risk, alongside resource value (RV), may interact with the effects of RHP difference. During hermit crab contests over the ownership of empty gastropod shells attackers perform vigorous shell rapping, whereas defenders adopt a protective posture inside their shells. This …

Public Acceptance Of Meat-Reduction Policies Across Cultures: Comparing Singapore And Switzerland, Bianca Wassmann, Shu Tian Ng, Mark Chong, Angela K. Y. Leung, Michael Siegrist

Research Collection Lee Kong Chian School Of Business

Purpose – As meat-reduction policies are discussed across the globe, many are met with public resistance. Cultural values may help explain this pushback, yet their role in shaping support for food policy remains poorly understood. This study is the first to apply cultural cognition theory to food policy by examining how cultural worldviews shape the acceptance of meat-reduction interventions in Singapore and Switzerland—two economically developed countries with contrasting cultural profiles. Design/methodology/approach – In an online survey, participants (Singapore: n = 357; Switzerland: n = 495) rated their acceptance of 11 meat-reduction interventions (e.g. taxes, subsidies, labelling). We then analysed to …

Early Neurodevelopmental Outcomes In Children With Congenital Heart Disease, Mike Seed, Cynthia Ortinau, Caroline Lee, Et Al.

2020-Current year OA Pubs

IMPORTANCE: Neurodevelopmental impairments are common in children with congenital heart disease.

OBJECTIVES: To compare neurodevelopmental outcomes by cardiac diagnosis and identify associations between medical and social factors and early neurodevelopmental outcomes among children with congenital heart disease.

DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional analysis used neurodevelopmental follow-up data obtained between May 1, 2019, and June 30, 2022, and entered into the Cardiac Neurodevelopmental Outcome Collaborative (CNOC) registry, with linkage to the Pediatric Cardiac Critical Care Consortium registry. Children younger than 30 months from 25 CNOC sites were studied. Data analysis was performed between January 2023 and December 2024.

EXPOSURES: Patients …

Classification Of Gck-Mody In A Child With Mild Hyperglycemia And Islet Autoantibody Positivity: A Diagnostic Challenge, Aman N Yarlagadda, Maria J Redondo, Toni I Pollin, Mustafa Tosur, Colleen O Jodarski, Jennifer J Bell

Faculty, Staff and Students Publications

We report a 9-year-old female who presented with mild, persistent hyperglycemia, with hemoglobin A1c and oral glucose tolerance test results in the prediabetes range, relatively preserved C-peptide, and mildly positive glutamate decarboxylase 65 autoantibody levels. A strong family history of lean, noninsulin-dependent diabetes suggested a possible monogenic cause. Genetic testing with a 28-gene maturity-onset diabetes of the young (MODY) panel identified a heterozygous variant of uncertain significance in GCK (NM_000162.5:c.179C>T [p.Thr60Ile]). Following review by the ClinGen Monogenic Diabetes Variant Curation Expert Panel, the GCK variant was reclassified as pathogenic, confirming a diagnosis of glucokinase (GCK)-MODY/GCK-hyperglycemia, a stable …

Remote Hr-Guided High-Intensity Interval Training With Weekly Health Monitoring In Breast Cancer Patients During Chemotherapy: A Moderation Analysis Of Physiological Predictors, Madara Ketlīna Štarka-Rantiņa, Rudolfs Ceseiko, Martins Campa, Maksims Zolovs, Greta Franceska Jermolenko, Kristaps Eglitis, Alicia Llorente, Aija Linē, Aija Klavina

Baltic Journal of Health and Physical Activity

Background: The study aimed to investigate the effects of a six-month remotely monitored heart rate – guided high-intensity interval training (HIIT) program on aerobic capacity, functional performance, and weekly self-reported health outcomes in women with stage II–III breast cancer undergoing neoadjuvant chemotherapy. Materials and methods: Fifty-six women (mean age 47 ± 8 years) were randomly assigned (1:1) to a HIIT group or a control group (CG). Thirty-five participants were included in analyses (HIIT group = 17; CG = 18). HIIT group performed 4 × 4-minute HIIT sessions at the intensity of 85–95% of the peak heart rate, two to three …

Exercise Prescription For Adults With Prediabetes In The Primary Care Clinic, Katherine W. Hall

Doctor of Nursing Practice Final Manuscripts

Prediabetes affects approximately one in three adults in the United States, with an estimated 10% progressing to Type 2 Diabetes Mellitus (T2DM) annually. Despite strong evidence supporting exercise as a first-line intervention to prevent disease progression, most patients in primary care settings do not receive structured physical activity counseling. This evidence-based project (EBP) aims to address this gap by implementing a standardized protocol to assess baseline physical activity levels and deliver individualized exercise prescriptions to adults with prediabetes in the primary care clinic.

Eligible participants, defined by HbA1c values between 5.70% and 6.49%, were identified during routine primary care visits …

The Cultivation Of Public Perception: Cultivated Meat Narratives And Misinformation On Tiktok, Anna M. Balkus

Graduate Masters Theses

Cultivated meat is an emerging tissue engineering technology that has the potential to address major issues threatening food systems, including climate change, rapid population growth, and the spread of disease. Among technical challenges, public perception remains a significant barrier for the widespread adoption of cultivated meat. While social media has transformed communication globally, it has simultaneously contributed to corrupt online environments infected with misinformation—unintentional inaccuracies that differ from disinformation, which is spread with the intent to mislead. The way the public receives and digests information regarding new food technologies, like cultivated meat, will be shaped by their social media environment. …

Optimizing Vitamin A Intervention: Strengthening Supplementation With Targeted Biscuit Fortification, Mayfa Yemima Simanjuntak, Nadia Amanda, Yuli Berliana Simanjuntak, Carissa Wityadarda, Lesta Livolina Simamora

Journal of Indonesian Health Policy and Administration

Vitamin A deficiency (VAD) remains a persistent public health challenge in Indonesia, particularly among children under five and breastfeeding mothers. This study aimed to analyze the distribution of vitamin A interventions and assess the potential of biscuit fortification as a complementary strategy. This study employs a literature review using the Health Policy Triangle (HPT) framework, examining policy context, content, key actors, and implementation processes related to vitamin A interventions. The analysis was conducted using secondary data from government reports, international agencies, and peer-reviewed literature published between 2018 and 2025, with comparative evidence from Vietnam, Bangladesh, and Ghana. The findings show …

Intervention Levers For Stunting Reduction In Indonesia: Evidence From The 2023 Indonesian Health Survey Data, Iwan Ariawan, Hafizah Jusril, Zahra Izza Afifa, Azka Fitri, Elmarizha Sekar Utami, Mikail Hasan, Dwi Puspasari

Kesmas

Stunting remains the largest public health challenge among macro-nutrition problems in Indonesia, affecting almost a quarter of children under five in 2023. The prevalence is considered high according to the World Health Organization standard. This study analyzed 15 aggregated provincial variables from the 2023 Indonesian Health Survey using Structural Equation Modeling (SEM), focusing on determinants of stunting among children under two to identify primary intervention levers. Findings indicated that intervention urgency should focus on the first 1,000 days, particularly the steep increase in stunting prevalence observed in the 12–24-month age range. While the highest prevalence is in Eastern provinces (e.g., …

Rewarding Risk: How Political Health Messaging Drives Virality And Controversy On X, Hiba Ali

Quantitative Social Science Undergraduate Senior Theses

No abstract provided.

Empowering Lifelong Choice: Supporting Older Individuals With Idd To Thrive At Work, Transition To Retirement With Dignity, And Maintain Community Connections, Leslie Quarles

Critical and Creative Thinking Capstones Collection

This synthesis addresses the need to support older individuals with intellectual and developmental disabilities in their engagement in continued work. The project traces the journey from an initial focus on supporting older individuals with intellectual and developmental disabilities to work as long as they wish to an eventual shift toward a phased retirement approach. It considers issues such as a reimagined visualization of the support team structure, integration of tailored job supports and Community Life Engagement (CLE). The author's familial history sparked a sense of injustice that would not stay buried, shaping a career path in disability services and access. …

Digital Communication And The Evolution Of Ideological Narratives In Indonesia: Insights From Social Media Platforms, Tia Mariatul Kibtiah, Muhammad Fikri Fawazi

Journal of Terrorism Studies

This study examines how pro-caliphate and anti-democratic narratives are articulated and normalised within YouTube comment spaces in Indonesia. As the world’s largest Muslim-majority country with high levels of digital engagement, Indonesia provides an important context for analysing how political-religious discourses circulate through everyday digital interaction. The research analyses 1,354 YouTube comments related to the caliphate, governance, and democracy. Data were collected using Google Apps Script, manually filtered for relevance, and examined through qualitative content analysis informed by Social Network Theory (SNT) and the Radicalisation Factor Model (RFM). The findings show that 34.49% of comments endorsed ideological pro-caliphate narratives, while 35.97% …

Governance Structures And Conflict Mitigation Strategies In Food Supply Chains: Evidence From Niger State, Nigeria, Araoye Olarinkoye Ajiboye, Aminu Kandi Suleiman, Habila Daniel Diko, Tayo Moses Adebayo

Journal of Terrorism Studies

Food supply chains in fragile and semi-institutionalised economies continue to experience persistent instability driven by weak governance structures and recurring conflicts among market actors. However, despite extensive studies on food system challenges in Nigeria, there remains limited empirical understanding of how governance structures interact with conflict mitigation mechanisms to shape system stability at the local market level. Available literature tends to treat governance and conflict management as separate processes, thus overlooking their interdependent dynamics within everyday market operations. This study addresses this gap by examining governance structures and conflict mitigation strategies in food supply chains in Niger State, Nigeria. Anchored …

Computer-Aided Development Of Novel Antioxidants, Rita Bernadett Vlocsko

Graduate Doctoral Dissertations

Physiological redox homeostasis is a fine balance between prooxidants and antioxidants that are integrated elements of several reduction-oxidation mechanisms at molecular, organellar, cellular and tissue levels. When this equilibrium is disrupted and prooxidants become dominant, the body relies on endogenous and exogenous antioxidants to counterbalance the dysregulation and ultimately prevent the progression of oxidative stress. Reactive species (reactive oxygen species, reactive nitrogen species, or reactive sulfur species) are significant contributors to prooxidant activity. Over the years, substantial knowledge has been accumulated regarding their origin and roles in disease development, leading to the discovery and development of antioxidants that effectively target …

Role Of Technical Assistance In Pollution Prevention In Massachusetts Craft Breweries, Shubhechchhya Regmi

Graduate Masters Theses

This study aims to examine pollution from Massachusetts craft breweries, and if it can be lessened through a pollution prevention program. This study analyzed data from two assessments with the aim of analyzing the role of technical assistance in pollution prevention across eight impact categories. The first assessment was conducted on 29 MA breweries between 2022 and 2024, and 23 were assessed a second time (in summer 2024 and summer 2025). Craft breweries face several constraints in adopting pollution prevention practices the pollution prevention program known as BetterBev helps to bridge this gap by providing technical assistance, identifying inefficiency practices …

Trends Of Pediatric Psychotropic Polypharmacy In Massachusetts Before And During The Covid-19 Pandemic, Gianna D'Ambrozio

Graduate Doctoral Dissertations

Youth in the U.S. and internationally are increasingly being diagnosed with depression and related psychiatric conditions (Murthy, 2021) many of whom are being subjected to non-evidence-based, or what has been termed irrational, psychotropic polypharmacy (Barnett & Concepcion Zayas, 2019). Psychotropic polypharmacy can be defined as “the use of 2 or more psychiatric medications in the same patient,” (Zito et al., 2021) though definitions can vary. Using data from the Center for Health Information Analysis’ Massachusetts All-Payer Claims Database, this study examined the sociodemographic factors associated with high rates of polypharmacy, a hypothesized increase in pediatric psychotropic polypharmacy rates in Massachusetts …