Digital Commons Network^™

Discriminative Performance Of Externally Validated Dementia Risk Prediction Models: A Systematic Review And Meta-Analysis, Blossom C.M. Stephan, Jacob Brain, Kaarin J. Anstey, Tanya Buchanan, Claire V. Burley, Elissa Burton, Jennifer Dunne, Linda Errington, Matthew Gorringe, Zhongyang Guan, Bronwyn Myers, Serena Sabatini, Marc Sim, William Stephan, Eugene Yee Hing Tang, Narelle Warren, Mario Siervo

Research outputs 2022 to 2026

Background: Data on the external validation of current dementia risk prediction models has not yet been systematically synthesised. This systematic review and meta-analysis collated results from three previous reviews to evaluate the predictive discriminative performance of dementia risk models when validated in population-based settings. Methods: Embase (via Ovid), Medline (via Ovid), Scopus, and Web of Science were searched from inception to June 2022 with an updated search conducted up to November 2024. Included studies (1) had a population-based cohort design; (2) assessed incident late-life (i.e. ≥ 60 years) dementia; and (3) reported predictive performance of at least one dementia risk …

Enhancing Independence And Social Connection: The Impact Of A Tailored Exercise Program On New Residents Transitioning Into Australian Residential Care Facilities, Stacey Scott, Annette Raynor, Julie Dare, Jennifer Grieve, Leesa Costello

Research outputs 2022 to 2026

Background: Transitioning from independent living to a residential care facility often results in a significant loss of independence, autonomy, and connectedness, leaving new residents with profound feelings of loss and grief. In light of these challenges, this study explored the potential benefits of a tailored in-house exercise program for new residents. Methods: The study took place in an Australian residential care facility and included four new residents (aged 72 to 88, 75% female), who participated in a 12-week tailored exercise program led by an exercise physiologist. A focused ethnographic approach was used to obtain a comprehensive data set, drawing on …

Cardiovascular Disease And Fracture Risk In People With Type 2 Diabetes: A Nationwide Matched Case–Control Study, Aksayan Arunanthy Mahalingasivam, Annika Vestergaard Kvist, Joop P. Van Den Bergh, Cassandra Smith, Joshua R. Lewis, Peter Vestergaard, Nicklas Højgaard Hessellund Rasmussen

Research outputs 2022 to 2026

To examine, among people with type 2 diabetes (T2D), whether cardiovascular disease (CVD) phenotypes and cardiovascular medications are associated with any fracture as the primary outcome and major osteoporotic fracture (MOF) as a secondary outcome. Nationwide registry-based matched case–control study in Denmark (2013–2021) among people with T2D. Cases were individuals with T2D who sustained an incident fracture (n = 12,390), and controls were fracture-free individuals with T2D matched 1:3 by age, sex, T2D onset date, and weighted Charlson Comorbidity Index (n = 37,170). The exposures were overall CVD, prespecified clinical CVD phenotypes (acute myocardial infarction (AMI), stroke, heart failure, atrial …

Co-Creating An Intervention To Prevent Injuries In Police Force Recruits: A Concept Mapping Study Of Police Force Recruits, Police Force Staff, Health Professionals, And Research Experts, Myles Murphy, Andrea B. Mosler, Garth Allen, Alex Donaldson, Clare L. Ardern, Carolyn A. Emery, Martin Hägglund, Jonathan M. Hodgson, Joanne L. Kemp, Debra Langridge, Tiffany Mcalinden, Thomas Mirco, Sophia Nimphius, Simone Radavelli-Bagatini, Kiera Staley, Vanessa Sutton, Evert Verhagen, Andrea M. Bruder

Research outputs 2022 to 2026

Objective: Police force recruits have a high musculoskeletal injury burden, which results in a substantial economic burden and can lead to attrition. The objective of this study was to identify and prioritise the strategies perceived as important and feasible to reduce the prevalence, incidence, and burden of injury in police force recruits. Design: Mixed-methods concept mapping study. Methods: Forty-eight participants were recruited from four broad groups: police force recruits/officers; police force staff; health professionals; and research experts. Participants brainstormed statements in response to a prompt (“To prevent injury and/or reduce the impact of injury on law enforcement recruit training, I …

Implementation And Effectiveness Of A Food Education Intervention To Promote Plant-Based Foods: A Partially Cluster-Randomized Controlled Trial, Henna Vepsäläinen, Satu Kinnunen, Sari Niinistö, Leena Forma, Suvi T. Itkonen, Tuuli E. Korhonen, Liisa Korkalo, Heli Kuusipalo, Jelena Meinilä, Kaija Nissinen, Susanna Raulio, Ros Sambell, Mari Åkerlund, Suvi M. Virtanen, Maijaliisa Erkkola

Research outputs 2022 to 2026

Background: Legumes can substitute for meat and are thus a particularly important food group for environmental sustainability. As the use of legumes among Finnish children is marginal, there is potential for a substantial increase in their consumption. However, food education delivered through early childhood education and care (ECEC) settings has rarely focused specifically on environmentally sustainable foods, such as legumes. This study describes the implementation and effectiveness of an ECEC-delivered food education intervention within the FoodStep study. Methods: The partially cluster-randomized FoodStep intervention aimed to increase the supply of vegetables, legumes, fruits, berries, and sustainable fish while reducing the provision …

Living Next Door To Mcdonald’S: A Qualitative Study Of Community Submissions And Resident Realities Pre- And Post Development, Roslyn Giglia, Jacinta Francis, Jana Buckle, Clare Whitton, Ros Sambell, Frith Klug, Lukar Thornton, Siobhan Hickling, Katherine Kent, Gina Trapp

Research outputs 2022 to 2026

Background: The proliferation of fast-food outlets (FFOs) in residential areas has raised growing concerns about their impact on community health, safety, and wellbeing. This qualitative study examined both pre-development community consultation submissions and post-development resident experiences surrounding the development of a McDonald’s outlet in a newly established suburb on the urban fringe of Perth, Western Australia (WA). Methods: Using a qualitative descriptive design, the study analyzed 183 community submissions lodged with the local council prior to development and conducted semi-structured interviews with 11 residents living within 300 m of the outlet after construction. Results: Content analysis revealed strong opposition, with …

Body Composition And Muscle Health Changes After Providing Vascular Imaging Results In Older Adults: Secondary Analysis Of A Randomised Controlled Trial, Jack Dalla Via, Simone Radavelli-Bagatini, Marc Sim, Abadi K. Gebre, Catherine P. Bondonno, Kun Zhu, Shelby Mullin, John T. Schousboe, Richard J. Woodman, Markus P. Schlaich, Moira Sim, Pawel Szulc, Douglas P. Kiel, Wai H. Lim, Robin M. Daly, Jonathan M. Hodgson, Joshua R. Lewis

Research outputs 2022 to 2026

Background: Provision of vascular imaging results has been investigated to prompt changes towards healthy lifestyle behaviours, but effects on body composition and muscle health are unknown. Aim: This secondary analysis of a 12-week parallel-group randomised controlled trial (RCT) aims to explore body composition and muscle health effects of providing healthy lifestyle education (Ed) with and without abdominal aortic calcification (AAC) results. Methods: A total of 240 Australian community-dwelling older men and women (mean ± SD age 68 ± 5 years; 58% female; 57.1% with evidence of AAC) were randomised to AAC + Ed (n = 121) or Control + Ed …

Caribou Migration And Non-Local Hunting In Northwest Alaska: A Gis Analysis Of Hunting Activity And Its Relationship With Caribou Migration Corridors, Brittney L. Jiménezszabo

Geography and the Environment: Graduate Student Capstones

Indigenous Alaskans rely on subsistence hunting for food, with Barren-ground caribou making up approximately 27% of their diet. It is believed by subsistence hunters that non-local hunting is forcing a change in caribou migration behavior. This study examined non-local harvesting records from 2013 – 2025 in the northwest and interior Game Management Units (GMU) and Alaksa’s Western Arctic Caribou Herd (WACH) migration range data to answer the question, is there a spatial relationship between non-local harvests and WACH migration behavior. Mixed methods included spatial autocorrelation and local statistics. Findings led to the rejection of the null hypothesis which will help …

Conventional And Emerging Pre-Treatments For Plant Protein Fermentation: Prospects For Next-Generation Plant-Based Meat Analogues, Vishal Sharma, Ruth M. Hamill, Eduarda M. Cabral, Catherine M. Burgess, Catherine Barry-Ryan

Research Outputs: 2025-Present

The development of plant-based meat analogues (PBMAs) that accurately replicate meat texture and flavor remains limited by fundamental structural differences between plant and animal proteins. Most notably, the globular conformation of plant proteins contrasts with the fibrous anisotropy of animal muscle, thereby limiting viscoelasticity. Additional challenges include beany off-notes arising from lipid oxidation products such as hexanal and anti-nutritional factors (ANFs) that reduce bioavailability. Fermentation is a traditional technology increasingly explored as a strategy to address these limitations by modifying protein structure and functional properties, and by promoting the formation of savory volatile compounds. However, conventional processing and extraction of …

Taste Matters: Designing And Testing A Nurse-Led Intervention In Oncology, Sharon Kilbride, Abigail Dillon, Bree Aguilar, Mary Hook

Nursing

Problem/Research Question: Taste alteration affects up to 70% of oncology patients receiving chemotherapy, leading to decreased dietary intake, malnutrition, and poor quality of life. It is often under reported due to lack of taste assessments during toxicity screening and has no known treatment. Researchers have shown that breast cancer patients were able to assess and control alterations with a researcher-delivered intervention. Research is needed to translate this promising strategy for clinical use with populations beyond breast cancer.

Objectives: An oncology-certified infusion nurse observed that many chemotherapy patients experienced taste alterations that affected their quality of life. The observations sparked interest …

Effectiveness Of Animated Video And Electronic Dental Booklet Among Children In Primary Healthcare Centers, Kediri, Indonesia: A Prospective Interventional Study, Arini Indriyasari, Sayekti Wahyuningsih, Indasah Ir, Yuli Peristiowati

International Arab Journal of Dentistry

Introductions: Dental caries and poor oral hygiene remain major public health problems among children in Indonesia. Conventional dental health education has shown limited effectiveness in achieving sustainable behavioral change. Digital media, such as an animated video and an electronic dental booklet (e-Saku Gigi), offer a promising strategy to improve oral hygiene behavior in children.

Aim: This study evaluated the effectiveness of a Dental Health Education (DHE) intervention using an animated video and e-Saku Gigi on oral hygiene status (OHI-S), dental caries experience (DMF-T), and the knowledge–attitude–behavior pathway.

Methodes: A two-stage design was used. The first stage employed an …

Salivary Evaluation Of Lactoferrin, Calprotectin, Flow Rate, And Ph In Pregnant Women And Their Role In Oral Disease Progression: An In Vivo Study, Zaid Hamzah Helwas Haider, Maha Abdulkareem

International Arab Journal of Dentistry

Introductions: Pregnancy induces hormonal and immunological changes that may alter salivary composition. However, the interaction between salivary biomarkers and pregnancy stage in relation to oral disease progression remains incompletely understood.

Aim: This study evaluated salivary lactoferrin, calprotectin, mucin, flow rate, and pH during pregnancy and examined their associations with dental indices across gestational stages.

Methods: Ninety women aged 25–30 years were enrolled in a case–control study and equally categorized as firsttrimester pregnant, third-trimester pregnant, or non-pregnant controls. Unstimulated saliva was collected for biomarker quantification using ELISA. Oral health was assessed using plaque, gingival, and calculus indices, along …

Cholesterol Metabolism And Oral Health: An Integrative Review, Raíssa Colherinhas, Carla Guimarães Moutinho, Ana Cristina F Vinha, Carla Alexandra Lopes Andrade De Sousa E Silva

International Arab Journal of Dentistry

Background: This integrative review associated changes in cholesterol metabolism and oral diseases. Conditions such as periodontal disease, tooth loss and oral cancer may be influenced by imbalances in lipid levels through mechanisms involving inflammation, oxidative stress, and immune modulation.

Highlight: This review examined scientific studies published mainly in the last decade. The findings indicate consistent associations between hypercholesterolemia or hyperlipidemia and periodontal disease, diabetes mellitus, hypertension, cardiovascular conditions, peri-implant health, and tooth loss. Hypocholesterolemia was associated with oral squamous cell carcinoma. Periodontal disease was the most frequently investigated oral condition, representing almost half of the included studies.

Conclusion …

How Wisconsin Extension Educators Talk About Climate Change Without Talking About ``Climate Change'', Sky Hershberger, Todd P. Newman

Journal of Extension

Climate change touches all areas of Extension's programming. To understand how educators approach talking about climate change with constituents, we interviewed 15 Extension educators and three program managers in Wisconsin. Crops and Soils educators view climate change as interwoven with their work, Financial Education educators view it as mostly disconnected, and Community Economic Development educators range between these extremes. Educators in all three programs avoid the polarizing phrase ``climate change,'' instead focusing on specific, local, and relatable issues. Educators show empathy and emphasize resilience (adaptation) rather than mitigation. These findings can inform Extension's organizational strategy on climate change.

Management Of Mandibular Angle Fracture: Case Report, Andriansyah Andriansyah, Leny S. Surya

Journal of Dentomaxillofacial Science

Introduction: Mandibular angle fractures frequently occur in facial trauma and can be treated openly (open reduction and internal fixation) or closedly (maxillomandibular fixation/closed reduction) depending on the fracture pattern, dental condition and clinical circumstances. The closed approach is still relevant for favorable fractures and patients without significant comorbidities. The present case report aims to describe and evaluate the management of a right mandibular angle fracture. Treatment was performed using closed reduction.
Case: A 39-year-old male patient presented with pain when chewing in their lower right teeth. Approximately 1 month prior to hospitalization, the patient had fallen from a roof from …

Early Cardiometabolic Risk Assessment In Young Adults: The Emerging Role Of Body Roundness Index And Growth Differentiation Factor-15, Omar Jasim Mohammed, Hassanain K. Mehdi

Muthanna Medical Journal

Background: Cardiometabolic disorders in young adults often develop silently, years before clinical disease becomes apparent. Body mass index (BMI), the most widely used anthropometric measure of obesity, does not capture how fat is distributed in the body, and so misses much of the risk carried specifically by visceral adiposity. Two markers have drawn increasing attention as ways to address this gap: The Body Roundness Index (BRI), derived from waist circumference and height, and Growth Differentiation Factor-15 (GDF-15), a stress-responsive cytokine.
Methods: This narrative review synthesizes current literature on the biological rationale, clinical applications, and limitations of BRI and GDF-15 …

Horticultural Diplomacy: A Framework For Growing Culturally Aware Gardeners, Stephen Stresow-Cortez, Stephen Reiners, Ashley Miller Helmholdt

Journal of Extension

Derived from person-to-person diplomacy models, a ``horticultural diplomacy'' framework was implemented in a statewide vegetable variety trial program for two seasons to introduce Master Gardeners to diverse crops and cultures. Scaffolding learning with relevant recipes, bed groupings, community tasting events, and collecting community (citizen) science data helped participants build garden skills, gain a greater appreciation for other cultures, and inform new educational materials. Horticultural diplomacy is part of a deliberate effort aimed at growing food and building understanding among (primarily White) volunteers. The techniques that helped make this program successful, adaptable to other garden programs, and aspects that require improvements …

Equine Body Condition Scoring Flow Chart: A Field Guide, Robyn Stewart, Carissa Wickens, Brooklyne Wassel

Journal of Extension

The Equine Body Condition Scoring Flow Chart is a visual decision-making tool designed to guide users through the process of evaluating a horse's body condition score (BCS) using the Henneke scale. Accurately assessing BCS is critical for making informed management decisions relating to equine nutrition, health, and training. This tool simplifies the scoring process by breaking it down into step-by-step questions based on clear scoring criteria, anatomical landmarks, and both visual and tactile assessment. This tool can be used regardless of geographic location and benefits a diverse audience of Extension educators, horse owners, 4-H'ers, and equine business owners.

Virginia Team Nutrition Training Grant Workshop Participation Increased Intention To Change In Specific Topics, Rachel A Liebe, Kathleen J Porter, Valisa Hedrick, Elena Serrano, Kelly Shomo, Sandra Curwood, Sarah Misyak

Journal of Extension

Team Nutrition is implemented nationally to improve school food environments. Yet evidence on factors impacting implementation is limited. This study aimed to evaluate the execution of the Team Nutrition Training Grant (TNTG) in Virginia elementary schools using the RE-AIM (Reach, Efficacy, Adoption, Implementation, Maintenance) framework. The TNTG grant was implemented through two train-the-trainer workshops that were conducted with school nutrition directors (SNDs). Overall, SNDs from 84% of school divisions attended at least one workshop. Intention to change increased significantly from pre- to post- for both workshops in some target areas. This evaluation could help practitioners guide the development of evaluation …

Effect Of Sterilisation Time On The Physicochemical Properties Of Palm Oil Produced In A Special Palm Oil Plant, Oseni Kehinde Owolarafe, T. A Folawiyo, Thomas Adedayo Ayorinde, Adekunle. Temidayo Atta, Adams. A Salami

Engineering and Technology Journal

Crude palm oil produced by small and medium scale palm oil mills is often of varying quality due to inadequate process control, particularly during sterilisation. The current research assessed the impact of sterilisation time on the efficiency and quality of crude palm oil extracted from the new Special Palm Oil (SPO) mill built at the Obafemi Awolowo University Teaching and Research Farm in Ile-Ife, Nigeria. Fresh fruit bunches were subjected to two sterilisation times: Sample A - 45 minutes and Sample B - 60 minutes, while maintaining a pressure of 5 bar. The parameters like oil yield, extraction percentage, free …

The University Standard: January 25, 1993

The University Standard Newspaper Collection

Volume 2, Number 7 of the University Standard published on January 25, 1993.

The University Standard: October 26, 1992

The University Standard Newspaper Collection

Volume 2, Number 5 of the University Standard published on October 26, 1992.

The University Standard: January 20, 1992

The University Standard Newspaper Collection

Volume 1, Number 8 of The University Standard published on January 20, 1992.

Exploring The Current Landscape Of After-School Programs In 4-H, Theresa M Ferrari, Travis West

Journal of Extension

After-school programs have attracted considerable attention as a setting for positive youth development programming, and 4-H has been part of the growth of the after-school field. We undertook the current study to describe the extent of after-school programming in 4-H and to learn about the breadth of program offerings and their frequency, duration, and location. The 139 respondents to our 15-question Qualtrics survey were from all regions of the United States and conducted programs in diverse communities. The information gained from this survey provides a snapshot of how 4-H professionals are involved with after-school programs in their communities.

Financial Recovery Capital: Exploring The Role Of Extension Education In Promoting Substance Use Recovery, Alex Elswick, Nichole L Huff, Omolola A. Adedokun, Leslie Workman

Journal of Extension

Substance use is a widespread and complex public health challenge. Financial stress (e.g., unemployment, inadequate housing, transportation access, poor financial literacy) is pervasive among people with substance use disorder (SUD). However, few educational interventions exist to address financial stress for this group. Through the theoretical lens of recovery capital (an asset-based approach that describes the totality of resources that support SUD recovery), we summarize the association between financial stress and substance use, offering implications for Extension educators by highlighting PROFIT, an exemplary program that leverages Extension education as a tool to promote financial recovery capital among people with SUD.

L’Éducation, Un Chemin Inévitable De L’Altérité À L’Inclusion; Un Récit De La Femme Africaine Dans Aya De Yopougon(1-3) De Marguerite Abouet Et Clément Oubrerie, Nkonye Lolita Nmorka

Tête à Tête: Journal of Francophone Studies

Le patriarcat en Afrique, ancré dans la domination masculine et la subjugation féminine, joue un rôle intellectuel depuis quelque temps. Cependant, la phase des mécontentements au sujet de la marginalisation des femmes s’efface progressivement, vu que le discours féminin s’oriente vers une revalorisation visant une inclusion constructive pour l’évolution meilleure de la société. Cette étude se concentre sur l’éducation des filles comme un déclencheur puissant pour le changement de paradigme nécessaire, passant de la relégation et de l’altérité à des réalisations monumentales et des représentations sociales remarquables qui offrent à la femme les connexions nécessaires pour s’épanouir. En appliquant la …

Effects Of Hydrogen-Infused Water On Endurance Performance, Body Hydration Biomarkers, And Health-Related Quality Of Life In Collegiate Athletes (Hydro2eau): A Randomized-Controlled Clinical Trial, Jovan Kuzmanovic, Nikola Todorovic, Marijana Ranisavljev, David Nedeljkovic, Sergej M. Ostojic

Baltic Journal of Health and Physical Activity

Background: Hydrogen-infused water (HIW) has attracted considerable interest over the past two decades due to its potential health benefits. However, its effects on exercise performance and hydration biomarkers remain inadequately explored, particularly in physically active populations such as collegiate athletes. This study aimed to investigate the impact of medium-term HIW supplementation on running performance, hydration biomarkers, and health-related quality of life in collegiate athletes. Methods: A randomized, double-blind, placebo-controlled, crossover trial was conducted with twelve collegiate athletes (age: 25.1 ± 3.5 years, six female). Participants consumed 660 mL daily of either HIW (300 µmol/L dihydrogen) or control water (0 µmol/L …

The Grace That Settles Nothing: Sacrifice-Witness Without Discharge — Food Image Recognition With Per-Species Lifespan Facts, A Quantity-Blind Meditation Recommendation, And A No-Balance Data Schema To Prevent Moral Licensing, Thon Ly

Defensive Publications Series

We specify a mindful-eating and gratitude-meditation application in which a food-image recognition model resolves a meal photograph into its source species; each species is shown individually, at species level, with its typical farmed age at harvest and its typical natural lifespan, with uncertainty stated and no total computed. The application then recommends a walking or sitting meditation in a fixed form, issued by an automated agent and never scaled to what was eaten. The data schema holds no balance, score, streak, duration or total between consumption and practice, only an append-only log of moments, so the practice cannot function as …

Silica Wat As Hybrid Food Network With Gratitude-Economic Drivers: Religious Institutional Infrastructure For Middle-Way Restoration Of Food Systems — Monastery-Based Community Kitchens With Donated Produce, A Purchased Supply Floor, An Unweighted Non-Monetary Contribution Ledger, And Ai Caretakers Without Religious Office, Thon Ly

Defensive Publications Series

We specify a hybrid community food network rooted in religious institutions: a distributed network of monastery-based sites, each combining a farm, a kitchen and free food distribution, operated by AI and robotic caretakers that hold no ordained status or ritual authority. Supply has two layers: produce donated from participants' home gardens, which the shared kitchen turns into meals for many, and food purchased through ordinary channels that guarantees a supply floor, so that people with no land, time or skill are never excluded; over decades the intended ratio shifts toward donated produce without cutting anyone off. Contributions are not priced. …

Selected Determinants Of The Health Quality Of The Diet Of Women Practicing Aerobic Sports, Maria Gacek, Paulina Mazur-Kurach

Baltic Journal of Health and Physical Activity

Background: In the context of the importance of nutrition for health and exercise capacity, this study was conducted to assess selected determinants of the health quality of the diet of female athletes training in one of the gymnastics disciplines—aerobic gymnastics. Materials and methods: The study was conducted among 112 women aged 19 to 30 using several research tools, including the Beliefs and Eating Habits Questionnaire KomPAN, the Generalised Self-Efficacy Scale (GSES), and the Satisfaction with Life Scale (SWLS). Statistical analyses were performed using Spearman's correlation coefficients, at a significance level of α = 0.05. Results: The median score for the …