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Environmental Effects On Preweaning Calf Health, Lindsay L. Waechter-Mead May 2025

Environmental Effects On Preweaning Calf Health, Lindsay L. Waechter-Mead

School of Veterinary and Biomedical Sciences: Dissertations, Theses, and Student Research

Neonatal calf health is an important factor in the productivity and profitability in the beef cattle industry, influencing preweaning survival, growth, and long-term performance. The overall objective of this thesis is to characterize risk factors that contribute to health issues in young beef calves. The first objective is to review literature exploring the environmental factors affecting preweaning morbidity and mortality, including hypothermia, precipitation, and wind. Management strategies such as the effect of environmental conditions of calving location, body condition score in dams at parturition, and the impacts of dystocia on calf health will also be discussed. Gaps in current research …


Influence Of Physical Properties Of Fat On Product Quality, Shelf-Life And Consumer Acceptance Of Chocolate-Coated Products, Audrey Lidgard May 2025

Influence Of Physical Properties Of Fat On Product Quality, Shelf-Life And Consumer Acceptance Of Chocolate-Coated Products, Audrey Lidgard

All Graduate Theses and Dissertations, Fall 2023 to Present

In chocolate-coated products, oil migration in fats can lead to chocolate softening, filling hardening, discoloration, and lower consumer acceptance. This study examined three different fats (soy- palm-, and palm-kernel (PK) based), crystallized under different conditions (cooling rate and use of high intensity ultrasound (HIU)) to examine how the crystallization conditions impact the physical properties of confectionery products. These conditions produced fats with high and low oil binding capacities (OBCs); the ability of crystal networks to entrap liquid oil. Model systems were created to examine measurable quality degradation and consumer acceptance of chocolates placed in contact with the fats; one with …


Changes In The Contributions Of Risk Factors To Under-Five Mortality In Low- And Lower-Middle-Income Countries (1997-2022): An Analysis Of Demographic And Health Survey Data, Bereket Kefale, Jonine Jancey, Amanuel T. Gebremedhin, Gavin Pereira, Gizachew A. Tessema May 2025

Changes In The Contributions Of Risk Factors To Under-Five Mortality In Low- And Lower-Middle-Income Countries (1997-2022): An Analysis Of Demographic And Health Survey Data, Bereket Kefale, Jonine Jancey, Amanuel T. Gebremedhin, Gavin Pereira, Gizachew A. Tessema

Research outputs 2022 to 2026

Background: Under-five mortality (U5M) is a critical public health challenge in low- and lower-middle-income countries (LLMICs), where over 90% of global deaths occur. Despite progress, the changing contributions of risk factors to U5M in LLMICs remain unexplored.

Mrthods: We analysed Demographic and Health Survey (DHS) data from 24 LLMICs across two periods: 1997-2005 and 2016-2022. We included 139,890 live births in 1997-2005 and 319,034 in 2016-2022. A mixed-effects robust Poisson regression model with a log link function was employed to identify risk factors of U5M in each period. Population-attributable fractions (PAFs) were calculated and compared to investigate changes in the …


Quality Of Life Of Emirati Women With Cervical Cancer Using Eortc Qlq-30 And Cx24: A First Look In The Uae, Linda Smail May 2025

Quality Of Life Of Emirati Women With Cervical Cancer Using Eortc Qlq-30 And Cx24: A First Look In The Uae, Linda Smail

All Works

Background: Cervical cancer is the fourth leading cause of cancer-related mortality among women globally and remains a prevalent malignancy among Emirati women. This study assessed the quality of life of Emirati women with cervical cancer and identified key factors influencing their well-being to inform targeted interventions. Methods: A cross-sectional study was conducted among 72 Emirati women diagnosed with cervical cancer utilizing the Arabic-translated European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30 and QLQ-CX24). Sociodemographic and clinical data were collected. Statistical analyses included ANOVA, independent-sample t-tests, and, where assumptions were violated, Kruskal–Wallis and Mann–Whitney tests. …


The Effects Of Daily Beef Consumption On Sleep, Mood, And Wellbeing In Postmenopausal Women, Caroline M. Coughlin May 2025

The Effects Of Daily Beef Consumption On Sleep, Mood, And Wellbeing In Postmenopausal Women, Caroline M. Coughlin

Biological Sciences Undergraduate Honors Theses

Menopause is often accompanied by changes in sleep, mood, and overall well-being, partly due to hormonal shifts and loss of muscle mass. Protein intake, especially from nutrient-rich sources like beef, may help address these changes, but research in postmenopausal women remains limited. This study explored how daily beef consumption, as part of a higher-protein diet, affected sleep quality, mood, and well-being over eight weeks. Ten active postmenopausal women were randomly assigned to either a control group (meeting standard protein recommendations) or a treatment group consuming twice that amount, including one serving of lean beef per day. Sleep was measured using …


Severe Acute Malnutrtion Among Children Under Five In South Sudan, Rhoda Elia Iburu Kenyi May 2025

Severe Acute Malnutrtion Among Children Under Five In South Sudan, Rhoda Elia Iburu Kenyi

Capstone Experience: Master of Public Health

Severe acute malnutrition (SAM) is a life-threatening condition characterized by severe wasting. The World Health Organization defines SAM as a low weight-for-height Z-score (WHZ) less than -3 standard deviation (SD) from the median growth standard or the presence of edema of both feet and/or mid-upper arm circumference (MUAC) less than 115mm. SAM is a significant public health concern affecting children under five in developing countries, with South Sudan being one of the most severely affected regions. Persistent food insecurity, weak healthcare systems, and ongoing conflict contribute to the high SAM prevalence in the region, where political, religious, and social divisions, …


Focus Group Study Of Racial Disparities And The Effects Of Parental Marijuana Use On Youth Marijuana Use, Avina K. Mahroke May 2025

Focus Group Study Of Racial Disparities And The Effects Of Parental Marijuana Use On Youth Marijuana Use, Avina K. Mahroke

Capstone Experience: Master of Public Health

Marijuana has become one of the most used drugs in the United States. There has been an increase in use among both adults and youth during the past several years. Public health interventions are needed to address marijuana use because of its detrimental effects on youth well-being. Research shows that marijuana can lead to problems with memory, learning, attention, and even depression among youth. Furthermore, marijuana exposure in-utero can lead to developmental issues and problems with other organs such as the lungs. Youth are influenced to start using drugs, like marijuana, for numerous reasons, and parents are one of those …


Improving Oral Hygiene Practices In A Long-Term Care Setting For Individuals With Advanced Dementia: A Quality Improvement Initiative, Rachel L. Mcinerney May 2025

Improving Oral Hygiene Practices In A Long-Term Care Setting For Individuals With Advanced Dementia: A Quality Improvement Initiative, Rachel L. Mcinerney

Capstone Experience: Master of Public Health

This quality improvement project utilized the Plan-Do-Study-Act framework to enhance oral hygiene practices in a long-term care setting for individuals with advanced dementia. Advanced dementia often leads to significant oral health challenges due to the individuals’ inability to communicate needs or independently manage oral care. Poor oral hygiene results in pain, systemic infections, and reduced quality of life. The project aimed to identify and address barriers to effective oral care delivery by focusing on organizational factors such as leadership, training, and caregiver support. This capstone paper provides insights into the quality improvement initiative’s aims, background, and methodology, while emphasizing its …


Parental Expectations On Pediatric Care For Children, Brenan Cash May 2025

Parental Expectations On Pediatric Care For Children, Brenan Cash

Human Development and Family Sciences Undergraduate Honors Theses

Childhood pediatrics is a major factor for a full and healthy childhood for all children from adolescence to adulthood. However, the physical health aspect has been the main focus through most primary care clinics and hardly focuses on the mental health side. Mental health issues which involve anxiety, depression, and post-traumatic stress are more prominent than they have ever been, as up to 30% of children have experienced mental health issues such as posttraumatic stress disorder, especially in recent pandemic years (Meherali et al., 2021). This study employed a non-experimental, quantitative analysis utilizing online close-ended survey questions. The type of …


Relationship Between Nutritional Knowledge And Eating Disorder Risk Levels, Valeria Fernandez May 2025

Relationship Between Nutritional Knowledge And Eating Disorder Risk Levels, Valeria Fernandez

Human Nutrition and Hospitality Management Undergraduate Honors Theses

The prevalence of disordered eating is a critical public health concern that often progresses towards the development of a diagnosable eating disorder (ED). This, in turn, has detrimental physical and psychological consequences for individuals. Organizations such as the American Society of Parenteral and Enteral Nutrition (ASPEN) and the Academy of Nutrition and Dietetics (AND) have recognized nutrition education as a crucial component of prevention and recovery. Determining the extent to which nutrition knowledge is related to risk factors for EDs is worth investigating due to its implications for healthcare approaches – especially among adolescent and young adult populations. The goal …


User-Centered Design Of A Weight Loss Mobile App, Sunaina Advani May 2025

User-Centered Design Of A Weight Loss Mobile App, Sunaina Advani

Honors Scholar Theses

Obesity, the excessive accumulation of body fat, increases risk for chronic disease and affects 34% of U.S. adults (10). Lifestyle interventions are effective but heavily rely on calorie tracking, while adherence to this behavioral strategy is low (6). An alternative to calorie tracking is to simply track instances of overeating. In a pilot trial, obese individuals used Habit app, a mobile app that assists users in tracking overeating episodes. Users were asked to identify, record, and reflect on dietary slips, or deviations from the recommended diet. Following 6 months of use, in a focus group session, 20 participants were asked …


Peer-Led Support Groups For People With Early Onset Parkinson's Disease, Linnea Tabaka May 2025

Peer-Led Support Groups For People With Early Onset Parkinson's Disease, Linnea Tabaka

Electronic Theses and Dissertations

Introduction: Early onset Parkinson’s Disease (EOPD) is a diagnosis of Parkinson’s Disease when diagnosed between the ages of 21 and 50. This population faces unique challenges due to family, social, and career demands that correlate with the age of diagnosis. Support groups have been utilized frequently for people with traditional PD and their caregivers but may not meet the unique needs people with EOPD face. This study explores the existing benefits of a peer-led support group (group led by members of the group) for persons with EOPD. Methodology: This is a qualitative case study of an established support …


Put Some Skin In The Game – Mercy 9, Kristen Parker, Susan Harlan, Ashley Mora May 2025

Put Some Skin In The Game – Mercy 9, Kristen Parker, Susan Harlan, Ashley Mora

Covenant Nurses Week 2025

No abstract provided.


Micronutrient Deficiencies In Celiac Disease: Systematic Review, Natalie A. Martinez May 2025

Micronutrient Deficiencies In Celiac Disease: Systematic Review, Natalie A. Martinez

Electronic Theses, Projects, and Dissertations

Celiac disease (CD) is a chronic autoimmune disease triggered by the ingestion of gluten in genetically susceptible individuals, leading to villous atrophy, nutrient malabsorption, and a range of systemic complications. Although adherence to a strict gluten-free diet (GFD) remains the only effective treatment, growing evidence suggests that the GFD alone may be insufficient in meeting the long-term nutritional and psychosocial needs of adults with CD. This systematic review evaluates the prevalence and persistence of micronutrient deficiencies—including iron, calcium, vitamin D, folate, vitamin B12, magnesium, and zinc—in adult CD populations following a GFD. It also examines the psychological burden associated with …


Health And Community Resource Book, Gabriela Gonzalez May 2025

Health And Community Resource Book, Gabriela Gonzalez

Electronic Theses, Projects, and Dissertations

ABSTRACT

The High Desert Health and Resource Guide offers an in-dept exploration of the challenges and resources available to support the high desert communities, particularly to include cities of Apple Valley, Phelan and Victorville. These communities are composed of low-income households, and they face significant health disparities and food insecurity. Factors such as limited access to healthcare, mental health services, homeless shelters, and limited availability of health food choices. Additionally, many cities in the region are affected by food deserts, which further hinder resident’s ability to access nutritious, wholesome food. The resource guidebook highlights both the challenges and issues that …


Awareness And Attitudes Toward Diabetes Among Students In The California State University System, Cesar Fajardo May 2025

Awareness And Attitudes Toward Diabetes Among Students In The California State University System, Cesar Fajardo

Electronic Theses, Projects, and Dissertations

Background and Aims: The prevalence of type 2 diabetes has been increasing globally. Studies examining patient awareness and attitudes toward diabetes have been conducted and found that diabetes education does increase patient knowledge but has no effect on attitudes. Additionally, many of these studies did not assess university students’ views on type 2 diabetes. Given that type 2 diabetes incidence is increasing among young adults, more attention must be given to this population. Therefore, the aim of this study was to investigate CSUSB students' understanding and attitudes toward type 2 diabetes.

Methods: A cross-sectional study using electronic surveys with …


Differential Diagnosis Of Oral Ulcerations: A Case Report, Richard Nguyen, Kaitlin Carlson, Meredith Clark, Amy Burleson, Brenda S Bohaty, Robin Onikul, Neena Patel, Jenna Sparks May 2025

Differential Diagnosis Of Oral Ulcerations: A Case Report, Richard Nguyen, Kaitlin Carlson, Meredith Clark, Amy Burleson, Brenda S Bohaty, Robin Onikul, Neena Patel, Jenna Sparks

Posters

The diagnosis of oral lesions in children can be challenging as it can be an unspecified symptom of several diseases. Differential diagnoses can range from infectious diseases of childhood, inflammations, nutritional deficiencies, and chronic diseases. Because of this, children with oral ulcers may be treated by different specialists such as pediatric dentists and pediatricians. The purpose of this poster is to report the case of a twenty-one-month-old female patient who presented to Children’s Mercy Hospital Kansas City Emergency Department with chief concern for acute onset of intraoral oral ulcers, extraoral blisters near the lower lip, and fetid oral odor. Patient …


Disability Inclusion In Local Public Health Community Health Assessments And Community Health Improvement Plans, Haleigh Leslie May 2025

Disability Inclusion In Local Public Health Community Health Assessments And Community Health Improvement Plans, Haleigh Leslie

Electronic Theses and Dissertations

Introduction: Local health departments (LHDs) use community health assessments (CHAs) and community health improvement plans (CHIPs) to identify and address health needs of the populations they serve. People with disabilities experience health disparities, and there is limited information about how the health needs of people with disabilities are included in CHAs and CHIPs. The purpose of this study was to describe and quantify disability inclusion in LHD CHAs and CHIPs.

Methods: This cross-sectional, mixed methods study used the CHAs and CHIPs of accredited local health departments, data about LHDs and populations served, and interviews with LHD staff and community partners …


The Role Of Self Esteem Upon The Recovery Of Eating Disordered Patients, Samanta Flores Velazquez May 2025

The Role Of Self Esteem Upon The Recovery Of Eating Disordered Patients, Samanta Flores Velazquez

Undergraduate Honors Theses

Eating disorders such as anorexia-nervosa, bulimia-nervosa, and binge-eating disorders are detrimental to overall health and well-being. The demands of beauty ideals and attitudes impact young adults negatively as they attempt to meet societal beauty standards. The need for approval, fitting in with the community, and confidence drive the behaviors of people in negative ways. In recent years, the modernization of social media has contributed to dieting cultures, the thin ideal, harmful weight-loss practices, and the cycle to use the body as a means to control or repent. External factors affect the risk of eating disorders which contribute to the challenge …


Interventions Of Eating Habits And Healthy Behaviors, Diego Armando Mazariegos Espinosa May 2025

Interventions Of Eating Habits And Healthy Behaviors, Diego Armando Mazariegos Espinosa

Undergraduate Honors Theses

About thirty to fifty percent of college students report having negative emotions such as anxiety, depression, sadness, anger, hopelessness, shame, fear, and more. And over seventy percent feel exhausted or overwhelmed by schoolwork. According to scholarly research, these emotions pose obstacles during college life impacting the eating habits and healthy behaviors of college students. These habits can have a possibility of bringing lifelong issues in social, educational, and self-esteem aspects. Technology has revolutionized the world in a spectacular way in a short period of time. As students today have access to all sorts of technology like phones and computers, the …


Health Education And Sexual Health Education In High Schools Focused On Training And Curriculum, Kylee R. Horton May 2025

Health Education And Sexual Health Education In High Schools Focused On Training And Curriculum, Kylee R. Horton

Electronic Theses, Projects, and Dissertations

Background: Health education instruction in schools is essential due to mandated state standards that require a range of topics to be taught at specific ages. Education Codes must be followed and integrated into the curriculum. Objective: To develop a handbook for middle and high school teachers in San Bernardino County, California, that explains the mandatory Health Education codes and provides resources to help teachers maintain compliance with these regulation codes. Methods: The research was conducted in a systematic review, and the data was collected from published secondary sources at the state and local levels. Results: Education Codes from the California …


Functional Mocktails, Amber Barrer May 2025

Functional Mocktails, Amber Barrer

Electronic Theses, Projects, and Dissertations

Background and Aims: Mocktails are alcohol-free beverages that emulate alcohol-containing cocktails. Americans are increasingly seeking these non-alcoholic beverage alternatives. As mocktails have increased in popularity, so have anecdotal health claims. Research has shown that the consumption of teas, herbs, roots, and juices provide health benefits. However, these have not been studied as a mocktail beverage. Functional mocktails may provide various health benefits due to their antioxidant properties, serving as an enjoyable alternative to alcoholic beverages.

Methods: A recipe book of 20 functional mocktails were created. The recipe book includes referenced research on the health benefits, antioxidative properties, recommended dosing, and …


Evaluating The Impact Of Community Gardens On Social Equity And Public Health: A Case Study Of Caramel Connections Foundation's (Ccf) Seeds Of Joy Community Garden, Elizabeth Pinder May 2025

Evaluating The Impact Of Community Gardens On Social Equity And Public Health: A Case Study Of Caramel Connections Foundation's (Ccf) Seeds Of Joy Community Garden, Elizabeth Pinder

Electronic Theses, Projects, and Dissertations

Community gardens have been increasingly recognized as effective public health interventions that address food insecurity, foster social cohesion, and promote environmental sustainability. This evaluation examines the impact of the Caramel Connections Foundation (CCF) Seeds of Joy Community Garden in Ontario, California, by assessing its effectiveness in advancing social equity, improving public health outcomes, and fostering community engagement. Using an evaluation framework, this study measures key program outcomes, including improvements in community well-being, inclusivity, and access to green spaces.

A mixed-methods evaluation design was applied, incorporating process and impact evaluation methodologies. Secondary data collected from CCF’s existing program records, survey responses, …


Produce Prescription Policy Project For The Securement Of A Grant To Address Food Insecurity For Low-Income Type Ii Diabetic Patients, Isabel D. Garcia-Gallegos May 2025

Produce Prescription Policy Project For The Securement Of A Grant To Address Food Insecurity For Low-Income Type Ii Diabetic Patients, Isabel D. Garcia-Gallegos

Doctor of Nursing Practice Final Project Abstract

PURPOSE

This policy-focused Doctor of Nursing Practice (DNP) quality improvement (QI) project aims to secure grant funding through the Gus Schumacher Nutrition Incentive Program (GusNIP) to implement a produce prescription program at a community clinic in Texas. The program targets low-income adults (18-65 years) with type II diabetes who experience food insecurity and are affected by Medicaid non-expansion.

BACKGROUND

Texas’ decision not to expand Medicaid has exacerbated food insecurity among low-income residents, particularly those managing type II diabetes. This decision creates a healthcare policy gap that this project aims to address with a food-as-medicine program.

METHODOLOGY

Using the Plan-Do-Study-Act (PDSA) …


Expanding The Role Of Athletic Trainers: Injury Prevention And Cost Reduction In Large Retail Settings, Deanna Rainey Ms, Atc May 2025

Expanding The Role Of Athletic Trainers: Injury Prevention And Cost Reduction In Large Retail Settings, Deanna Rainey Ms, Atc

All Student Scholarship

Work related musculoskeletal injuries are a significant concern in physically demanding environments such as large retail stores, often leading to high workers’ compensation costs and decreased productivity. This evidence to practice paper explores the potential benefits of integrating industrial athletic trainers (ATs) into standard workplace safety programs within retail settings. Drawing from existing literature, the paper highlights ATs’ expertise in injury prevention, ergonomic assessment, rehabilitation, and health education. Studies indicate that incorporating ATs results in fewer workplace injuries, faster return to work times, and substantial cost savings. Positive outcomes include improved employee health, reduced days away from work, and enhanced …


Pregnancy Care Integrating Translational Science, Everywhere (Precise): A Prospective Cohort Study Of African Pregnant And Non-Pregnant Women To Investigate Placental Disorders – Cohort Profile, Rachel Craik, Joseph Akuze, Marie-Laure Volvert, Hannah Blencowe, Moses Mukhanya, Angela Koech, Grace Mwashigadi, Marleen Temmerman, Marvin Ochieng, Emily Mwadime May 2025

Pregnancy Care Integrating Translational Science, Everywhere (Precise): A Prospective Cohort Study Of African Pregnant And Non-Pregnant Women To Investigate Placental Disorders – Cohort Profile, Rachel Craik, Joseph Akuze, Marie-Laure Volvert, Hannah Blencowe, Moses Mukhanya, Angela Koech, Grace Mwashigadi, Marleen Temmerman, Marvin Ochieng, Emily Mwadime

Centre of Excellence in Women and Child Health

Purpose: The Pregnancies' Care Integrating translational Science, Everywhere Network was established to investigate specific placental disorders (pregnancy hypertension, preterm birth, fetal growth restriction and stillbirth) in sub-Saharan Africa. We created a repository of clinical and social data with associated biological samples from pregnant and non-pregnant women. Alongside this, local infrastructure and expertise in the field of maternal and child health research were enhanced.

Participants: Pregnant women were recruited in participating health facilities in The Gambia, Kenya and Mozambique at their first antenatal visit or at the time a placental disorder was diagnosed (Kenya and The Gambia only). Follow-up study …


Roadwell: An Occupational Therapy-Based Telehealth Platform To Improve Wellness Among Over-The-Road Truck Drivers, Phylecia G. Mason May 2025

Roadwell: An Occupational Therapy-Based Telehealth Platform To Improve Wellness Among Over-The-Road Truck Drivers, Phylecia G. Mason

Occupational Therapy Doctoral Capstones

This doctoral capstone project aimed to design and implement RoadWell, a mobile wellness platform usingthe Person–Environment–Occupation–Performance (PEOP) model, to improve occupational performance and well-being. RoadWell addresses the interaction between the person, environment, and occupation by delivering real-time, evidence-informed strategies that meet drivers where they are—in their real work environments, doing real work.


Associations Between The Timing Of 24 H Physical Activity And Diabetes Mellitus: Results From A Nationally Representative Sample Of The Us Population, Qian Xiao, Qiuyu Feng, Martin K Rutter, Gali Albalak, Heming Wang, Raymond Noordam May 2025

Associations Between The Timing Of 24 H Physical Activity And Diabetes Mellitus: Results From A Nationally Representative Sample Of The Us Population, Qian Xiao, Qiuyu Feng, Martin K Rutter, Gali Albalak, Heming Wang, Raymond Noordam

Faculty, Staff and Student Publications

Aims/hypothesis: Growing evidence suggests that timing may be an important aspect of physical activity that influences cardiometabolic health. However, the current literature is inconclusive regarding the time of day that physical activity offers the greatest metabolic advantages. We investigated associations between hourly physical activity levels and diabetes mellitus and glycaemic biomarkers in a cross-sectional and nationally representative sample of US adults.

Methods: We studied 7074 adults (mean age 48 years; 52% women) from the National Health and Nutrition Examination Survey (2011-2014). Physical activity was measured by actigraphy. A monitor-independent movement summary (MIMS) unit was used to derive the total activity …


May 2025, Swosu Bulldog Wellness Committee May 2025

May 2025, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

May is Skin Cancer Awareness Month

REMINDER - SWOSU Swimming Pool OPEN TO ALL SWOSU EMPLOYEES and their FAMILY! (see hours p.2)

May Day Crossword Puzzle

Newsletter brought to you by the Bulldog Wellness Committee



Beyond Opioids: The Role Of Polysubstance Exposure In Neonatal Abstinence Syndrome Treatment And Hospitalization, Caelyn Harrison May 2025

Beyond Opioids: The Role Of Polysubstance Exposure In Neonatal Abstinence Syndrome Treatment And Hospitalization, Caelyn Harrison

Undergraduate Honors Theses

This thesis explores the impact of prenatal polysubstance exposure, specifically focusing on the need for pharmacological treatment for Neonatal Abstinence Syndrome (NAS) and the duration of their hospital stay. A retrospective analysis of 462 infants, including 121 exposed to polysubstances during pregnancy, showed significant associations between polysubstance exposure and adverse neonatal outcomes. Infants with prenatal polysubstance exposure were more likely to require pharmacological treatment for NAS (52.8%) compared to non-exposed infants (38.7%), as determined by chi-square analysis (χ²(1, N = 462) = 7.36, p = .007). Additionally, infants exposed to polysubstances experienced longer hospital stays on average (M = 14.88 …