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Improving Knowledge, Confidence, And Competency Among Icu Nurses Concerning The Benefits Of Using The Uk Ventilator Separation Protocol, Brittany Monroe

DNP Projects

Background: The trauma intensive care unit (ICU) at University of Kentucky (UK) Healthcare uses a ventilator separation protocol which provides specific guidelines on the successful weaning of patients from mechanical ventilation. However, many of the nurses are not aware of this protocol as formal education is not included in their orientation or training. This lack of knowledge can lead to risks such as increased patient morbidity, mortality, ICU length of stay, and healthcare-related costs. Research shows that using structured mechanical ventilator weaning tools in the ICU can shorten the duration of mechanical ventilation, which in turn, lowers these associated risks. …

The Effects Of An Educational Intervention On Nursing Knowledge Of Post-Operative Care Of Patients After Minimally Invasive Esophagectomy Surgery, Kelli Curry

DNP Projects

Abstract

Background: Minimally invasive esophagectomy surgery is commonly performed by thoracic surgeons on patients with esophageal cancer. The post-operative care of these patients is meticulous and follows a protocol developed by the thoracic surgeons at the University of Kentucky. At UK Chandler Medical Center, concerns have been raised regarding nurses’ lack of education of the protocol, and therefore decreased implementation. Increasing nursing knowledge pertaining to this protocol by performing educational in-services periodically and standardizing and implementing formal education as part of nursing orientation will decrease the knowledge gap and improve patient outcomes and increase utilization of the post-operative protocol.

Purpose: …

Provider And Staff Education Surrounding Universal Hcv Screening And Linkage To Care In An Ambulatory Care Setting, Lauren Clifford

DNP Projects

Abstract

Background: In the United States, it is estimated that there are more than 2 million cases of Hepatitis C (HCV), with over 66,000 new cases since 2020 However, an estimated 75% of those with HCV go undiagnosed and less than 35% receive treatment within a year of diagnosis. In 2018, UK Healthcare (UKHC) implemented a universal HCV screening method using a Best Practice Advisory (BPA) for anyone 18 and older who presented to the Emergency Department and had labs ordered. Patients who screened positive were then referred to outpatient clinics for HCV treatment. Approximately ten percent of positive patients …

Evaluation Of Nutritional Guidance From Providers For Patients With Type 2 Diabetes In A Primary Care Setting, Whitney Rice

DNP Projects

Background: Adherence to diet is a challenging part of managing type 2 diabetes mellitus (T2DM). Guidelines recommend including a registered dietician and/or a diabetes educator. While this is the gold standard, there are barriers to implementation in primary care. The Starting the Conversation (STC) diet recall tool can aid primary care providers (PCPs) in providing brief nutrition counseling for patients with T2DM. Purpose: To evaluate the perceptions and practices of PCPs regarding dietary education and documentation for patients with T2DM after provider education and initiation of the STC tool. Methods: This was a quality improvement project using a quasi-experimental pretest …

An Educational Intervention To Improve Neonatal Icu Nurses’ Breastfeeding Support Knowledge, Self-Efficacy, And Breastfeeding Rates At Discharge, Sarah Money

DNP Projects

Background: The benefits of breastfeeding for both mother and baby are known. It is recommended that all infants be exclusively breastfed until six months (Meek & Noble, 2022; North et al., 2021). Despite this, breastfeeding rates remain low, especially in medically fragile infants requiring care in the neonatal intensive care unit (NICU) (Rollins et al., 2016). Receipt of evidence-based breastfeeding support by healthcare providers has been shown to improve breastfeeding success; however, many healthcare providers report not being comfortable or knowledgeable enough to offer support consistently (Mulcahy et al., 2022; Rollins et al., 2016).

Purpose: This study aims …

The Effects Of Potassium Fertilization Regime On High Tunnel Tomato Production, Sapana Pandey

Theses and Dissertations--Plant and Soil Sciences

A two-year field experiment (2022-2023) was conducted at the University of Kentucky Horticulture Research Farm in Lexington, KY to study the effects of potassium (K2O) fertilization rates on tomato yield and ripening disorders in determinate and indeterminate varieties (‘BHN-589’ and ‘Big Beef’, respectively). In the first year, K2O rates representing the soil test result-based commercial recommendation (0 lbs/acre) and sequentially greater rates (150, 300, and 450 lbs K2O/acre) were applied. In the second year, K2O rates were increased based on lack of fruit quality response and were 0, 300, 600, and 900 lbs K2O/acre. Leaf tissue nutrients, tomato yield, and …

Surveys, Field Studies, And Laboratory Incubation Experiments To Improve Alfalfa Production In The Mid-South, William Fleming

Theses and Dissertations--Plant and Soil Sciences

The objective of the alfalfa survey was to determine the role of soil fertility in the alfalfa yield plateau. Soil samples at depths of 10, 15, and 30 cm and tissue samples were collected from 114 alfalfa stands across Kentucky and surrounding states. Results indicate that soil fertility is likely contributing but not driving the alfalfa yield plateau. The main objective of the polyhalite incubation study is to determine if POLY4 was soluble enough to support potassium (K) and sulfur (S) for plant growth. The design of the study included four fertilizer treatments, three soil types, and four incubation times. …

Identifying Physiological, Morphological, And Genetic Drivers Of Key Intermediary Phenotypic Traits Associated With Stalk Lodging Resistance Within Genetically Diverse Maize Germplasm And Sorghum, Norbert Bokros

Theses and Dissertations--Plant and Soil Sciences

Maize stalk lodging reduces grain yields due to the permanent breakage or deformation of stalk tissue before grain harvest. To reveal new insights into the complex problem of maize stalk lodging, this dissertation will examine three primary objectives. First, the direct, diurnal influence of turgor pressure will be shown to have only marginal effects on stalk bending strength, a key trait associated with stalk lodging resistance. Up to a dozen individual stalks, grown to physiological maturity within the same field, were tested using a DARLING testing device. In parallel, stalk turgor status as measured by leaf water potential and turgor …

Silicon Fertilization In Cool-Season Turfgrasses, Cheng Qian

Theses and Dissertations--Plant and Soil Sciences

Previous studies of the benefits of silicon (Si) supplementation in turfgrass have yielded inconsistent results. This dissertation aimed to assess the benefits if Si supplementation in cool-season turfgrass under more well controlled conditions than many previous studies. The first study assessed the effect of Si supplementation on biomass production and Si accumulation of tall fescue (Festuca arundinacea) and bentgrass (Agrostis stolonifera) in buffered Hoagland’s media (pH 6) with four sodium silicate (Na2SiO3) treatments (0, 0.5, 1, 2, and 4 mM Si). The two species responded differently to Si supplementation in terms of biomass. Bentgrass biomass was …

Disrupted One-Carbon Metabolism In Heifers Negatively Affects Their Health And Physiology, Matthew S. Crouse, Ronald J. Trotta, Harvey C. Freetly, Amanda K. Lindholm-Perry, Bryan W. Neville, William T. Oliver, Carrie J. Hammer, Jessica G. Syring, Layla E. King, Tammi L. Neville, Lawrence P. Reynolds, Carl R. Dahlen, Joel S. Caton, Alison K. Ward, Robert A. Cushman

Animal and Food Sciences Faculty Publications

The objective of this study was to determine the dose-dependent response of one-carbon metabolite (OCM: methionine, choline, folate, and vitamin B12) supplementation on heifer dry matter intake on fixed gain, organ mass, hematology, cytokine concentration, pancreatic and jejunal enzyme activity, and muscle hydrogen peroxide production. Angus heifers (n = 30; body weight [BW] = 392.6 ± 12.6 kg) were individually fed and assigned to one of five treatments: 0XNEG: total mixed ration (TMR) and saline injections at days 0 and 7 of the estrous cycle, 0XPOS: TMR, rumen-protected methionine (MET) fed at 0.08% of the diet dry matter, rumen-protected choline …

Effect Of Chronic Cyclic Heat Stress And Supplemented Inorganic And Organic Zinc Source Levels On Grow-Finish Pig Growth Performance And Estimated Body Composition, Kayla M. Mills, Julie A. Mahoney, Alan W. Duttlinger, Sarah K. Elefson, John S. Radcliffe, Zachary J. Rambo, Brian T. Richert

Animal and Food Sciences Faculty Publications

Zinc (Zn) supplementation has proved to mitigate the effects of heat stress with varying effects evident with Zn source during acute heat events. However, the effects of Zn supplementation during long-term summer weather patterns have yet to be explored. Therefore, the objective of this study was to identify the effects of supplementation source and level of Zn to mitigate the negative effects of long-term, cyclic heat stress in finishing swine. Six hundred cross-bred pigs were housed under thermoneutral (TN) or cyclic heat (HS) conditions simulating summer heat with acute 3-d heat waves for a 70-d study. Thermoneutral conditions were 16.7 …

Effects Of Increasing Dietary Arginine Supply During The Three First Weeks After Weaning On Pig Growth Performance, Plasma Amino Acid Concentrations, And Health Status, Jorge Y. Perez-Palencia, Christian D. Ramirez-Camba, Keith Haydon, Kristine L. Urschel, Crystal L. Levesque

Animal and Food Sciences Faculty Publications

A total of 425 weaned pigs (Exp. 1: 225 pigs [5.8 ± 0.9 kg]; Exp. 2: 200 pigs [6.1 ± 1.2 kg]) were used to determine the optimal dietary standardized ileal digestible (SID) arginine (Arg) level in early nursery diets based on growth and health responses. The basal diet in Exp.1 was formulated to meet SID Arg recommendation (0.66%; NRC, 2012) and in Exp. 2, SID Arg was set to simulate current industry practices for feeding nursery pigs (1.15 %). Basal diets were supplemented with 0.3%, 0.6%, 0.9%, and 1.2% of l-arginine to provide five levels of dietary SID Arg. …

Ovotransferrin-Depleted Egg White Hydrolysate Reduces Blood Pressure In Spontaneously Hypertensive Rats, Fatemeh Ashkar, Hongbing Fan, Zihan Wang, Ilekuttige Priyan Shanura Fernando, Jianping Wu

Animal and Food Sciences Faculty Publications

Egg whites contain a variety of biologically active proteins and are a good source of bioactive peptides. Egg white hydrolysate prepared by thermoase (EWH) possesses antihypertensive effects. Our recent study showed that egg white proteins, after depleting ovotransferrin, also contained many angiotensin-converting enzyme (ACE)-inhibitory peptides after hydrolysis using thermoase. In the present study, we aimed to explore the antihypertensive effect of the ovotransferrin-depleted egg white hydrolysate prepared by thermoase (OD-EWH) in spontaneously hypertensive rats, using EWH as the reference. The animals were orally administered with either hydrolysate at a dose of 1 g/kg body weight/d over 9 d. OD-EWH treatment …

Role Of Ε-Poly-Lysine In Mixed Surimi Gel, Zhaorui Li, Guangcan Liang, Yungang Cao, Fang Yuan, Miaomiao Liu, Zelong Liu, Youling L. Xiong

Animal and Food Sciences Faculty Publications

The effects of different concentrations of ε-Poly-lysine (ε-PL: 0.005%, 0.01%, 0.02%, 0.04%, and 0.06%) on the marine fish-egg white protein compound gels, treated with 0.4% TGase induced cross-linking were systematically investigated under low salt and phosphorus-free conditions (0.5% NaCl). The results showed the combination of ε-PL and TGase had a synergistic effect on improving sectional gel properties of composite surimi samples. Wherein the rheological, LF-NMR, and SEM results confirmed that the addition of ε-PL based on 0.4% TGase significantly improved the gel strength (to the highest value: 781.63 g·cm), apparent viscosity, and G 'value of the composite surimi sample, as …

A Mixed-Methods Study Exploring Free Nicotine Replacement Therapy As A Strategy To Promote Tobacco Treatment Equity At Cancer Center Cessation Initiative Sites, Marguerite A. Webster

Theses and Dissertations--Psychology

Nicotine replacement therapy (NRT) is a safe, efficacious smoking cessation treatment for cancer patients; however, equitable access is limited due to insurance gaps. Offering free NRT to patients with cancer has potential to increase tobacco treatment engagement and promote equity. This mixed-methods study aims to describe how some Cancer Center Cessation Initiative (C3I) sites implemented free NRT within their tobacco treatment programs (TTPs) to inform future development of equitable TTPs. Participating sites’ (N=9) TTP and patient population characteristics were assessed via survey and analyzed with descriptive statistics. Semi-structured interviews were conducted with 16 individuals and analyzed using directed …

Mediation By Fatalism Of The Association Between Symptom Burden And Self-Care Management In Patients With Heart Failure, Ashmita Thapa, Misook L. Chung, Jia-Rong Wu, Abigail Latimer, Terry A. Lennie, Gia Mudd-Martin, Chin-Yen Lin, Jessica Harman Thompson, Junghee Kang, Debra K. Moser

UK CARES Faculty Publications

Background: Clinicians and researchers often assume that symptom burden is associated with self-care management (SCM) in patients with heart failure (HF). However, that association is often not borne out in simple regression analyses and may be because another variable mediates the association. Fatalism is an appropriate candidate for mediation and is the belief that circumstances are predetermined without opportunity for control by individuals.

Objective: Our objective was to determine whether fatalism mediated the relationship of symptom burden with SCM among adults with HF.

Methods: We conducted a secondary analysis (N = 95) from a clinical trial. We used Self-care of …

Assessing And Addressing The Determinants Of Appalachian Population Health: A Scoping Review, David L. Driscoll, Hannah O'Donnell, Maitri Patel, David C. Cattell-Gordon

Journal of Appalachian Health

Introduction: Residents of Appalachia experience elevated rates of morbidity and mortality compared to national averages, and these disparities are associated with inequitable exposures to various determinants of population health. Social and environmental determinants of health are a useful lens through which to develop and evaluate programs to mitigate regional health disparities.

Methods: This 2023 scoping review was conducted of studies linking determinants of Appalachian health with leading causes of regional mortality and morbidity. The search strategy employed a keyword search that included geographic terms for the Appalachian Region and the primary adverse health outcomes in that region. Studies meeting the …

Nitrogen Fertilization And Harvest Management Improve Forage And Crude Protein Content In Crabgrass, B. C. Pedreira, I. T. M. D. Barros, J. I. Yasuoka, D. Helwig, J. K. Farney, G. F. Sassenrath

IGC Proceedings (1977-2023)

Crabgrass (Digitaria spp.) is an annual summer grass that can provide high-quality forage, but optimal management strategies are unclear. Our objective was to compare the yield and quality of crabgrass (Mojo and Quick-N-Big) under different nitrogen rates and harvest management. The experimental design was a randomized complete block with five treatments and three replications for each crabgrass variety, totaling fifteen experimental units for both Mojo and Quick-N-Big, in adjacent sites. Treatments were nitrogen rates (0, 100, and 200 lb N/acre) and harvest management (cut once or twice per year) for two growing seasons (2020 and 2021). Total forage accumulation …

Chemical Composition And Microbial Diversity Of The Silage Of Forage Peanut Harvested At Two Regrowth Ages And Treated With Microbial Inoculants, A. J. S. Macêdo, O. G. Pereira, V. P. Da Silva, A. J. Dos Anjos, W. Alves, H. R. O. Santos, K. G. Ribeiro

IGC Proceedings (1977-2023)

The objective of this study was to evaluate the chemical composition and microbial diversity of the silage of forage peanut harvested at 40 and 80 days of regrowth and treated with microbial inoculants. The inoculants evaluated were commercial inoculant (CI) Sil-All 4×4 (Lallemand®, Brazil); the AV14.17, Lactiplantibacillus pentosus strain (ISO) isolated from alfalfa silage; and control (CTRL), without inoculant. A total of 500 g of forage was ensiled in nylon-polyethylene bags (25.40 × 35.56 cm). After 60 days of fermentation, the bags were opened and silages were analyzed for dry matter (DM), mineral matter (MM), organic matter (OM), crude protein …

Industrial Hemp Forage Potential, Swarup Podder, John H. Fike, B. Wilson

IGC Proceedings (1977-2023)

Hemp (Cannabis sativa L.) has been a valuable species for humans throughout history due to its adaptability and diverse uses. Farmers are interested in hemp as a forage and feedstuff due to its unique nutritional properties and fast summer production. Moreover, the presence of cannabinoids in leaf and bud tissues may provide pharmacological benefits to animal health, productivity, and product quality under different regulatory frameworks. This study examined two hemp cultivars, Grandi and Joey, solely as forage crops, and samples were taken at different growth stages in Blacksburg, VA, USA, in 2021. The highest biomass production of 1.41 tons per …

Differential Responses Of Yield And Shoot Traits Of Five Tropical Grasses To N And Distance To Trees In Silvopastoral Systems, L. S. Pontes, Emilio A. Laca

IGC Proceedings (1977-2023)

Light intensity and nitrogen (N) availability are important factors influencing the growth of C₄ forage species. Trade-offs may occur in the adaptive responses of species to shading and N inputs, and functional shoot traits can help to explain the consequences of these responses for species performance. Our objective was to gain understanding of the mechanisms between traits of five C₄ perennial grasses determining above-ground dry matter yield (DMY) when both resources, light and N, vary. Forage grasses were grown in six shading conditions (full sunlight vs. five positions between Eucalyptus dunnii rows) with two N levels (0 vs. …

Integrating Grazing With 2,4-D And Florpyrauxifen To Control Broadleaf Weeds And Maintain Red Clover Productivity In Grass-Legume Pastures, M. J. Renz, G. M. Imhoff

IGC Proceedings (1977-2023)

In grass-legume pastures, 2,4-D-amine + florpyrauxifen-benzyl controls broadleaf weeds but red clover (Trifolium pratense L.) is eliminated. Grazing within a week prior to herbicide application is likely to reduce leaf surface area and may reduce red clover injury and maintain productivity. Experiments were conducted in 2020 and in 2021 to determine if red clover could be productive when 560 g ae ha-1 2,4-D-amine + 6.3 g ae ha^-1 of florpyrauxifen-benzyl with 1% v/v methylated seed oil applied in the spring was grazed before or after herbicide application. Grazing timings occurred 6, 4, or 2 days prior to herbicide …

Plant Breeding Perspectives For Alfalfa (Medicago Sativa L.) Success In Warm Climates, Esteban F. Rios, M. Murad Andrade, C. C. Fernandes Filho, P. Sipowicz, A. Biswas, R. Ulbricht, D. Basigalup, E. C. Brummer

IGC Proceedings (1977-2023)

Climate change can have major impacts on adaptation of forage species to agroecosystems around the world. The ability of breeders to select for traits that impart adaptability to climate resilience will be critical for the future of grasslands. Alfalfa (Medicago sativa L.) is the most important perennial forage legume in the world because of its relatively high yield and nutritional value. In Florida, nondormant cultivars were developed for improved adaptation to the state’s subtropical agroecosystem (‘Florida 66’, ‘Florida 77’, and ‘Florida 99’); however, these cultivars are not commercially available. Breeding efforts are underway to develop new nondormant alfalfa adapted …

Accuracy And Precision Of Near Infra-Red Spectroscopy (Nirs) Versus Wet Chemistry In Forage Analysis, U. K. Saha, R. J. Kern-Lunbery

IGC Proceedings (1977-2023)

Near Infra-red Spectroscopy (NIRS) is an attractive option for forage analysis. NIRS is less labor intensive, nondestructive, rapid, environmentally friendly and provides accurate and precise results. However, many nutritionists are quick to brush off NIRS, citing ‘poor accuracy’. We evaluated the accuracy and precision of dry matter (DM), crude protein (CP), acid detergent fiber (ADF), and neutral detergent fiber (NDF) of 33 National Forage Testing Association (NFTA) proficiency test (PT) alfalfa hay samples analyzed by NIRS in 7 NIRS Forage and Feed Testing Consortium (NIRSC) member laboratories. The reference method averages (RMA), used to evaluate the NIRS results, were based …

Evaluation Of Different Genotypes Of Teosinte (Euchlaena Mexicana) For Herbage And Seed Production In Nepal, S. Sanjyal, John G. Hampton, P. Rolston, S. Marahatta

IGC Proceedings (1977-2023)

Teosinte is highly admired by the Nepalese farmers as a summer forage crop. It is also an important crop for milking animals in the tropical world where dairy husbandry is practiced. The only Sirsa cultivar of teosinte currently grown in Nepal takes 8 to 9 months from sowing to seed harvesting, which makes growing this crop difficult for farmers with small land holdings wanting to establish winter crops. Therefore, a diversity study on eighteen teosinte accessions was conducted in CRBD design. Seventeen teosinte accessions imported from CYMMIT Mexico and one locally grown Sirsa were evaluated in order to identify if …

Effects Of Insecticide And Tolerant Alfalfa Cultivars On Potato Leafhopper (Empoasca Fabae) Populations And Forage Yields In Quebec (Canada), Philippe Seguin, X. Shi, J. Saguez, Huguette Martel, A. Claessens

IGC Proceedings (1977-2023)

The potato leafhopper [PLH, Empoasca fabae (Harris)], which affects several crops including alfalfa (Medicago sativa L.), is a recurrent problem in several regions of Quebec. The objective was to evaluate alfalfa management tools in order to reduce yield losses caused by this pest. An experiment was conducted at two sites in Quebec over three field seasons to evaluate the impact of insecticide applications and the use of PLHtolerant cultivars on forage yield and PLH populations. Foliar insecticide applications in the seeding year reduced PLH populations but generally failed to impact alfalfa yields compared to untreated alfalfa. However, in one …

Addition Of Red Clover Or Birdsfoot Trefoil In Alfalfa-Based Mixtures To Improve The Forage Energy To Protein Balance, Philippe Seguin, Gaëtan F. Tremblay, M. Thériault, X. Godin, Shabtai Bittman, D. Hunt, J. Hakl, Gilles Bélanger, M.-N. Thivierge, Annick Bertrand, A. Claessens

IGC Proceedings (1977-2023)

The low ratio of sugars (S) to crude proteins (CP) in alfalfa (AL, Medicago sativa L.) leads to inefficient use of nitrogen by ruminants. The objective was to determine if adding red clover (RC, Trifolium pratense L.) or birdsfoot trefoil (BT, Lotus corniculatus L.) with or without a grass species to AL improved the forage S/CP ratio. Treatments were 100% AL (control) or AL-based mixtures with RC or BT in three proportions (75, 50, or 25% of seeded legumes) with either no grass or with timothy (Phleum pratense L.) or tall fescue (Schedonorus arundinaceus Schreb. Dumort.), resulting in …

Yield Potential Of Co4 Napier Hybrid Bajra (Pennisetum Perpureum Schumach.) Fodder Crop Under Irrigated Conditions In India, Om Singh, Ayushi Singh, Ananya Singh, Anita Singh

IGC Proceedings (1977-2023)

A field trial on Co₄ was conducted at ICAR-IVRI, Izatnagar during 2013-14 to 2017-18 to study the effect of harvesting season/time on green, dry matter yield and morphological parameters. Data shows that yield of Co₄ was increased from first year 2013-14 to third year 2015-16 and decreased in fourth year of plantation of crop. Regrowth of ratoon crop was good as it was in first year crop, it may be concluded that crop can be grown upto 5-6 years. The crop yield of first year and second year as par with fifth year. Maximum green fodder yield 307.7 …

Concentration And Bioactivity Of Condensed Tannins And Total Phenolics Of Lespedeza Species From A Germplasm Collection, Thomas H. Terrill, V. Smith, B. Morning, E. M. Courson, James P. Muir, N. M. Cherry, J. B. Morris

IGC Proceedings (1977-2023)

Interest in ‘AU-Grazer’ sericea lespedeza (Lespedeza cuneata) as an anti-parasitic bioactive forage has been growing in the United States, but the concentration and bioactivity of tannins and other phenolics from additional accessions of L. cuneata, as well as other Lespedeza species, have not been evaluated. A study was completed to determine the concentration of extractable condensed tannins (ECT), total CT (TCT), total phenolics (TP), and protein-precipitable phenolics (PPP) of 32 accessions of L. cuneata and 16 additional Lespedeza species from a germplasm collection. The plants were established in small pots in a greenhouse and then transplanted into …

Hospital Adhering To The Ten Steps To Successful Breastfeeding Predicts Exclusive Breastfeeding In Latinx Mothers., Ana Linares, Diana Cartagena, Marialda Moreira Christoffel

Nursing Faculty Publications

Introduction: Assessing how well a hospital adheres to the Ten Steps to Successful Breastfeeding is the key to outlining necessary modifications in mother breastfeeding support. This study aimed to assess Latinx mothers’ perception of how well a hospital adheres to the Ten Steps to Successful Breastfeeding and its influence on exclusive breastfeeding (EBF) rates at hospital discharge.

Methods: Secondary analysis of two longitudinal studies. The combined sample (N = 74) of Latinx pregnant women residing in the US. We modified, translated, and evaluated reliability of the Questionnaire for the Breastfeeding Mother (QBFM), which was applied to evaluate mothers’ …