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2019

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Transboundary Wildlife Laws And Trafficking: The Plight Of The African Elephant In Malawi And The Need For International Cooperation, Emily Schenning Mar 2019

Transboundary Wildlife Laws And Trafficking: The Plight Of The African Elephant In Malawi And The Need For International Cooperation, Emily Schenning

Villanova Environmental Law Journal (1991 - )

No abstract provided.


A Consensus On Malnutrition In Africa: A Report From The Micronutrient Deficiency Awareness Forum (Nairobi 2017), David Githanga, Alex Awiti, F. Were, T. Ngwiri., M. Y. Nyarko, N. Shellack Mar 2019

A Consensus On Malnutrition In Africa: A Report From The Micronutrient Deficiency Awareness Forum (Nairobi 2017), David Githanga, Alex Awiti, F. Were, T. Ngwiri., M. Y. Nyarko, N. Shellack

East Africa Institute

While most forms of malnutrition are easy to identify at an early age, micronutrient deficiency also manifests in form of “Hidden Hunger”, where children could seem to be well fed, but still suffer from deficiencies due to lack of key micronutrients in their diets whose absence is hard to detect. While the symptoms of micronutrient deficiency may not be obvious in the short-term, they translate into cognitive deficiencies in the longterm that negatively affect the economic productivity of these infants when they become adults, perpetuating the malnutrition cycle. The Micronutrient Deficiency Awareness Forum was held in April 2017 in Nairobi …


The "Uncontroversial" Controversy In Compelled Commercial Disclosures, Lauren Fowler Mar 2019

The "Uncontroversial" Controversy In Compelled Commercial Disclosures, Lauren Fowler

Fordham Law Review

Federal and state administrative agencies increasingly advance public health goals through the use of mandatory disclosures, like warning labels on cigarettes, that are intended to both inform and influence consumer decisions. However, the standard for determining whether these requirements violate a commercial speaker’s First Amendment rights is unsettled. In Zauderer v. Office of Disciplinary Counsel, the U.S. Supreme Court adopted a test that defers to the government’s determination that the compelled disclosure of “factual and uncontroversial information” is justified. Since Zauderer was decided, lower courts have disagreed about the meaning of “uncontroversial.” A recent Supreme Court case, National Institute …


Forage News [2019-03], Department Of Plant And Soil Sciences, University Of Kentucky Mar 2019

Microbiological Safety Of Areca Nut-Containing, Ready-To-Eat Chewing Substances Common Among Pakistani Paediatric Population: A Pilot Study, Anjiya Sulaiman, Hina Saeed Zuberi, Seema Irfan, Kulsoom Ghias Mar 2019

Microbiological Safety Of Areca Nut-Containing, Ready-To-Eat Chewing Substances Common Among Pakistani Paediatric Population: A Pilot Study, Anjiya Sulaiman, Hina Saeed Zuberi, Seema Irfan, Kulsoom Ghias

Department of Biological & Biomedical Sciences

Objective: To evaluate microbiological contamination of areca nut-containing, ready-to-eat chewing substances easily accessible to vulnerable paediatric population.
Methods: A pilot study was conducted at the Aga Khan University Medical College from June to October 2016 on twelve samples of areca nut-containing chewing substances (four supari, paan masala and gutka each) collected from various localities of Karachi. These were evaluated individually for total colony counts, hygiene indicator organisms, pathogenic organisms, and levels of aflatoxin. Microbial contamination was analysed using pour-plate method. Fungal aflatoxin levels were measured by enzyme-linked immunosorbent assay (ELISA)..
Results: Wet gutka preparations were contaminated by Escherichia coli and …


Systems Genetics Of Sensation Seeking., Price E. Dickson, Tyler A Roy, Kathryn A. Mcnaughton, Troy Wilcox, Padam Kumar, Elissa J Chesler Mar 2019

Systems Genetics Of Sensation Seeking., Price E. Dickson, Tyler A Roy, Kathryn A. Mcnaughton, Troy Wilcox, Padam Kumar, Elissa J Chesler

Faculty Research 2019

Sensation seeking is a multifaceted, heritable trait which predicts the development of substance use and abuse in humans; similar phenomena have been observed in rodents. Genetic correlations among sensation seeking and substance use indicate shared biological mechanisms, but the genes and networks underlying these relationships remain elusive. Here, we used a systems genetics approach in the BXD recombinant inbred mouse panel to identify shared genetic mechanisms underlying substance use and preference for sensory stimuli, an intermediate phenotype of sensation seeking. Using the operant sensation seeking (OSS) paradigm, we quantified preference for sensory stimuli in 120 male and 127 female mice …


Personalizing Precommitment, Lee Anne Fennell Mar 2019

Personalizing Precommitment, Lee Anne Fennell

University of Chicago Law Review

This Essay examines the potential for law to facilitate tailored precommitments to help people address self-control problems. This flavor of personalized law is unique in that it is voluntarily chosen and self-administered. There are practical and normative limits on the degree to which people can bind themselves in ways that they cannot later escape, but law can offer mechanisms that would help people design and implement flexible precommitments. Research suggests two potential lines for innovation. First, partitioning access to resources may constrain consumption in contexts from dieting to saving, even when the partitions can be unilaterally broken. Second, the chunkiness …


Heat Exposure And Hypohydration Exacerbate Physiological Strain During Load Carrying, Elizabeth L. Adams, Douglas J. Casa, Robert A. Huggins, Julie K. Demartini, Rebecca L. Stearns, Rachel M. Kennedy, Lindsay J. Distefano, Lawrence E. Armstrong, Carl M. Maresh Mar 2019

Heat Exposure And Hypohydration Exacerbate Physiological Strain During Load Carrying, Elizabeth L. Adams, Douglas J. Casa, Robert A. Huggins, Julie K. Demartini, Rebecca L. Stearns, Rachel M. Kennedy, Lindsay J. Distefano, Lawrence E. Armstrong, Carl M. Maresh

All PTHMS Faculty Publications

Heat exposure and hypohydration induce physiological and psychological strain during exercise; however, it is unknown if the separate effects of heat exposure and hypohydration are synergistic when co-occurring during loaded exercise. This study compared separate and combined effects of heat exposure and hypohydration on physiological strain, mood state, and visual vigilance during loaded exercise. Twelve males (mean±SD; age, 20±2 years; body mass, 74.0±8.2 kg; maximal oxygen uptake, 57.0±6.0 mLkg-1min-1) completed 4 trials under the following conditions: euhydrated temperate (EUT), hypohydrated temperate (HYT), euhydrated hot (EUH), and hypohydrated hot (HYH). Exercise was 90 min of treadmill walking (∼50% VO2 max, 5% …


Available Food Options At Local Shops In Relation To Food Insecurity Among Older Adults In Sharpeville, South Africa, Sanjoy Saha, Brenda Abu, Wilna Oldewage-Theron, Abdul Egal Mar 2019

Available Food Options At Local Shops In Relation To Food Insecurity Among Older Adults In Sharpeville, South Africa, Sanjoy Saha, Brenda Abu, Wilna Oldewage-Theron, Abdul Egal

Articles

Due to limited resources and complex food access systems in urban areas, especially older adults are more vulnerable to poor dietary intake and food insecurity in low-income areas in South Africa. This study assessed the prevalence of food insecurity among the older adults and explored the availability of healthy foods in local shops. It was a crosssectional study conducted in an eldercare centre in Sharpeville, South Africa with an estimated representative sample of 88 participants. Validated tools were used to measure the socio-economic, dietary diversity intake (24-hour dietary recall), household food security and access from the participants. Listing of available …


Bulletin Ninth District Ny March 2019 Mar 2019

Bulletin Ninth District Ny March 2019

Bulletin of the Ninth District Dental Association

The Bulletin of the Ninth District Dental Association is published four times annually in the months of March, May, September and November. It is distributed to all Association members from the counties of Dutchess, Orange, Putnam, Rockland and Westchester in the state of New York.

The Bulletin keeps our members up-to-date on NDDA activities as well as on a variety of topics important to the profession.


How Neuroscience Technology Is Changing Our Understanding Of Brain Injury, Vegetative States And The Law, Glenn R. Butterton Mar 2019

How Neuroscience Technology Is Changing Our Understanding Of Brain Injury, Vegetative States And The Law, Glenn R. Butterton

North Carolina Journal of Law & Technology

The author examines clinical studies that use neuroscience technology to study patients in Vegetative States. The studies indicate that some of the patients are, in fact, conscious. The author suggests that this finding is a matter of considerable practical importance for the drafting and execution of end-of-life protocols such as Advance Directives and Living Wills. He recommends that statutes, and other guidance used by patients, caregivers, medical institutions, family members and others to draft and interpret such Directives and Wills, be revised or amended to take account of these results.


Practice Variability Promotes An External Focus Of Attention And Enhances Motor Skill Learning, Lee-Kuen Chua, Maria Katrina Dimapilis, Takehiro Iwatsuki, Reza Abdollahipour, Rebecca Lewthwaite, Gabriele Wulf Mar 2019

Practice Variability Promotes An External Focus Of Attention And Enhances Motor Skill Learning, Lee-Kuen Chua, Maria Katrina Dimapilis, Takehiro Iwatsuki, Reza Abdollahipour, Rebecca Lewthwaite, Gabriele Wulf

Kinesiology and Nutrition Sciences Faculty Research

Variability in practice has been shown to enhance motor skill learning. Benefits of practice variability have been attributed to motor schema formation (variable versus constant practice), or more effortful information processing (random versus blocked practice). We hypothesized that, among other mechanisms, greater practice variability might promote an external focus of attention on the intended movement effect, while less variability would be more conducive to a less effective internal focus on body movements. In Experiment 1, the learning of a throwing task was enhanced by variable versus constant practice, and variable group participants reported focusing more on the distance to the …


Professional Values Of Licensed Practical Nurses And Time Post Initial Licensure: A Correlational Study, Linda A. Otero Mar 2019

Professional Values Of Licensed Practical Nurses And Time Post Initial Licensure: A Correlational Study, Linda A. Otero

Dissertations

The purpose of this dissertation was to explore the correlation between professional values of licensed practical nurses working in long term care settings and time post initial licensure. A quantitative non-experimental correlational research design was used to capture self-reports of professional values of licensed practical nurses then determine if and to what extent a relationship exists between professional values and time post initial licensure. The Nurses Professional Values Scale- Revised (NPVS-R) instrument was used to capture the professional values of 101 LPNs employed in long term care settings in Vermont and correlate the results with time post initial licensure. The …


Feeling Green: The Benefits Of Green Space On Urbanites' Mental Health, Kathryn A. Hoagland Mar 2019

Feeling Green: The Benefits Of Green Space On Urbanites' Mental Health, Kathryn A. Hoagland

Liberal Arts and Engineering Studies

This investigation intends to determine the best methods for incorporating public green space into dense urban areas, for the betterment of residents' mental health. Data from studies showing differences in the prevalence of anxiety and depression in urban and rural areas are discussed alongside data from studies looking at the effect that certain types of green space might have on mental health. While there is no exact consensus on the extent to which nature has positive effects on mental health there is enough of a correlation to argue for the implementation of public green spaces in urban design, in order …


Health Behaviors And Related Disparities Of Insured Adults With A Health Care Provider In The United States, 2015—2016, M. Courtney Hughes, Tamara A. Baker, Hansol Kim, Elise G. Valdes Mar 2019

Health Behaviors And Related Disparities Of Insured Adults With A Health Care Provider In The United States, 2015—2016, M. Courtney Hughes, Tamara A. Baker, Hansol Kim, Elise G. Valdes

Faculty Articles, Papers, and Other Scholarship

Health care providers are in a unique position to address patients' health behaviors and social determinants of health, factors like income and social support that can significantly impact health. There is a need to better understand the risk behaviors of a population that providers may counsel (i.e., those who are insured and have a provider.) Using the 2015 and 2016 CDC's Behavioral Risk Factor Surveillance System, we examine the prevalence of health behaviors and the existence of disparities in health behaviors based on social determinants among American adults. Our sample included noninstitutionalized adults aged 18 to 64 years, in the …


The Effect Of Invasive Aquatic Vegetation On Odonate Diversity In An Urban Area, Sarah Thomas Mar 2019

The Effect Of Invasive Aquatic Vegetation On Odonate Diversity In An Urban Area, Sarah Thomas

Honors Capstones

No abstract provided.


Application Of Steam Explosion In Oil Extraction Of Camellia Seed (Camellia Oleifera Abel.) And Evaluation Of Its Physicochemical Properties, Fatty Acid, And Antioxidant Activities, Shanying Zhang, Yong Gui Pan, Lili Zheng, Yang Yang, Xiaoyan Zheng, Binling Ai, Zhimin Xu, Zhanwu Sheng Mar 2019

Application Of Steam Explosion In Oil Extraction Of Camellia Seed (Camellia Oleifera Abel.) And Evaluation Of Its Physicochemical Properties, Fatty Acid, And Antioxidant Activities, Shanying Zhang, Yong Gui Pan, Lili Zheng, Yang Yang, Xiaoyan Zheng, Binling Ai, Zhimin Xu, Zhanwu Sheng

Faculty Publications

This study evaluated the physicochemical properties of oils extracted from steam-exploded camellia seed (Camellia oleifera Abel.). Steam pressure, resident time, fatty acid composition, total phenolics, tocopherol, squalene, and sterol contents, and volatile compounds were determined. 1 H NMR and FTIR spectra were performed for the structure of camellia seed oil. This study has found the highest yield of oil was 86.56% and was obtained when steam explosion pretreatment was at 1.6 MPa 30 s. Oil extracted by steam explosion pretreatment exhibited favorable physicochemical properties and stronger antioxidant activities compared to untreated oil. The compositions of fatty acid were similar between …


Creating An Active Culture Of Gratitude In Your Home, Judith Fisher Mar 2019

Creating An Active Culture Of Gratitude In Your Home, Judith Fisher

Lake Union Herald

No abstract provided.


The Role Of Selenium Trace Element In Iraqi Patients With Prostate Tumors, Hussein Salam, Abdulameer Jasim Mohameed, Zena Abdulameer Mar 2019

The Role Of Selenium Trace Element In Iraqi Patients With Prostate Tumors, Hussein Salam, Abdulameer Jasim Mohameed, Zena Abdulameer

Al-Nisour Journal for Medical Sciences

To study and evaluate the effect of selenium and its relationship with prostate tumors, one hundred samples were taken for the study, including 60 patients with prostate cancer and 40 healthy subjects from Iraqi men. The levels of the serum selenium were measured in the samples of infected men with prostate tumor and healthy subjects, after the samples were drawn from the study cases. Flameless Atomic Absorption used for measuring. The data were statistically analyzed by SPSS. Also prostate specific antegene (PSA) was measured as an indicator of prostate tumor. The results showed that there was a significant difference between …


Chinese College Students' Health Information Seeking Behavior: Implications For Academic Libraries, Yanxia Shi, Lili Luo Mar 2019

Chinese College Students' Health Information Seeking Behavior: Implications For Academic Libraries, Yanxia Shi, Lili Luo

Faculty Publications

In 2016, Zexi Wei, a 21-year old Chinese college student died after receiving experimental treatment for synovial sarcoma at the Second Hospital of the Beijing Armed Police Corps. He learned about this treatment from a promoted result on the Chinese search engine Baidu (the equivalent of Google in China), and ultimately discovered that the hospital had misled patients by providing fraudulent information about the treatment's success rate. Wei's death prompted Chinese regulators to investigate Baidu's advertising practices, and drew widespread attention from the public about the ill-regulated practices of online dissemination of health information. As academic librarians, this tragic incident …


Framing The Fact Of Extraordinary Events, Gayatri Atmadi Mar 2019

Framing The Fact Of Extraordinary Events, Gayatri Atmadi

JURNAL KOMUNIKASI INDONESIA

The very apprehensive fact of disease outbreaks of measles and malnutrition which led to dozens of children die in Asmat, Papua is mentioned as the extraordinary events (KLB) by the Ministry of Health Republic of Indonesia. The reports from journalists about the health disaster in Asmat deep concerns for the readers of the daily Kompas for several days. This research aims to find out how framing the news conducted by editor Kompas which acts as a good watchdog in overseeing the health disaster management in Asmat. By using social construction of mass media theory as the main thought, this research …


Implementing Personalized Law: Personalized Disclosures In Consumer Law And Data Privacy Law, Christoph Busch Mar 2019

Implementing Personalized Law: Personalized Disclosures In Consumer Law And Data Privacy Law, Christoph Busch

University of Chicago Law Review

This Essay explores how the rise of big data and algorithm-based regulation could fundamentally change the design and structure of disclosure mandates in consumer law and privacy law. Impersonal information duties and standardized notices could be replaced by granular legal norms that provide personalized disclosures based on the personal preferences and informational needs of an individual. This Essay makes several contributions to the emerging debate about personalized law. First, it shows how information technology can be implemented for tailoring disclosures in consumer law and privacy law in order to take into account actor heterogeneity. Second, it argues that personalized disclosures …


An Implementation Toolkit For Increasing Breastfeeding Sustainability, Regina Kirwin Mar 2019

An Implementation Toolkit For Increasing Breastfeeding Sustainability, Regina Kirwin

Doctoral Projects

Introduction: African American women have the lowest rates of breastfeeding in the United States compared to other racial and ethnic groups (DHHS, 2016). Peer support increases breastfeeding rates (Shakya, 2017). An evidence-based implementation toolkit will provide key stakeholders the information and skill development needed to successfully implement and sustain peer support programs geared toward increasing breastfeeding rates for African American women in West Michigan. The purpose of this paper is to disseminate the quality improvement process used to develop an evidence-based toolkit guided by a secondary data analysis from research data collected in a previously implemented peer mentor program.

Objective: …


Improving Rural Pediatric Patient Management Through Streamlined High-Volume Patient Clinical Pathways Enhanced By Standardized Nursing Education For Care Confidence, Marie-Cassandre O. Macdonnell Mar 2019

Improving Rural Pediatric Patient Management Through Streamlined High-Volume Patient Clinical Pathways Enhanced By Standardized Nursing Education For Care Confidence, Marie-Cassandre O. Macdonnell

Doctoral Projects

Rural America creates a challenging, poorly financed environment for pediatric health. More than 20 million Americans live in areas with physician shortages too great to meet basic health need (Petlz et al., 2013). In comparing rural versus urban data, rural population experience a 7% higher rate of chronic health conditions (44% versus 37%), increased inpatient costs ($8, 507 versus $7, 174) and higher odds ratios for pediatric 30-day readmission. Findings from Khan et al., (2015) note that hospital readmission rates have higher odds ratios in pediatric patients (95% CI); of Caucasian ethnicity 0.74 [0.65–0.84] to 0.88 [0.79–0.99]); when admitted to …


Nonalcoholic Fatty Liver Disease And The Pnpla3 Gene, Lori Houghton-Rahrig, Debra Schutte, Jenifer I. Fenton, Jennifer Awad Mar 2019

Nonalcoholic Fatty Liver Disease And The Pnpla3 Gene, Lori Houghton-Rahrig, Debra Schutte, Jenifer I. Fenton, Jennifer Awad

Peer Reviewed Articles

Nonalcoholic fatty liver disease (NAFLD) is a rapidly emerging worldwide public health concern strongly associated with obesity, insulin resistance/diabetes type 2, and the metabolic syndrome (Younossi et al., 2011). It is the most common cause of liver disease in the world (World Gastro - enterology Organisation [WGO], 2012). Defined as a total liver weight comprised of more than 5% fat, NAFLD can progress from simple fatty liver disease to nonalcoholic steatohepatitis with or without fibrosis, liver cirrhosis, liver cancer, or liver failure resulting in premature death (Levene & Goldin, 2012). The development and progression of NAFLD is influenced by genetic …


Development Of The Icook 4-H Curriculum For Youth And Adults: Cooking, Eating, And Playing Together For Childhood Obesity Prevention, Lisa Franzen-Castle, Sarah E. Colby, Kendra K. Kattelmann, Melissa D. Olfert, Douglas Mathews, Katheryn Yerxa, Barbara Baker, Michelle Krehbiel, Tracy Lehrke, Kimberly Wilson, Amber Ford, Trina Aguirre, Adrienne A. White Mar 2019

Development Of The Icook 4-H Curriculum For Youth And Adults: Cooking, Eating, And Playing Together For Childhood Obesity Prevention, Lisa Franzen-Castle, Sarah E. Colby, Kendra K. Kattelmann, Melissa D. Olfert, Douglas Mathews, Katheryn Yerxa, Barbara Baker, Michelle Krehbiel, Tracy Lehrke, Kimberly Wilson, Amber Ford, Trina Aguirre, Adrienne A. White

Health and Nutritional Sciences Faculty Publications

The objective was to describe the development process of a curriculum (iCook 4-H) targeted to low-income, rural, and/or diverse youths and their adult primary meal preparer to promote cooking, eating, and playing together. Lessons learned highlighted the importance of grounding the curriculum in Social Cognitive Theory and applying the experiential 4-H learning model using a multiphased, community-based participatory approach with cyclical development and evaluation, and key modifications made for dissemination and distribution. Findings across 4 testing phases over 6 years and 5 states demonstrated the time-intensive, cyclical process that required flexibility with fidelity to form a hands-on, interactive curriculum.


Development And Testing Of Program Evaluation Instruments For The Icook 4-H Curriculum, Douglas R. Mathews, Zachary J. Kunicki, Sarah E. Colby, Lisa Franzen-Castle, Kendra Kattelmann, Melissa D. Olfert, Adrienne A. White Mar 2019

Development And Testing Of Program Evaluation Instruments For The Icook 4-H Curriculum, Douglas R. Mathews, Zachary J. Kunicki, Sarah E. Colby, Lisa Franzen-Castle, Kendra Kattelmann, Melissa D. Olfert, Adrienne A. White

Health and Nutritional Sciences Faculty Publications

Objective: To develop and test the validity of program outcome evaluation instruments for cooking, eating, and playing together for obesity prevention during iCook 4-H.
Design: Instrument development for both youth and adults through pre-post testing of items newly constructed and compiled to address key curriculum constructs. Testing occurred throughout program intervention and dissemination to determine dimensionality, internal consistency and test-retest reliability, and validity.
Setting: A 5-state out-of-school program in cooperative extension and other community sites.
Participants: Youths aged 9−10 years; adults were main food preparers; the first phase involved 214 dyads and the second phase, 74 dyads.
Main Outcome Measure(s): …


The Icook 4-H Study: An Intervention And Dissemination Test Of A Youth/Adult Out-Of-School Program, Adrienne A. White, Sarah E. Colby, Lisa Frabzen-Castle, Kendra Kattelmann, Melissa D. Olfert, Tara A. Gould, Rebecca L. Hagedorn, Douglas R. Mathews, Jonathan Moyer, Kimberly Wilson, Kathryn Yerxa Mar 2019

The Icook 4-H Study: An Intervention And Dissemination Test Of A Youth/Adult Out-Of-School Program, Adrienne A. White, Sarah E. Colby, Lisa Frabzen-Castle, Kendra Kattelmann, Melissa D. Olfert, Tara A. Gould, Rebecca L. Hagedorn, Douglas R. Mathews, Jonathan Moyer, Kimberly Wilson, Kathryn Yerxa

Health and Nutritional Sciences Faculty Publications

Objective: To describe outcomes from intervention and dissemination of iCook 4-H.
Design: Five-state, community-based participatory research and a randomized, controlled trial followed by a 5-state, nonrandomized dissemination test of the iCook 4-H curriculum with control and treatment groups.
Setting: Community and university sites.
Participants: Youths aged 9−10 years and their adult food preparer; 228 dyads in the intervention and 74 dyads in dissemination.
Intervention(s): Theoretical frameworks were Social Cognitive Theory and the experiential 4-H learning model. Six 2-hour, biweekly sessions on cooking, eating, and playing together followed by monthly newsletters and boosters until 24 months, expanded to 8 sessions for …


Dissemination Using Infographic Reports Depicting Program Impact Of A Community-Based Research Program: Eb4cast In Icook 4-H, Melissa D. Olfert, Rebecca L. Hagedorn, Makenzi L. Barr, Sarah E. Colby, Kendra Kattelmann, Lisa Franzen-Castle, Adrienne A. White Mar 2019

Dissemination Using Infographic Reports Depicting Program Impact Of A Community-Based Research Program: Eb4cast In Icook 4-H, Melissa D. Olfert, Rebecca L. Hagedorn, Makenzi L. Barr, Sarah E. Colby, Kendra Kattelmann, Lisa Franzen-Castle, Adrienne A. White

Health and Nutritional Sciences Faculty Publications

Objective: To evaluate barriers to dissemination and implementation and perceptions of the Evidence- Based Forecast Capture, Assemble, Sustain, Timelessness (eB4CAST) dissemination infographic tool as part of iCook 4-H dissemination.
Design: Online surveys and phone interviews.
Participants: Experts (n = 35) in community research completed the survey; 13 completed the interview.
Main Outcomes Measure: Experts’ perceptions of eB4CASTreports used for iCook 4-H dissemination.
Analysis: Frequency and thematic analysis.
Results: Survey respondents agreed (85%) that the eB4CAST infographic provided a clear understanding of iCook 4-H and relevant information (83%). Statistics included in the infographic were reported as easily understood (66%). Respondents (83%) …


Extremely Low Testosterone Due To Relative Energy Deficiency In Sport: A Case Report, Ana Narla, Kimberly Kaiser, Lisa R. Tannock Mar 2019

Extremely Low Testosterone Due To Relative Energy Deficiency In Sport: A Case Report, Ana Narla, Kimberly Kaiser, Lisa R. Tannock

Orthopaedic Surgery and Sports Medicine Faculty Publications

Objective: Recognize extremely low testosterone due to hypothalamic dysfunction from overtraining syndrome in a male athlete with relative energy deficiency in sport (RED-S).

Methods: Clinical and laboratory information are described.

Results: A 20-year-old male division I collegiate swimmer was found to have strikingly low total, free, and bioavailable testosterone levels with normal sex hormone–binding globulin and inappropriately normal follicle-stimulating hormone and luteinizing hormone. Lab testing ruled out hyperprolactinemia and hypothyroidism as etiologies, and pituitary imaging was normal. A diagnosis of RED-S was made, and the patient worked with the sports medicine team to increase nutrition and modify physical activity. His …