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Articles 4831 - 4860 of 5348
Full-Text Articles in Entire DC Network
Early Childhood Quality Of Education And Late-Life Cognitive Function In A Population-Based Sample From Puerto Rico, Cheyanne Celine Barba
Early Childhood Quality Of Education And Late-Life Cognitive Function In A Population-Based Sample From Puerto Rico, Cheyanne Celine Barba
All ETDs from UAB
In general, greater years of education is associated with reduced risk of cognitive impairment in older adulthood, but the strength of this association has been found to differ by study population. Additionally, quality of education is understudied, despite evidence that quality of education and, in turn, literacy, may be additional indicators of cognitive reserve. This thesis examined years of education, literacy, and childhood quality of education indicators in relation to late-life cognitive outcomes in an older Puerto Rican population. We hypothesized that greater years of education, literacy, and quality of childhood education would be positively associated with each other, as …
Representations Of Africa In Us Media: A Semiotic Analysis Of Ebola: The Doctor’S Story And Body Team 12, Olubusola Akinpelu
Representations Of Africa In Us Media: A Semiotic Analysis Of Ebola: The Doctor’S Story And Body Team 12, Olubusola Akinpelu
Masters Theses
The Western media has often been criticized for biased coverage of happenings in and around Africa. The 2014 Ebola outbreak created a lot of media attention for West Africa, and by extension, the entire continent. This study examined to what extent postcolonial discourses were infused in two films from the HBO Trilogy: Ebola: The Doctor’s Story (2015) and Body Team 12 (2015). To analyze these texts, I took a semiotic approach by identifying, describing and interpreting the signs in both films, to discuss the postcolonial discourses in three broad themes. Ebola: The Doctor’s Story (2015) was analyzed in the …
One Welfare, The Role Of Health Professionals, And Climate Change, Anne Fawcett
One Welfare, The Role Of Health Professionals, And Climate Change, Anne Fawcett
Animal Sentience
Wiebers & Feigin argue that the COVID-19 crisis is a call for humanity to rethink our relationships with animals and the environment. This One Welfare approach has implications for the role of health care professionals and demands that we address climate change.
Borders By Consent: A Proposal For Reducing Two Kinds Of Violence In Immigration Practice, Richard Delgado, Jean Stefancic
Borders By Consent: A Proposal For Reducing Two Kinds Of Violence In Immigration Practice, Richard Delgado, Jean Stefancic
Essays, Reviews, and Shorter Works
We describe a new consensual theory of borders and immigration that reverses Peter Schuck's and Rogers Smith's notion of citizenship by consent and posits that borders are legitimate and make sense only if they are products of consent on the part of both countries on opposite sides of them. Our approach, in turn, leads to differential borders that address the many sovereignty and federalist problems inherent in border design by a close examination of the policies that different borders for example, the one between California and Mexico-need to serve in light of the populations living nearby. We build on our …
Impacts Of Climate Change On Vector-Borne And Respiratory Disease, Apeksha Dighe
Impacts Of Climate Change On Vector-Borne And Respiratory Disease, Apeksha Dighe
Climate Change and Public Health Preparedness
No abstract provided.
Investigation On The Human Coronaviruses Origin (Bats And Pangolins): A Review, James Blackar Mawolo, Caselia Akiti, Harris Kollie Momo
Investigation On The Human Coronaviruses Origin (Bats And Pangolins): A Review, James Blackar Mawolo, Caselia Akiti, Harris Kollie Momo
Turkish Journal of Zoology
A coronavirus related to SARS-CoV-2 has been isolated from Malayan pangolins illegally imported into Guangdong Province. It is not the precursor of SARS-CoV-2, but a comparison of viral genome sequences provides further evidence that the virus currently infecting humans. Bats and pangolins have been suggested as the natural reservoirs of a large variety of viruses. Some researchers have given attention to other species as the origin of coronaviruses and none have referred to bats and pangolins as the two emerging coronaviruses origin, which have caused unexpected human disease outbreaks recently. Severe acute respiratory syndrome coronavirus (SARS-CoV) and the Middle East …
Mtdna D-Loop Genetic Diversity Of Common Quail (Coturnix Coturnix) Migratingthrough Ukraine And Spain, Dalius Butkauskas, Antonio Bea, Vadym Yanenko, Petras Prakas, Saulius Svazas, Daiva Vaitkuviene
Mtdna D-Loop Genetic Diversity Of Common Quail (Coturnix Coturnix) Migratingthrough Ukraine And Spain, Dalius Butkauskas, Antonio Bea, Vadym Yanenko, Petras Prakas, Saulius Svazas, Daiva Vaitkuviene
Turkish Journal of Zoology
Populations of common quail (Coturnix coturnix) have recently been declining in Europe. This is the first study of common quail in eastern Europe using molecular markers. The mtDNA D-loop genetic diversity of common quails migrating through Ukraine was analyzed and compared with that of birds migrating via northern Spain in 2017-2018. In samples from 77 birds, 32 polymorphic sites and 30 haplotypes (H1-H30) were identified, only 4 of which were common for birds sampled in both Ukraine and Spain. Phylogenetic analysis indicated 2 well-supported clades. Found were 3 haplotypes clustered in 1 phylogenetic clade only in common quails sampled in …
How Well Does Societal Mobility Restriction Help Control The Covid-19 Pandemic? Evidence From Real-Time Evaluation, Juhwan Oh, Hwa-Young Lee, Khuong Quynh Long, Jeffrey F. Markuns, Chris Bullen, Osvaldo Enrique Artaza Barrios, Seung-Sik Hwang, Young Sahng Seo, Judith Mccool, S. Patrick Kachur, Chang-Chung Chan, Soonman Kwon, Naoki Kondo, Hoang Van Minh, J. Robin Moon, Mikael Rostila, Ole F. Norheim, Myoungsoon You, Mellissa Withers, Mu Lil, Eun-Jeung Lee, Caroline Benski, Soo Kyung Park, Eun-Woo Nam, Katie Gottschalk, Matthew M. Kavanagh, Jong-Koo Lee, Martin Mckee, S. V. Subramanian, Lawrence O. Gostin
How Well Does Societal Mobility Restriction Help Control The Covid-19 Pandemic? Evidence From Real-Time Evaluation, Juhwan Oh, Hwa-Young Lee, Khuong Quynh Long, Jeffrey F. Markuns, Chris Bullen, Osvaldo Enrique Artaza Barrios, Seung-Sik Hwang, Young Sahng Seo, Judith Mccool, S. Patrick Kachur, Chang-Chung Chan, Soonman Kwon, Naoki Kondo, Hoang Van Minh, J. Robin Moon, Mikael Rostila, Ole F. Norheim, Myoungsoon You, Mellissa Withers, Mu Lil, Eun-Jeung Lee, Caroline Benski, Soo Kyung Park, Eun-Woo Nam, Katie Gottschalk, Matthew M. Kavanagh, Jong-Koo Lee, Martin Mckee, S. V. Subramanian, Lawrence O. Gostin
Georgetown Law Faculty Publications and Other Works
One of the most widely implemented policy response to the novel coronavirus (SARS-CoV-2) pandemic has been the imposition of restrictions on mobility (1). These restrictions have included both incentives, encouraging working from home, supported by a wide range of online activities such as meetings, lessons, and shopping, and sanctions, such as stay at home orders, restrictions on travel, and closure of shops, offices, and public transport (2-5). The measures constitute a major component of efforts to control the COVID-19 pandemic. Compared to previous epidemic responses, they are unprecedented in both scale and scope (6).
The rationale underpinning these public health …
Comparative Study On Chinese Network Imported Food Safety Supervision System, Jingquan Wang
Comparative Study On Chinese Network Imported Food Safety Supervision System, Jingquan Wang
Theses
This paper aims to improve the efficiency of food safety supervision and the effective way to ensure food safety through the comparative study of the imported food safety supervision system of China's network, and the comparative study of the main methods to ensure food safety. In this paper, according to the basic theory of food safety, for the world's major developed countries government food safety regulatory system, the Chinese government's food safety regulatory system research, China's food regulatory measures related to a new model idea, several parts, and discover network imported food safety supervision system in our country's own insufficiency, …
A Study Of Consumer Perception Of Antibiotic Resistance And Antibiotic Use In Ireland, Andrea Todea
A Study Of Consumer Perception Of Antibiotic Resistance And Antibiotic Use In Ireland, Andrea Todea
Theses
The purpose of this study was to assess the knowledge of Irish consumers regarding antibiotic use in Ireland. Data was obtained on antibiotic use, frequency, associated source and general awareness regarding antibiotics and antibiotic resistance. A cross-sectional survey was designed to analyse consumer’s perception and knowledge of antibiotic and antibiotic resistance. A total of 763 completed questionnaires were collected. The questionnaire was targeted for general public, based in Ireland. Fifty-seven percent of respondents are trying to completely avoid antibiotics, unless absolutely necessary. Half of respondents (50%) took antibiotics in the last 12 months. The majority of respondents obtained antibiotics through …
Food Proteins: Sustainable Sources Of Proteins Responsible For Emulsions Stability In Food Products, Gleicy Kelly Oliveira Nogueria
Food Proteins: Sustainable Sources Of Proteins Responsible For Emulsions Stability In Food Products, Gleicy Kelly Oliveira Nogueria
Theses
One of the major challenges manufactures are facing is the fact that consumer’s personal health standards are changing constantly, modern consumers are willing to know more about the ingredients used in their food. The relationship with ethics and sustainability is leading to changes in the food industry. Seen this, manufactures are opting for other sources of ingredients, such as plant-based alternatives. However, the use of these sort of products need to be developed due to of their unknown properties. The use of sustainable plant proteins provides a variety of benefits to the product, such as added nutritional value as fiber, …
Owens V. Lead Stories, Delaware Superior Court
Owens V. Lead Stories, Delaware Superior Court
Historical and Topical Legal Documents
No abstract provided.
Unsafe At Any Campus: Don't Let Colleges Become The Next Cruise Ships, Nursing Homes, And Food Processing Plants, Peter H. Huang, Debra S. Austin
Unsafe At Any Campus: Don't Let Colleges Become The Next Cruise Ships, Nursing Homes, And Food Processing Plants, Peter H. Huang, Debra S. Austin
Publications
The decision to educate our students via in-person or online learning environments while COVID-19 is unrestrained is a false choice, when the clear path to achieve our chief objective safely, the education of our students, can be done online. Our decision-making should be guided by the overriding principle that people matter more than money. We recognize that lost tuition revenue if students delay or defer education is an institutional concern, but we posit that many students and parents would prefer a safer online alternative to riskier in-person options, especially as we get closer to fall, and American death tolls rise. …
The Trust Principles For Digital Repositories, Dawei Lin, Jonathan Crabtree, Ingrid Dillo, Robert R. Downs, Rorie Edmunds, David Giaretta, Marisa De Giusti, Hervé L'Hours, Wim Hugo, Reyna Jenkyns, Varsha Khodiyar, Maryann E. Martone, Mustapha Mokrane, Vivek Navale, Jonathan Petters, Barbara Sierman, Dina V. Sokolova, Martina Stockhause, John Westbrook
The Trust Principles For Digital Repositories, Dawei Lin, Jonathan Crabtree, Ingrid Dillo, Robert R. Downs, Rorie Edmunds, David Giaretta, Marisa De Giusti, Hervé L'Hours, Wim Hugo, Reyna Jenkyns, Varsha Khodiyar, Maryann E. Martone, Mustapha Mokrane, Vivek Navale, Jonathan Petters, Barbara Sierman, Dina V. Sokolova, Martina Stockhause, John Westbrook
Copyright, Fair Use, Scholarly Communication, etc.
As information and communication technology has become pervasive in our society, we are increasingly dependent on both digital data and repositories that provide access to and enable the use of such resources. Repositories must earn the trust of the communities they intend to serve and demonstrate that they are reliable and capable of appropriately managing the data they hold.
Following a year-long public discussion and building on existing community consensus , several stakeholders, representing various segments of the digital repository community, have collaboratively developed and endorsed a set of guiding principles to demonstrate digital repository trustworthiness. Transparency, Responsibility, User focus, …
Association Between Stigma, Psychological Distress, And Quality Of Life Among People Living With Hiv In Federal Territory Of Kuala Lumpur, Ibrahim Khairiah
Association Between Stigma, Psychological Distress, And Quality Of Life Among People Living With Hiv In Federal Territory Of Kuala Lumpur, Ibrahim Khairiah
Student Works (2020-2029)
Quality of life is an important component in the evaluation of the well-being of PLHIV. However, HIV stigma and psychological distress (depression, anxiety and stress) continue to be a barrier to obtain a good quality of life among PLHIV globally. This study assesses the level of QOL, stigma and psychological distress among PLHIV in Kuala Lumpur by determining the association between QOL, stigma and psychological distress. A cross-sectional study was conducted, involving 305 PLHIV attendees of the infectious disease clinic in a teaching hospital, primary health clinic and three Community-Based Organisations (CBOs). The sampled respondents completed face to face interviews …
Prevalence And Determinants Of Tabacco Use Among Adolescents In Khartoum - Sudan, Mohammed Alshaikh Mohammed Othman
Prevalence And Determinants Of Tabacco Use Among Adolescents In Khartoum - Sudan, Mohammed Alshaikh Mohammed Othman
Student Works (2020-2029)
Globally, 25 million adolescents aged 13-15 years, smoke cigarettes while 13 million use smokeless tobacco. In 2014, 22.8% of adolescents had ever smoked cigarette in Sudan while current cigarette smokers were 4.5%; moreover, studies about shisha smoking and smokeless tobacco were limited in Sudan. The aim of this study is to estimate the prevalence of tobacco use among adolescents and to describe determinant factors associated with tobacco use. Descriptive school based cross-sectional study was conducted, and multistage random sampling was used to recruit participants from secondary schools in Khartoum State, Sudan. Self-administered questionnaire of Arabic version of Global Youth Tobacco …
Kikuchi-Fujimoto Disease, Rohan Karkra
Kikuchi-Fujimoto Disease, Rohan Karkra
Digital Journal of Clinical Medicine
No abstract provided.
Evolution Of Senescence In Humans - The Rift Between Lifespan And Healthspan, Mitch Beito
Evolution Of Senescence In Humans - The Rift Between Lifespan And Healthspan, Mitch Beito
Undergraduate Student Research Awards
No abstract provided.
A Reflection On Blm In The Era Of The Coronavirus And The Role Of Social Media, Despina Matzakos
A Reflection On Blm In The Era Of The Coronavirus And The Role Of Social Media, Despina Matzakos
Undergraduate Student Research Awards
No abstract provided.
Adaptations Of Interferon Regulatory Factor 3 With Transition From Terrestrial To Aquatic Life, Monica Angeletti, Wan-Ling Nicole Hsu, Nashaat Majo, Hideaki Moriyama, Etsuko Moriyama, Luwen Zhang
Adaptations Of Interferon Regulatory Factor 3 With Transition From Terrestrial To Aquatic Life, Monica Angeletti, Wan-Ling Nicole Hsu, Nashaat Majo, Hideaki Moriyama, Etsuko Moriyama, Luwen Zhang
School of Biological Sciences: Faculty Publications
Interferon regulatory factor 3 (IRF3) and IRF7 are closely related IRF members and the major factors for the induction of interferons, a key component in vertebrate innate immunity. However, there is limited knowledge regarding the evolution and adaptation of those IRFs to the environments. Two unique motifs in IRF3 and 7 were identified. One motif, GASSL, is highly conserved throughout the evolution of IRF3 and 7 and located in the signal response domain. Another motif, DPHK, is in the DNA-binding domain. The ancestral protein of IRF3 and 7 seemed to possess the DPHK motif. In the ray-finned fish lineage, while …
A Framework For Heterologous Biosynthesis Of Natural Products In Mammalian Cells Via Polymer-Mediated Transfections, Logan Warriner
A Framework For Heterologous Biosynthesis Of Natural Products In Mammalian Cells Via Polymer-Mediated Transfections, Logan Warriner
Theses and Dissertations--Chemical and Materials Engineering
With the promise to treat a multi-faceted list of serious inherited and acquired diseases, such as cancer, neurodegenerative and infectious diseases, and inherited genetic indications, gene therapy has continued to push the boundaries of traditional medicine since its earliest implementation. While much progress has been made, clinical success has largely remained elusive. Immunogenicity, difficulty producing commercially relevant quantities, and having a limited genetic payload still limits the ability of viruses to act as directed delivery agents for genetic material. As such, researchers have turned to cationic synthetic materials as a means of delivering nucleic acids, which can circumvent the immune …
Assessment Of The Immune Response To Posthodiplostomum Minimum Infection In Bluegills, Olamide S. Olayinka
Assessment Of The Immune Response To Posthodiplostomum Minimum Infection In Bluegills, Olamide S. Olayinka
Masters Theses
Bluegills (Lepomis macrochirus) are common intermediate hosts for white grub (Posthodiplostomum minimum). They tolerate heavy infections with minimal effect on condition and continue to accumulate metacercariae as they age. This suggests that any immune response to this parasite might not be effective. This study was conducted to better understand the immune mechanisms underlying P. minimum infection in bluegills.
Infected organs (liver, kidney, and heart) were examined histologically, and serum from infected fish was tested for antibodies to white grub. Juvenile flukes were recovered from isolated metacercarial cysts. Polyclonal antibodies were produced in mice against white grub …
The Impact Of Scaling Up Cervical Cancer Screening And Treatment Services Among Women Living With Hiv In Kenya: A Modelling Study, Pablo Noel Perez-Guzman, Michael Chung, Hugo De Vuyst, Shona Dalal, Kennedy K. Mutai, Karanja Muthoni, Bartilol Kigen, Timothy B. Hallett, Mikaela Smit
The Impact Of Scaling Up Cervical Cancer Screening And Treatment Services Among Women Living With Hiv In Kenya: A Modelling Study, Pablo Noel Perez-Guzman, Michael Chung, Hugo De Vuyst, Shona Dalal, Kennedy K. Mutai, Karanja Muthoni, Bartilol Kigen, Timothy B. Hallett, Mikaela Smit
Internal Medicine, East Africa
Introduction: We aimed to quantify health outcomes and programmatic implications of scaling up cervical cancer (CC) screening and treatment options for women living with HIV in care aged 18–65 in Kenya.
Methods: Mathematical model comparing from 2020 to 2040: (1) visual inspection with acetic acid (VIA) and cryotherapy (Cryo); (2) VIA and Cryo or loop excision electrical procedure (LEEP), as indicated; (3) human papillomavirus (HPV)-DNA testing and Cryo or LEEP; and (4) enhanced screening technologies (either same-day HPV-DNA testing or digitally enhanced VIA) and Cryo or LEEP. Outcomes measured were annual number of CC cases, deaths, screening and treatment interventions, …
William & Mary Commencement (October 10, 2021), College Of William & Mary
William & Mary Commencement (October 10, 2021), College Of William & Mary
Commencement Exercises
No abstract provided.
Critical Thinking, Perspective-Taking, And Cultural Humility In Global Refugee Health Studies: A Peer Review Of Teaching Benchmark Portfolio, Julie A. Tippens
Critical Thinking, Perspective-Taking, And Cultural Humility In Global Refugee Health Studies: A Peer Review Of Teaching Benchmark Portfolio, Julie A. Tippens
UNL Faculty Course Portfolios
This portfolio examines the third iteration of a course I developed for the Department of Child, Youth and Family Studies: CYAF 493 – Global Case Studies in Refugee Health and Wellbeing. The primary goal of this course is for students to think critically about the social and structural determinants of refugee health and wellbeing. I have also integrated three core course values to guide instruction: critical thinking, perspective-taking, and cultural humility. Student learning and engagement was analyzed through four areas: (1) a baseline assessment of students’ perceptions of refugees, (2) weekly homework reflections, (3) a book review assignment, and (4) …
Hijacking The Fusion Complex Of Human Parainfluenza Virus As An Antiviral Strategy, T. C. Marcink, E. Yariv, K. Rybkina, V. Más, F. T. Bovier, A. Des Georges, A. L. Greninger, C. A. Alabi, M. Porotto, N. Ben-Tal, A. Moscona
Hijacking The Fusion Complex Of Human Parainfluenza Virus As An Antiviral Strategy, T. C. Marcink, E. Yariv, K. Rybkina, V. Más, F. T. Bovier, A. Des Georges, A. L. Greninger, C. A. Alabi, M. Porotto, N. Ben-Tal, A. Moscona
Advanced Science Research Center
The receptor binding protein of parainfluenza virus, hemagglutinin- neuraminidase (HN), is responsible for actively triggering the viral fusion protein (F) to undergo a conformational change leading to insertion into the target cell and fusion of the virus with the target cell membrane. For proper viral entry to occur, this process must occur when HN is engaged with host cell receptors at the cell surface. It is possible to interfere with this process through premature activation of the F protein, distant from the target cell receptor. Conformational changes in the F protein and adoption of the postfusion form of the protein …
University-Community Partnership For Water Technology Deployment And Co-Innovation: A Decade Of Engagement, Paul M. Cabacungan, Gregory L. Tangonan, Nerissa G. Cabacungan
University-Community Partnership For Water Technology Deployment And Co-Innovation: A Decade Of Engagement, Paul M. Cabacungan, Gregory L. Tangonan, Nerissa G. Cabacungan
Ateneo Innovation Center
The Ateneo de Manila University (Philippines), through its Ateneo Innovation Center (AIC), integrated existing simple technologies into one system – the Water-Electricity-Lighting System (WELS) – to respond to the need for potable water, lighting and communication. WELS is a portable clean water system with provision for lighting and cellular phone charging. It can be connected to a rainwater harvesting facility. Ten years of WELS deployments revealed its flexibility for customization in order to address varied water needs, especially for disaster response. Review of documentations done on past installation experiences highlights the value of engagement between university-based technology providers and community-recipients. …
Case Report Of Kikuchi-Fujimoto Disease From Sub-Saharan Africa: An Important Mimic Of Tuberculous Lymphadenitis, Karishma Sharma, Fredrick Otieno, Reena Shah
Case Report Of Kikuchi-Fujimoto Disease From Sub-Saharan Africa: An Important Mimic Of Tuberculous Lymphadenitis, Karishma Sharma, Fredrick Otieno, Reena Shah
Internal Medicine, East Africa
Kikuchi-Fujimoto disease (KFD) is a rare form of painful lymphadenopathy, usually cervical, which is more common in Southeast Asia and rarely reported from Africa. Symptoms are usually nonspecific (fever, night sweats, etc.), and can mimic more common diseases such as tuberculosis (TB) in endemic areas. We report a case of a 29-year-old black African woman who was admitted with headache, neck pain, fever, and lymphadenopathy. She was found to have aseptic meningitis, eventually attributed to TB based on cervical node biopsy, although further histology suggested KFD. Blood tests for systemic lupus erythematosus (SLE) were negative; she had already been commenced …
First Records For Spawning Of Caribbean Acropora Species In Colombian Mpas, David M. Hudson, Barrett L. Christie, Luis A. Gómez-Lemos, Camilo Valcarcel, Diego Duque, Juan C. Zárate Arévalo, Jaime Rojas, Otto Reyes, Milena Marrugo, Maria Rosa, Israel A. Caicedo Torrado, Diana Tarazona, Carlos Zuluaga
First Records For Spawning Of Caribbean Acropora Species In Colombian Mpas, David M. Hudson, Barrett L. Christie, Luis A. Gómez-Lemos, Camilo Valcarcel, Diego Duque, Juan C. Zárate Arévalo, Jaime Rojas, Otto Reyes, Milena Marrugo, Maria Rosa, Israel A. Caicedo Torrado, Diana Tarazona, Carlos Zuluaga
Gulf and Caribbean Research
Estimates of Colombian Caribbean coral percent cover in the Southern Caribbean are consistent with those throughout the Caribbean Sea, which has declined to about 10% of historical levels in the last few decades. Human activities like destructive fishing techniques in the marine parks have degraded the reefs over the last few decades. Colombia’s Marine Protected Areas (MPAs) have thousands of square kilometers to map and patrol and few resources to devote to scientific and restoration efforts. Efforts to implement sexual reproduction techniques for restoration are starting to successfully propagate and settle corals on ceramic plates for reef deployment in the …
Childhood Anxiety, Cognitive Behavioral Therapy And/Or Pharmacological Treatment, Jennifer S. Mccarthy
Childhood Anxiety, Cognitive Behavioral Therapy And/Or Pharmacological Treatment, Jennifer S. Mccarthy
All Graduate Theses, Dissertations, and Other Capstone Projects
Objective: Evaluate best practice in managing anxiety in the pediatric population, including both school age children and adolescents. This literature review compared pharmacological treatment and cognitive behavioral therapy (CBT)’s effectiveness on the management of anxiety within the pediatric population.
Background: Up to 25% of children in the United States are affected by a mental health disorder, anxiety being the most prevalent. Childhood anxiety can have a distressing impact on social, family, and academic functioning. If persisting into adulthood it increases the risk of developing other co-occurring mental health conditions, substance abuse issues, and contributes to impaired employment retention and socioeconomic …