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2020

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Communication With Family Child Care Providers And Feeding Preschool-Aged Children: Parental Perspectives, Noereem Z. Mena, Patricia Markham Risica, Kim M. Gans, Ingrid E. Lofgren, Kathleen Gorman, Fatima K. Tobar, Alison Tovar Jan 2020

Communication With Family Child Care Providers And Feeding Preschool-Aged Children: Parental Perspectives, Noereem Z. Mena, Patricia Markham Risica, Kim M. Gans, Ingrid E. Lofgren, Kathleen Gorman, Fatima K. Tobar, Alison Tovar

Nutrition Faculty Publications

ABSTRACT

Objective

To describe parent communication about child nutrition–related topics with family child care providers (FCCPs).

Design

Five focus groups conducted from December, 2016 to July, 2017.

Participants

Parents (n = 25) of 2- to 5-year-old children attending family child care homes in Rhode Island.

Phenomenon of Interest

How and what parents communicate about with FCCPs related to feeding young children.

Analysis

Recordings were transcribed verbatim. Two independent coders employed content analysis to analyze transcripts. Reflections, emerging themes, and final themes were discussed.

Results

Participants were recruited through FCCPs and were mostly Hispanic and female. Parents mainly communicated with FCCPs …


Using Concept Mapping Methods To Define "Healthy Aging" In Anchorage, Alaska., Britteny M. Howell, Mariah Seater, Daniel Mclinden Jan 2020

Using Concept Mapping Methods To Define "Healthy Aging" In Anchorage, Alaska., Britteny M. Howell, Mariah Seater, Daniel Mclinden

Articles

No abstract provided.


Beth Rice, Beth Rice, Institute Of Child Nutrition. Child Nutrition Archives. Jan 2020

Beth Rice, Beth Rice, Institute Of Child Nutrition. Child Nutrition Archives.

Oral History Project (all interviews)

Beth Rice is a native of Tennessee and studied at University of Tennessee Martin and University of Tennessee, Knoxville, before entering the field of child nutrition. Beth worked in a residential child care institution, for the Tennessee State Department of Education, and as a child nutrition director for Lake County, Tennessee, before joining the Fulton County School District in western Kentucky, from where she retired. Beth now works as a consultant for the Institute of Child Nutrition, instructing other directors in a course called Orientation to School Nutrition Leadership.


Implementing A Perinatal Depression Screening And Treatment Program In An Obstetric Health Department Setting, Sarah Pratico Jan 2020

Implementing A Perinatal Depression Screening And Treatment Program In An Obstetric Health Department Setting, Sarah Pratico

DNP and Student Works

Perinatal depression is one of the most common complications in the perinatal period. Key considerations in perinatal depression include risk factors, screening, treatment and resources . Evidence-based programs assisting frontline providers in providing screening and direct treatment to their patients have shown to be effective in removing barriers of mental health utilization. Regional and national resources can aide in perinatal depression management.


A Role For Oncostatin M In The Impairment Of Glucose Homeostasis In Obesity, Irene Piquer-Garcia, Laura Campderros, Siri D. Taxerås, Aleix Gavaldà-Navarro, Rosario Pardo, María Vila, Silvia Pellitero, Eva Martínez, Jordi Tarascó, Pau Moreno, Joan Villarroya, Rubén Cereijo, Lorena González, Marjorie Reyes, Silvia Rodriguez-Fernández, Marta Vives-Pi, Carles Lerin, Carrie M. Elks, Jacqueline M. Stephens, Manel Puig-Domingo, Francesc Villarroya, Josep A. Villena, David Sánchez-Infantes Jan 2020

A Role For Oncostatin M In The Impairment Of Glucose Homeostasis In Obesity, Irene Piquer-Garcia, Laura Campderros, Siri D. Taxerås, Aleix Gavaldà-Navarro, Rosario Pardo, María Vila, Silvia Pellitero, Eva Martínez, Jordi Tarascó, Pau Moreno, Joan Villarroya, Rubén Cereijo, Lorena González, Marjorie Reyes, Silvia Rodriguez-Fernández, Marta Vives-Pi, Carles Lerin, Carrie M. Elks, Jacqueline M. Stephens, Manel Puig-Domingo, Francesc Villarroya, Josep A. Villena, David Sánchez-Infantes

Faculty Publications

© 2019 Endocrine Society 2019. Context: Oncostatin M (OSM) plays a key role in inflammation, but its regulation and function during obesity is not fully understood. Objective: The aim of this study was to evaluate the relationship of OSM with the inflammatory state that leads to impaired glucose homeostasis in obesity. We also assessed whether OSM immunoneutralization could revert metabolic disturbances caused by a high-fat diet (HFD) in mice. Design: 28 patients with severe obesity were included and stratified into two groups: (1) glucose levels /dL and (2) glucose levels >100 mg/dL. White adipose tissue was obtained to examine OSM …


Seaweed Research Benefits Region’S Dairy Farmers, Lori Tyler Gula Jan 2020

Seaweed Research Benefits Region’S Dairy Farmers, Lori Tyler Gula

UNH Today Archive

No abstract provided.


Gender-Specific Effect Of 5-Ht And 5-Hiaa On Threshold Level Of Behavioral Symptoms And Sex-Bias In Prevalence Of Autism Spectrum Disorder, Barnali Chakraborti, Deepak Verma, Subhrangshu Guhathakurta, Preeti Jaiswal, Asem Surindro Singh, Swagata Sinha, Saurabh Ghosh, Kanchan Mukhopadhyay, Kochupurackal P. Mohanakumar, Usha Rajamma Jan 2020

Gender-Specific Effect Of 5-Ht And 5-Hiaa On Threshold Level Of Behavioral Symptoms And Sex-Bias In Prevalence Of Autism Spectrum Disorder, Barnali Chakraborti, Deepak Verma, Subhrangshu Guhathakurta, Preeti Jaiswal, Asem Surindro Singh, Swagata Sinha, Saurabh Ghosh, Kanchan Mukhopadhyay, Kochupurackal P. Mohanakumar, Usha Rajamma

Journal Articles

Platelet hyperserotonemia in a subset of Autism Spectrum Disorder (ASD) probands, efficacy of selective serotonin reuptake inhibitors (SSRIs) in reducing behavioral deficits and gender-bias in normal serotonin (5-hydroxy tryptamine or 5-HT) synthesis suggest disruption in stringent regulation of serotonin metabolism in ASD. Therefore, we investigated the changes in 5-HT and 5-hydroxy indole acetic acid (5-HIAA) in ASD probands to assess its effect on the behavior of male and female probands. ASD cases (n = 215) were examined using childhood autism rating scale (CARS). Platelet 5-HT (104 cases and 26 controls) and platelet/plasma 5-HIAA (73 cases and 17 controls) were estimated …


Yield And Quality In Purple-Grained Wheat Isogenic Lines, Alexey Morgounov, Yasar Karaduman, Beyhan Akin, Sinan Aydogan, Peter Stephen Baenziger, Madhav Bhatta, Vladimir Chudinov, Susanne Dreisigacker, Velu Govindan, Safure Güler, Carlos Guzman, Ajit Nehe, Rachana Poudel, Devin J. Rose, Elena Gordeeva, Vladimir Shamanin, Kemal Subasi, Yuriy Zelenskiy, Elena Khlestkina Jan 2020

Yield And Quality In Purple-Grained Wheat Isogenic Lines, Alexey Morgounov, Yasar Karaduman, Beyhan Akin, Sinan Aydogan, Peter Stephen Baenziger, Madhav Bhatta, Vladimir Chudinov, Susanne Dreisigacker, Velu Govindan, Safure Güler, Carlos Guzman, Ajit Nehe, Rachana Poudel, Devin J. Rose, Elena Gordeeva, Vladimir Shamanin, Kemal Subasi, Yuriy Zelenskiy, Elena Khlestkina

Department of Agronomy and Horticulture: Faculty Publications

Breeding programs for purple wheat are underway in many countries but there is a lack of information on the effects of Pp (purple pericarp) genes on agronomic and quality traits in variable environments and along the product chain (grain-flour-bread). This study was based on unique material: two pairs of isogenic lines in a spring wheat cv. Saratovskaya-29 (S29) background differing only in Pp genes and grain color. In 2017, seven experiments were conducted in Kazakhstan, Russia, and Turkey with a focus on genotype and environment interaction and, in 2018, one experiment in Turkey with a focus on grain, flour, and …


Between This World And The Next: The Lived Experience Of Having A Life-Threatening Illness, Janna C. Roop Jan 2020

Between This World And The Next: The Lived Experience Of Having A Life-Threatening Illness, Janna C. Roop

Dissertations

Wonderings about hospice patients' experience of dying evolved into the question, "What is it like to have a life-threatening illness?" That question guided this interpretive phenomenological inquiry. Phenomenology is a philosophy that seeks to rediscover the rich meaning lying hidden beneath the surface of everyday. Phenomenology's quest is to coax that which has been concealed out into the light. It is a call to re-dis-cover what Martin Heidegger (1959/1966) might call the mystery of Being. What is it that anesthetizes us to the wonder of our everydays? What is it about the ordinary that blinds us to its depth? We …


Hope In The Elderly: Exploring The Relationship Between Psychosocial Developmental Residual And Hope, Eileen Deges Curl Jan 2020

Hope In The Elderly: Exploring The Relationship Between Psychosocial Developmental Residual And Hope, Eileen Deges Curl

Dissertations

Hope has been postulated to be a motivational life force associated with psychosocial developmental residual from early stages of life (Erikson, 1963). This study explored the relationship between psychosocial developmental residual and hope, in order to test a mid-range theoretical model of hope. The hope model was retroductively derived from Modeling and Role-Modeling theory (Erickson, Tomlin, & Swain, 1988) and previous qualitative research (Dufault & Martocchio, 1985). A correlational research design, with a qualitative component, was used to test the model. For the quantitative part of the study, 90 elderly subjects were selected from two community-based congregate housing units in …


The Experience Of Puerto Rican Families Who Bring Their Children To The Emergency Department For Asthma Care, Jean Sheerin Coffey Jan 2020

The Experience Of Puerto Rican Families Who Bring Their Children To The Emergency Department For Asthma Care, Jean Sheerin Coffey

Dissertations

The aim of the study was to describe the experience of Puerto Rican families who brought their child to the emergency department (ED) for asthma care. Asthma is the most common chronic pediatric disease, affecting 6.3 million children in the United States and accounting for 728,000 visits to the ED in the year 2000. Black and Hispanic children are frequent visitors; however Puerto Rican children use the services most often. The volume, patterns and populations of children who use the ED for asthma care have been extensively studied, although to date there are no known studies that have explored the …


A Qualitative Evaluation Of Double Up Food Bucks Farmers’ Market Incentive Program Access, Jennifer A. Garner, Casey Coombs, Mateja R. Savoie-Roskos, Carrie M. Durward, Rebecca A. Seguin-Fowler Jan 2020

A Qualitative Evaluation Of Double Up Food Bucks Farmers’ Market Incentive Program Access, Jennifer A. Garner, Casey Coombs, Mateja R. Savoie-Roskos, Carrie M. Durward, Rebecca A. Seguin-Fowler

Nutrition, Dietetics, and Food Sciences Faculty Publications

Objective

Explore factors affecting access to and use of Double Up Food Bucks (DUFB), a farmers’ market program that doubles Supplemental Nutrition Assistance Program benefits for use toward the purchase of fruits and vegetables (FV).

Design

Focus groups.

Setting

Metro and nonmetro counties in Utah and western Upstate New York.

Participants

Nine groups composed of 62 low-income adults (3–9/group).

Phenomena of Interest

Satisfaction with, barriers to, and facilitators of program use; suggestions for improvement.

Analysis

Transcribed verbatim and coded thematically in NVivo 11 software according to template analysis.

Results

Program satisfaction was high and driven by FV affordability, perceived support …


Genetic Susceptibility Determines Β-Cell Function And Fasting Glycemia Trajectories Throughout Childhood: A 12-Year Cohort Study (Earlybird 76), Jerome Carayol, Joanne Hosking, Jonathan Pinkney, Julien Marquis, Aline Charpagne, Sylviane Metairon, Alison Jeffery, Jörg Hager, Francois Pierre Martin Jan 2020

Genetic Susceptibility Determines Β-Cell Function And Fasting Glycemia Trajectories Throughout Childhood: A 12-Year Cohort Study (Earlybird 76), Jerome Carayol, Joanne Hosking, Jonathan Pinkney, Julien Marquis, Aline Charpagne, Sylviane Metairon, Alison Jeffery, Jörg Hager, Francois Pierre Martin

Peninsula Medical School

No abstract provided.


Morning And Afternoon Sampling And Herbage Chemical Composition Of Rotationally Stocked Elephant Grass Cv. Napier, Laiz P. De Oliveira, Adenilson J. Paiva, Lilian E. T. Peireira, Eliana V. Geremia, Sila C. Da Silva Jan 2020

Morning And Afternoon Sampling And Herbage Chemical Composition Of Rotationally Stocked Elephant Grass Cv. Napier, Laiz P. De Oliveira, Adenilson J. Paiva, Lilian E. T. Peireira, Eliana V. Geremia, Sila C. Da Silva

IGC Proceedings (1977-2023)

Nutrient intake by grazing animals depends on the amount of dry matter consumed and its chemical composition. Forage grasses, as with any other plants, produce assimilates during the day via photosynthesis to sustain live tissues, plant growth and organic reserves (Taiz and Zeiger 2013). In that context, herbage chemical composition may vary according to variations in the photosynthesis-respiration balance throughout the day. From dawn to dusk the balance increases and herbage dry matter content as well as concentration of soluble carbohydrates increase, the reverse happening from dusk to dawn. That could interfere with nutritive value and nutrient intake of grazing …


Forage Quality Characteristics Of Lotus Tenuis, Narrow-Leaf Birdsfoot Trefoil, Adam D. Langworthy, Peter A. Lane, David Parsons, Eric Hall Jan 2020

Forage Quality Characteristics Of Lotus Tenuis, Narrow-Leaf Birdsfoot Trefoil, Adam D. Langworthy, Peter A. Lane, David Parsons, Eric Hall

IGC Proceedings (1977-2023)

Narrow-leaf birdsfoot trefoil (Lotus tenuis Waldst. & Kit.) is a herbaceous perennial legume of Mediterranean origin, which can grow in saline and waterlogged environments (Teakle et al. 2010). If this species is to be cultivated in regions constrained by these abiotic factors, it is also vital that herbage produced has a forage quality acceptable for ruminant production. In addition, proanthocyanidin (PA) content is important, and legume species can cause animal production issues if PA content is low, (< 0.02%), e.g. fro-thy bloat, or high (> 5 %), e.g. decreased palatability and digestibility (Larkin et al. 1999). This study examined the PA content and …


Occupational Health Hazards Of Working Women In Un-Organized Sector, Shanmuga Priya Jan 2020

Occupational Health Hazards Of Working Women In Un-Organized Sector, Shanmuga Priya

International Review of Business and Economics

Working women perform dual jobs, that is, on the domestic front as well as economic front. Her additional role as a working women throws many challenges along with her primary challenge of the household. Both these roles make demands on her time and energy. After a full day’s work with the employer, she has to do another shift at her home. For example, waking up early morning, rolling the beds, cleaning the house, preparing breakfast, cooking lunch, washing clothes, and the rushing off to the workplace. Returning in the evening with shopping in hand to cook the dinner for the …


The Utah Statesman, January 7, 2020, Utah State University Jan 2020

The Utah Statesman, January 7, 2020, Utah State University

The Utah Statesman

Weekly student newspaper of Utah State University in Logan.


Study Of Consumer Perception About Organic Food Labels, Poornima Tapas Ph.D., Komal Desai Ph.D. Jan 2020

Study Of Consumer Perception About Organic Food Labels, Poornima Tapas Ph.D., Komal Desai Ph.D.

International Review of Business and Economics

One of the fundamental human rights include the right to healthy, affordable and sustainable food. Following the increase in environmental concerns, people especially in urban areas are looking for healthier, sustainable lifestyle alternatives. While the increase in demand for organic food might seem like an up-market fad, for most consumers of organic foods, the market place offers dilemma. There is an almost lack of information about what do organic labels signify, how to interpret these and which organic food actually deliver safety. This paper is a pilot study to understand consumer perception about organic food labels. The study is carried …


Leveraging Economic Growth: A Swot Analysis, Sudhanva V. Char Jan 2020

Leveraging Economic Growth: A Swot Analysis, Sudhanva V. Char

International Review of Business and Economics

India accounted for 30 percent or more of World GDP a little over a thousand years ago, a level no other country has attained anytime in history. Then came China’s rise, and the pillages and plunders of invaders who literally raided India. The European colonizers came soon thereafter, continuing the loot of India more systematically. Today China has made up for lost growth and has emerged as the second largest economy in the world. India, under a democratic political framework with some devious and corrupt political actors, is struggling to make progress. The last five years has witnessed much nationalistic …


Improve Yield And Quality Of Senile Orchard With Rejuvenation And Nutrient Management, Kiran S. Jotava Jan 2020

Improve Yield And Quality Of Senile Orchard With Rejuvenation And Nutrient Management, Kiran S. Jotava

International Review of Business and Economics

Day by day newer technologies are under implementation and become popular among the orchardists. Decades ago orchard establishment was made by varying spacing and different source of planting materials of either sexual or asexual methods. Due tothedifferenceinsourceofplanting material and short of application of nutrient of orchards leads to the senile or less productive. Poor management practices also brings orchards to the uneconomical zone. Overcrowding and encroachment of trees resulted in competition for nutrient absorption congestion, poor light penetration and act as good shelter house for insect- pests and disease attacks are obvious problems with older orchards, if trees are not …


Plains Zebra (Equus Quagga) Behaviour In A Restored Population Reveals Seasonal Resource Limitations, Charli De Vos, Alison J. Leslie, Jason I. Ransom Jan 2020

Plains Zebra (Equus Quagga) Behaviour In A Restored Population Reveals Seasonal Resource Limitations, Charli De Vos, Alison J. Leslie, Jason I. Ransom

United States National Park Service: Publications

A once abundant species, plains zebra (Equus quagga), is declining across much of sub-Saharan Africa. Reintroduction efforts at Majete Wildlife Reserve, Malawi, have resulted in rapid population increases, but little is known about how such populations resemble natural populations socially or behaviourally, and what those attributes may reveal about restoration success. Incorporating behavioural knowledge into conservation efforts is an important tool for managing the effects of habitat fragmentation and resource competition. The aim of this study was to quantify the daylight time budget of both family and bachelor bands of reintroduced plains zebra to determine if such behaviours …


Executive Committee - Agenda, 1/07/2020, Academic Senate Jan 2020

Executive Committee - Agenda, 1/07/2020, Academic Senate

Academic Senate Agendas

No abstract provided.


New York State’S Population Is Aging: Will Communities Be Ready?, Claire Pendergrast Jan 2020

New York State’S Population Is Aging: Will Communities Be Ready?, Claire Pendergrast

Population Health Research Brief Series

The population is aging nation-wide, and New York State is no exception. 3.2 million New Yorkers (nearly one in six), are aged 65 and older, and the older adult population is growing faster than any other group in the state. This issue brief explains what it means to “age in place” and how New York State is responding to the large increase in older adults state wide.


The Current Volume 30 : Issue 15, Nova Southeastern University Jan 2020

The Current Volume 30 : Issue 15, Nova Southeastern University

Student Newspapers

No abstract provided.


The Cytotoxic Activity Of Extracts Of The Brown Alga Cystoseira Tamariscifolia (Hudson) Papenfuss, Against Cancer Cell Lines Changes Seasonally, Ahmad A. Mansur, Murray T. Brown, Richard A. Billington Jan 2020

The Cytotoxic Activity Of Extracts Of The Brown Alga Cystoseira Tamariscifolia (Hudson) Papenfuss, Against Cancer Cell Lines Changes Seasonally, Ahmad A. Mansur, Murray T. Brown, Richard A. Billington

School of Biological and Marine Sciences

No abstract provided.


Quality And Vitamins In Forage Herb And Legume Species, Anjo Elgersma, Karen Søegaard, Søren Krogh Jensen Jan 2020

Quality And Vitamins In Forage Herb And Legume Species, Anjo Elgersma, Karen Søegaard, Søren Krogh Jensen

IGC Proceedings (1977-2023)

Grasslands provide an important part of the feed used by domestic and wild ruminants. Fresh herbage is an important natural source of vitamins in ruminant diets. Concentrations of vitamins in plants depend on factors such as regrowth stage, temperature and day length, N fertilisation and leaf proportion in the harvested herbage. Most studies on vitamin concentrations in forages have been carried out with agronomical important grass species such as perennial ryegrass and legume species such as white clover, but hardly with other grassland forage species. As data of dicotyledonous species grown in a sward are scarce, yield, quality and vitamin …


Forage Nutritive Value Changes In A Stratified Canopy Of A Mixed Cool-Season Grass Sward Affected By Season, Renata L. Nave, Reuben M. Sulc, David J. Barker Jan 2020

Forage Nutritive Value Changes In A Stratified Canopy Of A Mixed Cool-Season Grass Sward Affected By Season, Renata L. Nave, Reuben M. Sulc, David J. Barker

IGC Proceedings (1977-2023)

The seasonal pattern of herbage growth rate is an important determinant on forage system productivity. Pasture stocking rates and supplemental feed requirements are influenced by the dynamic balance between forage growth and the amount of herbage available. There is limited in-formation regarding vertical distribution patterns (layers within the sward) in nutritive value in cool-season grasses, especially for vegetative herbage (Burner and Belesky 2004). More complete information could support decisions regarding cutting schedules, residual mass and heights to meet nutritional value targets, and timing of pasture allocation. The objective of this study was to characterize the vertical distribution of nutritive value …


Effect Of Defoliation Management On Expression Of The ‘High Sugar’ Cultivar Trait In Tasmania, Lydia R. Turner, Daniel J. Donaghy, Keith G. Pembleton, Richard P. Rawnsley Jan 2020

Effect Of Defoliation Management On Expression Of The ‘High Sugar’ Cultivar Trait In Tasmania, Lydia R. Turner, Daniel J. Donaghy, Keith G. Pembleton, Richard P. Rawnsley

IGC Proceedings (1977-2023)

The proposed benefits of perennial ryegrass (Lolium perenne L.) cultivars with a high concentration of water soluble carbohydrates (WSC) for the dairy industry in Australia include enhanced rumen protein metabolism, and potential improvements in milk components (Stewart et al. 2009). Perennial ryegrass cultivars have been developed to express higher levels of WSC, and extensive trials have shown consistent trait expression in Europe (reviewed by Edwards et al. 2007a). In New Zealand and Australia, there has been less consistent expression of the high sugar trait (Smith et al. 1998; Parsons et al. 2004; Francis et al …


Evaluation Of Acid Detergent Fibre, Sulphuric Acid Lignin And N-Alkanes As Markers For Estimating Ruminal Digestibility In Cattle, Gilberto V. Kozloski, Francisco R. Mesquita, Tiago P. Alves, Cristiano M. Stefanello, Lisandre De Oliveira, Teresa C. M. Genro Jan 2020

Evaluation Of Acid Detergent Fibre, Sulphuric Acid Lignin And N-Alkanes As Markers For Estimating Ruminal Digestibility In Cattle, Gilberto V. Kozloski, Francisco R. Mesquita, Tiago P. Alves, Cristiano M. Stefanello, Lisandre De Oliveira, Teresa C. M. Genro

IGC Proceedings (1977-2023)

Most of the published studies on estimating organic matter (OM) rumen digestibility (OMRD) use research animals fitted with simple t-type cannulas and an external or inter-nal marker for estimating the duodenal digesta flow. Although there is not an ideal or standard marker, com-pared to external markers, internal markers have the advantage of occurring naturally in the diet and, conse-quently, they flow intimately associated with digesta (Titgemeyer 1997). In digestibility studies where total faec-es output is measured, duodenal digesta flow may be estimated based on both faeces output and the ratio of a marker concentration in faeces and in duodenal digesta. …


Preoperative Maximization To Reduce Complications In Spinal Surgery, Sukanta Maitra, Christopher Mikhail, Samuel K. Cho, Michael D. Daubs Jan 2020

Preoperative Maximization To Reduce Complications In Spinal Surgery, Sukanta Maitra, Christopher Mikhail, Samuel K. Cho, Michael D. Daubs

School of Medicine Faculty Research

Study design: Invited narrative review. Objectives: The aim of this review was to summarize current literature regarding risk factors that surgeons can optimize in the preoperative setting in the spinal surgery patient, in order to reduce complications and improve patient-reported outcomes. Methods: Review of the relevant literature by the authors. Results: Modifiable risk factors identified relative to the patient include obesity, malnutrition/nutrient deficiency, diabetes/hyperglycemia, preoperative anemia, vitamin D/DEXA (dual-energy radiograph absorptiometry), nicotine use/smoking, and opioid use/psychosocial factors. Conclusion: By maximizing a patient's physiological and psychological status prior to elective spine surgery, we may move closer to achieving the goals of …