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Articles 8851 - 8880 of 10641
Full-Text Articles in Entire DC Network
Development And Validation Of A Mindful Food Parenting Instrument To Assess The Relationship Between Parent Food Practices And Children’S Dietary Outcomes, Su-Nui Escobar
UNF Graduate Theses and Dissertations
American children’s diets are commonly recorded as deficient in nutrient rich foods such as vegetables, fruits, and whole grains. Such diets often exceed amounts of unhealthy items such as added sugars and sweetened beverages. In addition, 23% of children are considered overweight or obese. Mindfulness techniques in parents have been correlated with improved dietary outcomes in children and a healthier family eating environment.
The primary aim of this study was to develop and validate an instrument that reflects the theoretical framework drawn from current models of mindful eating, mindful parenting and mindful food parenting. The instrument is a practical tool …
The Effects Of Wild Ginseng Extract On Psychomotor And Neuromuscular Performance Recovery Following Acute Eccentric Exercise: A Preliminary Study, Hyun Chul Jung, Nan Hee Lee, Young Chan Kim, Sukho Lee
The Effects Of Wild Ginseng Extract On Psychomotor And Neuromuscular Performance Recovery Following Acute Eccentric Exercise: A Preliminary Study, Hyun Chul Jung, Nan Hee Lee, Young Chan Kim, Sukho Lee
Kinesiology Faculty Publications (Archived)
No abstract provided.
0704: Satellite Network Of West Virginia (Satnet) Records, 1986-2001, Marshall University Special Collections
0704: Satellite Network Of West Virginia (Satnet) Records, 1986-2001, Marshall University Special Collections
Guides to Manuscript Collections
The Satellite Network of West Virginia Collection consists of the bulk of documents and other corollaria accumulated by the entity from its inception in 1986 to the time its Director, John H. Buskey, retired from his position early 2001. These documents consist of Minutes and Correspondence, Technical Information, Budgetary Data, Personnel Files, and Work Product, to name several examples. Other corollaria consist of programs found on Videocassette. The Collection is divided into fifteen (15) user-friendly sections as listed in the Table of Contents. In the collection itself, Folders are designated by two different reference numbers. First, Folders are numbered as …
A Prospective Study Comparing Tendon-To-Bone Interface Healing Using An Interposition Bioresorbable Scaffold With A Vented Anchor For Primary Rotator Cuff Repair In Sheep., Jeremiah Easley, Christian Puttlitz, Eileen Hackett, Cecily Broomfield, Lucas Nakamura, Michael Hawes, Charles Getz, Mark Frankle, Patrick St Pierre, Robert Tashjian, P Dean Cummings, Joseph Abboud, Derek Harper, Kirk Mcgilvray
A Prospective Study Comparing Tendon-To-Bone Interface Healing Using An Interposition Bioresorbable Scaffold With A Vented Anchor For Primary Rotator Cuff Repair In Sheep., Jeremiah Easley, Christian Puttlitz, Eileen Hackett, Cecily Broomfield, Lucas Nakamura, Michael Hawes, Charles Getz, Mark Frankle, Patrick St Pierre, Robert Tashjian, P Dean Cummings, Joseph Abboud, Derek Harper, Kirk Mcgilvray
Department of Orthopaedic Surgery Faculty Papers
BACKGROUND: The purpose of this study was to evaluate the biomechanical and histologic properties of rotator cuff repairs using a vented anchor attached to a bioresorbable interpositional scaffold composed of aligned PLGA (poly(l-lactide-co-glycoside)) microfibers in an animal model compared to standard anchors in an ovine model.
METHODS: Fifty-six (n = 56) skeletally mature sheep were randomly assigned to a repair of an acute infraspinatus tendon detachment using a innovative anchor-PLGA scaffold device (Treatment) or a similar anchor without the scaffold (Control). Animals were humanely euthanized at 7 and 12 weeks post repair. Histologic and biomechanical properties of the repairs were …
Reemergence Of Guadalupe Fur Seals In The U.S. Pacific Northwest: The Epidemiology Of Tranding Events During 2005–2016, Erin D'Agnese, Dyanna M. Lambourn, James Rice, Debbie Duffield, Jessica L. Huggins, Terry Spraker, Stephen A. Raverty, Tetiana Kuzmina, Micheal E. Grigg, Kristin Wilkinson, Multiple Additional Authors
Reemergence Of Guadalupe Fur Seals In The U.S. Pacific Northwest: The Epidemiology Of Tranding Events During 2005–2016, Erin D'Agnese, Dyanna M. Lambourn, James Rice, Debbie Duffield, Jessica L. Huggins, Terry Spraker, Stephen A. Raverty, Tetiana Kuzmina, Micheal E. Grigg, Kristin Wilkinson, Multiple Additional Authors
Biology Faculty Publications and Presentations
Guadalupe fur seals (GFS), Arctocephalus philippii townsendi, an U.S. Endangered Species Act threatened pinniped, have recently reappeared in their historic range along the western seaboard of the continental United States. Starting 2005 through 2016, 169 GFSs stranded in Washington and Oregon, involving two designated unusual mortality events. The circumstances surrounding GFS strandings, mortality, and their increased presence in Oregon and Washington were analyzed during this study. Detailed necropsies, histopathology (n = 93), and epidemiological analysis found three main causes of death (COD): emaciation (44%), trauma (29%), and infectious disease (19%) and the factors associated with overall strandings and …
Contents, Discovery Editors
Contents, Discovery Editors
Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences
No abstract provided.
Letter From The Dean, Deacue Fields
Letter From The Dean, Deacue Fields
Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences
No abstract provided.
Estimation Of Additive And Dominance Effects Of A Mutant Glutathione S-Transferase Gene On Anthocyanin Content In Muscadine Grape (Vitis Rotundifolia), Autumn Brown, Margaret Worthington, Aruna Varanasi, Lacy Nelson, Renee T. Threlfall, Luke R. Howard
Estimation Of Additive And Dominance Effects Of A Mutant Glutathione S-Transferase Gene On Anthocyanin Content In Muscadine Grape (Vitis Rotundifolia), Autumn Brown, Margaret Worthington, Aruna Varanasi, Lacy Nelson, Renee T. Threlfall, Luke R. Howard
Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences
The skin color of muscadine grapes (Vitis rotundifolia) is typically classified as black or bronze. A glutathione S-transferase, VrunGST4, has been identified as a candidate gene for berry skin color in muscadine grapes. A molecular marker was developed within VrunGST4 to distinguish between muscadine genotypes (cultivars and selections) with bronze (T:T), heterozygote black (C:T), and homozygote black (C:C) berries. The objectives of this study were to determine whether there was a correlation between berry skin color and total anthocyanin content and to calculate additive and dominance effects of VrunGST4 in determining total anthocyanins in the berries of two biparental F1 …
The Perception, Usage, And Knowledge Of Moringa Oleifera In Mare-Brignol, Haiti After Increased Education And Access, Preethashree Anbukkarasu, Phillip Saad, Nichika R. Holdrum, Chinelo Germain, Leticia Ebihara, Archi Patel
The Perception, Usage, And Knowledge Of Moringa Oleifera In Mare-Brignol, Haiti After Increased Education And Access, Preethashree Anbukkarasu, Phillip Saad, Nichika R. Holdrum, Chinelo Germain, Leticia Ebihara, Archi Patel
Digital Repository: Showcase of Undergraduate Research Excellence
No abstract provided.
อิเล็กโทรดีโพสิชันของโครงสร้างนาโนของทองแดงออกไซด์บนแผ่นรองรับทองแดงสำหรับการรีดักชันเชิงไฟฟ้าของไนตรัสออกไซด์, สิรภัทร นิลวิเชียร
อิเล็กโทรดีโพสิชันของโครงสร้างนาโนของทองแดงออกไซด์บนแผ่นรองรับทองแดงสำหรับการรีดักชันเชิงไฟฟ้าของไนตรัสออกไซด์, สิรภัทร นิลวิเชียร
Chulalongkorn University Theses and Dissertations (Chula ETD)
งานวิจัยนี้ศึกษาการสังเคราะห์โครงสร้างนาโนของทองแดงออกไซด์บนแผ่นรองรับทองแดงโดยใช้วิธีอิเล็กโทรดีโพสิชันเพื่อให้ทองแดงมีพื้นที่ผิวสูงขึ้นเพื่อใช้เป็นตัวเร่งปฏิกิริยาโลหะทองแดงจากออกไซด์ในการทำปฏิกิริยารีดักชันเชิงไฟฟ้าของแก๊สไนตรัสออกไซด์ จากผลการศึกษาพบว่าปริมาณผลึกทองแดงออกไซด์แปรผันตามความหนาแน่นกระแสไฟฟ้าซึ่งหากมีค่าสูงเกินไปจะส่งผลให้เกิดการเกาะติดของผลึกไม่เต็มพื้นผิว นอกจากนี้ อุณหภูมิของอิเล็กโทรไลต์ที่สูงขึ้นทำให้ปริมาณผลึกเพิ่มขึ้นรวมถึงเกิดผลึกขนาดใหญ่ขึ้นอีกด้วย โดยพบว่าการอิเล็กโทรดีโพสิชันด้วยความหนาแน่นกระแสฟ้า -3.33 มิลลิแอมป์ต่อตารางเซนติเมตรและอุณหภูมิของอิเล็กโทรไลต์ 40 องศาเซลเซียสเป็นสภาวะที่ให้พื้นที่ผิวที่สูงที่สุด การอิเล็กโทรดีโพสิชันที่อุณหภูมิ 50 องศาเซลเซียสก่อให้เกิดผลึกขนาดใหญ่อย่างเห็นได้ชัดส่งผลให้พื้นที่ผิวในการทำปฏิกิริยาต่ำลง สำหรับการทำปฏิกิริยารีดักชันเชิงไฟฟ้าของแก๊สไนตรัสออกไซด์ด้วยตัวเร่งปฏิกิริยาโลหะทองแดงจากออกไซด์นั้น พบว่าความหนาแน่นกระแสไฟฟ้าสำหรับการเกิดแก๊สไนโตรเจนแปรผันตามปริมาณตัวเร่งปฏิกิริยาซึ่งเป็นผลมาจากการควบคุมระยะเวลาในการอิเล็กโทรดีโพสิชัน โดยเวลาอิเล็กโทรดีโพสิชันที่เหมาะสมคือ 30 นาที โดยเกิดปฏิกิริยารีดักชันของแก๊สไนตรัสออกไซด์ที่ศักย์ไฟฟ้าเริ่มต้นประมาณ 0.2 V vs RHE และเกิดปฏิกิริยาการผลิตไฮโดรเจนที่ประมาณ -0.3 V vs RHE และเมื่อศักย์ไฟฟ้าสูงขึ้นทำให้ความหนาแน่นกระแสไฟฟ้าสำหรับการเกิดแก๊สไนโตรเจนสูงขึ้นจนถึงศักย์ไฟฟ้าเท่ากับ -0.12 V vs RHE และลดต่ำลงที่ศักย์ไฟฟ้าที่สูงขึ้น ซึ่งให้ความหนาแน่นกระแสไฟฟ้าสำหรับการเกิดไนโตรเจนสูงสุดเท่ากับ -8.61 มิลลิแอมป์ต่อตารางเซนติเมตร และประสิทธิภาพเชิงฟาราเดย์ของการเกิดไนโตรเจนเท่ากับร้อยละ 98.5±1.7 นอกจากนี้ยังพบว่าตัวเร่งปฏิกิริยาทองแดงจากออกไซด์มีความเสถียรต่อการรีดักชันแก๊สไนตรัสออกไซด์เป็นเวลาอย่างน้อย 7 ชั่วโมง
Etsu Health Annual Report - 2020, 2020
Etsu Health Annual Report - 2020, 2020
ETSU Health Annual Reports
No abstract provided.
Climates For Ethnic And Racial Diversity: Latina/O Sorority And Fraternity Member Perspectives, Crystal Garcia
Climates For Ethnic And Racial Diversity: Latina/O Sorority And Fraternity Member Perspectives, Crystal Garcia
Department of Educational Administration: Faculty Publications
This qualitative critical narrative inquiry explored how members of Latina/o sororities and fraternities perceived campus climates for racial and ethnic diversity at predominantly White institutions. Using the multicontextual model for diverse learning environments, findings point to the significance of participants’ recognition of a misalignment between the espoused and enacted commitment to equity, inclusion, and diversity in relation to how they perceived the campus climate for racial/ethnic diversity. Implications for research and practice are discussed.
Belonging In A Predominantly White Institution: The Role Of Membership In Latina/O Sororities And Fraternities, Crystal Garcia
Belonging In A Predominantly White Institution: The Role Of Membership In Latina/O Sororities And Fraternities, Crystal Garcia
Department of Educational Administration: Faculty Publications
This qualitative, multiple case study explored the role of involvement in a particular university subculture, Latina/o sororities and fraternities, in how Latina/o college students develop and make meaning of their sense of belonging within predominantly White institutions. Findings address ways Latina/o college students described their institutional sense of belonging in addition to a discussion of five primary characteristics of belonging: where I have a role or responsibility, where people look like me, where I am valued and cared for, where my racial identity and culture is recognized and valued, and where I share interests or values …
Role Of Sodium And Potassium In The Diet Of School-Aged Children In Ireland: Findings From The National Children’S Food Survey Ii, Eoin James Morrissey
Role Of Sodium And Potassium In The Diet Of School-Aged Children In Ireland: Findings From The National Children’S Food Survey Ii, Eoin James Morrissey
Theses
A high sodium to potassium intake ratio (Na:K) resulting from a diet high in sodium and low in potassium can increase the risk of elevated blood pressure or hypertension in children, potentially leading to increased CVD in adulthood. The objective of this thesis was to estimate sodium and potassium intakes and Na:K in school-aged children (5-12y) in Ireland using data from the nationally representative National Children’s Food Survey II (NCFS II) (2017-18). The thesis study collected detailed dietary intake data for 600 children using 4-d food records and also collected spot urine samples from 95% of these participants. Sodium and …
State Park Selection As Determined By User Health, Connor Phelan
State Park Selection As Determined By User Health, Connor Phelan
Master's Theses or Doctor of Nursing Practice
The purpose of this study was to determine whether state park difficulty affected location of travel. This study was conducted at three state park locations within the United States. Surveys and on-site examinations were made at the following locations; Wilson State Park, Kansas, Petit Jean State Park, Arkansas, and Kiholo State Park, Hawaii. Park locations were chosen by varying levels of terrain difficulty, as well as a rating from the Recreation Opportunity Spectrum. Participants were asked to report data via iPads on exercise habits, mobility limiting impairments, and frequency of exercise so a ranking of the healthiest participants could be …
The Influence Of Land Use On The Pollen Diet Of Honey Bee (Apis Mellifera) Colonies In Ellis County, Kansas, Ryan Engel
The Influence Of Land Use On The Pollen Diet Of Honey Bee (Apis Mellifera) Colonies In Ellis County, Kansas, Ryan Engel
Master's Theses or Doctor of Nursing Practice
Pollinators are integral to plant ecology as well as to worldwide food availability and security. Understanding how human-driven land use change impacts the nutrition of managed honey bees is important in pollinator conservation efforts and can contribute towards combating recent pollinator declines. The objective of this study was to determine sources of forage for honey bees across different land use types in Ellis County, Kansas, through pollen analysis and taxonomic identification. Replicate study colonies were placed in three separate land use types: Urban, Cropland, or Native/Semi-native prairie. Pollen was sampled every 7 to 14 days throughout a growing season (April …
Behavioral Chronopharmacology Of Cannabinoids In Young And Aged Mice, Erik Lewis Hodges
Behavioral Chronopharmacology Of Cannabinoids In Young And Aged Mice, Erik Lewis Hodges
Electronic Theses and Dissertations
The overarching goal of this research is to explore the biological mechanisms of aging and formulate novel therapeutic approaches to mitigate age-related impairments. The presence and pervasiveness of ~24 hour (circadian) rhythms in molecular and behavioral dynamics suggests that the mechanisms regulating these rhythms are integral to biological aging and possibly amenable to therapeutic interventions. Based on evidence presented in this dissertation, we conclude that the endocannabinoid system is a mediator of both central and peripheral circadian physiology. Additionally, the hormetic pharmacological properties of the synthetic cannabinoid CP55940 suggest that bidirectional modulation of circadian rhythms via cannabinoids is possible. Chapter …
Habitat Selection Across A Temperature And Nutrient Gradient By Cope’S Grey Treefrog (Hyla Chrysoscelis) And The Mosquito, Culex Restuans, Sarah Christine Mcnamara
Habitat Selection Across A Temperature And Nutrient Gradient By Cope’S Grey Treefrog (Hyla Chrysoscelis) And The Mosquito, Culex Restuans, Sarah Christine Mcnamara
Electronic Theses and Dissertations
Habitat selection by pond breeding amphibians and insects is often critical for larval survival, performance, and resulting parental fitness, since there is typically little parental care beyond oviposition site choice. Numerous axes of patch quality have been identified and quantified, but species with varied life histories may differently shift perception of habitat quality as changes in global climate increase water temperatures and rates of eutrophication. Three outdoor mesocosm experiments were conducted using two species with complex life cycles and very different life histories; Hyla chrysoscelis, or Cope’s Gray tree frog, and the mosquito (Culex restuans). Two mesocosm experiments were conducted …
Elucidating The Sloth Hair Microbiome: A Metagenomic Comparison Of Two- And Three-Fingered Sloths, Maya Kaup
Elucidating The Sloth Hair Microbiome: A Metagenomic Comparison Of Two- And Three-Fingered Sloths, Maya Kaup
Electronic Theses and Dissertations
Sloths are unusual mobile ecosystems containing a high diversity of symbionts living and growing in their fur. These symbionts include poorly studied algae, arthropods, fungi, and bacteria, making sloths likely reservoirs of unexplored biodiversity. I aim to identify gaps and eliminate misconceptions in our knowledge of sloths and their symbionts, and to identify key questions to spur future research into the functions and roles of sloths within a broader ecological and evolutionary context. I also seek to position the sloth fur ecosystem as a model for addressing fundamental questions in microbial and metacommunity ecology. I used whole-community shotgun metagenomic sequencing …
Adequate Carbohydrate Intake And Hydration Status In Female Division I Collegiate Soccer Players, Peyton William Byars Dixon
Adequate Carbohydrate Intake And Hydration Status In Female Division I Collegiate Soccer Players, Peyton William Byars Dixon
Electronic Theses and Dissertations
The purpose of this study was to discern whether total grams of carbohydrate (CHO) consumed is associated with next day urine specific gravity (USG). Twenty-four Division I female collegiate soccer players with a mean age of 19.6 (SD=1.15) who were part of the team during pre-season summer training camp in August of 2019 volunteered to participate in this research. Athletes recorded food intake for six days during pre-season summer training camp. Food records were verified by a Board-Certified Specialist in Sports Dietetics and analyzed using NDSR. Athletes’ hydration statuses were evaluated using a daily assessment of USG, via spontaneous urine …
Transgenerational Effects Of Mycoplasma Gallisepticum Infection In Eastern Bluebirds (Sialia Sialis), Sarah Danielle Amonett
Transgenerational Effects Of Mycoplasma Gallisepticum Infection In Eastern Bluebirds (Sialia Sialis), Sarah Danielle Amonett
Electronic Theses and Dissertations
Parents can transmit pathogens to their offspring. Neonatal hosts are particularly vulnerable to infectious diseases, as they have immature adaptive immune systems at birth. In this study, I examine parental transmission of a combacterial pathogen Mycoplasma gallisepticum (MG) in wild eastern bluebirds (Sialia sialis) and its impact on nestling growth. By diagnosing infections in all family members, I confirmed that eastern bluebird nestlings can contract MG infections, and that infection was more comin older nestlings compared to adults and neonates. Furthermore, unlike in other avian hosts, MG infection does not significantly impact nestling body condition. In response to infection, eastern …
Comments Of Richard J. Pierce, Jr. On Promoting The Rule Of Law Through Transparency And Fairness In Civil Administrative Enforcement And Adjudication Docket Number Omb-2019-0006, Richard J. Pierce Jr
Comments Of Richard J. Pierce, Jr. On Promoting The Rule Of Law Through Transparency And Fairness In Civil Administrative Enforcement And Adjudication Docket Number Omb-2019-0006, Richard J. Pierce Jr
GW Law Faculty Publications & Other Works
On January 30, 2020, OMB published a Notice entitled “on Promoting the Rule of Law Through Transparency and Fairness in Civil Administrative Enforcement and Adjudication.” OMB solicited comments by March 16 on the issues raised by eleven questions. The wording of the Notice and President Trump’s reference to it in his State of the Union address strongly suggest that the President plans to use the record created by the Notice as the basis for an Executive Order in which he will limit in many ways the actions that agencies can take in investigations and enforcement proceedings.
In these comments, Professor …
Ntr 3756 : Community Nutrition Interventions, Nutrition & Dietetics
Ntr 3756 : Community Nutrition Interventions, Nutrition & Dietetics
Approved Course Proposals
No abstract provided.
Nur 1511 : Pathways: Health And Human Services, Nursing
Nur 1511 : Pathways: Health And Human Services, Nursing
Approved Course Proposals
No abstract provided.
Hsl 3220 : Introduction To Early Childhood Programming, Human Services
Hsl 3220 : Introduction To Early Childhood Programming, Human Services
Approved Course Proposals
No abstract provided.
Nur 3835 : Foundations Of Nursing Practice, Nursing
Nur 3835 : Foundations Of Nursing Practice, Nursing
Approved Course Proposals
No abstract provided.
The Association Between The Medicare Bundled Payments Initiative And Cardiac Rehabilitation Enrollment, Jing Li
Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)
Cardiac rehabilitation (CR) represents a proven-effective intervention in secondary prevention that can stabilize, slow or reverse cardiovascular disease (CVD) progression, facilitate the ability of the patient to preserve or resume an active and functional contribution to the community, and reduce the risk of future cardiovascular events. Despite multiple guideline recommendations for CR and coverage by Medicare and most health plans, participation in CR remains low. Bundled payments are one of the suggested reforms designed to move health care providers toward to value-based care and is very applicable to the CR utilization in patients diagnosed with acute myocardial infarction (AMI) or …
Prevalence Of Restricted Spirometry Within Two Eastern Kentucky Counties A Cross Sectional Study, Quincy Bascombe
Prevalence Of Restricted Spirometry Within Two Eastern Kentucky Counties A Cross Sectional Study, Quincy Bascombe
Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)
Objective: This study examines the prevalence of restrictive spirometry in Eastern Kentucky and its association among men and women with various demographic and exposure (occupational and environmental) factors.
Methods: A cross sectional, cluster sample (N = 685) of participants from Letcher and Harlan Counties, aged 21 and over, answered a questionnaire focused on risk factors for respiratory health outcomes including questions on demographic, health, occupational, and environmental exposures variables. Pulmonary function tests were administered to all participants with no significant cardiovascular or cerebrovascular events within the past 30 days. Log-binomial regression was used to calculate prevalence ratios (PRs) …
Policy Analysis Of California Senate Bill 1138: Mandating Plant-Based Meal Options In Hospitals And Prisons, David Morton
Policy Analysis Of California Senate Bill 1138: Mandating Plant-Based Meal Options In Hospitals And Prisons, David Morton
Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)
Obesity, chronic disease, and poor nutrition are prevalent in the United States while healthcare costs rise. Nutritional research advancements have suggested the healthfulness of plant-based diets. In 2018, the California state senate passed Senate Bill 1138, requiring plant-based meal options in hospitals and prisons. This paper sought to examine the context surrounding the bill, determine the appropriateness of the bill, and recommend next steps for nutritional policies in the United States. In a review of the literature, malnutrition in hospitals and prisons is highly prevalent, and state governments have already made efforts to improve their citizens’ nutrition. In this analysis, …
Implementing The Be Proud! Be Responsible! Program In Wolfe County Public Schools, Casey Gill
Implementing The Be Proud! Be Responsible! Program In Wolfe County Public Schools, Casey Gill
Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)
Kentucky’s teen pregnancy rate is higher than the national average, and Wolfe County has one of the highest rates of teen pregnancy in the state. Teen pregnancy causes adverse health effects for both mother and baby. Teen mothers have a higher likelihood of dropping out of high school, increased health problems related to pregnancy such as preterm labor and preeclampsia, increased risk of being a single parent, and lower income and SES status. The baby is also affected, with an increased risk of living in a single parent household, and living in poverty. The Kentucky River District Health Department plans …