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2022

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Library Newsletter, Volume 18, Issue 1, Sacred Heart University Library Apr 2022

Library Newsletter, Volume 18, Issue 1, Sacred Heart University Library

Library Newsletters

Word from the Stacks ... Digital Commons: What Has it Done for Sacred Heart University? -- A Very Special “Thank You” to our Student Library Assistants! by Sharaya Smith -- New Resources and Library Guides -- Library Staff Recommends -- This Semester.


Effects Of Covid-19 On Food Insecurity Within New Hampshire And The Unh Community, Sarah Elizabeth Waleryszak Apr 2022

Effects Of Covid-19 On Food Insecurity Within New Hampshire And The Unh Community, Sarah Elizabeth Waleryszak

Inquiry Journal Spring 2022

No abstract provided.


4h Small Animal Brochure Capstone Project, Chiara Green Apr 2022

4h Small Animal Brochure Capstone Project, Chiara Green

IPS/BAS 495 Undergraduate Capstone Projects

The 4H Small Animal Orientation Brochure strives to answer the questions a prospective 4H member might have about completing a small animal project from where to begin to the final presentation of showing your project at the County Fair. This way they can make an informed decision about joining 4H to complete a small animal project. This brochure was reviewed by 4H leaders in Gooding County.


Juvenile Solitary Confinement And The Eighth Amendment, Taylor R. Graves Apr 2022

Juvenile Solitary Confinement And The Eighth Amendment, Taylor R. Graves

Honors Thesis

This literature review examines the practice of juvenile solitary confinement, applies the United States Supreme Court’s Eighth Amendment jurisprudence, argues that the practice should be declared unconstitutional as a violation of the Eighth Amendment, and calls for a categorical ban. The Cruel and Unusual Punishment Clause of the Eighth Amendment states, “nor [shall] cruel and unusual punishments [be] inflicted.” U.S. Const. amend. VIII. Juvenile solitary confinement is cruel and unusual, in violation of the Eighth Amendment, because juveniles are different. The United States Supreme Court has long recognized that juveniles should not be held to the same standards of …


Comparative Kinematic Gait Analysis In Adults With Multiple Disabilities, Lauren Rumbalski Apr 2022

Comparative Kinematic Gait Analysis In Adults With Multiple Disabilities, Lauren Rumbalski

Undergraduate Honors Thesis Projects

The purpose of this research is to identify abnormal gait parameters or patterns amongst young adults with multiple disabilities enrolled in a work transition program sponsored by a public-school system. Gait disorders are commonly seen in individuals with neurologic disorders, with significant research in children with autism. Gait disorders have been linked with fall and injury risk, with significant research in elderly populations. Gait analysis technology can be used to identify gait characteristics in populations that are abnormal or contribute to gait disorders. In an observational design, students from the transitional program promoted by Westerville City Schools, housed on Otterbein …


Oral Healthcare Education, Equity And Policy Implementation In Rural Honduran Communities, Alexander J.R. Dyke Apr 2022

Oral Healthcare Education, Equity And Policy Implementation In Rural Honduran Communities, Alexander J.R. Dyke

Honors Projects

Rural Honduras encompasses many individuals with limited access to a dental professional. Many public health studies demonstrate that dental shortage areas have more dental cavities, missing teeth, and more complex restorations that need periodic treatment. Dental hygiene is undermined at home with limited access to oral health advocates, and dental education becomes more essential. Here, we report an educational consensus and perspectives of rural Honduras through a questionnaire distributed at 13 mobile dental clinics in remote villages. To assess the effectiveness of education, the World Health Organization (WHO) has deemed two important indices in assessing trends: Community Periodontal Index of …


Exploration Of The Healthcare Conditions In The Occupied Palestinian Territories, Awatef Ayesh Apr 2022

Exploration Of The Healthcare Conditions In The Occupied Palestinian Territories, Awatef Ayesh

Honors Projects

The occupation of Palestine by Israel has had a significant impact on the Palestinian citizens' health care services. The disparities were seen in maternal, infant, and child mortality rates, life expectancy, and measures of mental wellbeing. The health disparities are due to many factors involving economic conditions, food insecurity, environmental exposures, psychological trauma and stress, and access to health services most of which are directly or indirectly linked to the Israeli military occupation of the occupied Palestinian territories (oPt). This project explores the health indicators and examine the social determinants of health in the oPt that may be responsible for …


Medical Accreditation For Foreign-Educated Refugees: An Undue Burden, Katherine Jolley, Alex Hansen Apr 2022

Medical Accreditation For Foreign-Educated Refugees: An Undue Burden, Katherine Jolley, Alex Hansen

Brigham Young University Prelaw Review

Historically, the United States has maintained a policy of robust assistance to refugees that enter the country. Refugee relief includes short-term health coverage and employment services. Unfortunately, many international medical graduates who come as refugees face excessive barriers to join the healthcare industry when they arrive. In light of emergency adjustments to the accreditation processes during the COVID-19 pandemic, this article proposes that the accreditation process for foreign-educated healthcare workers poses an undue burden on refugees.


Inclusion Of Incentive And Punitive Measures In Multilateral Environmental Agreement: A Suggestion On How The United Nations Framework Convention On Climate Change Can Be Utilized To Influence The Reduction Of Gas Flaring In The Oil And Gas Exploration Fields Of Nigeria, Temiloluwa Elijah Olanrewaju Apr 2022

Inclusion Of Incentive And Punitive Measures In Multilateral Environmental Agreement: A Suggestion On How The United Nations Framework Convention On Climate Change Can Be Utilized To Influence The Reduction Of Gas Flaring In The Oil And Gas Exploration Fields Of Nigeria, Temiloluwa Elijah Olanrewaju

Dissertations & Theses

Gas flaring is categorized as one of the important contributors to greenhouse gases, which increases the risk of global warming and climate change. The overdependence of the modern economy and most industrial technologies on fossil fuels has created a situation in countries where fossil fuels are exploited. The governments rely majorly on the revenue from exporting oil. The IOCs that are engaged in the mining of oil and gas have been able to influence policy and law enforcement on gas flaring to such an extent that the National laws are not enforced, or the stipulated fines are abysmally low that …


Ecosystem Service Trade-Offs In Coral Reefs: A Global Analysis, Megan E. Keene Apr 2022

Ecosystem Service Trade-Offs In Coral Reefs: A Global Analysis, Megan E. Keene

Student Publications

Coral reefs are biodiversity hotspots that provide humans with extractive ecosystem services like fisheries and non-extractive services like tourism. Though no studies have examined these trade-offs among these services at a global scale, there are now large, open datasets that make this possible. Using these datasets, we asked whether spatial protection and the level of protection (World Database on Protected Areas) impacted coral reef tourism value (Atlas of Ocean Wealth). We also examined whether proximity to regions of high fishing effort, defined as the top 25th percentile of the average annual effort from Global Fishing Watch, impacted tourism values. Since …


Brown Adipose Tissue (Bat) Activation And Its Potential Utilization As A Treatment Option For Obesity And Diabetes, Darcie B. Schneider Apr 2022

Brown Adipose Tissue (Bat) Activation And Its Potential Utilization As A Treatment Option For Obesity And Diabetes, Darcie B. Schneider

Student Publications

Within the human body, there are two types of adipose tissue: white adipose tissue (WAT) and brown adipose tissue (BAT). WAT is beneficial for insulation whereas BAT has thermogenic capacity. BAT activation increases energy consumption via heat generation. Increased energy expenditure is associated with improved glucose and lipid metabolism. Therefore, BAT activation research has primarily been aimed at its potential use in the treatment of obesity, diabetes, and other metabolic disorders. In this literature review, BAT's thermogenic mechanisms, techniques of activation, potential therapeutic targets, and future research topics are explored.


Extreme Exposure To Cold: A Method To Enhance Physical Wellness And Recovery, Mallory E. Duggan Apr 2022

Extreme Exposure To Cold: A Method To Enhance Physical Wellness And Recovery, Mallory E. Duggan

Student Publications

This paper reviews the current literature on Cryotherapy and its ability to enhance physical wellness and recovery. The paper details the proposed mechanisms of Cryotherapy as well as its various clinical applications regarding the treatment of numerous diseases and physical exercise recovery. The paper also details the possible limitations/detrimental effects of Cryotherapy usage.


Implementing Sskin Bundle For Pressure Ulcer Prevention In Long-Term Care Facility, Funmilayo Oni Apr 2022

Implementing Sskin Bundle For Pressure Ulcer Prevention In Long-Term Care Facility, Funmilayo Oni

Doctor of Nursing Practice Projects

Background: Pressure ulcers are a major challenge in long-term care (LTC) facilities. Adult patients in LTC setting are at risk for developing pressure ulcers due to chronic medical conditions and comorbidities. Preventing the onset of these wounds is more cost-effective than treating pressure ulcers.

AIM/Objectives: The primary objective was to decrease the number of pressure ulcers by 50% within a three-month period. Secondary objectives were to achieve 100% compliance with completion of mandatory staff education, score on the posttest questionnaire, and compliance with mandatory staff documentation as instructed by the SSKIN protocol.

Methods: This DNP Project used a pretest and …


Structured Type 2 Diabetes Education To Improve Self-Monitoring Blood Glucose, Self-Care Management, And Diabetes Knowledge In A Multicultural Family Practice Clinic, Deedee Foster Fnp-C Apr 2022

Structured Type 2 Diabetes Education To Improve Self-Monitoring Blood Glucose, Self-Care Management, And Diabetes Knowledge In A Multicultural Family Practice Clinic, Deedee Foster Fnp-C

Doctor of Nursing Practice Projects

Background: The family practice providers at the family medicine residency clinic (FMRC) have neither sufficient time nor continuity of care to provide diabetes education to effectively reduce A1c levels. The FMRC has 500 multicultural type 2 diabetes patients with an A1c >7% that has increased by 23.2% in the previous five months. Multiple studies have demonstrated that structured diabetes education can significantly decrease blood glucose readings, improve self-care management, and diabetes knowledge to attain optimal glycemic control.

Objectives: To implement an evidence-based practice (EBP) project in the FMRC to improve participants blood glucose readings, self-care management, and diabetes knowledge.

Methods: …


Ventilator-Associated Pneumonia Bundle Compliance: A Quality Improvement Project, Keesha L. Holmes Msn, Fnp, Ne-Bc Apr 2022

Ventilator-Associated Pneumonia Bundle Compliance: A Quality Improvement Project, Keesha L. Holmes Msn, Fnp, Ne-Bc

Doctor of Nursing Practice Projects

Background: In many hospitals, patients requiring mechanical ventilation are managed in an intensive care unit (ICU) or a unit that requires a higher level of care compared to a medical-surgical unit. Patients on mechanical ventilation are susceptible to acquiring ventilator-associated pneumonia (VAP) if precautionary measures are not taken.

Aims/Objectives: The purpose of this quality improvement project was to assess if after an identified group of critical care registered nurses (RN) participated in an education session on ventilator-associated pneumonia and ventilator-care bundle (VCB) interventions, would their knowledge be enhanced, would the RNs implement the knowledge learned into their practice, and if …


Donor Age And Body Weight Determine The Effects Of Fecal Microbiota Transplantation On Growth Performance, And Fecal Microbiota Development In Recipient Pigs, Xiaofan Wang, Tsungcheng Tsai, Xiaoyuan Wei, Feilong Deng, Ying Li, Charles V. Maxwell, Hua Yang, Yingping Xiao, Jiangchao Zhao Apr 2022

Donor Age And Body Weight Determine The Effects Of Fecal Microbiota Transplantation On Growth Performance, And Fecal Microbiota Development In Recipient Pigs, Xiaofan Wang, Tsungcheng Tsai, Xiaoyuan Wei, Feilong Deng, Ying Li, Charles V. Maxwell, Hua Yang, Yingping Xiao, Jiangchao Zhao

Animal Science Faculty Publications and Presentations

Background

The application of fecal microbiota transplantation (FMT) to improve swine growth performance has been sporadically studied. Most of these studies used a single microbiota source and thus the effect of donor characteristics on recipient pigs’ fecal microbiota development and growth performance is largely unknown.

Results

In this study, we collected feces from six donors with heavy (H) or light (L) body weight and different ages (d 42, nursery; d 96, growing; and d 170, finisher) to evaluate their effects on the growth performance and fecal microbiota development of recipient pigs. Generally, recipients that received two doses of FMT from …


Targeting Squalene Epoxidase Interrupts Homologous Recombination Via The Er Stress Response And Promotes Radiotherapy Efficacy, Zhipeng Hong, Tao Liu, Lingfeng Wan, Pengyan Fa, Pankaj Kumar, Yanan Cao, Chandra Bhushan Prasad, Zhaojun Qiu, Joseph Liu, Hongbing Wang, Zaibo Li, Qi-En Wang, Peixuan Guo, Deliang Guo, Ayse S. Yilmaz, Lanchun Lu, Ioanna Papandreou, Naduparambil K. Jacob, Chunhong Yan, Qing-Bai She Apr 2022

Targeting Squalene Epoxidase Interrupts Homologous Recombination Via The Er Stress Response And Promotes Radiotherapy Efficacy, Zhipeng Hong, Tao Liu, Lingfeng Wan, Pengyan Fa, Pankaj Kumar, Yanan Cao, Chandra Bhushan Prasad, Zhaojun Qiu, Joseph Liu, Hongbing Wang, Zaibo Li, Qi-En Wang, Peixuan Guo, Deliang Guo, Ayse S. Yilmaz, Lanchun Lu, Ioanna Papandreou, Naduparambil K. Jacob, Chunhong Yan, Qing-Bai She

Pharmacology and Nutritional Sciences Faculty Publications

Over 50% of all patients with cancer are treated with radiotherapy. However, radiotherapy is often insufficient as a monotherapy and requires a nontoxic radiosensitizer. Squalene epoxidase (SQLE) controls cholesterol biosynthesis by converting squalene to 2,3-oxidosqualene. Given that SQLE is frequently overexpressed in human cancer, this study investigated the importance of SQLE in breast cancer and non–small cell lung cancer (NSCLC), two cancers often treated with radiotherapy. SQLE-positive IHC staining was observed in 68% of breast cancer and 56% of NSCLC specimens versus 15% and 25% in normal breast and lung tissue, respectively. Importantly, SQLE expression was an independent predictor of …


Determining The Role Of High-Sugar Diets On Ovarian Function In Drosophila Melanogaster, Emma Otey Apr 2022

Determining The Role Of High-Sugar Diets On Ovarian Function In Drosophila Melanogaster, Emma Otey

Senior Theses

The prevalence of obesity in the United States has increased drastically and the effects of obesity on human physiology are not fully known at this point. It has been noted that there is a significant decrease of fertility rates in obese women. In order to study how exactly these high-sugar or high-fat diets are impacting fertility, Drosophila can be used as a model organism. The use of Drosophila as a model organism for humans is due to the many conserved molecular and systematic mechanisms, namely ovarian function, as well as conserved physiological responses to obesity and obesogenic diets. This study …


A Mixed Methods Case Study: Effects Of Instructors’ Beliefs On Incorporation Of Sustainability Curriculum At A Midwestern University, Anna Oetting Apr 2022

A Mixed Methods Case Study: Effects Of Instructors’ Beliefs On Incorporation Of Sustainability Curriculum At A Midwestern University, Anna Oetting

School of Natural Resources: Dissertations, Theses, and Student Research

The degree to which sustainability is taught is often varied and inconsistent across colleges, departments, and higher education institutions. However, educating students and future generations regarding the different pillars of sustainability, including economic, social, and environmental topics, is increasing in importance and urgency. A mixed methods case study utilized surveys and interviews to investigate why instructors incorporate sustainability, what impacts course incorporation of sustainability, and barriers that instructors face. This study found that instructors’ beliefs regarding the importance of sustainability relate to the extent to which sustainability is incorporated into their curriculum. Topics of sustainability incorporated into a class are …


Toasted Corn Flakes, Michael Mccurdy Apr 2022

Toasted Corn Flakes, Michael Mccurdy

LMU Theses and Dissertations

Against biblical odds, the baseball version of a stage mom and her grifting ex road trip their kids’ baseball team across the midwest in the name of life, liberty, and the little league world series.


Does Cetuximab Reduce The Risk Of Anemia In Patients Undergoing Radiation Therapy For Head And Neck Cancers?, Ahmed I. Ghanem, Lucas G. Maahs, Radhika Gutta, Amy Tang, Marissa Gilbert, Arya Swarn, Z. A. Saheli, Samantha Tam, Jawad Z. Sheqwara Apr 2022

Does Cetuximab Reduce The Risk Of Anemia In Patients Undergoing Radiation Therapy For Head And Neck Cancers?, Ahmed I. Ghanem, Lucas G. Maahs, Radhika Gutta, Amy Tang, Marissa Gilbert, Arya Swarn, Z. A. Saheli, Samantha Tam, Jawad Z. Sheqwara

Radiation Oncology Meeting Abstracts

Purpose/Objective(s): Epidermal growth factor receptor (EGFR) activation is associated with increased production of interleukin 6 (IL6), which is intensified by radiotherapy (RT) induced inflammatory response. Elevated IL6 levels promote RT-induced anemia by upregulating hepcidin causing functional iron deficiency. Cetuximab, an EGFR inhibitor, resulted in significantly lower rates of RT induced anemia for locally advanced head and neck squamous cell carcinoma (HNSCC) patients receiving definitive RT vs RT-alone according to Bonner et al; and other studies compared to concomitant chemotherapy. However, little is known for cases receiving cetuximab with RT in the adjuvant setting.

Materials/Methods: We queried our institutional HNSCC database …


The Sublethal Response Of Cambarus Sp. To Acute Low Dose Herbicide Exposure Evidenced By A Change In Ggt Levels And Apoptosis, Amelia Wickham Apr 2022

The Sublethal Response Of Cambarus Sp. To Acute Low Dose Herbicide Exposure Evidenced By A Change In Ggt Levels And Apoptosis, Amelia Wickham

Senior Honors Theses

Following application, herbicidal runoff can collect in freshwater ecosystems, briefly exposing non-target organisms. As biological indicators, crayfish serve as models to assess freshwater health. Chemically stressed crayfish form reactive oxygen species (ROS) which are neutralized by the glutathione pathway. As glutathione depletes, γ-glutamyl-transferase (GGT) upregulates to increase glutathione formation. High oxidative stress lowers glutathione levels and subsequent apoptosis occurs. For this acute study, crayfish were exposed to 5ppb and 50ppb of atrazine, glyphosate, and 2,4-D. Herbicide exposures were expected to induce higher GGT production, increased oxidative stress, and increased apoptosis. Instead, GGT and apoptosis predominately decreased relative to the control. …


A Literature Review Of The Prevalence, Metabolism, And Usage Guidelines Of Non-Nutritive Sweeteners, Rebecca Ide Apr 2022

A Literature Review Of The Prevalence, Metabolism, And Usage Guidelines Of Non-Nutritive Sweeteners, Rebecca Ide

Senior Honors Theses

Due to their reputation for being a healthier option to traditional table sugar, non-nutritive sweeteners have garnered popularity, particularly with those affected by type II diabetes mellitus (DM2) or obesity. A literature review on the characteristics, metabolism, and optimal cooking guidelines of non-nutritive sweeteners was performed to establish more knowledge about these trending food additives. The literature review indicates that the presence of non-nutritive sweeteners (NNS) may influence glucose metabolism by binding T1R2/T1R3 sweetness receptors present throughout the gastrointestinal tract. However, not all studies showed positive correlations. Though inconclusive, the studies suggest a possible connection between excessive NNS consumption and …


The Acorn Squash Problem: A Digestible Conceptualisation Of Barriers To Emergency Food Assistance, John C. Jones, Joanne Christaldi, Diana Cuy Castellanos Apr 2022

The Acorn Squash Problem: A Digestible Conceptualisation Of Barriers To Emergency Food Assistance, John C. Jones, Joanne Christaldi, Diana Cuy Castellanos

Nutrition Faculty Publications

Background: In common narratives of emergency food assistance, donors likely believe their efforts directly manifest as people consuming their donated food. For example, a person donating canned lima beans during a canned food drive may visualise someone eventually eating those lima beans. However, cultural and socio-economic barriers often exist that prevent people from accessing and consuming the donated food. These barriers are often complex and otherwise well-intentioned donors, volunteers and organisations may not initially consider them.

Method: This commentary article, which draws from existing US emergency food systems literature, uses the imagery of an acorn squash one might find at …


An Analysis Of The Psychological And Physical Effects Of A Physical Activity Program During In-Patient Pediatric Cancer Treatment, Zoë Winters Apr 2022

An Analysis Of The Psychological And Physical Effects Of A Physical Activity Program During In-Patient Pediatric Cancer Treatment, Zoë Winters

Undergraduate Theses

There is limited published research regarding the use of physical activity in cancer treatment programs, and even fewer in pediatric treatment plans; however, there is a common consensus that following the conclusion of cancer treatment an individual’s physical fitness has been majorly impacted. The inactivity that commonly coexists with cancer treatment often results in extended periods of time in rehabilitation programs and decreased independence. Along with the physical detriments caused by inactivity, increased dependence on others often brings about feelings of helplessness that can further cause emotional detriments. It has however been demonstrated in previous research that adding physical activity …


Standardizing Naturalistic Teaching Opportunities For Problem-Based Learning In Diabetes Education: A Quality Improvement Project, Austin Mccaslin Apr 2022

Standardizing Naturalistic Teaching Opportunities For Problem-Based Learning In Diabetes Education: A Quality Improvement Project, Austin Mccaslin

DNP Projects

Significance and Background:

Poor diabetes management is linked to serious long and short-term health complications. Despite this, medication adherence is a significant problem in adolescents with type 1 diabetes. Management is further complicated by low socioeconomic status, even when mitigated by free healthcare, highlighting health literacy as a culprit of disparities. Evidence shows that a common barrier for adolescents is proficiency in dose determination. Carbohydrate counting is an integral skill, necessary for attaining glycemic control. At a homecare agency serving adolescents with poorly controlled diabetes by providing oversight of medication administration and education, it was noted that patients continued to …


A Wild Distinction: The Metamorphosis Of Teacher Identity Through Cognitive Dissonance And Urban Field Experiences, Meg White, Corine Meredith Brown, Connie L. Schaffer Apr 2022

A Wild Distinction: The Metamorphosis Of Teacher Identity Through Cognitive Dissonance And Urban Field Experiences, Meg White, Corine Meredith Brown, Connie L. Schaffer

Educational Leadership Faculty Publications

Teacher identity is not a common construct - it is used in different ways, by different people, and in different contexts. Yet the process of developing teacher identity as beginning professionals is critical. To paraphrase the word of one pre-service teacher, there is a wild distinction between the identity of a student and the identity of a teacher.


A Starling In A Pear Tree: Assessing The Influence Of Bird Dispersal On Callery Pear (Pyrus Calleryana), Olivia Clark Apr 2022

A Starling In A Pear Tree: Assessing The Influence Of Bird Dispersal On Callery Pear (Pyrus Calleryana), Olivia Clark

Honors Theses

Invasive species can disrupt ecosystems and negatively affect other species. Callery pear (Pyrus calleryana) is an invasive ornamental tree that is spreading quickly throughout the United States. It is possible that birds are responsible for spreading Callery pear by eating the fruit and depositing seeds in new areas. European starlings (Sturnus vulgaris) and American robins (Turdus migratorius) are mentioned in most studies as responsible for the dispersal of Callery pear. However, there is also evidence that Cedar waxwings (Bombycilla cedrorum) also feed on the tree. Invasive plants can impact avian health, reproduction, and migration. Additionally, there are many aspects of …


The Rise Of Concentrated Animal Feeding Operations, Their Effects, And How We Can Stop Their Growth, Andrea Prisco Apr 2022

The Rise Of Concentrated Animal Feeding Operations, Their Effects, And How We Can Stop Their Growth, Andrea Prisco

Dickinson Law Review (2017-Present)

Dramatic changes in the agricultural industry over the last century have led to the rise of concentrated animal feeding operations– industrial facilities that raise a large number of animals in confined spaces. Animals raised in these facilities suffer from poor quality of life and abuse. For humans, these facilities have had adverse effects on the environment and public health, but they are also associated with high productivity and low food costs. This Comment analyzes the effects of concentrated animal feeding operations on animal well-being, the environment, and public health. This Comment also analyzes current federal legislation that helps combat the …


The Relationship Between Eviction, Rent Burden, And Poor Births In Kalamazoo County, Michigan, Joseph Agati Apr 2022

The Relationship Between Eviction, Rent Burden, And Poor Births In Kalamazoo County, Michigan, Joseph Agati

Masters Theses

Millions of Americans get evicted every year, with thousands coming from Kalamazoo County, Michigan alone. Additionally, many more live with rent burden, paying over 30% of their monthly income on rent. Both eviction and rent burden have been linked to adverse health effects, such as depression and anxiety, and negative coping mechanisms, such as alcoholism and smoking. This study asks if eviction and rent burden are correlated with poor births in Kalamazoo County as there are hundreds of poor births in the county every year, as well as which social vulnerability themes are most predictive of eviction and poor births. …