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Articles 4771 - 4800 of 10921
Full-Text Articles in Entire DC Network
Therapeutic Gardening For Addiction Recovery, Alicia D. Grant
Therapeutic Gardening For Addiction Recovery, Alicia D. Grant
Master's Projects and Capstones
Abstract
Problem: Therapeutic gardening is gaining popularity as a complementary intervention for addiction recovery, but traditional substance abuse facilities rarely use it. The aim of this study is to evaluate the effectiveness of therapeutic gardening as an alternative therapy to support adult men with substance abuse disorder who have a history in the judicial system.
Context: The study was conducted at a 30-bed drug and alcohol residential facility program in Santa Clara County, serving adult men who have had previous involvement in the judicial system. The program uses a cognitive-behavioral therapy (CBT) approach and indoor group meetings to foster positive …
Voices From The Frontier: Stories Of Nurse Practitioners Working In Remote Settings, Lynn Jakobs
Voices From The Frontier: Stories Of Nurse Practitioners Working In Remote Settings, Lynn Jakobs
Dissertations
Frontier communities are the most sparsely populated and geographically remote areas in the United States. Residents of these communities often lack access to healthcare resources of any kind. Nurse Practitioners (NPs) are more likely than physicians to practice in these areas and provide a vital link in the frontier healthcare safety net.
This narrative inquiry into the practice experiences of frontier NPs informs the discipline of nursing regarding the significant contribution frontier NP practice makes to the delivery of frontier healthcare. This inquiry creates a repository of stories upon which nurse leaders, health care policy makers, and nurse educators interested …
"We Have A Lot Of Lives To Reach": $250,000 Gift From Coca-Cola United Will Help Live Healthsmart Alabama Launch Community Leadership Academies In Underserved Communities, Adam Pope
Browse All News
No abstract provided.
Save The Children Community Health Worker Program – Adverse Childhood Events Prevention, Jieun Lee
Save The Children Community Health Worker Program – Adverse Childhood Events Prevention, Jieun Lee
Doctor of Nursing Practice (DNP) Projects
Background: Adverse childhood experiences (ACEs) are potentially traumatic events that occur between the ages of 0 to 17 in which are directly associated, in a dose–response manner, to many of the most common and serious health problems in the United States.
Local Problem: 62% of California residents have experienced at least one ACE, and 16% have experienced at least four ACEs. ACEs are linked to nine of the ten leading causes of death in the United States Adults with four or more ACEs are 37.5 times more likely to attempt suicide, 3.2 times more likely to have chronic lower respiratory …
Predicting The Risk Of Falling With Artificial Intelligence, Ann Aquino
Predicting The Risk Of Falling With Artificial Intelligence, Ann Aquino
Doctor of Nursing Practice (DNP) Projects
Predicting the Risk of Falling with Artificial Intelligence
Abstract
Background: Fall prevention is a huge patient safety concern among all healthcare organizations. The high prevalence of patient falls has grave consequences, including the cost of care, longer hospital stays, unintentional injuries, and decreased patient and staff satisfaction. Preventing a patient from falling is critical in maintaining a patient’s quality of life and averting the high cost of healthcare expenses.
Local Problem: Two hospitals' healthcare system saw a significant increase in inpatient falls. The fall rate is one of the nursing quality indicators, and fall reduction is a key performance indicator …
Community Health Worker Program: Adverse Childhood Experiences And Early Childhood, Arelis Sandoval
Community Health Worker Program: Adverse Childhood Experiences And Early Childhood, Arelis Sandoval
Doctor of Nursing Practice (DNP) Projects
Background: Adverse childhood experiences (ACEs) negatively affect childhood development and long-term health outcomes. Latino children face multiple adversities and social determinants of health compounded by ACEs. Community Health Workers (CHWs) have access to work with families to improve resilience and mitigate the effects of ACEs in this population.
Local Problem: In the Central Valley of California, CHWs provide support and resources to a largely Latino population with increased poverty rates, low educational attainment, lack of health insurance, and many chronic health issues, putting families at a higher risk for ACEs exposure. CHWs need further training to apply ACEs knowledge to …
Improving Patient Safety For Surgical Clearance: A Preop One Stop Shop, Anna Benedictos
Improving Patient Safety For Surgical Clearance: A Preop One Stop Shop, Anna Benedictos
Doctor of Nursing Practice (DNP) Projects
Problem: Medical clearance is required for patients scheduled for surgery, also known as “patient optimization.” Ineffective and inefficient patient optimization is a major contributor to surgery postponements, procedure cancellations, and patient dissatisfaction.
Context: Ambulatory care clinics often lack resources to medically clear patients prior to scheduled surgery. Poor surgical optimization continues to occur on the same day of surgery, resulting in case cancellation or delay in a suburban, 169 bed community hospital with 9 operating rooms and approximately 500 surgical procedures per month.
Interventions: A nurse-led PreOp One Stop Shop (POSS) utilized a standardized checklist to perform preoperative surgical assessment. …
Importance Of Missingness In Baseline Variables: A Case Study Of The All Of Us Research Program, Robert M. Cronin, Xiaoke Feng, Lina Sulieman, Brandy Mapes, Shawn Garbett, Ashley Able, Ryan Hale, Mick P. Couper, Heather Sansbury, Brian K. Ahmedani, Qingxia Chen
Importance Of Missingness In Baseline Variables: A Case Study Of The All Of Us Research Program, Robert M. Cronin, Xiaoke Feng, Lina Sulieman, Brandy Mapes, Shawn Garbett, Ashley Able, Ryan Hale, Mick P. Couper, Heather Sansbury, Brian K. Ahmedani, Qingxia Chen
Center for Health Policy and Health Services Research Articles
OBJECTIVE: The All of Us Research Program collects data from multiple information sources, including health surveys, to build a national longitudinal research repository that researchers can use to advance precision medicine. Missing survey responses pose challenges to study conclusions. We describe missingness in All of Us baseline surveys.
STUDY DESIGN AND SETTING: We extracted survey responses between May 31, 2017, to September 30, 2020. Missing percentages for groups historically underrepresented in biomedical research were compared to represented groups. Associations of missing percentages with age, health literacy score, and survey completion date were evaluated. We used negative binomial regression to evaluate …
2023.05.18 - Academic/Student Affairs, Enrollment, And Technology Committee Meeting Minutes, Northeastern Illinois University Board Of Trustees
2023.05.18 - Academic/Student Affairs, Enrollment, And Technology Committee Meeting Minutes, Northeastern Illinois University Board Of Trustees
Board of Trustees - 2023
Meeting materials for the NEIU Academic/Student Affairs, Enrollment, and Technology Committee
Development Of New Chemical Probes To Delineate The Polyamine Regulation & Molecular Strategies To Unravel Protein Polyamination, Vennela Tulluri
Development Of New Chemical Probes To Delineate The Polyamine Regulation & Molecular Strategies To Unravel Protein Polyamination, Vennela Tulluri
Theses and Dissertations
Polyamines such as putrescine, spermidine, and spermine modulate critical cellular processes, including gene expression and cell proliferation. Cellular polyamine regulation is a complex mechanism controlled by three different proteins: Ornithine decarboxylase (ODC), Antizyme (OAZ), and Antizyme Inhibitor (AZIN). While ODC is directly involved in polyamine biosynthesis, OAZ, and AZIN regulate the ODC activity via protein-protein interactions. The dysregulation of ODC, OAZ, and AZIN leads to elevated polyamines in numerous pathologies, making them attractive targets for controlling polyamine levels. Besides regulating polyamine synthesis, OAZ modulates polyamine transport. However, the precise mechanism remains elusive. In this research, we discuss our approach to …
Standardized Patient Education For Patients' Initial Chemotherapy Through An Integrated Telemedicine Platform, Karen D. Dougherty
Standardized Patient Education For Patients' Initial Chemotherapy Through An Integrated Telemedicine Platform, Karen D. Dougherty
Seton Hall University Dissertations and Theses (ETDs)
Telemedicine has demonstrated a high level of satisfaction in a variety of health settings as a safe and efficient method of delivering healthcare. The purpose of this project was to implement an Advanced Practice-led Quality Improvement (QI) initiative pilot to evaluate the standardization of chemotherapy education through an integrated telemedicine platform. This Doctor of Nursing Practice (DNP) project used interventions noted in the literature review to assess and evaluate core concepts of knowledge, satisfaction, utilization, and program acceptance. This project aimed to utilize evidence-based processes to increase knowledge about the chemotherapy treatment routine, to raise awareness and develop skills to …
Exploring Community College Health Science Adjunct Faculty's Perception Of Culturally Responsive Teaching Practices And Implementation Readiness, Catherine Sirangelo
Exploring Community College Health Science Adjunct Faculty's Perception Of Culturally Responsive Teaching Practices And Implementation Readiness, Catherine Sirangelo
Seton Hall University Dissertations and Theses (ETDs)
Introduction. Millions of students enroll in public community colleges in the United States. They are often first-generation or first in their family to go to college. They are often culturally and linguistically diverse, with English not being their first language. They often choose a community college because of its high-quality, lower cost, and successful implementation of programs to assist and acclimate them to post-secondary education. Students look to community college as a first step into a professional healthcare career. Health Science faculty teaching at community colleges are either full-time or part-time (adjunct) contingency faculty. Adjunct faculty are often content experts …
Therapeutic Gardening For Mental Health In Substance Use Recovery, Stephanie E. Schafer
Therapeutic Gardening For Mental Health In Substance Use Recovery, Stephanie E. Schafer
Master's Projects and Capstones
Abstract
As the clinical nurse leader (CNL) in this project, I used the “[CNL]
Essential 1: Background for Practice from Sciences and Humanities” (Competencies and Curricular Expectations for Clinical Nurse Leader Education and Practice, 2013) and its competencies to focus on designing nursing care for a clinical or community-focused population based on biopsychosocial, public health, nursing, and organizational sciences and to synthesize evidence for practice to determine appropriate application of interventions across diverse populations. With the help of the CNL competencies and collaboration with the healthcare team, we created and implemented a therapeutic garden for residents in a substance use …
The Cellular And Immunological Dynamics Of Early And Transitional Human Milk., Cas Lemaster, Stephen Pierce, Eric S. Geanes, Santosh Khanal, Staci S. Elliott, Allison Scott, Daniel A. Louiselle, Rebecca Mclennan, Devika Maulik, Tamorah Lewis, T Pastinen, Todd Bradley
The Cellular And Immunological Dynamics Of Early And Transitional Human Milk., Cas Lemaster, Stephen Pierce, Eric S. Geanes, Santosh Khanal, Staci S. Elliott, Allison Scott, Daniel A. Louiselle, Rebecca Mclennan, Devika Maulik, Tamorah Lewis, T Pastinen, Todd Bradley
Manuscripts, Articles, Book Chapters and Other Papers
Human milk is essential for infant nutrition and immunity, providing protection against infections and other immune-mediated diseases during the lactation period and beyond in later childhood. Milk contains a broad range of bioactive factors such as nutrients, hormones, enzymes, immunoglobulins, growth factors, cytokines, and antimicrobial factors, as well as heterogeneous populations of maternal cells. The soluble and cellular components of milk are dynamic over time to meet the needs of the growing infant. In this study, we utilize systems-approaches to define and characterize 62 analytes of the soluble component, including immunoglobulin isotypes, as well as the cellular component of human …
Liberty And Justice For Some - Experiences Of Marginalized Children On The World War Ii United States Home Front, Courtney Polak
Liberty And Justice For Some - Experiences Of Marginalized Children On The World War Ii United States Home Front, Courtney Polak
Great Plains Graduate Review
Many scholars have discussed the experiences of the home front and its significant contributions to the war effort. However, the study of children in World War II home front has not been widely examined. Even more so, the experiences of minority children are rarely discussed. Youth of African Americans, those of German and Japanese descent, and the poor classes experienced a drastically different home front than the mainstream culture. The experiences of children, especially, are not addressed widely as they are further ignored as a group without political or economic power. Yet, numerous primary source accounts explain how these marginalized …
Nature Nurturers Sustainability And Journalism Club, Bruce Baker, Shelby Rickert
Nature Nurturers Sustainability And Journalism Club, Bruce Baker, Shelby Rickert
Honors Program: Expanded Learning Clubs
Afterschool club that teaches basic sustainability and journalism knowledge to kids in a fun, hands-on, and engaging way. Kids will learn over the course of several weeks and then make posters about their environmental interests.
20230517_May Is National Physical Fitness And Sports Month, Rachel Howarth
20230517_May Is National Physical Fitness And Sports Month, Rachel Howarth
HSLIC Blog Post
No abstract provided.
Disrupting Cisheteronormativity In Stem Through Humanism, Meg C. Jones, Desiree Forsythe, Rachel Friedensen, Annemarie Vaccaro, Ryan A. Miller, Ezekiel Kimball, Rachael Forester
Disrupting Cisheteronormativity In Stem Through Humanism, Meg C. Jones, Desiree Forsythe, Rachel Friedensen, Annemarie Vaccaro, Ryan A. Miller, Ezekiel Kimball, Rachael Forester
Biology, Chemistry, and Environmental Sciences Faculty Books and Book Chapters
Cisheteronormativity is prevalent throughout college STEM discourses and classrooms. In this paper, we present findings from a U.S. based study focused on the experiences of collegiate STEM students with minoritized identities of sexuality and gender (MIoSG) as the backdrop for discussing how current harmful ideologies in STEM perpetuate cisheteronormativity through discursive practice. We propose that humanistic classrooms and pedagogy can work to dismantle cisheteronormative D/discourses in STEM and create MIoSG inclusive STEM classrooms and programs. Our findings highlight the ways participants experienced cisheteronormative D/discourses in their collegiate STEM contexts. We discuss how these experiences might be mitigated through humanistic educational …
Effects Of Isotonic Drinks On Academic Performance For University Students In Singapore, Sze Hiang Lee, Hursh Tarun Sanghavi, Xavier Tan, Ruhaan Das
Effects Of Isotonic Drinks On Academic Performance For University Students In Singapore, Sze Hiang Lee, Hursh Tarun Sanghavi, Xavier Tan, Ruhaan Das
Introduction to Research Methods RSCH 202
There are several factors that impact the academic performance of university students. The consumption of isotonic drinks is a factor that has not been explored enough to form a conclusive statement regarding its effects on academic performance. We will conduct an experiment in Singaporean universities to analyze the mean change in the scores of aptitude tests using a Paired Sample t-Test. We will also conduct a survey to compare how age, gender, study hours, sleep hours, smoking status, and exercise frequency correlate with measures of academic performance. Using regression analysis, we will determine which variables are associated with better levels …
Does Playing Different Game Genres Affect Obesity Levels In Gamers?, Zann Chua, Joshua Deleon, Navin Argunan
Does Playing Different Game Genres Affect Obesity Levels In Gamers?, Zann Chua, Joshua Deleon, Navin Argunan
Introduction to Research Methods RSCH 202
This paper examines the relationship between playing various gaming genres and its effect on obesity. While previous studies have generally associated gaming with obesity, some have highlighted that certain game genres, exergames, require gamers to be physically active to play the game, leading to a reduction in gamers’ weight. To study this relationship, we conducted a survey and analyzed the collected data using ANOVA and Regression Analysis. Our preliminary findings from one-way ANOVA and two-way ANOVA with interaction, indicates significant association between game genre and engagement per session with BMI. The interaction between them suggests that the effect of game …
Seasonal Changes In The Movement Rates And Activity Patterns Of Canada Lynx, Matthew Kynoch
Seasonal Changes In The Movement Rates And Activity Patterns Of Canada Lynx, Matthew Kynoch
Biological Sciences
An animal's temporal niche, or when it is active during the 24-hour day, is a fundamental aspect of its overall niche and ecology. Animals are confined to a temporal niche to maximize energetic gains while avoiding agonistic encounters with predators or intraguild competitors. An animal's temporal niche can be influenced by a variety of biotic and abiotic factors, and the temporal niche of predators is often established through a careful balance of prey behavior and the predator's physiological adaptations. This study examined the seasonal change of patterns of activity in Canada lynx (Lynx canadensis) in Northern Alaska using both GPS …
Clearance Of Beta-Amyloid 42 (Aβ-42) And Tau Proteins In Alzheimers Disease (Ad), Alex Tackett
Clearance Of Beta-Amyloid 42 (Aβ-42) And Tau Proteins In Alzheimers Disease (Ad), Alex Tackett
Chemistry and Biochemistry
Alzheimer's disease (AD) is a progressive neurodegenerative disorder and the main cause of dementia among the elderly worldwide. Despite intense efforts to develop drugs for preventing and treating AD, no effective therapies are available yet, posing a growing burden at the personal, medical, and socioeconomic levels. AD is characterized by the production and aggregation of amyloid 0 (A0) peptides derived from amyloid precursor protein (APP), the presence of hyperphosphorylated microtubule-associated protein Tau (MAPT), and chronic inflammation leading to neuronal loss. A0 accumulation and hyperphosphorylated Tau are responsible for the main histopathological features of AD, A0 plaques, and neurofibrillary tangles (NFTs), …
Impacts Of Sex, Biometals Homeostasis, And Dietary Fructose On Non-Alcoholic Fatty Liver Disease Pathogenesis, Emilie A. Morrell
Impacts Of Sex, Biometals Homeostasis, And Dietary Fructose On Non-Alcoholic Fatty Liver Disease Pathogenesis, Emilie A. Morrell
Chemistry and Biochemistry
Non-alcoholic fatty liver disease (NAFLD) is a broad-spectrum liver disorder that ranges from simple hepatic steatosis to its more severe form, non-alcoholic steatohepatitis, which is marked by hepatic inflammation and cirrhosis. Estimates indicated NAFLD prevalence is currently between 25-30% of adults worldwide. Currently, there are no treatment options for NAFLD other than weight loss, as the etiology of this disease remains elusive. Prior studies have indicated that NAFLD is likely a multifactorial disease arising from interactions between factors like: genetics, nutrition, age, sex, hormone levels, lipid regulation, and biometals homeostasis. While prior studies have largely done an excellent job at …
The Evolution Of Primary Care Telehealth Disparities During Covid-19: Retrospective Cohort Study, Rachel D'Amico, Patrick M Schnell, Randi Foraker, J Nwando Olayiwola, Daniel E Jonas, Seuli Bose Brill
The Evolution Of Primary Care Telehealth Disparities During Covid-19: Retrospective Cohort Study, Rachel D'Amico, Patrick M Schnell, Randi Foraker, J Nwando Olayiwola, Daniel E Jonas, Seuli Bose Brill
2020-Current year OA Pubs
BACKGROUND: Telehealth has become widely used as a novel way to provide outpatient care during the COVID-19 pandemic, but data about telehealth use in primary care remain limited. Studies in other specialties raise concerns that telehealth may be widening existing health care disparities, requiring further scrutiny of trends in telehealth use.
OBJECTIVE: Our study aims to further characterize sociodemographic differences in primary care via telehealth compared to in-person office visits before and during the COVID-19 pandemic and determine if these disparities changed throughout 2020.
METHODS: We conducted a retrospective cohort study in a large US academic center with 46 primary …
Chukchi Communities Of The Bering Strait Region, A Hundred Years After Bogoras, Eduard Zdor
Chukchi Communities Of The Bering Strait Region, A Hundred Years After Bogoras, Eduard Zdor
Anthropology
The Chukchi are the Indigenous people of the farthest northeastern part of Eurasia, nowadays called Chukotka. It happens that, at the dawn of the 20th century, Chukchi culture became the focus of a landmark publication The Chukchee, authored by a luminary Russian ethnographer Waldemar Bogoras. Produced as part of the special series Publications of the Jesup North Pacific Expedition, this voluminous monograph, overwhelmingly, continues to be a go-to resource to learn about the Chukchi customs, spiritual beliefs, material culture, and way of life. As an Indigenous Chukchi scholar who, to my knowledge, is the first of my people to be …
Generalized Modeling Of Complex Dynamical Systems: An Application To The Stability Of Ecological Networks, Stefan Awender
Generalized Modeling Of Complex Dynamical Systems: An Application To The Stability Of Ecological Networks, Stefan Awender
Physics
Understanding the stability of food webs is crucial for resource sustainability and conservation of ecosystems, especially in the context of climate change. Specific models describe the biomass flow in food webs by a set of ordinary differential equations that require the explicit reconstruction of a mathematical expression for each of the interactions or processes, like predator-prey interactions, primary production, and mortality. Although specific models are rich with time-evolution information, limited access for empirical observation of these typically immense systems induce uncertainty in the data and approximations in the corresponding models that can threaten robustness or relevance of results. Generalized models …
Post-Resettlement Food Insecurity: Afghan Refugees And Challenges Of The New Environment, Zahra Goliaei, Mariaelena Gonzalez, Karina Diaz Rios, Mamata Pokhrel, Nancy J Burke
Post-Resettlement Food Insecurity: Afghan Refugees And Challenges Of The New Environment, Zahra Goliaei, Mariaelena Gonzalez, Karina Diaz Rios, Mamata Pokhrel, Nancy J Burke
Faculty Publications & Research of the TUC Public Health Program
BACKGROUND: Lack of access to adequate, safe, and nutritious food is a major concern for the Afghan population due to ongoing war and humanitarian crises. Recently resettled Afghan refugees in the US continue to face challenges securing adequate, nutritious food resources in new environments. This study examined Afghan refugees' food access and insecurity in the San Joaquin Valley, California.
METHODS: Semi-structured, in-depth interviews were conducted to collect the perspectives and experiences of key informants and newly arrived Afghan refugees.
RESULTS: This study highlights environmental and structural factors (availability and accessibility of grocery stores; availability of religious-appropriate items in the stores; …
The Child Healthcare At Mater Pediatric Study (Champs): A 2-Arm Cluster Randomized Control Trial Of Group Well Child Care For Mothers In Treatment For Opioid Use Disorder And Their Children, Vanessa L. Short, Diane J. Abatemarco, Erica Sood, Dennis J. Hand, Meghan Gannon, Jobayer Hossain, Neera K. Goyal
The Child Healthcare At Mater Pediatric Study (Champs): A 2-Arm Cluster Randomized Control Trial Of Group Well Child Care For Mothers In Treatment For Opioid Use Disorder And Their Children, Vanessa L. Short, Diane J. Abatemarco, Erica Sood, Dennis J. Hand, Meghan Gannon, Jobayer Hossain, Neera K. Goyal
Department of Pediatrics Faculty Papers
BACKGROUND: Studies suggest that group-based well child care-a shared medical appointment where families come together as a group to receive pediatric primary care-increases patient-reported satisfaction and adherence to recommended care. Evidence supporting the use of group well child care for mothers with opioid use disorder, however, is lacking. The overall objective of the Child Healthcare at MATER Pediatric Study (CHAMPS) trial is to evaluate a group model of well child care for mothers with opioid use disorder and their children.
METHODS: CHAMPS is a single-site 2-arm cluster randomized controlled trial. A total of 108 mother-child dyads will be enrolled into …
Association Of Type 2 Diabetes Subgroups With Cognitive Status Without Modification From Lifestyle Intervention, Michael P Bancks, James Lovato, Ashok Balasubramanyam, Mace Coday, Karen C Johnson, Medha Munshi, Candida Rebello, Lynne E Wagenknecht, Mark A Espeland
Association Of Type 2 Diabetes Subgroups With Cognitive Status Without Modification From Lifestyle Intervention, Michael P Bancks, James Lovato, Ashok Balasubramanyam, Mace Coday, Karen C Johnson, Medha Munshi, Candida Rebello, Lynne E Wagenknecht, Mark A Espeland
Faculty, Staff and Students Publications
CONTEXT: Type 2 diabetes is a risk factor for incident dementia but whether risk and treatment/prevention strategies differ by diabetes subgroup is unknown.
OBJECTIVE: We assessed (1) whether specific type 2 diabetes (T2D) subgroups are associated with mild cognitive impairment (MCI) or probable dementia (PD), and (2) whether T2D subgroups modified the association of the Action for Health in Diabetes (Look AHEAD) multidomain intensive lifestyle intervention (ILI) with MCI/PD.
METHODS: We included 3760 Look AHEAD participants with T2D and overweight or obesity randomly assigned to 10 years of ILI or diabetes support and education. We used k-means clustering techniques with …
Environmental And Demographic Drivers Of A Rapidly Expanding Sub-Arctic Moose Population, Vassily Sebastian Zavoico
Environmental And Demographic Drivers Of A Rapidly Expanding Sub-Arctic Moose Population, Vassily Sebastian Zavoico
Biological Sciences
Anthropogenic forces are dramatically altering the dynamics of many populations and ranges. A thorough understanding of drivers and mechanisms underlying population dynamics is needed to better understand reasons for range shifts and broaden our understanding of how environmental and demographic drivers affect population trajectories. In this thesis, I present two chapters that investigate the population dynamics of a rapidly colonizing moose (Alces alces) population in southwest Alaska. In the first chapter, I correlated environmental variables with demographic rates estimated using a multistate model and found that annual patterns of vegetation productivity and winter severity affected calf survival most strongly, followed …