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2023

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Assessing Stream Ecosystem Structure And Function In An Urban Canal And Logan River In Logan, Utah, Ellie Smith-Eskridge May 2023

Assessing Stream Ecosystem Structure And Function In An Urban Canal And Logan River In Logan, Utah, Ellie Smith-Eskridge

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Humans have constructed canals to support agriculture, to mitigate flooding, and to discharge stormwater, especially in the Intermountain West. These canals are common in Cache Valley, where they receive flows from the Logan River during summer months. However, the ecological structure (e.g., water quality, freshwater invertebrates) and function (e.g., leaf decomposition) of these canals remains largely unknown. Studying ecosystem structure and function of these urban waterways is important because it can inform us of the health of these waterways.

My research had three objectives. First, I compared water chemistry, invertebrate assemblages, and leaf decomposition in an urban canal and the …


Effect Of Increasing Levels Of Gossypol And Fatty Acids Coming From Whole Cottonseed On Rumen Fermentation, Nutrient Digestibility And Microbial Community Composition In Continuous Culture Fermenters, Camila Castro Veloz May 2023

Effect Of Increasing Levels Of Gossypol And Fatty Acids Coming From Whole Cottonseed On Rumen Fermentation, Nutrient Digestibility And Microbial Community Composition In Continuous Culture Fermenters, Camila Castro Veloz

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

In this study we determined the impact of increasing dietary whole cottonseed (WCS) on rumen fermentation, nutrient digestibility, and microbial community composition. This study contributes novel information to the dairy community deepening the understanding of how including different levels of WCS can affect the rumen environment. This research was conducted in continuous culture fermenters. Treatments included a control diet without WCS, or the control diet plus 5, 10, or 15% (dry matter) WCS. The control diet was a 50:50 orchardgrass hay:concentrate mixture fed twice daily. In the second experiment, soybean meal and cottonseed meal (CSM) were included, and rations were …


Status And Enhancement Of Trissolcus Japonicus (Ashmead) (Hymenoptera: Scelionidae) For Biological Control Of Halyomorpha Halys (Stål) (Hemiptera: Pentatomidae) In Northern Utah, Kate V. Richardson May 2023

Status And Enhancement Of Trissolcus Japonicus (Ashmead) (Hymenoptera: Scelionidae) For Biological Control Of Halyomorpha Halys (Stål) (Hemiptera: Pentatomidae) In Northern Utah, Kate V. Richardson

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The invasive brown marmorated stink bug (BMSB) is a major insect pest that invades human structures causing nuisance issues and attacks numerous fruit and vegetable crops in Northern America. As this pest threatens $23 billion worth of specialty and agricultural crops in the U.S. and is difficult to manage due to insecticide resistance, control practices such as the use of biological control through egg parasitoid wasps are critical. In its native range of Asia, BMSB populations are controlled primarily by members of the Trissolcus genus such as the samurai wasp, but U.S. native wasps have demonstrated low success of BMSB …


Consequences Of Host Life Cycles For Symbiont Genome Evolution, Ashley Elizabeth Dederich May 2023

Consequences Of Host Life Cycles For Symbiont Genome Evolution, Ashley Elizabeth Dederich

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Aphids are small insects that feed exclusively on plant sap, a notoriously low source of nutrients due to the high sugar content and low amino acid content. To make up for these deficiencies in nutrition, aphids harbor Buchnera aphidicola, a bacterial endosymbiont that resides in a specialized organ called the bacteriome. B. aphidicola provides essential amino acids and vitamins for the aphid in exchange for a safe place to live. Over the course of the symbiosis (established 160 million years ago), B. aphidicola has lost much of its genome, including essential genes for cell envelope synthesis, DNA replication and …


Young Children's Nutrition, Growth, And Cognitive Development In The Ecuadorian Amazon, Kristin N. Murphy May 2023

Young Children's Nutrition, Growth, And Cognitive Development In The Ecuadorian Amazon, Kristin N. Murphy

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The first few years of life are viewed as a critical period for development. Children who do not grow and develop well in these early years can experience life-long negative implications. Many children under the age of five in Ecuador suffer from high rates of malnutrition, stunting (low height-for-age), and delayed cognitive development. This dissertation aims to better understand why children from Ecuador, specifically from the Amazon region, are experiencing such high rates of delayed development. Fifty children and their mothers living in the Amazon region of Ecuador participated in this research study.

First, interviews were conducted by an Ecuadorian …


Use Of Protective Lactic Acid Bacteria Adjunct Cultures To Decrease The Incidence Of Gas Defects In Cheddar Cheese, Rhees T. Crompton May 2023

Use Of Protective Lactic Acid Bacteria Adjunct Cultures To Decrease The Incidence Of Gas Defects In Cheddar Cheese, Rhees T. Crompton

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Gas production in cheese making is becoming increasingly prevalent in the dairy industry. This gas is produced by microbes that are naturally found in the cheese, and when they metabolize sugar or other sources of energy, they can produce gas. This gas causes slits and cracks in the cheese, which causes the cheese to be worth less and causes issues during slicing and shredding. There are many microbes that cause unwanted gas in cheese, this research focuses on four know gas producers and five other protective microbes that use the same energy sources or have the ability to inhibit the …


The Management Of Non-Ige-Mediated Allergies In Human Milk-Fed Infants, Sarah Kelly Rowe May 2023

The Management Of Non-Ige-Mediated Allergies In Human Milk-Fed Infants, Sarah Kelly Rowe

Graduate Theses

Background: Non-IgE (immunoglobulin E)-mediated food allergies (FA) present diagnostic and management challenges despite guidelines due to knowledge gaps amongst clinicians. Given that 60% of food protein-induced allergic proctocolitis (FPIAP) cases occur in breast-fed infants, maternal elimination diets are routinely prescribed to manage allergy symptoms. The implications of maternal dietary eliminations extend beyond maternal nutrition to consideration of infant nutrition and feeding skill acquisition.

Methods: A survey-based retrospective, cross-sectional study sought to identify dietary triggers and symptom management techniques practiced by (n=59) lactating mothers of infants with confirmed and suspected cases of non-IgE FA in the United States. Statistical significance was …


Inner Portraits, Bethany Salisbury May 2023

Inner Portraits, Bethany Salisbury

Graduate Theses

This paper investigates the many interconnected layers of women’s mental health through portraiture and how animal and plant symbolism can represent the way women's hormones and bodily health affect their mental health. I reveal how the artwork created presents these connections and inner mental health narratives to the viewer, creating a space of empathy, destigmatization, and self-reflection. This body of portraiture art connects five women through a series of both two-and three-dimensional portraits based on interviews using my own adaptation of Sara Lawrence-Lightfoots’ (1983) portrait methodology.

Women and non-binary individuals have always dealt with difficult interactions of bodily and mental …


Improving Health, Diet, & Nutritional Awareness Among The Veteran Population, Denise Hernandez May 2023

Improving Health, Diet, & Nutritional Awareness Among The Veteran Population, Denise Hernandez

Capstone Projects and Master's Theses

The Veterans Transition Center of California (VTC) helps empower veterans that are experiencing homelessness by supporting them with resource connections to improve their health, financial, and housing status. Veterans suffer from poor health both physically and mentally for several reasons, however, having a poor nutritional diet is a common factor that results in critical medical conditions. The purpose of this project was to increase awareness of health, nutrition, and diet among veterans by creating a resource manual full of health-forward recipes using fresh and nutrient-rich ingredients. This manual became accessible to veterans through the VTC food pantry. Two veterans attended …


Oral Health Program Assessment, Jacqueline Quintero May 2023

Oral Health Program Assessment, Jacqueline Quintero

Capstone Projects and Master's Theses

The Local Oral Health Program is a chronic disease prevention program focusing on providing educational workshops to parents who have children enrolled in schools with rates of 80% or higher of free or reduced lunch. Studies and surveys have revealed that low-income children have more cavities than those children in moderate and high-income families and they are not being addressed. The purpose of this project is to assess the effectiveness of the Oral Health Program which provides parents with educational workshops regarding dental services, government assistance, oral hygiene, and nutritional information. Post-surveys were distributed and collected after each workshop by …


Artistic Expression As A Pathway To Mental Wellness, Rio Ochoa May 2023

Artistic Expression As A Pathway To Mental Wellness, Rio Ochoa

Capstone Projects and Master's Theses

Children in low-income communities do not have ways to express their feelings and emotions. Nueva Vista is a non-profit organization in the community of Santa Cruz that provides a variety of services including homework club that serve the communities around Santa Cruz County. The project is a series of workshops in partnership with Artistic Expression as a Pathway to Mental Wellness to give children who are in middle school and high school that come to homework club a way to use art to better their mental health and let their feelings out through their artwork. The workshops focus on the …


Attention To Attendance At Marina Vista, Jaylord Gapol May 2023

Attention To Attendance At Marina Vista, Jaylord Gapol

Capstone Projects and Master's Theses

Marina Vista Arts Elementary school has a high rate of absenteeism among students, which is negatively affecting their education. Problems associated with chronic absenteeism include illness, communication issues between schools and parents, and socioeconomic status. Consequences of chronic absenteeism include being at an academic disadvantage, increased risk of not graduating, and potential involvement with the criminal justice system. The capstone project created an educational flier that standardized the expectations for student attendance and highlights the negative consequences of chronic absenteeism. A database of 50 students were selected for the project with their attendance inputted into a database for tracking. Results …


Benefits Of Using The Montessori Method To Teach Literacy To Tk-2, Taylor Holter May 2023

Benefits Of Using The Montessori Method To Teach Literacy To Tk-2, Taylor Holter

Capstone Projects and Master's Theses

The focus of this senior capstone is to examine the benefits of using the Montessori method to teach literacy to TK-2 grade children. This encompasses children ranging from ages four to eight. Through the use of literature review on how the Montessori method developed, reviews of records, and interviews with Montessori professionals, the result findings indicate that the use of the Montessori method to teach literacy does indeed benefit TK-2 children. In addition, children educated in the Montessori method have a deeper understanding of literacy and possess the knowledge and skills of reading and writing when introducing the concepts of …


Parental Involvement: Breaking Barriers For Immigrants In (K-12) Education, Noe Tinajero May 2023

Parental Involvement: Breaking Barriers For Immigrants In (K-12) Education, Noe Tinajero

Capstone Projects and Master's Theses

The focus of this Capstone Project is on parent involvement for non-English speaking parents and the roadblocks they face. This is an important issue because parental involvement is important in fostering academic success for students. The primary stakeholder perspectives chosen were non-English speaking parents, teachers, and former students. These stakeholder perspectives were chosen given the demographic location of the schools and population. A predominantly immigrant and Hispanic population paved the way for collecting data and understanding the issue. Three themes/action options emerged from an analysis of the interview data.: Cultural Linguistic Services, Teachers Becoming Digital Citizens, and Increasing Resources for …


The Social Dilemma: The Effects Of Social Media On Learning In High School Classrooms, Bailey Goswick May 2023

The Social Dilemma: The Effects Of Social Media On Learning In High School Classrooms, Bailey Goswick

Capstone Projects and Master's Theses

This Capstone Project focuses on How Social Media Affects Learning in High School Classrooms. This is an important issue because Social Media is ubiquitous in the lives of students, and this flows into their classroom learning as well. Social Media has been found to affect students grades, attention span classroom behavior, and so much more. The primary stakeholder perspectives for this project are hearing from current high school students, high school teachers, and high school alumni who have graduated from high school within the last five years. Based on the stakeholders perspectives and data analysis, there has been a consensus …


If Stress Is The Lock Is Communication The Key, Riley Romero, Bailey Julian, Danielle Carter May 2023

If Stress Is The Lock Is Communication The Key, Riley Romero, Bailey Julian, Danielle Carter

Capstone Projects and Master's Theses

The focus of this Capstone Project was meant to analyze the possible issues high school student-athletes may face academically as well as mentally while in school. This issue is important to note because there is an increase in students participating in sports and the offered school support should reflect the growing population. An argument that was found was the possible overlook of the mental well-being of the student-athletes if they are academically succeeding or are accomplished athletes. The primary stakeholders perspectives chosen were current high school student-athletes because they are able to provide insight into the current issues that student-athletes …


Influences Of Chronic Stress On Irritable Bowel Syndrome, Anxiety, Depression, And The Microbiome, Julia A. Semaan May 2023

Influences Of Chronic Stress On Irritable Bowel Syndrome, Anxiety, Depression, And The Microbiome, Julia A. Semaan

Masters Theses

IBS effects approximately 5% of the world’s population with symptoms ranging from unexplainable constipation to daily abdominal pain. Though treatment options are available and have been proven beneficial for certain individuals, discovering the root cause of IBS has been difficult to accomplish due to the variety of symptoms that differ from case to case. This study aims to increase understanding of the influence that chronic stress has on irritable bowel syndrome, anxiety, depression, and the microbiome in the college-age population since this group is likely to experience daily stressors, anxiety- and depressive-like thoughts, as well as IBS symptoms. Current research …


Parental Involvement: Breaking Barriers For Immigrants In (K-12) Education, Maribel Cruz May 2023

Parental Involvement: Breaking Barriers For Immigrants In (K-12) Education, Maribel Cruz

Capstone Projects and Master's Theses

The focus issue of this Capstone Project is on parental involvement among non-English speaking parents and the roadblocks they face. This is important because teachers/schools and non-English speaking parents lack communication regarding their child’s education, events, or resources that may be available. It is argued parental involvement is significant in fostering academic success for students. The primary stakeholder perspectives chosen were non-English speaking parents, teachers, and former students of immigrant parents. These stakeholder perspectives were chosen given the demographic location of the schools and population. Having a predominantly immigrant and Hispanic population paved the way for collecting data and understanding …


Cultivating Wellness Through Peer Education [Poster], Liz Wilgenbusch May 2023

Cultivating Wellness Through Peer Education [Poster], Liz Wilgenbusch

Graduation with Distinction Posters

Discusses the various dimensions that make up a person's health and how the they impact overall wellness with emphasis on sleep.


Increasing Nutrition Education For Collegiate Athletes, Alexandra Diaz May 2023

Increasing Nutrition Education For Collegiate Athletes, Alexandra Diaz

Capstone Projects and Master's Theses

When collegiate athletes do not have nutritional education, they do not properly fuel their body for peak performance on the field and in the classroom. This can lead to disordered eating habits, muscle injuries, and mental health issues. When student- athletes have nutritional intervention and education, they can properly fuel their bodies resulting in faster muscle recovery, higher energy levels, as well as higher GPAs. Therefore, I have created a two-hour workshop on nutrition for the members of the CSUMB women’s soccer team.


Increasing Third Grade Students' Awareness Of Healthy Nutrition, Daisy Cole May 2023

Increasing Third Grade Students' Awareness Of Healthy Nutrition, Daisy Cole

Capstone Projects and Master's Theses

The aim of this project is to increase awareness of healthy nutrition among third-grade students. In recent years, the number of children who suffer from obesity and related health problems has risen. Therefore, it is crucial to educate young students about healthy eating habits and the importance of a balanced diet. This project will utilize various teaching methods such as interactive activities, visual aids, and hands-on activities to engage students and provide a fun learning experience. By the end of the project, students will have gained the knowledge and practical skills that will enable them to make informed decisions about …


Impact Of Biomarker-Matched Therapies On Outcomes In Patients With Sarcoma Enrolled In Early-Phase Clinical Trials (Samba 101), Roberto Carmagnani Pestana, Justin T Moyers, Jason Roszik, Shiraj Sen, David S Hong, Aung Naing, Cynthia E Herzog, Siqing Fu, Sarina A Piha-Paul, Jordi Rodon, Timothy A Yap, Daniel D Karp, Apostolia M Tsimberidou, Shubham Pant, Maria A Zarzour, Ravin Ratan, Vinod Ravi, Robert S Benjamin, Alexander J Lazar, Wei-Lien Wang, Najat Daw, Jonathan B Gill, Douglas J Harrison, Valerae O Lewis, Christina L Roland, Shreyaskumar R Patel, J Andrew Livingston, Neeta Somaiah, Joseph A Ludwig, Anthony P Conley, Nelson Hamerschlak, Richard Gorlick, Funda Meric-Bernstam, Vivek Subbiah May 2023

Impact Of Biomarker-Matched Therapies On Outcomes In Patients With Sarcoma Enrolled In Early-Phase Clinical Trials (Samba 101), Roberto Carmagnani Pestana, Justin T Moyers, Jason Roszik, Shiraj Sen, David S Hong, Aung Naing, Cynthia E Herzog, Siqing Fu, Sarina A Piha-Paul, Jordi Rodon, Timothy A Yap, Daniel D Karp, Apostolia M Tsimberidou, Shubham Pant, Maria A Zarzour, Ravin Ratan, Vinod Ravi, Robert S Benjamin, Alexander J Lazar, Wei-Lien Wang, Najat Daw, Jonathan B Gill, Douglas J Harrison, Valerae O Lewis, Christina L Roland, Shreyaskumar R Patel, J Andrew Livingston, Neeta Somaiah, Joseph A Ludwig, Anthony P Conley, Nelson Hamerschlak, Richard Gorlick, Funda Meric-Bernstam, Vivek Subbiah

Faculty, Staff and Student Publications

Purpose: Developing new therapeutics for any of the more than 100 sarcoma subtypes presents a challenge. After progression from standard therapies, patients with sarcoma may be referred for enrollment in early-phase trials. This study aimed to investigate whether enrollment in biomarker-matched early-phase clinical trials leads to better outcomes for patients with advanced sarcoma.

Experimental design: In this retrospective analysis, investigational treatment characteristics and longitudinal survival outcomes were analyzed in patients with biopsy-confirmed sarcoma enrolled in early-phase trials at MD Anderson Cancer Center from May 2006 to July 2021.

Results: Five hundred eighty-seven patients were included [405 soft tissue, 122 bone, …


The Feasibility Of A Large-Amplitude Aquatic-Based Exercise Occupational Therapy Program For Individuals With Early Parkinson’S Disease, Brigitte Baker May 2023

The Feasibility Of A Large-Amplitude Aquatic-Based Exercise Occupational Therapy Program For Individuals With Early Parkinson’S Disease, Brigitte Baker

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: The purpose of this research was to determine if a 4-week aquatic-based, large-amplitude exercise program would increase strength and coordination for occupational performance in areas of activities of daily living (ADLs) and mobility in individuals with Parkinson's disease (PD) stage I-II, functional mobility as measured by Timed Up and Go test, and quality of life as measured by PDQ-39 in relation to occupational engagement.Methodology: Recruitment was through capstone placement site, Hands on Rehab, 7921 Professional Circle, Huntington Beach, CA 92648, in which a signed EAA was on file. Informed Consent was reviewed by the student-clinician as well as the …


An Immersive Virtual Reality Treatment Learning Module For Unlv Occupational Therapy Students, Paolo Castro May 2023

An Immersive Virtual Reality Treatment Learning Module For Unlv Occupational Therapy Students, Paolo Castro

UNLV Theses, Dissertations, Professional Papers, and Capstones

Virtual reality refers to the technology used to create multi-sensory, three-dimensional environments its users can interact with. Occupational therapists may find virtual reality-based therapy appealing as it allows them to access many virtual environments and tasks that would be difficult to recreate in traditional settings. Despite literature suggesting their willingness to use it in practice, there is an evidence-to-practice gap caused by low self-efficacy and knowledge of how to operate and apply it. The author created a learning module for occupational therapy students to see how it affects perceived clinical competency. The results of the learning module showed statistically significant …


Oxygen Consumption In Highly Skilled Baseball Pitchers, Jesse Clingman May 2023

Oxygen Consumption In Highly Skilled Baseball Pitchers, Jesse Clingman

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to describe the physiological demands of highly skilled baseball pitchers during pitching, along with pitch metrics. Three junior college and three professional (n = 6) baseball pitchers participated in this study. Participants completed a graded exercise test (GXT) to volitional exhaustion to determine maximal oxygen consumption (VO2 max) and estimated body fat percentage, height, and body mass were measured on day one of testing. Next, participants faced live batters on a baseball field while wearing a portable metabolic analyzer (Cosmed K5) to measure respiratory gases including oxygen consumption (VO2) and carbon dioxide produced (VCO2) …


The Efficacy Of An Educational Toolkit To Enhance Knowledge Of Pediatric Reflux Management Among Occupational Therapists, Kelly Cullerton May 2023

The Efficacy Of An Educational Toolkit To Enhance Knowledge Of Pediatric Reflux Management Among Occupational Therapists, Kelly Cullerton

UNLV Theses, Dissertations, Professional Papers, and Capstones

This manuscript describes a quality improvement project completed by a student in the University of Nevada Las Vegas Occupational Therapy Doctorate Program. The project tests the efficacy of an educational toolkit for occupational therapists staffed at an acute care hospital in Las Vegas, Nevada, to increase their perceived knowledge of and ability to educate families on conservative management techniques for pediatric reflux management. Results indicate that the toolkit demonstrated efficacy in achieving this objective. The toolkit provided useful staff education and parent handouts for the occupational therapists to utilize in patient care as appropriate. This project’s ultimate aim was to …


The Influence Of Transcranial Alternating Current Stimulation On Fatigue Resistance, Kayla De Guzman May 2023

The Influence Of Transcranial Alternating Current Stimulation On Fatigue Resistance, Kayla De Guzman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Fatigue is an exercise-induced reduction in muscle force generating capacity. Several studies have shown that some forms of non-invasive brain stimulation can increase the resistance to fatigue during sustained isometric contractions. The purpose was to determine the influence of transcranial alternating current stimulation (tACS) on the time to task failure (TTF) of a precision grip task in young adults. Twenty-two healthy young men and women participated in the study. The study utilized a randomized, double-blind, SHAM-controlled, within-subjects, crossover design. Each participant completed two experimental sessions (tACS, SHAM) with a 7-day washout period between sessions. Each session involved performance of a …


Increasing Self-Perceived Competence In Performing Independent Living Skills Among Unhoused Youth And Young Adults, Stacie M. Gomez May 2023

Increasing Self-Perceived Competence In Performing Independent Living Skills Among Unhoused Youth And Young Adults, Stacie M. Gomez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: The aim of this project is to determine if the development and implementation of an independent living skills workshop would improve the perceived competence of unhoused youth in performing independent living skills.Methods: The Casey Life Skills Short Assessment was used as a pre-test and post-test. It was found that unhoused young adults generally scored low on finding affordable housing, budgeting, banking skills, education training, and feeling a sense of pride in their lives. A four-week independent living skills program was designed and implemented, which included workshops focused on identified needs. The data was analyzed using a Paired Samples t-Test …


Perceived Usefulness, Ease Of Use, And Satisfaction Of A Swaddle Bathing Educational Guide Among Parents/Guardians Of Nicu Premature Infants, Makenzie Leigh Hogbin May 2023

Perceived Usefulness, Ease Of Use, And Satisfaction Of A Swaddle Bathing Educational Guide Among Parents/Guardians Of Nicu Premature Infants, Makenzie Leigh Hogbin

UNLV Theses, Dissertations, Professional Papers, and Capstones

The current availability of high-quality and comprehensive educational resources made available to parents and guardians with infants admitted to the Neonatal Intensive Care Unit is limited in terms of content and provision. Additionally, there exists a plethora of information regarding the impact of the sensory environment on premature and critically ill infants as well as interventions to mitigate these effects that are not efficiently conveyed to their families. Previous research asserts that consistency with the application of sensory interventions with these infants bodes well for positive outcomes, leading one to believe that caregivers may benefit from learning these strategies so …


Telehealth In Patients With Type 2 Diabetes Mellitus, Saghi Nassrouie May 2023

Telehealth In Patients With Type 2 Diabetes Mellitus, Saghi Nassrouie

UNLV Theses, Dissertations, Professional Papers, and Capstones

Description: Type 2 diabetes mellitus (DM2) is an epidemic that has many factors involved in its management to maintain control. Patients with DM2 require routine evaluations and blood work to provide comprehensive care. COVID-19 caused major shifts in traditional care which sparked an increase in the utilization of technology like telehealth. Telehealth can be an effective tool used to manage diabetes and help attain better glucose control, but its effectiveness during the COVID-19 pandemic warrants further investigation.Purpose: The purpose of this project was to determine if telehealth visits were more effective in reducing Hemoglobin A1c (HbA1c) in adult patients with …