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Articles 961 - 990 of 10920
Full-Text Articles in Entire DC Network
Composite Index Of Anthropometric Failure And Early Childhood Cognitive Development Based On The 2018 Indonesian Basic Health Research Data, Safira Zamrudiani, Abdul Wahab, Rosalia Kurniawati Harisaputra
Composite Index Of Anthropometric Failure And Early Childhood Cognitive Development Based On The 2018 Indonesian Basic Health Research Data, Safira Zamrudiani, Abdul Wahab, Rosalia Kurniawati Harisaputra
Kesmas
Delays in early childhood cognitive development may have profound long-term implications on health and life expectancy. Optimal nutrition supports early life development, including a child's cognitive development. This study aimed to determine the association between the Composite Index of Anthropometric Failure and early childhood cognitive development among children aged 36-59 months in Indonesia. This cross-sectional study utilized data from the 2018 Indonesian Basic Health Research that involved 18,027 participants aged 36-59 months. This study outcome demonstrated that children who were stunted-underweight were potentially susceptible to delayed cognitive development compared to those with normal nutritional status (aOR = 1.30; 95% CI …
2023-November-30-How To Manage Finals Week Stress.Pdf, University Marketing And Communication, East Tennessee State University
2023-November-30-How To Manage Finals Week Stress.Pdf, University Marketing And Communication, East Tennessee State University
ETSU News
Ever had that dream where you walk into class the day of the final exam, and in the very moment when you panic, realizing you’ve not been to class the entire semester, haven’t taken one note and haven’t cracked open the textbook, you wake up with a jolt?
Hopefully no East Tennessee State University students find themselves in the predicament of that common dream in reality, but the feelings of stress and anxiety surrounding end-of-semester projects and studying for final exams are all too real for many.
Finals Week as well as the week before – commonly called “Dead Week,” …
Comparison Of Factors Responsible For The High Prevalence Of Pregnancy-Induced Hypertension, Maternal Death, And Preterm Birth Among Black Women In Washington, Dc And Massachusetts, Caroline Ohakwe
Walden Dissertations and Doctoral Studies
No abstract provided.
The Social Determinants Of Health And Genocide: Towards A Public Health Integrated Framework Of Genocide And Mass Violence, Sian Persad, Cheng Xu
The Social Determinants Of Health And Genocide: Towards A Public Health Integrated Framework Of Genocide And Mass Violence, Sian Persad, Cheng Xu
Genocide Studies and Prevention: An International Journal
This paper makes a normative argument about transformations of public health as a necessary condition required in any transitional justice process. We seek to bridge the gap between the fields of genocide and public health to understand the recursive relationship between genocide and the social determinants of health. We show that structures and institutions established during genocide create enduring impacts on the public health outcomes of victim and survivor groups even after the ousting of the original perpetrators. Our comparative analysis of the Rwandan Genocide and the colonial genocide of Indigenous communities in Canada surveys the available public health literature …
Predictors Of Quality Of Life Among Omani Family Caregivers Of Patients With Traumatic Brain Injury, Devakirubai Jacob, Joshua K. Muliira, Eilean R. Lazarus, Hema Roslin
Predictors Of Quality Of Life Among Omani Family Caregivers Of Patients With Traumatic Brain Injury, Devakirubai Jacob, Joshua K. Muliira, Eilean R. Lazarus, Hema Roslin
Sultan Qaboos University Medical Journal
Objectives: This study aimed to explore the quality of life (QoL) of Omani family caregivers (FCs) of patients with traumatic brain injury (TBI). After acute care, the burden of caring for patients with TBI is mainly shouldered by FCs. Methods: This cross-sectional study was conducted at Khoula Hospital, Muscat, Oman. Patient data were collected at the time of discharge and 8 weeks post-discharge between April 2019 and December 2021. The SF-12 General Health Survey and Preparedness for Caregiving scale were used to measure the caregivers’ QoL and preparedness, respectively. The Disability Rating and TBI Symptom scales were used to measure …
The Association Of Maternal Education, Income, And Race On Reduction Childhood Obesity, Ronell Michel
The Association Of Maternal Education, Income, And Race On Reduction Childhood Obesity, Ronell Michel
Walden Dissertations and Doctoral Studies
No abstract provided.
November 30, 2023, James Madison University
November 30, 2023, James Madison University
The Breeze, 2020-
The Breeze is the student newspaper of James Madison University in Harrisonburg, Virginia.
Caregiving Preparedness And Caregiver Burden In Omani Family Caregivers For Patients With Acquired Brain Injury, Hema Roslin, Joshua K. Muliira, Eilean R. Lazarus, Devakirubai Jacob, Warda Al-Habsi, Fatma Al-Musallami
Caregiving Preparedness And Caregiver Burden In Omani Family Caregivers For Patients With Acquired Brain Injury, Hema Roslin, Joshua K. Muliira, Eilean R. Lazarus, Devakirubai Jacob, Warda Al-Habsi, Fatma Al-Musallami
Sultan Qaboos University Medical Journal
Objectives: This study aimed to explore the caregiving preparedness and caregiver burden among Omani family caregivers (FCs) of patients with acquired brain injury (ABI). Methods: This prospective observational study was conducted at the neurology clinic at Khoula Hospital, Muscat, Oman, from April 2019 to December 2021. Data were collected from 119 FCs and their patients at the time of discharge from the hospital and 16 weeks post-discharge during follow-up care. The questionnaire comprised the Zarit Burden Index, the Preparedness for Caregiving Scale, the Short-Form-12 Health Survey, and a patient symptom scale. Results: The FCs were predominantly female (53.8%), and the …
The Effect Of Group Prenatal Care On The Empowerment Of Pregnant Adolescents: Randomised Controlled Trial, Fatemeh Malchi, Parvin Abedi, Mina Iravani, Elham Maraghi, Eesa Mohammadi, Najmieh Saadati
The Effect Of Group Prenatal Care On The Empowerment Of Pregnant Adolescents: Randomised Controlled Trial, Fatemeh Malchi, Parvin Abedi, Mina Iravani, Elham Maraghi, Eesa Mohammadi, Najmieh Saadati
Sultan Qaboos University Medical Journal
Objectives: This study aimed to evaluate the effect of group prenatal care (GPNC) on the empowerment of pregnant adolescents. Methods: In this trial, 294 pregnant adolescents (aged 15–19 years) were randomly assigned into the GPNC (n = 147) and individual prenatal care (IPNC; n = 147) groups, where they received 5 sessions of GPNC (90–120 min) and IPNC, respectively, between the 16th and 40th weeks of pregnancy. The empowerment of participants in the two groups was measured using the Empowerment Scale for Pregnant Women. Data were analysed using various tests. Results: The mean total score of pregnant women’s empowerment in …
Standardized Total Fitness Scores And Phase Angle In Cancer Survivors, Paulette Yamada, Trevor Short
Standardized Total Fitness Scores And Phase Angle In Cancer Survivors, Paulette Yamada, Trevor Short
Topics in Exercise Science and Kinesiology
Topics in Exercise Science and Kinesiology Volume 4: Issue 1, Article 20, 2023. Cancer treatment can lead to decrement in all components of fitness. Exercise can attenuate these effects and build fitness. Exercise program design for this population continues to evolve with high-intensity interval training at the forefront. Phase angle (PhA) is an indirect measure of cellular health and function and is associated with fitness, health, and reduced disease severity. Continued exploration spurs an emerging question: What type of training should be used to maximize improvements in PhA? We provide a visualization of a cancer rehabilitation fitness profile and present …
Evangelical Health Systems Annual Report, 1986, Advocate Aurora Health
Evangelical Health Systems Annual Report, 1986, Advocate Aurora Health
Historical Documents - Combined
Evangelical Health Systems, Oak Brook, IL: Annual report of the Evangelical Health Systems. Includes data from legacy hospitals: Christ Hospital, Good Samaritan Hospital, Good Shepherd Hospital, and Bethany Hospital. Christ Hospital became Christ Hospital and Medical Center. Woodlawn Hospital closed and merged with Bethany Hospital. Evangelical School of Nursing no longer admitted new students, planning a final graduating class for 1988.
Learn X Design 2023 Editorial, Derek Jones, Violeta Clemente, James Corazzo, Nicole Lotz, Liv Merete Nielsen, Noel Lesley-Ann, Naz A.G.Z. Börekçi
Learn X Design 2023 Editorial, Derek Jones, Violeta Clemente, James Corazzo, Nicole Lotz, Liv Merete Nielsen, Noel Lesley-Ann, Naz A.G.Z. Börekçi
Learn X Design Conference Series
The 7th International Conference for Design Education Researchers, Learn X Design 2023, was convened as a call for papers and publication of proceedings. This allowed an extended review and development period for authors to develop submissions. The process ran from January to December 2023. A 135-member international scientific panel undertook double-blind peer reviews, and the Academic Committee, comprising the seven members of the Design Research Society EdSIG Convening Group, monitored reviews and carried out additional reviews where needed. 236 authors affiliated to institutions in 31 countries, contributed 106 submissions. Submission types included research papers, case studies, conversations, and visual papers. …
An Education Model For Creating Engagement In Sdg Action, Yanfang Zhang, Melanie Sarantou, Christian Cruz
An Education Model For Creating Engagement In Sdg Action, Yanfang Zhang, Melanie Sarantou, Christian Cruz
Learn X Design Conference Series
No abstract provided.
The Decision, Victor Udoewa
Unfolding The Self: Storytelling Through Interactive Packaging With Augmented Reality, Linh Dao
Unfolding The Self: Storytelling Through Interactive Packaging With Augmented Reality, Linh Dao
Learn X Design Conference Series
No abstract provided.
Average Household Income In Relation To Individual Dietary Consumption Of Fruits And Vegetables, Liz Burchfield, Bella Spencer
Average Household Income In Relation To Individual Dietary Consumption Of Fruits And Vegetables, Liz Burchfield, Bella Spencer
Symposium of Student Scholars
The purpose of this analysis is to review data from the USDA Economic Research Survey in a data collection regarding FoodAPS National Household Food Acquisition and Purchase Survey. Our data include a sample size of 4,826 participating households with 279 variables describing each household. Several variables were utilized which include average collective income for households, perceptions of fruit and vegetable prices and quality, self-reporting items about perceived fruit and vegetable consumption, and financial survey responses. With these chosen variables we made initial inferences that there would be a relationship between income and fruit consumption. We predict that throughout the duration …
Loss Of The Methylarginine Reader Function Of Snd1 Confers Resistance To Hepatocellular Carcinoma, Tanner Wright, Yalong Wang, Sabrina A Stratton, Manu Sebastian, Bin Liu, David G Johnson, Mark T Bedford
Loss Of The Methylarginine Reader Function Of Snd1 Confers Resistance To Hepatocellular Carcinoma, Tanner Wright, Yalong Wang, Sabrina A Stratton, Manu Sebastian, Bin Liu, David G Johnson, Mark T Bedford
Faculty, Staff and Student Publications
Staphylococcal nuclease Tudor domain containing 1 (SND1) protein is an oncogene that 'reads' methylarginine marks through its Tudor domain. Specifically, it recognizes methylation marks deposited by protein arginine methyltransferase 5 (PRMT5), which is also known to promote tumorigenesis. Although SND1 can drive hepatocellular carcinoma (HCC), it is unclear whether the SND1 Tudor domain is needed to promote HCC. We sought to identify the biological role of the SND1 Tudor domain in normal and tumorigenic settings by developing two genetically engineered SND1 mouse models, an Snd1 knockout (Snd1 KO) and an Snd1 Tudor domain-mutated (Snd1 KI) mouse, whose mutant SND1 can …
Assessing Germinating Seeds Of Legume And Cereal Crops To Enhance Oxygen Depletion: A Novel Approach In Hermetic Storage, Gunakeshari Lamsal, Jeffrey Volenec, Kingsly Ambrose, Dieudonne Baributsa
Assessing Germinating Seeds Of Legume And Cereal Crops To Enhance Oxygen Depletion: A Novel Approach In Hermetic Storage, Gunakeshari Lamsal, Jeffrey Volenec, Kingsly Ambrose, Dieudonne Baributsa
Purdue University Libraries Open Access Publishing Fund
Hermetic storage systems are used around the world to reduce stored product losses. Scavenging residual oxygen in hermetic containers can further enhance their effectiveness in minimizing stored commodity losses. Our objective was to assess the effectiveness of germinating seeds of soybeans, rice, cowpeas, and corn in scavenging oxygen. There were six germination stages: seeds soaked for 24 h and allowed to grow for 1, 2, 3, 4, 5, or 6 days (T1 to T6). Oxygen consumption was monitored for 30 h. Root length, the weight of mobilized seed reserve, and visual fungal growth were also assessed. The results showed that …
Predictive Analytics Supporting Labor Market Success: A Career Explorer For Job Seekers And Workforce Professionals In Michigan, Christopher J. O'Leary, Salomon Orellana, Kevin Doyle, Randall W. Eberts, Ben Damerow, Amy Meyers, Kenneth J. Kline, Anna Wilcoxson, Beth C. Truesdale, Scott Powell
Predictive Analytics Supporting Labor Market Success: A Career Explorer For Job Seekers And Workforce Professionals In Michigan, Christopher J. O'Leary, Salomon Orellana, Kevin Doyle, Randall W. Eberts, Ben Damerow, Amy Meyers, Kenneth J. Kline, Anna Wilcoxson, Beth C. Truesdale, Scott Powell
Upjohn Institute Working Papers
Career Explorer provides customized career exploration tools for workforce development staff and job seekers in Michigan. There are separate Career Explorer modules for mediated staff services and self-service by job seekers. The system was developed by the Michigan Center for Data and Analytics in collaboration with the W.E. Upjohn Institute for Employment Research and Michigan Works! Southwest. It was funded by the U.S. Department of Labor’s Office of Workforce Investment and the Schmidt Futures foundation’s Data for the American Dream (D4AD) project. In this paper, we describe specifications of the models behind the frontline-staff-mediated version of Career Explorer, which are …
Efficacy And Safety Of Ciltacabtagene Autoleucel And Idecabtagene Vicleucel In Multiple Myeloma Patients, Buthainah Ghanem, Marc L. Fleming, Lawrence M. Brown, Rosa Rodriguez-Monguio, Enrique Seoane-Vazquez
Efficacy And Safety Of Ciltacabtagene Autoleucel And Idecabtagene Vicleucel In Multiple Myeloma Patients, Buthainah Ghanem, Marc L. Fleming, Lawrence M. Brown, Rosa Rodriguez-Monguio, Enrique Seoane-Vazquez
Student Scholar Symposium Abstracts and Posters
Background: Ciltacabtagene autoleucel (cilta-cel) and idecabtagene vicleucel (ide-cel) are chimeric antigen receptor (CAR) T-cell therapies used to treat adult patients with relapsed or refractory multiple myeloma (rrMM) after at least four lines of therapy. However, no head-to-head clinical trials to compare them have been conducted.
Objective: To compare between CARTITUDE-1 and KarMMa clinical trials in terms of efficacy, safety, and patient characteristics.
Method: Overall response rate (ORR) and safety signals were compared using reporting odds ratios (RORs) with 95% confidence intervals (CIs) at p < 0.05. Overall survival (OS) and progression-free survival (PFS) were compared using the Kaplan–Meier method with a log-rank test. Patient characteristics were compared using the chi-square test. Statistical analyses were conducted using Microsoft Excel and R version 4.0.5.
Results: Statistically significant differences were observed between cilta-cel and ide-cel in terms of ORR, complete response …
Pasta And Politics: A Taste Of Culinary Xenophobia In Italy, Rachel Berns
Pasta And Politics: A Taste Of Culinary Xenophobia In Italy, Rachel Berns
Student Scholar Symposium Abstracts and Posters
Italy has become a common “landing country” for many European and Asian immigrants, creating a perception of invasion that has led to cultural reactionism masked in the reinforcement of “traditional cuisine.” For so-called traditional foods to endure, they must continually be reinvented, bearing different meanings and social values throughout time and space while accumulating rich, cultural baggage that serves as a powerful marker of identity in a given society. This project explores the role of traditional cuisine in Italian national identity and pride, and the subsequent historical culinary antagonism maintained in widespread attitudes toward ethnic cuisine in Italy. Through an …
Clinical Efficacy Of Nutritional Supplements In Atopic Dermatitis: Systematic Review, Isaac Weber, Emily Woolhiser, Noah Keime, Margaret Wasvary, Madeline J. Adelman, Torunn E. Sivesind, Robert P. Dellavalle
Clinical Efficacy Of Nutritional Supplements In Atopic Dermatitis: Systematic Review, Isaac Weber, Emily Woolhiser, Noah Keime, Margaret Wasvary, Madeline J. Adelman, Torunn E. Sivesind, Robert P. Dellavalle
Student Publications
Background: Atopic dermatitis (AD), also known as eczema, is a chronic inflammatory skin condition that presents with symptoms of intense pruritus, dryness, and erythema. Dissatisfaction with first-line therapies for AD, the desire to avoid steroids, and the extreme cost of effective biologics have created a demand for alternative treatment options such as oral vitamins and nutritional supplements.
Objective: The purpose of this review was to assess the effectiveness of oral nutritional supplements, pre- and probiotics, and vitamin deficiencies and supplements on AD symptomology and clinical course.
Methods: We searched Scopus, PubMed, and MEDLINE (Ovid interface) for English-language articles published between …
Affirming And Supporting Black Women’S Lactation Agency As Redress, Dorothy Couchman
Affirming And Supporting Black Women’S Lactation Agency As Redress, Dorothy Couchman
San Diego Law Review
This Article opens with Truth baring her breasts for four reasons. First, for many women like Truth who survived enslavement, lactation was a specifically gendered and racialized site of atrocity. Under chattel slavery in the United States, enslaved women were prevented from breastfeeding their infants as needed, compelled to wean their children far too early at the demands of their enslavers, or made to wet-nurse their enslavers’ White children in place of their own. This lactational coercion was part of a larger atrocity of reproductive abuse perpetuated against enslaved women.
Second, as Truth notes, enslaved women’s children were harmed when …
Exploring Food Bank Deserts And Child Hunger In The Socioeconomic Contexts Of K-12 Schools, Cathy Thompson Pope
Exploring Food Bank Deserts And Child Hunger In The Socioeconomic Contexts Of K-12 Schools, Cathy Thompson Pope
Electronic Theses and Dissertations Archive
Food insecurity is of great concern in this country as more and more children, seniors, and families experience inadequate nutritious food to live healthy, productive lives. A case study of Mid-South Food Bank examines the concept of food bank deserts and looks at how children and families in low-income neighborhoods might have access to food. Previous definitions of food bank deserts have neglected to include two criteria present in food deserts, that is low-income and low accessibility to food resources. Utilizing Geographic Information Systems (GIS), this paper will define, create, and analyze spatial connections between bus stops, food bank partner …
Stomach Contents And Feeding Habits Of Diaramma Pictum And Pomadasys Argenteus Family Of Haemulidae From Coasts Of Aden Governorate – Yemen, Kamal Ahmed Baaoom, Taha Saleh Salem, Eshrak Abdulqader Al-Nawi
Stomach Contents And Feeding Habits Of Diaramma Pictum And Pomadasys Argenteus Family Of Haemulidae From Coasts Of Aden Governorate – Yemen, Kamal Ahmed Baaoom, Taha Saleh Salem, Eshrak Abdulqader Al-Nawi
Hadhramout University Journal of Natural & Applied Sciences
The feeding habits of two species fish, D. pictum and P. argenteus (Family: Haemulidae), were studied monthly from July 2021 to June 2022. Contents of 214 stomachs of D. pictum and 223 stomachs of P. argenteus were analyzed using Fullness index and percentage of occurrence, According to vacuity index for to species, the percentage were 45.3% and 44.4% respectively. The contents of the stomach were examined; it was found that the food of D. pictum consisted of crustaceans, fish, molluscs and sea grasses. The food to P. argenteus consists of crustaceans, molluscs and fish, where crustaceans constituted the main food …
Helicobacter Pylori And Intestinal Parasites Co-Infection: Estimation Of Risk Factors Among Dyspeptic Patients In Mukalla City, Hadhramout, Yemen, Eidha Ali Bin-Hameed Bin-Hameed, Huda Mohammed Barajash Barajash
Helicobacter Pylori And Intestinal Parasites Co-Infection: Estimation Of Risk Factors Among Dyspeptic Patients In Mukalla City, Hadhramout, Yemen, Eidha Ali Bin-Hameed Bin-Hameed, Huda Mohammed Barajash Barajash
Hadhramout University Journal of Natural & Applied Sciences
The prevalence of Helicobacter pylori (H. pylori) infection among dyspeptic patients was common in developing countries. H. pylori is capable of colonizing the gastric mucosa, and the infections often lead to the development of various gastrointestinal complaints. Human colonization by H. pylori and intestinal parasites is also common. This study aimed to estimate the prevalence co-infection of H. pylori and intestinal parasites and associated risk factors among dyspeptic patients referred to Mukalla city hospitals, Hadhramout, Yemen. In this cross-sectional study, one hundred stool samples were collected and diagnosed for detection H. pylori infection by rapid immunochromatographic stool-based antigen …
An Analysis Of Poverty Convergence: Evidence From Pennsylvania Counties, Angel Alcantara, Stephanie M. Brewer, James J. Jozefowicz
An Analysis Of Poverty Convergence: Evidence From Pennsylvania Counties, Angel Alcantara, Stephanie M. Brewer, James J. Jozefowicz
The Journal of Economics and Politics
This paper extends applications of unconditional and conditional β-convergence and σ-convergence analysis to poverty rates in a panel data sample of Pennsylvania counties during the period 1990-2019. Spatial structural breaks between rural and urban counties in Pennsylvania plus the possibility that Philadelphia County is an outlier are acknowledged to avoid spurious inferences. The findings support the existence of unconditional β-convergence in the pooled, urban, and rural samples with non-metropolitan areas exhibiting the greatest convergence. However, the largest conditional β-convergence is observed for urban counties, and this outcome is robust to the exclusion of Philadelphia County. Graphical evidence evinces a greater …
Promoting Mammography Screenings In African American Women: Media, Church, And Health Providers, Lasonya Little, Debra C. Wallace, K.Jay Poole
Promoting Mammography Screenings In African American Women: Media, Church, And Health Providers, Lasonya Little, Debra C. Wallace, K.Jay Poole
Journal of Health Disparities Research and Practice
Due to the underutilization of screening mammography, African American women (AAW) are more likely to experience negative health outcomes after receiving a late-stage breast cancer diagnosis than White Women (WW). The purpose of this article is to examine the roles of the media, health community and the African American church and pastor and their potential impact in AAW screening decisions. Fifteen AAW, ages 45 and older, were invited to participate in a semi-structured interview. Most women agreed the African American pastor and church as well as the health community, and media are an integral part of their lives. Therefore, specific …
Understanding Firearm Purchasing During A Purchasing Surge Among Black Individuals, Esprene Liddell-Quintyn, Jasmin Brooks Stephens, Michael D. Anestis
Understanding Firearm Purchasing During A Purchasing Surge Among Black Individuals, Esprene Liddell-Quintyn, Jasmin Brooks Stephens, Michael D. Anestis
Journal of Health Disparities Research and Practice
Abstract
Purpose: During 2020, the US experienced a record-breaking year for firearm purchases, with major spikes occurring at the beginning of the COVID-19 pandemic in March 2020, and in June 2020. This study aimed to examine the factors associated with firearm purchasing during a purchasing surge among Black individuals and to document their reasons for surge purchasing.
Methods: We conducted a cross sectional survey from January to June 2021. Participants were recruited through quota sampling using Qualtrics. This study focuses on a sample of Black individuals (n=1115) from which a subsample of respondents (n=108) indicated that they purchased firearms since …
Pili Pono Practice: A Qualitative Study On Reimagining Native Hawaiian Food Sovereignty Through Malama Backyard Aquaponics, Pahonu Coleman, Samantha Keaulana, J Kahaulahilahi Vegas, Phoebe W. Hwang, Leshay Keliiholokai, Jane J. Chung-Do, Ikaika Rogerson, Ilima Ho-Lastimosa
Pili Pono Practice: A Qualitative Study On Reimagining Native Hawaiian Food Sovereignty Through Malama Backyard Aquaponics, Pahonu Coleman, Samantha Keaulana, J Kahaulahilahi Vegas, Phoebe W. Hwang, Leshay Keliiholokai, Jane J. Chung-Do, Ikaika Rogerson, Ilima Ho-Lastimosa
Journal of Health Disparities Research and Practice
Living in one of the most remote island chains in the world, Native Hawaiians developed sophisticated food cultivation systems that sustained a thriving and robust population for centuries. These systems were disrupted by colonization, which has contributed to the health disparities that Native Hawaiians face today. MALAMA, a culturally-grounded backyard aquaponics program, was developed to promote food sovereignty among Native Hawaiians. This study utilized participant interview and focus group data to identify how participating in the MALAMA program impacts the wellbeing. The findings demonstrate that MALAMA enhanced the participants’ pilina (relationship, connection) to traditional foods, land, cultural identity, family, and …