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2024

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The Adolescent Community Reinforcement Approach With Contingency Management: Examining The Effectiveness Of Relapse Prevention Program For Adolescents, Gwendolyn Bullard Jan 2024

The Adolescent Community Reinforcement Approach With Contingency Management: Examining The Effectiveness Of Relapse Prevention Program For Adolescents, Gwendolyn Bullard

Theses and Dissertations

This applied dissertation was designed to examine the efficacy of the adolescent community reinforcement approach with and without contingency management to improve the lives of adolescents with substance use disorder in relapse prevention programs. Adolescents with substance use disorder do not have access to effective continuing care and relapse prevention in rural towns in the state of Georgia. There is no ongoing care for adolescents with substance use disorder that incorporates a comprehensive treatment plan that includes community reinforcement approaches along with contingency management.

Relying on a multi-element research design, the researcher investigated the interaction between the adolescent community reinforcement …


Parent Participation In Student Academics And Behaviors At An Urban Early Learning Center Utilizing The Two-Generation Approach To Education, Angela E. Hamilton Jan 2024

Parent Participation In Student Academics And Behaviors At An Urban Early Learning Center Utilizing The Two-Generation Approach To Education, Angela E. Hamilton

Theses and Dissertations

The problem in the study was students living in low-income areas, below the poverty level, were vulnerable to experiencing less academic and behavioral success in school. The purpose was to understand how the experiences of parents engaged in a twogeneration approach impacted the success of students living in poverty. The early education and care of young children, especially those of low socioeconomic status, was essential for child development. Children who attended these programs were more likely to develop the necessary skills to become lifelong learners. When children attended early childhood education programs, it helped prepare them cognitively and socially prior …


Advancing Human Rights And The Rule Of Law In Haiti, Kate E. Bloch, Ariel Chéry, Marie Gerda Dorcy, Roxane Edmond Dimanche, Yvon Janvier, Maxo Mezilas, Benjamin Trouille Jan 2024

Advancing Human Rights And The Rule Of Law In Haiti, Kate E. Bloch, Ariel Chéry, Marie Gerda Dorcy, Roxane Edmond Dimanche, Yvon Janvier, Maxo Mezilas, Benjamin Trouille

Faculty Scholarship

The rule of law in Haiti is precarious. The ESCDROJ law school clinic in the town of Jérémie champions indigent individuals whose human rights are under siege during their prolonged and unconstitutional pre-trial connement in prison. To our knowledge, it is the only operating in-house law school clinic in Ha1iti. Despite myriad obstacles, during its initial pre-pandemic period of op- eration in 2018-2019, the inaugural clinic team represented clients in 43 cases brought to trial and succeeded in garnering the release of 25 of those individuals. That is a trial release success rate of over 58%. Subsequently, however, the ad- …


Regulatory Landscapes: Transcriptome And Microrna Regulated Senescence And Dormancy In Grapevines And Gene Regulatory Networks In Nitrogen-Fixing Soybean Nodules, Ramandeep Kaur Jan 2024

Regulatory Landscapes: Transcriptome And Microrna Regulated Senescence And Dormancy In Grapevines And Gene Regulatory Networks In Nitrogen-Fixing Soybean Nodules, Ramandeep Kaur

Electronic Theses and Dissertations

Grapevine and soybean are two economically important crops, each with unique yet equally crucial physiological processes that profoundly influence their growth and productivity. Grapevine (Vitis sp.), a temperate fruit crop, employs dormancy to withstand winter challenges and can grow in various regions worldwide. Understanding the molecular mechanisms involved in dormancy in Vitis species, is crucial for improving grapevine selection for resilience in northern temperate regions. Dormancy induction is modulated by decreasing photoperiods in some Vitis species, enhancing their ability to prepare for winter stress conditions. Understanding the molecular underpinnings of response to photoperiod will provide potential markers for selecting genotypes …


Assessing Allied Health Student Professional Behaviors: A Scoping Review [Search Strategies], Kate West, Marnie Imhoff, Danielle Westmark, Nancy Krusen Jan 2024

Assessing Allied Health Student Professional Behaviors: A Scoping Review [Search Strategies], Kate West, Marnie Imhoff, Danielle Westmark, Nancy Krusen

Search Strategies: Leon S. McGoogan Health Sciences Library

No abstract provided.


The Physiological And Performance Consequences Of The Australian Special Forces Selection Course, Angela Uphill Jan 2024

The Physiological And Performance Consequences Of The Australian Special Forces Selection Course, Angela Uphill

Theses: Doctorates and Masters

Special Forces (SF) soldiers are the most elite element of military forces, who have undergone rigorous training in order to prepare them for a wide array of specialised missions. In Australia, entry into the SF is determined through the highly competitive SF Selection Course (SF-SC), which is a gruelling program involving extreme physical demands, psychological stress, and restricted access to sleep and nutrition. The stressors involved in arduous military training events such as the SF-SC can result in significant losses of fat mass and lean mass, disruption to hormonal homeostasis, and significant decreases in neuromuscular capacity, which can potentially increase …


Anti-Patents, Roy Baharad, Stuart Minor Benjamin, Ehud Gutte Jan 2024

Anti-Patents, Roy Baharad, Stuart Minor Benjamin, Ehud Gutte

Faculty Scholarship

Conventional wisdom has long perceived the patent and tort systems as separate legal entities, each tasked with a starkly different mission. Patent law rewards novel ideas; tort law deters harmful conduct. Against this backdrop, this Essay uncovers the opposing effects of patent and tort law on innovation, introducing the "injurer-innovator problem." Patent law incentivizes injurers --often uniquely positioned to make technological breakthroughs--by allowing them to profit from licensing their inventions to competitors. Yet tort law, by imposing liability for failures to invest in care, forces injurers to incur the cost of implementing their own innovations. When the cost of self-implementation …


2023-2024 Charter Schools Office Annual Report, Grand Valley State University Jan 2024

2023-2024 Charter Schools Office Annual Report, Grand Valley State University

Annual Reports (GVSU Charter Schools Office)

No abstract provided.


An Overview Of The Brazilian Chrysomelidae (Insecta: Coleoptera): The Most Species-Rich Beetle Family In Brazil, Adelita M. Linzmeier, Luciano De A. Moura, Cibele S. Ribeiro-Costa, Daiara Manfio, Federico Agrain, Maria L. Chamorro, Geoffrey Morse, Renato Regalin, Lukáš Sekerka Jan 2024

An Overview Of The Brazilian Chrysomelidae (Insecta: Coleoptera): The Most Species-Rich Beetle Family In Brazil, Adelita M. Linzmeier, Luciano De A. Moura, Cibele S. Ribeiro-Costa, Daiara Manfio, Federico Agrain, Maria L. Chamorro, Geoffrey Morse, Renato Regalin, Lukáš Sekerka

Biology: Faculty Scholarship

The leaf beetles (Chrysomelidae) are one of the most species-rich family of herbivorous beetles with about 45,000 species worldwide. Based on the contributions of chrysomelidologists to the Taxonomic Catalog of the Brazilian Fauna - CTFB, the family comprises 6,079 species in 562 genera of which 951 species are endemic to Brazil, standing out as the most diverse, representing 4.8% of the Brazilian fauna and 17.1% of the beetle species. Chrysomelidae has twelve subfamilies with nine reported to Brazil: Galerucinae, the richest with 1,916 species in 202 genera, followed by Cassidinae, Eumolpinae, Cryptocephalinae, Chrysomelinae, Bruchinae, Criocerinae, Lamprosomatinae and Sagrinae - this …


Editorial: Bacteriocins And Other Ribosomally Synthesised And Post-Translationally Modified Peptides (Ripps) As Modulators Of The Microbiome, Harsh Mathur, Des Field, Caitriona Guinane, Maire Begley, Mathew Upton, Hilario C. Mantovani, Paul D. Cotter Jan 2024

Editorial: Bacteriocins And Other Ribosomally Synthesised And Post-Translationally Modified Peptides (Ripps) As Modulators Of The Microbiome, Harsh Mathur, Des Field, Caitriona Guinane, Maire Begley, Mathew Upton, Hilario C. Mantovani, Paul D. Cotter

School of Biomedical Sciences

No abstract provided.


Suitability Of 210pbex, 137cs And 239+240pu As Soil Erosion Tracers In Western Kenya, Sophia M. Dowell, Olivier S. Humphrey, Charles J.B. Gowing, Thomas S. Barlow, Simon R. Chenery, Job Isaboke, William H. Blake, Odipo Osano, Michael J. Watts Jan 2024

Suitability Of 210pbex, 137cs And 239+240pu As Soil Erosion Tracers In Western Kenya, Sophia M. Dowell, Olivier S. Humphrey, Charles J.B. Gowing, Thomas S. Barlow, Simon R. Chenery, Job Isaboke, William H. Blake, Odipo Osano, Michael J. Watts

School of Geography, Earth and Environmental Sciences

Land degradation resulting from soil erosion is a global concern, with the greatest risk in developing countries where food and land resources can be limited. The use of fallout radionuclides (FRNs) is a proven method for determining short and medium-term rates of soil erosion, to help improve our understanding of soil erosion processes. There has been limited use of these methods in tropical Africa due to the analytical challenges associated with 137Cs, where inventories are an order of magnitude lower than in the Europe. This research aimed to demonstrate the usability of 239+240Pu as a soil erosion tracer in western …


Drug-Resistant Epilepsy And Ketogenic Diet Therapy – A Qualitative Study Of Families’ Experiences, Jennifer H. Carroll, Tracey Parkin, J. Helen Cross, Mary Hickson, Emma Williams, Val Aldridge, Avril Collinson Jan 2024

Drug-Resistant Epilepsy And Ketogenic Diet Therapy – A Qualitative Study Of Families’ Experiences, Jennifer H. Carroll, Tracey Parkin, J. Helen Cross, Mary Hickson, Emma Williams, Val Aldridge, Avril Collinson

School of Health Professions

Background: A diagnosis of drug-resistant epilepsy is life changing for a family. Ketogenic diet therapy (KDT) can offer hope when other treatments have failed. However, it often requires a significant change in daily routine and dietary habits. This qualitative descriptive study aimed to explore families’ experiences of epilepsy and KDT. Methods: Parents of a child aged ≤18 years with epilepsy, currently or recently treated with KDT, were recruited from the UK and internationally via UK Ketogenic Diet (KD) centres, charities, and social media. Semi-structured interviews were audio recorded, transcribed verbatim, anonymised, coded using Nvivo (V12), and inductive thematic analysis undertaken. …


Guide To The Alan Bersin Papers, Alan Douglas Bersin Jan 2024

Guide To The Alan Bersin Papers, Alan Douglas Bersin

Special Collections

The Alan Bersin papers consist of records collected by Bersin during his tenure as the Superintendent of San Diego City Schools and the Secretary of Education for the State of California. The vast majority of the records are in the form of correspondence, memoranda, meeting minutes, reports, and newspaper articles. These records delve into the workings of Bersin's office, planning behind such programs as the Blueprint for Student Success, the Institute for Learning, Special Education, and Charter Schools. Correspondence, news articles, and court cases document reaction to those programs from the public, labor unions, and the San Diego Board of …


Investigation Of The Ecological Interactions And Host Specificity Of Verticillium Nonalfalfae, A Proposed Biological Control Agent Against The Invasive Tree-Of-Heaven (Ailanthus Altissima), Kristen H. Pierce Jan 2024

Investigation Of The Ecological Interactions And Host Specificity Of Verticillium Nonalfalfae, A Proposed Biological Control Agent Against The Invasive Tree-Of-Heaven (Ailanthus Altissima), Kristen H. Pierce

Graduate Theses, Dissertations, and Problem Reports (ETD)

Tree-of-heaven (Ailanthus altissima) is a highly invasive tree species with a cosmopolitan distribution, including an expansive range in North America. In the U.S., tree-of-heaven has established populations in more than 40 states and is considered among the most notorious of invasive plant species. The discovery of Verticillium nonalfalfae and V. dahliae causing acute wilt and mortality of Ailanthus in the mid-Atlantic in the 2000s has resulted in numerous studies evaluating the utility of these fungi as potential biocontrol agents. Recent efforts to commercialize V. nonalfalfae have raised additional questions about its widespread use and factors influencing long-term efficacy. …


Implementation Of A Diabetes Mellitus Self-Management Program, Rebecca Johnston Jan 2024

Implementation Of A Diabetes Mellitus Self-Management Program, Rebecca Johnston

DNP Projects

Type 2 diabetes is prevalent nationwide, increasing the risk of various complications including heart disease, stroke, kidney failure, blindness, and amputations. The literature review highlights a potential correlation between inadequate education and a lack of control of glucose in individuals diagnosed with Type 2 Diabetes Mellitus. The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to improve knowledge of Diabetes Type 2 self-management, in turn improving the outcomes of patients who were newly diagnosed with Type 2 Diabetes Mellitus and patients who had a Hemoglobin A1c >7%, as well as management of weight in these patients. …


The Need For More Inclusive Deliberation On Ethics And Governance In Agricultural And Food Biotechnology, Catherine Kendig, Theresa Selfa, Paul B. Thompson, Raymond Anthony, Wenda Bauchspies, Gwendolyn Blue, Ashmita Das, Rebecca Harrison, Chris Henke, Shan Jin, Jennifer Kuzma, Forbes Lipschitz, Kurt Lichter, Morgan Ruelle, Timothy Silberg, Bruno Takahashi Jan 2024

The Need For More Inclusive Deliberation On Ethics And Governance In Agricultural And Food Biotechnology, Catherine Kendig, Theresa Selfa, Paul B. Thompson, Raymond Anthony, Wenda Bauchspies, Gwendolyn Blue, Ashmita Das, Rebecca Harrison, Chris Henke, Shan Jin, Jennifer Kuzma, Forbes Lipschitz, Kurt Lichter, Morgan Ruelle, Timothy Silberg, Bruno Takahashi

Sustainability and Social Justice

An inclusive and socially legitimate governance structure is absent to address concerns over new agricultural biotechnologies. Establishing an agricultural bioethics commission devoted to inclusive deliberation on ethics and governance in agricultural and food biotechnology is urgent. Highlighting the social and ethical dimensions of current agricultural bioengineering disputes in the food system, we discuss how a nationally recognized policy forum could improve decision-making and increase public understanding of the issues. We clarify ways the concepts that are used to categorize food and frame governance of food affect consumer choices, and how dissemination of information and the mode of dissemination can contribute …


Exploring The Impact Of Early Adversity On Young Children With Autism, Kelsea M. Batista Jan 2024

Exploring The Impact Of Early Adversity On Young Children With Autism, Kelsea M. Batista

Antioch University Dissertations & Theses

This dissertation builds on a small but growing literature exploring the association between early adverse childhood experiences (ACEs) and children diagnosed with autism spectrum disorder (ASD). Research suggests that children with ASD are more likely to experience ACEs throughout their lifetime due to increased vulnerability to victimization and social communication deficits. Still, to date, there is scant research explicitly exploring the impact of ACEs on young children diagnosed with ASD. This study utilized a biopsychosocial framework to further examine whether a relationship exists between ACEs and ASD. The objectives of this study include: (a) to determine whether a relationship exists …


The Legal Framework For The Protection Of Victims Of The Worst Forms Of Child Labour In Agriculture In Ghana: A Human Rights Based Approach, Ruby Akua Aglagoh Jan 2024

The Legal Framework For The Protection Of Victims Of The Worst Forms Of Child Labour In Agriculture In Ghana: A Human Rights Based Approach, Ruby Akua Aglagoh

Theses: Doctorates and Masters

Child labour is prevalent in Ghana, especially in the agriculture industry where children engage in work that is harmful to their health, morals, and safety. Such harmful work has been defined by the ILO Convention No. 182 on the Worst Forms of Child Labour, 1999 as constituting the worst forms of child labour. These children have human rights stated in the laws of Ghana but have become victims of human rights violations because they cannot access the protections provided for under the international conventions and national laws of Ghana.

Using doctrinal legal research, this thesis reviews the legal framework of …


Disability, Race, And Health Beyond The Carceral State, Benjamin Barsky, Craig Konnoth, Michael A. Stein Jan 2024

Disability, Race, And Health Beyond The Carceral State, Benjamin Barsky, Craig Konnoth, Michael A. Stein

Faculty Scholarship

No abstract provided.


Moab Local Food Guide 2024, Roslynn Mccann, Shiree Duncan Jan 2024

Moab Local Food Guide 2024, Roslynn Mccann, Shiree Duncan

All Current Publications

Thank you for picking up this Moab Utah Local Food Guide. Those growing and producing food within a 100 mile radius from Moab have been included in this guide to help YOU make locally sourced purchasing decisions!


Racial And Ethnic Disparities In Hospital Practices That Support Breastfeeding In The United States, Jane Lazar Tucker Jan 2024

Racial And Ethnic Disparities In Hospital Practices That Support Breastfeeding In The United States, Jane Lazar Tucker

Open Access Dissertations

Breastfeeding is the optimal form of infant nutrition and has many health benefits for mothers as well as infants (CDC, 2022a; Victora et al., 2016). Though rates of breastfeeding have improved in recent years, disparities in breastfeeding persist among Black and Hispanic women compared to White women (Beauregard et al., 2019; Chiang et al., 2021), despite similar intentions to breastfeed across all racial/ethnic groups (Hamner et al., 2021). Hospital practices that support breastfeeding, such as the baby being placed skin-to-skin immediately after delivery or staying in the room with the mother throughout the hospital stay, are known to predict breastfeeding …


Effects Of Western Diet Or Exercise Exposure In A Novel Rat Model Of Late-Onset Alzheimer’S Disease, Jennifer M. Mattar Jan 2024

Effects Of Western Diet Or Exercise Exposure In A Novel Rat Model Of Late-Onset Alzheimer’S Disease, Jennifer M. Mattar

Open Access Dissertations

Sporadic, late-onset Alzheimer’s disease (LOAD) accounts for a staggering 98% of cases yet does not arise from a single genetic mutation. Rather, an extensive body of research has revealed that LOAD is likely the result of complex interactions between genetics and several lifestyle factors. There exists a substantial gap in understanding the mechanisms behind LOAD development and the impacts of lifestyle on disease progression. Enhanced rodent models may help elucidate mechanisms by which LOAD develops. This longitudinal study introduces a novel rat model of LOAD (CrAβ), created using CRISPR-Cas9 gene editing technology to express humanized Aβ. The effects of a …


Implementation And Evaluation Of A Nutriton-Focused Steam Summer Program For Urban Youth, Jacquelyn Potvin Jan 2024

Implementation And Evaluation Of A Nutriton-Focused Steam Summer Program For Urban Youth, Jacquelyn Potvin

Open Access Dissertations

Background: Youth from low-income, racially and ethnically diverse families are at increased risk for academic challenges and nutritionally inadequate diets. Summer programs offer an opportunity to foster interest and engage students in science, technology, engineering, art, and math (STEAM) education while addressing summer learning loss. Nutrition education early in life can help youth develop healthy dietary behaviors that they carry into adulthood. Project stRIde: Science and Technology Reinforced by Innovative Dietary Education was a summer program for 4-6th grade youth from racially and ethnically diverse and low-income families. The goal of the program was to engage youth in nutrition-centered …


Mechanistic And Toxicokinetic Analysis Of Perfluoroalkyl Substances: Proteomics Approach And The Role Of Fatty Acid Binding (Fabp), Seyed Mohamad Sadegh Modaresi Jan 2024

Mechanistic And Toxicokinetic Analysis Of Perfluoroalkyl Substances: Proteomics Approach And The Role Of Fatty Acid Binding (Fabp), Seyed Mohamad Sadegh Modaresi

Open Access Dissertations

Per- and polyfluoroalkyl substances (PFAS) are persistent chemicals used in many industries, known for their resilience and resistance to degradation. The extended half-lives of PFAS in the human body result in bioaccumulation, with serum half-lives for perfluorooctanoic acid (PFOA), perfluorooctane sulfonic acid (PFOS), and perfluorohexane sulfonic acid (PFHxS) estimated at 3.4, 4.6, and 7.1 years, respectively. PFAS primarily accumulate in the liver, hypothesized due to their resemblance to fatty acids and their binding with liver fatty acid-binding proteins (LFABP), affecting lipid metabolism and leading to liver toxicity. Although extensive research has been performed on long-chain PFAS over the past decade, …


Advancing Clinical-Community Partnerships To Address Pediatric Food Insecurity, Nader Hamdi Jan 2024

Advancing Clinical-Community Partnerships To Address Pediatric Food Insecurity, Nader Hamdi

Open Access Dissertations

Background: Children and families experiencing low income in the United States are at a greater risk of food insecurity (FI) and suboptimal diet quality than the general population. Childhood FI, which is associated with numerous poor health and developmental outcomes, has become so pervasive that the American Academy of Pediatrics recommends universal FI screenings. Routine FI screening in clinical settings presents opportunities for clinic-community partnerships to connect families experiencing FI with food access and nutrition education (FANE) programs. A variety of FANE programs, including the Supplemental Nutrition Assistance Program - Education (SNAP-Ed), are administered at the federal level to …


Learning From The Past: Environmental Impacts On Coral Performance, Reproduction, And Epigenetic Inheritance, Danielle M. Becker Jan 2024

Learning From The Past: Environmental Impacts On Coral Performance, Reproduction, And Epigenetic Inheritance, Danielle M. Becker

Open Access Dissertations

Coral reef ecosystems face extreme challenges due to increasing ocean temperatures caused by anthropogenically induced global climate change and require reproductive replenishment for reef persistence. Corals and other marine invertebrates have exhibited the capacity for environmental memory, or the retention of information from prior environmental experiences, which can be inherited by subsequent generations (e.g., via non-genetic mechanisms). However, less is known about how molecular modifications in the coral epigenome influence acclimatization and adaptive responses to environmental variation within and across generations. Here, I present three manuscripts testing different mechanisms involved in coral’s physiological, reproductive, and epigenetic response to environmental perturbation …


Incomplete Streets, Michael Lewyn Jan 2024

Incomplete Streets, Michael Lewyn

Scholarly Works

Over 1700 complete streets policies have been adopted by state and local government; these policies typically provide that streets shall be designed to benefit all users, not just motorists. This article analyzes some complete streets policies, and concludes that even above-average policies are often too vague and underfunded to significantly change the status quo. The article suggests a variety of reforms that might make complete streets policies more effective.


The Neurochemistry Of Depression: The Good, The Bad And The Ugly, Kami Pearson, Kimberley Beier, Thornton Mardis, Bryan Munoz, Asma Zaidi Jan 2024

The Neurochemistry Of Depression: The Good, The Bad And The Ugly, Kami Pearson, Kimberley Beier, Thornton Mardis, Bryan Munoz, Asma Zaidi

Faculty and Staff Publications

A large constellation of experimental evidence suggests that neuroinflammation is involved in the onset of depression and neurodegenerative disorders. Many studies have shown impairments in tryptophan metabolism, the major pathway for the synthesis of serotonin, the mood regulating neurotransmitter. This article reviews the various metabolites generated in the competing pathways of tryptophan metabolism including the kynurenine pathway. Increased synthesis of the neurotoxic compound quinolinic acid occurs at the expense of the synthesis of the neuroprotective metabolite kynurenic acid. This shift in equilibrium plays a critical role in the induction of oxidative stress, neuroinflammation, and neurotoxicity. Sufficient protein intake with adequate …


Blunt Speech Rights, Nicholas Almendares Jan 2024

Blunt Speech Rights, Nicholas Almendares

Articles by Maurer Faculty

There is a lot to be said about the Supreme Court’s decision in 303 Creative LLC. In the wake of the decision there will be a range of commentaries like those presented in this Issue. I want to draw attention to a particular aspect of the opinion, part of a broader trend in the Court’s First Amendment jurisprudence, towards blunt, sweeping rules. By a blunt rule, I mean a simple, coarse one that lacks nuance or distinctions. Blunt rules, by their nature, tend to be sweeping: nuance, that is, distinguishing cases based on various factors, limits the scope of a …


Development Of An Order Set To Improve Consistency Of Blood Glucose Monitoring For Hospitalized Patients On Enteral Feeding, Kristen Calebaugh Jan 2024

Development Of An Order Set To Improve Consistency Of Blood Glucose Monitoring For Hospitalized Patients On Enteral Feeding, Kristen Calebaugh

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Development of an Order set to Improve Consistency of Blood Glucose Monitoring for Adult Hospitalized Patients on Enteral Feeding

Kristen Calebaugh, BSN, RN

Background

Hospitalized patients often require artificial nutrition through either enteral feeding, placing the patient at risk for glucose alterations related to physiological responses of nutritional metabolism. Historically, there has been no standard of care or consistency aligning tube feedings times with point of care blood glucose testing. Without a standardized order set to guide blood glucose monitoring orders, patients on artificial nutrition may experience undetected hypo or hyperglycemia or inadequate glycemic control, which can cause adverse …