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Articles 7711 - 7740 of 11698
Full-Text Articles in Entire DC Network
Oral Feeding Of Infants Who Require Noninvasive Respiratory Support: Retrospective Investigations, Carolyn Barnes
Oral Feeding Of Infants Who Require Noninvasive Respiratory Support: Retrospective Investigations, Carolyn Barnes
MUSC Theses and Dissertations
There is a dearth of evidence supporting the safety and efficacy of orally feeding infants who require noninvasive respiratory support (NIRS). This dissertation investigates clinical practices surrounding orally feeding infants on NIRS. Manuscript 1 systematically reviews parameters impacting study of this practice. Findings emphasize the dearth of objective data surrounding this practice, and that additional research must be conducted before safety and efficacy outcomes of this practice can be established. Manuscript 2 retrospectively uses electronic health record data to describe which infant populations are orally fed during NIRS use, amount of NIRS used during infant oral feeding, changes in practice …
Phenomenological Study Of Resiliency Among Native Americans, Mary K. Laungayan
Phenomenological Study Of Resiliency Among Native Americans, Mary K. Laungayan
Doctoral Dissertations and Projects
The purpose of this phenomenological study is to understand what resilience factors, if any, contribute to the reversal of adverse reactions to intergenerational trauma, in Native Americans. The study will attempt to use the data collected to determine an implementation of support that will build a scaffolding of resilience that can benefit Native American Children. The theory guiding this study is the resiliency theory, which conceptualizes positive variables that guide behaviors in individuals who have been exposed to historical trauma and experienced, Adverse Childhood Effects (ACEs) (Zimmerman, 2013). Using an exploratory qualitative design, this study worked to gather data from …
Exploring Perceptions Of Lived Experiences Of Nursing Program Students With Grant Funding Investment In A Community College, Brian Richard Michel
Exploring Perceptions Of Lived Experiences Of Nursing Program Students With Grant Funding Investment In A Community College, Brian Richard Michel
Doctoral Dissertations and Projects
The purpose of this qualitative hermeneutical phenomenological study was to explore the lived experiences of nursing program students with grant funding investment in a nursing, allied, and physical health program at a rural community college in Western New York. This rural institution is a member institution of the State University of New York system. The research was guided by the underlying central research question, “What are the perceptions of lived learning experiences made possible through grant funding investment of nursing program students at a rural community college?” Three different data collection methods were used in interviews, a focus group, and …
Among The Rarest: Saving The Eastern North Pacific Right Whale, Elza Bouhassira
Among The Rarest: Saving The Eastern North Pacific Right Whale, Elza Bouhassira
Alaska Law Review
The North Pacific Right Whale (NPRW) is perhaps the rarest, most endangered large whale species in the world. Only about thirty surviving individuals make up the eastern population, which lives in waters around Alaska. This note aims to highlight the crisis facing eastern NPRWs and the steps that can be taken to support the recovery of this rare whale. The paper first presents information on the history of the species and its importance. It next examines existing international and domestic U.S. legal regimes as well as a pending petition to revise NPRW critical habitat off of Alaska. Finally, it advances …
A New Marine Vertebrate Assemblage From The Upper Cretaceous Dakota Formation In Nebraska, Usa, And Potential New Insights Into The Cenomanian–Turonian Vertebrate Communities Of The Late Cretaceous Western Interior Seaway, John K. Juranek
College of Science and Health Theses and Dissertations
The upper part of the Dakota Formation (lower middle Cenomanian) is a marine sedimentary rock unit formed at the dawn of the major transgression of the Western Interior Seaway, an epicontinental sea that flooded the middle of North America in the north-south direction during the Late Cretaceous. This study examines marine vertebrate fossils from the stratigraphic horizon in southeastern Nebraska. Fossiliferous rock samples that were subjected to acid treatment resulted in over 7,292 taxonomically identifiable specimens, consisting minimally of 51 distinct vertebrate taxa. They include at least 26 chondrichthyans, 20 osteichthyan fishes, and five tetrapod taxa. Whereas many of these …
Uncovering The Lifeworlds Of College Students Who Are Food Insecure: An Interpretive Phenomenological Inquiry, Amber L. Kolesar
Uncovering The Lifeworlds Of College Students Who Are Food Insecure: An Interpretive Phenomenological Inquiry, Amber L. Kolesar
Dissertations
Food insecurity (FI) is a concern for many college students, and contributes to significant physical, mental, and academic stressors. Experts have described the need for qualitative research. A better understanding of the experience of FI among college students may help to inform future research and interventions to support students on their educational journey. This study sought to interpret the lived experience of FI, with specific focus on the sociocultural context in which students experience FI, and its' contributing factors. Incorporating the philosophical perspective of Merleau-Ponty, the researcher utilized interpretive phenomenological analysis to uncover the life-worlds of food-insecure college students.
Exposure To Adverse Childhood Experiences (Aces) Within Rural And Underserved Communities, Lauren T. Sparks
Exposure To Adverse Childhood Experiences (Aces) Within Rural And Underserved Communities, Lauren T. Sparks
Doctoral Dissertations and Projects
It can be difficult for residents of rural and underserved communities to express their own experiences involving adverse childhood experiences (ACEs). ACEs cause negative health outcomes to those who are exposed to physical, mental, or behavioral abuse. These negative outcomes can affect the individual’s mental health; therefore, it is crucial to create recovery mechanisms for communities that are in dire need of resources. The purpose of this qualitative study was to research the exposure of ACEs throughout three rural and underserved states: Kansas, Oklahoma, and Texas. Each of these states had exposure scenarios which was determined based on the distributed …
Use Of A Primary Care Dataset To Describe ‘The Real Picture’ Of Diabetes In Kimberley Aboriginal Communities, Caitlyn S. White, Kimberley Seear, Lorraine Anderson, Emma Griffiths
Use Of A Primary Care Dataset To Describe ‘The Real Picture’ Of Diabetes In Kimberley Aboriginal Communities, Caitlyn S. White, Kimberley Seear, Lorraine Anderson, Emma Griffiths
Journal of the Australian Indigenous HealthInfoNet
Objective
Aboriginal communities are impacted by high rates of diabetes, however these are currently underestimated by national data sources used by policy and decision makers to inform allocation of health resources. We aimed to estimate diabetes prevalence and screening coverage using primary care electronic medical record data.
Methods
A cross-sectional audit was conducted using primary care data from Aboriginal regular Aboriginal Community Controlled Health Service (ACCHS) clinic attendees aged 15 years and over (n=1763) in five remote communities in the Kimberley region. Main outcome measures were overall diabetes prevalence; age-specific diabetes prevalence; prevalence of pre-diabetes; and screening rates among patients …
Social Barriers And Cyclical Health Inequity: Addressing Disparities In Health, Kaitlyn Gentille
Social Barriers And Cyclical Health Inequity: Addressing Disparities In Health, Kaitlyn Gentille
James Madison Undergraduate Research Journal (JMURJ)
This mixed methods study examined the lived experiences of participants negatively impacted by the social determinants of health (i.e., physical environment, economic stability, education), and the repercussions regarding their ability to access quality healthcare. Three themes emerged: evidence of social determinants, barriers to healthcare, and the influence of health insurance. These three themes illustrate the interrelated nature of the social determinants of health and the cyclical entrapment of social injustice and health inequity. To address the realities of the impacts of inequitable healthcare on vulnerable populations, interventions must be initiated to enact tangible, positive change for vulnerable populations.
Vol.51 N.35 March 21st 2024, Voice Media Ventures
Vol.51 N.35 March 21st 2024, Voice Media Ventures
Black Voice News
No abstract provided.
The Effect Of Epicatechin And Its Microbial Metabolites On Differing Pathways Of Beta-Cell Death In Type I And Type Ii Diabetes, Aubree Bench, Jeffery S. Tessem
The Effect Of Epicatechin And Its Microbial Metabolites On Differing Pathways Of Beta-Cell Death In Type I And Type Ii Diabetes, Aubree Bench, Jeffery S. Tessem
Library/Life Sciences Undergraduate Poster Competition 2024
The pathogenesis of type 1 (T1D) and type 2 diabetes (T2D) is associated with progressive beta-cell death and loss of insulin secretion, making functional betacell mass preservation a priority in the treatment of diabetes. T1D beta-cell death is primarily mediated by autoimmune exposure of beta-cells to proinflammatory cytokines such as IL-1b, TNFa, and IFNg (1, 2). Beta-cell loss in T2D, however, is characterized by damage caused by a destructive metabolic state of persistent hyperglycemia and elevated free fatty acid (FFA) levels (2, 3). Our lab has shown that the monomeric flavonoid epicatechin and its metabolites hippuric acid, homovanillic acid, and …
The Effect Of Percussive Massage On Collagen Gene Expression In Skeletal Muscle, James Bartling, Robert D. Hyldahl, Emma Schaugaard, Mohadeseh Ahmadi
The Effect Of Percussive Massage On Collagen Gene Expression In Skeletal Muscle, James Bartling, Robert D. Hyldahl, Emma Schaugaard, Mohadeseh Ahmadi
Library/Life Sciences Undergraduate Poster Competition 2024
INTRODUCTION
• Exercise is a critical aspect of healthy living due in part to its effects of muscle adaptation, which are largely regulated by alterations in gene expression
• Sedentary behavior can be required by diverse life circumstances, suggesting a need to reproduce the beneficial effects of exercise by an alternative means
• Like exercise, percussive massage introduces a mechanical strain on the muscle, which could potentially replicate a similar remodeling response of the extracellular matrix (ECM). However, this has not yet been studied
• Collagen 1,3,&4 are major components of the ECM that adapt in response to exercise, and …
Advancing Mycotoxin Detection: Multivariate Rapid Analysis On Corn Using Surface Enhanced Raman Spectroscopy (Sers), Allison Gabbitas, Gene Ahlborn, Kaitlyn Allen, Shintaro Pang
Advancing Mycotoxin Detection: Multivariate Rapid Analysis On Corn Using Surface Enhanced Raman Spectroscopy (Sers), Allison Gabbitas, Gene Ahlborn, Kaitlyn Allen, Shintaro Pang
Library/Life Sciences Undergraduate Poster Competition 2024
Background and Purpose: Mycotoxin contamination on food and feed can have deleterious effect on human and animal health. Agricultural crops may contain one or more mycotoxin compounds; therefore, a good multiplex detection method is desirable to ensure food safety. In this study, we developed a rapid method using label-free surface-enhanced Raman spectroscopy (SERS) to simultaneously detect three common types of mycotoxins found on corn, namely aflatoxin B1 (AFB1), zearalenone (ZEN), and ochratoxin A (OTA).
Methods: A SERS nanosubstrate was applied on the agricultural crop (i.e., corn) and mixed briefly with mycotoxins present on the surface. Raman spectral data …
Issue 439: March 21-April 4, 2024, The Local Voice
Issue 439: March 21-April 4, 2024, The Local Voice
The Local Voice
No abstract provided.
Nkx6.1 And Stx1a As Binding Partners In Pancreatic Beta Cells, Jakob T. Lenker, Jeff S. Tessem, Connor C. Littlefield
Nkx6.1 And Stx1a As Binding Partners In Pancreatic Beta Cells, Jakob T. Lenker, Jeff S. Tessem, Connor C. Littlefield
Library/Life Sciences Undergraduate Poster Competition 2024
Diabetes is characterized by a loss in beta cell function within the pancreas and the subsequent inability to produce sufficient insulin to regulate blood glucose. While current diabetes treatments focus on delivering pharmaceutical insulin to diabetic individuals, such treatments are temporary solutions and do not address the root of the issue. Instead, our research focuses on potential mechanisms for inducing greater insulin secretion within the pancreas of the individual. NK6 Homeobox 1 (Nkx6.1) is a major transcription factor in beta cells and its overexpression in beta cells is associated with higher insulin secretion. Previous research indicates that Syntaxin 1A (Stx1A) …
The Role Of Sirt7 In Beta Cell Function And Insulin Secretion, Trevor C. Kendrick, Jeffrey S. Tessem, Connor Littlefield
The Role Of Sirt7 In Beta Cell Function And Insulin Secretion, Trevor C. Kendrick, Jeffrey S. Tessem, Connor Littlefield
Library/Life Sciences Undergraduate Poster Competition 2024
Diabetes is a chronic metabolic disease characterized by an inability of beta cells to produce or secrete insulin due to decreasing beta cell mass, a condition induced by beta cell death or overuse. Current treatment consists of daily administration of insulin to diabetic individuals. We have shown that Sirtuin 7 (Sirt7), a deacetylase located in the nucleus, directly interacts with Nkx6.1, a transcription factor essential for beta cell function and proliferation. We have shown that one of the post translational modifications that impinges on Nkx6.1 activity is acetylation. Given Sirt7’s role as a deacetylase, and published reports demonstrating its impact …
Investigating The Correlations Between Medicaid And Snap Benefit Levels And Health Outcomes, Will Evans, Michael Barnes, Richard Evans
Investigating The Correlations Between Medicaid And Snap Benefit Levels And Health Outcomes, Will Evans, Michael Barnes, Richard Evans
Library/Life Sciences Undergraduate Poster Competition 2024
- Socioeconomic factors, such as poverty, have statistically significant impacts on health.
- SNAP (formerly known as food stamps) and Medicaid are major government programs that exist to reduce these health-detrimental effects for impoverished households.
- Problem: Determining optimal welfare benefit levels is difficult. Despite vastly different costs-of-living between counties, states offer a standard welfare amount to all counties in the state. Simulating benefits based on geographic living expenses can address the political debate about one-size-fits-all benefits found in most states. Simulating optimal benefits based on achieving optimal health effects is needed to improve SNAP and Medicaid.
An Investigation Of The Validity Of A Framework Constructed To Predict And Facilitate Upward-Stability, Timothy Streett
An Investigation Of The Validity Of A Framework Constructed To Predict And Facilitate Upward-Stability, Timothy Streett
Graduate Theses, Dissertations, and Capstones
This study is an investigation of the validity of the theoretical assumptions of a programming model which posits that it is not income but rather a collection of personality and dispositional constructs which provide the foundation of an economically stable life, and that empowering those in poverty to improve their economic situation must begin with these constructs or will be a failed effort. The author provides a review of significant literature supporting the idea that these constructs are associated with better outcomes in many aspects of life. The author then provides original investigative research utilizing a self-administered, 40 item agree/disagree …
Pilot Study To Assess The Effectiveness Of The Sustainable Culturally Adaptive Nutrition Program (Scan) To Improve Adherence To The National Diabetes Prevention Program, William B Perkison, Pierre Fwelo, Fernanda Velasco-Huerta, Natalia I Heredia, James J Yang, Sidra S Beg, Belinda M Reininger, Serena A Rodriguez, Maha Almohamad, Catherine Pulicken, Ella Garza, Grace E White, Maria E Fernandez
Pilot Study To Assess The Effectiveness Of The Sustainable Culturally Adaptive Nutrition Program (Scan) To Improve Adherence To The National Diabetes Prevention Program, William B Perkison, Pierre Fwelo, Fernanda Velasco-Huerta, Natalia I Heredia, James J Yang, Sidra S Beg, Belinda M Reininger, Serena A Rodriguez, Maha Almohamad, Catherine Pulicken, Ella Garza, Grace E White, Maria E Fernandez
Faculty, Staff and Student Publications
PURPOSE: The Sustainable Culturally Adapted Nutrition Program (SCAN) is a novel adaptation to the National Diabetes Prevention Program (NDPP) that aims to improve attendance and effectiveness. This paper presents its feasibility and impact through the initial 6-month outcomes.
DESIGN: A pragmatic quasi-experimental pilot study with intervention (DPP plus SCAN) and control (DPP only) groups.
SAMPLES AND INCLUSION CRITERIA: Sustainable Culturally Adapted Nutrition Program participants were recruited from federally qualified health center (FQHC) clinic patients enrolled in a NDPP in Houston, Texas. Participants needed to be (1) ≥18 years old, (2) body mass index >25, (3) no prior diagnosis of diabetes, …
Clinical Manifestation Of Vitamin B12 Toxicity, Gina Budjak, Eric Kirk, Vicki Bowe-Fisher, Chris Arick
Clinical Manifestation Of Vitamin B12 Toxicity, Gina Budjak, Eric Kirk, Vicki Bowe-Fisher, Chris Arick
Aurora GME
No abstract provided.
Grazing Management Of Tagasaste (Chamaecytisus Proliferus) For Sheep And Cattle Production In Southern Australia, N J. Edwards, G M. Allen, D M. Mcneill, C M. Oldham
Grazing Management Of Tagasaste (Chamaecytisus Proliferus) For Sheep And Cattle Production In Southern Australia, N J. Edwards, G M. Allen, D M. Mcneill, C M. Oldham
IGC Proceedings (1977-2023)
Direct grazing of hedgerows of tagasaste (Chamaecytisus proliferus) by sheep or cattle appear to be very robust systems. Tagasaste persists under a continuous grazing regime with cattle such that plant regrowth maintained between 5 and 10 cm in length produces in excess of 215 kg of animal liveweight/ha/year. This level of production is also sustained within a rotational grazing regime. Under both grazing systems cattle production within a year is highly seasonal, with liveweight gains from young cattle peaking at 1.0-1.5 kg/head/day in winter and spring, but dropping to maintenance only by late summer-autumn. Sheep, like cattle, can …
Shrub Palatability To Rusa Deer (Cervus Timorensis Russa) In New Caledonia, C Corniaux, S Le Bel, J M. Sarrailh
Shrub Palatability To Rusa Deer (Cervus Timorensis Russa) In New Caledonia, C Corniaux, S Le Bel, J M. Sarrailh
IGC Proceedings (1977-2023)
The objective of this study was to determine a palatability scale of five shrub legumes to rusa deer during the dry season in New Caledonia. Acacia ampliceps and Samanea saman remain low in acceptability. Gliricidia sepium is more palatable but quite less than Leucaena leucocephala (native cultivar) and Calliandra calothyrsus (San Ramon). Therefore, since the regression of Leucaena leucocephala population, Calliandra calothyrsus could be very promising to replace it in the deer diet. On the other hand, Acacia ampliceps seems to be the most interesting shrub legume to plant in the west coast, where soil erosion, due to successive droughts …
Fodder Production Of Multipurpose Trees In A Maize Farming System Of Subhumid Southern Africa, B H. Dzowela, L Hove, P L. Mafongoya
Fodder Production Of Multipurpose Trees In A Maize Farming System Of Subhumid Southern Africa, B H. Dzowela, L Hove, P L. Mafongoya
IGC Proceedings (1977-2023)
Ways to integrate fodder production into maize production systems under Southern Africa’s subhumid conditions have been studied. One way involves the planting of tree and grass fodder hedges along soil conservation contour-bunds in maize fields. Management factors that influence the productivity of maize and fodder components in the system are fodder spp., side-pruning and deferment of wet season cutting. The other option involves interplanting tree fodders with maize through the use of a coppicing tree such as Acacia angustissima. Practical applications of these methods in mixed crop-livestock production systems are discussed.
Differences In Chemical Composition Among Provenances Of Browse Species In A Subhumid Environment: Relation To Use As Supplements, B H. Dzowela, L Hove, P L. Mafongoya
Differences In Chemical Composition Among Provenances Of Browse Species In A Subhumid Environment: Relation To Use As Supplements, B H. Dzowela, L Hove, P L. Mafongoya
IGC Proceedings (1977-2023)
Studies were initiated in a subhumid Southern African environment to assess the chemical composition and nutritive value of Acacia angustissima (Mill.) Kuntze, Calliandra calothyrsus Meiss. and Leucaena species. The objective was to determine variability in crude protein (CP) concentration, acid detergent fibre (ADF), neutral detergent fibre (NDF), and soluble and insoluble proanthocyanidins from fodder samples of species, subspecies and provenances. A wide range was found in these parameters. The implications of these chemical composition factors, especially proanthocyanidins, on the use of these browse fodders in livestock feeding systems are discussed.
Tree Forages As Nitrogen Source For Ruminants In Sahelian Agro-Silvipastoral Systems, S T. Fall, B M. Doreau
Tree Forages As Nitrogen Source For Ruminants In Sahelian Agro-Silvipastoral Systems, S T. Fall, B M. Doreau
IGC Proceedings (1977-2023)
Tree forages contribute up to 80% DM and 100% nitrogen content in the ruminants diet in the Sahel during the dry season. However, crude protein (CP) concentration in browse within a wide range and variation factors remain to be elucidated for better integration of browses in ruminants feeding systems. Variation factors of CP content and in vivo digestibility of four Sahelian browse species were investigated to appreciate the potential as nitrogen sources in Sahelian ruminant feeding systems. Seasonal variations in nitrogen content were evaluated in different plants part of A. raddiana, B. rufescens, B. aegyptiaca and G. senegalensis harvested in …
Evaluation Of Animal Productivity In A Sustainable Grazing System Based On The Use Of Trees In Association With Pastures, J M. Iglesias Gomez
Evaluation Of Animal Productivity In A Sustainable Grazing System Based On The Use Of Trees In Association With Pastures, J M. Iglesias Gomez
IGC Proceedings (1977-2023)
Young bulls of different breeds ( Zebu, Holstein and F-1 strain Holstein Zebu) were grazing together on a meadow composed of Guinea grass (Panicum maximum), Brachiaria (Brachiaria decumbens) and a mixture of natural pastures, all in association with Leucaena (Leucaena leucocephala) sown at a density of 555 plants per ha in order to evaluate the potential of that system for beef production. A completely randomized design was used. The meadow was rotationally grazed at stocking rate of 3.6 animal per ha. During the 18 months of fattening the best results were obtained with the Zebu type. …
Changes In Understorey Pasture Composition In Agroforestry Regimes In New Zealand, M F. Hawke, A G. Gillingham
Changes In Understorey Pasture Composition In Agroforestry Regimes In New Zealand, M F. Hawke, A G. Gillingham
IGC Proceedings (1977-2023)
Long term Agroforestry trials were established in the North and South Islands of New Zealand between 1971-76. They compared a range of final tree stockings of Pinus radiata planted into pasture with open pasture control plots and were measured for tree growth parameters and agricultural production. This paper presents the results of pasture species changes over the period of tree age 10-22 years. Pasture species composition under Pinus radiata changed with time, dependent primarily on the rate of canopy closure. Changes occurred relatively rapidly in high tree stocked areas of 400 stems per hectare (sph) in the North Island trials …
Farmers' Screening Of Indigenous Fodder Trees And Shrubs In Kenya, R L. Roothaert, H K. Arimi, E N. Kamau
Farmers' Screening Of Indigenous Fodder Trees And Shrubs In Kenya, R L. Roothaert, H K. Arimi, E N. Kamau
IGC Proceedings (1977-2023)
The lack of fodder quantity and quality is a constraint for small scale livestock production systems in central Kenya which are intensive or are rapidly becoming so. This study examined farmers’ knowledge about indigenous fodder trees and shrubs (IFTS) which are fed to livestock. The study consisted of a formal survey in three agroecological zones with mean annual rainfall varying from 750 to 1400 mm. Farmers rated IFTS for different qualities, which were analysed by Chi square. Differences of ratings among species for these qualities were significant (p<0.05). The most promising species for the sub-humid zone, in terms of what farmers want to plant and in terms of preliminary nutritive analysis, were: Tithonia diversifolia, Commiphora zimmermanii, Ficus spp. and Trema orientalis. The species …0.05).>
Sharing Stories Of Development: How School Leaders Perceive Developing A Trauma-Informed School, Mandy L. Cyr
Sharing Stories Of Development: How School Leaders Perceive Developing A Trauma-Informed School, Mandy L. Cyr
Doctor of Education Program Dissertations
ABSTRACT
This narrative inquiry explored how educational leaders perceive the development of a trauma-informed school. A trauma-informed school acknowledges the impact of trauma and responds by integrating effective practices, programs, and procedures to build resilience. The problem addressed by this study is, with rising numbers of adverse childhood experiences (ACEs), school staff lack targeted skills to help students mitigate trauma. Further, this qualitative study fills the gap in literature by providing the lived experiences of educational leaders in developing trauma-informed schools. Through narrative research, semistructured interviews which lasted up to 60 minutes were individually conducted with five educational leaders who …
Effects Of Maternal-Infant Golden Hour On Breastfeeding, Julina A. Wall-Penner, Katilyn Rasmussen, Madeline Suderman
Effects Of Maternal-Infant Golden Hour On Breastfeeding, Julina A. Wall-Penner, Katilyn Rasmussen, Madeline Suderman
SACAD: Scholarly Activities
Abstract
This study examines the effects of immediate maternal-infant skin-to-skin contact, and how those effects compare to mothers and babies who have delayed or skin-to-skin. Skin-to-skin contact, also known as “the golden hour”, is a remarkable practice that occurs immediately after birth. During this intimate bonding experience, the newborn is placed directly on the mother's chest, their tiny body nestled against her warm skin. Studies have shown numerous benefits from this practice. Breastfeeding success through early initiation is one the benefits this study focuses on. This cohort observational study is recommended to take place at Hays Medical Center with mothers …