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Articles 30541 - 30570 of 33002
Full-Text Articles in Entire DC Network
Circulating Sphingolipids In Relation To Cognitive Decline And Incident Dementia: The Cardiovascular Health Study, Kristine F Moseholm, Héléne T Cronjé, Manja Koch, Annette L Fitzpatrick, Oscar L Lopez, Marcia C De Oliveira Otto, W T Longstreth, Andrew N Hoofnagle, Kenneth J Mukamal, Rozenn N Lemaitre, Majken K Jensen
Circulating Sphingolipids In Relation To Cognitive Decline And Incident Dementia: The Cardiovascular Health Study, Kristine F Moseholm, Héléne T Cronjé, Manja Koch, Annette L Fitzpatrick, Oscar L Lopez, Marcia C De Oliveira Otto, W T Longstreth, Andrew N Hoofnagle, Kenneth J Mukamal, Rozenn N Lemaitre, Majken K Jensen
Faculty, Staff and Student Publications
Introduction: Whether circulating levels of sphingolipids are prospectively associated with cognitive decline and dementia risk is uncertain.
Methods: We measured 14 sphingolipid species in plasma samples from 4488 participants (mean age 76.2 years; 40% male; and 25% apolipoprotein E (APOE) ε4 allele carriers). Cognitive decline was assessed annually across 6 years using modified Mini-Mental State Examination (3MSE) and Digital Symbol Substitution Test (DSST). Additionally, a subset of 3050 participants were followed for clinically adjudicated dementia.
Results: Higher plasma levels of sphingomyelin-d18:1/16:0 (SM-16) were associated with a faster cognitive decline measured with 3MSE, in contrast, higher levels of sphingomyelin-d18:1/22:0 (SM-22) …
Employee Handbook, Saint Mary's College Of California
Employee Handbook, Saint Mary's College Of California
Employee & Staff Handbook
No abstract provided.
Perceptions Of Acute Care Telemedicine Among Caregivers For Persons Living With Dementia: A Qualitative Study, Anita Chary, Norvin Hernandez, Ana Paulina Rivera, Vivian Ramont, Tracey Obi, Ilianna Santangelo, Christine Ritchie, Hardeep Singh, Emily Hayden, Aanand D Naik, Shan Liu, Maura Kennedy
Perceptions Of Acute Care Telemedicine Among Caregivers For Persons Living With Dementia: A Qualitative Study, Anita Chary, Norvin Hernandez, Ana Paulina Rivera, Vivian Ramont, Tracey Obi, Ilianna Santangelo, Christine Ritchie, Hardeep Singh, Emily Hayden, Aanand D Naik, Shan Liu, Maura Kennedy
Faculty, Staff and Student Publications
Persons living with dementia (PLWD) have high emergency department (ED) utilization. Little is known about using telemedicine with PLWD and caregivers as an alternative to ED visits for minor acute health problems. This qualitative interview-based study elicited caregivers' perspectives about the acceptability of telemedicine for acute complaints. We performed telephone interviews with 28 caregivers of PLWD from two academic EDs, one in the Northeast and another in the South. Using a combined deductive-inductive approach, we coded interview transcripts and elucidated common themes by consensus. All caregivers reported they would need to participate in the telemedicine visit to help overcome communication …
Tap Taps And Fist Bumps: Embodied Movements In Skateboarding Sessions, Paige O’Neil
Tap Taps And Fist Bumps: Embodied Movements In Skateboarding Sessions, Paige O’Neil
Comm-entary
No abstract provided.
Interventions To Increase Follow-Up Of Abnormal Cervical Cancer Screening Results: A Systematic Literature Review And Meta-Analysis, Melissa Lopez Varon, Yimin Geng, Bryan M Fellman, Catherine Troisi, Maria E Fernandez, Ruosha Li, Belinda Reininger, Kathleen M Schmeler, Emma Allanson
Interventions To Increase Follow-Up Of Abnormal Cervical Cancer Screening Results: A Systematic Literature Review And Meta-Analysis, Melissa Lopez Varon, Yimin Geng, Bryan M Fellman, Catherine Troisi, Maria E Fernandez, Ruosha Li, Belinda Reininger, Kathleen M Schmeler, Emma Allanson
Faculty, Staff and Student Publications
INTRODUCTION: Ensuring timely follow-up of abnormal screening results is essential for eliminating cervical cancer.
OBJECTIVE: The purpose of the study was to review single and multicomponent interventions designed to improve follow-up of women with abnormal cervical cancer screening results. We report on effectiveness across studies, and describe what aspects of these interventions might be more impactful.
METHODS: Publications were searched between January 2000 and December 2022. The search included observational, quasi-experimental (pre-post studies) and randomized controlled studies describing at least one intervention to increase follow-up of women with abnormal cervical cancer screening results. Outcomes of studies included completion of any …
2023-2024 Louisiana Adult Justice, Institute For Public Health And Justice, Data Collecting And Reporting
2023-2024 Louisiana Adult Justice, Institute For Public Health And Justice, Data Collecting And Reporting
Policy & Position Papers
No abstract provided.
2023-2024 Louisiana Juvenile Justice, Institute For Public Health And Justice, Data Collecting And Reporting
2023-2024 Louisiana Juvenile Justice, Institute For Public Health And Justice, Data Collecting And Reporting
Policy & Position Papers
No abstract provided.
Exploring Sexual Orientation Disparities Regarding The Interplay Of Childhood Sexual Abuse, Self-Reported Diabetes Status, And Depression Among Adults In The United States, Sumaita Choudhury, Paul G Yeh, Kaitlyn L Zajack-Garcia, Christine M Markham
Exploring Sexual Orientation Disparities Regarding The Interplay Of Childhood Sexual Abuse, Self-Reported Diabetes Status, And Depression Among Adults In The United States, Sumaita Choudhury, Paul G Yeh, Kaitlyn L Zajack-Garcia, Christine M Markham
Faculty, Staff and Student Publications
Previous research has revealed a strong link between the experience of childhood sexual abuse (CSA) and diabetes in adulthood. Moreover, research has shown that sexual minorities (SM) are exposed to adverse childhood experiences (ACEs) (i.e. CSA) and experience depression at higher rates than their heterosexual counterparts. Thus, it is imperative to further investigate the role of depression and the differential associations of exposure to ACEs with diabetes prevalence by sexual orientation. We explored sexual orientation disparities regarding the relationship between CSA and diabetes and examined the moderating role of depression. A total of 29,903 participants from the 2021 Behavioral Risk …
Circulating Sphingolipids In Relation To Cognitive Decline And Incident Dementia: The Cardiovascular Health Study, Kristine F Moseholm, Héléne T Cronjé, Manja Koch, Annette L Fitzpatrick, Oscar L Lopez, Marcia C De Oliveira Otto, W T Longstreth, Andrew N Hoofnagle, Kenneth J Mukamal, Rozenn N Lemaitre, Majken K Jensen
Circulating Sphingolipids In Relation To Cognitive Decline And Incident Dementia: The Cardiovascular Health Study, Kristine F Moseholm, Héléne T Cronjé, Manja Koch, Annette L Fitzpatrick, Oscar L Lopez, Marcia C De Oliveira Otto, W T Longstreth, Andrew N Hoofnagle, Kenneth J Mukamal, Rozenn N Lemaitre, Majken K Jensen
Faculty, Staff and Student Publications
INTRODUCTION: Whether circulating levels of sphingolipids are prospectively associated with cognitive decline and dementia risk is uncertain.
METHODS: We measured 14 sphingolipid species in plasma samples from 4488 participants (mean age 76.2 years; 40% male; and 25% apolipoprotein E (
RESULTS: Higher plasma levels of sphingomyelin-d18:1/16:0 (SM-16) were associated with a faster cognitive decline measured with 3MSE, in contrast, higher levels of sphingomyelin-d18:1/22:0 (SM-22) were associated with slower decline in cognition measured with DSST. In Cox regression, higher levels of SM-16 (hazard ration [HR] = 1.24 [95% confidence interval [CI]: 1.08-1.44]) and ceramide-d18:1/16:0 (Cer-16) (HR = 1.26 [95% CI: 1.10-1.45]) …
A Comprehensive Program To Improve Treatment Of Precancerous Cervical Lesions In The Rio Grande Valley Of Texas, Melissa Varon, Mila Pontremoli Salcedo, Bryan Fellman, Catherine Troisi, Rose Gowen, Maria Daheri, Ana M Rodriguez, Paul Toscano, Laura Guerra, Monica Gasca, Blanca Cavazos, Elena Marin, Susan Fisher-Hoch, Maria E Fernandez, Belinda Reininger, Li Ruosha, Ellen Baker, Kathleen Schmeler
A Comprehensive Program To Improve Treatment Of Precancerous Cervical Lesions In The Rio Grande Valley Of Texas, Melissa Varon, Mila Pontremoli Salcedo, Bryan Fellman, Catherine Troisi, Rose Gowen, Maria Daheri, Ana M Rodriguez, Paul Toscano, Laura Guerra, Monica Gasca, Blanca Cavazos, Elena Marin, Susan Fisher-Hoch, Maria E Fernandez, Belinda Reininger, Li Ruosha, Ellen Baker, Kathleen Schmeler
Faculty, Staff and Student Publications
OBJECTIVE: To assess the impact of a multicomponent intervention in women with cervical dysplasia who were treated with loop electrosurgical excision procedure (LEEP), as well as the time between colposcopy and treatment.
DESIGN: Retrospective cohort study.
INTERVENTION: Clinic participation in a multicomponent cervical cancer prevention program that included community outreach, patient in-reach, and navigation, as well as provider capacity building with in-person training and ongoing telementoring through Project ECHO.
MAIN OUTCOME MEASURES: Medical records were reviewed to evaluate women with cervical dysplasia undergoing treatment with LEEP within 90 days of colposcopy, as well as time between colposcopy and treatment. Baseline …
The Relationship Of Neighborhood Disadvantage, Biological Aging, And Psychosocial Risk And Resilience Factors In Heart Failure Incidence Among Black Persons: A Moderated Mediation Analysis, Ganga S Bey, James R Pike, Anthony S Zannas, Qian Xiao, Bing Yu, Amil M Shah, Priya Palta
The Relationship Of Neighborhood Disadvantage, Biological Aging, And Psychosocial Risk And Resilience Factors In Heart Failure Incidence Among Black Persons: A Moderated Mediation Analysis, Ganga S Bey, James R Pike, Anthony S Zannas, Qian Xiao, Bing Yu, Amil M Shah, Priya Palta
Faculty, Staff and Student Publications
Objectives: Deprived living environments contribute to greater heart failure (HF) risk among non-Hispanic Black persons, who disproportionately occupy disadvantaged neighborhoods. The mechanisms for these effects are not fully explicated, partially attributable to an insufficient understanding of the individual factors that contribute additional risk or resilience to the impact of neighborhood disadvantage on health. The objective of this study was, therefore, to clarify the complex pathways over which such exposures act to facilitate more targeted, effective interventions. Given the evidence for a mediating role of biological age and a moderating role of individual psychosocial characteristics in the neighborhood disadvantage-HF link, we …
The Perpetual Evidence-Practice Gap: Addressing Ongoing Barriers To Chronic Pain Management In Primary Care In Three Steps, Laura Ellen Ashcraft, Megan E Hamm, Serwaa S Omowale, Valerie Hruschak, Elizabeth Miller, Shaun M Eack, Jessica S Merlin
The Perpetual Evidence-Practice Gap: Addressing Ongoing Barriers To Chronic Pain Management In Primary Care In Three Steps, Laura Ellen Ashcraft, Megan E Hamm, Serwaa S Omowale, Valerie Hruschak, Elizabeth Miller, Shaun M Eack, Jessica S Merlin
Faculty, Staff and Student Publications
Background: Most management of chronic pain, a serious illness affecting the physical and psychological wellbeing of millions, occurs in primary care settings. Primary care practitioners (PCPs) attempt to provide evidence-based practices to treat chronic pain. However, there continues to be a gap between the care people receive and the evidence. The objectives for this study were to (1) explore determinants of evidence-based chronic pain management and (2) develop a novel approach to using implementation science to address the evidence-practice gap.
Method: A convenience sample of twenty-one Pennsylvania PCPs participated in one-time semi-structured telephone interviews. Interviews were transcribed verbatim and both …
Self-Perception Of Mental Health, Covid-19 And Associated Sociodemographic-Contextual Factors In Latin America, Pablo Roa, Guillermo Rosas, Gloria Isabel Niño-Cruz, Sergio Mauricio Moreno-López, Juliana Mejía-Grueso, Haney Aguirre-Loaiza, Javiera Alarcón-Aguilar, Rodrigo Reis, Adriano Akira Ferreira Hino, Fernando López, Deborah Salvo, Andrea Ramírez-Varela
Self-Perception Of Mental Health, Covid-19 And Associated Sociodemographic-Contextual Factors In Latin America, Pablo Roa, Guillermo Rosas, Gloria Isabel Niño-Cruz, Sergio Mauricio Moreno-López, Juliana Mejía-Grueso, Haney Aguirre-Loaiza, Javiera Alarcón-Aguilar, Rodrigo Reis, Adriano Akira Ferreira Hino, Fernando López, Deborah Salvo, Andrea Ramírez-Varela
Faculty, Staff and Student Publications
This study aimed to estimate the prevalence of alterations in self-perceived mental health during the COVID-19 pandemic and their associated factors in four Latin American countries. This is a cross-sectional study based on data collected from adults in 2021 through the Collaborative Response COVID-19 Survey by the MacDonnell Academy at Washington University in St. Louis (United States). The sample was composed of 8,125 individuals from Brazil, Colombia, Mexico, and Chile. A generalized linear model for a binary outcome variable with a logistic link and fixed country effects was used. There were 2,336 (28.75%) individuals who considered having suffered alterations in …
Colonial Drivers And Cultural Protectors Of Brain Health Among Indigenous Peoples Internationally, Rita Henderson, Joyla A Furlano, Shayla Scott Claringbold, Ashley Cornect-Benoit, Anh Ly, Jennifer Walker, Lisa Zaretsky, Pamela Roach
Colonial Drivers And Cultural Protectors Of Brain Health Among Indigenous Peoples Internationally, Rita Henderson, Joyla A Furlano, Shayla Scott Claringbold, Ashley Cornect-Benoit, Anh Ly, Jennifer Walker, Lisa Zaretsky, Pamela Roach
Faculty, Staff and Student Publications
Despite relatively higher rates of dementia among Indigenous populations internationally, research into drivers of disparities in brain health and cognitive function has tended to focus on modifiable risk factors over cultural understandings and contextual determinants. By seeking to characterize social and cultural factors that shape brain health and cognition in Indigenous populations, this mini scoping review expands prevailing schools of thought to include Indigenous knowledge systems. This reveals important gaps in culturally aligned care. It also reclaims horizons for research important to Indigenous Peoples that have garnered diminished attention in biomedical approaches. Twenty-three sources were included for data extraction. This …
Volume 37, Full Contents, Jhcs Staff
Volume 37, Full Contents, Jhcs Staff
Journal of Hindu-Christian Studies
No abstract provided.
The Effects Of The Video Modeling Product Gemiini© On Verbal Response Production Of Individuals With Autism Spectrum Disorder Who Are Nonspeaking Or Minimally Speaking, Miranda Ann Galvin
The Effects Of The Video Modeling Product Gemiini© On Verbal Response Production Of Individuals With Autism Spectrum Disorder Who Are Nonspeaking Or Minimally Speaking, Miranda Ann Galvin
Dissertations and Theses
The current study evaluates the effectiveness of the commercial video modeling program GemIIni© (GemIIni© Educational Systems, 2012) in increasing expressive spoken language production in individuals who exhibit characteristics of autism spectrum disorder and are considered nonspeaking or minimally speaking. Based upon the principles of Applied Behavioral Analysis, video modeling has been identified as an evidence-based practice in teaching skills to students with disabilities. In this study, the criteria for using a single-case alternating treatment design embedded within an AB experimental design was implemented to evaluate the effect of the video modeling system on the number of responses produced.
The Impact Of Banning Confidential Settlements On Discrimination Dispute Resolution, Joni Hersch, Blair D. Bullock
The Impact Of Banning Confidential Settlements On Discrimination Dispute Resolution, Joni Hersch, Blair D. Bullock
Vanderbilt Law School Faculty Publications
The #MeToo movement exposed how workplace harassment plagues employment in the United States. Several states responded by passing legislation aimed at curbing harassment and employment discrimination in the workplace. One of the most common legislative efforts was to ban confidentiality provisions in certain settlement agreements. These bans, in part, attempted to stop “secret settlements” by shining light on workplace discrimination and exposing serial harassers as a means to motivate firms to actively deter workplace discrimination.
But do bans on confidentiality agreements deter the bad act? For these laws to have a deterrent effect, claims must be revealed in a public …
Students For Fair Admissions: Affirming Affirmative Action And Shapeshifting Towards Cognitive Diversity?, Steven A. Ramirez
Students For Fair Admissions: Affirming Affirmative Action And Shapeshifting Towards Cognitive Diversity?, Steven A. Ramirez
Seattle University Law Review
The Roberts Court holds a well-earned reputation for overturning Supreme Court precedent regardless of the long-standing nature of the case. The Roberts Court knows how to overrule precedent. In Students for Fair Admissions v. Harvard (SFFA), the Court’s majority opinion never intimates that it overrules Grutter v. Bollinger, the Court’s leading opinion permitting race-based affirmative action in college admissions. Instead, the Roberts Court applied Grutter as authoritative to hold certain affirmative action programs entailing racial preferences violative of the Constitution. These programs did not provide an end point, nor did they require assessment, review, periodic expiration, or revision for greater …
Gen Z And The Changing Workforce, Maria Bane, Robyn Wahl, Christen Page
Gen Z And The Changing Workforce, Maria Bane, Robyn Wahl, Christen Page
Pedagogicon Conference Proceedings
Students often belong to a different generation than their teachers and future coworkers. These generational differences shape teaching, learning, and employability. This paper describes communication and learning preferences associated with generations. An appreciation of generational differences may reduce negative stereotypes, enhance outcomes, and promote intergenerational communication, collaboration, and learning.
Ongoing Revisions To A First-Year Seminar Program: Building Students’ Digital Literacies Through Podcasts, Kerri Hauman, Julie Perino, Jj Wallace
Ongoing Revisions To A First-Year Seminar Program: Building Students’ Digital Literacies Through Podcasts, Kerri Hauman, Julie Perino, Jj Wallace
Pedagogicon Conference Proceedings
A discussion of ongoing revisions to a First-Year Seminar program at a small liberal arts college. We discuss integrating digital literacies through a podcasting assignment, consider faculty development necessary to support these changes, and share key takeaways from students who participated in revised sections.
Digital Literacy In The Age Of Virtual Reality: Lessons From A Digitally Infused Pilot In A First-Year Undergraduate Research Seminar Course, Jj Wallace, Kerri Hauman, Julie Perino
Digital Literacy In The Age Of Virtual Reality: Lessons From A Digitally Infused Pilot In A First-Year Undergraduate Research Seminar Course, Jj Wallace, Kerri Hauman, Julie Perino
Pedagogicon Conference Proceedings
Because Virtual Reality (VR) is becoming widely used across many sectors of society, it is imperative that we prepare students for the next level of digital literacy skills necessary in a virtual workspace/place. Lessons from the infusion of VR technology into the first-year research program will be shared.
“I Can Read Your Mind!”: Using The Barnum Effect To Promote Critical Thinking In University Freshmen, Amanda W. Joyce
“I Can Read Your Mind!”: Using The Barnum Effect To Promote Critical Thinking In University Freshmen, Amanda W. Joyce
Pedagogicon Conference Proceedings
Employers consistently expect strong critical thinking skills, yet believe their new employees to be insufficient in these skills. The purpose of this piece is to share one class activity that can be used to emphasize to freshmen the importance of developing their own critical thinking skills.
Student Characteristics And Their Self-Perceptions Of Employability, Amanda W. Joyce
Student Characteristics And Their Self-Perceptions Of Employability, Amanda W. Joyce
Pedagogicon Conference Proceedings
Universities frequently explore techniques for improving graduate employability, yet these efforts don’t always translate to student perceptions. This piece uses a data-informed approach to support the use of an activity (Holland Codes) meant to encourage students to reflect upon their university’s contributions to their career readiness.
(Still) In High Demand: A Century Of Collaboration And Teamwork As Essential Skills, Beth Polin
(Still) In High Demand: A Century Of Collaboration And Teamwork As Essential Skills, Beth Polin
Pedagogicon Conference Proceedings
Organizations need teamwork and collaboration as tools to address complex organizational challenges. What characterizes these skills in a 21st century workplace, and how do we develop the contemporary versions that are demanded? An organizational psychologist distinguishes teamwork from collaboration, and explores the proper application of these essential skills.
From Surviving To Thriving: Empowering Tomorrow’S Professionals Today, David L. Coffey, Keri E. New, Raglena Salmans
From Surviving To Thriving: Empowering Tomorrow’S Professionals Today, David L. Coffey, Keri E. New, Raglena Salmans
Pedagogicon Conference Proceedings
University students are reporting increased levels of anxiety, depression, and suicidal ideation. Learning emotional regulation is a protective factor for students’ overall academic success. This article discusses our experiences implementing an emotional regulation learning activity with University students and strategies for student engagement around mental health issues. Incorporating activities that encourage emotional regulation skills in the regular classroom may add value to the student experience.
From Uniforms To Robes: Unveiling Judicial Review Practices Of The Supreme Court Of Israel In Cases Adjudicated In Military Tribunals, Yotam Berger
Emory International Law Review
While the Supreme Court of Israel has been, historically, perceived to be inclined to intervene in national security matters, this Article reveals a notable restraint in its review of criminal cases originating in military-operated tribunals. These tribunals include courts-martial (CMs), where soldiers are prosecuted, and occupied territory courts (OTCs), where Palestinians face charges. The study examines a database designed to encompass all available relevant cases decided by the Supreme Court of Israel from 2002 to 2021. It concludes that, despite its interventionist reputation, the Court exhibits a restricted, perhaps conservative stance toward criminal cases previously adjudicated by military judges. Notably, …
A Composite Cognitive Workload Evaluation Of The Hysteresis Effect, Jon Vogl
A Composite Cognitive Workload Evaluation Of The Hysteresis Effect, Jon Vogl
Dissertations and Theses
Advancements in technology have changed the dynamic of work as it is performed in safety-critical tasks. Today, many systems offer operators the option to ease the burden of complex tasks by offloading subtasks to automation technology. The goal of adaptive automation is to eliminate the need for operators to engage/disengage automation, and instead have automated control of subtasks adapt to the needs of the operator in real time. However, each change in automation also creates a task demand transition, which have been shown to elicit unexpected effects on cognitive workload metrics. Adaptive automation systems need to be ready to account …
Empowering Choices: A Strategy For Sexual Health And Sti Prevention Among Adolescent Girls In Fort Bend County, Texas, Mindy L. Jones
Empowering Choices: A Strategy For Sexual Health And Sti Prevention Among Adolescent Girls In Fort Bend County, Texas, Mindy L. Jones
Selected Social Change Portfolios in Prevention, Intervention, and Consultation
Significant Findings: In Fort Bend County, Texas, the rising rates of sexually transmitted infections (STIs) among adolescent girls, especially chlamydia, gonorrhea, and syphilis, have become a significant public health and mental health challenge. These infections not only impact physical health, leading to severe outcomes like infertility and increased HIV risk, but also affect mental health, educational attainment, and economic stability (Johnson-Minter et al., 2020; CDC, 2021). Adolescents, particularly young females aged 15-24, disproportionately bear the burden, with social and structural barriers such as stigma, lack of access to healthcare, and inadequate sexual education exacerbating the situation (Garcia et al., 2023; …
The Baby And The Big Shoes, Barbara Birch
The Baby And The Big Shoes, Barbara Birch
Quaker Religious Thought
This paper problematizes the premise that the Christian liturgies scrapped by early Friends were empty outer forms of little value. My queries are—Are rituals truly empty and outward, or are they full of inner sensations and experiences not easily seen or quantified? Of course, the same questions can be asked of Quaker worship, which is itself a liturgy of silence. If silence is a liturgy, is it empty or full? Moreover, does silent worship appear empty or full to newcomers and visitors?
Excessive Alcohol Use In Charlotte County, Florida, Lindsay Tomaras
Excessive Alcohol Use In Charlotte County, Florida, Lindsay Tomaras
Selected Social Change Portfolios in Prevention, Intervention, and Consultation
Significant Findings: Charlotte County in southwest Florida is a rapidly growing area for residents and vacationers alike. Although a naturally beautiful destination, excessive alcohol use is higher here than the state average, and motor vehicle crash deaths involving alcohol are significantly greater than both state and national averages (County Health Rankings & Roadmaps, 2024). Alcohol use is a contributing factor to a multitude of physical and mental illnesses, resulting in a massive economic burden on society. These negative consequences disproportionately impact marginalized populations such as LGBTQ+ community members and Hispanic males. The county can reduce this financial strain through increased …