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Articles 5971 - 6000 of 6752
Full-Text Articles in Entire DC Network
Survival, Cause-Specific Mortality, Resource Selection, Movement Rates, And Population Dynamics Of White-Tailed Deer (Odocoileus Virginianus) In West Virginia, Usa, Brett P. Skelly
Graduate Theses, Dissertations, and Problem Reports (ETD)
White-tailed deer (Odocoileus virginianus) are one of the most culturally and economically important big game species in the United States. At the turn of the 20th century white-tailed deer were almost extirpated due to market hunting and unsustainable forestry practices that destroyed habitat. The creation of game laws that eliminated market hunting and created seasons and bag limits for deer hunting along with restocking efforts by sportsmen’s groups and state wildlife agencies aided in deer population recovery. These efforts have led to the abundant deer populations that are currently enjoyed by hunters and wildlife viewers. Deer populations require …
An Assessment Of Disease Risks, Population Genetics, And Spatial Ecology Of Appalachian Cottontails (Sylvilagus Obscurus) And Snowshoe Hares (Lepus Americanus) In West Virginia, Usa, Madison Leigh Miller
An Assessment Of Disease Risks, Population Genetics, And Spatial Ecology Of Appalachian Cottontails (Sylvilagus Obscurus) And Snowshoe Hares (Lepus Americanus) In West Virginia, Usa, Madison Leigh Miller
Graduate Theses, Dissertations, and Problem Reports (ETD)
Snowshoe hares (Lepus americanus) occupy a large range across the United States and Canada. While snowshoe hare populations are generally considered stable in the interior of their range, populations along range edges are experiencing declines, possibly driven by climate-related factors such as seasonal coat color mismatch. West Virginia represents one of the southernmost extents of the species’ range, yet little is known about the population genetic status or population sizes of snowshoe hares in the state. Appalachian cottontails (Sylvilagus obscurus) are another lagomorph species found in West Virginia. This species experienced a historical decline and currently …
Stakeholder Perceptions Of West Virginia’S Artificial Food Dye Ban In K–12 School Meals: Initial Year Of 2025-2026, Leah Michelle Rogers
Stakeholder Perceptions Of West Virginia’S Artificial Food Dye Ban In K–12 School Meals: Initial Year Of 2025-2026, Leah Michelle Rogers
Graduate Theses, Dissertations, and Problem Reports (ETD)
OBJECTIVES: Artificial food dyes (AFD+) are an increasing policy concern in the U.S., particularly in children’s foods. West Virginia’s House Bill 2354, the first statewide AFD+ ban implemented in K-12 schools, restricts seven AFD+ in state-funded meals. Little is known about how AFD+ bans are perceived or implemented. This study examined how the ban functioned within school food systems and the barriers and facilitators experienced by school stakeholders within the initial year of implementation during the 2025-2026 school year.
METHODS: A cross-sectional, observational mixed-methods study was conducted among implementers, enforcers, and receivers of the policy. A survey tool …
Surrogate-Based Approaches For Evaluating Post-Harvest Food Safety Interventions In Fresh Produce, Md Shafiul Islam Rion
Surrogate-Based Approaches For Evaluating Post-Harvest Food Safety Interventions In Fresh Produce, Md Shafiul Islam Rion
Graduate Theses, Dissertations, and Problem Reports (ETD)
Pathogenic bacteria are still a threat to human beings worldwide as their presence is often unknown even if they are already present in fresh produces. This in turn resulted in several outbreaks and recalls across the United States. This dissertation investigated the survival of pathogenic bacteria and their potential non-pathogenic surrogates after antimicrobial interventions in different modes of applications on the surface of cantaloupes, butternut squash, and fresh cilantro. In the first study, peroxyacetic acid (PAA) was applied in three separate doses on nalidixic acid resistant Salmonella Typhimurium, Listeria monocytogenes, Enterococcus faecium, and Listeria innocua inoculated cantaloupe surfaces …
Improving The Continuity Of Care For Opioid Use Disorder: Investigating Fentanyl Overdose Outcomes And Pharmacy-Level Buprenorphine Access, Lyn Yuen Choo
Graduate Theses, Dissertations, and Problem Reports (ETD)
Opioid overdose (OD) deaths remain a leading cause of injury-related death in the United States (US) and approximately 76,516 drug OD deaths were predicted in the past year prior to April 2025. While previous research has focused on fatal opioid ODs, less is known about outcomes following non-fatal opioid ODs (NFOO) involving fentanyl. Patients who experienced a fentanyl OD may develop significant morbidity and inpatient mortality due to fentanyl’s high potency, rapid onset of action, and decreased response to naloxone. Research efforts to improve continuity of care for opioid use disorder (OUD) are highly needed to ensure appropriate follow-up care …
Differences In Dry Matter Intake In Grazing And Drylot Beef Cattle, Tylor John Yost
Differences In Dry Matter Intake In Grazing And Drylot Beef Cattle, Tylor John Yost
Graduate Theses, Dissertations, and Problem Reports (ETD)
Accurate measurement of individual dry matter intake (DMI) in grazing cattle remains a major challenge for evaluating feed efficiency traits in beef production systems. This study evaluated relationships among intake and efficiency traits measured in both pasture and drylot environments and assessed the potential for predicting pasture DMI using water intake and machine learning approaches. A total of 163 beef cattle across four experimental groups were evaluated in one of two grazing seasons (2024 or 2025). Drylot feed and water intake were measured using automated intake monitoring equipment, whereas pasture intake was determined using a long short-term memory …
Effectiveness Of Occupational Therapy-Inspired Educational Sessions For Mothers Accessing Women, Infants, And Children (Wic) Services, Samantha Annette Merew
Effectiveness Of Occupational Therapy-Inspired Educational Sessions For Mothers Accessing Women, Infants, And Children (Wic) Services, Samantha Annette Merew
Graduate Theses, Dissertations, and Problem Reports (ETD)
This doctoral capstone project examined the effectiveness of occupational therapy (OT)-inspired group and one-on-one educational sessions designed to support the emotional, mental, and social well-being of pregnant and postpartum mothers accessing Women, Infants, and Children (WIC) services in Onslow County, North Carolina. Grounded in the Model of Human Occupation and Cognitive Behavioral Frame of Reference, the program aimed to address gaps in holistic maternal health support, particularly among low-income and at-risk populations. Eight structured group sessions and five one-on-one sessions were developed, implemented, and evaluated, focusing on topics such as stress management, emotional regulation, self-care, role transition, and self-advocacy. A …
Low Energy Availability And Dietary Factors In High School Runners, Natalie E. Allik
Low Energy Availability And Dietary Factors In High School Runners, Natalie E. Allik
All Master's Theses
ABSTRACT
LOW ENERGY AVAILABILITY AND DIETARY FACTORS IN HIGH SCHOOL RUNNERS
By
Natalie Elizabeth Allik
June 2026
Context: Low energy availability (LEA) is associated with adverse health and performance outcomes in athletes and may be particularly concerning during adolescence when growth and bone development are ongoing. Although inadequate carbohydrate (CHO) intake has been proposed as a contributor to LEA, limited research has examined this relationship in adolescent endurance athletes. Objective: To examine dietary intake, bone mineral density (BMD), and eating disorder (ED) risk in adolescent distance runners with and without LEA. Methods: Eighteen adolescent distance runners (15.7 ± 1.2 years; …
Ultrasound-Derived Liver Composition And Metabolic Flexibility Under Exercise Stress, Rhodes Van Houten
Ultrasound-Derived Liver Composition And Metabolic Flexibility Under Exercise Stress, Rhodes Van Houten
All Master's Theses
Metabolic Associated Fatty Liver Disease (MAFLD) is characterized by abnormal liver fat accumulation in conjunction with metabolic syndromes. MAFLD affects 33% of individuals worldwide, though little is known about how increased liver fat impacts physiological responses to exercise. This study aimed to analyze the relationship between liver composition and metabolic flexibility during a graded exercise test. Body composition was analyzed via dual-energy X-ray absorptiometry. Liver ultrasound was evaluated for echogenicity, where elevated mean gray volume (MGV) indicates abnormal liver tissue. Rates of fat (FATox) and carbohydrate (CHOox) oxidation (g/min), respiratory exchange ratio (RER), and blood lactate concentrations ([LA-], …
Low Energy Availability And Dietary Factors In High School Runners, Natalie E. Allik
Low Energy Availability And Dietary Factors In High School Runners, Natalie E. Allik
All Master's Theses
Context: Low energy availability (LEA) is associated with adverse health and performance outcomes in athletes and may be particularly concerning during adolescence when growth and bone development are ongoing. Although inadequate carbohydrate (CHO) intake has been proposed as a contributor to LEA, limited research has examined this relationship in adolescent endurance athletes. Objective: To examine dietary intake, bone mineral density (BMD), and eating disorder (ED) risk in adolescent distance runners with and without LEA. Methods: Eighteen adolescent distance runners (15.7 ± 1.2 years; 7 males, 11 females) completed baseline assessments including anthropometrics, dual-energy X-ray absorptiometry (DXA), a 24-hour dietary recall, …
Beyond The Headlines : Investigating Media Framing Of Malaysian Human Trafficking In Southeast Asia During Covid-19, Muhammad Asim Imran, Kah Choon Ng, Cheng Kin Meng
Beyond The Headlines : Investigating Media Framing Of Malaysian Human Trafficking In Southeast Asia During Covid-19, Muhammad Asim Imran, Kah Choon Ng, Cheng Kin Meng
Journal of Urban Culture Research
This study presents a comprehensive analysis of human trafficking involving Malaysians in Southeast Asia, with a particular focus on Cambodia, Thailand, and Myanmar. Employing a systematic review approach based on the PRISMA methodology, the study examines 63 news records from The Star, covering the period from March to September 2022. The findings reveal a notable increase in media coverage during this time, signaling heightened awareness of Malaysian human trafficking issues. The COVID-19 pandemic emerges as a critical factor exacerbating vulnerabilities and contributing to a surge in trafficking incidents. Malaysians were identified as victims of forced labor in diverse industries, including …
Neighborhood Deprivation Associated With Impaired Sit-To-Stand Performance In Middle-Aged And Older Adults: A Cross-Sectional Analysis With Clinical Implications, Kenneth Harrison, Silvia Campos-Vargas, Brandon M. Peoples, Keven G. Santamaria-Guzman, David T. Redden, Michael A. Samaan, Jaimie A. Roper
Neighborhood Deprivation Associated With Impaired Sit-To-Stand Performance In Middle-Aged And Older Adults: A Cross-Sectional Analysis With Clinical Implications, Kenneth Harrison, Silvia Campos-Vargas, Brandon M. Peoples, Keven G. Santamaria-Guzman, David T. Redden, Michael A. Samaan, Jaimie A. Roper
Kinesiology and Health Promotion Faculty Publications
Background: Socioeconomic factors significantly influence health outcomes in older adults, yet their impact on specific aspects of mobility remains unclear. This study investigates the relationship between area-level socioeconomic disadvantage and mobility health in older adults.
Methods: We conducted a cross-sectional study of 110 community-dwelling older adults recruited and collected using voluntary response sampling at eight health fairs across rural Southeast Alabama in 2022–2024 (60 ± 16 years, 80% female). Area-level socioeconomic status was measured using the Area Deprivation Index (ADI), a validated composite measure of neighborhood disadvantage. Mobility was assessed using the Instrumented Timed Up and Go (iTUG) test and …
The Depuration Of Microplastic Pollution In Aquacultured Indian River Lagoon Oysters, Lee Nguyen
The Depuration Of Microplastic Pollution In Aquacultured Indian River Lagoon Oysters, Lee Nguyen
Honors Undergraduate Theses
Plastics are widely used in consumer goods and industrial manufacturing, and their degradation into microplastics (MP, size < 5 mm) has created an emergent environmental pollutant. Plastics readily enter aquatic environments, where they accumulate additional contaminants and bioaccumulate in organisms. While MP contamination in marine ecosystems is well documented, less is known about MP presence in aquacultured shellfish. Depuration, the process of purging contaminants from shellfish, is conducted in sterile seawater without food, which may cause oyster starvation and death. To date, MP depuration has not been examined in the aquacultured eastern oyster (Crassostrea virginica) in published studies. This study had 3 goals: 1) evaluate the effects of algal feed on oyster survival during depuration, 2) determine the effect of algal feed on depuration effectiveness, and 3) investigate the effect of a ten-day depuration on MP concentration in aquacultured C. virginica soft tissue. MP were quantified in oyster tissues, biodeposits, and in industrial algal feed. Tissues were digested using alkaline solutions, manually examined via microscopy, and analyzed using Fourier-Transform Infrared Spectroscopy (FTIR) to investigate MP polymer …
The Impact Of Gastric Sleeve And Roux-En-Y Gastric Bypass On Chief Cell Function And Protein Digestion In Obese Patients, Garikoitz Mikel Gainza
The Impact Of Gastric Sleeve And Roux-En-Y Gastric Bypass On Chief Cell Function And Protein Digestion In Obese Patients, Garikoitz Mikel Gainza
Honors Undergraduate Theses
Obesity has become one of the largest global health concerns of the 21st century, correlating with numerous associated diseases. To help address the growing prevalence and burden of obesity, sleeve gastrectomy and Roux-en-Y gastric bypass have become two commonly performed surgical procedures done to promote weight loss by altering the anatomical structure of the stomach and surrounding organs of the gastrointestinal system. Although the benefits of improved metabolism linked to these surgical procedures are well studied, their impact on the physiology of gastric cells, and more specifically chief cells as they relate to protein digestion post-surgery, is yet to …
Iron Deficiency And Iron Deficiency Anemia: Inconsistent Screening Practices And Delayed Result Processing In Children 12-18 Months, Madonna J. Mahoney Marshall
Iron Deficiency And Iron Deficiency Anemia: Inconsistent Screening Practices And Delayed Result Processing In Children 12-18 Months, Madonna J. Mahoney Marshall
Doctor of Nursing Practice (DNP) Scholarly Projects - Archive
Introduction:
Iron deficiency and iron deficiency anemia in children aged 12 to 18 months are prevalent conditions that, if not identified and treated early, are associated with adverse neurodevelopmental outcomes.
Purpose:
This quality improvement project evaluated the impact of a standardized screening and follow-up protocol on laboratory result retrieval, provider review, and caregiver follow-through in a military pediatric clinic.
Method:
A pre-post intervention design guided by the Plan-Do-Study-Act framework was implemented over 11 weeks and included staff education, standardized workflows, and caregiver outreach.
Results:
The intervention improved laboratory completion and caregiver follow-up rates; however, sustainability was limited by staffing constraints …
Caught In The Web: The Resolution Of The Internet Service Provider Contributory Copyright Infringement Split, Olivia F. Johnson
Caught In The Web: The Resolution Of The Internet Service Provider Contributory Copyright Infringement Split, Olivia F. Johnson
Cybaris®
No abstract provided.
Evaluating The Use Of Precision Technology To Understand Differences Between Ketotic And Non-Ketotic Jersey Cows, Emily Kathryn Palermo
Evaluating The Use Of Precision Technology To Understand Differences Between Ketotic And Non-Ketotic Jersey Cows, Emily Kathryn Palermo
Honors Theses and Capstones
No abstract provided.
Microglial Apoe Across Alzheimer’S Disease-Relevant Pathologies, Georgia Nolt
Microglial Apoe Across Alzheimer’S Disease-Relevant Pathologies, Georgia Nolt
Theses and Dissertations--Physiology
APOE exists as three common alleles (APOE2, APOE3, APOE4) that encode their corresponding protein isoforms (apoE2, apoE3, apoE4). Despite differing by only one or two single-amino acid substitutions, each APOE allele confers a distinct AD risk profile with APOE4 increasing risk by 28% and APOE2 decreasing risk by 14% compared to the most commonly expressed APOE3 allele. While traditionally considered “neutral,” APOE3 still accounts for ~36% of AD cases while APOE4 contributes ~57%, indicating that the majority of AD cases would not occur in the absence of the APOE3 and APOE4 alleles. Microglia, the resident phagocytic immune cells …
One-Stop-Shop (Oss): Community Health Nursing: (For Undergraduate Nurses), Sarmad Muhammad Soomar
One-Stop-Shop (Oss): Community Health Nursing: (For Undergraduate Nurses), Sarmad Muhammad Soomar
Books
No abstract provided.
Impact Of Pretreatment On Iodine Content In Laminaria Digitata Assessed By Inductively Coupled Plasma-Mass Spectrometry, Cíara Kenny, Róisín Burke, Catherine Barry-Ryan
Impact Of Pretreatment On Iodine Content In Laminaria Digitata Assessed By Inductively Coupled Plasma-Mass Spectrometry, Cíara Kenny, Róisín Burke, Catherine Barry-Ryan
Research Outputs: 2025-Present
Seaweeds, particularly Laminaria digitata , are a rich source of iodine, essential for thyroid function, but excessive intake poses health risks. This study evaluates the impact of processing methods, including washing, blanching, boiling, dehydration, and rehydration, on iodine levels to optimise its safe consumption through controlled processing. The washed baseline sample contained 154.5 mg/kg DW (50.2 mg/kg FW) iodine, providing the reference point for calculating percentage reductions and increases. Blanching reduced iodine by 46.1% (1 min) and 69.8% (3 min), while boiling for 20 min led to a 49.5% reduction. In contrast, dehydration concentrated iodine, reaching 317.4 mg/kg (20 min), …
Identifying And Defining Kickout Strategies In Senior Inter-County Ladies Gaelic Football, Aoife Mccolgan, Jonathan Bradley, Denise Earle, David Gaul, Denise Martin
Identifying And Defining Kickout Strategies In Senior Inter-County Ladies Gaelic Football, Aoife Mccolgan, Jonathan Bradley, Denise Earle, David Gaul, Denise Martin
Research Outputs: 2025-Present
The kickout has become a key source of possession in Ladies Gaelic Football (LGF), with successful teams winning 80% of their own and 29% of the opposition kickouts (KO). Several investigators have alluded to the role of strategy in Gaelic games; however, none have successfully identified, defined, or measured the impact of these strategies on the game. This novel study aims to identify and define the strategies used by Senior Inter-County LGF teams to win their own and opposition KOs, developing a valid and reliable analysis system to analyse KO performance in LGF. Eighty-nine games (2172 kickouts) from the 2019–2023 …
Characterizing Gut Microbial Communities And Symbiont-Mediated Detoxification In Herbivorous Insects, Rachel C. Vargas
Characterizing Gut Microbial Communities And Symbiont-Mediated Detoxification In Herbivorous Insects, Rachel C. Vargas
Biology Dissertations
Insect gut bacteria are vital contributors to host physiology, yet the broader prevalence and fitness implications of symbiont-mediated detoxification remain poorly understood. This thesis investigates these dynamics across three research chapters. Chapter 1 uses 16S rRNA sequencing to characterize how grasshopper gut microbial communities vary across species, dietary breadths, and gastrointestinal segments. Chapter 2 evaluates the detoxification capacity of over 150 bacterial isolates from diverse herbivores against the plant allelochemicals phenethyl isothiocyanate, rutin, and chlorogenic acid to determine if host dietary specialization predicts microbial metabolic ability. Finally, Chapter 3 employs fitness bioassays to test whether inoculating generalist herbivores with detoxifying …
American Elderberry's Next Top Pollinator: Evaluating The Role Of Arthropods In Pollination, Jenny K. Burrow
American Elderberry's Next Top Pollinator: Evaluating The Role Of Arthropods In Pollination, Jenny K. Burrow
Graduate Theses/Dissertations
American elderberry (Sambucus nigra subsp. canadensis) is a woody deciduous shrub native to eastern North America. In addition to its long history of use by indigenous peoples, there is renewed interest in cultivating and consuming American elderberry, primarily driven by expanding health supplement markets. Despite recent advances in horticultural development of American elderberry, its pollination ecology remains poorly understood. In this field study, I evaluated the contribution of arthropod visitors to pollination of American elderberry. To do this, I first characterized the identities and abundances of arthropod visitors via timed arthropod collections and floral observations during peak flowering …
A Transdisciplinary Approach To Advancing Water Security And Public Health: The “Nurse + Engineer” Model For Achieving Sustainability In Wash Systems Using Community-Based Participatory Research, Daniel B. Oerther, Sarah Oerther
A Transdisciplinary Approach To Advancing Water Security And Public Health: The “Nurse + Engineer” Model For Achieving Sustainability In Wash Systems Using Community-Based Participatory Research, Daniel B. Oerther, Sarah Oerther
Civil, Architectural and Environmental Engineering Faculty Research & Creative Works
Human health is linked to the health of the environment, a concept referred to as planetary health. As environmental challenges become increasingly complex, single-disciplinary approaches are insufficient to achieve sustainable solutions. This article presents a transdisciplinary framework, termed the "Nurse + Engineer" model, as a novel methodology for addressing complex problems at the nexus of environmental engineering and public health. The model integrates the technical design and systems-level thinking of environmental engineering with the community-based, patient-centered care of nursing. This work details the key lessons learned from the retrospective application of this framework to a series of multi-year, community-based participatory …
Icipe Annual Report 2025, International Centre Of Insect Physiology And Ecology (Icipe)
Icipe Annual Report 2025, International Centre Of Insect Physiology And Ecology (Icipe)
icipe Annual Reports
No abstract provided.
Leading For Wholeness: Black Girlhood, Morrison And Hurston, And The Epistemology Of Flourishing In Independent Schools, Kamaya Prince Thompson
Leading For Wholeness: Black Girlhood, Morrison And Hurston, And The Epistemology Of Flourishing In Independent Schools, Kamaya Prince Thompson
Theses and Dissertations
This study investigates how Black girls in US independent schools experience Zora Neale Hurston’s, Their Eyes Were Watching God, and Toni Morrison’s Song of Solomon, alongside the larger, traditional literary canon taught within high school English classrooms as texts that can shape their sense of self. In this project, wholeness is defined through a tripartite framework consisting of three interconnected parts: Self (a deepened sense of identity and ways of knowing), Community (experiences of belonging, safety, mentoring, and joy), and Purpose (the development of values, meaning, and a sense of connection both to the community and self). These aspects are …
Do Friendship Features Moderate Associations Between Body-Related (Co)-Rumination And Disordered Eating Behaviors?, Annabel Grace Susanin
Do Friendship Features Moderate Associations Between Body-Related (Co)-Rumination And Disordered Eating Behaviors?, Annabel Grace Susanin
Theses and Dissertations
For young adults, the transition to college includes increased responsibility and academic pressures, as well as new living environments with same-age peers. The demands of this transition can contribute to increased stress and uncertainty in students, resulting in engagement of behaviors that negatively impact physical and mental well-being. Among these behaviors include disordered eating. In this project, we sought to better understand individual and social risk factors for developing disordered eating behaviors. We measured a cognitive process that can occur within the self (rumination) or between the self and others (co-rumination), two concepts previously linked to other internalizing disorders, including …
Examining Community School Hubs In Creating Sustainable And Transformative Spaces For English Learners And Families: A Qualitative Study, Elizabeth Ortiz-Wright
Examining Community School Hubs In Creating Sustainable And Transformative Spaces For English Learners And Families: A Qualitative Study, Elizabeth Ortiz-Wright
Theses and Dissertations
Economically disadvantaged English learner students are at risk for poor academic outcomes. These challenges are exacerbated by inaccessibility to nutritious food, educational resources, healthcare, and stable housing. These cyclical and persistent issues require a community-based response. Community school hubs emerged as a response to the numerous academic and social challenges for English learner families who are living in vulnerable communities. This qualitative narrative study examined the perceptions of English learner parents and members of one community school hub regarding the available resources. Research questions examined the overall perceptions of one community school hub, including challenges and necessary changes to strengthen …
The Impact Of A Kentucky Nutrition Education Program Social Marketing Campaign On Resident Health, Trinity Elizabeth Foster
The Impact Of A Kentucky Nutrition Education Program Social Marketing Campaign On Resident Health, Trinity Elizabeth Foster
Theses and Dissertations--Agricultural Economics
Poor diet quality and physical inactivity are common health issues in the United States. To remedy these issues among low-income households, the United States Department of Agriculture created the Supplemental Nutrition Assistance Program Education Program (SNAP-Ed), which promoted healthy eating and physically active lifestyles through multiple avenues. The social marketing approach of SNAP-Ed uses marketing strategies to relay information to the public. In Kentucky, a statewide billboard campaign was launched in 2018 encouraging residents to focus on nutrition and physical activity. This study investigates the impact of that campaign on health outcomes in counties throughout the state. Using billboard location …
Investigating The Cumulative Effect Of Nutrition Education And Nutrition Assistance On Measures Of Participant Health, Adity Chowdhury Kankon
Investigating The Cumulative Effect Of Nutrition Education And Nutrition Assistance On Measures Of Participant Health, Adity Chowdhury Kankon
Electronic Theses and Dissertations
This study examined the individual and combined associations of participation in the Expanded Food and Nutrition Education Program (EFNEP) and nutrition assistance programs with diet quality and biomarkers of chronic disease risk. Multistate longitudinal data were analyzed using triple difference-in-differences regression models for body mass index (BMI), systolic and diastolic blood pressure, hemoglobin A1c (HbA1c), and Diet Quality Index (DQI). EFNEP participation was associated with a reduction in BMI over time among participants not receiving nutrition assistance, but this association was attenuated among assistance participants. A similar differential pattern was observed for HbA1c. No significant differential changes were found for …