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Articles 1951 - 1980 of 25129
Full-Text Articles in Entire DC Network
A Multistudy Validation Of An Instrument For Nurse Job Satisfaction, John W. Nelson, Georgia J. Persky, Mary Ann Hozak, Alice Albu, Pamela S. Hinds, Kay Savik
A Multistudy Validation Of An Instrument For Nurse Job Satisfaction, John W. Nelson, Georgia J. Persky, Mary Ann Hozak, Alice Albu, Pamela S. Hinds, Kay Savik
General Submissions: Instruments, Tools, and Measurements
This study aims to validate an instrument of nurse job satisfaction, the Healthcare Environment Survey (HES), across settings and time through an organizational change.
Bridging The Protection Gap: Innovative Approaches To Shield Older Adults From Ai-Enhanced Scams, Ld Herrera, London Van Sickle, Ashley L. Podhradsky
Bridging The Protection Gap: Innovative Approaches To Shield Older Adults From Ai-Enhanced Scams, Ld Herrera, London Van Sickle, Ashley L. Podhradsky
Research & Publications
Artificial Intelligence (AI) is rapidly gaining popularity as individuals, groups, and organizations discover and apply its expanding capabilities. Generative AI creates or alters various content types including text, image, audio, and video that are realistic and challenging to identify as AI-generated constructs. However, guardrails preventing malicious use of AI are easily bypassed. Numerous indications suggest that scammers are already using AI to enhance already successful scams, improving scam effectiveness, speed and credibility, while reducing detectability of scams that target older adults, who are known to be slow to adopt new technologies. Through hypothetical cases analysis of two leading scams, the …
Sociodemographic, Lifestyle, And Medical Factors Associated With Calculated Free Testosterone Concentrations In Men: Individual Participant Data Meta-Analyses, Nick Narinx, Ross J Marriott, Kevin Murray, Robert J Adams, Christie M Ballantyne, Douglas C Bauer, Shalender Bhasin, Mary L Biggs, Peggy M Cawthon, David J Couper, Adrian S Dobs, Leon Flicker, Graeme J Hankey, Anke Hannemann, Robin Wilkening, Sean A Martin, Alvin M Matsumoto, Claes Ohlsson, Terence W O'Neill, Eric S Orwoll, Molly M Shores, Antje Steveling, Thomas G Travison, Gary A Wittert, Frederick C W Wu, Leen Antonio, Dirk Vanderschueren, Bu B Yeap
Sociodemographic, Lifestyle, And Medical Factors Associated With Calculated Free Testosterone Concentrations In Men: Individual Participant Data Meta-Analyses, Nick Narinx, Ross J Marriott, Kevin Murray, Robert J Adams, Christie M Ballantyne, Douglas C Bauer, Shalender Bhasin, Mary L Biggs, Peggy M Cawthon, David J Couper, Adrian S Dobs, Leon Flicker, Graeme J Hankey, Anke Hannemann, Robin Wilkening, Sean A Martin, Alvin M Matsumoto, Claes Ohlsson, Terence W O'Neill, Eric S Orwoll, Molly M Shores, Antje Steveling, Thomas G Travison, Gary A Wittert, Frederick C W Wu, Leen Antonio, Dirk Vanderschueren, Bu B Yeap
Faculty, Staff and Students Publications
Objective: Sociodemographic, lifestyle, and medical variables influence total testosterone (T) and sex hormone-binding globulin (SHBG) concentrations. The relationship between these factors and "free" T remains unclear. We examined 21 sociodemographic, lifestyle, and medical predictors influencing calculated free T (cFT) in community-dwelling men across ages.
Design: This is a cross-sectional analysis in 20 631 participants in the Androgens in Men Study.
Methods: Individual participant data (IPD) were provided by 9 cohorts. Total T was determined using mass spectrometry, SHBG using immunoassays, and cFT using the Vermeulen formula. Associations were analyzed using 2-stage random effects IPD meta-analyses.
Results: Cohort median ages ranged …
Practical Strategies For Establishing A Physical Activity Program For Older Aboriginal People - Reflections About Decolonising Practice, Margaret Gidgup, Josephine Umbella, Anne-Marie Hill
Practical Strategies For Establishing A Physical Activity Program For Older Aboriginal People - Reflections About Decolonising Practice, Margaret Gidgup, Josephine Umbella, Anne-Marie Hill
Journal of the Australian Indigenous HealthInfoNet
Background
Physical activity (PA) is a vital component of healthy ageing. However, there are few culturally appropriate PA programs available for older Aboriginal and Torres Strait Islander people. The objectives of this review were to i) assist health professionals to gain understanding about working with older Aboriginal people, ii) provide practical strategies that guide a decolonising approach when delivering PA programs.
Methods
A review of PA program delivery was undertaken by two researchers, one of whom was a Noongar Wadjak woman. The researchers conducted a weekly PA program for older Aboriginal people on Noongar Boodja (Country). The researchers took a …
Intra-Professional Collaborative Practice Among Nurses, Registered Nurses' Association Of Ontario
Intra-Professional Collaborative Practice Among Nurses, Registered Nurses' Association Of Ontario
General Submissions: Clinical Settings Materials
The purpose of this best practice guideline (BPG) is to strengthen collaborative practice among nurses, because effective collaborative practice is essential for working in health-care organizations.
In this guideline, there is a focus on collaborative practice amongst three types of nursing professionals:
- registered nurse (RN),
- registered practical nurse (RPN)
- nurse practitioner (NP)
The guideline explores what fosters healthy work environments for these groups of nurses (being aware that collaboration must align with the needs of the patient or client).
For more information including supplementary documentation and available translations, visit https://rnao.ca/bpg/guidelines/intra-professional-collaborative-practice-among-nurses
Social Determinants Of Health And How They Affect A Small Rural Community (Case Study) Eastern Shore Of Maryland, Kristopher S. Durham, Lindsay Gietzen
Social Determinants Of Health And How They Affect A Small Rural Community (Case Study) Eastern Shore Of Maryland, Kristopher S. Durham, Lindsay Gietzen
Pacific Journal of Health
The Eastern Shore of Maryland is rural and is characterized by prevalent poverty, housing instability, lack of access to healthcare, chronic diseases, substance abuse, and issues with transportation to access healthcare services. The same problems exist for the population in Maryland and the United States. Understanding the challenges experienced by rural communities in Maryland is critical to addressing the vulnerable population. This study is an explanatory case study that examines the social determinants of health and how those affect small rural communities on the Eastern Shore of Maryland by examining literature published between 2016 and 2024. The literature reviewed resulted …
Waking Up Before We Die: Aging And Spirituality, Marcelline Hutton
Waking Up Before We Die: Aging And Spirituality, Marcelline Hutton
Zea E-Books Collection
In retirement, I have more time for prayer and reflection, to rest in the Lord, and hence to have my spirit renewed. We choose how we interpret our situations. Positive, spiritual aging ideas enhance our sense of well-being. Of course, the loss of loved ones decreases our sense of self-worth at times, but the Spirit can renew us. As Genesis reminds us, God was still working in the lives of Sarah and Abraham in old age, and they can serve as models for us. Indeed, Sarah laughed at the angels and shows us how humor exists even as we age. …
Creation And Implementation Of A Nurse Practitioner Student Escape Room, Sara Arn, Msn, Crnp, Agpcnp-Bc
Creation And Implementation Of A Nurse Practitioner Student Escape Room, Sara Arn, Msn, Crnp, Agpcnp-Bc
College of Nursing Posters
Introduction
Educational escape rooms have been gaining popularity in nursing institutions over the past few years. The current literature focuses on the creation, implementation, and benefit of escape rooms for undergraduate nursing students. This poster presentation describes the creation and implementation of an educational escape room targeted to the experiences and skills of advanced practice nursing students enrolled in nurse practitioner programs.
Building Common Understanding: Seeking Consensus And Defining Social Prescribing Across Contexts – A Collective Commentary On A Delphi Study, Caitlin Muhl, Kate Mulligan, Bogdan Chiva Giurca, Marie J. Polley, Gary Bloch, Dominik Alex Nowak, Charlotte Osborn-Forde, Sonia Hsiung, Kheng Hock Lee, Wolfram J. Herrmann, James Robert Baker, Dame Helen Jayne Stokes-Lampard, Sir Sam Everington, Michael Dixon, Isabelle Wachsmuth, Cristiano Figueiredo, Halfdan Thorsø Skjerning, Daniela Rojatz, Yu-Da Chen, Miriam L. Heijnders, Carolyn Wallace, Michelle Howarth, Daisuke Watanabe, Marcello Bertotti, Anu Helena Jansson, Susanna Althini, Felix Holzinger, Darren Glyn Dooler, Siân Brand, Tim James Anfilogoff
Building Common Understanding: Seeking Consensus And Defining Social Prescribing Across Contexts – A Collective Commentary On A Delphi Study, Caitlin Muhl, Kate Mulligan, Bogdan Chiva Giurca, Marie J. Polley, Gary Bloch, Dominik Alex Nowak, Charlotte Osborn-Forde, Sonia Hsiung, Kheng Hock Lee, Wolfram J. Herrmann, James Robert Baker, Dame Helen Jayne Stokes-Lampard, Sir Sam Everington, Michael Dixon, Isabelle Wachsmuth, Cristiano Figueiredo, Halfdan Thorsø Skjerning, Daniela Rojatz, Yu-Da Chen, Miriam L. Heijnders, Carolyn Wallace, Michelle Howarth, Daisuke Watanabe, Marcello Bertotti, Anu Helena Jansson, Susanna Althini, Felix Holzinger, Darren Glyn Dooler, Siân Brand, Tim James Anfilogoff
Peninsula Medical School
Social prescribing has become a global phenomenon. A Delphi study was recently conducted with 48 social prescribing experts from 26 countries to establish global agreement on the definition of social prescribing. We reflect on the use and utility of the outputs of this work, and where we go from here.
Subjective Well-Being Across The Life Course Among Non-Industrialized Populations, Michael Gurven, Yoann Buoro, Daniel Eid Rodriguez, Katherine Sayre, Benjamin Trumble, Aili Pyhälä, Hillard Kaplan, Arild Angelsen, Jonathan Stieglitz, Victoria Reyes-Garcia
Subjective Well-Being Across The Life Course Among Non-Industrialized Populations, Michael Gurven, Yoann Buoro, Daniel Eid Rodriguez, Katherine Sayre, Benjamin Trumble, Aili Pyhälä, Hillard Kaplan, Arild Angelsen, Jonathan Stieglitz, Victoria Reyes-Garcia
ESI Publications
Subjective well-being (SWB) is often described as being U-shaped over adulthood, declining to a midlife slump and then improving thereafter. Improved SWB in later adulthood has been considered a paradox given age-related declines in health and social losses. While SWB has mostly been studied in high-income countries, it remains largely unexplored in rural subsistence populations lacking formal institutions that reliably promote social welfare. Here, we evaluate the age profile of SWB among three small-scale subsistence societies (n = 468; study 1), forest users from 23 low-income countries (n = 6987; study 2), and Tsimane’ horticulturalists (n = …
Midweek Memo, Georgia Southern University
Midweek Memo, Georgia Southern University
Midweek Memo
- Applaud
- Remember
- Share
- Experience
- You May Have Hear
Minutes, Curriculum Committee Meeting, Tuesday, October 22, 2024, Curriculum Committee
Minutes, Curriculum Committee Meeting, Tuesday, October 22, 2024, Curriculum Committee
Curriculum Committee Minutes
No abstract provided.
Anthropology & Aging From The Editor-In-Chief, Manonita Ghosh
Anthropology & Aging From The Editor-In-Chief, Manonita Ghosh
Research outputs 2022 to 2026
No abstract provided.
Factors Associated With Dementia-Related Stigma In British Adolescents, Esra Hassan, Ben Hicks, Naji Tabet, Nicolas Farina
Factors Associated With Dementia-Related Stigma In British Adolescents, Esra Hassan, Ben Hicks, Naji Tabet, Nicolas Farina
Peninsula Medical School
Background: Dementia-related stigma is a prominent barrier for people living with dementia, leading to poor well-being and social isolation. Adolescents are an under-researched group in society that may already have experience of dementia and are more susceptible to attitudinal change which makes them ideal targets for anti-stigma initiatives outlined by public health policy. For the development of evidence-based anti-stigma initiatives in adolescents, it is important to understand which socio-demographic groups are most likely to develop stigmatising attitudes and why. This study aims to identify factors of dementia-related stigma in adolescents. Methods: A total of 1,044 adolescents (aged 11–18 years) from …
Book Review Of, Calling Family: Digital Technologies And The Making Of Transnational Care Collectives, Michele Gamburd
Book Review Of, Calling Family: Digital Technologies And The Making Of Transnational Care Collectives, Michele Gamburd
Anthropology Faculty Publications and Presentations
Book Review: Calling Family: Digital Technologies and the Making of Transnational Care Collectives
Nurse Graduates’ Experiences With Pain Science – A Qualitative Study, Rachel Bee, Cynthia Goodrich
Nurse Graduates’ Experiences With Pain Science – A Qualitative Study, Rachel Bee, Cynthia Goodrich
Wisdom & Compassion: The LUSON Journal
Background: While the nursing profession has made great strides in pain management over the last 20 years, patients often report being under-assessed and undertreated for pain.
Purpose: The study purpose was to understand the lived experiences of practicing nurses who had completed a baccalaureate-level pain management course during their undergraduate training. The study aims included understanding how pain management skills were implemented in the clinical arena, determining barriers to implementing pain management skills, and identifying opportunities to improve the patient experience regarding pain management.
Design: The researchers implemented a qualitative methodology with a phenomenological design. Data collection consisted of semi-structured …
Volume 2, Issue 1- Complete Issue
Volume 2, Issue 1- Complete Issue
Wisdom & Compassion: The LUSON Journal
No abstract provided.
The Impact Of Maternal Muscle Strength On Cesarean Delivery Outcomes: A Comparative Study Of Nulliparous Women, Gülsemi̇n Ertürk Çeli̇k, Sezi̇n Ertürk Aksakal, Yaprak Engi̇n Üstün
The Impact Of Maternal Muscle Strength On Cesarean Delivery Outcomes: A Comparative Study Of Nulliparous Women, Gülsemi̇n Ertürk Çeli̇k, Sezi̇n Ertürk Aksakal, Yaprak Engi̇n Üstün
Turkish Journal of Medical Sciences
Arkaplan/amaçAraştırma, doğumda anne kas kütlesi ve gücü ile doğum şekli arasındaki korelasyona odaklandı. Özellikle, nullipar gebe kadınlar terimine odaklandı ve quadriceps femoris kasının ultrasonografik ölçümlerini serum miyostatin seviyeleri ve el sıkma testi ile belirlenen kas gücüyle birlikte analiz etti. Amaç, bu faktörlerin vajinal veya sezaryenle doğum yapma olasılığını etkileyip etkilemediğini ayırt etmekti.Malzemeler ve yöntemlerBu çalışma, 86 sağlıklı, doğum yapmamış kadını, doğum biçimlerine göre iki gruba ayırarak çalışmaya dahil etti: vajinal doğum (58 kadın, Grup 1) ve sezaryen (28 kadın, Grup 2). Demografik bilgiler, doğum özellikleri, quadriceps femoris'in ultrasonografik ölçümleri, uzuv çevreleri, el kavrama gücü ve serum miyostatin konsantrasyonları üzerinde karşılaştırmalı …
Thoracic Trauma In The Geriatric Population And Possible Preventive Measures: A Retrospective Analysis Of 261 Cases, Mehmet Çeti̇n, Necati̇ Solak, Büşra Özdemi̇r Çi̇fli̇k, İlteri̇ş Türk, Sebahatti̇n Sefa Ermancik, Koray Aydoğdu
Thoracic Trauma In The Geriatric Population And Possible Preventive Measures: A Retrospective Analysis Of 261 Cases, Mehmet Çeti̇n, Necati̇ Solak, Büşra Özdemi̇r Çi̇fli̇k, İlteri̇ş Türk, Sebahatti̇n Sefa Ermancik, Koray Aydoğdu
Turkish Journal of Medical Sciences
Background/aim: The rise in the proportion of the elderly population within society is concurrently escalating their vulnerability to traumas, notably falls associated with age-related comorbidities.Materials and Methods: The retrospective analysis involved the examination of data pertaining to patients aged 65 and above who were admitted to our clinic for inpatient treatment following thoracic trauma. Various parameters were statistically compared between the groups with indoor and outdoor traumas.Results: 59.4% of the 261 patients included in the study were male, and the average age in the entire sample was calculated as 75.52±7.79. 136 patients (52%) had indoor trauma, while 125 (48%) had …
Association Of Coronary Endothelial Function And Angiotensin Receptor Autoantibody With Preeclampsia Among Postpartum Women, Anum S. Minhas, Arthur J. Vaught, Michael Schär, Alborz Soleimani-Fard, Neal Fedarko, Wendy Bennett, Maria Darla Esteban, Sammy Zakaria, Josef Coresh, Allison G. Hays
Association Of Coronary Endothelial Function And Angiotensin Receptor Autoantibody With Preeclampsia Among Postpartum Women, Anum S. Minhas, Arthur J. Vaught, Michael Schär, Alborz Soleimani-Fard, Neal Fedarko, Wendy Bennett, Maria Darla Esteban, Sammy Zakaria, Josef Coresh, Allison G. Hays
Student Publications
No abstract provided.
Bridging Big Data In The Enigma Consortium To Combine Non-Equivalent Cognitive Measures, Eamonn Kennedy, Shashank Vadlamani, Hannah M Lindsey, Pui-Wa Lei, Mary Jo-Pugh, Paul M Thompson, David F Tate, Frank G Hillary, Emily L Dennis, Elisabeth A Wilde, Enigma Clinical Endpoints Working Group Collaborators
Bridging Big Data In The Enigma Consortium To Combine Non-Equivalent Cognitive Measures, Eamonn Kennedy, Shashank Vadlamani, Hannah M Lindsey, Pui-Wa Lei, Mary Jo-Pugh, Paul M Thompson, David F Tate, Frank G Hillary, Emily L Dennis, Elisabeth A Wilde, Enigma Clinical Endpoints Working Group Collaborators
Faculty, Staff and Student Publications
Investigators in neuroscience have turned to Big Data to address replication and reliability issues by increasing sample size. These efforts unveil new questions about how to integrate data across distinct sources and instruments. The goal of this study was to link scores across common auditory verbal learning tasks (AVLTs). This international secondary analysis aggregated multisite raw data for AVLTs across 53 studies totaling 10,505 individuals. Using the ComBat-GAM algorithm, we isolated and removed the component of memory scores associated with site effects while preserving instrumental effects. After adjustment, a continuous item response theory model used multiple memory items of varying …
Exploring The Impact Of Lighting Sources On Walking Behavior In Obstructed Walkways Among Older Adults, Yue Luo, Yuhao Chen, Gaojian Huang, Boyi Hu
Exploring The Impact Of Lighting Sources On Walking Behavior In Obstructed Walkways Among Older Adults, Yue Luo, Yuhao Chen, Gaojian Huang, Boyi Hu
Faculty Research, Scholarly, and Creative Activity
The pandemic has reinforced older adults' reliance on their homes and the concept of “aging in place”. Changes like reduced physical strength and cognitive deficit, however, have heightened the challenge of simple tasks like obstacle crossing among older adults, let alone when older adults cannot perceive the surroundings well during the nighttime. The study is, therefore, to evaluate the impact of lighting on older adults' obstacle-crossing behavior during the nighttime. Twenty-seven older adults (81 ± 6 yrs., 171 ± 12 cm, 75 ± 20 kg, 14 females) were recruited. Participants were asked to cross over the obstacle in a dark …
A (Sub)Field Guide To Quality Control In Hippocampal Subfield Segmentation On High-Resolution T2-Weighted Mri, Kelsey L. Canada, Negar Mazloum-Farzaghi, Gustaf Rådman, Jenna N. Adams, Arnold Bakker, Hannah Baumeister, David Berron, Martina Bocchetta, Valerie A. Carr, Marshall A. Dalton, Robin De Flores, Attila Keresztes, Renaud La Joie, Susanne G. Mueller, Naftali Raz, Tales Santini, Thomas Shaw, Craig E.L. Stark, Tammy T. Tran
A (Sub)Field Guide To Quality Control In Hippocampal Subfield Segmentation On High-Resolution T2-Weighted Mri, Kelsey L. Canada, Negar Mazloum-Farzaghi, Gustaf Rådman, Jenna N. Adams, Arnold Bakker, Hannah Baumeister, David Berron, Martina Bocchetta, Valerie A. Carr, Marshall A. Dalton, Robin De Flores, Attila Keresztes, Renaud La Joie, Susanne G. Mueller, Naftali Raz, Tales Santini, Thomas Shaw, Craig E.L. Stark, Tammy T. Tran
Faculty Research, Scholarly, and Creative Activity
Inquiries into properties of brain structure and function have progressed due to developments in magnetic resonance imaging (MRI). To sustain progress in investigating and quantifying neuroanatomical details in vivo, the reliability and validity of brain measurements are paramount. Quality control (QC) is a set of procedures for mitigating errors and ensuring the validity and reliability of brain measurements. Despite its importance, there is little guidance on best QC practices and reporting procedures. The study of hippocampal subfields in vivo is a critical case for QC because of their small size, inter-dependent boundary definitions, and common artifacts in the MRI data …
The Role Of Cancer Rehabilitation In Chemotherapy-Induced Sarcopenia, Tracy L. Moore, Jessica Bertram
The Role Of Cancer Rehabilitation In Chemotherapy-Induced Sarcopenia, Tracy L. Moore, Jessica Bertram
Oncology Rehabilitation in Practice
No abstract provided.
Intergenerational Transmission Of Wisdom Through Family Narratives: A Qualitative Analysis Of Emerging Adults' Perspective, Emilia Mazurek
Intergenerational Transmission Of Wisdom Through Family Narratives: A Qualitative Analysis Of Emerging Adults' Perspective, Emilia Mazurek
The Qualitative Report
Family narratives are a medium for the intergenerational transmission of life wisdom, which may influence recipient’s beliefs system and behaviors. Despite a growing body of knowledge on wisdom, emerging adults remain insufficiently researched as to what wisdom from their perspective was conveyed to them through stories. The aim was to identify what wisdom emerging adults perceive in the narratives told them by their parents about themselves. The study was conducted in Poland. Convenience sampling was used. 42 emerging adults (33 female, 8 male, 1 non-binary) ranging from 19 to 22 years participated in the study. Participants were asked to write …
Ole Miss Becomes Member Of Age-Friendly University Network, Edwin Smith
Ole Miss Becomes Member Of Age-Friendly University Network, Edwin Smith
University of Mississippi News
OXFORD, Miss. – The University of Mississippi has joined a worldwide collaboration of colleges and universities that support healthy and active aging across the lifespan.
Acute Effects Of Serial And Integrated Concurrent Exercise On Circulating Micrornas -126 And -222 In Sedentary Adults, Matthew F. Brisebois, Ryan A. Gordon, Emily L. Zumbro, Matthew L. Sokoloski, Anthony A. Duplanty, Shanil Juma, Brandon R. Rigby
Acute Effects Of Serial And Integrated Concurrent Exercise On Circulating Micrornas -126 And -222 In Sedentary Adults, Matthew F. Brisebois, Ryan A. Gordon, Emily L. Zumbro, Matthew L. Sokoloski, Anthony A. Duplanty, Shanil Juma, Brandon R. Rigby
International Journal of Exercise Science
International Journal of Exercise Science 17(2): 1444-1460, 2024. The purpose of this study was to compare changes in circulating microRNAs -126 (c-miR-126) and -222 (c-miR-222) following acute serial concurrent exercise (SCE) and integrated concurrent exercise (ICE) sessions among young, sedentary adults. Ten males and 9 females completed the study procedures. For SCE, participants performed resistance exercise (RE) followed by aerobic exercise (AE), without mixing the two. For ICE, participants performed a brief bout of AE before each set of RE. Blood was collected before, immediately after (IP), and 1 h (1HR) after each exercise session. Expression of c-miR-126 significantly increased …
An Integrated Review: Faith Community Nurse Transitional Care Model Health Ministry, Youn Kyeong Cummings
An Integrated Review: Faith Community Nurse Transitional Care Model Health Ministry, Youn Kyeong Cummings
DNP Qualifying Manuscripts
The hospital readmission rate is highest among underserved communities, and providing a continuum of care to these populations can yield a greater reduction in the readmission rate. Church and faith-based clinics often help underserved communities, and equipping them with the transitional care model (TCM) and an Advanced Practice Registered Nurse (APRN) with specialized training as a Faith Community Nurse (FCN) can implement whole-person care, improve the health of the community, and reduce hospital readmission.
California has a 14.5% readmission rate. There is uncertainty surrounding the presence of transitional care departments in California's community hospitals, with some of these facilities offering …
Approved Programs 10-8-24, Angela Brock
Approved Programs 10-8-24, Angela Brock