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Hyperglycemia Management In Patients Receiving Parenteral Nutrition: A Retrospective Review Of Glycemic Control Management, Grace Feigl, Beata Slomiany Mears May 2025

Hyperglycemia Management In Patients Receiving Parenteral Nutrition: A Retrospective Review Of Glycemic Control Management, Grace Feigl, Beata Slomiany Mears

All Other Contributions

Purpose: Hospitalized patients receiving parenteral nutrition (PN) often require insulin to manage hyperglycemia. Glycemic control is crucial for improving patient outcomes, and insulin, administered either subcutaneously or within the PN, is the mainstay of treatment for hyperglycemia. No established standard of care exists for the preferred route of insulin administration in patients receiving PN.

Methods: A multicenter, retrospective review of patients receiving PN was conducted between August 31, 2023, and August 31, 2024, to compare the effects of two insulin regimens on glycemic control. This review included adults aged ≥ 18 years on continuous PN and had received insulin therapy, …


2025 Stratham Summerfest 4h Animal Premium Book, Caitlin Wollack May 2025

2025 Stratham Summerfest 4h Animal Premium Book, Caitlin Wollack

UNH Cooperative Extension

No abstract provided.


2025 Stratham Summerfest 4h Building Premium Book, Caitlin Wollack May 2025

2025 Stratham Summerfest 4h Building Premium Book, Caitlin Wollack

UNH Cooperative Extension

No abstract provided.


Evolving Discipline Strategies: The Effects Of Police Removal On School Discipline In San Francisco, Eliza Grace Giroux May 2025

Evolving Discipline Strategies: The Effects Of Police Removal On School Discipline In San Francisco, Eliza Grace Giroux

Master's Projects and Capstones

As conversations about equity and student well-being continue to shape public education, longstanding approaches to discipline in schools are being reevaluated. One major area of focus has been the presence of police on school campuses, especially when punitive systems have disproportionately harmed marginalized students. In San Francisco, this shift culminated in the 2020 passage of Resolution 206, which formally ended the school district’s partnership with the San Francisco Police Department and removed armed officers from campuses. This capstone examines the impact of that decision by exploring how school discipline practices have changed in the years since. Through interviews with members …


A Tale Of Two Organizations: San Francisco & Tokyo, An Analysis Of Urban Youth Poverty In The Developed World, Arturo Paredes May 2025

A Tale Of Two Organizations: San Francisco & Tokyo, An Analysis Of Urban Youth Poverty In The Developed World, Arturo Paredes

Master's Projects and Capstones

This study analyzes the experiences of low-income youth in terms of their access to educational opportunities in connection to their social mobility, the study focuses on two highly prosperous cities: San Francisco and Tokyo specifically dwelling into some affected population groups and overall neighborhoods where low-income populations are clustered in. The study delves into youth poverty as a complex phenomenon facing communities and its direct implications for the lives of youth in the context of educational experiences and its connection to socio-economic outcomes. By focusing on two organizations addressing this issue in each of the contexts, the study highlights interventions, …


Estimation Of Soybean Root Traits Using Computer Vision And Deep Learning, Muhammad Usman May 2025

Estimation Of Soybean Root Traits Using Computer Vision And Deep Learning, Muhammad Usman

Theses and Dissertations

Root phenotyping provides insights into root structure, function, and response to environmental stimuli, aiding researchers in improving crop yields, developing new plant varieties, and enhancing plant health. Traditionally, measuring root traits, such as length and area, is manual, time-consuming, and resource intensive. This study introduces a deep learning-based computer vision method for soybean root segmentation and traits estimation using RGB (red, green, blue) images captured under controlled illumination. A separate web-based application was also developed that can extract the root length and area using RGB images. A diverse set of 3,363 soybean root images was collected using an in-house root …


Combined Effect Of Chitosan And Lemon Essential Oil-Infused Slush Ice On The Shelf Life Of Channel Catfish, Dianna Wilson May 2025

Combined Effect Of Chitosan And Lemon Essential Oil-Infused Slush Ice On The Shelf Life Of Channel Catfish, Dianna Wilson

Theses and Dissertations

The objective of this research was to investigate the biopreservative effects of chitosan and lemon essential oil in slush ice treatments on the microbial shelf life of refrigerated catfish fillets. Catfish fillets were stored in slush ice treatments containing chitosan (CH), lemon essential oil (LO), a combination (CH+LO), water (CTRL), and no slush (NS) for three d at 4 C, then stored at 4C for twelve d post-slush. The growth of background microflora in catfish fillets treated with CH and CH+LO was reduced (P<0.05), maintaining total aerobic counts below 4.5 log CFU/g, while the control reached spoilage levels (>7 log CFU/g) by Day 6. Chitosan effectively extended the microbial shelf life but lowered pH, …


Effects Of Different Forms Of Dietary Zinc On Weaned Steers When Fed Prior To Weaning, Christopher Lane Addison May 2025

Effects Of Different Forms Of Dietary Zinc On Weaned Steers When Fed Prior To Weaning, Christopher Lane Addison

Theses and Dissertations

Zinc (Zn) is crucial for many life sustaining processes within the body. Additional Zn is known to be beneficial during certain periods of increased stress. Weaning is one of the most stressful periods of beef calves’ lives. Due to this it was hypothesized that additional zinc in an organic form would increase weight gain and immune response compared to additional zinc in an inorganic form or no added zinc. No differences were found for ADG, Th score, IgG concentration, or mineral concentration among treatments. However, there was a novel and unexpected finding when there was no difference found in preweaning …


Evaluation Of Plant Growth Regulators On Sweetpotato Slip Propagation, Kerington Lyn Bass May 2025

Evaluation Of Plant Growth Regulators On Sweetpotato Slip Propagation, Kerington Lyn Bass

Theses and Dissertations

Sweetpotato production is often impacted by high mortality of slips during transplantation to the field, particularly with greenhouse-grown slips. These slips develop thinner stems, thus being more vulnerable to transplant shock, resulting in reduced establishment. To address this issue, the study evaluated the effects of four plant growth regulators on the morphological and anatomical characteristics of sweetpotato slips. In the first experiment, external growth parameters were recorded over four weeks, followed by post-harvest assessments of plant and root material. In the second experiment, the widths of various stem structures in stained cross-sections of slip stems were measured. Results showed that …


The Effect Of Ultrasound Transducer Type On Diagnosing Medial Meniscal Injury In Dogs With Cranial Cruciate Ligament Injury, Thomas Campbell May 2025

The Effect Of Ultrasound Transducer Type On Diagnosing Medial Meniscal Injury In Dogs With Cranial Cruciate Ligament Injury, Thomas Campbell

Theses and Dissertations

Ultrasonography is reported to be accurate in diagnosing meniscus injuries in dogs but the effect of transducer type has not been studied. The aim was to determine the effect of ultrasound transducer type on utility of meniscal ultrasound. We hypothesized that ultrasonography will provide good diagnostic utility for meniscal injury and that linear transducers will perform best. In this prospective study, the ultrasonographic findings of the medial meniscus using three transducers were compared to arthrotomy findings. Thirty-nine stifles were included with an injury prevalence of 23/39 (59%). The standard linear transducer provided the highest negative predictive value (60%). The small …


Evaluating The Feeding Value Of Almond Hulls And The Supplementation Of Carbohydrases On Performance, Egg Quality, Nutrient Digestibility And Intestinal Health In Lsl-Lite Hens, Nelly Giovanna Cribillero Chuquihuaccha May 2025

Evaluating The Feeding Value Of Almond Hulls And The Supplementation Of Carbohydrases On Performance, Egg Quality, Nutrient Digestibility And Intestinal Health In Lsl-Lite Hens, Nelly Giovanna Cribillero Chuquihuaccha

Theses and Dissertations

Almond hulls (AH) are a by-product of the almond nut processing rich mainly in insoluble fiber. Addition of fiber in the diet has been shown positive results in performance in poultry. However, scientific literature on the use of AH in poultry is limited. The objective of this dissertation was to determine the effect of the supplementation of ground AH and cellulase-xylanase carbohydrase enzyme (E) inclusions on performance, egg quality, ileal nutrients digestibility, jejunum gene expression and ceca microbiota of Lohmann LSL-Lite pullets and laying hens from 0 to 70 weeks of age. Chapter I describe the knowledge on the composition …


The Effects Of Ataxin-1 Overexpression In The Central Nervous System On Specific Behavioral And Physiological Characteristics Of Drosophila Melanogaster, Sydney Davis May 2025

The Effects Of Ataxin-1 Overexpression In The Central Nervous System On Specific Behavioral And Physiological Characteristics Of Drosophila Melanogaster, Sydney Davis

Theses and Dissertations

Spinocerebellar ataxia type 1 (SCA1) is a dominantly inherited neurodegenerative disease caused by a CAG repeat expansion in the ataxin-1 gene, which results in an abnormally long polyglutamine tract. Similarly, overexpression of wildtype Ataxin-1 (wt-Atx-1) in Drosophila melanogaster leads to neurodegeneration, reduced lifespan, and impaired negative geotaxis. Observations include disruptions in sleep-wake cycles, increased oxidative stress biomarkers (like protein carbonyls), and dysregulation of developmental genes such as armadillo (arm) and nemo kinase (nmo). Additionally, elevated expression of SUMOylation-related genes (Aos-1, Uba2, and dSmt3 or dSumo) and increased SUMO protein levels indicate enhanced SUMOylation in the brain. Quantitative analysis of neuronal …


Assessment Of Pagp Gene Function In Avian Pathogenic Escherichia Coli Pathogenicity Using Different Challenge Models, Hailey Fugate May 2025

Assessment Of Pagp Gene Function In Avian Pathogenic Escherichia Coli Pathogenicity Using Different Challenge Models, Hailey Fugate

Theses and Dissertations

Avian pathogenic Escherichia coli (APEC) is a leading cause of morbidity and mortality in poultry, contributing an estimated $40 million in annual losses in the U.S. broiler industry alone, and contributing to growing concerns over antibiotic resistance. This study investigated the role of the pagP gene, which encodes a lipid A palmitoyl transferase involved in immune evasion, using both a broiler chick and embryo challenge model. Deletion of pagP significantly reduced mortality and lesion severity in broilers, indicating its role in APEC pathogenicity. However, in embryos, pagP deletion had minimal effects on survival and bacterial colonization, suggesting alternative virulence mechanisms …


Impact Of An Automated Brush System On Intensively Managed Lactating Dairy Cattle Behavior, Production, And Stress Physiology, Allison Lyn Griffin May 2025

Impact Of An Automated Brush System On Intensively Managed Lactating Dairy Cattle Behavior, Production, And Stress Physiology, Allison Lyn Griffin

Theses and Dissertations

The dairy industry has increasingly prioritized improving animal welfare for intensively housed cows. This study evaluated the effects of environmental enrichment (EE) using an automated brush system on stress physiology, behavior, and productivity of lactating dairy cows. Fifty-nine pregnant and lactating dairy cows were divided into two groups: CON (no brush) and TRT (automated brush system). Saliva samples were collected to measure cortisol concentrations, and behaviors were monitored in the morning (07:00 h - 11:00 h) and evening (19:00 h - 23:00 h) using high-resolution cameras. The results indicated that cows with brush access had lower cortisol concentrations, suggesting reduced …


Exploring Sexual Dimorphism In A Drosophila Melanogaster Model Of Spinocerebellar Ataxia Type 1, Madelyn Hunter May 2025

Exploring Sexual Dimorphism In A Drosophila Melanogaster Model Of Spinocerebellar Ataxia Type 1, Madelyn Hunter

Theses and Dissertations

Neurodegenerative diseases affect over 36 million people and are characterized by loss of motor control, neuronal degradation, and behavioral changes. The most common of these diseases exhibit sexually dimorphic effects. In this study, Spinocerebellar ataxia type 1 (SCA1) was modeled in the Drosophila central nervous system using the yeast hybrid UAS/GAL4 system. Locomotor activity and clock gene expression was monitored for male and female SCA1 and control flies. Clock genes such as per, tim, Clk, and cyc were monitored over a 24-hour period using qRT-PCR, and distinct sexual dimorphism was detected in locomotor activity and in gene expression for SCA1 …


Corn (Zea Mays L.) Productivity, Profitability, And Environmental Sustainability Responses To Nitrogen Application Strategies, Morgan Hutton May 2025

Corn (Zea Mays L.) Productivity, Profitability, And Environmental Sustainability Responses To Nitrogen Application Strategies, Morgan Hutton

Theses and Dissertations

Nitrogen (N) fertilizer is a critical and costly component in mid-southern United States (US) corn (Zea mays L.) production. This study was conducted to determine whether corn productivity, profitability, and environmental sustainability could be manipulated through N application strategies. The effects of N rate, application system, and urea ammonium nitrate (UAN) injection strategies on corn grain yield, N uptake, and runoff N were investigated near Brooksville, MS and Tchula, MS. In 2023 and 2024, N rate nor application system nor trench covering strategies nor UAN injection depth affected corn grain yield. Injecting UAN in two trenches 20 cm from crop …


Evaluating The Use Of Translucency Score As An Effective Parameter Of Eggshell Quality, Cassidy Autumn Morris May 2025

Evaluating The Use Of Translucency Score As An Effective Parameter Of Eggshell Quality, Cassidy Autumn Morris

Theses and Dissertations

The objective of this thesis was to determine if an egg’s translucency score (TS) could be used as an effective predicting parameter to determine eggshell quality in both broiler breeders and commercial laying hens. In broiler breeders, it was determined that TS could be used as an effective predicting parameter for eggshell thickness (P< 0.001) and L* scores (P< 0.001). It was also found that the supplementation of organically sourced trace minerals could significantly decrease the TS of eggs, resulting in a better-quality eggshell (P< 0.001). In two different aged commercial laying hen experiments, there was no conclusive evidence for TS to be a predictive parameter of eggshell quality throughout the storage period. It was found, however, that the storage period did significantly increase the TS throughout storage in both experiments (P< 0.001).


The Effect Of X-Ray Irradiation Technology On Salmonella Spp. And Quality Parameters Of Ready-To-Bake Chocolate Chip Cookie Dough, Kala Grace Morris May 2025

The Effect Of X-Ray Irradiation Technology On Salmonella Spp. And Quality Parameters Of Ready-To-Bake Chocolate Chip Cookie Dough, Kala Grace Morris

Theses and Dissertations

Salmonella contamination in cookie dough poses a threat to consumers. This study investigated the effect of X-ray irradiation on Salmonella-inoculated ready-to-bake chocolate chip cookie dough and its impact on dough quality. A Salmonella cocktail (~10 log CFU/g) was prepared and inoculated into cookie dough samples (~6.5 log CFU/g) and then treated with X?ray irradiation (0.25, 0.5, and 1 kGy). Salmonella decreased by 1.15, 1.79, and 2.49 log CFU/g, at an exposure of 0.25, 0.5, and 1 kGy, respectively. Quality parameters (pH, aw, and colorimetry) were evaluated for two brands. No statistical difference (P>0.05) in pH was observed for Brand …


Evaluation Of Broiler Performance And Processing Metrics Through Sodium Bisulfate Application To Litter And Varying Inclusions In Feed, Samantha Suzanne Plocher May 2025

Evaluation Of Broiler Performance And Processing Metrics Through Sodium Bisulfate Application To Litter And Varying Inclusions In Feed, Samantha Suzanne Plocher

Theses and Dissertations

Poultry producers must continuously evaluate current practices and determine new ones to further optimize broiler production. Sodium bisulfate (SB) is used as a poultry litter amendment (SBL), but also in human food to control pH; thus, initiating interest for SB in feed (SBF) for performance and gut health benefits. This thesis utilized common diets varying in SBF (Chapters II and III) and SBL (Chapter II; SBL1- d 0 and SBL2 – d 0 and 18) to optimize 40 d broiler performance, litter quality, and d 41 processing metrics. For Chapter II, d 0 SBL1 dramatically lowered litter pH, while minimally …


Stakeholder Opinions On Design And Management Strategies At The Pharr Mounds Site, Lauryn Elizabeth Polito May 2025

Stakeholder Opinions On Design And Management Strategies At The Pharr Mounds Site, Lauryn Elizabeth Polito

Theses and Dissertations

The Pharr Mounds site along the Natchez Trace Parkway is a culturally significant burial location that is visited by thousands each year. This site is home to the remains of an ancient group of individuals that the current Chickasaw Nation are descended. To provide culturally sensitive management strategies, enhance visitor experience, and to analyze the perspectives of others on design solutions, a mixed-method approach including individual interviews and online surveys were used for three main stakeholder groups including members from the Chickasaw Nation, employees from the National Park service, and public site visitors. Questions addressed mound significance, site accessibility, interpretation, …


Impact Of Fertilizer Timing And Cover Crop Establishment Methods On Bedded Soybean Cropping Systems In Mississippi, Grant Madison Shavers May 2025

Impact Of Fertilizer Timing And Cover Crop Establishment Methods On Bedded Soybean Cropping Systems In Mississippi, Grant Madison Shavers

Theses and Dissertations

Mississippi’s agriculture faces challenges from high rainfall, bedded cropping systems, and varying soil testing methods. Many producers apply phosphorus (P), potassium (K), and sulfur (S) in the fall to reduce spring workload and rain-related delays. While fall fertilization raises concerns about yield losses, research indicates minimal differences in soybean (Glycine max L.) yield between fall and spring applications. Raised beds also limit cover crop (CC) establishment despite their potential benefits. We explored strategies to integrate CCs into bedded systems while assessing bed stability and residue management during soybean production. Additionally, Mississippi’s use of two soil nutrient extraction methods highlights the …


Effects Of Environmental Stress And Antimicrobials On The Health, Microbiome, And Product Shelf-Life Of Channel And Hybrid Catfish, Guyue Tang May 2025

Effects Of Environmental Stress And Antimicrobials On The Health, Microbiome, And Product Shelf-Life Of Channel And Hybrid Catfish, Guyue Tang

Theses and Dissertations

Two studies investigated various aspects of channel and hybrid catfish production and processing. The first study examined the effects of ammonia stress (15 mg/L vs. 1 mg/L control) on growth performance and fillet quality. While channel catfish demonstrated superior growth, ammonia stress minimally impacted the sensory profiles of both species. Gut microbiota analysis revealed species-specific differences, with Lactococcus lactis dominating hybrid catfish communities. The second study evaluated buffered vinegar treatment (1.5%) on fillet shelf life during refrigerated storage. Vinegar-treated fillets maintained better microbiological quality, with aerobic plate counts remaining below 7 log cfu/g through day 6, while untreated fillets exceeded …


Caring With Courage: A Bone Marrow And Hematopoetic Stem Cell Transplant Caregiver Instructional Class And Support Group, Danica J. Dorlette May 2025

Caring With Courage: A Bone Marrow And Hematopoetic Stem Cell Transplant Caregiver Instructional Class And Support Group, Danica J. Dorlette

General Submissions: Clinical Settings Materials

Informal caregiver preparedness plays a crucial role in successful cellular therapy recovery. An interdisciplinary workshop was implemented between 1/2019 and 5/2024 to educate caregivers on symptom management, infection prevention, safe food handling, discharge planning, home safety, and internal and external supportive services. This quality improvement project aimed to increase confidence in caregiver-related tasks.


Engineering A Novel Treg Population To Control Autoimmune Diabetes, Sofia Colon Guzman, Elly Puckett, Mary A. Markiewicz, Ryan T. Fischer May 2025

Engineering A Novel Treg Population To Control Autoimmune Diabetes, Sofia Colon Guzman, Elly Puckett, Mary A. Markiewicz, Ryan T. Fischer

Research Days

We created a model to test the immunosuppressive capacity of Helios+FOXP3+ eTregs compared to nTregs against islet-specific autoreactive T cells. We also showed that nTregs decrease the response of these cytotoxic T cells when co-cultured with BetaLox5 cells.


Food Insecurity In Adolescent Athletes, Andrew Donaldson, Shannon Margherio, Jay Roberson, Kevin Latz May 2025

Food Insecurity In Adolescent Athletes, Andrew Donaldson, Shannon Margherio, Jay Roberson, Kevin Latz

Research Days

Background: The prevalence of food insecurity among children in the United States is estimated at 21%. Food insecurity during childhood leads to worse school performance, more emotional and behavioral health concerns, and increased suicide attempts. Further, food insecurity has been noted to have multiple deleterious effects on the collegiate student athlete, including lower GPA, disordered eating, and substance use.

Hypothesis: Food insecurity is prevalent in the adolescent athlete population and exists across demographics.

Methods: Voluntary surveys were distributed to parents at all sports medicine clinics at our institution. Demographic data was collected including athlete age, race, school and school district, …


Climate Change Anxiety And Hope Both Predict Action: A Moderation Analysis, Yuhan Bi, Grace Hyde, Orei Z. Odents, Kai Okagawa, Cassandra Hoffman, Kimberly A. Barchard May 2025

Climate Change Anxiety And Hope Both Predict Action: A Moderation Analysis, Yuhan Bi, Grace Hyde, Orei Z. Odents, Kai Okagawa, Cassandra Hoffman, Kimberly A. Barchard

Spectra Undergraduate Research Journal

Climate change is associated with extreme weather events that have devastating effects on communities worldwide. These events disrupt ecosystems, damage infrastructure, and influence physical and mental well-being. Urgent action is needed. Prior studies demonstrate that people are more likely to take action if they feel anxious about climate change and if they feel hopeful they can make a difference. However, we hypothesized that anxiety and hope would interact: that anxiety would only predict action when people felt hopeful. Therefore, we used path analysis to determine if hope moderates the relation between anxiety and action.

In a cross-sectional design, 500 United …


Weight Loss In A Predominantly African American Patient Cohort In Jeffwlp, The Jefferson Weight Loss Program, Muskaan Uppal, Nicholas Demario, Maxwell Reed, Tamanaa Atrafi, Cindy Cheng, Md, Phd May 2025

Weight Loss In A Predominantly African American Patient Cohort In Jeffwlp, The Jefferson Weight Loss Program, Muskaan Uppal, Nicholas Demario, Maxwell Reed, Tamanaa Atrafi, Cindy Cheng, Md, Phd

Health Equity and Quality Improvement (HEQI) Summit

Introduction and Objectives

  • Minority groups, particularly African Americans (AAs), are disproportionately affected by obesity1, 5
  • Available diet programs and nutrition classes are assumed to be constructed for majority groups1, 2
    • Research and clinical care includes fewer AA patients3
    • AAs may respond differently to the widely used conventional nutrition education1
  • Motivational interviewing (MI) is uniformly effective across diverse populations and empowers individual patients to initiate behavioral changes, especially in weight loss interventions3, 4
  • Our goal is to better support underserved communities, such as within the Philadelphia area, to provide further investigation involving diverse and marginalized communities, …


Culturally-Affirming Service-Learning For Counselors-In-Training: Child-Parent Relationship Therapy Training With Spanish-Speaking Families, Karen M. Roller, Szu-Yu Chen, Katrina Volante May 2025

Culturally-Affirming Service-Learning For Counselors-In-Training: Child-Parent Relationship Therapy Training With Spanish-Speaking Families, Karen M. Roller, Szu-Yu Chen, Katrina Volante

Journal of Counselor Preparation and Supervision

The Spanish-speaking community is the largest underserved language group in the United States. To advance social justice advocacy and multicultural humility for this language group, the field of counselor education needs to create pedagogical scaffolding for non-Spanish-speaking counselors-in-training to work with interpreters to support Spanish-speaking families, while also enhancing language-concordant training for Spanish-English bilingual counselors-in-training. We utilized a critical race research design to explore six counselors-in-training’s experience participating in service-learning through online facilitation of Child-Parent Relationship Therapy with Spanish-speaking families. Interpretative phenomenological analysis of qualitative data yielded four major themes: (a) collaboration, (b) improved awareness, (c) growth and strength, and …


A Pilot Study Of A Manualized Cognitive-Behavioral Intervention For Opioid Use Disorder Delivered In A Community-Based Public Health Organization, Michelle R. Lent, Denise Botcheos, Chad Gurdgiel, Hannah R. Callahan, Liam Gilroy May 2025

A Pilot Study Of A Manualized Cognitive-Behavioral Intervention For Opioid Use Disorder Delivered In A Community-Based Public Health Organization, Michelle R. Lent, Denise Botcheos, Chad Gurdgiel, Hannah R. Callahan, Liam Gilroy

The Journal of Integrated Primary Care

This pilot study evaluated a previously untested cognitive-behavioral therapy (CBT) intervention designed specifically to treat opioid use disorder (OUD). Adults (N = 20) taking medication for OUD were recruited from a public health organization providing harm reduction and treatment services to people who use drugs in Philadelphia. Outcomes collected at baseline and 12 weeks included urinalysis-confirmed use of illicit drugs and surveys of mood (Patient Health Questionnaire-9; Generalized Anxiety Disorder-7), recovery capital (Brief Assessment of Recovery Capital-10), and cravings (Brief Substance Craving Scale). Feasibility and acceptability were assessed via retention rates, the Client Satisfaction Questionnaire-8, and the number of …


Framing The Future: A Community Health Analysis Of The Pee Dee Region, Stephen Borders, Jean Anton, Rian Fontaine, Donielle Phillips, Treyton Ringer, Jessica Robinson, Caitlin Thompkins May 2025

Framing The Future: A Community Health Analysis Of The Pee Dee Region, Stephen Borders, Jean Anton, Rian Fontaine, Donielle Phillips, Treyton Ringer, Jessica Robinson, Caitlin Thompkins

Public Health

This report presents a comprehensive, data-driven analysis of community health across South Carolina’s Pee Dee region, encompassing Florence, Darlington, Chesterfield, Marlboro, Marion, and Dillon Counties. Using tract-level data from CDC PLACES, the U.S. Census, and the National Provider Identifier registry, it assesses chronic health conditions, health behaviors, and social determinants of health. The analysis incorporates the South Carolina Healthy Communities Index (SCHCI) and a Suitability Analysis to identify the region’s most disadvantaged communities. The findings highlight persistent disparities, particularly in rural counties, where high rates of poverty, chronic disease, and unmet basic needs intersect with limited access to care. Despite …