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Articles 57121 - 57150 of 1826771
Full-Text Articles in Entire DC Network
State Of Ohio Adversity And Resilience (Soar) Study Protocol: A Comprehensive, Multimodal, Family-Based, Longitudinal Observational Investigation Of Risk And Resilience In Mental Health And Substance Use Disorders, Chris Flask, Martha Sajatovic
State Of Ohio Adversity And Resilience (Soar) Study Protocol: A Comprehensive, Multimodal, Family-Based, Longitudinal Observational Investigation Of Risk And Resilience In Mental Health And Substance Use Disorders, Chris Flask, Martha Sajatovic
Faculty Scholarship
Introduction Deaths related to drug overdose and suicide in the USA have increased 500% and 35%, respectively, over the last two decades. The human and economic costs to society associated with these - €- deaths of despair' are immense. Great efforts and substantial investments have been made in treatment and prevention, yet these efforts have not abated these increasing trajectories of deaths over time. The COVID-19 pandemic has exacerbated and highlighted these problems. Notably, some geographical areas (eg, Appalachia, farmland) and some communities (eg, low-income persons, - €- essential workers', minoritised populations) have been disproportionately affected. Risk factors have been …
Antecedents Of U.S. Information Technology Professionals’ Intent To Quit At The Beginning Of The Covid-19 Pandemic, Kristin C. Scott, Jiun-Shiu Chen, Mitchell Adrian, Son Mai
Antecedents Of U.S. Information Technology Professionals’ Intent To Quit At The Beginning Of The Covid-19 Pandemic, Kristin C. Scott, Jiun-Shiu Chen, Mitchell Adrian, Son Mai
International Journal of Applied Management and Technology
This study focuses on turnover intention (ITQ) of U.S. information technology workers during the spring of 2020 and the beginning of the COVID-19 pandemic. In this study, we evaluate a number of turnover intention antecedents not previously studied together, including job alternatives, global job embeddedness, job satisfaction, compensation satisfaction, role overload, and work–life balance. We use three first-order factors of work interference with personal life, personal life interference with work, and work—personal life enhancement. We analyzed data using confirmatory factor analysis (CFA) and structural equation modeling. Results suggest no direct effects from pay satisfaction or role overload on ITQ and …
Infection And Nonunion Rates In Open Fractures, Roman M. Natoli, Lucas S. Marchand, Sofia Bzovsky, Jennifer E. Hagen, Mark J. Gage, Christina A. Stennett, Nathan N. O’Hara, Kyle J. Jeray, Brad Petrisor, Sheila Sprague, Gerard P. Slobogean, Jeffrey Wells, Mohit Bhandari, Anthony D. Harris, C. Daniel Mullins, Lehana Thabane, Amber Wood, Gregory J. Della Rocca, Joan Hebden, Lyndsay M. O’Hara, Robert Zura, Christopher Lee, Joseph Patterson, Michael J. Gardner, Jenna Blasman, Jonah Davies, Stephen Liang, Monica Taljaard, The Flow Investigators, The Prep-It Investigators
Infection And Nonunion Rates In Open Fractures, Roman M. Natoli, Lucas S. Marchand, Sofia Bzovsky, Jennifer E. Hagen, Mark J. Gage, Christina A. Stennett, Nathan N. O’Hara, Kyle J. Jeray, Brad Petrisor, Sheila Sprague, Gerard P. Slobogean, Jeffrey Wells, Mohit Bhandari, Anthony D. Harris, C. Daniel Mullins, Lehana Thabane, Amber Wood, Gregory J. Della Rocca, Joan Hebden, Lyndsay M. O’Hara, Robert Zura, Christopher Lee, Joseph Patterson, Michael J. Gardner, Jenna Blasman, Jonah Davies, Stephen Liang, Monica Taljaard, The Flow Investigators, The Prep-It Investigators
Orthopaedic Surgery Faculty Publications
Background: Infection and nonunion are common sequelae of open fractures. Studies have shown infection and nonunion rates ranging from 2% to 52% and 12% to 17%, respectively. The present article describes the rates of surgical site infection (SSI) and delayed union/nonunion following open fractures in a large contemporary series of patients from prospective clinical trials with adjudicated outcomes. Methods: A descriptive analysis was performed with use of patient data from the FLOW, Aqueous-PREP, and PREPARE-Open studies. These studies, published within the past 10 years, included multiple international trauma centers and shared definitions for SSI and delayed union/nonunion. SSI and delayed …
An Exploration Of Image Segmentation Techniques For Real-Time Product Detection, Andrew C. Dunton
An Exploration Of Image Segmentation Techniques For Real-Time Product Detection, Andrew C. Dunton
Master's Theses
Recent progress in LLMs enables advanced multimodal understanding, but their high computational cost necessitates monetization strategies like interactive advertising. While bounding boxes show promise for this concept, they can lack precision and visual appeal. Image segmentation offers a superior solution but faces a dual problem: traditional models demand scarce, costly training data, and open-vocabulary segmentation models like SAM are class-agnostic, unable to semantically identify a "consumer product" object class. In this research, we address these limitations by: 1) developing the Prompt-Guided Inpainting Framework (PGIF), which injects negative prompts to generate robustly annotated synthetic segmented product images; 2) investigating the Class-Agnostic …
Clearing The Air: Associations Between Air Pollution And Alzheimer's Disease, Greer Russell, Robert Martin
Clearing The Air: Associations Between Air Pollution And Alzheimer's Disease, Greer Russell, Robert Martin
Advocate GME
No abstract provided.
Comparison Of Depression Risk And Depression-Related Ambulatory Care Utilization In Sarcopenia Patients With And Without Chinese Herbal Medicine., Hang-Che Li, Hanoch Livneh, Wei-Chiao Chang, Yu-Han Wang, Ming-Hsien Yeh, Bo-Chyuan Chen, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai
Comparison Of Depression Risk And Depression-Related Ambulatory Care Utilization In Sarcopenia Patients With And Without Chinese Herbal Medicine., Hang-Che Li, Hanoch Livneh, Wei-Chiao Chang, Yu-Han Wang, Ming-Hsien Yeh, Bo-Chyuan Chen, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai
Leadership, Learning and Counseling Faculty Publications and Presentations
The impact of psychiatric disorder, especially depression, on the prognosis of sarcopenic patients is gaining prominence. Yet, there have been very few studies focusing on this issue, let alone the related targeted mental health prevention. This cohort-based nested case-control study is geared to compare risk of depression and the depression-related ambulatory care utilization for sarcopenia persons with and without receiving add-on Chinese herbal medicines (CHMs) treatment.
The Phenomena Of Homeless People’S Suicidal Ideation And Mental Health, Pi-Ming Yeh
The Phenomena Of Homeless People’S Suicidal Ideation And Mental Health, Pi-Ming Yeh
Biennial Convention (CONV)
Introduction/Significance: In 2023, the number of people experiencing homelessness in the United States was 653,104. Compared to the previous year, this was a 12.1% increase. Homelessness is an important societal problem.
Purpose: The purpose of this study was to examine the phenomena of mental health and suicidal ideation among people with homelessness in Tennessee, USA.
Methods: Sixty people with homelessness were recruited in Eastern Tennessee, USA. This was a cross-sectional descriptive research design. Questionnaires were used to collect data. SPSS 28.0 was used to analyze the data. Descriptive data analysis was used.
Results: There were 42 males (70%) and 18 …
Using A Virtual Escape Room To Teach About Blood Transfusion Reactions, Michelle Dykes, Elizabeth Cook
Using A Virtual Escape Room To Teach About Blood Transfusion Reactions, Michelle Dykes, Elizabeth Cook
Biennial Convention (CONV)
The highest preventable risk of blood transfusion error resulting in adverse events is due to human error. Nurses are required to know how to safely administer blood while also being able to recognize and manage adverse transfusion reactions. New graduate nurses are expected to have the ability to administer blood products safely. It is up to nurse educators to equip nursing students with the skills and knowledge to perform this procedure. Escape rooms are increasingly popular in educational settings. They provide a motivating and engaging atmosphere for learning while enhancing students’ critical thinking skills, time management, teamwork, and communication skills. …
Microgrid Black Start Challenges: The Role Of Grid-Forming Inverters, Gab-Su Seo, Wenzong Wang, Behrooz Mirafzal
Microgrid Black Start Challenges: The Role Of Grid-Forming Inverters, Gab-Su Seo, Wenzong Wang, Behrooz Mirafzal
Faculty Publications
Grid-forming (GFM) inverters are becoming increasingly important for future power systems, particularly in establishing and restarting microgrids after blackouts. The use of GFM inverters enables microgrids to operate independently of utility power and provide key advantages over synchronous generators in black start scenarios, including rapid startup and stable voltage and frequency support for critical loads. However, inverter-driven black start introduces unique challenges and operational considerations. This article examines key challenges and solutions, emphasizing inverter design, control strategies, and microgrid system requirements. Drawing on analysis, simulation, and experimental results, this article highlights the central role of GFM inverters in ensuring reliable …
Minutes From November 19 2025, University Senate
Minutes From November 19 2025, University Senate
University Senate Minutes
Minutes from November 19 2025 University Senate Meeting
Butte Medical Monitoring Working Group Meeting, Mike Mcanulty, Eric Hassler
Butte Medical Monitoring Working Group Meeting, Mike Mcanulty, Eric Hassler
Silver Bow Creek/Butte Area Superfund Site
No abstract provided.
Fundamental Care In Times Of Crisis: The Lived Experience Of Chief Nursing Officers, Devin S. Carr
Fundamental Care In Times Of Crisis: The Lived Experience Of Chief Nursing Officers, Devin S. Carr
Biennial Convention (CONV)
Fundamental nursing care refers to the essential and practical elements of care that involve the integration of physical and psychosocial aspects of care required for every person in any care setting. The Covid-19 pandemic created unique challenges for nurses, which inhibited their ability to consistently provide fundamental nursing care. This study explored the lived experiencs of Chief Nursing Officers and delivery of fundamental nursing care during the Covid-19 pandemic. This study employed an exploratory phenomenological approach to gain an understanding of how Chief Nursing Officers (CNOs) promoted fundamental nursing care during times of crisis. Specifically, this study explored perceptions of …
Psychological Distress And Spiritual Care – An Effective Intervention?, Rebekah Rose
Psychological Distress And Spiritual Care – An Effective Intervention?, Rebekah Rose
Biennial Convention (CONV)
On the rise globally is the epidemic of psychological distress, which encompasses mental illness, hopelessness, depression, and stress. When left untreated, further harm can occur with distressed individuals, not only affecting mental health, but potentially, even affecting quality of physical health outcomes. With extensive, systemic prevalence globally, cost-effective and widely available interventions are needed. This systematic review of the literature explores an economical and universally-available approach – the application of spiritual care to patients experiencing psychological distress. This review addresses the clinical question: In patients over 13 years of age affected by psychological distress, how do spiritual care interventions compared …
Increasing The Likelihood Of Using Mental Health First Aid: Applying The Theory Of Planned Behavior, Alexander E. Chan, Cheyenne Schad, Julie Slivka, Elise Young, Ghaffar A. Hurtado Choque
Increasing The Likelihood Of Using Mental Health First Aid: Applying The Theory Of Planned Behavior, Alexander E. Chan, Cheyenne Schad, Julie Slivka, Elise Young, Ghaffar A. Hurtado Choque
Journal of Extension
This study applies the Theory of Planned Behavior to examine what may drive intentions to help others after receiving Mental Health First Aid (MHFA) training. The study is unique in its application of theory to understanding MHFA outcomes, as prior studies tended to be atheoretical. Logistic regression was used to analyze the results of post-program surveys completed by MHFA participants. Results showed that participants who reported positive changes in subjective norms and attitudes were significantly more likely to report increases in intentions to help. However, when analyzed in a model containing all predictors, only attitudes remained significant.
Interpreting Extension Professionals' Viewpoints On Agricultural Climate Change Programming, Aaron B. Wilson, Alli Wenman, Samuel Pratsch, Kenneth Genskow, Patrick Robinson, Dennis Todey, Laurie Nowatzke, Namah Chiamo Taku-Forchu, Moses Wanyakha
Interpreting Extension Professionals' Viewpoints On Agricultural Climate Change Programming, Aaron B. Wilson, Alli Wenman, Samuel Pratsch, Kenneth Genskow, Patrick Robinson, Dennis Todey, Laurie Nowatzke, Namah Chiamo Taku-Forchu, Moses Wanyakha
Journal of Extension
We evaluated Extension professionals' attitudes and beliefs from Midwestern "1862" land-grant universities around three themes: prioritizing climate programming, farmers' perceptions, and the role of Extension leadership in building capacity to integrate climate change into programs. Using key informant interviews and a two-hour virtual workshop, we developed 'coordinate planes' to illustrate the tensions and contradictions among the three themes, with participants expressing highly diverse viewpoints across the region. Results identify the need for Extension leadership to support multi-state programs and shared resources that provide consistent guidance and expectations around climate change programming while recognizing the intrinsic state context and values.
The Epidemiology Of Us Upper Extremity Amputations: An Analysis Of The Global Burden Of Disease Database (1990-2019), Ambrose Loc T. Ngo, Cameron J. Sabet, Gabrielle Dykhouse, Ayah Ibrahim, Taylor Manes, Arsalaan Sayyed, Shaheryar Asad, Benjamin C. Taylor
The Epidemiology Of Us Upper Extremity Amputations: An Analysis Of The Global Burden Of Disease Database (1990-2019), Ambrose Loc T. Ngo, Cameron J. Sabet, Gabrielle Dykhouse, Ayah Ibrahim, Taylor Manes, Arsalaan Sayyed, Shaheryar Asad, Benjamin C. Taylor
Student Publications
Background
Upper extremity amputations (UEAs) are medically, psychologically, and functionally devastating. This study aimed to evaluate region- and sex-specific differences in unilateral and bilateral upper extremity amputations in the United States (US) from 1990 to 2019.
Methods
The Global Burden of Disease (GBD) database was used to analyze years lived with disability (YLDs), prevalence, and incidence rates per 100,000 people for upper extremity amputations in the US from 1990 to 2019. Data were stratified into four US Census Bureau-defined regions: Northeast, Midwest, South, and West. Differences between regions and sexes were assessed, with statistical significance defined as p<0.05.
Results
Between …
0.05.Communication, Education, And Trust: Exploring Client Compliance, Treatment Plan Adherence, And Perceived Patient Outcomes In Veterinary Medicine, Isabella J. Eads
Communication, Education, And Trust: Exploring Client Compliance, Treatment Plan Adherence, And Perceived Patient Outcomes In Veterinary Medicine, Isabella J. Eads
Honors College Theses
Unlike human physicians, veterinarians are unable to directly communicate with their patients and must utilize client-veterinarian interactions to achieve the desired level of patient care. Communication, client education, and trust have been previously identified as important aspects of veterinary clinical interaction, and this study aimed to assess how these variables influence client compliance, treatment plan adherence, and perceived patient outcomes in veterinary medicine. This study utilized an electronic survey to collect data from 68 participants in regard to research questions centered around client-veterinarian interactions and how they play a role in client perception and overall patient care. Screening questions and …
Agitation In Alzheimer’S Disease: From Assessment To Therapeutics, Natalia P Rocha
Agitation In Alzheimer’S Disease: From Assessment To Therapeutics, Natalia P Rocha
Faculty, Staff and Student Publications
Agitation is a neuropsychiatric syndrome characterized by excessive motor and/or verbal behaviors, with or without aggressive behaviors. The prevalence of agitation in Alzheimer’s disease varies from 5% to over 50%. Multiple factors have been implicated in its pathophysiology, including disease stage, comorbidity with other symptoms (e.g., psychosis, anxiety/depression), and psychosocial factors. Ruling out delirium and identifying environmental triggers are fundamental steps in the management of agitation in Alzheimer’s disease. For establishing an effective therapeutic plan, it is important to define duration, severity, and potential for harm. While non-pharmacological approaches are considered the first line of intervention, pharmacological agents …
Bending Energy Schemes For Discrete-Spring-Network Structural Modelling Of Red Blood Cells, Osayomwanbor Ehi-Egharevba, Mingzhu Chen, Fergal Boyle
Bending Energy Schemes For Discrete-Spring-Network Structural Modelling Of Red Blood Cells, Osayomwanbor Ehi-Egharevba, Mingzhu Chen, Fergal Boyle
Articles
Red blood cells (RBCs) undergo large structural deformation, including bending, when passing through capillaries. They also exhibit a range of complex shapes such as stomatocytes, discocytes and echinocytes that form due to altered blood pH and salt levels, ingested drugs and adenosine triphosphate depletion. Discrete-spring-network structural models of RBCs employ different numerical treatments of the continuum bending energy. This affects bending accuracy and the prediction of accurate RBC shapes. This research compares three representations called bending energy scheme (BES) A, B and C to evaluate their accuracy in shape predictions. BES A, seen throughout the literature, is based on the …
November 19, 2025, Faculty, Illinois Wesleyan University
November 19, 2025, Faculty, Illinois Wesleyan University
2025-2026
No abstract provided.
Human-Drought Systems, Margaret Garcia, Elizabeth Koebele, Melissa Haeffner, Anne F. Van Loon, Newsha Ajami, Claudia Teutschbein, Marjolein Mens, Sylvain Massuel, Christopher White, Burcu Tezcan
Human-Drought Systems, Margaret Garcia, Elizabeth Koebele, Melissa Haeffner, Anne F. Van Loon, Newsha Ajami, Claudia Teutschbein, Marjolein Mens, Sylvain Massuel, Christopher White, Burcu Tezcan
Environmental Science and Management Faculty Publications and Presentations
Advancing our understanding of the processes linking social and hydrological systems is an essential step toward managing drought risk and increasing drought resilience. Over the past decade, numerous studies have advanced our understanding of human influences on drought propagation, drought responses and their immediate and long-term consequences, and decisions and conditions leading to drought resilience. These advances have been achieved through: (1) the development of datasets that document drought progression, hazards, risk, vulnerability, and adaptation capacity; (2) creation of new modeling methods and application of models to build and test theory; and (3) empirical analyses from in depth case studies …
A Bioarchaeological Study Of The Individuals From The Városfalva Burial Mound In Transylvania, Romania (15th-19th Century), Vanessa C. Reeves
A Bioarchaeological Study Of The Individuals From The Városfalva Burial Mound In Transylvania, Romania (15th-19th Century), Vanessa C. Reeves
USF Tampa Graduate Theses and Dissertations
This study explores the lives and deaths of the Szekler people recovered from a burial mound in the Transylvanian village of Városfalva. The Transylvanian plateau is located in present day Romania, and is protected on the east and the south by the Carpathian Mountains. The Szekler people arrived in this area around 1000 CE, and were a nomadic group originating in the Asian Steppes region who later intermarried with various migratory groups as they moved across the Eurasian plains. The Szeklers eventually banded together with the proto-Hungarian Magyar peoples and settled in the Carpathian Basin, the easternmost frontier of the …
Game Hacking & Anti-Cheat Analysis, Quang Hoang
Game Hacking & Anti-Cheat Analysis, Quang Hoang
Cybersecurity Undergraduate Research Showcase
Reverse engineering and analyzing game hacking and anti-cheat mechanisms is a complex and evolving field. This research document explores the history of game hacking, various techniques used in game hacking, and the countermeasures implemented by anti-cheat systems. Through case studies, we illustrate the strategies involved in creating cheats. Specifically, we demonstrate how to hack the open-source game AssaultCube using memory editing and code injection techniques available in Cheat Engine in a step-by-step manner so that the reader can theoretically reproduce the results shown in this paper. We also dissect the game’s anti-cheat mechanisms, identifying their strengths and weaknesses. This document …
Sex Differences In Cardiovascular Disease And Associatedfactors In People Living With Hiv: Evidence From All Of Us Program, Hao Zhang, Huiyi Xia, Fanghui Shi, Qingyang Li, Sharon Weissman, Xiaoming Li Ph.D., Xueying Yang
Sex Differences In Cardiovascular Disease And Associatedfactors In People Living With Hiv: Evidence From All Of Us Program, Hao Zhang, Huiyi Xia, Fanghui Shi, Qingyang Li, Sharon Weissman, Xiaoming Li Ph.D., Xueying Yang
Faculty Publications
Background
People living with HIV (PLWH) face a higher risk of cardiovascular disease (CVD), with significant sex differences in outcomes. However, it is unclear whether these differences are driven by distinct risk factor profiles or by a differential impact of shared risk factors. This study aimed to identify factors associated with CVD among PLWH and to specifically assess for effect modification by sex using a large, diverse nationwide database.
Methods
We utilized data from the All of Us Research Program (AoU). The primary outcome was a composite of coronary artery disease or stroke. We used multivariable logistic regression to identify …
Ucf Libraries Annual Report 2024-2025, John C. Hitt Library
Ucf Libraries Annual Report 2024-2025, John C. Hitt Library
Libraries' Documents
Annual report for the UCF Libraries for the year 2024-2025
Changes In Quality Of Liaoning Zhuanghe Dagu Chicken Jerky At Different Storage Temperatures And Establishment Of Shelf Life Prediction Model, Jin Na, Yan Ruichi, Su Yuhong, Wang Xizhu, Shang Hongli
Changes In Quality Of Liaoning Zhuanghe Dagu Chicken Jerky At Different Storage Temperatures And Establishment Of Shelf Life Prediction Model, Jin Na, Yan Ruichi, Su Yuhong, Wang Xizhu, Shang Hongli
Food and Machinery
[Objective] To investigate the changes in the quality of Dagu chicken jerky during storage at different temperatures and establish a shelf-life prediction model based on thiobarbituric acid reactive substance (TBARS ) value and colony count. [Methods] The Dagu chicken jerky was stored at 4, 25, and 37 ℃, and the changes in pH value, total volatile basic nitrogen (TVB-N), TBARS value, acid value (AV), color, texture, sensory characteristics, and colony count were measured. The Arrhenius equation was used to establish a shelf-life kinetic model of Dagu chicken jerky, with colony count, TBARS value, and TVB-N value as quality indicators. [Results] …
Spectrum, Volume 55, Issue 10, Sacred Heart University
Spectrum, Volume 55, Issue 10, Sacred Heart University
Newspapers (Obelisk & Spectrum)
Highlights include: Higher Education Concerns Regarding Compact Proposal -- Shutdown Caused Flight Delays and Cancellations -- Christmas Tree Lighting Kicks off the Holiday Season -- Home Away From Home: Thanksgiving at SHU -- Pioneer’s Make History (Twice!)
Understanding Perceptions About And The Practice Of Integrated Pest Management And Biological Control Of The Filth-Breeding Flies By Individuals Involved In The Equine Industry In The United States, Virgillia Adele Beyer-Junfin, Theresa Pesl Murphrey, David Lawver, Barry Boyd, Amy Boren-Alpizar, Rilee Hall, Audra W. Richburg
Understanding Perceptions About And The Practice Of Integrated Pest Management And Biological Control Of The Filth-Breeding Flies By Individuals Involved In The Equine Industry In The United States, Virgillia Adele Beyer-Junfin, Theresa Pesl Murphrey, David Lawver, Barry Boyd, Amy Boren-Alpizar, Rilee Hall, Audra W. Richburg
Journal of Extension
Filth-breeding flies pose significant health risks and costs in the equine industry. Although an arsenal of management strategies exists, integrated pest management (IPM) utilizing biological control (BC) offers cost and labor efficient pest control for equine facilities. Yet, little data exists on IPM adoption across the equine industry in the United States. This quantitative study examines the knowledge, perceptions, and adoption of IPM of those involved in the equine industry. Findings reveal knowledge barriers and time constraints as major preventatives. Preferred communication channels for IPM information are also identified. Recommendations are made for further research and practice in IPM and …
Editorial: Healthcare Technologies And Space: Therapeutic Built Environment As A Health Technology And Technologies For Improved Healthcare Settings, Evangelia Chrysikou, Fernando Loizides, Marianna Obrist, James Barlow, Paul Barach
Editorial: Healthcare Technologies And Space: Therapeutic Built Environment As A Health Technology And Technologies For Improved Healthcare Settings, Evangelia Chrysikou, Fernando Loizides, Marianna Obrist, James Barlow, Paul Barach
College of Population Health Faculty Papers
No abstract provided.
Gotta Have Somebody: Renal Health And Caregiving Experiences In Rural Florida, Danae Ayra-Barboza
Gotta Have Somebody: Renal Health And Caregiving Experiences In Rural Florida, Danae Ayra-Barboza
Electronic Theses and Dissertations 2020 - Present
This thesis examines the dynamics of care in the Everglades Agricultural Area (EAA) using the care circle model to highlight common experiences and themes during chronic kidney disease (CKD) management. Combining the theoretical frameworks of structural violence, social suffering, and care allowed the analysis of caregiving dynamics in the EAA, a community distressed by a history of structural violence that manifests today as poverty, environmental pollution, inadequate education, and poor health outcomes. Thematic analysis synthesizing the experiences of the care circles identified four themes: Geographical, logical, and economic constraints to healthcare; Cultural, linguistic, and educational barriers; Informal and formal support …