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Postoperative Calcium Supplementation Adherence In Total Thyroidectomy And Parathyroidectomy Patients - Risk Factors And Outcomes, Katelyn Ward, Cydney Mcchesney, John Nida, Negin Mohtashemian, Jacob Mesiti, Emmanuel Nageeb, Diane Studzinski, Rose Callahan, Peter Czako, Sapna Nagar May 2025

Postoperative Calcium Supplementation Adherence In Total Thyroidectomy And Parathyroidectomy Patients - Risk Factors And Outcomes, Katelyn Ward, Cydney Mcchesney, John Nida, Negin Mohtashemian, Jacob Mesiti, Emmanuel Nageeb, Diane Studzinski, Rose Callahan, Peter Czako, Sapna Nagar

Conference Presentation Abstracts

No abstract provided.


Surgical Site Infection Bundle For Babies - Preliminary Data, Cullen Woodley, Katelyn Ward, John Nida, Alexis Lonjin, Diane Studzinski, Nathan Novotny, Pavan Brahmamdam, Begum Akay May 2025

Surgical Site Infection Bundle For Babies - Preliminary Data, Cullen Woodley, Katelyn Ward, John Nida, Alexis Lonjin, Diane Studzinski, Nathan Novotny, Pavan Brahmamdam, Begum Akay

Conference Presentation Abstracts

No abstract provided.


Determining Size In An Era When Size Matters: Inter-Radiologist Variability In Lung Cancer Measurement, Katelyn Ward, Gayaneh Nazarian, Ryan Davis, Sayf Al-Katib, Kiran Nandalur, Thomas Watson May 2025

Determining Size In An Era When Size Matters: Inter-Radiologist Variability In Lung Cancer Measurement, Katelyn Ward, Gayaneh Nazarian, Ryan Davis, Sayf Al-Katib, Kiran Nandalur, Thomas Watson

Conference Presentation Abstracts

No abstract provided.


Gender And Age Differences Among Juvenile Homicide Offenders, Amanda Nichole-Wells Jabaay May 2025

Gender And Age Differences Among Juvenile Homicide Offenders, Amanda Nichole-Wells Jabaay

Walden Dissertations and Doctoral Studies

The involvement of juveniles in homicide-related crimes has been a matter of growing public concern in the United States. Although prior research suggests that boys and girls who kill vary in important ways, there is limited research that has examined gender and age differences among juvenile homicide offender (JHO) characteristics and crime-related variables on a national level, with only eight previous national studies to date. Guided by the social control theory, the purpose of this non-experimental quantitative study was to explore gender and age differences among JHOs and other crime-related variables on a current national level. Archival data (N = …


Why Bips Mattered In The Past & Will In The Future, Chase Steinbach May 2025

Why Bips Mattered In The Past & Will In The Future, Chase Steinbach

Undergraduate Theses and Senior Projects

No abstract provided.


Staff Council Minutes, Georgia Southern University May 2025

Staff Council Minutes, Georgia Southern University

Staff Council Meeting Minutes & Agendas

No abstract provided.


The Effect Of Group Prenatal Care On The Empowerment Of Pregnant Adolescents: Randomized Controlled Trial, Fatemeh Malchi, Parvin Abedi, Mina Iravani, Elham Maraghi, Eesa Mohammadi, Najmieh Saadati May 2025

The Effect Of Group Prenatal Care On The Empowerment Of Pregnant Adolescents: Randomized Controlled Trial, Fatemeh Malchi, Parvin Abedi, Mina Iravani, Elham Maraghi, Eesa Mohammadi, Najmieh Saadati

Sultan Qaboos University Medical Journal

No abstract provided.


Clinical Predictors Of Inherited Breast Cancer At A Comprehensive Cancer Centre In Oman: Is It Time For Universal Germline Genetic Testing?, Reem Abdulrahim, Hasan Al-Sayegh, Sara Al-Kiyumi, Ilse Crouse, Khalid Albaimani, Adil Aljarrah, Chantel Van Wyk, Abeer Alsayegh May 2025

Clinical Predictors Of Inherited Breast Cancer At A Comprehensive Cancer Centre In Oman: Is It Time For Universal Germline Genetic Testing?, Reem Abdulrahim, Hasan Al-Sayegh, Sara Al-Kiyumi, Ilse Crouse, Khalid Albaimani, Adil Aljarrah, Chantel Van Wyk, Abeer Alsayegh

Sultan Qaboos University Medical Journal

Objectives: This study aimed to explore the clinical, histopathological and demographic characteristics of female Omani breast cancer (BC) patients to identify possible predictors of a positive test result. Additionally, it aimed to evaluate the applicability of the National Comprehensive Cancer Network (NCCN) guidelines for germline genetic testing in risk assessment. Methods: This study was conducted at the Sultan Qaboos Comprehensive Cancer Centre, Oman, between September 2021 and September 2022. The variables examined included age, disease stage, presence of metastasis at diagnosis, hormone receptor status, human epidermal growth factor receptor 2 status, histopathological type, Ki-67 levels, family history of …


Effect Of Prophylactic Tranexamic Acid On Peripartum Changes In Haemoglobin Concentration After Vaginal Delivery, Ezukwa E. Omoronyia, Moses I. Ekuma, Edu Eyong, Sylvester E. Abeshi, Ubong B. Akpan May 2025

Effect Of Prophylactic Tranexamic Acid On Peripartum Changes In Haemoglobin Concentration After Vaginal Delivery, Ezukwa E. Omoronyia, Moses I. Ekuma, Edu Eyong, Sylvester E. Abeshi, Ubong B. Akpan

Sultan Qaboos University Medical Journal

Objectives: This study aimed to evaluate the effect of prophylactic intravenous tranexamic acid on postpartum haemoglobin (Hb) concentration values compared to a control group. Methods: This randomised controlled study took place from May to July 2023 and included parturients with no apparent risk for postpartum haemorrhage from the University of Calabar Teaching Hospital in Calabar, Nigeria. Participants were divided equally into 2 groups. Group A (intervention group) received 10 IU of intramuscular oxytocin along with 1,000 mg of intravenous tranexamic acid within 1 minute of vaginal delivery, while Group B (control group) received 10 IU of intramuscular oxytocin with 10 …


Effect Of Magnesium Supplements On Improving Glucose Control, Blood Pressure And Lipid Profile In Patients With Type 2 Diabetes Mellitus: A Systematic Review And Meta-Analysis, Nasiba Al Maqrashi, Salim Al Busaidi, Sara Al-Rasbi, Abdullah M. Al Alawi, Juhaina S. Al-Maqbali May 2025

Effect Of Magnesium Supplements On Improving Glucose Control, Blood Pressure And Lipid Profile In Patients With Type 2 Diabetes Mellitus: A Systematic Review And Meta-Analysis, Nasiba Al Maqrashi, Salim Al Busaidi, Sara Al-Rasbi, Abdullah M. Al Alawi, Juhaina S. Al-Maqbali

Sultan Qaboos University Medical Journal

This study evaluated the effects of magnesium (Mg) supplementation on glycaemic control in type 2 diabetes mellitus through a meta-analysis of 23 randomised controlled trials involving 1,345 participants. Mg supplementation significantly increased serum Mg levels (weighted mean difference [WMD] = 0.69, 95% CI: 0.32 to 1.06) and reduced fasting blood glucose levels (WMD = -0.58, 95% CI: -0.87 to -0.28). However, the impact on glycated haemoglobin was minimal (WMD = -0.16, 95% CI: -0.32 to 0.00). Subgroup analysis showed a greater reduction in glycated haemoglobin among participants aged ≥65 years and those receiving longer durations of supplementation. Additionally, Mg supplementation …


Caminos*: An Ethnographic Study Of Latino And Ally Leaders Serving Rural Latino Communities Before And During The Pandemic, Ruben Viramontez Anguiano, Melissa Martinez, Jorge Chavez, Sarah M. Harrison May 2025

Caminos*: An Ethnographic Study Of Latino And Ally Leaders Serving Rural Latino Communities Before And During The Pandemic, Ruben Viramontez Anguiano, Melissa Martinez, Jorge Chavez, Sarah M. Harrison

Journal of Extension

This study focused on rural Latino and ally leaders in the Midwest. The purpose of this study was to examine how Latino and ally leaders produced different forms of capital in serving and leading the Latino community over the decades prior to and during the pandemic. The sample consisted of 22 Latino and ally leaders. A culturally responsive ethnography and other qualitative methods were used to collect and analyze the data. The findings demonstrated that the rural leaders from different generations were generating social capital and other forms of capital to guide and serve the Latino community before and during …


Assessing One-Year Health Impacts From Wildfires In Rural Communities: Roles For Extension In Promoting Wildfire Preparedness And Recovery, Marc T. Braverman, Sandi Cleveland Phibbs, Emily Jane Davis, Amanda Rau, Elijah Penner May 2025

Assessing One-Year Health Impacts From Wildfires In Rural Communities: Roles For Extension In Promoting Wildfire Preparedness And Recovery, Marc T. Braverman, Sandi Cleveland Phibbs, Emily Jane Davis, Amanda Rau, Elijah Penner

Journal of Extension

Wildfires can produce health impacts that persist for years in affected communities. This article describes an Extension-led study of health impacts in rural Oregon communities one year after a destructive wildfire. Data collection included key informant interviews (n=36), an online survey (n=80), and three focus group interviews with survivors (n=23). Mental health, exposure to contaminants, physical stress, food insecurity, and other issues were frequently identified health concerns. Survivors’ difficulties in dealing with housing displacement significantly exacerbated health challenges. We describe potential roles for Extension in addressing wildfire risk and mitigating health impacts, including a description of the Oregon Fire Program.


Market Days For Older Adults: Addressing Healthy Aging Among A High-Risk Population At The Downtown Farmers’ Market, Allyson Brothers, India Luxton, Cheryl Noble, Sue Schneider, Alison O'Connor, Yuqin Jiao May 2025

Market Days For Older Adults: Addressing Healthy Aging Among A High-Risk Population At The Downtown Farmers’ Market, Allyson Brothers, India Luxton, Cheryl Noble, Sue Schneider, Alison O'Connor, Yuqin Jiao

Journal of Extension

Market Days for Older Adults is a Colorado State University Extension program that supplies low-income older adults with fresh produce purchased from market vendors at the local farmers’ market. Designed for low-income seniors, this program aims to enhance nutrition while building a sense of community and connection. Program evaluation data from the first four years of the program demonstrate evidence of program feasibility, including high levels of participant satisfaction and program utilization. We also assessed a set of healthy aging indicators (diet quality, social connection, functional health, and well-being) to drive future work. Implications for Extension professionals are discussed.


Annie’S Project: Farming In Cities And The Urban Fringe, Robin G. Brumfield, Deborah L. Greenwood, Madeline Flahive Di Nardo, A.J. Both, Joseph R. Heckman, Nicholas Polanin, Ashaki Rouff, Amy Rowe, Richard Vanvranken, Surendran Arumugam, Ramu Govindasamy May 2025

Annie’S Project: Farming In Cities And The Urban Fringe, Robin G. Brumfield, Deborah L. Greenwood, Madeline Flahive Di Nardo, A.J. Both, Joseph R. Heckman, Nicholas Polanin, Ashaki Rouff, Amy Rowe, Richard Vanvranken, Surendran Arumugam, Ramu Govindasamy

Journal of Extension

Annie’s Project, is a nationally recognized educational program for women farmers focused on five areas of risk management: marketing, production, financial, human, and legal. Some challenges are common to all farms, while some are unique to urban locations. We added urban-focused topics including short-term leases, contaminated soils, water availability, indoor production, and access to capital and resources to develop Annie’s Project: Farming in Cities and the Urban Fringe. As urbanization spreads and a greater percentage of farmers across the United States are women, our curriculum can be used to address needs that are unique to farmers in urban …


Exploring Extension Agents' Understandings Of Local And Resilient Food Systems, Hannah Dankbar, Brooke Matusko May 2025

Exploring Extension Agents' Understandings Of Local And Resilient Food Systems, Hannah Dankbar, Brooke Matusko

Journal of Extension

Currently, there is a focus on bolstering local food systems to support overall food system resilience. Local and resilient food systems, though related, are distinct concepts. Their use in food system development is complicated by varying interpretations. Data from a survey of North Carolina Extension agents, a group of food system practitioners, identified a range of definitions of these terms. The results underscore the complex landscape of local food system development and identify a need to build on conceptual understandings within the Extension community and establish shared understandings within food system development efforts.


Evaluation Of The Development Of Critical Life Skills As A Result Of Participating In Texas Youth Horse Judging Programs, Ashley N. Dibbs, Jennifer Zoller, Chelsie Huseman, Scott Cummings May 2025

Evaluation Of The Development Of Critical Life Skills As A Result Of Participating In Texas Youth Horse Judging Programs, Ashley N. Dibbs, Jennifer Zoller, Chelsie Huseman, Scott Cummings

Journal of Extension

Competitive judging teams are valued forms of extracurricular learning tools for many youth students. Unfortunately, unless individuals have direct involvement in these programs the benefits often go unnoticed and undocumented. A survey was designed to assess self-perceived life skill development from current and past horse judging participants, as well as youth life skill development observed by adults. Participants identified critical thinking, decision making, and public speaking as the highest rated life skills developed. Adults ranked self confidence, critical thinking and decision making as the skills they observe develop most frequently.


Faculty Roles And Responsibilities Supporting Extension Health Initiatives: Suggestions To Maximize Campus-Field Partnerships, Christine A. Fruhauf, Maria Delgado, Sue Schneider May 2025

Faculty Roles And Responsibilities Supporting Extension Health Initiatives: Suggestions To Maximize Campus-Field Partnerships, Christine A. Fruhauf, Maria Delgado, Sue Schneider

Journal of Extension

The past several decades of Extension scholarship have addressed topics related to creating pathways for stronger campus-field based connections. Several attempts have been made to support such efforts, including creating content-driven teams of research/teaching faculty and Extension professionals; state-wide tours where campus-based faculty and administrators visit with Extension staff in their county offices and in the field; and making new campus-based faculty and staff hires with a percentage of Extension appointments. Although these strategies have merit, addressing how these initiatives can support the goal of strengthening the work of campus- and field-based faculty to influence the mission of land-grant institutions …


Climate Resilience For Organic Vegetable Growers In The Midwest: Views, Needs, And Priorities Of Technical Service Providers, Natalie Hoidal, Greta Gramig, James Dedecker, Nicholas Frillman, Katie Black, Sarah Hayward, Rue Genger May 2025

Climate Resilience For Organic Vegetable Growers In The Midwest: Views, Needs, And Priorities Of Technical Service Providers, Natalie Hoidal, Greta Gramig, James Dedecker, Nicholas Frillman, Katie Black, Sarah Hayward, Rue Genger

Journal of Extension

As organic vegetable production becomes increasingly important in Upper Midwest food systems, Extension programs and partners must rise to the challenge of supporting growers with climate resilience. These growers are uniquely vulnerable to climate impacts, and addressing this challenge requires a networked approach. We report on a needs assessment and social network analysis process with technical service providers across the region to define the challenges, needs, and opportunities for building individual and institutional capacity to address climate change with growers. Results highlighted several focus areas, including improved communication, better access to funding, sound information, and cultural appropriateness.


Parental Experience In 4-H And Its Effect On Youth Reenrollment, Jolynn Miller, Kendra Lewis, Jeannette Rea Keywood, Tim Ewers, Kali Trzesniewski, Sarah Hensley May 2025

Parental Experience In 4-H And Its Effect On Youth Reenrollment, Jolynn Miller, Kendra Lewis, Jeannette Rea Keywood, Tim Ewers, Kali Trzesniewski, Sarah Hensley

Journal of Extension

Youth experience many benefits from participating in the 4-H program. It is unclear, however, what role parents play in their child’s reenrollment in the program. This study uses data from a multi-year multi-state study of youth retention in 4-H to examine the effects of parental expectations and experience on their intent to reenroll their child after their first year in 4-H. Results show a relationship between parental expectations and experiences on continued involvement. This study can be used to help 4-H programs recruit and retain more youth, as well as by other Extension programs to understand retention issues.


"Adults Taking Over": Lessons From A Case Study Of Food Security Events In Positive Youth Development Organizations, Rebecca Mott, Tanner Adkins May 2025

"Adults Taking Over": Lessons From A Case Study Of Food Security Events In Positive Youth Development Organizations, Rebecca Mott, Tanner Adkins

Journal of Extension

This case study describes youths’ roles in meal packing events and food drives associated with 4-H and FFA organizations in Missouri. Findings suggest the idea of a local event often stemmed from a youth who had participated in a meal packing event on a state or national level. However, youth perceived that once they expressed their idea, the planning and organization of the event tended to be “taken over” by an adult while youth carried out concrete tasks at the event. This research adds to the literature base calling for enhancement of awareness, knowledge and understanding of Youth-adult partnerships.


Engaging Generation Z: Exploring Volunteering Preferences And Influential Factors For 4-H Programming, Gemma Miner, Roshan Nayak, Cheryl Butterfield, Donna Schwarting, Stacey Macarthur May 2025

Engaging Generation Z: Exploring Volunteering Preferences And Influential Factors For 4-H Programming, Gemma Miner, Roshan Nayak, Cheryl Butterfield, Donna Schwarting, Stacey Macarthur

Journal of Extension

This article presents research findings on Generation Z (GenZ) individuals’ motivation and preferences as volunteers. The study utilized a mixed-methods approach, gathering data from 910 Gen Z individuals aged 18 and older across six states. Gen Zers prefer volunteer opportunities related to education and social impact, influenced by an organization’s mission and values. Support and personal commitment are crucial in their decision-making process. They exhibit diverse perspectives on volunteer engagement duration, emphasizing purpose-driven efforts. This research provides valuable insights for effective recruitment and retention strategies for engaging Gen Z volunteers in meaningful opportunities.


From Data To Action: An Adaptable Crosstabs Template For Participatory Survey Data Analysis, Natalia Pinzon, Vikram Koundinya, William O'R Dowling, Ryan Galt May 2025

From Data To Action: An Adaptable Crosstabs Template For Participatory Survey Data Analysis, Natalia Pinzon, Vikram Koundinya, William O'R Dowling, Ryan Galt

Journal of Extension

We present a practical and accessible template for quantitative survey data analysis designed for non-academic researchers in order to facilitate engagement from community collaborators. The template, created in Google Sheets, is mainly for computing cross-tabulations, but it also displays frequency distributions and p-values for determining statistical significance. The template allows collaborators to record their observations and questions, promoting an efficient yet interactive review process and fostering a democratic analysis environment. Based on our own experience using this template for a data party, we highlight its effectiveness in promoting collaborative data interpretation, decision-making, and the actionable use of survey findings.


Nature For New Minnesotans: A Minnesota Master Naturalist Program Connecting Adult English Language Learners To The Outdoors, Lucas Fitchen Rapisarda, Britt M. Forsberg May 2025

Nature For New Minnesotans: A Minnesota Master Naturalist Program Connecting Adult English Language Learners To The Outdoors, Lucas Fitchen Rapisarda, Britt M. Forsberg

Journal of Extension

English language (EL) learners, many of whom are immigrants, face economic, social, and cultural constraints when accessing Extension programming. NFNM is an innovative program that seeks to address these constraints by developing and implementing place-based natural history curriculum for adult English language (EL) learners in the authors state. This article describes the program development process for NFNM and shares important lessons learned during the process.


Cannabis Impacts On Native Lands: On The Need For Inclusion Of Native Perspectives In Extension Work, Jeremy Sorgen, Seth Larosa, Jennifer Sowerwine, Van Butsic, Peter Nelson, Melanie Mccavour, Shasta Gaughen, Anna Starkey May 2025

Cannabis Impacts On Native Lands: On The Need For Inclusion Of Native Perspectives In Extension Work, Jeremy Sorgen, Seth Larosa, Jennifer Sowerwine, Van Butsic, Peter Nelson, Melanie Mccavour, Shasta Gaughen, Anna Starkey

Journal of Extension

This article highlights the need for Cooperative Extension to increase awareness of Tribal concerns around activities that impact land, natural resources, and water. A research team at UC Berkeley worked with a Tribal Advisory Committee to conduct a survey of Tribal representatives’ perceptions of cannabis impacts on Native lands and cultural resources. The results show that there is widespread concern among Native communities about the environmental impacts of cannabis cultivation, especially to water quality, access, and availability. These concerns underscore the need to include Native communities in Extension’s agricultural and natural resource activities across all regions and sectors.


Expanding Extension Involvement Through An Undergraduate Life Skills Course, Stacey F. Stearns, Aditi Rao May 2025

Expanding Extension Involvement Through An Undergraduate Life Skills Course, Stacey F. Stearns, Aditi Rao

Journal of Extension

Extension traditionally involves undergraduate students through experiential learning and internships. We sought to develop a new model, and created an undergraduate life skills course for students in our college that featured Extension educators as guest lecturers in areas aligned with their specialty. Universities have a stable population of potential program participants, volunteers, and employees. It is imperative that we raise awareness about Extension while the students are enrolled in our institutions. Creating a for-credit undergraduate course that teaches life skills through Extension programs has tangible benefits for both the students and the Extension system.


Gardening Through The Pages: Making A State-Specific Catalog With Community Science Data, Stephen Stresow, Stephen Reiners, Ashley Miller Helmholdt May 2025

Gardening Through The Pages: Making A State-Specific Catalog With Community Science Data, Stephen Stresow, Stephen Reiners, Ashley Miller Helmholdt

Journal of Extension

Taking a page from commercial seed catalogs, Cornell Garden-Based Learning created a state-specific catalog using top-rated vegetable varieties. Taste, yield, ease-to-grow, and overall ratings were collected over the past decade through community science garden programs. The catalog combines the reputable, research-backed information Extension information with the marketability of a seed catalog. This project streamlined information across multiple sites into a single document while presenting it in a novel way (for Extension). We note how we collected data, created it, feedback from gardeners, and offer suggestions for improvements.


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 …


Empowering Patients With Health Insights: Development And Utilization Of Knowledge Graphs For Comprehensive Patient Medical Journey Mapping And Analytics, Hassan Saadeddine Al Khatib May 2025

Empowering Patients With Health Insights: Development And Utilization Of Knowledge Graphs For Comprehensive Patient Medical Journey Mapping And Analytics, Hassan Saadeddine Al Khatib

Theses and Dissertations

Healthcare advancements require advanced solutions to process and understand complex patient data. This dissertation outlines a detailed framework for mapping patient journeys with knowledge graphs (KGs), which begins by analyzing existing Patient-Centric Knowledge Graphs (PCKGs) literature to identify current research gaps in the representation and analysis of patient journeys. Our research proposes solutions to these gaps through three main contributions. First, we introduce the Patient Journey Ontology (PJO), which enables systematic encoding of patient encounters, diagnoses, treatments, and outcomes into a semantic knowledge structure designed for interoperability. The construction of patient journey knowledge graphs (PJKGs) is based on this foundational …


Global Attractivity Of Positive Solutions Of Higher Order Nonlinear Difference Equations And Its Applications, Abdulaziz Almaslokh May 2025

Global Attractivity Of Positive Solutions Of Higher Order Nonlinear Difference Equations And Its Applications, Abdulaziz Almaslokh

Theses and Dissertations

Difference equations play an effective role in many mathematical models that represent some phenomena in different fields such as physics, economics, engineering and biology. From this perspective, studying and analyzing such equations are interesting issues for the advancement of scientific research. In particular, studying the asymptotic behavior of positive solutions of some population models that are a system of difference equations has become a necessity. In this dissertation, we examine the global attractivity of positive solutions of certain higher order nonlinear difference equations and apply these results to some population models.


In Search Of Educational Justice: Lived Experiences Of Community College Presidents And Their Authentic Critical Leadership, Juan Felipe Arzola May 2025

In Search Of Educational Justice: Lived Experiences Of Community College Presidents And Their Authentic Critical Leadership, Juan Felipe Arzola

Theses and Dissertations

There are several gaps in research related to the fields of study of community college leadership and its influence on shared governance discussions and decision-making. The purpose of the current study is to address the gap in the study of community college leadership and its influence on shared governance discussions and decision-making through a critical, intersectional investigation of authentic critical leadership and its potential to influence shared governance group discussions and decision-making in distinctively different ways than those advocated by mainstream leadership theories. Participants participated in semi-structured interviews and were observed in a shared governance group meeting to identify evidence …