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Articles 1621 - 1650 of 6356

Full-Text Articles in Nutrition

Teaching And Learning Numeracy In Health Sciences: A High School Health Classroom Case Study, Jasmina Mesic Jan 2022

Teaching And Learning Numeracy In Health Sciences: A High School Health Classroom Case Study, Jasmina Mesic

Graduate Research Theses & Dissertations

High school health science teacher professional development (TPD) is one learning environment where emphasis on numeracy and nutritional health literacy can make lifelong positive impacts on the health and wellbeing of youth. It has been estimated that only 33% of United States adults have limited numeracy skills and that only 12% are health literate. The purpose of this study was to begin the development of a high school health science TPD focused on numeracy and nutritional health literacy and to assist the teacher in delivering subject matter using brain-based learning principles. An exploratory case study design was selected as the …


Are Hormones Impacting Weight Gain?, Brannon Blount Jan 2022

Are Hormones Impacting Weight Gain?, Brannon Blount

All Student-Created Educational Resources

A brochure explaining hormones and weight gain are directly related.


Fresh Fruit And Veggies For Correctional Facilities, Katie Melara Jan 2022

Fresh Fruit And Veggies For Correctional Facilities, Katie Melara

All Student-Created Educational Resources

This handout depicts the benefits of fresh fruit and vegetables for incarcerated people and their communities, with proposed solutions for increasing fresh produce in correctional facilities. The content of this handout is based primarily on information Eating Behind Bars: Ending the Hidden Punishment of Food in Prison Report by Impact Justice.


Hormonal Regulation Of Weight, Tatiana Larionova Jan 2022

Hormonal Regulation Of Weight, Tatiana Larionova

All Student-Created Educational Resources

A brochure on the hormonal regulation of weight.


How Hormones Control Your Weight, University Of New England Jan 2022

How Hormones Control Your Weight, University Of New England

All Student-Created Educational Resources

A brochure that educates the general pubic on how hormones regulate body weight.


How Do My Hormones Affect My Body Weight?, Cristina Clark Jan 2022

How Do My Hormones Affect My Body Weight?, Cristina Clark

All Student-Created Educational Resources

A Brochure about Hormones and Body Weight


Application Of Pork Checkoff We Care Sustainability Principles To Pork Production: Water, Nutrition, And Biosecurity, Hannah Miller Jan 2022

Application Of Pork Checkoff We Care Sustainability Principles To Pork Production: Water, Nutrition, And Biosecurity, Hannah Miller

Electronic Theses and Dissertations

The Pork Checkoff program was founded in 1986 as a means to strengthen U.S. pork in the market place (Pork Checkoff). Under this program all U.S. pork producers and importers pay $0.40 for every $100 worth of pigs is sold (Pork Checkoff). Funds are then used for pork promotion, research, and education for producers and consumers (Pork Checkoff). The Pork Checkoff program uses the We Care ethical principles as a means to address “continuous improvement in the pork industry’s production practices and promote a strong record of responsible farming to those outside of the industry” (National Pork Board, 2018a). The …


Food Environment, Food Acquisition Behavior, And Fruit And Vegetable Consumption Among Burmese Immigrants And Refugees : A Socio-Ecological Study, Hnin Wai Lwin Myo Jan 2022

Food Environment, Food Acquisition Behavior, And Fruit And Vegetable Consumption Among Burmese Immigrants And Refugees : A Socio-Ecological Study, Hnin Wai Lwin Myo

Legacy Theses & Dissertations (2009 - 2024)

Background: Using the framework of the Socio-Ecological Model, the current study aimed to investigate the associations between nutritional knowledge, food environment, food acquisition behavior, and daily recommended fruit and vegetable consumption (≥5 cups of fruits and vegetables) among Burmese refugees and immigrants in the Capital Region, New York. Methods: During July - November 2018, a cross-sectional survey with face-to-face interviews was conducted among Burmese refugees and immigrants aged 18 years and older living in Albany and Rensselaer counties (n=173, 52.0% female, mean age = 42.8). Daily recommended fruit and vegetable consumption was determined as ≥5 cups of fruit and vegetable …


Don’T Forget To Wash! Water, Sanitation, And Hygiene Among Zambian Students, Katie Schmitz Jan 2022

Don’T Forget To Wash! Water, Sanitation, And Hygiene Among Zambian Students, Katie Schmitz

NUTR/GLST 498b: Global Research Experiences in Nutrition and Health

Introduction: Water, sanitation, and hygiene practices in sub-Saharan Africa, including Zambia, have not met the Millennium Development Goals (MDGs) and remain inadequate to improve the overall health and wellbeing of most populations.

Methods: Survey research, interviews, WASH observations, and anthropometric assessment were conducted between May-June 2022 on 6-7th grade students within 6 Zambian schools.

Results: While hygiene knowledge was prominent, and handwashing stations and pit latrines were available, schools rarely supplied soap or toilet paper. Diarrheal and respiratory diseases were common and water shortages remain problematic with some students traveling long distances to reach a water source.

Discussion: As in …


Dental Decay In Zambian School Children In Eastern And Southern Provinces, Elizabeth Graham Jan 2022

Dental Decay In Zambian School Children In Eastern And Southern Provinces, Elizabeth Graham

NUTR/GLST 498b: Global Research Experiences in Nutrition and Health

Introduction: Dental caries is the most prevalent and infectious disease worldwide. Zambia has a high rate of vitamin A deficiency, and this deficiency is associated with dental caries.

Methods: Visual dental checks, interviewing, and anthropometric assessments were done on 781 Zambian primary school children.

Results: Caries rates are 20% among sample populations, males have more decay than females, first molars are the most decayed, a majority use toothbrushes to clean their teeth, and children who eat vitamin A rich foods are less likely to have dental caries.

Discussion: Caries’ rates in the Southern and Eastern provinces are higher than in …


Sew Zambia! Home Economics In Primary And Secondary Schools Of The Eastern And Southern Provinces, Clare Schinzel Jan 2022

Sew Zambia! Home Economics In Primary And Secondary Schools Of The Eastern And Southern Provinces, Clare Schinzel

UCARE: Research Products

Introduction: Home Economics (HE) is within the main curriculum for primary school students in Zambia, yet it remains unclear what is included.

Methods: Survey research conducted between May-June 2022 on 6-7th-grade students within 9 Zambian schools. Classroom observations were made, and teachers were interviewed in primary and secondary public schools.

Results: Most know how to cook and sew. Zambian women cook more than men and learn at an older age. Both males and females are trained to sew learning at a much younger age.

Discussion: HE remains critical to learning life skills in Zambia and the curriculum reflects skills related …


ฮอร์โมนเอสโตรเจนเหนี่ยวนำให้เกิดการแทรกของ Line-1 ดีเอ็นเอเข้าไปในจีโนมของเซลล์มะเร็งเต้านม, กุลจิรา โรจน์ไพศาลกิจ Jan 2022

ฮอร์โมนเอสโตรเจนเหนี่ยวนำให้เกิดการแทรกของ Line-1 ดีเอ็นเอเข้าไปในจีโนมของเซลล์มะเร็งเต้านม, กุลจิรา โรจน์ไพศาลกิจ

Chulalongkorn University Theses and Dissertations (Chula ETD)

ในปัจจุบันโรคมะเร็งเต้านมเป็นมะเร็งที่มีอุบัติการณ์และอัตราการตายสูงที่สุดในเพศหญิงทั่วโลกรวมถึงในประเทศไทยด้วย โดยพบว่า LINE-1 ถือว่าเป็น Retrotransposon element ที่พบมากที่สุดถึง 17 % ของจีโนมและมีความสามารถในการคัดลอกแล้วแทรกตัวเองในบริเวณอื่นของจีโนมซึ่งเป็นสาเหตุของทำให้เกิดความไม่สเถียรของจีโนมอันเป็นสาเหตุของการเกิดโรคมะเร็ง และยังพบว่าการแสดงออกของLINE-1 มีผลต่อการลุกลาม, ขนาด, และระยะของโรคมะเร็งเต้านมด้วย นอกจากนี้ยังพบว่าผู้หญิงที่การได้รับฮอร์โมนเอสโตรเจนต่อเนื่องเป็นระยะเวลานานทำให้ความเสี่ยงของโรคมะเร็งเต้านมเพิ่มมากขึ้น ถึงกระนั้นยังคงไม่ทราบถึงกลไกการทำงานของเอสโตรเจน ดังนั้นผู้วิจัยจึงตั้งสมมุติฐานว่า เอสโตรเจนสามารถเหนี่ยวนำให้เกิดการแทรกของ LINE-1 ดีเอ็นเอเข้าไปในจีโนมของเซลล์มะเร็งเต้านม โดยทำการศึกษาบผลของเอสโตรเจนที่ได้รับต่อการแสดงออกของ LINE-1 mRNA และ LINE-1 โปรตีน รวมถึงผลของเอสโตรเจนที่ได้รับต่อการแทรกของ LINE-1 ดีเอ็นเอโดยวิเคราะห์จากปริมาณดีเอ็นเอในเซลล์มะเร็งเต้านม T47D ผลการทดลองพบว่าที่เอสโตรเจนมีผลทำให้การแสดงออกของ LINE-1 mRNA เพิ่มขึ้นสูงที่สุดอย่างมีนัยสำคัญที่ความเข้มข้นของเอสโตรเจน 5 nM ด้วยวิธี Realtime RT-PCR ในเซลล์มะเร็งเต้านม T47D และผลทำให้การแสดงออกของ LINE-1 mRNA เพิ่มขึ้นสูงที่สุดอย่างมีนัยสำคัญที่ 12 ชม. ด้วยวิธี Realtime RT-PCR ในเซลล์มะเร็งเต้านม T47D และเอสโตรเจนมีผลทำให้การแสดงออกของโปรตีน LINE-1 ORF1p เพิ่มขึ้นสูงที่สุดอย่างมีนัยสำคัญที่ 48 และ 72 ชม. ในเซลล์มะเร็งเต้านม T47D ด้วยวิธี Western blot โดยพบว่าการแสดงออกของโปรตีน LINE-1 ORF1p เพิ่มขึ้นสูงที่สุดอย่างมีนัยสำคัญ 72 ชม. นอกจากนี้เอสโตรเจนมีผลทำให้ปริมาณของ LINE-1 ดีเอ็นเอบริเวณ ORF2 เพิ่มขึ้นสูงที่สุดอย่างมีนัยสำคัญที่ 72 ชม.ในเซลล์มะเร็งเต้านม T47D มากที่สุดอย่างมีนัยสำคัญด้วยวิธี Real-time PCR แสดงให้เห็นว่าเอสโตรเจนมีผลทำให้เกิดการแทรกของ LINE-1 ดีเอ็นเอเข้าไปในจีโนมได้ จากผลการทดลองทั้งหมดจึงสรุปได้ว่า เอสโตรเจนมีผลต่อการเพิ่มแสดงออกของ LINE-1 mRNA และ LINE-1 โปรตีน รวมถึงเพิ่มปริมาณ LINE-1 ดีเอ็นเอ อย่างมีนัยสำคัญในเซลล์มะเร็งเต้านม T47D แสดงว่าเอสโตรเจนสามารถเหนี่ยวนำให้เกิดการแทรกของ LINE-1 ดีเอ็นเอเข้าไปในจีโนมนำไปสู่การกลายพันธุ์ของยีนและความไม่เสถียรของจีโนม


Letter From The Dean, Jean-Francois Meullenet Jan 2022

Letter From The Dean, Jean-Francois Meullenet

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

No abstract provided.


Consumers' Perception Of Quality For Ladies' Swimwear Based On Price And Brand, Jennifer Avila, Laurie M. Apple, Lance M. Cheramie, Leigh Southward Jan 2022

Consumers' Perception Of Quality For Ladies' Swimwear Based On Price And Brand, Jennifer Avila, Laurie M. Apple, Lance M. Cheramie, Leigh Southward

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Consumers shop at multiple retailers for different needs, and it is understood that many choose a retailer for an experience and others will shop at another retailer for better savings. In a time where E-commerce is at an all-time high, retailers need to consider how they compare against online retailers in the apparel sector. In this study, three retailers were compared against one another since they are all swimwear competitors. As these retailers adjust to store and production shortages, it is important to understand how the quality of clothing will keep sales consistent. Consumers are likely to keep shopping at …


Discovery: The Student Journal Of Dale Bumpers College Of Agricultural, Food And Life Sciences- Volume 23 2022, Several Authors Jan 2022

Discovery: The Student Journal Of Dale Bumpers College Of Agricultural, Food And Life Sciences- Volume 23 2022, Several Authors

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

No abstract provided.


Featured Faculty Mentor And Student Explore The Dynamics Of This Research Relationship, Matt Bertucci, Gracie Morrison Jan 2022

Featured Faculty Mentor And Student Explore The Dynamics Of This Research Relationship, Matt Bertucci, Gracie Morrison

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

No abstract provided.


Healing Sanctuary, Kammy Downs Jan 2022

Healing Sanctuary, Kammy Downs

Master's Theses or Doctor of Nursing Practice

The natural world has hidden wisdom and resources that are disregarded as we misuse our responsibility to care for them. The benefits of being in tune with nature have been traded for a culture that manipulates nature on the altar of expediency, waste, and unquenchable desire. Healing Sanctuary presents a duality. My work speaks about the relationship between the seen and unseen, represented by ten larger-than-life drawings of medicinal herbal plants that have had a profound physical healing effect on me. At the same time, plants, roots, and seeds create visceral metaphors for mental health. Our accomplishments, outlook on life, …


Estrogen Regulation Of Daily Metabolic Rhythms In Female Mice, Oluwabukola Omotola Jan 2022

Estrogen Regulation Of Daily Metabolic Rhythms In Female Mice, Oluwabukola Omotola

Theses and Dissertations--Biology

Circadian rhythms are approximately 24-hour cycles of behavior, physiology, and gene expression. In mammals, these circadian rhythms are generated by clocks located in nearly every tissue in the body. The function of circadian clocks is to synchronize physiology and behavior with environmental cycles such as the light-dark cycle. After menopause, when circulating levels of estrogens are very low, women are more susceptible to obesity comorbidities such as metabolic syndrome and cardiovascular disease, suggesting that estrogens regulate these processes. Estrogens could protect females from metabolic dysfunction by regulating circadian rhythms. Consumption of diets that are high in fat contribute to obesity. …


Nutritional Status In Critical Care Of Covid-19 Patients, Dolph Lewis Davis Iii Jan 2022

Nutritional Status In Critical Care Of Covid-19 Patients, Dolph Lewis Davis Iii

Theses and Dissertations--Nutrition and Food Systems

Critical care nutrition is a poorly researched, and such a sudden pandemic event requiring manipulation of nutritional status via propofol-induced sedation for mechanical ventilation is potentially impactful on patient outcomes. This paper seeks to provide context to the impact of critical care protocols on the nutritional status of obese patients suffering from COVID-19.


“It’S Just Part Of Our Hospitality:” Examination Of Cultural Factors That May Inform Future Initiatives To Improve Health Outcomes In A Rural Appalachian Community, Lauren Cassidy Batey Jan 2022

“It’S Just Part Of Our Hospitality:” Examination Of Cultural Factors That May Inform Future Initiatives To Improve Health Outcomes In A Rural Appalachian Community, Lauren Cassidy Batey

Theses and Dissertations--Nutrition and Food Systems

Diet and physical activity are influenced by a person’s culture and may contribute to the presence of health disparities within a geographic region. Health disparities are evident in Appalachia where a unique cultural identity exists. Culture-based initiatives focused on improving diet quality and increasing physical activity have improved health outcomes in diverse groups, yet interventions considering geographically tied cultures, like Appalachia, are limited. This study aims to identify specific aspects of Appalachian culture that influence health outcomes to inform and increase success of health focused interventions. Five focus groups were conducted in one rural Appalachian community in summer 2021. Grounded …


Farmers’ Market Incentive Program As An Intervention For Improving Behavior Regarding Fruit And Vegetable Consumption In Children And Adolescents, Madison Blades Jan 2022

Farmers’ Market Incentive Program As An Intervention For Improving Behavior Regarding Fruit And Vegetable Consumption In Children And Adolescents, Madison Blades

Theses and Dissertations--Nutrition and Food Systems

Background: Previous research shows that there is low consumption of fruits and vegetables in children and adolescents, specifically those residing in the state of Kentucky which is ranked the lowest of all states in fruit and vegetable (F/V) consumption. The lack of F/V in a diet of someone during their developmental ages can result in negative health outcomes in the future.

Objective: To determine if the use of a farmers’ market incentive program as a nutritional intervention affects the consumption of F/V in children and adolescents.

Methods: 261 children and adolescents, ages 3-14, from 160 families participated in a 10-week …


Family And Consumer Sciences Extension Agents Perception Of A Sustainable Eating Curriculum For Kentuckians, Lindley Barker Jan 2022

Family And Consumer Sciences Extension Agents Perception Of A Sustainable Eating Curriculum For Kentuckians, Lindley Barker

Theses and Dissertations--Nutrition and Food Systems

The population is rapidly increasing all over the world. As foods are produced for us to consume, the food system generates negative environmental impacts at each step. The extent of damage generated by food production depends on the amount of land, water, and energy depleted. These environmental impacts can result in reduced quantities of food produced, damages to the land and water used to grow/produce food, pollution of food, and food waste. All of which impact the amount of product produced. Thereby, shifting food-related behaviors of consumers toward sustainable eating may be a way to promote the health of people …


The Effect On Incorporating Fresh Fruits And Vegetables Into An Emergency Food Box Program In Rural Appalachia Kentucky, Zixuan Li Jan 2022

The Effect On Incorporating Fresh Fruits And Vegetables Into An Emergency Food Box Program In Rural Appalachia Kentucky, Zixuan Li

Theses and Dissertations--Nutrition and Food Systems

About 1 in 8 Kentuckians experiencing food insecurity. Low-income Appalachian Kentuckians often utilize food assistance programs and community resources to obtain food and they have lack regular access to fresh food, especially fruits and vegetables. Of concern is nutrition quality and the ability to use food items. The study aimed to explore if and how low-income Appalachian Kentuckians living in a food desert utilized their standard food pantry box as well as a supplemental box of free fresh produce. The study was done through distribution of supplemental fruit and vegetable boxes along with their emergency food box seven different times …


Pilot Study: The Role Of Online Grocery Shopping In Meal Planning & Prepartion: Utilizing Text Message Based Behavioral Nudges, Brittany Nikole Cox Jan 2022

Pilot Study: The Role Of Online Grocery Shopping In Meal Planning & Prepartion: Utilizing Text Message Based Behavioral Nudges, Brittany Nikole Cox

Theses and Dissertations--Nutrition and Food Systems

Purpose: To examine if an online grocery shopping intervention improves meal planning and preparation and subsequent dietary intake. The primary hypothesis was that online shopping can improve meal planning and meal preparation habits while also improving dietary intake.

Method: Participants were randomized to either online only (O), online plus nutritional nudges (O+I), or standard brick and mortar (BM). Those in the O+I arm received behavioral nudges three (3) times per week and were part of a Facebook group assisting them with meal planning, nutrition education, and reminders to shop online. The O arm only received reminders to shop online, and …


Protumorigenic Effects Of Mixed Lineage Kinase Domain-Like Protein In Cholangiocarcinoma Cells, Nattaya Duangthim Jan 2022

Protumorigenic Effects Of Mixed Lineage Kinase Domain-Like Protein In Cholangiocarcinoma Cells, Nattaya Duangthim

Chulalongkorn University Theses and Dissertations (Chula ETD)

Cholangiocarcinoma (CCA), a heterogeneous malignancy of bile duct system, has the highest incidence in Thailand. CCA is one of the leading causes of death which has low 5-year survival rate from 5% to 10% in advanced stages due to the difficulty of diagnosis in early stage and lack of effective therapies. Therefore, understanding the molecular mechanisms and pathogenesis of CCA development and progression is urgently needs and will lead to the development of novel therapeutic targets and strategies. Mixed lineage kinase domain-like (MLKL) was identified as a key effector in a novel regulated necrosis or necroptosis pathway. Recently studies have …


Nutrition Education And The Effects On Athletic Performance In Collegiate Athletes With Low Energy Availability, Karleigh Sudenga Jan 2022

Nutrition Education And The Effects On Athletic Performance In Collegiate Athletes With Low Energy Availability, Karleigh Sudenga

Health and Nutritional Sciences Graduate Students Plan B Capstone Projects

Current research suggests that collegiate athletes lack nutritional knowledge needed for optimal athletic performance. The absence of basic nutritional knowledge in college athletes puts them at an increased risk for RED-S and its sports performance consequences. The objective of this narrative review is to evaluate the literature on low energy availability in collegiate athletes and determine if nutrition education can improve athletic performance. Multiple studies concluded that nutrition education may improve dietary intake in collegiate athletes, while there was one contradicting study that found that athletes improved nutritional knowledge but did not improve dietary intake. 3 studies found that low …


Narrative Review Of The Relationship Between Depression And Low Blood Folate And Vitamin B12 Levels, Jennifer Sip Jan 2022

Narrative Review Of The Relationship Between Depression And Low Blood Folate And Vitamin B12 Levels, Jennifer Sip

Health and Nutritional Sciences Graduate Students Plan B Capstone Projects

Depression is a common psychological mood disorder that impacts more than 16 million adults in the United States. It can impact several areas of a person’s life including physical activity, diet and daily activities. The role of nutrition in depression therapy has been researched for several years, with folate and vitamin B12 being the main highlights. Folate and vitamin B12 play a vital role in the development of the central nervous system and conversion of homocysteine to methionine. Past research has found inconsistent findings regarding the relationship between folate, vitamin B12 and their role in depression. This article dives into …


Associations Between Atherogenic Markers And Hearing Loss: National Health And Nutrition Examination Survey: 2011-2012, 2015-2016, Anna Anya Rombakh Jan 2022

Associations Between Atherogenic Markers And Hearing Loss: National Health And Nutrition Examination Survey: 2011-2012, 2015-2016, Anna Anya Rombakh

All Master's Theses

Importance Hearing loss (HL) is a major public health problem that has been previously found to be associated with abnormal atherogenic markers.

Objective To investigate the associations between such atherogenic markers and the degree of HL using continuous NHANES data from cycle years 2011-2012 and 2015-2016.

Design, Study, and Participants This observational study used data from two National Health and Nutrition Examination Survey (NHANES) cycle years 2011-2012 and 2015-2016. NHANES continuously conducts data collection via home interviews and physical exams completed in their Mobile Examination Centers. NHANES participants ages 20-69 who partook in audiometry, anthropometric and laboratory testing were included. …


Anti-Neuroinflammatory Effects Of Auricularia Polytricha Extracts On Bisphenol A (Bpa)-Induced Microglial Cell Activation And Reduction Of Hippocampal Cell Damage, Chanin Sillapachaiyaporn Jan 2022

Anti-Neuroinflammatory Effects Of Auricularia Polytricha Extracts On Bisphenol A (Bpa)-Induced Microglial Cell Activation And Reduction Of Hippocampal Cell Damage, Chanin Sillapachaiyaporn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Bisphenol A (BPA) is widely used in the production of polycarbonate plastics, it has been reported that BPA can activate neuroinflammation. Neuroinflammation is a brain pathology that involves the high levels of pro-inflammatory mediators, including tumor necrosis factor-alpha (TNF-α). An excessive TNF-α expression could result in neuronal cell death and subsequently lead to neurodegeneration. Auricularia polytricha (AP) is an edible mushroom with several medicinal properties. Herein, the anti-neuroinflammatory effects of AP extracts against BPA-induced BV2 microglial inflammation were investigated. Hexane (APH) and ethanol (APE) extracts of AP inhibited BPA-induced neuroinflammation in BV2 cells by reducing the expression of pro-inflammatory cytokines. …


Take It With A Grain (Or More) Of Salt: Why Industry-Backed Dietary Guidelines Fail Americans And How To Fix Them, Caroline Farrington Jan 2022

Take It With A Grain (Or More) Of Salt: Why Industry-Backed Dietary Guidelines Fail Americans And How To Fix Them, Caroline Farrington

University of Michigan Journal of Law Reform

The U.S. Dietary Guidelines lack oversight and accountability. The result: Guidelines that reflect food industry interests instead of modern science. This deleterious guidance goes on to govern federally-subsidized food assistance programs and to influence dietary choices throughout the private sector and private life. Ultimately, the Guidelines significantly contribute to the endemic chronic disease they seek to address.

The Guidelines Advisory Committee is notoriously rife with conflicts of interest, and thus most Guidelines scholarship has focused on reforming the Committee. But the 2015 and 2020 Guidelines show that these reforms are insufficient and agency-level change is necessary. In 2015, the Committee …