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2018

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Articles 11341 - 11370 of 15440

Full-Text Articles in Medicine and Health Sciences

Dialogic Reading With Adolescent Mothers, Diana L. Abarca Jan 2018

Dialogic Reading With Adolescent Mothers, Diana L. Abarca

Honors Undergraduate Theses

The purpose of this study was to evaluate the effectiveness of teaching dialogic reading (DR) strategies to adolescent mothers as measured by DR strategy use during shared book reading with their children. The secondary purpose was to determine the impact of adolescent mothers' implementation of DR strategies on their preschool children’s single word vocabulary. A single subject multiple baseline across behaviors research design was implemented with one adolescent mother and her twin boys. Based on visual analysis of graphical representation of the data, it was determined there was a moderate to strong functional relation between educating an adolescent mother on …


Preventing Childhood Obesity In School-Aged Children: Relationships Between Reading Nutrition Labels And Healthy Dietary Behaviors, Kimberly S. Bogers Jan 2018

Preventing Childhood Obesity In School-Aged Children: Relationships Between Reading Nutrition Labels And Healthy Dietary Behaviors, Kimberly S. Bogers

Honors Undergraduate Theses

Childhood obesity is a prevalent problem in the United States. Obesity increases the risk for many diseases. Obese children are likely to become obese adults with additional comorbidities. Studies have reported mixed findings regarding associations between reading nutrition labels and improved dietary behaviors/healthy weight status. The purpose of this study is to determine whether the frequency of children reading nutrition labels is related to frequency of performing 12 dietary behaviors. De-identified baseline data from a previous quasiexperimental pilot study were analyzed. Data were collected from 4th and 5th graders (n = 42) at an after-school program. An adapted paper survey …


Pregnant Women's Knowledge About Fetal Movement Count, Jade Hanna Bowen Jan 2018

Pregnant Women's Knowledge About Fetal Movement Count, Jade Hanna Bowen

Honors Undergraduate Theses

BACKGROUND: Fetal movement count (FMC) is a non-invasive tool used to evaluate fetal well-being and prevent stillbirth. FMC decrease the chances of stillbirth occurrence (Tveit et al., 2009), but in other countries, research shows that women are not taught about the benefits of FMC (Berndl, O'Connel, & Mcload, 2013). The purposes of this study were to discover 1) the knowledge of pregnant women in their third trimester about FMC and 2) sources through which women learn about FMC.

METHODOLOGY: The study is a quantitative descriptive design. An original survey consisting of 12 questions was created for the study. Inclusion criteria …


Studies Of Norspermidine Uptake In Drosophila Suggest The Existence Of Multiple Polyamine Transport Pathways, Michael Dieffenbach Jan 2018

Studies Of Norspermidine Uptake In Drosophila Suggest The Existence Of Multiple Polyamine Transport Pathways, Michael Dieffenbach

Honors Undergraduate Theses

Polyamines are a class of essential nutrients involved in many basic cellular processes such as gene expression, cell proliferation, and apoptosis. Without polyamines, cell growth is delayed or halted. Cancerous cells require an abundance of polyamines through a combination of synthesis and transport from the extracellular environment. An FDA-approved drug, D,L-α-difluoromethylornithine (DFMO), blocks polyamine synthesis but is ineffective at inhibiting cell growth due to polyamine transport. Thus, there is a need to develop drugs that inhibit polyamine transport to use in combination with DFMO. Surprisingly, little is known about the polyamine transport system in humans and other eukaryotes. Understanding the …


The Effectiveness Of Functional Movement Screening Testing In Prevention Of Anterior Cruciate Ligament Injuries In Women's Collegiate Soccer, Morgan P. Ferrara Jan 2018

The Effectiveness Of Functional Movement Screening Testing In Prevention Of Anterior Cruciate Ligament Injuries In Women's Collegiate Soccer, Morgan P. Ferrara

Honors Undergraduate Theses

The Functional Movement Screen (FMS), invented in 1995, has been adopted among Division One sports programs across the country. Being a women’s soccer player at the University of Central Florida (UCF), this particular topic had been of interest for years. The FMS is a series of seven tests evaluated at the beginning and end of each season. The UCF team's preventative rehabilitation was based upon the measurements from the FMS testing. The team engaged in preventative rehabilitation three times a week. Each year of my membership, the team of 28 to 30 players had no less than two anterior cruciate …


Considering Stress In A Nursing Student Context: Pre-Admission To Pre-Graduation, Daniel M. Regner Jan 2018

Considering Stress In A Nursing Student Context: Pre-Admission To Pre-Graduation, Daniel M. Regner

Honors Undergraduate Theses

In moderation, stress is a normal response to a perceived challenge which can motivate an individual to perform at their best. Nursing students consistently report a significant amount of stress which has been found to be greater than their non-nursing peers. The purpose of this study is to assess the level of stress reported by second-semester freshman and sophomore students who have declared nursing as a major, compared with the level of stress experienced by junior and senior students who are enrolled in the university's nursing program. Through this comparison, a conclusion can be drawn as to the level of …


The Effect Of Race On Parents' Intent To Vaccinate Their Children Against Human Papillomavirus, Ariana L. Ruiz Aguilar Jan 2018

The Effect Of Race On Parents' Intent To Vaccinate Their Children Against Human Papillomavirus, Ariana L. Ruiz Aguilar

Honors Undergraduate Theses

Human papillomavirus (HPV) is a sexually transmitted disease that often presents as genital warts, but may also lead to cancers, including those of the vagina, penis, mouth and tonsils. Despite three vaccines being currently available to prevent HPV, the HPV vaccine retains a low national average vaccination rate when compared to the Tetanus-Diptheria- Pertussis (Tdap) vaccine. Considering the need for improvement it is important to identify factors that may be contributing to this low national immunization rate, one of them being parental race. The purpose of this literature review is to identify whether race affects parents' intent to vaccinate their …


Effects Of The Influenza Vaccine On The Oral Cavity, Laura Sawires Jan 2018

Effects Of The Influenza Vaccine On The Oral Cavity, Laura Sawires

Honors Undergraduate Theses

According to existing literature, there is a suggested correlation between certain vaccinations and oral cavity symptoms. Studies have shown that the Diphtheria, Tetanus, Acellular Pertusis, as well as Polio Vaccinations have an association with presented symptoms of bleeding gums, sores, ulcers, white spots in the mouth or on lips, and unpleasant breath odor. Although these symptoms may not occur simultaneously or directly after administration of the immunization, there has been supported evidence of correlation. Given the relevance of an association between vaccinations and orally manifested side effects, an investigation on the presence of such association with the widely administered flu …


Reducing The Rate Of Misdiagnosis Of Postural Orthostatic Tachycardia Syndrome, Isabelle C. Gill Jan 2018

Reducing The Rate Of Misdiagnosis Of Postural Orthostatic Tachycardia Syndrome, Isabelle C. Gill

Honors Undergraduate Theses

Postural orthostatic tachycardia syndrome (POTS) is a common yet frequently misdiagnosed dysautonomia characterized by a significant increase in heart rate upon standing. POTS patients experience severe fatigue, dizziness, pre-syncope, and a diminished quality of life. The intent of this thesis is to investigate factors contributing to POTS misdiagnosis and develop a proposal for improving diagnostic procedures. The first part of this thesis presents an overview of other frequently misdiagnosed conditions, providing an understanding of the basis for the diagnostic problems in POTS and methods to combat such difficulties. The second part of this thesis details a meta-analysis performed on POTS …


Prevalence Of Helicobacter Pylori And Health Related Risk Factors At The University Of Central Florida, Evan Holsonback Jan 2018

Prevalence Of Helicobacter Pylori And Health Related Risk Factors At The University Of Central Florida, Evan Holsonback

Honors Undergraduate Theses

Helicobacter pylori (H. pylori) is a Gram-negative bacterium that infects and resides in the gastric mucosa of humans. Without treatment, H. pylori infection may cause chronic inflammation of the gastric mucosa. This inflammation creates progressive damage to the lining of the stomach and can lead to multiple diseases located in the upper gastrointestinal region. Worldwide prevalence of H. pylori infection is estimated to be close to 50%. H. pylori has been identified as the primary cause of peptic ulcer disease, gastric cancer, and mucosa-associated lymphoid tissue lymphoma.

The purpose of this study was to identify the prevalence and risk factors …


The Effect Of Controlling Messages On Doctor-Patient Communication, Kayla A. Ladez Jan 2018

The Effect Of Controlling Messages On Doctor-Patient Communication, Kayla A. Ladez

Honors Undergraduate Theses

The doctor-patient relationship is a very important aspect of a patient's health and wellbeing. It is a complex relationship that requires trust and understanding by both parties. Doctor shopping and changes in technology that allow patients to independently learn about their health have further complicated this relationship. This study looks at how participants perceive controlling language depending on the gender of the doctor. Participants were 339 University of Central Florida undergraduate students (112 men and 227 women, age M= 19.29, SD = 3.60) recruited through SONA. Participants first listened to a recording of a male or female doctor speaking to …


Prone Positioning In Acute Respiratory Distress Syndrome Patients, Sarah Rose H. Thornton Jan 2018

Prone Positioning In Acute Respiratory Distress Syndrome Patients, Sarah Rose H. Thornton

Honors Undergraduate Theses

Introduction: Acute respiratory distress syndrome (ARDS), seen in critically ill patients, is a disease process that affects the lungs and directly impacts a patient’s oxygenation. Despite treatment, patients often die of ARDS secondary to systemic complications. Prone positioning has been introduced as a treatment to improve the outcomes of ARDS patients. This thesis summarized and critiqued recent literature on the outcomes of prone positioning in ARDS patients.

Methodology: An initial literature search was conducted using CINAHL Plus with Text, Medline, Cochrane Database of Systematic Reviews, and US National Library of Medicine National Institutes of Health. Multiple search terms …


The Effects Of Sepsis Management Protocols On Time To Antibiotic Administration In The Emergency Department, Margaret K. Lorch Jan 2018

The Effects Of Sepsis Management Protocols On Time To Antibiotic Administration In The Emergency Department, Margaret K. Lorch

Honors Undergraduate Theses

Sepsis is one of the leading causes of death in U.S. hospitals, resulting from organ dysfunction caused by an inappropriate inflammatory reaction to an infection. Timely treatment with empiric antibiotics in the emergency department is crucial to facilitate positive patient outcomes. The Surviving Sepsis Campaign (SSC) recommends initiating empiric antibiotic therapy within one hour of presentation to the emergency department. Some emergency departments have implemented sepsis management protocols to guide care and ensure timely treatment. The purpose of this study is to determine the effect of a formal sepsis protocol in the emergency department on the time to antibiotic administration. …


The Effect Of Mismatch Primers On The Efficiency Of Amplification In Quantitative Polymerase Chain Reactions, Molly C. Dawkins Jan 2018

The Effect Of Mismatch Primers On The Efficiency Of Amplification In Quantitative Polymerase Chain Reactions, Molly C. Dawkins

Honors Undergraduate Theses

Polymerase chain reaction (PCR) is a method used in many research protocols to amplify a small amount of a short segment of DNA to millions of copies. PCR is used for many taxonomic studies, as well as for some medical diagnostic procedures. Through PCR, short DNA primers bind to the template DNA to allow the thermostable DNA polymerase to copy the DNA. Often, researchers create universal primers to target a conserved region of DNA in multiple species, for example, the 16S rRNA gene in bacteria. The problem with these universal primers is that they do not always perfectly match the …


Complementary And Integrative Therapies For The Treatment Of Fibromyalgia, Jennifer Hushla Jan 2018

Complementary And Integrative Therapies For The Treatment Of Fibromyalgia, Jennifer Hushla

Honors Undergraduate Theses

Fibromyalgia syndrome (FMS) is a debilitating and chronic condition with an array of symptoms, the most distinguishable being widespread pain. FMS patients experience a marked decrease in quality of life related to intensity of symptoms. Current treatment options and pharmaceuticals do not provide adequate relief. This thesis examines integrative and complementary therapy options for symptom management and improvement of quality of life for FMS patients. A literature review was conducted of English current research using multiple databases. Findings indicate mindful movement therapies (MMT) such as yoga and tai chi, mindfulness, sensory-related relaxation techniques with guided imagery, and cognitive behavioral therapy …


How Can The Humanities Treat Hiv/Aids? An Interview With Dale Smith, Amita Rao, Emily Furlich, Dale Smith Jan 2018

How Can The Humanities Treat Hiv/Aids? An Interview With Dale Smith, Amita Rao, Emily Furlich, Dale Smith

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

No abstract provided.


Breastfeeding As A Mechanism To Reduce Postpartum Depression With Weight As A Major Contributing Factor In Hispanic Women, Celia Wilson Jan 2018

Breastfeeding As A Mechanism To Reduce Postpartum Depression With Weight As A Major Contributing Factor In Hispanic Women, Celia Wilson

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

Postpartum Depression (PPD) is the most common childbearing-related illness around the globe affecting both mothers and their children; yet minimal longitudinal research has been done to study the effect of depressive symptomatology on breastfeeding. This study analyzes how the benefits of breastfeeding past six months, postpartum, can be used as a treatment mechanism for postpartum depression (PPD) with the major contributing factor of gestational weight gain (GWG) in Hispanic women recently immigrated to the United States. I investigated journal articles in four main domains: the likelihood of women presenting with depressive symptomatology as a result of weight gain to initiate …


Adherence Mechanism Analysis: The Role Of Prsa Gene In Lactobacillus Acidophilus And Other Infectious Microorganisms, Nujuma Moussa Jan 2018

Adherence Mechanism Analysis: The Role Of Prsa Gene In Lactobacillus Acidophilus And Other Infectious Microorganisms, Nujuma Moussa

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

No abstract provided.


The Use Of Rhyme, Rhythm, And Melody As A Form Of Repetition Priming To Aid In Encoding, Storage, And Retrieval Of Semantic Memories In Alzheimer’S Patients, Faiz Plastikwala Jan 2018

The Use Of Rhyme, Rhythm, And Melody As A Form Of Repetition Priming To Aid In Encoding, Storage, And Retrieval Of Semantic Memories In Alzheimer’S Patients, Faiz Plastikwala

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

Millions are diagnosed with Alzheimer’s disease annually which can have debilitating effects on patient memory. Thus, finding new ways to help facilitate memory in these patients, especially through non-pharmaceutical means, has become increasingly important. I examined the use of melody, rhyme, and rhythm as encoding mechanisms to aid in the retrieval of long term semantic information by juxtaposing scholarly articles detailing experiments, each of which examined the effects of various facets of memory facilitation; this helped produce an idea of which devices are most effective. Additionally, I surveyed studies highlighting limitations of song implementation to craft an effective plan to …


Researching The History Of Hiv/Aids: An Interview With Christopher Ewing, Emily Furlich Jan 2018

Researching The History Of Hiv/Aids: An Interview With Christopher Ewing, Emily Furlich

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

No abstract provided.


Investigation Into The Role Of Manganese In The Growth Of The Opportunistic Pathogen Streptococcus Sanguinis, Brittany Spivey Jan 2018

Investigation Into The Role Of Manganese In The Growth Of The Opportunistic Pathogen Streptococcus Sanguinis, Brittany Spivey

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

While Streptococcus sanguinis plays a beneficial role in the oral cavity as a competitor of Streptococcus mutans and Streptococcus sobrinus, the bacteria that produce dental caries, it can cause deadly infective endocarditis if given the opportunity to colonize the vegetations that form over damaged endocardial tissue. Pre-existing heart conditions, surgery, and intravenous drug use predispose individuals to endocarditis. S. sanguinis growth and consequential virulence is significantly impeded by restriction to manganese. This is due to the resulting overwhelming oxidative stress and formation of reactive oxygen species which damage DNA and other cellular components. Manganese is essential for S. sanguinis proteins …


The Relationship Between In-Session Commitment Language And Daily Self-Reported Commitment To Reduce Or Abstain From Drinking, Alexis Kuerbis, Jessica Houser, Paul Amrhein, Hayley Treloar Padovano, Jon Morgenstern Jan 2018

The Relationship Between In-Session Commitment Language And Daily Self-Reported Commitment To Reduce Or Abstain From Drinking, Alexis Kuerbis, Jessica Houser, Paul Amrhein, Hayley Treloar Padovano, Jon Morgenstern

Publications and Research

Background: Motivational interviewing is hypothesized to operate by enhancing a client’s internal motivation to change. Past research operationalizes this process by measuring in-session statements for change (i.e., change talk), yet relationships between change talk and other measures of motivation have yet to be substantiated. This study tested whether in-session change talk predicted subsequent reports of commitment to abstain or moderate drinking assessed via ecological momentary assessment (EMA), and explored each of their contributions to drinking outcomes. Method: Secondary data analysis was performed on data from 48 study participants who received therapy within a randomized controlled trial testing mechanisms of actions …


Teaching Life Lessons: When Millennials Fail, Jeffrey Ramirez, Janalee Isaacson, Deborah Smith, Brenda Senger Jan 2018

Teaching Life Lessons: When Millennials Fail, Jeffrey Ramirez, Janalee Isaacson, Deborah Smith, Brenda Senger

Nursing Faculty Scholarship

Background: Students who fail may face feelings of diminished self-perception, decreased sense of achievement, and experience negative emotions or moods such as: guilt, embarrassment, thoughts of reoccurring failure, feeling of letting others down or disappointing teachers and parents.

Aim: This paper is to discusses the topic of failure and providing thoughts and reflections on the topic. The authors believe that faculty can help students learn to fail and also maintain their self-worth and dignity. Helping students learn from these failures and promoting resilience and humility when faced with life adversities may be one of the best lifelong lessons faculty …


Characterization Of Cdk(5) Inhibitor, 20-223 (Aka Cp668863) For Colorectal Cancer Therapy, Caroline M. Robb, Smit Kour, Jacob I. Contreras, Ekta Agarwal, Carter J. Barger, Sandeep Rana, Yogesh Sonawane, Beth K. Neilsen, Margaret Taylor, Smitha Kizhake, Rhishikesh N. Thakare, Sanjib Chowdhury, Jing Wang, Jennifer D. Black, Michael A. Hollingsworth, Michael G. Brattain, Amarnath Natarajan Jan 2018

Characterization Of Cdk(5) Inhibitor, 20-223 (Aka Cp668863) For Colorectal Cancer Therapy, Caroline M. Robb, Smit Kour, Jacob I. Contreras, Ekta Agarwal, Carter J. Barger, Sandeep Rana, Yogesh Sonawane, Beth K. Neilsen, Margaret Taylor, Smitha Kizhake, Rhishikesh N. Thakare, Sanjib Chowdhury, Jing Wang, Jennifer D. Black, Michael A. Hollingsworth, Michael G. Brattain, Amarnath Natarajan

Journal Articles: Biochemistry & Molecular Biology

Colorectal cancer (CRC) remains one of the leading causes of cancer related deaths in the United States. Currently, there are limited therapeutic options for patients suffering from CRC, none of which focus on the cell signaling mechanisms controlled by the popular kinase family, cyclin dependent kinases (CDKs). Here we evaluate a Pfizer developed compound, CP668863, that inhibits cyclin-dependent kinase 5 (CDK5) in neurodegenerative disorders. CDK5 has been implicated in a number of cancers, most recently as an oncogene in colorectal cancers. Our lab synthesized and characterized CP668863 – now called 20-223. In our established colorectal cancer xenograft model, 20-223 reduced …


Parents' Feelings And Perceptions Towards Their Child's Speech Or Language Disorder, Elizabeth Holley Jan 2018

Parents' Feelings And Perceptions Towards Their Child's Speech Or Language Disorder, Elizabeth Holley

Williams Honors College, Honors Research Projects

Throughout society, there remains a stigma in regards to a person’s speech and language. While the stereotype that a person with a speech or language disorder may have a lower quality of life shines light on the perceptions of mainstream society, there has been research that provides insight into parent’s feelings. The purpose of this project was to explore the research regarding parents’ feelings and perceptions towards their child’s speech or language disorder by conducting a literature review and a questionnaire that could be used as a measuring tool. The researchers used a questionnaire to focus on two main points: …


Physical Therapy And The Integration Of Dry Needling, Katie Montgomery Jan 2018

Physical Therapy And The Integration Of Dry Needling, Katie Montgomery

Williams Honors College, Honors Research Projects

This research paper analyzes how the field of Physical Therapy has grown and evolved in the United States over the last sixty years. It also explores the education process of becoming a therapist, the responsibilities it entails, and the different treatment interventions therapist can use by taking a deeper look at the integration of dry needling techniques into the field of Physical Therapy.

Dry needling is defined and different techniques being utilized in the field currently are explained. Also discussed are locations where physical therapists are legally allowed to perform dry needling in the United States, the certification process, precautions …


Evaluating The Impact Of Operating A Falls Prevention Community Of Practice On Falls In A Residential Aged Care Setting, Jacqueline Francis-Coad, Terry Haines, Christopher Etherton-Beer, Debbie Nobre, Anne-Marie Hill Jan 2018

Evaluating The Impact Of Operating A Falls Prevention Community Of Practice On Falls In A Residential Aged Care Setting, Jacqueline Francis-Coad, Terry Haines, Christopher Etherton-Beer, Debbie Nobre, Anne-Marie Hill

Physiotherapy Papers and Journal Articles

Background/Purpose: Falls are a leading adverse event in residential aged care (RAC) settings with prevention a global aim. The purpose of this study was to determine whether operating a falls prevention community of practice (CoP) delivering evidence-based prevention interventions could change the rate of falls and injurious falls in a RAC setting.

Methods: A prospective quasi-experimental pre/post design was conducted. Participants were 13 RAC sites (779 beds) of a single RAC organization, with 20 multidisciplinary staff volunteering as CoP members.

Results: Falls rates pre CoP were 10.1/1,000 occupied bed days (OBD) compared with 10.9 /1,000 OBD post CoP operation [coefficient …


Embodying The Illusion Of A Strong, Fit Back In People With Chronic Low Back Pain. A Pilot Proof-Of-Concept Study, Tomohiko Nishigami, Benedict Wand, Roger Newport, Natasha Ratcliffe, Kristy Themelis, David Moen, Cat Jones, G Lorimer Moseley, Tasha R. Stanton Jan 2018

Embodying The Illusion Of A Strong, Fit Back In People With Chronic Low Back Pain. A Pilot Proof-Of-Concept Study, Tomohiko Nishigami, Benedict Wand, Roger Newport, Natasha Ratcliffe, Kristy Themelis, David Moen, Cat Jones, G Lorimer Moseley, Tasha R. Stanton

Physiotherapy Papers and Journal Articles

Objective: This proof-of-concept pilot study aimed to investigate if a visual illusion that altered the size and muscularity of the back could be embodied and alter perception of the back.

Methods: The back visual illusions were created using the MIRAGE multisensory illusion system. Participants watched real-time footage of a modified version of their own back from behind. Participants undertook one experimental condition, in which the image portrayed a muscled, fit-looking back (Strong), and two control conditions (Reshaped and Normal) during a lifting task. Embodiment, back perception as well as pain intensity and beliefs about the back during lifting were assessed. …


Trauma Treatment For Children In The Child Welfare System, The Rees-Jones Center For Foster Care Excellence Jan 2018

Trauma Treatment For Children In The Child Welfare System, The Rees-Jones Center For Foster Care Excellence

White Papers and Policy Briefs

Children involved in the child welfare system almost universally have experienced trauma, and many have experienced complex trauma. Research has shown that early intervention, treatment, and positive caregiving can reduce damage to the brain caused by trauma. Children coming into care should be screened to determine their trauma histories and related symptoms. Based on the outcomes of screenings and assessments, trauma-specific, evidence-based treatments or interventions should be provided.

For questions about this publication or others, please email [email protected]

childrens.com/fostercare


Effect Of Empagliflozin On Insulin Sensitivity In The Lean And Obese Zucker Rat: A Model Of Metabolic Syndrome, Veda Gayatri Sushma Penta Jan 2018

Effect Of Empagliflozin On Insulin Sensitivity In The Lean And Obese Zucker Rat: A Model Of Metabolic Syndrome, Veda Gayatri Sushma Penta

Theses, Dissertations and Capstones

Metabolic syndrome is one of the fastest growing health problems in the world. The medical costs associated with treating this disorder are staggering. Allowed to proceed untreated, metabolic syndrome can lead to a markedly decreased quality of life and a variety of medical conditions including heart and kidney failure. Whether the sodium glucose co-transporter-2 (SGLT-2) inhibitor Empagliflozin can be used to prevent the development of metabolic syndrome is not well understood. This proposal is specifically designed to address this gap in our knowledge. The expected outcomes of this work will identify the time course and degree of interrelatedness between changes …