Investigating the Prevalence and Types of Clinical Services Offered by Pharmacists in Federally Qualified Health Centers in South Carolina: A Qualitative, Cross-Sectional Survey.

Purpose: To investigate the prevalence and type of clinical pharmacy services offered within South Carolina Federally Qualified Health Centers (SC FQHCs) and identify existing implementation barriers.

Methods: This study was a cross-sectional survey of pharmacists or Chief Medical Officers practicing in SC FQHCs. Organizations were identified utilizing the Health Resources and Services Administration (HRSA) database and were contacted to participate in a telephone survey.

Relationships between soil test phosphorus and county-level agricultural surplus phosphorus.

National nutrient inventories provide surplus phosphorus (P) estimates derived from county-scale mass balance calculations using P inputs from manure and fertilizer sales and P outputs from crop yield data. Although bioavailable P and surplus P are often correlated at the field scale, few studies have investigated the relationship between measured soil P concentrations of large-scale soil testing programs and inventory-based surplus P estimates. In this study, we assessed the relationship between national surplus P data from the NuGIS dataset and laboratory-measured soil test phosphorus (STP) at the county scale for Arkansas, North Carolina, and Oklahoma.

Assessing the utility of shellfish sanitation monitoring data for long-term estuarine water quality analysis.

Regular testing of coastal waters for fecal coliform bacteria by shellfish sanitation programs could provide data to fill large gaps in existing coastal water quality monitoring, but research is needed to understand the opportunities and limitations of using these data for inference of long-term trends. In this study, we analyzed spatiotemporal trends from multidecadal fecal coliform concentration observations collected by a shellfish sanitation program, and assessed the feasibility of using these monitoring data to infer long-term water quality dynamics. We evaluated trends in fecal coliform concentrations for a 20-year period (1999-2021) using data collected from spatially fixed sampling sites (n = 466) in North Carolina (USA).

Short-term forecasting of fecal coliforms in shellfish growing waters.

This study sought to develop models for predicting near-term (1-3 day) fecal contamination events in coastal shellfish growing waters. Using Random Forest regression, we (1) developed fecal coliform (FC) concentration models for shellfish growing areas using watershed characteristics and antecedent hydrologic and meteorologic observations as predictors, (2) tested the change in model performance associated when forecasted, as opposed to measured, rainfall variables were used as predictors, and (3) evaluated model predictor importance in relation to shellfish sanitation management criteria. Models were trained to 10 years of coastal FC measurements (n = 1285) for 5 major shellfish management areas along the Florida (USA) coast.

Satellite and cyanobacteria monitoring: Understanding the impact of monitoring frequency on management decisions.

Cyanobacterial harmful algal blooms (cyanoHABs) in reservoirs can be transported to downstream waters via scheduled discharges. Transport dynamics are difficult to capture in traditional cyanoHAB monitoring, which can be spatially disparate and temporally discontinuous. The introduction of satellite remote sensing for cyanoHAB monitoring provides opportunities to detect where cyanoHABs occur in relation to reservoir release locations, like canal inlets.

A Mixed-Methods Approach for Evaluating Implementation Processes and Program Costs for a Hypertension Management Program Implemented in a Federally Qualified Health Center.

Team-based care approaches are effective at improving hypertension control and have been used in clinical practice to improve hypertension outcomes. This study implemented and evaluated the Hypertension Management Program (HMP), which was originally developed in a high-resource health setting, in a health system with fewer resources and a patient population disproportionately affected by hypertension. Our objectives were to describe how a health system could adapt HMP to meet their needs and calculate total program costs.

Reconstructing the historical expansion of industrial swine production from Landsat imagery.

In the USA, historical data on the period over which industrial swine farms have operated are usually only available at the county scale and released every 5 years via the USDA Census of Agriculture, leaving the history of the swine industry and its potential legacy effects on the environment poorly understood. We developed a changepoint-based workflow that recreates the construction timelines of swine farms, specifically by identifying the construction years of swine manure lagoons from historical Landsat 5 imagery for the period of 1984 to 2012. The study focused on the Coastal Plain of North Carolina, a major pork-producing state in the USA.

Search for spp. Reveals High Prevalence and Pronounced Genetic Diversity of Arcobacter butzleri in Floodwater Samples Associated with Hurricane Florence in North Carolina, USA.

In September 2018, Hurricane Florence caused extreme flooding in eastern North Carolina, USA, a region highly dense in concentrated animal production, especially swine and poultry. In this study, floodwater samples ( = 96) were collected as promptly post-hurricane as possible and for up to approximately 30 days and selectively enriched for using Bolton broth enrichment and isolation on modified charcoal cefoperazone deoxycholate agar (mCCDA) microaerobically at 42°C. Only one sample yielded , which was found to be with the novel sequence type 2866 (ST-2866).

Hurricanes, El Niño and harmful algal blooms in two sub-tropical Florida estuaries: Direct and indirect impacts.

Future increases in the intensity of hurricanes and El Niño periods predicted by climate change models have focused attention on their role in stimulating harmful algal blooms (HABs). A series of hurricanes that recently impacted Florida (USA) provided a unique opportunity to explore the relationships between hurricanes, El Niño and HABs in two Florida estuaries subject to repeated intense ecosystem disruptive HABs, the Indian River Lagoon and the St. Lucie Estuary.

Revealing Biotic and Abiotic Controls of Harmful Algal Blooms in a Shallow Subtropical Lake through Statistical Machine Learning.

Harmful algal blooms are a growing human and environmental health hazard globally. Eco-physiological diversity of the cyanobacteria genera that make up these blooms creates challenges for water managers tasked with controlling the intensity and frequency of blooms, particularly of harmful taxa (e.g.

Apoptotic susceptibility to DNA damage of pluripotent stem cells facilitates pharmacologic purging of teratoma risk.

Pluripotent stem cells have been the focus of bioengineering efforts designed to generate regenerative products, yet harnessing therapeutic capacity while minimizing risk of dysregulated growth remains a challenge. The risk of residual undifferentiated stem cells within a differentiated progenitor population requires a targeted approach to eliminate contaminating cells prior to delivery. In this study we aimed to validate a toxicity strategy that could selectively purge pluripotent stem cells in response to DNA damage and avoid risk of uncontrolled cell growth upon transplantation.

Integrated electromyography and performance outcomes to inertial resistance exercise.

Integrated electromyography (IEMG) and performance outcomes from resistance exercise may be influenced by gender, repetition order, and contractile mode. A novel strength training apparatus employing inertial resistance operates unlike standard exercise equipment and may therefore evoke different IEMG and performance outcomes. Subjects performed 3-set, 10-repetition calf press workouts on an inertial device while IEMG and flywheel velocity were recorded.

Inclusion of eccentric actions on net caloric cost resulting from isoinertial resistance exercise.

Net O(2) uptake was measured from maximal-effort 3-set, 8-repetition seated leg press protocols on an isoinertial ergometer. Subjects (25 women, 9 men) did 2 workouts each exerting concentric-eccentric (CE) and concentric-only (CO) knee extensor forces to measure work and net caloric cost. Significant (p < 0.