Missouri Department of Agriculture

Soy Intake During Childhood and/or Adolescence and Adult Breast Cancer: An Examination of the Early Soy Intake Hypothesis

Mark Messina, Alison M. Duncan

Breast cancer is one of the leading causes of cancer incidence and mortality in many countries worldwide although there is considerable geographic variation. Diet is thought to impact risk of developing breast cancer but identifying specific dietary factors involved in the etiology …

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Right atrial calcium homeostasis in a mouse model of obstructive sleep apnea

Ava Fleury, Jessica Cayton, M. Badran, Timothy Domeier

Atrial tachyarrhythmias, including atrial fibrillation (AF) and atrial flutter (AFL), are the most prevalent forms of arrhythmia and associate with atrial remodeling and calcium handling abnormalities. Obstructive sleep apnea (OSA) is linked with AF/AFL through poorly understood mechanisms. The objective of this …

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Neostempellina reissi Caldwell, 2000 (Diptera: Chironomidae): A New Missouri State Record

Samuel B. McCord, Heather A. Garrison, Brandy S. Bergthold, William R. Mabee et autres

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Implementation Strategies and Outcomes of Physical Activity and Nutrition: Baseline Values of Missouri SPAN, HOP, and REACH Programs

Joseph S. Lightner, Mansoo Yu, Jessica L. Price, Kimberly Keller et autres

Missourians are not meeting recommendations for physical activity or nutrition. To address this challenge, the CDC has provided Missouri with state (SPAN), regional (HOP), and community-level (REACH) funding to implement large-scale programs. This study describes the implementation strategies and outcomes of SPAN, …

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P-1178. Antibacterial Activity of a Polygalacturonic and Caprylic Acid Wound Ointment Compared with Hypochlorous Acid Against Polymicrobial Biofilms in a Three-Dimensional Wound Biofilm Model

Bahgat Z Gerges, Joel Rosenblatt, Y Lan Truong, Ying Jiang et autres

Abstract Background Polymicrobial biofilms of bacteria and fungi frequently occur in chronic wounds and pose a significant barrier to healing. Polygalacturonic + caprylic acids (PG+CAP) and hypochlorous acid (HOCl) have been shown to be well tolerated yet potent antimicrobial agents for eradicating …

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P-1421. Impact of a Community Health Worker and Pharmacist Led Vaccine Gap Closure Program in Missouri

Adriana Gardner, John A. Galdo, Jasmine D. Gonzalvo, Anne Eisenbeis et autres

Abstract Background Significant gaps in vaccination rates exist, with only 22.8% of US adults receiving all age-appropriate vaccines in 2022. As trusted community members, community health workers (CHWs) are uniquely positioned to address vaccine hesitancy and provide culturally appropriate services. A statewide …

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Eliminating the Nurse-to-Patient Power Gradient Through Effective Communication to Combat Avoidable Suffering

Stuart Downs, Joshua A. Wymer

A unique and complex aspect of communication in the operating room department is the nurse-to-patient power gradient. The patient under anesthesia is dependent on the perioperative nurse to collaborate with the surgical team and communicate on their behalf, and this creates a …

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Mixed-methods outcomes from a statewide contraceptive access initiative in Missouri: How The Right Time supports access, method availability and patient-centered care

Emma Pendl-Robinson, Kirstin A. Palovick, Ashley Kuykendall, Michelle Trupiano et autres

OBJECTIVES: The Right Time (TRT) is a statewide contraceptive access initiative with a three-pronged approach (supply, demand, and environment) to improve access to information and contraceptive services in Missouri. We evaluated TRT's supply prong focused on access, method availability, use of methods, …

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Walking the Leadership Tightrope: Principals’ Experience of Work–Life Balance

Se Woong Lee

Principals experience high levels of anxiety, frustration, and stress, often struggling with their physical, mental, and emotional well-being. Balancing work–life responsibilities is critical, yet we know little about how school principals understand and navigate work–life balance (WLB). Building on boundary and spillover …

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Compounding Pharmacists: Key Educators on Timolol Nasal Spray for Acute Migraine.

John C Hagan

The great majority of physicians treating migraine are not using this very successful compounded timolol nasal spray. In this review I shall briefly cover the development of compounded nasal spray timolol; and explain why you should educate your discontented migraine patients about …

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Four-year outcomes following triplanar tarsometatarsal arthrodesis with early weightbearing for Hallux Valgus: A multicenter prospective study

Avneesh Chhabra, Mindi Dayton, Daniel C. Farber, Deidre Kile et autres

BACKGROUND: Traditional hallux valgus surgery has been focused on two-dimensional repair with high reported recurrence rates. PURPOSE: We report the 4-year interim analysis of a prospective, 5-year, multicenter study of radiographic, clinical, and patient-reported outcomes following triplanar first tarsometatarsal arthrodesis with early …

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Analysis of the Effect of Demographic Variables on Lysosomal Enzyme Activities in the Missouri Newborn Screening Program

Lacey Vermette, Jon Washburn, Tracy Klug

Newborn screening laboratories are increasingly adding lysosomal storage disorders (LSDs), such as Mucopolysaccharidosis I (MPS I) and Pompe disease, to their screening panels. Without newborn screening, LSDs are frequently diagnosed only after the onset of symptoms; late detection can lead to profound …

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