Exploration of physicians’ and registered dietitians’ knowledge, attitudes, and practices related to current nutritional concerns in adult Cystic Fibrosis patients

Background: As Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) modulator treatments for Cystic Fibrosis (CF) continue to advance, patients are experiencing new challenges related to their nutrition. Many patients have gone from fighting to gain weight to working to maintain or lose weight. These shifts in nutrition have left providers without nutrition care standards or guidelines to assist patients in achieving an optimal nutritional status. This study aimed to explore providers\u27 knowledge, attitudes, and practices regarding the current nutritional concerns in the era of CFTR modulators. Methods: We conducted an exploratory survey among physicians and registered dietitians (RDs) currently practicing in adult CF care centers (n=97) to explore the knowledge, attitudes, and practices related to current nutritional concerns according to the most recent research. Knowledge scores were calculated by assigning correct responses one point and wrong or unsure answers zero points. Attitude and practice scores were measured using Likert scales and calculated by averaging the total score. Qualitative interviews were conducted among a sample of RDs practicing in adult CF care centers via Zoom (n=13) to further explore current providers\u27 attitudes and practices regarding nutritional concerns in adult CF patients. Results: Providers had moderate knowledge scores (M=66.48, SD=8.57), relatively high attitude scores (M=83.65, SD=6.33), and fair practice scores (M=68.13, SD=8.54). Interview data reflected three main themes: 1) RDs’ approach to the mental and emotional effects of weight gain (e.g. sensitivity of questions, lack of knowledge and skills to address concerns, importance of unified CF care team approach); 2) Practice Approach to weight concerns (e.g. patient led weight loss and weight neutral approach, lifestyle changes); and 3) Lack of research for nutrition care in the setting of CFTR modulators (e.g. lack of guidance on vitamin and minerals, calorie and protein estimations, use of BMI as nutrition indicator) Conclusion: Providers continue to struggle with addressing nutritional concerns in the setting of CFTR modulators due to the lack of research and nutritional guidelines. Providers expressed the need for evidence-based research regarding the effects of weight gain, the efficacy of BMI as a nutrition indicator, vitamin and mineral supplementation, and calorie and protein recommendations to ensure they provide the best patient care

Receipt From A. J. Hill to Eartha White

Document: Handwritten receipt to Eartha M. M. White from A. J. Hill for seventeen dollars. Clara White Mission bills and receipts. Undated

Eartha White Museum, Exterior

Photograph: Three women on the front porch, entering the Eartha White Museum. Undated.https://digitalcommons.unf.edu/eartha_images/2290/thumbnail.jp

Unidentified Man

Photograph: Portrait of unidentified man. Undated.https://digitalcommons.unf.edu/eartha_images/2295/thumbnail.jp

Probiotic Intervention in Managing Chronic Stress

Chronic stress can induce gut dysbiosis which contributes to the dysregulation of the gut-brain axis and leads to anxiety and depressive-like symptoms. The gut-brain axis relies on nervous, immune, and endocrine interactions. Gut dysbiosis, an imbalance within the gut microbiome, disrupts gut-brain communication, impairing gut barrier integrity, inflammation regulation, and hormonal and neurotransmitter production. These gut changes contribute to mood disorders resulting from stress, and thus it is important to implement dietary interventions, like probiotics, to help mitigate these effects. Research highlights the potential of probiotics to act as an intervention to combat stress-induced gut dysbiosis and replenish beneficial bacteria that support gastrointestinal (GI) function. Probiotics have been shown to restore the gut microbiome, decrease the release of pro-inflammatory factors, increase the release of neuroactive compounds (i.e., serotonin, dopamine), and regulate immunity, all of which contribute to maintaining gut barrier integrity. By preserving the health of the gut through probiotics, physiological response to stress is mitigated as perturbations in the gut-brain axis are reduced, thus improving anxiety and depressive-like symptoms induced by chronic stress

Blue Bottle

This piece consists of a series of individually shaped bottle forms, connected by a shared base and continuous surface. It is influenced by repetition, using similar forms differing in shape, height, and proportion to create unity and visual balance. The repetition of related shapes creates visual rhythm, while the differences between them add interest. This contrast between balance and variation reflects my interest in exploring how uniformity and difference can exist in a single object. I threw seven individual bottle forms on the wheel and arranged them in a straight line to highlight the contrast between the linear arrangement and the roundness of each form. The piece was then glazed and fired in the reduction process. While the work is cohesive, each bottle maintains its own distinct character. I am a UNF student majoring in applied ethics philosophy with a minor in painting, drawing and printmaking. I recently began working with ceramics, and this new direction has heightened my interest in the fine arts. I have found that exploring multiple disciplines has enriched my creative process and deepened my appreciation for the arts. I plan to continue my education in the fine arts and further explore ceramics in the future

Small Georgia Hammock

This artwork shows trees and a grassy landscape.https://digitalcommons.unf.edu/campus_art/1815/thumbnail.jp

UNF VS Eckerd [Women] Trevarthan ROLL 2 [Neg # 32A]

Roll of B+W Film scanned, UNF Women\u27s Basketball, UNF VS Eckerd, Trevarthan, Unidentified basketball players, Roll 2; Date: Undatedhttps://digitalcommons.unf.edu/spinnaker-images/1659/thumbnail.jp

First half of roll is UNF Baseball VS JU; Second half of roll UNF VS Eckerd [Women’s Basketball] Trevarthan; Undated [Neg # 14]

Roll of B+W Film scanned; first half of roll is UNF Baseball VS JU; Second half of roll UNF VS Eckerd [Women’s Basketball]; Trevarthan; Images from Spinnaker Media; Date: Undatedhttps://digitalcommons.unf.edu/spinnaker-images/1625/thumbnail.jp