Timothy Myers, Trombone Amanda Kirkpatrick, Piano

Kemp Recital Hall February 5, 2000 Saturday Evening 7:00 P.M

Key Finding of the 2022 Nebraska End-of-Life Survey: A Report for Nebraska Hospice and Palliative Care Association

The 2022 End-of-Life survey is a continuation by the Nebraska Hospice and Palliative Care Association (NHPCA) to understand the knowledge, beliefs, and actions of Nebraskans and their end-of-life (EOL) wishes. Previous surveys conducted in 2003, 2006, 2010, and 2017 helped to inform the 2022 survey. Results of previous surveys can be found on the NHPCA website. The University of Nebraska-Lincoln Bureau of Sociological Research contracted with NHPCA to prepare, distribute, and enter survey data for a random sample of Nebraskans 19 years of age and older. Survey invitations were sent to 3,000 Nebraskans 19 years of age and older in one of six regions to ensure adequate representation across the state. Weighting was used to make certain of adequate representation by age and sex. Weighting was not used for oversampling for race or ethnicity. Behavioral health regions are shown on page five highlighting the statewide nature of this survey. Surveys were evenly distributed and completed throughout these regions. Respondents were provided with two options for completing the survey: online using a Qualtrics survey or on paper. 635 adults completed the survey. 490 were completed on paper and 145 surveys were completed online. The response rate for the 2022 survey was 21%. Secondary analysis of the data was completed by University of Nebraska at Omaha, Creighton University, and University of Nebraska Medical Center faculty, staff, and doctoral students. Findings from this analysis are on the pages that follow. Included in this report are key findings from the 2022 survey. Respondent demographics, knowledge of hospice care and knowledge of palliative care are presented separately. Also presented are respondents’ desired preference for where to receive hospice care, knowledge of payment sources for hospice care and palliative care, and their interest in learning more about hospice care and palliative care. We also include highlights of respondents’ attitudes about death and illness along with the completion of EOL planning documents. Information about income is presented based on a combination of Internal Revenue Service Tax Brackets from 2022, the 2022 Federal Poverty level, and average Social Security payments for 2022. Because the 2022 survey took place at the end of a global pandemic, we have included select items from the 2017 survey to compare with the 2022 results. The purpose for including this additional information is to see if any changes in awareness of services and/or usage occurred between the two time periods. This issue, raised by a member of this team and the nursing community, emphasizes the importance of EOL care in relation to the pandemic. What do people know and how does this influence their attitudes about EOL care? While no definitive conclusions can be drawn from these results, they do offer insight into the attitudes of responding Nebraskans to the state of hospice care and palliative care and provide a roadmap for future survey questions

WISE Brown Dwarf Binaries: The Discovery of a T5+T5 and a T8.5+T9 System

The multiplicity properties of brown dwarfs are critical empirical constraints for formation theories, while multiples themselves provide unique opportunities to test evolutionary and atmospheric models and examine empirical trends. Studies using high-resolution imaging cannot only uncover faint companions, but they can also be used to determine dynamical masses through long-term monitoring of binary systems. We have begun a search for the coolest brown dwarfs using preliminary processing of data from the Wide-field Infrared Survey Explorer and have confirmed many of the candidates as late-type T dwarfs. In order to search for companions to these objects, we are conducting observations using the Laser Guide Star Adaptive Optics system on Keck II. Here we present the first results of that search, including a T5 binary with nearly equal mass components and a faint companion to a T8.5 dwarf with an estimated spectral type of T9

Beverage consumption and energy intake among Canadians: analyses of 2004 and 2015 national dietary intake data

Background Among adults and children consuming Western diets, beverages are significant sources of free sugars, saturated fats, excess calories, and alcohol, with relevance to chronic disease risk. The impact of recent healthy eating policies and beverage market evolutions on population-level consumption patterns in Canada is unknown. The current study examined trends in intake of a range of beverage types among a nationally-representative sample of Canadians, with stratification by socio-demographic characteristics. Methods The 2004 (n = 34,775) and 2015 (n = 20,176) nutrition-focused cycles of the Canadian Community Health Surveys are cross-sectional surveys representative of the population of the 10 Canadian provinces. Based on a single multiple-pass 24-h dietary recall for each participant, fluids consumed as beverages were grouped into seven categories. Using linear regression, reported intake (volume, ml and energy, kcal) of each category was characterized over time and in relation to sex, age, ethnicity, income, body mass index (BMI), and province of residence. Results In 2015, Canadians reported consuming an average of 1806 ml (275 kcal) fluids as beverages per day, including: plain water 867 ml (0 kcal); other unsweetened beverages, e.g. coffee, 364 ml (6 kcal); sugar-sweetened beverages (SSBs) 204 ml (99 kcal); plain milk 132 ml (64 kcal); alcoholic drinks 120 ml (71 kcal); 100% juice 74 ml (34 kcal); and diet or low calorie beverages 44 ml (2 kcal). Differential consumption was observed across socio-demographic groups, with high consumption of sugary drinks (i.e., SSBs and 100% juice) and alcohol across groups. From 2004 to 2015, the reported volumes of beverages consumed decreased by 10% (energy: − 24%). With adjustment for socio-demographic characteristics, there were significant changes (p < 0.001) over time in intake of: 100% juice − 40% (− 38%); plain milk − 37% (− 35%); SSBs − 26% (− 20%); diet or low calorie beverages (− 46%); and other unsweetened beverages − 11% (− 42%). The volume of plain water consumed increased by 10% (p < 0.0001). Intake of alcoholic (volume and energy) and diet or light beverages did not change significantly. Conclusions Lower intake of beverages was reported by Canadians in 2015 versus 2004, with a shift towards plain water. Consumption of sugary drinks decreased, but these beverages continue to contribute substantially to Canadians' overall energy intake. The findings underscore the need for policies to further reduce the consumption of sugary and alcoholic beverages, as well as calories from beverages.Funder 1, CIHR Project Grant (NAS-151550) || Funder 2, Ontario Graduate Scholarship (ACJ) || Funder 3, University of Waterloo President’s Graduate Scholarship (ACJ) || Funder 4, CIHR PHAC Chair in Applied Public Health (DH). The funders had no role in the study design; data collection, analysis, and interpretation; or preparation of the manuscript

A T8.5 Brown Dwarf Member of the Xi Ursae Majoris System

The Wide-field Infrared Survey Explorer has revealed a T8.5 brown dwarf (WISE J111838.70+312537.9) that exhibits common proper motion with a solar-neighborhood (8 pc) quadruple star system - Xi Ursae Majoris. The angular separation is 8.5 arc-min, and the projected physical separation is about 4000 AU. The sub-solar metallicity and low chromospheric activity of Xi UMa A argue that the system has an age of at least 2 Gyr. The infrared luminosity and color of the brown dwarf suggests the mass of this companion ranges between 14 and 38 Jupiter masses for system ages of 2 and 8 Gyr respectively.Comment: AJ in press, 12 pages LaTeX with 6 figures. More astrometric data and a laser guide star adaptive optics image adde

Towards Improved Measurement of Individual Diet Behaviors and Food Environment Exposures: Resources from the National Collaborative on Childhood Obesity Research (P16-026-19)

This is a pre-copyedited, author-produced version of an article accepted for publication in Current Developments in Nutrition following peer review. The version of record Kirkpatrick, S., Reedy, J., Samuels, A., & Lytle, L. (2019). Towards Improved Measurement of Individual Diet Behaviors and Food Environment Exposures: Resources from the National Collaborative on Childhood Obesity Research (P16-026-19). Current Developments in Nutrition, 3(Supplement_1). https://doi.org/10.1093/cdn/nzz050.P16-026-19 is available online at: xhttps://doi.org/10.1093/cdn/nzz050.P16-026-19Objectives Selection of appropriate and robust measures for capturing individual-level diet behaviors and the environmental factors that influence these behaviors is critical to advancing the knowledge base on effective approaches to promote health and well-being among children. However, selecting appropriate measures for a given research or evaluation purpose from the wide-ranging options available can be challenging. Methods To provide guidance to researchers and practitioners working with child and adolescent populations, the National Collaborative on Childhood Obesity Research (NCCOR) has developed a suite of resources, including the Measures Registry, User Guides, and eLearning Modules. Results The Measures Registry is a free searchable database of nearly 1400 diet and physical activity measures relevant to childhood obesity research. The User Guides, introduced in 2017 to complement the Measures Registry, discuss critical issues in measurement and walk users through the process of selecting and implementing appropriate measures for their research and evaluation. In 2018, the Registry was viewed almost 13,000 times, and the User Guides were viewed over 25,000 times. More recently, eLearning modules were introduced to summarize critical considerations from the User Guides in an engaging, interactive manner. Conclusions Use of this suite of resources can support selection of the most appropriate measures of diet behaviors and food environment exposures for a given study or evaluation and foster greater standardization of measures across studies. In addition to highlighting the resources, in this session, we will provide an overview of key challenges and considerations in selecting measures of diet behaviors and food environments and demonstrate the use of the resources, the Registry, User Guides and eLearning Modules, to show how to identify appropriate measures for a given research purpose. In the long-term, robust measurement of diet behaviors and food environments can strengthen the evidence base for intervening to improve children's health and well-being.Funder 1, NCCOR is funded by NIH || Funder 2, CDC || Funder 3, USDA || Funder 4, and RWJF || Funder 5, Additional funding to support the development of the NCCOR measurement resources has been provided by The JPB Foundation

Gaps in the Evidence on Population Interventions to Reduce Consumption of Sugars: A Review of Reviews

Kirkpatrick, S. I., Raffoul, A., Maynard, M., Lee, K. M., & Stapleton, J. (2018). Gaps in the Evidence on Population Interventions to Reduce Consumption of Sugars: A Review of Reviews. Nutrients, 10(8), 1036. https://doi.org/10.3390/nu10081036There is currently considerable attention directed to identifying promising interventions to reduce consumption of sugars among populations around the world. A review of systematic reviews was conducted to identify gaps in the evidence on such interventions. Medline, EMBASE CINAHL, and the Cochrane Database of Systematic Reviews were searched to identify systematic reviews published in English from January 2005 to May 2017 and considering research on interventions to reduce sugar intake. Twelve systematic reviews that considered price changes, interventions to alter the food available within specific environments, and health promotion and education programs were examined. Each of the identified reviews focused on sugar-sweetened beverages (SSBs). The existing literature provides some promising indications in terms of the potential of interventions to reduce SSB consumption among populations. However, a common thread is the limited scope of available evidence, combined with the heterogeneity of methods and measures used in existing studies, which limits conclusions that can be reached regarding the effectiveness of interventions. Reviewed studies typically had limited follow-up periods, making it difficult to assess the sustainability of effects. Further, there is a lack of studies that address the complex context within which interventions are implemented and evaluated, and little is known about the cost-effectiveness of interventions. Identified gaps speak to the need for a more holistic approach to sources of sugars beyond SSBs, consensus on measures and methods, attention to the implementation of interventions in relation to context, and careful monitoring to identify intended and unintended consequences.At the time that the work was undertaken, Sharon Kirkpatrick was supported by a Canadian Cancer Society Research Institute Capacity Development Award (grant #702855)

Taxes and front-of-package labels improve the healthiness of beverage and snack purchases: a randomized experimental marketplace

Background Sugar taxes and front-of-package (FOP) nutrition labelling systems are strategies to address diet-related non-communicable diseases. However, there is relatively little experimental data on how these strategies influence consumer behavior and how they may interact. This study examined the relative impact of different sugar taxes and FOP labelling systems on beverage and snack food purchases. Methods A total of 3584 Canadians 13 years and older participated in an experimental marketplace study using a 5 (FOP label condition) × 8 (tax condition) between-within group experiment. Participants received $5 and were presented with images of 20 beverages and 20 snack foods available for purchase. Participants were randomized to one of five FOP label conditions (no label; ‘high in’ warning; multiple traffic light; health star rating; nutrition grade) and completed eight within-subject purchasing tasks with different taxation conditions (beverages: no tax, 20% tax on sugar-sweetened beverages (SSBs), 20% tax on sugary drinks, tiered tax on SSBs, tiered tax on sugary drinks; snack foods: no tax, 20% tax on high-sugar foods, tiered tax on high-sugar foods). Upon conclusion, one of eight selections was randomly chosen for purchase, and participants received the product and any change. Results Compared to those who saw no FOP label, participants who viewed the ‘high in’ symbol purchased less sugar (− 2.5 g), saturated fat (− 0.09 g), and calories (− 12.6 kcal) in the beverage purchasing tasks, and less sodium (− 13.5 mg) and calories (− 8.9 kcal) in the food tasks. All taxes resulted in substantial reductions in mean sugars (− 1.4 to − 4.7 g) and calories (− 5.3 to − 19.8 kcal) purchased, and in some cases, reductions in sodium (− 2.5 to − 6.6 mg) and saturated fat (− 0.03 to − 0.08 g). Taxes that included 100% fruit juice (‘sugary drink’ taxes) produced greater reductions in sugars and calories than those that did not. Conclusions This study expands the evidence indicating the effectiveness of sugar taxation and FOP labelling strategies in promoting healthy food and beverage choices. The results emphasize the importance of applying taxes to 100% fruit juice to maximize policy impact, and suggest that nutrient-specific FOP ‘high in’ labels may be more effective than other common labelling systems at reducing consumption of targeted nutrients.Funder 1, Canadian Institutes of Health Research (CIHR) Operating Grant in Sugar and Health (# SAH-152808) || Funder 2, Rachel Acton is supported by an Ontario Graduate Scholarship || Funder 3, Additional funding for this project has been provided by a Public Health Agency of Canada (PHAC) – CIHR Chair in Applied Public Health, which supports Professor Hammond, staff, and students at the University of Waterloo || Funder 4, Sharon Kirkpatrick is supported by an Early Research Award from the Ontario Ministry of Research and Innovation