Human papillomavirus (HPV) is a prevalent sexually transmitted infection that affects many adolescents and adults worldwide. The consequences of contracting HPV have proven to be devastating, potentially leading to a variety of life-threatening genitourinary and oral cancers. As such, prevention via vaccination is critical. HPV vaccination is recommended for all adolescents beginning at 11 years of age. Although the immunization has proven to be safe and effective, HPV vaccination rates are substantially below target goals worldwide.

A literature review of evidence from the last five years was conducted to examine barriers and facilitators to HPV vaccine uptake. The most commonly cited barriers to vaccination included lack of knowledge about the vaccine and inadequate provider recommendation. Current evidence regarding interventions to increase HPV vaccine uptake reveal that best practices are multi-factorial and should include a combination of provider education and recommendation training. These findings led to the proposal of an evidence-based intervention aimed to increase adolescent HPV vaccination rates.

A one-hour educational program was conducted at a local pediatric primary care facility. Five healthcare providers participated in the program, which consisted of a PowerPoint presentation outlining the benefits of HPV vaccination and use of an interactive application from the CDC. The app taught participants how to offer a strong recommendation for the vaccine through active participation. Pre and posttests were administered to determine the providers’ intent to vaccinate and vaccination rates were monitored. Analysis of the data collected revealed a statistically significant rise in vaccination rates. These results reveal that provider education can improve recommendation techniques and therefore increase vaccine coverage. Further research is needed to see if one-time education is sustainable.

Suicide among first responders, including pre-hospital emergency providers, emergency department staff, and law enforcement, is significantly higher than among the general population. There are various forms of mental health interventions, however, knowledge held by first responders could be a predictor of mental health outcomes. Implementing an educational curriculum enhancement for emergency medical technician (EMT) students may help increase self-efficacy and knowledge of mental health.

In a community college in the southwestern United States, an educational intervention was developed to enhance mental health knowledge for EMT students. The intervention was created to include four interactions with students in the classroom setting to implement recruitment, pre and post survey completion, and a 1-hour lecture. The surveys consisted of pre and post student assessment of mental health knowledge and self-efficacy. Results suggested that EMT students increased their knowledge of mental health and personal self-efficacy. This intervention is brief and effortlessly implemented into an existing curriculum to produce strong outcomes.

This project demonstrates that a brief educational intervention offers an effective means of knowledge improvement while being cost effective and easily implemented. The use of curriculum enhancement was a novel approach and filled an identified gap in literature and education. Additional research is needed to further explore the effects of mental health knowledge enhancement for first responders.

This project is an exploration of a K-3 Early Childhood Center and the Roosevelt School District’s progress towards the Farm to School movement and focuses on the transformations and strategic partnerships required to maintain gardens as an educational resource over the long term. Martin Luther King Jr. Early Childhood Center is a Title 1 elementary school in South Mountain Village, Phoenix and is the primary research location for this study. South Mountain Village contains a series of urban food deserts which are low-income regions without adequate access to fresh, affordable, and healthy food options. The baseline for the school garden’s integration status was measured through the usage and adaptation of the Garden Resources Education and Environmental Nexus (GREEN) tool for well-integrated school gardens. The school has existing partnerships with the University of Arizona Co-operative Extension, and Farm at South Mountain to help establish their school garden and organize a series of educational field trips centered around sustainable agricultural practices. As a part of this Culminating Experience, I also worked with the Sustainability Teachers Academy to create, plan and execute Sustainability and School Gardening workshop on March 11-12 for teachers, and members of the Farm to School Network across Arizona. The end goal of this project and workshop is to create a framework to cultivate and sustain critical partnerships for farms and schools interested in being a part of the Farm-to-School program in the Phoenix Metropolitan Area.

This study examines the creation of a sustainability toolkit that can be implemented in many communities, beginning with Johnson City, Tennessee. This project began in 2019 and will continue to grow indefinitely. For this project, a toolkit that will allow the public to have access to the tools and information they need in order to make their homes more energy-efficient will be created. It will be stocked in the local library in Johnson City Tennessee for free use to the public, as long as they have a library card, they can check out the toolkits. The toolkits will be used by the public, then returned to the library so that they can be restocked and checked out again. This study looks at the market, business and organizational research and the infrastructure of the project. Methods of research included looking at how the need for a change came about, who will benefit, existing similar programs and how they will be used in conjunction with this project, current organizational structures attached to the project, current team infrastructure and what resources are needed to fill the voids. Findings include what financial resources will be required and how they will be acquired, as well as resources that are currently available for this project and what is still needed in order for this project to be successful. As a result of this project, at least two libraries in the Johnson City area will be stocked with several energy toolkits for free and a partnership for future project expansion will have been established. This study looks at the process and what was learned during the implementation of the project.

The planet is going through a mass extinction event brought on by human influence: biodiversity elimination, habitat destruction, climate change, and many other cascading effects. The toll on nature is already unconscionable, yet this is already effecting human populations as well, and will only exponentially increase in the coming years. It won’t just be our children experiencing this crisis, it is us, now. It is already happening. Arguably a primary reason for these environmental issues falls to environmental externalities in our economic systems.

The only way to fundamentally address this is through a systemic introduction of labeling or reporting the environmental costs of products and services. Externalities are the hidden costs, or the costs not calculated in the production or use of a good or service. Through a lack of transparency, intentional obfuscation, and willful or pure ignorance, we as a species profoundly lack knowledge on how the products and services we consume affect the world around us. In fact, of 1000 global primary production sectors, none generate the profit needed to cover their cost in natural capital (TruCost, 2013).

The only way we can even have a chance to mitigate our impact is to be provided that data before we spend our money. As such, products and services must report their impacts on the environment through a standardized metric or grade on a label or report that is easy to understand and will capture information on biodiversity loss, climate change, pollution and waste. The only way for this to effectively take hold and maintain transparency is through governmental legislation and the associated infrastructure to provide a method for businesses to make such a calculation.

This paper describes the effort to design such policy, provide it to legislators and pass it. Most ideally, this would be integrated into a larger systemic bill designed to economically shape the country in a sustainable way. As such, this initiative is being proposed as an amendment to be added to House Resolution 109, the “Green New Deal.” Assimilating this as a specific initiative within the GND, which is currently more or less a framework of mission statements, provides a more solid groundwork for a successful legislative effort. The underlying concept is to enable the consumer with needed and usable information. There is no true guarantee of a “happy ending,” but at its core, it will help to hold businesses accountable and ultimately empower the common consumer to make informed choices, from whence the fate of our planet can at least be decided honestly.