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The Cyberinfrastructure Training and Capacity Building in Climate and Environmental Sciences (CI-TRACS) program represents a pioneering initiative aimed at enhancing cyberinfrastructure proficiency within Hawaii’s academic community. This paper outlines the program’s comprehensive strategy, which integrates curriculum development, hands-on workshops, and professional growth opportunities to cultivate a robust foundation in CI practices. The initiative’s core objective is to elevate CI literacy, promote cross-disciplinary cooperation, and endorse the principles of open science. Significant contributions from the CI-TRACS program include a suite of educational materials and resources tailored for integration into higher education syllabi. Collaboration with the Hawaii Data Science Institute has been instrumental in nurturing a burgeoning network of data science professionals. The CI-TRACS program is instrumental in realizing the shared vision of equipping Hawaii’s emerging workforce with the sophisticated CI skills necessary to navigate and excel in the evolving landscape of climate and environmental sciences.more » « lessFree, publicly-accessible full text available July 17, 2025
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Objective This study aimed to compare cesarean delivery (CD) rates and maternal/neonatal outcomes before and after the 2014 ACOG/SMFM Obstetric Care Consensus for Safe Prevention of Primary CD. Study Design This retrospective study compared unscheduled CD rates and outcomes of singleton, cephalic, term pregnancies at a tertiary-care teaching maternity hospital. Births 5 years before (March 2009–February 2014) and after (June 2014–May 2019) release of the consensus were included. Chi-square and t-test were used to compare outcomes and logistic regression to adjust for confounders. Results In this study, 44,001 pregnancies were included, 20,887 before and 23,114 after the consensus. Unscheduled CD rates increased after the consensus (12.9 vs. 14.3%, p < 0.001); however, there was no difference after adjustment (adjusted odds ratio [aOR], 0.97; 95% confidence interval [CI], 0.91–1.03). Vaginal birth after cesarean (VBAC) deliveries increased among multiparas (4.8 vs. 7.2%, p < 0.001), which remained significant after adjustment (aOR, 1.51; 95% CI, 1.37–1.66). Postpartum hemorrhage, blood transfusion, and chorioamnionitis were modestly increased, while third-degree perineal lacerations decreased. Uterine rupture and neonatal outcomes were unchanged after adjustment. Conclusion At our tertiary-care maternity hospital, the Safe Prevention of Primary CD Care Consensus was not associated with a change in unscheduled CD, though VBAC deliveries increased. We did not demonstrate improved neonatal outcomes and showed increased maternal morbidity that warrants further study. Key Pointsmore » « less
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This paper reviews and critiques the literature on family engagement programmes in higher education, from the perspective of issues that may affect the design of programmes serving Native Hawaiian and Pacific Islander students and their families. While there is compelling research suggesting that increasing students' family members' engagement with higher education will benefit students, it is unclear whether the concept of family engagement as it is conceived in western educational contexts can be universally and unproblematically applied in Pacific contexts. Recommendations for best practices in family engagement programme design highlight communication efforts with parents that can be characterised as fundraising and ‘friendraising’, but do not address issues specific to the experiences of under‐represented groups in higher education. Drawing on the literature and experiences of indigenous and other under‐represented students, and incorporating insights from literature on decolonising methodologies, we present considerations for authentic and culturally responsive family engagement for Native Hawaiian and Pacific Islander students, families and communities.more » « less