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1

Austin, Publishing Group. "Trends in COVID-19 Infections during Four Surges in Bexar County, Texas." Austin Journal of Infectious Diseases 10, no. 3 (2023): 1088. https://doi.org/10.26420/AustinJInfectDis.2023.1088.

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Abstract <strong>Background:</strong>&nbsp;Bexar County, Texas has experienced four COVID-19 surges during the pandemic. This study investigates trends in COVID-19 infections over the course of pandemic. The objective is to describe the association of COVID-19 infection cases with changes in testing availability, masking, distancing policies, and occurrence of public holidays during the surges. <strong>Methods:</strong>&nbsp;Cases occurring since May 26<sup>th</sup>, 2020, until March 31<sup>st</sup>, 2022, comprise this analysis. Case data were obtained from the Texas NEDSS database. Aggregate hospitalization data were obtained from STRAC (Southwest Texas Regional Advisory Council) for Bexar County hospitals. Analyses were conducted using R-Studio and Excel. Demographic statistics, percentages, case fatality rates were computed. <strong>Results:</strong>&nbsp;Average age (34 years), female gender (52%), Hispanic ethnicity (69%), residing in the Southern zip codes of Bexar County, and negative vaccination status were associated with the four COVID-19 surges. During all surges, test positivity, hospitalization and mortality rates all increased. Surges coincided with the major public holidays. <strong>Conclusion:</strong>&nbsp;These findings highlight the association COVID-19 infections with implementing and loosening restrictive policies, along with sociocultural events and public holidays in Bexar County, Texas. Preventative efforts promoted safer behavior and decreased the COVID-19 infection on majority of days during the pandemic except closer to public holidays when a high infection rate was observed in the form of surges. <strong>Public Health Significance:</strong>&nbsp;Preventative efforts at the local governmental level along with voluntary compliance with restrictive COVID-19 policies by Bexar County Residents are necessary for decreasing community infection and widespread disease. <strong>Keywords:</strong> COVID-19; Surge; Trends; Holidays; Bexar-county; Policy-decision
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2

Lukowski, Paul D. "Archaeological Investigations at 41BX1, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1987, no. 1 (1988): Article 5. http://dx.doi.org/10.21112/ita.1988.1.5.

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3

Young, Wayne C. "Archaeological Testing of Site 41BX679 Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1985, no. 1 (1985): Article 22. http://dx.doi.org/10.21112/ita.1985.1.22.

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4

Cox, I. Waynne. "Archaeological Survey and Testing for Mission County Park, San Antonio, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1989, no. 1 (1989): Article 12. http://dx.doi.org/10.21112/ita.1989.1.12.

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5

McGraw, A. Joachim. "Archaeological Investigations at Eisenhower Park, Northern Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1986, no. 1 (1986): Article 2. http://dx.doi.org/10.21112/ita.1986.1.2.

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6

Turner, David D. "Excavations at San Juan Capistrano, 41BX5, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1987, no. 1 (1988): Article 1. http://dx.doi.org/10.21112/ita.1988.1.1.

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7

Figueroa, Antonia. "Archaeological Survey of the Paloma Subdivision, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 2009, no. 1 (2009): Article 4. http://dx.doi.org/10.21112/ita.2009.1.4.

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8

Boyd, T. "Assessing immunization registry data completeness in Bexar County, Texas." American Journal of Preventive Medicine 22, no. 3 (2002): 184–87. http://dx.doi.org/10.1016/s0749-3797(01)00427-5.

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9

Snavely, Ralph. "An Archaeological Survey of Converse City Park, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1986, no. 1 (1986): Article 1. http://dx.doi.org/10.21112/ita.1986.1.1.

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10

Tennis, Cynthia L., and Robert J. Hard. "Archaeological Survey of Upper Leon Creek Terraces, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1995, no. 1 (1995): Article 5. http://dx.doi.org/10.21112/ita.1995.1.5.

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11

Nickels, David L., David W. Pease, and C. Britt Bousman. "Archaeological Survey of Lackland Air Force Base, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1997, no. 1 (1997): Article 16. http://dx.doi.org/10.21112/ita.1997.1.16.

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12

Tomka, Steve A. "An Archaeological Survey of Walker Ranch Park, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1998, no. 1 (1998): Article 6. http://dx.doi.org/10.21112/ita.1998.1.6.

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13

Shedd, Mikali, Anna Bozhkova, Bethany A. Kalich, and G. Lucy Wilkening. "Evaluation of Bexar County community pharmacist attitudes toward harm reduction." Mental Health Clinician 9, no. 6 (2019): 383–91. http://dx.doi.org/10.9740/mhc.2019.11.383.

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Abstract Introduction Harm reduction is a term for strategies that minimize the negative outcomes of drug use. Given the progressing opioid epidemic, identifying barriers to harm reduction dispensing in community pharmacies is essential. Methods This online, survey-based study assessed community pharmacist attitudes toward harm reduction and perceived dispense rates of both naloxone and needles/syringes to patients without verifiable injectable prescriptions. The online survey was distributed to members of the Bexar County Pharmacist Association and university alumni. The survey collected demographics, perceived dispense rates of naloxone, needles and syringes, availability of pharmacy protocols for dispensing these products, and Likert-scaled attitudinal questions. Responses were collected for 6 weeks. Results Thirty-two survey responses were analyzed. Participants were generally white (n = 14) or Hispanic/Latino (n = 14), had a median age of 37 years (interquartile range, 32-49 years), and had a median graduation year of 2011 (interquartile range, 1988-2016). Most pharmacists agreed or strongly agreed they should be involved in harm reduction (n = 26) and that pharmacies are an appropriate place to access these resources (n = 26). However, most reported never or rarely dispensing both naloxone (n = 19) and needles and syringes (n = 22). Naloxone or needle and syringe protocol use was reported by 66% (n = 21) and 47% (n = 15) of pharmacists, respectively. Pharmacy protocols significantly enhanced the likelihood of naloxone dispensing (P = .007) but not needle and syringe dispensing (P = .24). Conclusion Community pharmacists exhibited positive attitudes toward harm reduction but reported low rates of dispensing both naloxone and needles and syringes. Pharmacy protocols could be enhanced to better support community pharmacists in this area.
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14

Goode, Glenn T. "Archaeological Testing of the Cave at Site 41BX22 Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1985, no. 1 (1985): Article 23. http://dx.doi.org/10.21112/ita.1985.1.23.

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15

Hafernick, David B., I. Waynne Cox, and Anne A. Fox. "Archaeological Investigation of the San Juan Dam, 41BX266, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1989, no. 1 (1989): Article 3. http://dx.doi.org/10.21112/ita.1989.1.3.

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16

Cox, I. Waynne. "Excavations at the McDonald Site, 41BX794, San Antonio, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1991, no. 1 (1991): Article 1. http://dx.doi.org/10.21112/ita.1991.1.

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17

Krueger, Marty, and Frances Meskill. "Test Excavations at Mission Concepcion Courtyard, San Antonio, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1992, no. 1 (1992): Article 6. http://dx.doi.org/10.21112/ita.1992.1.6.

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18

Nickels, David L., and Aric Kertis. "Archaeological Testing of 41BX1131 at O.R. Mitchell Dam, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1995, no. 1 (1995): Article 6. http://dx.doi.org/10.21112/ita.1995.1.6.

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19

Nickels, David L. "An Archaeological Investigation of Comanche Lookout Park, Northeast Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1998, no. 1 (1998): Article 11. http://dx.doi.org/10.21112/ita.1998.1.11.

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20

Nickels, David L., C. Britt Bousman, Jeff D. Leach, and Diane A. Cargill. "Test Excavations at the Culebra Creek Site, 41BX126, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 2001, no. 1 (2001): Article 11. http://dx.doi.org/10.21112/ita.2001.1.11.

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21

Figueroa, Antonia, and Steve Tomka. "Archaeological Survey of the Proposed Medina River Park, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 2004, no. 1 (2004): Article 7. http://dx.doi.org/10.21112/ita.2004.1.7.

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22

Figueroa, Antonia. "Archaeological Survey for the Planned First Responders Academy, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 2009, no. 1 (2009): Article 5. http://dx.doi.org/10.21112/ita.2009.1.5.

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23

Brackley, Margaret, Yolanda Davila, Joe Thornton, et al. "Community Readiness to Prevent Intimate Partner Violence in Bexar County, Texas." Journal of Transcultural Nursing 14, no. 3 (2003): 227–36. http://dx.doi.org/10.1177/1043659603014003009.

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24

Smith, Matthew Lee, T. S. Sunil, Camerino I. Salazar, Sadaf Rafique, and Marcia G. Ory. "Disparities of Food Availability and Affordability within Convenience Stores in Bexar County, Texas." Journal of Environmental and Public Health 2013 (2013): 1–7. http://dx.doi.org/10.1155/2013/782756.

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The American Diabetes Association (ADA) recommends healthful food choices; however, some geographic areas are limited in the types of foods they offer. Little is known about the role of convenience stores as viable channels to provide healthier foods in our “grab and go” society. The purposes of this study were to (1) identify foods offered within convenience stores located in two Bexar County, Texas, ZIP Codes and (2) compare the availability and cost of ADA-recommended foods including beverages, produce, grains, and oils/fats. Data were analyzed from 28 convenience store audits performed in two sociodemographically diverse ZIP Codes in Bexar County, Texas. Chi-squared tests were used to compare food availability, andt-tests were used to compare food cost in convenience stores between ZIP Codes. A significantly larger proportion of convenience stores in more affluent areas offered bananas (χ2=4.17,P=0.003), whole grain bread (χ2=8.33,P=0.004), and baked potato chips (χ2=13.68,P&lt;0.001). On average, the price of diet cola (t=−2.12,P=0.044) and certain produce items (e.g., bananas, oranges, tomatoes, broccoli, and cucumber) was significantly higher within convenience stores in more affluent areas. Convenience stores can play an important role to positively shape a community’s food environment by stocking healthier foods at affordable prices.
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25

Eslami, Vahid, D. Kimberley Molina, and Charles Ákos Szabó. "Definite SUDEP population in Bexar County, Texas: A 36-year data registry." Epilepsy & Behavior 121 (August 2021): 108005. http://dx.doi.org/10.1016/j.yebeh.2021.108005.

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26

Cox, I. Waynne, Maureen J. Brown, Jon Hageman, and Clinton McKenzie. "Investigations at the Vollrath Blacksmith Shop (41BX786), San Antonio, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1990, no. 1 (1990): Article 3. http://dx.doi.org/10.21112/ita.1990.1.3.

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27

Cox, I. Waynne. "Historical and Archival Documentation for Pioneer Park, Bexar County, San Antonio, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1990, no. 1 (1990): Article 7. http://dx.doi.org/10.21112/ita.1990.1.7.

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28

Potter, Daniel R., C. K. Chandler, and Elizabeth Newcomb. "Archaeological Salvage Research at 41BX901, a Prehistoric Quarry in Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1992, no. 1 (1992): Article 1. http://dx.doi.org/10.21112/ita.1992.1.1.

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29

Ford, Owen A. "Archaeological Investigations at Promontory Pointe at Stone Oak II, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1997, no. 1 (1997): Article 5. http://dx.doi.org/10.21112/ita.1997.1.5.

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30

Tennis, Cynthia L. "Investigations of the Southeast Gateway at Mission San Jose, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1998, no. 1 (1998): Article 4. http://dx.doi.org/10.21112/ita.1998.1.4.

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31

Mahoney, Richard B., Raymond P. Mauldin, and Barbara A. Meissner. "The Medio Creek Site (41BX1421): National Register Test Excavations, Bexar County Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 2002, no. 1 (2002): Article 12. http://dx.doi.org/10.21112/ita.2002.1.12.

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Mahoney, Richard B. "The Medio Creek Site (41BX1421): National Register Test Excavations, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 2002, no. 1 (2002): Article 5. http://dx.doi.org/10.21112/ita.2002.1.5.

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33

Finch, Calvin R. "Profile of an Active Master Gardener Chapter." HortTechnology 7, no. 4 (1997): 371–76. http://dx.doi.org/10.21273/horttech.7.4.371.

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The Bexar County (Texas) Master Gardeners (BCMGs) performed &gt;33,000 hours of volunteer service in 1995 and again in 1996. In 1996 they raised $218,094 and spent $260,112 to operate ≈100 projects. MGs in partnership with the extension service can address priority issues within a community. They can provide the volunteer time, horticulture knowledge, and other skills such as problem solving and organizing abilities that attract partners, funds, and media coverage. Candidates for MG service in Bexar County heard about the BCMGs primarily from newspapers and word of mouth. MGs who stay active do so for the same reasons that they seek MG status: they want access to good horticultural information, they want to use their knowledge time on meaningful, fun projects, and they want to perform service with other gardeners.
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34

Fox, Anne A., and I. Waynne Cox. "Archaeological Monitoring of the Ashby Street Drainage Project, San Antonio, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1987, no. 1 (1988): Article 4. http://dx.doi.org/10.21112/ita.1988.1.4.

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Cox, I. Waynne, Anne A. Fox, David Hafernick, and Kelly Scott. "An Archaeological and Historical Survey of Stinson Municipal Airport in Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1989, no. 1 (1989): Article 2. http://dx.doi.org/10.21112/ita.1989.1.2.

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36

Fox, Anne A. "Archaeological Investigations in Alamo Plaza, San Antonio, Bexar County, Texas, 1988 and 1989." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1992, no. 1 (1992): Article 3. http://dx.doi.org/10.21112/ita.1992.1.3.

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37

Cox, I. Waynne. "Archaeological Monitoring for the Tri-Party Improvements Project, San Antonio, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1992, no. 1 (1992): Article 4. http://dx.doi.org/10.21112/ita.1992.1.4.

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38

Cox, I. Waynne. "Archaeological Monitoring for the Casa Rio Restaurant Expansion, San Antonio, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1992, no. 1 (1992): Article 7. http://dx.doi.org/10.21112/ita.1992.1.7.

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39

Cox, I. Waynne. "Archaeological Monitoring at Espada Road Acequia Crossing, South San Antonio, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1993, no. 1 (1993): Article 1. http://dx.doi.org/10.21112/ita.1993.1.1.

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40

Gross, Kevin J. "A Reevaluation of a Lithic Procurement Site (41BX63) in Converse, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1997, no. 1 (1997): Article 7. http://dx.doi.org/10.21112/ita.1997.1.7.

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41

McKinney, Wilson W. "An Archaeological Survey of the Medio Creek Water Treatment Plant, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1999, no. 1 (1999): Article 1. http://dx.doi.org/10.21112/ita.1999.1.1.

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42

Weston, Jason D. "Archaeological Testing of Site 41BX1199, Government Canyon State Natural Area, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 2001, no. 1 (2001): Article 15. http://dx.doi.org/10.21112/ita.2001.1.15.

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43

Weston, Jason. "Archaeological Survey and Geoarchaeological Investigations at 41BX1271, Walker Ranch Park, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 2003, no. 1 (2003): Article 7. http://dx.doi.org/10.21112/ita.2003.1.7.

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44

Figueroa, Antonia. "Archaeological Survey of the North Salado Greenway Belt, San Antonio, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 2006, no. 1 (2006): Article 5. http://dx.doi.org/10.21112/ita.2006.1.5.

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45

Figueroa, Antonia. "National Register of Historic Places (NRHP) Eligibility Testing of 41BX1749, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 2008, no. 1 (2008): Article 10. http://dx.doi.org/10.21112/ita.2008.1.10.

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46

Figueroa, Antonia, and Charles Frederick. "Archeological Testing of the Pavo Real Site (41BX52), San Antonio, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 2008, no. 1 (2008): Article 13. http://dx.doi.org/10.21112/ita.2008.1.13.

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47

Rangel, Lauren, Vikram Kapoor, Jeffrey Hutchinson, and Samer Dessouky. "Carbon Sequestration of Soil and Plants along IH-35 in Bexar County, Texas." MATEC Web of Conferences 271 (2019): 04001. http://dx.doi.org/10.1051/matecconf/201927104001.

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Soil and vegetation were evaluated along IH-35 within Bexar County for carbon content. The objectives of this study were to evaluate the vegetative composition and carbon sequestration potential of vegetation along IH-35. Three 20 m transects were placed at each site and percent vegetative cover was estimated and above ground plant biomass and soil was collected from three 0.25 m2 subplots along each transect. Plant and soil samples were analyzed for carbon content using the loss-on-ignition method. Two non-native grasses, bermudagrass and King Ranch bluestem, were the dominant cover. Bermudagrass was more efficient in absorbing CO2 compared to King Ranch bluestem. The top 10 cm of soil in all samples contained more organic carbon than the lower 10 cm. Collection of field data has been completed and the soil and plant carbon content is being analyzed with the final results presented at the conference.
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48

Sunil, Thankam, Amanda Limon, and Lyssa Ochoa. "Lower Extremity Amputation among Diabetic Patients in San Antonio, Texas." Hispanic Health Care International 17, no. 2 (2019): 73–78. http://dx.doi.org/10.1177/1540415319828267.

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Background: In the United States, ethnic minorities are disproportionately affected by diabetes-related lower extremity amputations (LEA) and have higher associated mortality rates than non-Hispanic Whites. Bexar County, a county in south Texas, had higher diabetes rates than both Texas and the national average. Bexar County also had one of the highest LEA hospital admission rates in the State. Aim: Elucidate diabetes-related LEA factors to assist policy makers and health professionals develop more effective interventions. Results: For participants who had more than one amputation, the time between amputations was approximately 1 year. Hispanics endorsed more diabetic health beliefs than non-Hispanic Whites. Participants 64 and younger reported greater social support and greater depression symptomatology than participants 65 and older. Participants with an amputation reported greater ability to engage in activities that would manage their diabetes than participants without an amputation. Participants without an amputation reported greater concern of their general health than participants with an amputation. Conclusion: The present study demonstrated the necessity for more research on diabetic amputation and related depression among Hispanics. The study also highlighted the need to create culturally appropriate interventions to reduce the rate and frequency of additional amputations.
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49

Cox, I. Waynne. "10th Street Substation Excavation of the Acequia Madre (41BX8), San Antonio, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1985, no. 1 (1985): Article 9. http://dx.doi.org/10.21112/ita.1985.1.9.

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50

Fox, Anne A., and I. Waynne Cox. "Archaeological Excavations at the Alamo Acequia, Southwest Hemisfair Plaza, San Antonio, Bexar County, Texas." Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State 1990, no. 1 (1990): Article 4. http://dx.doi.org/10.21112/ita.1990.1.4.

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