on behalf of the PENUT Trial Consortium* Objective To evaluate whether extremely low gestational age neonates (ELGANs) randomized to erythropoietin have better or worse kidney-related outcomes during hospitalization and at 22-26 months of corrected gestational age (cGA) compared with those randomized to placebo. Study designWe performed an ancillary study to a multicenter double-blind, placebo-controlled randomized clinical trial of erythropoietin in ELGANs. ResultsThe prevalence of severe (stage 2 or 3) acute kidney injury (AKI) was 18.2%. We did not find a statistically significant difference between those randomized to erythropoietin vs placebo for in-hospital primary (severe AKI) or secondary outcomes (any AKI and serum creatinine/cystatin C values at days 0, 7, 9, and 14). At 22-26 months of cGA, 16% of the cohort had an estimated glomerular filtration rate (eGFR) <90 mL/min/1.73 m 2 , 35.8% had urine albumin/creatinine ratio >30 mg/g, 23% had a systolic blood pressure (SBP) >95th percentile for age, and 40% had a diastolic blood pressure (DBP) >95th percentile for age. SBP >90th percentile occurred less often among recipients of erythropoietin (P < .04). This association remained even after controlling for gestational age, site, and sibship (aOR 0.6; 95% CI 0.39-0.92). We did not find statistically significant differences between treatment groups in eGFR, albumin/creatinine ratio, rates of SBP >95th percentile, or DBP >90th or >95th percentiles at the 2 year follow-up visit.Conclusions ELGANs have high rates of in-hospital AKI and kidney-related problems at 22-26 months of cGA.Recombinant erythropoietin may protect ELGANs against long-term elevated SBP but does not appear to protect from AKI, low eGFR, albuminuria, or elevated DBP at 22-26 months of cGA.

The University of Florida 4-H program evaluated volunteer perceptions of behavior adoption resulting from the completion of training focused on best practices that promote positive youth development. The evaluation effort was a quasi-experimental design that surveyed all enrolled volunteers electronically. The survey was designed to determine the types and frequency of training that 4-H volunteers participated in, their satisfaction with the training, the volunteer’s role of service, and outcomes of adopting best practices of program quality. A response rate of 27% (n = 340) provided a representative sample of the enrolled volunteers across demographic categories and geographical regions of the state. The results show that volunteers report practicing elements of positive youth development as categorized by the Essential Elements framework and that correlations between the type of training volunteers participate in and their implementation of quality practices are significant. Implications for volunteer trainings include the consideration of frequency, expanding opportunities beyond traditional delivery, and incorporating training elements that promote high-quality youth programming. This evaluation effort provides baseline data that informs future research for the Florida 4-H program.

This information sheet is the introduction to the 4-H Volunteer Training Series (VTS). The series contains a wealth of information, from how to start a club, to planning field trips, to how to work with youth. This 5-page fact sheet was written by Keith G. Diem, Sarah Hensley, and Ben Knowles, and published by the UF Department of 4-H Youth Development, July 2014. 4H335/4H335: The ABCs of 4-H: A Primer for 4-H Volunteers (ufl.edu)

Being the treasurer is a very important position in your club. Your fellow 4-H Club Members have shown their confidence in you by letting you have this responsibility. As treasurer, you will be responsible for taking care of the club’s money, bank accounts, or other money matters. This 32-page manual and record book has been updated by Judith Levings, Ali Baker, Sarah Hensley, and Stacey Ellison, and published by the UF Department of 4-H Youth Development, September 2014. 4HGCR02/4H012: Florida 4-H Treasurer's Manual and Record Book (ufl.edu)

Florida 4-H programs offered to children ages 5 to 7 are called 4-H Cloverbud programs and are a component of the Florida 4-H Youth Development Program. The goal of the Florida 4-H Cloverbud program is to offer age-appropriate, fun, and exploratory learning experiences for children in the 5 to 7 age group. This 5-page fact sheet describes the best management practices 4-H faculty and volunteers should use when teaching and interacting with this age group. Written by Amanda Squitieri and Sarah Hensley, and published by the UF Department of 4-H Youth Development, June 2015. 4H369/4H369: Volunteer Training Series—4-H Cloverbuds Program: 4-H for Younger Members (ufl.edu)