A Survey on Two-Factor Authentication Awareness, Concerns, and Methods

Hunter Jones, East Tennessee State University

9:00 AM - 11:30 AM

Access to Rehabilitation Services for Cardiovascular Patients: Rural vs. Urban Counties

Mercy Falade, East Tennessee State University

9:00 AM - 11:30 AM

Applied Behavior Analysis: Perceptions About the Field Across Sectors

Angelina O'Connor

9:00 AM - 11:30 AM

Assessing the safety monitoring of chronic opioid prescribing for pain in a family medicine residency clinic

Kirstin Wade, East Tennessee State University

9:00 AM - 11:30 AM

Association of Smoking with Respiratory Conditions and Lung Cancer in the United States: Analysis of 2023 BRFSS Data

Ebube Udeozor, East Tennessee State University

9:00 AM - 11:30 AM

Associations Between Rurality, Mental Health Literacy, and Help-Seeking Intentions Among College Aged Students in Appalachia

Nicole Buhr, East Tennessee State University

9:00 AM - 11:30 AM

Behavioral Alterations in THC and Alcohol Co-Use: Insights into Fear Learning and Implications of mGlu5 Modulation

Bailey Adams, East Tennessee State University

9:00 AM - 11:30 AM

Biofilm Formation of Skin Resident Microbes in a Sebaceous Environment

Morgan Callaghan, East Tennessee State University

9:00 AM - 11:30 AM

Biomechanical consequences of shape variation in the modern human craniofacial skeleton

Andrew Ford, East Tennessee State University

9:00 AM - 11:30 AM

Bridging the Gap in Type 1 Diabetes Care: The Role of Clinical Pharmacists

Jacob Burger, East Tennessee State University

9:00 AM - 11:30 AM

Buprenorphine Patients’ Attitudes Surrounding Community Pharmacy Experiences

Mallory Johnson, East Tennessee State University

9:00 AM - 11:30 AM

Caregiver Adversity and Mental Health Predicting Children’s Healthy Psychosocial Functioning Data are fully collected:

Emily Hatcher, East Tennessee State University

9:00 AM - 11:30 AM

"Characterization of a potentially new therapeutic gel for Candida albicans treatment"

Lynsey Gunter, East Tennessee State University

9:00 AM - 11:30 AM

Childhood Adversity Impacts Men Differently: An Event-Related Potential Study

Tiffany Bonnagio, East Tennessee State University

9:00 AM - 11:30 AM

Clarinet and Klezmer Music: Exploring the Shift from Oral to Written Pedagogy

Franklin Acosta, East Tennessee State University

9:00 AM - 11:30 AM

Comorbid Post Traumatic Stress Disorder and Alcohol Use Disorder in a Rodent Model Enhances Retrospective Memory-Linking

Britta Schwartz, East Tennessee State University

9:00 AM - 11:30 AM

Comparative Analysis of an Affordable Wearable Task Trainer Incision and Drainage Model Versus Stand-Alone and Cadaver Models

Toree Baldwin, East Tennessee State University

9:00 AM - 11:30 AM

Decoding Dyslexia: A Study of Brainwaves During Word Identification and Recognition

Lilly Habart, East Tennessee State University

9:00 AM - 11:30 AM

Decreased NADPH levels may impair C. elegans mitochondrial function during aging

Leah Jamerson, East Tennessee State University

9:00 AM - 11:30 AM

Development of a Sustained-Release Weekly Amiloride Patch for the Management of Resistant Hypertension

Kasey Barber, East Tennessee State University

9:00 AM - 11:30 AM

Effects of a Forever Chemical on Arterial Blood Pressure and End-Organ Damage in Rats

Aarna Patel, East Tennessee State University
Emmaleigh Coffey, East Tennessee State University

9:00 AM - 11:30 AM

Effects of Adolescent Nicotine Exposure on Acute and Chronic Ethanol Consumption in a Heritable Model of Psychosis

Cristal Ahmed, East Tennessee State University

9:00 AM - 11:30 AM

Effects of Hurricane Helene Related Floods on Farmlands, East Tennessee

Jessica Goldstein, East Tennessee State University

9:00 AM - 11:30 AM

Effects of pH on products yield of one-electron oxidation to guanine derivatives

Abdul-Kadir Ibrahim, East Tennessee State University

9:00 AM - 11:30 AM

Electrophysiological Approach for Binaural Hearing

Noah Cowley, East Tennessee State University

9:00 AM - 11:30 AM

Enhancing Mental Health Services Through Strategic Planning: The East Tennessee State University Counseling Center's 2024-2028 Plan

Richard Kilonzo, East Tennessee State University

9:00 AM - 11:30 AM

Establishing a mouse model of post-traumatic epilepsy using video-EEG-ECG Monitoring

Raina Desai, East Tennessee State University

9:00 AM - 11:30 AM

“Europe is Not My Center. Europe is on the Outskirts”: The Battle between Languages-of-Power and Native Languages in Anderson’s Imagined Communities and Ousmane Sembène’s Emitai

Matthew Barker, East Tennessee State University

9:00 AM - 11:30 AM

Evaluating Appalachian Farmacy: A Qualitative Process Evaluation of a Rural Produce Prescription Program

Harrison Ihrig, East Tennessee State University

9:00 AM - 11:30 AM

Evaluating morphological characters used to distinguish dire wolves from other canids

Brad Hoole, East Tennessee State University

9:00 AM - 11:30 AM

Evaluating the Relationship of Appalachian Livestock Density and Antimicrobial Resistance in Humans

Madison Cox, East Tennessee State University

9:00 AM - 11:30 AM

Examining the Role of Health Insurance Coverage in Access to Care: Having a Primary Care Provider

Sana Hasan, East Tennessee State University

9:00 AM - 11:30 AM

Exploring Adverse Childhood Experiences and their Relation to Historical and Future Prenatal and Birth Stress

Laura Head, East Tennessee State University

9:00 AM - 11:30 AM

Exploring Collaborations between Public Health and Healthcare in Rural Communities: Strengths and Barriers

Rachel Dean, East Tennessee State University

9:00 AM - 11:30 AM

Exploring the Relationship Between Religious Surrender, Commitment, and Readiness/Willingness to Address Substance Use

Lilliana Roberts, East Tennessee State University

9:00 AM - 11:30 AM

Exploring Transitions in Prenatal Maternal Tobacco Use: Evidence from the PRAMS Data

Chukwubuikem Arize, East Tennessee State University

9:00 AM - 11:30 AM

Factors that Affect the Vanderbilt Fatigue Scale (VFS) in Adults with Hearing Technology

Joseph Skelton, East Tennessee State University

9:00 AM - 11:30 AM

First Juvenile Skeleton of Teleoceras aepysoma (Perissodactyla, Rhinocerotidae) from the Gray Fossil Site, Tennessee

Joseph Gajewski, East Tennessee State University

9:00 AM - 11:30 AM

Foggy with a Chance of Vibration: Exploring Light, Sound, and Spatial Perception in Multisensory Experience Design

Lydia Hicks, East Tennessee State University

9:00 AM - 11:30 AM

Forecasting Lung and Colon Cancer Mortality Trends in Jamaica and the U.S. Using Multivariate Time Series Analysis

Shanice Douglas, East Tennessee State University

9:00 AM - 11:30 AM

Frontal sinus mucocele in a 79-year-old with ptosis

Suzanna Camp, East Tennessee State University

9:00 AM - 11:30 AM

Gut retention time of liquid and large particle digesta phases in small mammals

Skylar Harrington, East Tennessee State University

9:00 AM - 11:30 AM

Improving Access to Ophthalmic Care for Medicaid Patients in Tennessee

Rupert Congmon, East Tennessee State University

9:00 AM - 11:30 AM

In Vivo Evaluation of Cromolyn Sodium Topical Gels for the Treatment of Atopic Dermatitis

Adela Adu Agyemang, East Tennessee State University

9:00 AM - 11:30 AM

Inferring Locomotion Habits of Modern and Fossil Lagomorphs Using Ecomorphological Analysis of Postcrania

John Clonce, East Tennessee State University

9:00 AM - 11:30 AM

Influence of healthcare access, and previous COVID-19 experience on COVID-19 vaccination behavior among adults in the US

Peter Adediji, East Tennessee State University

9:00 AM - 11:30 AM

Investigation of Research Supporting the Use of 12-Step Programs in Eating Disorder Recovery

Nathan Barnes, East Tennessee State University

9:00 AM - 11:30 AM

Left Ventricular Artery from Right Coronary Artery: Case Report

Malia Gacutan, East Tennessee State University

9:00 AM - 11:30 AM

Leveraging AI for Enhanced Multimedia Content Creation: College Students Perceptions on the Innovation.

Georgina Amankwa, East Tennessee State University

9:00 AM - 11:30 AM

Leveraging Physics Informed Neural Networks to Identify Signal Disruption Dynamics

Nicholas Joyner, East Tennessee State University

9:00 AM - 11:30 AM

Management of a Patient in Septic Shock with Necrotizing Fasciitis and Diabetic Ketoacidosis

Avery Conkin, East Tennessee State University

9:00 AM - 11:30 AM

Medicine for the World: A Guide for Medication Acquisition for Charitable Care Settings

Caleb Bryant, East Tennessee State University

9:00 AM - 11:30 AM

Meta-Analysis on Zinc Supplementation in Preterm Infants in Developed vs Developing Countries: Why Zinc Supplementation Matters?

Jessica Holcomb, East Tennessee State University

9:00 AM - 11:30 AM

Metabolic Engineering of Moss for Sustainable Oleic Acid-Rich Oil Production

George Kipkoech, East Tennessee State University

9:00 AM - 11:30 AM

Mobile App for Accessing and Evaluating Clinical Practice Guidelines

Evan Harris, East Tennessee State University

9:00 AM - 11:30 AM

Northeast Tennessee Community Pharmacists' Perspectives on Opioid Use Disorder

Bella Harris, East Tennessee State University

9:00 AM - 11:30 AM

PITCH Program Pilot Study

Anthony Gaetano, East Tennessee State University

9:00 AM - 11:30 AM

Retrograde Infection of Spinal Sympathetic Preganglionic Neurons for Chemogenetic Stimulation to Improve the Recovery of Cardiovascular Function after Spinal Cord Injury

Maxwell Davis, East Tennessee State University

9:00 AM - 11:30 AM

Rural Appalachian Water Contaminants: Factors Affecting Exposure to Disinfection Byproducts

Rubaiya Binthe Hashem, East Tennessee State University

9:00 AM - 11:30 AM

Saphenous Vein Graft Aneurysm Successfully Managed With Percutaneous Coiling

Ashwin Jagadish, East Tennessee State University

9:00 AM - 11:30 AM

Sense of Belonging in Full-Time College Students

Ellie Johnson, East Tennessee State University

9:00 AM - 11:30 AM

Sociodemographic, Behavioral, And Psychosocial Predictors of Bullying Behavior Among Adolescents Aged 12 -17 years in the United States.

Oluwatomilayo Adeniji, East Tennessee State University

9:00 AM - 11:30 AM

State Policies and Their Impact on Pharmacy Students’ Selection of Postgraduate Training Sites

Samira Allaf, East Tennessee State University

9:00 AM - 11:30 AM

Structural and functional insights into juvenile cleft palate: a finite element approach

Austin Crawford, East Tennessee State University

9:00 AM - 11:30 AM

Targeting mGlu5 and A(2A) receptors to attenuate sensorimotor gating deficits and restore homeostatic CREB signaling in a heritable rodent model of psychosis

Anthony Cuozzo, East Tennessee State University

9:00 AM - 11:30 AM

The Impact of Caregiver Emotion Socialization on Adolescent Implicit Theory of Emotions

Maggie Harris, East Tennessee State University

9:00 AM - 11:30 AM

The Moderating Role of PSSM on the Relationship Between ACEs and Cannabis Use in South Central Appalachia

Nelly Borisov, East Tennessee State University

9:00 AM - 11:30 AM

Tobacco Use in Pregnancy: A Place-Based Perspective

Whitley Hudson, East Tennessee State University

9:00 AM - 11:30 AM

Transnasal Microneedle Delivery of Naloxone and Atipamezole for Rapid and Sustained Reversal of Xylazine-Opioid Overdose

Zachary Kennedy, East Tennessee State University

9:00 AM - 11:30 AM

Trends in Influenza Vaccination Among Pregnant Women: A Secondary Analysis of PRAMS

Kaysi Brock, East Tennessee State University

9:00 AM - 11:30 AM

Understanding Genetic Testing Disparities by Race and Socioeconomic Status

McKenzie Dooley, East Tennessee State University

9:00 AM - 11:30 AM

Using the Reverse Testing Algorithm to Detect a Case of Ocular Syphilis

Emily Rhoton, East Tennessee State University

9:00 AM - 11:30 AM

Xanomeline, a novel cholinergic antipsychotic drug, shows dose dependent effects of rodent EEG

Soliyana Getamesay, East Tennessee State University

9:00 AM - 11:30 AM

A Rise in Intraocular Pressure after a Successful Canaloplasty and Goniotomy

Walker Nowell, East Tennessee State University

1:30 PM - 4:00 PM

A Thought Experiment to Evaluate the Importance of Economic Development on Improving Health in Tennessee

Noah Wren, East Tennessee State University

1:30 PM - 4:00 PM

Accessing the Factors associated with Stroke among adults in the Appalachian Region, USA.

Afia Otuo, East Tennessee State University

1:30 PM - 4:00 PM

Addressing Solubility and Analytical Challenges in Transdermal Nystatin Microneedle Formulation

Sydney Laughlin, East Tennessee State University

1:30 PM - 4:00 PM

Advancements in Transdermal and Topical Cannabinoid Delivery: A Literature Review

Shariyah Mansuri, East Tennessee State University

1:30 PM - 4:00 PM

American Fears: H.P. Lovecraft and The Paranoid Style

Bailey Marvel, East Tennessee State University

1:30 PM - 4:00 PM

Application of Deep Learning on Gage R&R for Anomaly Detection

Oluwatope Ojo, East Tennessee State University

1:30 PM - 4:00 PM

Assessing PFAS Exposure Through Drinking Water in Appalachia: A Systematic Review of Evidence

Elizabeth Quagraine, East Tennessee State University

1:30 PM - 4:00 PM

Assessing Self-Efficacy in Families of Children with Hearing Concerns through an Audiological Early Intervention Training

Kahlan Wokasien, East Tennessee State University

1:30 PM - 4:00 PM

Assessing the Utilization of Building Information Modelling (BIM) in the Preservation of Cultural Heritage: A Case Study of Ashe-Street Courthouse

Boluwatife Oluwamakinde, East Tennessee State University

1:30 PM - 4:00 PM

Blood and Beauty: The Beautiful Dead Girl Trope in Literature and Beyond

Makayla Shortt, East Tennessee State University

1:30 PM - 4:00 PM

Cardiac Myocyte-Specific Deletion of Ataxia Telangiectasia-Mutated Kinase (ATM) Induces Left Ventricular Dilation and Systolic Dysfunction

Abbey Laughlin, East Tennessee State University

1:30 PM - 4:00 PM

Cervical Cancer Process Improvement

Amanda Reichenbach, East Tennessee State University

1:30 PM - 4:00 PM

Changes in Mental Health and Insurance Coverage Status Among Women Reporting Opioid Use During Pregnancy in Tennessee and Kentucky

Christina Tarasidis, East Tennessee State University

1:30 PM - 4:00 PM

Characteristics of People Who Achieve Acceptable Symptom State after Total Hip Replacement

Grace Perryman, East Tennessee State University

1:30 PM - 4:00 PM

Characterization of a bacteriocin with effectivity against Klebsiella

Linsey Stiles, East Tennessee State University

1:30 PM - 4:00 PM

Chronic olfactory inflammation: its impact on the olfactory epithelium, olfactory bulb and brain cognitive function

Morning Dove Rose, East Tennessee State University

1:30 PM - 4:00 PM

Clinical Management of Copperhead vs. Rattlesnake Envenomation: A Comparative Case Study Lockyer J., White N. Berry A., Blankenship B., MD Department of Medical Education, Quillen College of Medicine, East Tennessee State University

John Lockyer, East Tennessee State University

1:30 PM - 4:00 PM

Determining Function of CNTNAP5 Gene using Pediatric Patient with Isolated Deletion

Harper Kirby, East Tennessee State University

1:30 PM - 4:00 PM

Dichorionic-triamniotic triplets with the mono-di pair impacted by open neural tube defects: a case study

Olivia Van Benschoten, East Tennessee State University

1:30 PM - 4:00 PM

Double Trouble: Acquired QTc Prolongation in a Patient on Denosumab and Amiodarone

Aamir Shaikh, East Tennessee State University

1:30 PM - 4:00 PM

Drivers of terrestrial mammalian biodiversity in the mountains of east Tennessee

Brodie Shelton, East Tennessee State University

1:30 PM - 4:00 PM

Eating Dirt Does Not Hurt: Antimicrobial Properties of TAJX1901

Katelyn Whitwell, East Tennessee State University

1:30 PM - 4:00 PM

Effects of Childhood Adversity on Brainwave Activity in Assessing Adult Facial Expression

Elisabeth Denis, East Tennessee State University

1:30 PM - 4:00 PM

Effects of Musical Training on Auditory Processing Skills

Madelyn Prevatte, East Tennessee State University

1:30 PM - 4:00 PM

Enhancing Anti-fungal Therapy: Evaluating Clove Oil vs. Alternative Oils in Nystatin Formulations

Jordan Strauss, East Tennessee State University

1:30 PM - 4:00 PM

Enhancing Support Systems: Bridging the Gap Between Sexual Assault Survivors and Advocates

Dianna Mock, East Tennessee State University

1:30 PM - 4:00 PM

Evaluating the Patient-Student Partnership Pathway from the Patient Perspective

Hope McPherron, East Tennessee State University
Luke Arntz, East Tennessee State University
Annelise Babcock, East Tennessee Stat University
Jannelle Bannor, East Tennessee State University

1:30 PM - 4:00 PM

Exploring Relationships Between Caregiver and Child Adversity and Parenting Style

Nat Vaughn, East Tennessee State University

1:30 PM - 4:00 PM

Exploring Tennesseans’ Generational Differences in Attitudes Toward Abortion

Morgan Turner, East Tennessee State University

1:30 PM - 4:00 PM

Exploring the Issue of Social Isolation in Older Adults in Northeast Tennessee

Aimee Rowe, East Tennessee State University

1:30 PM - 4:00 PM

Exploring the Role of Healthcare Affordability in HIV Testing Behaviors Among Young Adults in Tennessee

Mustapha Aliyu Muhammad, East Tennessee State University

1:30 PM - 4:00 PM

Exploring the Use of Genelyn Cadavers for Advancing Medical Education of Central Line Placement

Ramsey Regen, East Tennessee State University

1:30 PM - 4:00 PM

Fetal Alcohol Spectrum Disorder (FASD) Implications and Interventions

Sirena Roe, East Tennessee State University

1:30 PM - 4:00 PM

How does self-disclosure differ between those caring for individuals with Alzheimer’s disease and related dementias (ADRD) versus non-ADRD caregivers?

Nathaniel Sealover, East Tennessee State University

1:30 PM - 4:00 PM

Impact of Non-Alcoholic Fatty Liver Disease Severity on Coronary Artery Disease Progression: A Retrospective Cohort Study

shahnawaz notta, East Tennessee State University

1:30 PM - 4:00 PM

Improving Inpatient Education Curriculum in Family Medicine Residency

Erin Schrenker, East Tennessee State University

1:30 PM - 4:00 PM

In the parent-adolescent dyad, parent self-compassion is predictive of lower psychological inflexibility in adolescents

Anna Young, East Tennessee State University

1:30 PM - 4:00 PM

Intensive Multidisciplinary Approach to the Prevention and Management of Metabolic Syndrome in a Primary Care Setting: A Pilot Study

Matthew Rayeski, East Tennessee State University

1:30 PM - 4:00 PM

Investigating Historical Wildfire Trends and Forecasting Future Events in Colorado, Montana, Utah, and Wyoming through Advanced Spatio-Temporal Analysis

Princess Tagoe, East Tennessee State University

1:30 PM - 4:00 PM

Isolation and characterization of siderophore(s) from Pseudomonas mosselii

Casey Stophel, East Tennessee State University

1:30 PM - 4:00 PM

Long COVID and Post-Covid Conditions (PCC) in 2025

Mariam Shams, East Tennessee State University

1:30 PM - 4:00 PM

Medial Femoral Condyle Free Flap for Medication Related Osteonecrosis of the Jaw

Phillip Nichols, East Tennessee State University

1:30 PM - 4:00 PM

Mitochondrial function is depressed acutely following traumatic brain injury

Canah McNeal, East Tennessee State University

1:30 PM - 4:00 PM

Modelling the Predictors of Opioid Use Disorder Among Adults with Lifetime Cancer Diagnosis in the United States

Derrick Owusu, East Tennessee State University

1:30 PM - 4:00 PM

Neuroplasticity of Sympathetic and Serotonergic Pathways to Improve the Recovery of Cardiovascular Activity after Spinal Cord Injury

Aubreigh Morgan, East Tennessee State University

1:30 PM - 4:00 PM

Novel porous materials for adsorption of nitrates from water

Erica Tocholke, East Tennessee State University

1:30 PM - 4:00 PM

Panniculectomy with Concurrent Incarcerated Incisional Hernia Repair: A Case Report

Hannah Tan, East Tennessee State University

1:30 PM - 4:00 PM

Pediatric Case Report: Urinary Tract Infection due to Emerging Pathogen Raoultella ornithinolytica in a Two-Month-Old Child

Megan Wilson, East Tennessee State University

1:30 PM - 4:00 PM

PFOA administration in rats with chronic kidney disease leads to kidney and liver hypertrophy and decreases blood pressure

Christian Story, East Tennessee State University

1:30 PM - 4:00 PM

Police Corruption: Criminal Justice Majors Perspectives on the Origins of Misbehavior

Janelle Zirger, Tusculum University

1:30 PM - 4:00 PM

Predictors of Adolescent Suicide Risk: A Multivariable Analysis of Demographic, Environmental, and Behavioral Factors.

Sharon Owusu, East Tennessee State University

1:30 PM - 4:00 PM

Quality Improvement Project: Improving Induction Scheduling Education and Process in Family Medicine Residency Program

Alahna Smith, East Tennessee State University

1:30 PM - 4:00 PM

Rituximab Molecular Pharming: Designing a vector that yields high monoclonal antibody Rituximab levels through plant transformation

Zoe McCready Martin, East Tennessee State University

1:30 PM - 4:00 PM

Rural-Urban Disparities in Telehealth Services Provision Post Covid-19 Pandemic in South Carolina and Alabama.

Bless-me Ajani, East Tennessee State University

1:30 PM - 4:00 PM

Southern Appalachian Soils and Associated Bacterial Siderophores

Abhradeep Chanda, East Tennessee State University

1:30 PM - 4:00 PM

The Experience of Hearing Loss at the Movies

Sydney Young, East Tennessee State University

1:30 PM - 4:00 PM

The Impact of Isolation in Medical Students as a Function of “Percentage at Risk” for Adverse Psychological Outcomes

Hannah Smith, East Tennessee State University

1:30 PM - 4:00 PM

The Moderating Role of Adversity Duration on Adverse Childhood Experiences, Social Support, and Mental Health

Jessica Templeton, East Tennessee State University

1:30 PM - 4:00 PM

The Role of Avatar Creation: Depersonalization as a Moderator of Social Anxiety and Symptoms of Internet Gaming Disorder

Kaitlyn Pryor, East Tennessee State University

1:30 PM - 4:00 PM

Total Laryngectomy for Squamous Cell Carcinoma Arising from a Thyroglossal Duct Cyst

Derek Wenger, East Tennessee State University

1:30 PM - 4:00 PM

Understanding the Role of SABP2-Interacting Protein (SIP)-432: a Premnaspirodiene Oxygenase Enzyme In Stress Signaling

Cristiana Martinez, East Tennessee State University

1:30 PM - 4:00 PM

Unleashing a Swarm: Characterizing the Mechanisms by which Neutrophil Swarming Restricts Fungal Hyphae

Tasha Phillips, East Tennessee State University

1:30 PM - 4:00 PM

Using Borderline Hypertensive Rats to Study How Post-Traumatic Stress Syndrome Augments the Cardiogenic Sympathetic Afferent Reflex

Leah Sawyer, East Tennessee State University

1:30 PM - 4:00 PM

Using Pupillometry to Evaluate Listening Effort in Veterans with Dual Sensory Impairment

Kayleen Lavan, East Tennessee State University

1:30 PM - 4:00 PM

Validating Dermal Corticosterone Swabs with Blood Assays in Green Frogs (Lithobates clamitans)

Emily McDavid, East Tennessee State University

1:30 PM - 4:00 PM

What’s my name? P300 event-related potential responses to participant’s own name versus a nickname

Jaylin Phillips, East Tennessee State University

1:30 PM - 4:00 PM