Arts and Humanities Commons^™

3d Printed Liver Models As A Tool To Improve Pre-Surgical Consultation And Enhance Patient Consent, Miranda Sill, Nathan Ott, Robert S. Pugliese, Pharmd, Bcps

Phase 1

Background: 3D printing has recently emerged as an effective, cost-efficient tool for healthcare innovation. We propose the fabrication of 3D printed, patient-specific liver models as a pre-surgical planning and communication tool for liver resection surgery.

Methods: Creation of the model began with the segmentation of the patient's abdominal CT scan, where specific sections of their anatomy, including the blood vessels (portal and hepatic systems), gallbladder, and tumor (when applicable), were digitally segmented. Each structure was then printed in a unique color using polylactic acid (PLA) plastic filament on an Ultimaker 5s printer. Once printed the components were arranged anatomically and …

Color-Changing Device To Improve Adherence To Foley Catheter Replacement Protocols And Reduce Urinary Tract Infection Frequency, Alexander Straus, Ms, Kurt Hill, Bryn Cross, Jason M. Fields, Md

Phase 1

Background: Catheter associated urinary tract infections (CAUTI) are a major source of patient morbidity and mortality in healthcare settings and have a significant financial impact on the healthcare system. Many hospitals have clinical protocols in place to continually reassess the necessity of indwelling foley catheters and remove them if their use is no longer warranted. However, it is still common for indwelling foley catheters to be overlooked and remain in place, even after meeting criteria for removal. A design project was conducted that sought to improve adherence to clinical protocols, and reduce frequency of CAUTIs, by creating a color-changing device …

3d Printing Of Knee Models To Decrease Or Time And Reduce Revisional Surgery In Total Knee Arthroplasty (Tka), Lauren Schlegel, John Paul Prodoehl, Matthew Chadwick, Chris Li, Katelyn Koons, Jeffrey Henstenburg, Md

Phase 1

Project Background: Osteophytes are a common problem, affecting 2% of the United States population. For many elderly people, these osteophytes will cause them to seek medical attention. Due to the 2-D nature of MRIs and CT scans, it can be difficult to gain a complete understanding of the complicated soft tissue structures surrounding the joint when performing a Total Knee Arthroplasty(TKA). Without proper removal of osteophytes and correct soft tissue balancing, there is an increased rate of revisional surgery. By utilizing a 3-D model preoperatively and within the OR, surgeons can visualize various aspects of the knee to determine what …

Improving The Inhaler, Alex Reibstein, Jesse Evensky, Bradley Freid, Kabir Malkani, Gregory C. Kane, Md

Phase 1

Background: Inhalers used to dispense various pharmacological agents play an important role in the care of patients with pulmonary disease. These pharmacological agents can be very effective, however, many patients that use inhalers often deliver these drugs incorrectly or in a sub-optimal manner. Our project aims to improve the design of the inhaler in order to increase the effectiveness of drug delivery and also ease of patient use.

Methods: We interviewed a critical care pulmonologist regarding patient inhaler use and compliance. This physician offered information about proper inhaler use and described common errors that patients encounter when attempting to dispense …

Patient-Specific 3d Printed Liver Models For Pre-Operative Planning And Improved Patient Adherence, Nathan Ott, Miranda Sill, Robert S. Pugliese, Pharmd, Bcps, Ashesh P. Shah, Md

Phase 1

Project Background: 3D anatomical relationships in the liver are not always visually accessible for surgeons performing resections even with advanced imaging options. Firm understanding of these relationships is essential for timely procedures, which can improve patient outcomes and lower hospital expenses. Patient-specific 3D modeling has existed for some time, though it is costly. New cost-effective techniques have surfaced which may yield opportunities for more effective preoperative planning in liver surgery and improved patient adherence.

Methods: Digital patient-specific 3D reconstruction of a liver was completed by interpolating data from MRI scans using 3D Slicer, a segmenting program. The liver model was …

3d Printing Of Bone Spurs Before Surgical Removal During Total Knee Arthroplasty, Chris Li, Jeffrey Henstenburg, Md, Katelyn Koons, John Paul Prodoehl, Matthew Chadwick, Lauren Schlegel

Phase 1

Background: In the United States, total knee arthroplasty (TKA) is the most common performed orthopedic surgery, with over 700,000 cases per year. Overall, 21-25% underwent revision due to instability. Incorrect soft tissue balancing during the procedure can lead to improper alignment, flexion, and extension. Visualization of osteophytes in a 3D manner prior to removal is difficult and poses significant risks for improper balancing on TKA. The purpose of the study is to determine whether the utilization of 3D osteophyte models is beneficial to Orthopaedic surgeons in the course of care, specifically with regard to improving outcomes, decreasing complication rates, and …

Device For The Capture And Extraction Of Waste Anesthetic Gas, Jonathan Karp, Cary Hess, Delara Kiani, Corey Jameson, Robert S. Pugliese, Michael E. Mahla, Dietrich Gravenstein, Mary Herman

Phase 1

Background: Leaks occur often throughout the process of delivering inhaled anesthesia prior to and during surgery. Leaks typically occur around the patient’s mouth, nose, and eyes. Potent inhaled anesthetics (PIAs) include halothane, sevoflurane, desflurane, and isoflurane. All PIAs, to one degree or another, pose hazards to human health. PIAs are associated with reproductive toxicity, spontaneous miscarriages in pregnant persons as well as an increased risk of congenital abnormalities in offspring. In other words, PIAs are thought to be both abortifacients as well as teratogens. PIAs are also associated with hepatotoxicity, neurotoxicity, cognitive impairment, as well as increased incidence of malignancy. …

Color Changing Device To Improve Adherence To Foley Catheter Replacement Protocols And Reduce Urinary Tract Infection Frequency, Bryn Cross, Kurt Hill, Alexander Straus, Ms, Jason M. Fields, Md

Phase 1

Background: Millions of hospital-acquired UTI’s are caused by indwelling urinary catheters. The longer a catheter is left in, the greater the risk for infection. Catheters are often left in longer than necessary because physicians are not aware of them or the original indications for placement are not reevaluated. We hypothesize our device will draw attention to indwelling catheters and prompt re-evaluation and removal if necessary.

Methods: We will design a light strip that can be attached to the catheter bag and will turn on to blue after 5 days of placement and purple after 8 days. This will call the …

Design Thinking For Community-Provider Collaboration: Designing A Culture- And User-Friendly Refugee Wellness Center, Shandon Coffman, Oluwatoni Okuboyejo, Ellen Solomon, Brandon Joa, Bon Ku, Md, Mpp

Phase 1

Background: South Philadelphia has a growing immigrant and refugee population, increasing the need for a healthcare facility dedicated to refugee health that integrates cultural sensitivity with principles of community health. Design thinking (human-centered design) is a promising strategy to address health and social justice concerns through the development of innovative products and services that prioritize population needs. This project utilized design thinking to inform suggestions to the design of Hansjörg Wyss Wellness Center that promote a culturally sensitive and welcoming environment in order to improve healthcare outcomes for the refugee population in Philadelphia.

Methods: Standard qualitative data gathering methods were …

3d Printing Of Bone Spurs Before Surgical Removal, Matthew Chadwick, John Paul Prodoehl, Katelyn Koons, Chris Li, Lauren Schlegel, Jeffrey Henstenburg, Md

Phase 1

Project Background: In the US alone, total knee arthroplasty is the most common performed orthopedic surgery, with over 700,000 cases per year.1 Overall, 21-25% underwent revision due to instability.2 The stability of a TKA depends largely on soft tissue balance for proper alignment in flexion and extension. Soft tissue balancing in TKA depends on posterior femoral condylar osteophytes, which prevent full extension of the knee and increase tension posteriorly. Pre-operative soft tissue visualization is difficult and this leaves an increased chance for implant failure and revision surgery. Having a 3D model of the bone spur before and during the surgery …

The Book Of Ezekiel And The Speculative Design, Ian Gonsher

Scholarly Research

In this essay, the origins of speculative literature are situated within the prophetic tradition of Jewish mysticism, particularly in the Book of Ezekiel. The Book of Ezekiel is also a text about design. We investigate how these ancient sources align with contemporary design discourses, particularly Speculative Design, and propose new strategies for the readings of historical progress.

Weaving Material Connexion Into Curriculum, Shelley Woods, Gouthami Vigneswaran, Patricia Buckley

Publications and Scholarship

Weaving Material ConneXion into the Curriculum poster presented at OLA Super Conference 2020.

Uniting Maternity Care With Neonatal Intensive Care: Analysis Advancing Hospital Experiences For Families Of Newborns Through Design, Stephanie Legg

Master's Theses and Doctoral Dissertations

The landscape of childbirth has changed immensely over the last century. Medical intervention has surpassed the needs of mother and infant to be together when either requires medical attention. By bringing medical equipment for both into a single hospital room, separation between the two will be decreased. For this study, mothers of infants admitted to neonatal intensive care were questioned with a mix-methods survey to discover what challenges they faced in order to amend the built environment to increase their satisfaction with their hospital and post-birth experience. Mothers showed less ability to interact with their infants when medical needs were …

Creating The World Of Newsies: The Musical, Benjamin Kramer

All Graduate Theses, Dissertations, and Other Capstone Projects

This document is a thesis submitted in partial fulfillment of the Master of Fine Arts Degree in theatre. It is a detailed account of the author Benjamin Kramer’s artistic process in producing the scenic design for Minnesota State University, Mankato’s production of Newsies: The Musical in the fall of 2019. The thesis chronicles the scenic designer’s artistic process beginning with an early production until the end of performances in five chapters: early production analysis, historical and critical perspective, journals, post production analysis and process development. Appendices and works cited and consulted are included.

Design Hub: Activating Community By Design, Ed Williams

Theses and Dissertations

MOTIVATION

At the turn of the century, Robert Putnam (2000, 27) wrote “...a powerful tide bore Americans into ever deeper engagement in the life of their communities, but a few decades ago that tide reversed and we were overtaken by a treacherous rip current.” Putnam is describing a loss of “social capital” throughout American society. Research suggests that many of our contemporary issues are the result of a decline in “social capital,” or “community.”

This pervasive lack of community is thought to be detrimental to “educational performance, safe neighborhoods, equitable tax collection, democratic responsiveness, everyday honesty, and even our health …

Arabic Beyond Arabic, Abir Zakzok

Theses and Dissertations

Arabic is the best and the most complicated language of all time!” Even though this statement seems like an exaggeration, it is what I grew up hearing; from my Arab parents as a child, my Arab teachers as a student, and my Arab customers as a salesperson. The Arabic language has a significant role in Arabs’ identity, yet most Arabs only scratch the surface and do not fully grasp the embedded meaning of the language. I have long been fascinated by the relationship between language and community as well as how it translates to design - specifically, the relationship between …

Hidden Gem: Realizing The Value Of Community In Healthcare Environments, Nicole Lee

Theses and Dissertations

Holistic approaches in healthcare address a problem from its root causes. The American healthcare model – both its treatment and distribution methods – is among the many issues that divides the nation. We have found ourselves with millions of uninsured people among a growing population where chronic illness is on the rise among adults and children, especially within low-income demographics (Goodman & Conway, 2016). Though this is a widespread epidemic, only recently has there been any effort to question and reform traditional healthcare.

The way that wellness is assessed in America has been detrimental to patient outcomes …