Medicine and Health Sciences Commons^™

Opioid And Non-Opioid Prescribing Rates For Ankle Fractures In Emergency Departments Across The United States Between 2006 And 2015, Lucy C. Bowers, Kyle B. Kosik Phd, Atc, Matt C. Hoch Phd, Atc, Phillip A. Gribble Phd, Atc, Alejandro G. Villasante Tezanos

Posters-at-the-Capitol

Context: An ankle fracture is a common injury observed in the Emergency Department (ED) and is often treated conservatively or surgically, depending on whether the fracture is stable. Opioids provide value for the management of acute musculoskeletal pain. However, prolong opioid use is associated with well-known consequences in the United States such as dependence, abuse and/or misuse. Considering these concerns and the effectiveness of non-pharmacological interventions for the treatment of acute pain, it is critical to identify the prescribing patterns for patients diagnosed with an ankle fracture in the ED. Objective: Describe the percentage of patients prescribed a …

Reducing The Risk For Surgical Site Infections: Will Evidence-Based Practices Really Lead Us To The Promised Land?, Charles E. Edmiston Jr., Phd, Sm (Ascp), Cic (Cbic)

Fleming Infection Prevention and Infectious Disease Symposium

No abstract provided.

You May Be Prepared, But Are You Ready?, Michael Consuelos Md, Mba

Fleming Infection Prevention and Infectious Disease Symposium

Objective:

Explain how planning and preparation is required to achieve readiness for infectious diseases.

Wilms Tumor Survivorship: Does Childhood Cancer Treatment Predict Late-Term Adverse Effects?, Ava Bibergal

Grace Peterson Nursing Research Colloquium

Abstract

Background: Wilms tumor is the leading cancer to affect the kidneys in children most commonly between the age of 3 and 5 years old. Treatment of Wilms tumor typically consists of chemotherapy, radiation, or a combination of the two – which are often successful in eradicating the cancer. However, current treatment options often leave patients with a high risk of late-term adverse effects such as cardiac diseases or secondary cancers later in life. Wilms’ tumor patients currently have a 90% survival rate from their disease, however face a future of indeterminate health problems due to their treatment regimen.

Objectives: …

Touch Of Grace Project, Marie Eaton, Sarah Bear

Palliative Care Institute

Touch of Grace is a video-based training program on palliative and end-of-life care for nursing home and assisted living staff, including all non-licensed support staff.

Pre- and Post-test data and focus group feedback indicate that the Touch of Grace training program improved understanding of palliative and end of life concepts and also provided tools to improve staff interactions with families and residents during the final days of a resident’s life. As predicted, the largest shifts in understanding were seen in the non-licensed staff, although gains were seen in all staff groups. Some facility-wide procedural changes to support a more palliative …

Advance Care Planning In Whatcom County, Wa: Opportunities For Evaluation And Expansion, Palliative Care Institute, Western Washington University, Whatcom Alliance For Health Advancement, Chuckanut Health Foundation

Palliative Care Institute

Numerous organizations and individuals in Whatcom County, Washington have been promoting advance care planning (ACP) Washington since 2012. In 2018 the Chuckanut Health Foundation provided funding to conduct an evaluation of advance care planning activities and their impact across all participating organizations. This report summarizes the evaluation goals, methods and findings. Based on the identified challenges and opportunities, recommendations are laid out for establishing ongoing, community-wide ACP evaluation, increasing integration of advance care planning into local healthcare and social service delivery, and expanding community outreach and education.

Interpreting Patient Reported Outcomes In Orthopaedic Surgery: A Systematic Review, Shgufta Docter, Zina Fathalla, Michael Lukacs, Michaela Khan, Morgan Jennings, Shu-Hsuan Liu, Dong Zi, Dianne Bryant

Western Research Forum

Background: Reporting methods of patient reported outcome measures (PROMs) vary in orthopaedic surgery literature. While most studies report statistical significance, the interpretation of results would be improved if authors reported confidence intervals (CIs), the minimally clinically important difference (MCID), and number needed to treat (NNT).

Objective: To assess the quality and interpretability of reporting the results of PROMs. To evaluate reporting, we will assess the proportion of studies that reported (1) 95% CIs, (2) MCID, and (3) NNT. To evaluate interpretation, we will assess the proportion of studies that discussed results using the MCID or the effect sizes and how …

Role Of Gp120 Glycosylation In Sexual Transmission Of Hiv, Yingxue Sun, Adam Meadows, Najwa Zebian, Eric Arts, Carole Creuzenet

Western Research Forum

Background:

In chronic HIV patients, the viral populations are genetically diverse due to mutations introduced by the viral reverse transcriptase during HIV replication. However, more than 80% new infections result from single transmission founder (TF) viruses; therefore, targeting the TFs is key to control AIDS worldwide.

Gp120 is a glycosylated envelope protein required for HIV infection, propagation, and transmission. Glycans on gp120 influence HIV infectivity through their interactions with lectins, the carbohydrate-binding immune proteins in the host mucosa. To transmit sexually, viruses must overcome the lectin traps to access more target T cells.

Hypothesis:

TF viruses are less likely to …

Phylogenetic Estimates Of Hiv-1 Gp120 Indel Rates Across The Group M Subtypes, John Palmer, Art Poon

Western Research Forum

Insertions and deletions (indels) in the HIV-1 envelope glycoprotein gp120 play a significant role in the evolution of HIV pathogenesis and transmission fitness. While substitution rates in HIV-1 are well characterized by phylogenetic models, there is a lack of quantitative measures of indel rates in HIV-1. Here we use a dated-tip phylogenetic analysis of gp120 sequences to estimate indel rates for 7 subtypes and CRFs of HIV-1 group M.

We obtained and processed 26,359 HIV-1 gp120 sequences from the Los Alamos National Laboratory HIV Sequence database. After filtering these sequences, we extracted the conserved and variable regions from the remaining …

Marketing Channel Effectiveness Of New Medications/Medical Technology, Hadley Mccormick

Celebration of Learning

This research project will study what marketing platforms/channels are most effective in the dissemination of new medical product news. Many people like myself have an illness/disease that requires daily medication, or require the daily use of a medical device. Due to the increasing influence of Direct to Consumer advertising of pharmaceuticals and the constant development of new medications and devices, patients may now more often go to the doctor with perceptions of what they should do to manage their illness/disease. This study aims to look at how the developers of these medications/medical devices promote their products currently and how certain …

Reality Check: Life Is 100% Fatal. Let's Talk About It, Micki Jackson

Palliative Care Institute

REALITY CHECK: Life is 100% fatal. Let's talk about it, is a guest editorial by Micki Jackson, community and patient advocate for out-patient palliative care and advance care planning in Bellingham, WA.

Honoring A Family’S Goals About A Meaningful Life And Death: A Case Study, Lauren Schmidt

Palliative Care Institute

Honoring a Family’s Goals about a Meaningful Life and Death: A case study: Lauren Schmidt, MSW, LICSW, palliative care consultant in the Division of Bioethics and Palliative Care at Seattle Children’s Hospital.

Objectives:

• To explore how a family’s own micro culture impacts views on quality of life and their child’s death.
• To identify how a family’s understanding of their child’s illness can evolve and change over time and how that impacts their choices.
• To talk about and understand some of our own internal biases, why they are normal, and how we can incorporate awareness into our practice so that …

There Is Always Hope: The Essence Of Spiritual Care, Tessie Mandeville

Palliative Care Institute

There Is Always Hope: The Essence of Spiritual Care: Tessie Mandeville, Chaplain, PeaceHealth St Joseph's Medical Center

Objectives:

• Understand a working definition of spirituality and how it is an essential component of wholeness
• Distinguish between “hope”, “cure”, and “optimism”
• Describe recent articles on the science of hope and how hope protects the brain
• Conclude that there is reason (and science) for hope

Not If But When: Books For Young People About Death And Loss, Thom Barthelmess, Sylvia Tag, Marie Eaton

Palliative Care Institute

Children who are facing a serious illness or have experienced a death in their family can be reassured by stories of other children who have had a similar experience. These stories help them understand better what has happened in their own family while at the same time offering the comforting knowledge that they are not alone in their feelings. In this session we will explore how books provide a way to begin these conversations, giving the child permission to talk about death and communicating that we are interested in her feelings and questions.

Embracing Cultural Humility In Palliative Care: A Journey From The Professional To The Personal, Arika Patneaude

Palliative Care Institute

Arika Patneaude, MSW, LICSW - Embracing Cultural Humility in Palliative Care. Patneaude is part of the interdisciplinary team at Children's Hospital and will help us explore how cultural perspectives and beliefs intersect with access to and implementation of palliative care.

Objectives:

• Examine how our own personal cultural identities can (and do) intersect with those of the patients and families we serve

• Understand how the medical model “culture” can impact how a patient and family may make medical decisions at the end-of-life

• Describe how cultural identity impacts decision making at the end-of-life

• Explore the importance of understanding …

Pediatric Palliative Care: Treating The Whole Infant, Child, Or Teen, Jennifer Kett

Palliative Care Institute

Jennifer Kett, MD - Pediatric Palliative Care: Treating the Whole Infant, Child, or Teen. Kett specializes in complex critical care, working as part of an interdisciplinary team at Mary Bridge Hospital in Tacoma that provides family-centered care for children with chronic or life-threatening illnesses. She will address the special challenges of working with critically ill children and youth.

Objectives:

• Use cases to more deeply investigate the unique challenges faced in pediatric palliative care (medically, ethically, legally and socially)
• Outline as a group an approach to managing some of these challenges
• Describe the ways interdisciplinary team members are critical to overcoming …

Program - 2019 Palliative Care Institute Conference: Palliative Care: Treating The Whole Person, Palliative Care Institute

Palliative Care Institute

Speakers and workshops addressing the interdisciplinary nature of palliative care, and the importance of addressing the totality of the patient’s relational existence—physical, psychological, cultural, social, and spiritual.

The Role Of Outdoor Tree Pollen Levels On Healthcare Visits For Respiratory Infections In Infants And Toddlers: A Case Cross-Over Analysis, Adam J. Van Mason

Research Days

No abstract provided.

A Retrospective Review Of Project Instruct: Improving Sexual And Reproductive Health Amongst At-Risk Teens, April Mcneill Md

Research Days

No abstract provided.

Family Entropy: Understanding The Organization Of The Home Environment And Impact On Health Behaviors And Weight In School-Age Children, Carolyn Bates

Research Days

No abstract provided.

Impact Of A Mobile Device-Based Clinical Decision Support Tool On Guideline Adherence And Mental Workload Among Trainees And Attending Physicians, Katherine M. Richardson

Research Days

No abstract provided.

Parental Observation Of Environmental Exposures In The Home Of Children With Asthma, Hannah N. Neuhaus

Research Days

No abstract provided.

Adhd Clinic Outcomes: Assessing Dose Response Over Time, Caroline Pittard

Research Days

No abstract provided.

Measuring Clinical Weight Loss In Young Children With Severe Obesity: Comparison Of Outcomes Using Zbmi, Modified Zbmi, And Percent Of 95th Percentile, Carolyn Bates

Research Days

No abstract provided.

Racial/Ethnic Demographics Of Participants In Clinical Trials Of Biologics Used For Asthma, Susamita Kesh

Research Days

No abstract provided.

Prevalence Of Sexual Minorities Among Adolescents Evaluated For Polycystic Ovary Syndrome, Cintya Schweisberger

Research Days

No abstract provided.

Clinical Utility Of Exon Deletion/Duplication Microarray Testing - A Children’S Mercy Kansas City Two-Year Experience, Binu Porath

Research Days

No abstract provided.

Characterization Of Low Resource Utilization Observation Status Hospitalizations Within Children's Hospitals, David C. Synhorst

Research Days

No abstract provided.

Attitudes Of Emergency Medical Service (Ems) Providers Towards Pediatric Death And Outside-Of-Hospital Do Not Resuscitate (Dnr) Orders, Clay Yaklin

Research Days

No abstract provided.

Initial Evaluation Of Adolescent Females Hospitalized With Heavy Menstrual Bleeding, Lauren Amos Md

Research Days

No abstract provided.