Health Services Research Commons^™

Ethnic And Demographic Differences In Colectomy Rates And Timing For Ulcerative Colitis: 2007-2014, Daniel Bodek, Alana Persaud, Brian Blair, Ahlawat Sushil

Rowan-Virtua Research Day

Ulcerative Colitis (UC) is a chronic inflammatory disease of the bowel, with one third of patients requiring a colectomy for fulminant disease and tissue dysplasia. In 2007, infliximab was approved for induction and maintenance of remission in UC, with some evidence to suggest a potential reduction in colectomies. The aim of this study is to examine relative colectomy rates for UC among different ethnicities from 2007 to 2014 in order to evaluate for development of new trends or disparities.

Discrepancies in colectomy rates and timing are seen in our models which mirror closely findings in a prior study from 1999-2003 …

Pre-Operative Risk Of Medical Complications Varies By Health Insurance Carrier In Moderately Obese Women: Medicaid V Medicare V Private V Self-Pay, Paul Osterdahl D.O., Melissa Gott D.O., Amanda Sundling D.O., Gus J. Slotman M.D.

Rowan-Virtua Research Day

Introduction: Clinical variation by health insurance status in mixed sex bariatric surgery populations is reported, but such variation among moderately obese women is unknown.

Objective: to identify pre-operative variation by health insurance in female surgical patients.

Conclusions: Pre-operative characteristics of moderately obese women vary by insurance. Medicare’s highest risk for cardiopulmonary problems and diabetes, and Medicaid’s highest asthma, abdominal-hepatobiliary, and psychological/behavioral complications should be considered in managing moderately obese women subscribing to these carriers.

Panniculectomy Performed In Conjunction With Gynecologic Surgery In The Morbidly Obese Patient - A Nsqip Analysis And Meta-Analysis Of The Literature, Shayoni Nag, Tirth Patel, Steven C. Bonawitz M.D.

Rowan-Virtua Research Day

Purpose: Panniculectomy is a common procedure in plastic surgery, often performed following massive weight loss and in morbidly obese patients. It can be performed in combination with various gynecologic procedures based on the rational that it will reduce complication rates.^{1, 2, 3} These studies fail to provide proof of these claims for reasons including study design and the lack of inclusion of both morbidly obese and non-morbidly obese patients. Recent medical practice has focused increasingly on minimizing patient morbidity and trends in reimbursement are moving towards penalizing practices which increase complications.

Methods/Results:We reviewed the NSQIP database to assess …

Latin@ Immigrants Use Of United States Medical And Health Services, Marilyn Toc

Undergraduate Research Conference

Latin@ immigrants face social and cultural barriers, which can impact use of medical/health services for this population, including language, cultural forces, and fear of deportation. The purpose of this study is to understand human and health services related behaviors among Latin@ immigrants. Spanish speaking participants reported on health information packets and medical literacy items in an anonymous survey. Medical terminology items were used to determine comprehension and knowledge of medical services concerning the Latin@ community in a Southern state. Participants reported on health behavior and utilization of services. Recommendations for policies and providers are explored.

Heme Expression From Caulobacter Crescentus In E. Coli, Gloriana Tokgozoglu

Kansas State University Undergraduate Research Conference

The focus of my research is to create a clone of a Heme transporter from Caulobacter crescentus and transformed into E. coli OKN359 and fluorescently label it so that it can detect Heme in the environment. This sensor will be combined with others in a fluorescence assay to analyze pathogenic bacteria and identify drugs that are the most effective in inhibiting their iron transport. To do so, I used Gibson cloning and made a hybrid gene, pITS27, that contains a small initial portion of an E.coli gene fepA followed by the full Caulobacter crescentus gene hutA. The initial portion of …

The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy

Shared Knowledge Conference

Based on a review of research and best practices in mental health awareness and skills, this inquiry project argues for state legislative policies that would require mental health awareness and skills in the K-12 curriculum. Mental health affects individual accomplishments in every stage of people’s lives beginning in early childhood and throughout the life cycle. Prevention and treatment of mental illness plays a key role in the ability of an individual to cope with loss and develop resiliency and perseverance in challenging times and to make better decisions that improve the individual’s life and the lives of those around them. …

Building Connected Communities: Improving Supports To Reduce Loneliness And Social Isolation In Immigrants 65+, Sirena Liladrie, Thomas Howe, Laura Yang

Generator at Sheridan

The Centre for Elder Research launched a three-year study in 2015 to create strategies to more effectively serve immigrants age 65+ who are at risk of experiencing social isolation and/or loneliness. The presentation will focus on the key outcomes of the study and showcase community asset mapping

Recent Incidences And Trends Of The Top Five Cancers In Northeast Appalachian Tennessee, Adekunle Oke, Sylvester Olubolu Orimaye, Ndukwe Kalu, Faustine Williams

Appalachian Student Research Forum

Introduction: Cancer is the second leading cause of death in the United States (U.S.), after cardiovascular disease. Although there has been a continuous decline in cancer mortality rates in the U.S. over the past two decades, the Appalachian region, which extends through 13 states and 420 counties in the southeastern part of the U.S., has seen a lower decline in cancer mortality. From 1980-2014, cancer deaths decreased by almost 45%, but cancer mortality rates in rural Appalachia was 36% higher than for urban non-Appalachian counties. In terms of cancer-specific, although breast cancer mortality rates have also decreased significantly nationally, a …

Effective Methods For Domestic Violence Screening In The Emergency Department, Megan Bryan

Grace Peterson Nursing Research Colloquium

Abstract

Background: The CDC reports that one in four women and one in ten men will experience some form of domestic violence in their lifetime that will have either a short-term or long-term impact on their well-being. Often the first place these victims are seen where they can receive help is the emergency department. Objectives: The goal of this systematic integrative literature review was to explore existing literature on domestic violence screening methods used in the emergency department and determine which methods prove most effective. Concurrently, this review examined the barriers to effective domestic violence screening and how nursing education …

Evaluating Knowledge Of Developmental Disabilities Among Wic Participants, Carolina Regalado Murillo, Katharine Zuckerman, Alison Chavez, Julie A. Reeder

Student Research Symposium

Background: Children in racial/ethnic minority and low-income families are more likely to experience low rates of early developmental disability (DD) diagnosis. Racial/ethnic and language differences in parent information about DDs could contribute to diagnostic delays, but little is known about differences in parent DD familiarity.

Objectives: To assess DD knowledge and information in a sample of low-income families.

Methods: We conducted a self-administered survey on 539 parents attending their child’s appointment at the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in six Oregon counties. Survey items assessed familiarity with early signs of DDs, self-reported knowledge about DDs, …

Rape Crisis Center Professionals' Perception Of Sexual Violence Policy: A Qualitative Analysis, Stephanie Manieri

Scholarly and Creative Works Conference (2015 - 2021)

The purpose of this study is to collect information about the perceptions of rape crisis center professionals regarding the current policies surrounding sexual violence crimes that victimize people over the age of 18. This research aims to gather information about effective and ineffective policies from professionals who are first- responders to sexual assaults.

No Puffs: Penguins Go Smoke-Free, Monica Sciamanna

Scholarly and Creative Works Conference (2015 - 2021)

In partnership with the Department of Student Life, this project examines campus smoking behaviors among students, faculty, and staff. It will gather information regarding awareness and perceptions of current smoking policies at Dominican. Data may be used in the development of a new campus smoking policy.

Exploring Memory Impairment In A Rural Community In Tanzania: Trends And Reflections, Amanda Barry

Student Symposium

The researchers traveled to Tanzania in January of 2017. For two weeks they traveled to various Masaai villages around the town of Arusha. Mini-mental status exams were administered to 46 individuals ranging in age from 40-101 years. For those participants whose scores reflected possible memory impairment, family members or close friends were then administered a semi-structured interview to develop a more comprehensive understanding of the individual's life and cognitive function. The data collection process was directly affected by cultural differences between the United States (where the materials were developed) and Tanzania (where the materials were applied). This effect, although it …

How Healthcare And Culture Impacts Cost And Experience Of Sex Reassignment Surgery In Various Sites Of Europe, Carson Shaw

Student Symposium

My presentation reviews how more widely accessible forms of health insurance impact a trans person’s ability to transition in the Netherlands, Germany, the Czech Republic, and Poland. This includes the steps and processes they must go through, the pressures of transitioning, and the overall costs of sex reassignment surgery, both socially and financially. It also takes into account the cultural stressors of transitioning as well as how different types of insurances are more or less beneficial to people in each of these countries. In order to achieve this research, I performed interviews and lectures on trans experience in each country …

Need Vs. Supply Analysis Of The New Haven Public Bus System, Stan Mathis

Yale Day of Data

ABSTRACT:

The aim of the study was to assess how well the public transportation system of New Haven County was matched to the public transit need using publicly available geospatial datasets from state and federal sources. Geospatial bus stop data was extracted from public State of Connecticut data sets. Census tract geography was extracted from US Census TIGER files while census tract aggregated household vehicle access data was queried from the American Community Survey data access server. A census tract’s Need was defined as percentage of households reporting access to zero vehicles; its supply was defined as the number of …

Motor Development And Skill Acquisition In Elementary Aged Students, Joanna M. Guerrant Ms.

Posters-at-the-Capitol

Mastering physical movement occurs through motor learning and experience. Motor development is needed for successful acquisition of sport and other physical skills. A lack of motor skills has been associated with decreased physical activity later in life, which has been linked to a variety of hypokinetic diseases. This study examined motor learning and skill acquisition in elementary age children. Twenty 2^nd-5^th grade students were recruited through the local school system. Subjects did not have any injuries that would preclude them from performing three basic skills (modified squat, tree, and arm and leg raises). IRB approval, parental consent, …

Adults With Autism: What Happens After 18?, Nicole A. Pacwa

Scholarly and Creative Works Conference (2015 - 2021)

Autism diagnoses have recently been on the rise, which eventually leads to young adults and their families having to figure out what to do for the future. Unfortunately, the services that these children grow up with will no longer are applicable once they turn 18. Families need to think about possible paths that would work best for their child. Some options would be a transitional school that could provide services and learning opportunities, group living communities that offer support while giving the individual a chance to live on his or her own while being supported, or vocational support that offers …

Alcohol Consumption And Its Potential Ability To Predict Health Perceptions, Gregory J. Joseph, Jennifer L. Zorland

Georgia State Undergraduate Research Conference

No abstract provided.

Maternal Leisure-Time Physical Activity And Risk Of Preterm Birth: A Systematic Review Of The Literature, Mira Kahn, Loretta Dipietro, Kimberly Robien

GW Research Days 2016 - 2020

Background: Preterm birth is a leading cause of infant death and regular physical activity may reduce the risk for preterm birth because of its beneficial effects on pregnancy complications such as preeclampsia, excessive weight gain, and gestational diabetes. On average, however, pregnant women report lower levels of physical activity compared with those who are not pregnant. This systematic review examined low, moderate and vigorous leisure-time physical activity (LTPA) during pregnancy and the outcome of preterm birth.

Methods: Key words related to preterm birth and physical activity were used to search relevant databases (Medline, Cochrane, CINAHL, Sports Discuss and Scopus). Studies …

Racial And Ethnic Disparities In Health Care: An Examination Of State Inpatient Databases In The Utilization Of And Outcomes Following Total Knee Arthroplasty, Alexis W. Lan, Wei Zhang, Yan Ma

GW Research Days 2016 - 2020

Title: Racial and Ethnic Disparities in Health Care: An Examination of State Inpatient Databases in the Utilization of and Outcomes following Total Knee Arthroplasty

Background: The U.S. population is becoming more racially and ethnically diverse yet disparities in health care still exist. One area of medical care in which racial disparities have been identified is total knee arthroplasty (TKA)¬—an efficacious and cost-effective treatment option for individuals with advanced arthritis of the knee. Previous studies have documented that racial and ethnic minorities tend to have higher rates of adverse health outcomes and face more barriers utilizing the procedure. However, these studies …

A Meta-Analysis Of Crew Resource Management/Incident Command Systems Implementation Studies In The Fire And Emergency Services, John C. Griffith, Donna L. Roberts, Ronald T. Wakeham

Aviation / Aeronautics / Aerospace International Research Conference

The presentation will summarize a meta-analysis of studies on Crew Resource Management/Incident Command System implementation in the fire and emergency services. The need for using participative leadership tools such as CRM evolved from an NTSB recommendation that followed United Airlines Flight 173 crash in 1978. NASA, civilian and military aviation communities implemented Crew Resource Management (CRM) training to improve decisionmaking during flight operations. Maintenance Resource Management (MRM) was a variant of CRM and first appeared in a Federal Aviation Administration circular in 2000. CRM was adopted by the medical community in the 1990s, specifically in the surgical and nursing areas, …

Using Graph Visualization To Look At The Trajectories Of Events That Lead To Readmission, Abbas Shojaee, Isuru Ranasinghe, Sudhakar Nuti, Shu-Xia Li, Harlan Krumholz

Yale Day of Data

Information on specific sequence of healthcare utilization events in heart failure patients may be useful for identifying distinct subpopulations of patients with HF. Knowledge of patient trajectories may help to improve prediction of future readmission which can be used to tailor management to the individual needs of the patient.

This research introduces a new approach to mining administrative and clinical datasets by incorporating graph networks to identify & visualize the trajectories of sequences of events.

Beyond Original Intent – The Use Of A Corporation’S Administrative Databases For Academic Research, Martin D. Slade, Linda Cantley, Baylah Tessier-Sherman, Deron Galusha, Michael Mctague

Yale Day of Data

Large corporations maintain a variety of administrative databases as part of their normal operations. These databases, created for distinct functions by separate organizational entities, are generally independent. For instance, a company’s Human Resources organization typically maintains a database containing information such as demographics, job and salary history, and employee status for all employees.. The environmental, health and safety department maintains information regarding work-place exposures and exposure levels for various agents within each job as well as injury and illness surveillance records. The medical department maintains occupational health information including audiometric and pulmonary function test results. As many large corporations are …

The Yoda Project: Developing Methods For Sharing Clinical Trial Data, Jessica Ritchie, Harlan Krumholz, Joseph Ross, Cary Gross, Beth Hodshon

Yale Day of Data

Abstract

Data sharing and data transparency are becoming the new standard in clinical research to ensure that patients and clinicians possess all necessary information about a drug or device when making treatment decisions. The Yale University Open Data Access (YODA) Project developed a model to facilitate access to participant-level clinical research data to promote independent analysis by external investigators. The YODA Project is currently collaborating with Medtronic, Inc. and Janssen, the pharmaceutical companies of Johnson & Johnson, to facilitate access to their clinical trial program data by external investigators in a manner that is aligned with the following principles: advance …

A Program Evaluation Of A Housing With Services Project For Low-Income Adults In Portland, Oregon, Jack A. Phillips, Paula C. Carder, Diana White

Student Research Symposium

Reducing hospital use and connecting individuals to local available services and supports are key features of the Affordable Care Act. Adult residents of public housing tend to experience worse health outcomes than other adults. Poor self-rated health and high rates of emergency department use and hospitalization among these residents have prompted efforts to improve health outcomes. Even among residents living independently, prior research indicates that health and social disparities can be effectively addressed through coordinated care and improved access to health and social services.

Cedar Sinai Park—a nonprofit residential care organization located in Portland, Oregon—will implement a demonstration project attempting …

Health Research Associates: Dana Library Program Supporting The Information Needs Of Small Hospitals & Public Health Agencies In Vermont, Marianne Burke, Lesley Boucher

UVM Libraries Conference Day

We will describe the purpose, methods, members and service changes, income-expense status, trends, and the value of this program.

Modeling To Assess Value: Is It Ready For Prime Time?, Jaime J. Caro, Mdcm, Frcpc, Facp

Jefferson School of Population Health Fellows’ Day

Jaime Caro is Senior Vice President, Research, at a consulting firm, where he leads development and application of novel techniques in health economics, multi-criteria decision analysis, benefit-risk analysis, comparative effectiveness, and epidemiology. He led the Caro Research Institute for more than a decade, until CRI was acquired in 2007. Dr. Caro trained at McGill University, where he practiced internal medicine and continues as adjunct Professor of Medicine, as well as of Epidemiology and Biostatistics. He is also adjunct professor at the Massachusetts College of Pharmacy and Health Sciences and lecturer at Thomas Jefferson University School of Population Health.

Out-Of-Pocket Costs And Prescription Reversals: The Case Of Oral Linezolid, Margaret K. Pasquale, Anthony M. Louder, Michael C. Deminski, Richard B. Chambers, Seema Haider

Jefferson School of Population Health Fellows’ Day

Kim A. Caldwell, RPh

Employed by Humana Inc., Kim is the Director of Pharmacy Professional Affairs for Humana Pharmacy Solutions. In this role, he and his team serve to liaison between HPS business owners, Humana Public Affairs, and key professional and trade partners. They serve as the pharmacy subject matter experts aligned with key business and regulatory issues, including visits with members of federal and state legislatures as well as the interface with state boards of pharmacy and key trade organizations. Previously, he started and directed Competitive Health Analytics, Inc. (CHA) a business unit within Humana Inc. for the first …

A Single Long-Term Acute Care Hospital Experience With A Pressure Ulcer Prevention Program, Daniel Young, Cathy Borris-Hale

Interdisciplinary Research Scholarship Day

This study describes the experience of a single, long-term care acute hospital (LTAC) with the Medline Pressure Ulcer Prevention Program (mPUPP)

• The growing light being shed on pressure ulcer (PrU) costs for the people that get them and the health care systems that treat them, has challenged care facilities to look for programs to reduce nosocomial PrU
• Each PrU can cost between $700 and $135,000 in medical care related expenses and litigation
• Recent evidence suggests that successful PrU prevention programs have common characteristics

Elder Abuse: A Policy Analysis, Cortni Davis

Undergraduate Research Conference

Elder abuse is a growing social problem in the United States. It takes on many forms, and is prevalent throughout various cultures. Elder Abuse Reporting Laws have been enacted throughout various states to prevent and intervene in elder abuse cases. California’s Financial Abuse Reporting Act of 2005 is one among many laws in the United States which was formed to help ensure social justice for the elderly citizens of America.