Digital Commons Network^™

Patient Care Technician Led Reduction In Blood Culture Contamination Rates, Elena Estrella Pct, Elissa Reyes Msn, Rn, Ccrn, Bethany Zoufaly Msn, Rn, Jennifer O'Neil Bsn, Rn, Anne M. Aquila Dnp, Rn, Cenp

Posters

Purpose:

To decrease blood culture contamination by improving staff competency

Adipose Injectable Filler With Use Of Meshed Dermal Matrix And Porcine Urinary Bladder Matrix For The Management Of A Complex Achilles Wound, Francois M. Lokenye Dpm, Orlexia Thomas Dpm, Mariam Kamil Bs, Lady Paula Dejesus Dpm, Facfas, Facpm, Dwsp

Posters

Chronic Achilles wounds present a significant clinical challenge due to limited vascularity, high mechanical stress, and the complex anatomy of the posterior lower leg.

Regenerative medicine offers a promising alternative to traditional wound management through the use of advanced biologic materials.

This case highlights a novel approach utilizing a combination of adipose-derived injectable filler, acellular dermal matrix, and porcine urinary bladder matrix to enhance tissue regeneration, provide structural support, and promote wound healing.

Dual Circulatory Support With Ecmo And Mcs Devices Is Associated With Shorter Hospital Stay Without Compromising Heart Transplant Survival, Tawanda Zinyandu, Abhinav Aggarwal, Ashraf Ahmed, Isaac Opoku Md, Didien Meyahnwi Md, Yussuf Isaka Md, Stuart Zarich, Carlos Davila

Posters

• ECMO is commonly used as a bridge to heart transplantation in critically ill patients.
• Additional MCS devices (e.g., Impella, IABP) may be used alongside ECMO to enhance cardiac output.
• The effect of dual circulatory support vs. ECMO alone on post-transplant survival is unclear especially after 2018, when the heart allocation system was revised to reduce waitlist times for MCS patients.

Discussion Of “Biggest” Problems Facing Burn Units Today; A Survey Based Analysis And Discussion From Our Aba Burn Surgeon Forum Workgroups 2024, Roselle E. Crombie Md/Mph Facs Faba, Alexandra Lacey Md, Facs, Faba, Kathleen Romanowski Md, Facs, Faba

Posters

Burn Units are a unique environment and microcosm of patients. Additionally, there have been certain factors contributing to what burn care providers consider the most important challenges facing optimal delivery of care. Formally exploring these issues may elucidate solutions by gathering different perspectives.

1st Place Contest Entry: Effectiveness Of Intravesical Bcg In The Treatment Of Nonmuscle Invasive Bladder Cancer: An Umbrella Review, Gerald Obinna Ozota

Eric M. Scandrett Graduate Library Research Prize

This is Gerald Obinna Ozota's submission for the 2025 Eric M. Scandrett Graduate Research Prize, which won first place. It contains their essay on using library resources, their bibliography, and a summary of their research project on conducting a systematic literature search to identify all relevant systematic reviews and meta-analyses investigating the effectiveness of intravesical Bacillus Calmette-Guerin (BCG) on Non-muscle-invasive Bladder Cancer (NIMBC).

Gerald is a student in the Ph.D. in Pharmaceutical Sciences program at Chapman University. Their faculty mentor is Dr. Lawrence Brown.

Editorial: Promoting Patient-Centered Care For Pediatric Rheumatology Across Africa, Wafa Hamdi, Angela Migowa

Paediatrics and Child Health, East Africa

Pediatric rheumatology remains an evolving field in Africa, where challenges such as limited specialist availability, diagnostic delays, and inadequate public awareness hinder optimal patient care (1). Similarly, research in this field remains scarce, with a significant lack of data needed to define the spectrum and clinical expression of these diseases. Capturing real-world experiences and field reports is invaluable, as it provides critical insights to identify key areas for action and develop strategies to advance research in Africa. This collection of six manuscripts offers valuable perspectives on various aspects of pediatric rheumatic diseases, including caregiver experiences, diagnostic challenges, therapeutic patient education, …

A Survey On The Use Of Continuous Positive Airway Pressure In Newborn Care In Kenya In 2017–2018, Jemma L. Wright, Emma Haddon, Helen Nabwera, Fiona M. Dickinson, Mary Jo Hoare, Pamela Godia, Judith Maua, Mercy K. Sammy, Bridget C. Naimoi, Onesmus Muchemi

Centre of Excellence in Women and Child Health

Background

Globally, complications of preterm birth are the leading cause of under-5-mortality. Respiratory distress syndrome (RDS) is a common and life-threatening complication among preterm infants. Continuous positive airway pressure (CPAP) is a relatively simple and effective intervention that is recommended for RDS treatment. However, appropriate infrastructure and processes are required to ensure that it is used safely, effectively and sustainably. This study describes how CPAP was used in newborn care in Kenya between 2017–2018. Our aim was to identify enablers, barriers and gaps in CPAP use.

Methods

A cross-sectional survey was carried out across all newborn baby units in Kenya …

Qtc Comparison Between Neonates At Risk For Neonatal Opioid Withdrawal Syndrome And Healthy Non-Opioid Exposed Neonates, Kevin Lam, Susan C.A. Adeniyi-Jones, Md, Gary Peltz, Walter K. Kraft

Department of Pharmacology, Physiology, and Cancer Biology Posters

Introduction

• While neonatal electrocardiograms (ECGs) are typically read, QTc can be difficult to assess due to immense variability within the first week of life
• In neonates with in utero opioid exposure, there was no difference in mean QTc between those receiving placebo or ondansetron for five days post-delivery in a clinical trial (NCT01965704)

A Prospective, Multicenter Analysis Of Recurrence-Free Survival After Sentinel Lymph Node Biopsy Decisions Influenced By The 31-Gep., J Michael Guenther, Andrew Ward, Brian J Martin, Mark Cripe, Timothy Beard, Oliver Wisco, Rohit Sharma, Stanley P Leong, Richard Essner, Joseph I Clark, John Hamner, Brenda Sickle-Santanello, Maki Yamamoto

Oncology Articles

BACKGROUND: Although most patients with cutaneous melanoma (CM) will have a negative sentinel lymph node biopsy (SLNB), up to 20%-30% of these patients will recur. The 31-gene expression profile (31-GEP) test has been prospectively validated to identify patients at low (Class 1A), intermediate (Class 1B/2A), and high (Class 2B) risk of SLN positivity and recurrence.

METHODS: DECIDE is a prospective, multicenter study to assess the effect of 31-GEP testing on SLNB performance rates in patients with T1-T2 tumors considering SLNB and to study long-term outcomes. Here, we assessed outcomes in patients with a Class 1A 31-GEP result (n = 130). …

Reducing Vancomycin In A Cicu, Karoline Krzywda, Lauren Johnson, Allison Taber

Posters

Introduction: In the cardiac intensive care unit (CICU) empiric vancomycin is frequently prescribed. This practice occurs without wide knowledge of the true rates of methicillin resistant staph aureus (MRSA) and methicillin resistant staph epidermidis (MRSE) infections. Given the potential for harmful side effects of vancomycin as well as concern for growing antibiotic resistance we sought to better characterize local unit prescribing practices and MRSA/MRSE infection rates to guide our quality improvement project with an aim of reducing vancomycin use in our CICU. Methods: This project is taking place at Children’s Mercy Kansas City CICU, a 24 bed unit with an …

In Search Of The Unknown Mimic Of Abusive Head Trauma (Aht), Ruairi Smith-Dewey, Angela Bachim, Colleen Bressler, Kristine Campbell, Lori Frasier, Danielle Horton, Nicole Johnson, Jan Leonard, Megan Letson, Caitlin Mcnamara, Shalon Nienow, Ashley K. Sherman, Stuart Sommers, Joanne Wood, James Anderst

Posters

Background Child Abuse Pediatricians (CAPs) are accused of misdiagnosing a yet-to-be-identified mimic as abusive head trauma (AHT), particularly in ill children with an isolated subdural hemorrhage (SDH). Though not diagnostic criteria, specific social stressors are identified as AHT risk factors. The existence of a mimic can be assessed by comparing the prevalence of AHT risk factors across study groups (See Table 1). Objective We hypothesize that the distribution of AHT risk factors will be: fewer in the CAP-identified mimic group versus the CAP-diagnosed abuse group, no difference between ill SDH only and SDH+CSI groups as these are likely the same …

Reducing Antibiotic Duration For Pneumonia And Sinusitis In The Emergency Department: A Quality Improvement Approach, Joshua Saucedo, Leslie Hueschen, Amanda Nedved, Marsha Dannenberg, Patricia Phillips, Jennifer Floyd, Alaina N. Burns, Rana El Feghaly

Posters

Background: Antibiotic duration is one of the pillars of antimicrobial stewardship programs (ASP) as it helps to limit unnecessary antibiotic exposure while continuing to provide appropriate care for infections. In our emergency department (ED), clinicians are using first-line guideline-recommended antibiotics as an appropriate choice for most patients (per our ASP report tracking), however, duration continues to be prolonged especially for community acquired pneumonia (CAP) and acute bacterial rhinosinusitis (ABRS). National guidelines recommend shortening antibiotic durations to 3-5 days for CAP and 5-7 days for ABRS, however currently only 22% of patients discharged from our ED receive the recommended duration. Objective: …

Study Of Proportion Of Cardiac Involvement Secondary To Dengue Infection In Pediatric Population Admitted In A Tertiary Hospital- A Prospective Cross-Sectional Study, Neha Bhongale, Qudsiya Ansari, Ravindra Chittal

Digital Journal of Clinical Medicine

Background- Dengue is one of the most important mosquito-borne illnesses worldwide. Cardiac manifestations of dengue illness can range from asymptomatic bradycardia to life-threatening myocarditis. There is an overall paucity of published Indian studies of clear demonstration of cardiac manifestations secondary to dengue in the pediatric population. Aim- To study the proportion of patients with cardiac involvement secondary to dengue viral infection in the pediatric age group based on clinical manifestations of cardiac enzymes (CKMB, Troponin I) and ECG (electrocardiography), in a tertiary center. Methodology- This study is undertaken to find out the proportion of patients with cardiac manifestations secondary to …

Virtual Hospital Follow-Up: Effects On 30-Day Readmission And Patient Satisfaction, Lidia Wiersum, Karen Valiyev, Kristin Wisegarver, Lucas Hopkins

Articles, Abstracts, and Reports

No abstract provided.

The Truth Lies In Her Eyes, Jake Herber, Jason Meredith, Ross Mathiasen

Posters and Presentations: Family Medicine

No abstract provided.

Acceptability Of A Brief Acceptance And Commitment Therapy Intervention For Caregivers Of Children With Pediatric Feeding Disorder, Emma Murray, Taylor P. Harris, Annie L. Ryder, Alexandra Zax, Taylor M. Datillo, Corey Schurman, Laura Slosky, Sarah T. Edwards, Delwyn Catley, Ann M. Davis, Dana Bakula

Posters

Introduction: Pediatric feeding disorder (PFD) affects 1 in 37 young children and is associated with heightened stress and anxiety among caregivers. Currently, there are no established interventions that target PFD caregiver stress, and traditional models of adult mental healthcare face feasibility issues in pediatric care settings. To address this gap, we developed a brief acceptance and commitment therapy (ACT) intervention (Clinical Trials #NCT06001398). We assessed caregiver-perceived acceptability to inform future efficacy testing. Method: Twenty caregivers participated in a NIMH-funded pilot study of a 2-session ACT intervention for parents of children with PFD. Caregivers with children aged 2 to 6 years …

Streamlining The Journey Of Research Into Clinical Practice: Making Your Patients And Practice Flourish Evaluation And Treatment Of Pyogenic Spondylodiscitis Of The Spine: Ao Spine Knowledge Forum Trauma And Infection, Sebastian F. Bigdon, Emiliano Vialle, Charlotte Dandurand, Julian Scherer, Gaston Camino-Willhuber, Andrei F. Joaquim, Harvinder S. Chhabra, Mohammad El-Sharkawi, Richard Bransford, Charles G. Fisher, Klaus J. Schnake, Gregory D. Schroeder

Rothman Institute Papers

Study DesignLiterature Review with clinical recommendations.ObjectiveTo highlight impactful studies on pyogenic spondylodiscitis (PS), identified by the AO Spine Knowledge Forum Trauma and Infection, with recommendations for their integration into clinical practice.MethodsFive influential studies on PS that have the potential to shape current practice in spinal infections were selected and reviewed. Each study was chosen for its contribution to a critical phase in PS management: diagnosis, imaging, surgical vs conservative treatment, and antibiotic duration. Recommendations were graded as strong or conditional following the GRADE methodology.ResultsFive studies were highlighted. Article 1: Pluemer et al introduced the Spinal Infection Treatment Evaluation (SITE) Score, …

Kaposi Sarcoma: A Case Of Mistaken Identity In The Immunocompetent, Daniela Cortes Reyes, Melanie Menning, Ellie Staab, Brittany Hauke, Morgan Zabel

Posters and Presentations: Family Medicine

No abstract provided.

Eye Spy Ai: Analysis Of The Implementation Of Outpatient Ai-Driven Diabetic Retinopathy Screening, Nathan Richling, Cody Masters, Jenenne Geske, Hannah Christianson

Posters and Presentations: Family Medicine

No abstract provided.

Improving Postpartum Depression Screening Rates In The Doc Family Medicine Clinic, Hannah Wesslund, Neil Kalsi, Jenenne Geske

Posters and Presentations: Family Medicine

No abstract provided.

The Effect Of Travel Load On Milb Injuries Part 2: Injury Frequency By Position, Spencer Cooper, T. Jason Meredith, Samuel Wilkins, Adam Rosen

Posters and Presentations: Family Medicine

No abstract provided.

Comparing Adenoma Detection Rate And Polyp Detection Rates As A Tool For Colonoscopy Quality Metrics, Quintin Ireland, Jenenne Geske, Robert Messbarger

Posters and Presentations: Family Medicine

No abstract provided.

The Effect Of Pitch Clock Rules On Pitching Injuries In Milb From 2012 To 2024, Scott Goodsell, Jason Meredith, Samuel J. Wilkins, Adam B. Rosen

Posters and Presentations: Family Medicine

No abstract provided.

Temporal Trends Of Obesity Among Nebraska Adults: Emr Data Shows A More Rapid Increase Than Projected, Elizabeth Gibson, Jenenne Geske, Birgit Khandalavala

Posters and Presentations: Family Medicine

No abstract provided.

More Of Less: Optimizing Opioid Prescriptions For Acute Fractures In The Emergency Department At A Children’S Hospital, Mitch Kinkor, Spencer Young, Colton Schwarz, Nicholas Clark, Michelle Dephillips, Elizabeth Edmundson, Ryan Mcdonough, Warren Teachout

Presentations

Introduction: Deaths related to drug overdose are at record highs, with over 110,000 recorded from May 2022-2023.1 75% of drug overdose deaths can be attributed to opioids.1 Pediatric opioid exposure is significant, with 406,000 American teens reporting illicit opioid use in 2022.2 Increased prescription opioids in circulation leads to increased opportunity for ingestion by children and adolescents. Current literature suggests most pediatric patients may only use one-two days’ worth of opioid doses prescribed for acute pain control, with the rest of prescribed doses going unused.3 From 2022-2023 in the Children’s Mercy Emergency Department (ED), 48% of children prescribed opioids for …

Opportunities For Solid Organ Donation In The Neonatal Intensive Care Unit, Sarah Pippin, Ashley Sherman, Julie Weiner, Jotishna Sharma

Posters

Background: Pediatric patients are at an increased risk of mortality when waiting for an organ transplant. Approximately 50% of pediatric patients wait for> a year for a solid organ transplant and infants < 1 year of age have the highest death rate while awaiting transplantation. There are two pathways for organ donation (OD), donation after death by neurologic criteria (DDNC) or donation after circulatory determination of death (DCDD). Neonates rarely meet brain death criteria, and since most deaths in the NICU occur aftera planned extubation, DCDD with organ procurement after a planned extubation from mechanical ventilation can be a consideration especially with kidney and liver donations. Organ procurement may be limited by warm ischernic time (WI1); usually :'.S 90 minutes. The question remains which neonates would meet criteria for DCDD.

Purpose: The aim of this study is to characterize theoretical eligibility of DCDD in infants undergoing withdrawal of care in the NICU based on WIT :'.S 90 minutes

Method: Retrospective study of a cohort of infants 2:36 weeks at the time of death who died at a level IV NICU from January 1, 2012, to December 31, 2022. Demographic information was obtained. Mode of death was categorized as …

Aging-Related Hearing Decline And Resting State Networks, Cassidy S. T. Ellsworth

College of Education and Human Sciences: Dissertations, Theses, and Student Research

This study investigated the effects of age-related hearing decline on functional networks using resting-state functional magnetic resonance imaging (rs-fMRI). The main objective of the present study was to examine resting-state functional connectivity (rsFC) and graph theory-based network efficiency metrics in forty-nine adults categorized by age and hearing thresholds to identify the neural mechanisms of age-related hearing decline. RsFC within key brain networks and auditory-related brain regions, including the default mode network, salience network, dorsal attention network, and primary auditory cortices, was assessed using region-of-interest (ROI)-based and graph theory approaches. Functional metrics, such as rsFC strength and global and local efficiency, …

Music And Word Learning In Children Diagnosed With Developmental Language Disorder, Rebekah G. Sweeney

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Purpose: This study investigates whether incorporating music into vocabulary interventions improves rate of learning and retention of words in children with developmental language disorder (DLD). Emerging literature continues to show the plentiful benefits of music as a tool for intervention in many settings, including the world of speech pathology (Levitin, 2024). However, it is also evident that there is a connection between struggling with language, and struggling with musical elements, such as rhythm and pitch perception, particularly in children with DLD (Boorom et al., 2022; Kreidler et al., 2023). This study seeks to tease out if music is an effective …

The Sound Of Survival: The Effect Of Personalized Music Selection On Cpr Performance And Anxiety Levels, Carmin A. Dotario

Nursing | Student Research Posters

No abstract provided.

Advanced Screening For Intimate Partner Violence To Prevent Adverse Pregnancy And Maternal Outcomes, Emilia R. Valdez

Nursing | Student Research Posters

Background: Intimate Partner Violence experienced by pregnant individuals contributes to adverse pregnancy outcomes and maternal health. A mother’s exposure to Intimate Partner Violence (IPV) can affect their ability to carry a healthy pregnancy to term (38 – 40 weeks gestational age) and places them at risk for comorbidities including; Preterm birth, Intrauterine Growth Restriction, Low Birth Weight/ Small for Gestational Age, Premature Rupture of Membranes and Miscarriage. The incidence of IPV screening is not accessible to all pregnant individuals due to healthcare providers lack of education, time constraints in the workplace, bias and discomfort towards IPV. The implementation of …