Digital Commons Network^™

Modification Of Existing Head Circumference Charts For New Mexico Native American Children, Myranda Robinson, Holly Jones, Sahana Ummadi, Julianne Olguin, Jewel Meyer-Hagen, Hangameh Pajer, James Botros, Ariana Barkley, Orrin Myers, Heather Spader

2023 Pediatric Research Forum Session

Background

Current Centers for Disease Control (CDC) and World Health Organization (WHO) growth charts are based on normative data that do not adequately represent the distinct pattern of head growth observed by providers for New Mexican Native American children.1 Therefore, Native American children with normal but larger head circumferences (HC), can be inaccurately diagnosed with macrocephaly and undergo unnecessary diagnostic workups.2 The purpose of this study is to evaluate whether HCs for Native American children in New Mexico distribute differently than established growth charts.

Methods

This is an IRB-approved retrospective chart review of all Native American well-child visits from ages …

Non-Abstinent Recovery In Mindfulness-Based Relapse Prevention: Exploring Mechanisms Of Change And Social Moderators, David I.K Moniz-Lewis

Psychology ETDs

Recovery from substance use disorder (SUD) is heterogeneous by nature. Yet, over the last 50 years, substance use treatment providers and researchers have often defined success as sustained abstinence from substances. An often overlooked but equally valid pathway to recovery for persons with SUD is non-abstinent recovery. However, the majority of the literature on non-abstinent recovery exists for individuals with alcohol use disorder (AUD) with little empirical inquiry into non-abstinent recovery for other types of SUD. Additionally, there is also no known literature, to date, that explores the mechanisms that lead to non-abstinent recovery for individuals who have engaged in …

Sample Questions Formulated By Medical Students For Block Assignment, Jonathan Eldredge, Melissa A. Schiff, Jens O. Langsjoen

Publications

Medical students in the Quantitative Medicine Block completed an Evidence Based Practice (EBP) assignment worth 10% of the final Block grade. The question formulation segment was worth 50% of the assignment score. Students received instructions with an designated subject and some parameters for developing their own EBP questions using the rubric. This supplementary material offers some noteworthy formulated student questions.

Changes In Utilization Of Marijuana During Pregnancy Before And After Legalization In New Mexico, Michael Apostol, Colton Miller, Jacob Torres, Jessie R. Maxwell

2023 Pediatric Research Forum Session

IRB number: 22-022

Category: Original research vs. In-progress research

Contact person: Jessie Maxwell, MD; [email protected]

Background: In 2021, New Mexico legalized marijuana (cannabinoids) for recreational use. Legalization indicates increasing public health significance given the frequency of use during pregnancy, as in-utero cannabinoid exposure has been linked with decreases in birth weight and alterations in neuropsychological development. As more states legalize the recreational use of cannabinoids, it is important to understand the impact this has on use during pregnancy. Thus, we investigated the utilization of cannabinoids in pregnant individuals before and after recreational use legalization, with the hypothesis that the incidence …

Genomic Sequencing Of An Atypical Outbreak Of Human Metapneumovirus In A Pediatric Population Reveals The Co-Circulation Of Multiple Genetic Lineages, Joshua Kennedy, Jesse Young, Kurt Schwalm, Daryl Domman, Darrell Dinwiddie

2023 Pediatric Research Forum Session

Human metapneumovirus (HMPV) is a common cause of respiratory infections in children, accounting for 5-15% of all acute respiratory infections in this population. Although HMPV is closely related to respiratory syncytial virus (RSV) its incidence, epidemiology, and genetic diversity are poorly understood. In the United States, HMPV infections typically occur annually in the winter and early spring months. Similar to other common respiratory viruses, during the first two years of the COVID-19 pandemic, cases of HMPV were nearly absent. However, in the summer and early fall of 2022 an atypical and dramatic increase of HMPV cases across the United States …

Optimizing Infant And Toddler Feeding For Obesity Prevention, Monique K. Vallabhan, Patricia H. Roldan, Jerry G. Larrabee, Alison E. Campbell, Loretta M. Cordova De Ortega, Rebecca R. Craig, Emilie A. Sebesta, Chloe A. Stoffel, Teresa A. Vigil, Crystal C. Avila-Schroeder, Kristin M. Faulk, Jessica Niles, Sylvia Negrete

2023 Pediatric Research Forum Session

Background: The prevalence of obesity in U.S. children ages 6-11 years has more than tripled from 4% to 15% from 1963-2000. Acceleration continued from 2017-2020, with the prevalence of obesity in children at 19%. In 2017-2018, the rise in obesity prevalence slowed in children younger than 6 years of age, but increases continued among certain populations, including adolescents and non-Hispanic Black and Mexican American youth. While obesity that originates early in life is predictive of obesity in adulthood, early healthy active-living patterns beginning from preconception through age 2 years influence the development of children’s future health and risk for obesity. …

A Phenomenological Study Of The Lived Experiences Of New Mexico Charter Leaders Through The Covid-19 Pandemic, Nadine T. Torres

Teacher Education, Educational Leadership & Policy ETDs

The pandemic caused by the COVID-19 virus has impacted the educational landscape in unbelievable ways. The changes to the learning environment in schools required leaders to obtain and exercise different competencies. New Mexico charter leaders are leading in the new normal of public education. With the additional roles, requirements, and expectations brought on by the pandemic, leaders cannot return to their prior leadership practices. The purpose of this qualitative hermeneutic phenomenological study was to understand and give voice to the lived experiences of NM charter leaders working through the COVID-19 pandemic. The narrative of the participants highlighted four major themes: …

Seeking And Obtaining Services: The Perspectives Of Caregivers Of Children With Asd In Rural New Mexico, Brandon Rennie, Emily Andrews, Elisheva Levin, Monica Asencio-Pimentel, Ann Branscum

2023 Pediatric Research Forum Session

Many large-scale investigations have identified racial, ethnic, and geographic disparities in access to intervention and services for ASD. However, the mechanisms sustaining these disparities have received much less attention. Moreover, little attention has been given to methods to reduce disparities, increase health equity, and improve long-term outcomes. The overall objective of this study was to describe the perspectives of caregivers of children with autism spectrum disorder (ASD) living in rural New Mexico on their experiences obtaining services following a diagnosis. To do so, we conducted a qualitative study using a grounded theory approach to interview 9 caregivers of children with …

Characterizing Current Sedation And Pain Medication Use In The Newborn Intensive Care Unit: Implications For Dexmedetomidine Guideline Development, Austin Carrier, Dane G. Winter, Zoe Henderson, Jessica Gross, Eleni Shenk, Jessie R. Maxwell

2023 Pediatric Research Forum Session

Background: Pain medication use in the Newborn Intensive Care Unit (NICU) can be highly challenging due to concerns for negative impact on long-term neurodevelopmental outcomes. Many commonly utilized pain medications and sedatives such as midazolam, fentanyl, and morphine have problematic side effects, such as decreased gut motility, that can prolong time to full feeds and increase hospital length of stay. Additionally, there are associations with neurodevelopmental delays following exposures. There remains a paucity of data regarding possible alternative medications that may not have this side effect profile. Dexmedetomidine may be a safe alternative, although additional investigations are needed to determine …

Perceptions On The Use Of Medications For Weight Management From Teens, Parents, And Pediatricians In The Southwest, Joshua A. Vasquez, Monique Vallabhan, Patricia Roldan, Alberta Kong, Andrew Sussman

2023 Pediatric Research Forum Session

Background: The prevalence of obesity in the U.S. has reached epidemic proportions, affecting 40% of adults and 20% of adolescents with Hispanic and Native American populations having greater risk. Once onset occurs in childhood, it typically persists into adulthood. Mainstream behavioral treatments for adolescent obesity promote improvements in diet and physical activity. However, meta-analyses indicate that most adolescents with obesity treated with lifestyle modifications attain at best only minimal reductions in body mass index. Therefore, adjunct pharmacotherapy is recommended. Despite these recommendations, pediatricians rarely use pharmacological options as there are few available and there has been negative publicity on weight …

Difficult Conversations: Practicing Delivering Bad News With Pediatric Residents Through Simulation Curriculum, Morgan L. Day, Lanier Lopez, Jodi Mayfield, Justin Hessinger

2023 Pediatric Research Forum Session

Delivering bad news is a task that physicians often find themselves facing, regardless of specialty. And yet, most physicians state that they feel uncomfortable or ill-equipped for these situations.1 In a recently published study evaluating internal medicine interns’ comfort level with delivering bad news, only 51% of interns reported feeling comfortable delivering difficult news to patients and their family members.2 Currently, the UNM Pediatric Residency program does not have any consistent and formal training for residents on how to deliver bad news. This quality improvement project aimed to implement a workshop to train pediatric residents on how to deliver difficult …

B-Cell Monoclonal Antibodies For Management Of Relapse Remitting Multiple Sclerosis: A Cost Effectiveness Analysis, Sarah Glover

Pharmaceutical Sciences ETDs

Multiple sclerosis (MS) is a neurodegenerative disease in which the central nervous system’s myelin sheath is degraded by auto-immune cells. Relapse remitting multiple sclerosis (RRMS) is the most common MS phenotype, accounting for ~85% of new diagnoses. Disease modifying therapies (DMTs) are used in RRMS to reduce the frequency of relapses and prevent disability progression. The present study performed a cost effectiveness analysis of three B-cell depleting monoclonal antibody DMTs: ocrelizumab, ofatumumab and rituximab, in comparison to commonly utilized interferon beta-1a (IFN-B1a). A Markov model was created to determine the impact of selected DMTs on the number of …

20230412_Autism Acceptance Month, Varina Kosovich

HSLIC Blog Post

No abstract provided.

The Native Health Database: Embedding Outreach With Culturally-Respectful Technology, Jonathan M. Pringle

Posters and Presentations

No abstract provided.

Creando La Confianza: Narratives On Mentorship Of Latina Professors At The University Of New Mexico, Maria G. Vielma

Spanish and Portuguese ETDs

Numerous scholars have investigated the significant role that representation and mentorship play in the success of Latinas and other women of color during their journey through higher education, from degree completion to faculty hiring and advancement (Vasquez 1982, Zambrana et. al. 1997, Valdez 2001, Cavazos & Cavazos 2010, Shayne 2020, Contreras et. al. 2022). However, little research exists surrounding the lived experiences that have shaped mentorship carried out by university faculty, specifically, mentorship carried out by bilingual Latina faculty in higher education. Through a Latina Feminist Epistemology implementing Oral History Methodologies, this thesis aims to understand the cycle of mentorship …

20230411_National Student Employee Appreciation Week, Varina Kosovich

HSLIC Blog Post

No abstract provided.

Network Economics-Based Crowdsourcing In Online Social Networks, Natasha S. Kubiak

Electrical and Computer Engineering ETDs

This thesis addresses the challenge of user recruitment by various competing marketing agencies (MAs) in Online Social Networks. A labor economics approach, following the principles of contract theory, is devised to enable MAs to reveal the potential of each participating user to contribute a personalized level of quality and quantity of information to the crowdsourcing process. The MAs objective is to maximize their personal benefit, i.e., total utility obtained, given its budget. The latter optimization problem is formulated as a Generalized Colonel Blotto (GCB) game among the MAs, where each MA aims at incentivizing each user to report its information. …

20230410_Celebrate Occupational Therapy Month, Ingrid C. Hendrix

HSLIC Blog Post

No abstract provided.

02-07-23 Hsc Committee Minutes, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Self-Efficacy Influences Of Pre-Service Physical Education (Pe) Teachers Who Instruct Students With Disabilites (Swds), Emily Mason, Karen Gaudreault, Glenn Hushman, Victoria Shiver, Amanda Young

Health, Exercise, and Sports Sciences ETDs

The purpose of this study was to analyze what factors contribute to the self-efficacy/teacher efficacy (TE) of pre-service teachers (PSTs) as they instruct physical education (PE) to students with disabilities (SWDs). Self-efficacy theory, SET, (Bandura, 1977; Maddux, 2013) was used to make meaning of what SET tenets the PSTs found valuable as it pertained to boosting their teacher efficacy as they taught physical education to SWDs. Data collection involved three semi-structured interviews, three reflections, one critical incident account (Flanagan, 1954), ten to twelve non-participatory observations of the PSTs teaching PE in an elementary school with SWDs, informal conversations, email communication, …

The Effects Of Unsupervised Bodyweight Interval Training In Adults With Obesity, Gabriella Bellissimo, Fabiano Amorim, Christine Mermier, Ann Gibson, Len Kravitz, Jonathan Little, Flávio De Castro Magalhães, Zachary A. Mang, Quint Berkemeier, Alyssa Bailly, Jonathan Specht, Jessica Smith, Matthew J. Stork, Shandy Simpson, Natalie Robson, Jeremy Ducharme, Kelsey C. Bourbeau, Yu Yu Hsiao

Health, Exercise, and Sports Sciences ETDs

Objective: Bodyweight interval training (BW-IT) using a social media platform may appeal to those who do not wish to exercise in public or do not have access to specialized exercise equipment. We investigated the ability of a 6-week BW-IT program to improve cardiovascular and metabolic markers. Methods: Fourteen adults (30.7 ± 10.3 yrs.) with obesity (body mass index 35.5 ± 5.4 kg/m²) participated. Bi-weekly program progression was applied by increasing the duration of the work intervals to 60s with 60s active recovery. Peak oxygen consumption (V̇O₂peak), isometric muscular strength, body composition, blood pressure (BP), and metabolic …

Hsc Citation Analysis, Robyn Gleasner, Lewis Worley

Posters and Presentations

No abstract provided.

Standardization Of Stress Dose Hydrocortisone In The Picu: A Quality Improvement Project, Ryan Grammens, Michele Hutchison, Anjali Subbaswamy

Quality Improvement/Patient Safety Symposium

Goals:

1) Appropriate use of stress dose steroids

2) Provide protocol print outs on Pediatric ICU Unit

3) Identification of indications for administration stress dose steroids and duration of treatment

4) Appropriate steroid regimen disposition

AIMS: It is well known through previous literature and case reports patients with known adrenal insufficiency, patients on chronic corticosteroid therapy >14 days require stress dose hydrocortisone therapy in a critical care setting to remain hemodynamically stable. We wanted to apply standardized guidelines for the latter patient presentations along with a protocol-based approach to pediatric patients in a critical care setting with risk factors including …

The Rise Of Agenda Diversity In America: Its Cause And Consequences, John K. Wagner

Political Science ETDs

More than ever, Americans disagree on what issues are important. This diversity in the public agenda has received scant attention in recent years. Consequently, our understanding of why agenda diversity developed relies on a single analysis method, and we know next to nothing about the consequences for the American polity. Using a novel approach to measuring agenda diversity and an advanced experimental design, this dissertation demonstrates the causal connection between issue-based selective exposure to news and higher agenda diversity. Concerning its consequences, this work investigates congressional responsiveness. Results from a complex analysis of constituency public opinion, Congress bill sponsorship, and …

Reliability And Validity Of Single Axial Slice Vs. Multiple Slice Quantitative Measurement Of The Volume Of Effusion-Synovitis On 3t Knee Mri In Knees With Osteoarthritis, Greg Gilles, Arjun Vohra, Dagoberto Robles, Mihra S. Taljanovic, Erin L. Ashbeck, Chelsea Caruso, Jeffrey Duryea, Edward J. Bedrick, Ali Guermazi, C Kent Kwoh

Radiology Research and Scholarship

Effusion-synovitis (ES) is recognized as a component of osteoarthritis, creating a need for rapid methods to assess ES on MRI. We describe the development and reliability of an efficient single-slice semi-automated quantitative approach to measure ES. We used two samples from the Osteoarthritis Initiative (OAI): 50 randomly selected OAI participants with radiographic osteoarthritis (i.e., Kellgren-Lawrence (KL) grade 2 or 3) and a subset from the Foundation for the National Institutes of Health Osteoarthritis Biomarker study. An experienced musculoskeletal radiologist trained four non-expert readers to use custom semi-automated software to measure ES on a single axial slice and then read scans …

Assessment Of Psychosocial And Neonatal Risk Factors For Trajectories Of Behavioral Dysregulation Among Young Children From 18 To 72 Months Of Age, Julie A. Hofheimer, Monica Mcgrath, Rashelle Musci, Guojing Wu, Sarah Polk, Courtney K. Blackwell, Annemarie Stroustrup, Robert D. Annett, Judy Aschner, Brian S. Carter, Jennifer Check, Elisabeth Conradt, Lisa A. Croen, Anne L. Dunlop, Amy J Elliott, Andrew Law, Leslie D. Leve, Jenae M. Neiderhiser, T Michael O'Shea, Amy L. Salisbury, Sheela Sathyanarayana, Rachana Singh, Lynne M. Smith, Andréa Aguiar, Jyoti Angal, Hannah Carliner, Cindy Mcevoy, Steven J. Ondersma, Barry Lester, Program Collaborators For Environmental Influences On Child Health Outcomes

Pediatrics Research and Scholarship

IMPORTANCE: Emotional and behavioral dysregulation during early childhood are associated with severe psychiatric, behavioral, and cognitive disorders through adulthood. Identifying the earliest antecedents of persisting emotional and behavioral dysregulation can inform risk detection practices and targeted interventions to promote adaptive developmental trajectories among at-risk children.

OBJECTIVE: To characterize children's emotional and behavioral regulation trajectories and examine risk factors associated with persisting dysregulation across early childhood.

DESIGN, SETTING, AND PARTICIPANTS: This cohort study examined data from 20 United States cohorts participating in Environmental influences on Child Health Outcomes, which included 3934 mother-child pairs (singleton births) from 1990 to 2019. Statistical analysis …

20230403_Join Us In Celebrating National Public Health Week, Gale G. Hannigan Phd

HSLIC Blog Post

No abstract provided.

Unm Hslic Organizational Chart 2023, Sally Bowler-Hill

HSLIC Organizational Charts

No abstract provided.

Priorities To Promote Participant Engagement In The Participant Engagement And Cancer Genome Sequencing (Pe-Cgs) Network, Anne Lr Schuster, Norah L. Crossnohere, Melinda Bachini, Cindy K. Blair, John D. Carpten, Elizabeth B. Claus, Graham A. Colditz, Li Ding, Bettina F. Drake, Ryan C. Fields, Katherine A. Janeway, Bethany M. Kwan, Heinz-Josef Lenz, Qin Ma, Shirz I. Mishra, Electra D. Paskett, Timothy R. Rebbeck, Charité Ricker, Mariana C. Stern, Andrew L. Sussman, Jessica C. Tiner, Jeffrey M. Trent, Joel Gw Verhaak, Nikhil Wagle, Cheryl Willman, John Fp Bridges, Participant Engagement And Cancer Genome Sequencing (Pe-Cgs) Network

Pediatrics Research and Scholarship

Background:

Engaging diverse populations in cancer genomics research is of critical importance and is a fundamental goal of the NCI Participant Engagement and Cancer Genome Sequencing (PE-CGS) Network. Established as part of the Cancer Moonshot, PE-CGS is a consortium of stakeholders including clinicians, scientists, genetic counselors, and representatives of potential study participants and their communities. Participant engagement is an ongoing, bidirectional, and mutually beneficial interaction between study participants and researchers. PE-CGS sought to set priorities in participant engagement for conducting the network's research.

Methods:

PE-CGS deliberatively engaged its stakeholders in the following four-phase process to set the network's research priorities …

Humor Styles, Psychological Well-Being, And Distress: Examining The Importance Of Resilience And Hope, Naila V. Decruz-Dixon

Psychology ETDs

The current research study investigated the relationship between different adaptive and maladaptive styles of humor, psychological well-being, and distress measures. The sample for this cross-sectional analysis included 237 undergraduate students at the University of New Mexico. Zero-order correlation analyses of all the study variables revealed that adaptive humor styles were associated with greater psychological well-being and lower psychological distress symptoms while maladaptive humor styles were generally related to lower well-being and greater distress symptoms. All four humor styles were significantly associated with hope, while only affiliative and self-defeating humor were associated with resilience. Mediation analyses revealed that resilience was a …