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May 9, 2022 Hsc Committee Notice, Hsc Committee

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

No abstract provided.

Electroconvulsive Therapy Safety Biomarkers, Jeremy Duvall Miller

Biomedical Sciences ETDs

Objective: The two studies presented utilize neuroimaging data to evaluate potential therapeutic and safety biomarkers in depressed patients receiving Electroconvulsive Therapy (ECT).

Method: The first study enrolled 41 depressed subjects receiving ECT from two independent sites and evaluated gamma aminobutyric acid (GABA+) in the anterior cingulate cortex with proton-spectroscopy contrasted with healthy controls and therapeutic and cognitive outcomes. The second study investigated 17 subjects receiving ECT and evaluated ictal theta power during ECT to electric dose measured by E-field modeling, therapeutic and cognitive outcomes.

Results: No significant difference was seen in GABA+ in depressed subjects receiving ECT compared to healthy …

Trauma Center Development Improved New Mexico Trauma System By Decreasing Inappropriate Air Medical Transport And Increasing System Revenue, Nikki L. May

Doctor of Nursing Practice Scholarly Projects

Before 2016 in southern New Mexico, the closest trauma center for patients was El Paso, Texas. Las Cruces, New Mexico, in Doña Ana County began developing its first trauma center in 2016 and became designated in 2017. The development of this trauma center changed trauma triage destination protocols for trauma patients. The improved collaboration and teamwork with prehospital personnel, surrounding hospitals, and existing trauma centers led to the development of trauma triage and transport guidelines. These protocols categorized trauma patients and constituted a guide for emergency personnel. Developing a trauma center in Doña Ana County improved the New Mexico Trauma …

20220426_2021 Annual Report For The Justice, Equity, And Inclusion Committee, Varina Kosovich

HSLIC Blog Post

No abstract provided.

20220425_Hslic Employee Recognition, David Lucero

HSLIC Blog Post

No abstract provided.

Unm Hslic Organizational Chart 2022, Sally Bowler-Hill

HSLIC Organizational Charts

No abstract provided.

Civil Procedure Update 2022 (Handout And Slide Deck), Verónica C. Gonzales, Julio C. Romero

Faculty Scholarship

This presentation aims to 1) review recent amendments to the state and federal rules of civil procedure; 2) help you understand the impact of recent federal and state published opinions interpreting and applying the rules of civil procedure; and 3) assess your understanding of the updates.

Improving Sepsis Outcomes In Hospitalized Children Within A Safety Net Hospital: A Quality Improvement Project, Anna Duran, Anjali Subbaswamy, Rachel Tuuri, Sandra Beauman, Elizabeth Yakes Jimenez

2022 Pediatric Research Forum Session

Purpose: Delayed diagnosis of pediatric sepsis increases morbidity, mortality and healthcare costs. Specific interventions, such as a sepsis screening tool, sepsis huddles, and sepsis management pathway and continuous quality improvement (QI)-based reviews have been shown to decrease time to treatment and mortality. When this project was designed, UNMH did not have any of these interventions in place. This QI project aims to: 1) implement a sepsis screening huddle within 20 minutes when pediatric patients meet a clinical trigger based on vital signs; 2) ensure patients who screen positive for sepsis receive antibiotics within 3 hours; and 3) ensure that patients …

Assessing Food Insecurity When Caring For Children With Bmi ≥85th Percentile, Kathryne (Kitty) Foos, Janet Page-Reeves, Sylvia Negrete, Alberta Kong, Monique Vallabhan

2022 Pediatric Research Forum Session

Childhood obesity is a growing epidemic in the United States and New Mexico. Excess weight early in life progressively increases risks of severe health complications in adulthood. Healthy and Fit Children’s Clinic (H&FCC) at Carrie Tingley Outpatient Children’s Clinic treats children ages 2-17 years old with elevated body mass index (BMI; ≥85th percentile). Providers work to lower children’s BMI and risks for chronic cardiometabolic comorbid conditions through lifestyle changes. Successful weight management requires a comprehensive treatment plan including social determinants of health (SDoH) assessment. One key SDoH is food insecurity. H&FCC serves vulnerable populations. Providers are anecdotally aware of patients’ …

The Influence Of Maternal And Child Interactive Behaviors On Early Child Development, Kati N. Baillie, Tiffany J. Emery, Jean R. Lowe, Sofia M. Markee

2022 Pediatric Research Forum Session

Background: The quality of interactions between children and their caregivers significantly impacts a child’s development. We explored the relationship between maternal interactive behaviors during play, parental well-being and cognitive and language development in children aged 18 months old. Methods: Healthy term infants were recruited in Albuquerque, NM between 2010-2012 as part of a longitudinal study (n=40). BSID-III was used as an objective measure of cognitive and language development. Parental well-being was measured using a parental stress index (PSI) questionnaire in addition to socioeconomic status (SES). The Maternal Attention Directing Manual (S. Landry 2000) was used to code free-play videos of …

Formula Fortification For The Preterm Infant After Discharge From The Nicu, Erin Swieter, Dawn Novak, Kara Mckinney

2022 Pediatric Research Forum Session

Background: Nutrition for the preterm infant following hospital discharge from the NICU varies greatly among institutions, however studies have shown that a high percentage of preterm infants globally have growth values infants, studies have shown that late preterm infants have higher mineral requirements than term infants and nutritional requirements of late preterm infants is also greater than that of term infants. While human milk and breastfeeding is recommended for the first six months of life, preterm and late preterm infants are likely to require fortification to promote growth and development after leaving the hospital.

Objective: To anonymously survey pediatric healthcare …

Development And Implementation Of A Pediatric Critical Caretransport Education Curriculum, Cassondra Burton Greenbaum, Verena Weissenborn

2022 Pediatric Research Forum Session

Background: Continuing education is imperative for all medical providers particularly those who deliver care to specialized populations such as transport of critically ill pediatric patients. Currently at the University of New Mexico, there is no designated pediatric transport team in which members have specialized training. The combination of a primarily rural state with a large catchment area and limited resources presents a need to reinforce pediatric specific concepts. Methods: A didactic curriculum with 12 topics relevant to the transport of critically ill pediatric patients was designed. The target audience included members of our hospital-based medical transport team. Prior to implementation, …

The Impact Of Coronavirus Disease 2019 On Maternal And Infant Characteristics In New Mexico, Hellen Ko, Katie Baille, Orrin Myers, Jessie R. Maxwell

2022 Pediatric Research Forum Session

Introduction:

Illnesses caused by coronaviruses have previously been shown to affect maternal and neonatal morbidity and mortality. Coronavirus disease 2019 (COVID-19) has been shown to affect vasculature including placental changes. As significant remodeling of the placenta occurs at the end of the first trimester into the second trimester, insults during this crucial period could affect placental functionality, with impact on fetal growth and well-being. Thus, we explored the relationship between antenatally-acquired maternal COVID-19 infection and birth characteristics.

Methods:

A retrospective chart review was completed using the University of New Mexico electronic medical record system. ICD-10 codes were used to identify …

Investigating The Impact Of Skin To Skin Care On Preterm Infant Heart Rate Variability, Erin Swieter, Julia Stephen, Jessie R. Maxwell, Kristi Watterberg

2022 Pediatric Research Forum Session

Background: Skin-to-skin care (the intermittent placement of a diaper-clad infant on a caretaker’s chest to enhance attachment and parental self-esteem), is a common occurrence in most newborn intensive care units (NICUs). Skin-to-skin care has been shown to be safe for preterm infants, independent of respiratory support. Heart rate variability (HRV), the temporal variation between consecutive heart beats, provides a measure of the balance between sympathetic and parasympathetic nervous system. HRV increases with gestational age and changes in HRV are associated with various clinical conditions. Therefore, measuring heart rate variability may be useful in capturing clinical dynamic changes in autonomic regulation …

Utility Of Laboratory Screening For Inherited Thrombophilia In The Acute Setting For Hospitalized Pediatric Patients, Ella Dolan, Jason Koury, Shirley Abraham

2022 Pediatric Research Forum Session

Background: Pediatric patients with thromboembolic events (TEEs) often undergo testing for inherited thrombophilia disorders,1 including anti-thrombin III deficiency, Factor V Leiden mutation, prothrombin 20210 mutation, protein C deficiency, and protein S deficiency. While some data suggests testing for these disorders in all pediatric patients with a confirmed thrombosis,2 there is increasing evidence that this often does not result in meaningful changes in management1,3,4 and may not be cost effective.1 Another group suggests a stepwise testing algorithm to optimize diagnosis while preventing excessive testing.5 Our study will evaluate the rate of testing that results in diagnosis and management changes and explore …

Pilot Study To Assess Feasibility Of Using A Fitness Tracker Device And Monitoring System To Support Clinical Weight Management Via Telemedicine Contacts In Adolescents, Thien-Dang N. Vu, Patricia Roldan, Sarah G. Sanders, Bernard A. Mensah, Elizabeth Y. Jimenez, Alberta S. Kong, Monique K. Vallabhan

2022 Pediatric Research Forum Session

Objective: The purpose of this pilot study was to determine feasibility and usefulness of integrating a fitness tracker (device for self-monitoring physical activity) coupled with a software program viewable by the clinician into virtual clinical interactions.

Methods: Adolescents with obesity (BMI >95th percentile) treated at a weight management clinic used a fitness tracker and associated phone application (app) to self-monitor physical activity for 4 weeks. We developed a parent guide with instructions for use of the device and app, and assisted participants with device set-up and app installation. Participants received weekly follow-up coaching from a clinical health educator via telemedicine …

Facilitating Management Of Home Oxygen In Nicu Graduates: A Quality Improvement Project, Leah Enright, Dawn Novak

2022 Pediatric Research Forum Session

Discharge from the NICU on home oxygen therapy is a common occurrence, particularly at higher altitude. Management and weaning of home oxygen therapy can be a challenge for pediatric primary care providers and access to pedi rur al state s atric pulmonology is limited , such as New Mexico. The goal of our project is to facilitate the management of home oxygen therapy in NICU graduates in the primary care setting. To further analyze the challenges and help target potentially useful interventions, we surveyed ped iatric primary care providers and families of NICU graduates about their experiences with home oxygen …

Characterizing Risk Factors And Investigating Testing At Birth For Congenital Hepatitis C Virus Infection, Helen Ko, Monique Dodd, Teofilo Borunda, Kimberly Page, Isabella Cervantes, Jessie R. Maxwell, Ricardo O. Castillo

2022 Pediatric Research Forum Session

Background: Hepatitis C virus (HCV) globally leads blood-borne infections with an increase associated with the opioid epidemic. Recommendations call for testing of HCV-exposed infants via antibody screens or RNA testing after 18 and 2 months of age, respectively, but studies show low compliance. We hypothesize that many women with HCV do not receive proper screening during pregnancy resulting in infant-care gaps. We seek to identify factors associated with suboptimal pediatric HCV screening. Methods: A retrospective chart review was completed using data from Tricore Laboratories. We assessed the yearly proportion of HCV in pregnant women who were tested from 2014-2019 at …

Quality Improvement Project Improves Pediatric Hepatitis C Healthcare Access, Monique Vallabhan

2022 Pediatric Research Forum Session

Objective: Maternal hepatitis C virus (HCV) infection has increased by 400%, which has led to increased prevalence of HCV infection in children, with 5 to 10% of newborns of mothers with HCV being infected. Suboptimal HCV screening rates and diagnosis in children have precluded curative treatment, which is available starting at age 3. To address these gaps, we aimed to increase screening of children at risk and diagnosis and treatment of children with HCV infection in New Mexico. Methods: From July 2020-August 2021, quality improvement efforts were conducted by an improvement team including clinical staff from the UNMH pediatric gastroenterology …

Degradation Of Vitamin E Acetate Through Vaping Produces Byproducts Cytotoxic To Thp-1 Monocytic Cells, Joshua Alcon

Pharmaceutical Sciences ETDs

Electronic cigarette or vaping use associated lung injury (EVALI) is a pulmonary disease among those who vaped illicit tetrahydrocannabinol (THC) cartridges that resulted in hospitalization or death. Vitamin E acetate (VEA) was a common additive present in the bronchioalveolar lavage fluid (BALF) of patients who were hospitalized with EVALI. However, little is known about pulmonary exposure to vitamin E acetate (VEA) when inhaled through vaping. The hypothesis of this study is the cytotoxicity of vaped VEA is due, at least in part, to the pyrolytic breakdown products of VEA produced by vaping, as opposed to VEA itself. From this study, …

Jesus Woodlą́Ą́Jí Sin: Sounding A Self-Determined Navajo Christian Church, Renata Yazzie

Music ETDs

Jesus Woodlą́ą́jí’ Sin: Navajo Hymns of Faith, the first and only extensive Navajo hymnal, was published in 1979. This hymnal contains 365 hymns for congregational singing, translated into the Navajo language. The Navajo Hymnal Committee, responsible for the seven years of intensive translation work, formed in 1972 under the direction of Reverend Dr. Paul Redhouse (1925-2019), an ordained Navajo minister within the Christian Reformed Church. Redhouse wholeheartedly believed that Navajo people had the right to worship in their own language and argued that pre-issued English hymnals by outside church leaders were not suitable for obvious reasons—a language barrier. Through …

"Do You Know The Way To San Jose?" Ethnic Mexicans, Urbanism, Culture, And Politics In Emerging Silicon Valley, 1940-1980, Alexandro J. Jara

History ETDs

My dissertation explores the Latino experience in Santa Clara County, especially in San Jose. The area, located in Northern California’s Bay Area, is nestled just south of the more popular cities of Oakland and San Francisco, nearly five hundred miles from the U.S.-Mexico border. My examination of the social, cultural, and political activities of Latinos in San Jose provides insight into the community development of ethnic Mexicans away from traditional sites of study in places like Tucson, San Antonio, and Los Angeles. I argue that beginning at mid-century, Latinos moved into the downtown area and helped prevent nearby neighborhoods from …

Mental Toughness And Athletic Performance: A Meta-Analysis, Dax Mitchell Crum

Health, Exercise, and Sports Sciences ETDs

This investigation employed meta-analysis techniques to examine the relationship between mental toughness and athletic performance. A total of 76 studies were systematically analyzed with 470 correlation coefficients (r_xy) calculated to determine the mean effect. Fifty-five subject and study variables (age, gender, sport, psychometric instrument, and theoretical definition, etc.) were coded for each correlation to assess changes in the magnitude according to these key characteristics noted within the literature. Overall, the total average correlation produced a small effect size of r_xy =.218. However, the effect size varied significantly depending on the definition, measurement, quality of the investigation, …

What Is The Experience Of An International Collegiate Athletes That Play Ncaa Division I And Ii Basketball?, Daniel Gayle

Health, Exercise, and Sports Sciences ETDs

This paper explores the complete journey of International Collegiate Athletes (ICAs) that play basketball at a Division I or II National Collegiate Athletic Association (NCAA) school. This study uses Schlossberg’s (1981, 1984, 1995) transition theory to establish how these athletes navigate moving into college, moving through college, and moving out of college. Through semi structured interviews, the study gives insight into the unique experiences, obstacles, pressures, and successes of ICAs, and provides implications for how the experience of ICAs attending college in the U.S. might be improved. The most important aspect for the success of an ICA at their collegiate …

(In) Visible In The Field And In The Data: Uncertain, Hidden, And Homeless. Essays On The Conceptualization Of Homelessness, Elements Of Social Exclusion, And Integrity Of Social Relationships, Places, And Resources, Richard Neil Greene

Sociology ETDs

This dissertation includes three empirical chapters framed by an overarching introduction and conclusion. Together, they comprise a mixed methods and community engaged study on homelessness, mortality, and systems related to homelessness. This study uniquely speaks to the social construction of homelessness and construction of knowledge about homelessness from a sociological perspective. Data come from: 1) qualitative interviews (N=20) with field deputy medical investigators (FDMI) in New Mexico about conceptualizing homelessness and housing instability as a contributing cause of death; 2) quantitative death records comparing people affected by homelessness who were identified as having been engaged with services or were not …

Melancolía X A Projection Of Queer Of Color Ambivalence In The 21st Century New Mexico, Anthony Rosendo Zarinana

Communication ETDs

This dissertation seeks to elucidate a form of investigation, derived from Jose Esteban Muñoz’s (2006) considerations of brown feelings. By triangulating a base across Queer of Color embodied critiques, I locate a research site in the field of Queer Intercultural Communication to ground the capacity of this project. In this, I work with Queer of Color men in New Mexico, focusing on their feelings about identity and desire as it relates to relational thresholds. By mapping an analytical structure across my own experiences and theirs, I determine to craft a more complicated vantage across our experiences, outlining the socio-cultural pressures …

Limiting Potentially Inappropriate Medications In Long-Term Care, Clare M. Ironside

Doctor of Nursing Practice Scholarly Projects

Aim: This project aimed to assess the effectiveness of the STOPP/START tool in identifying and reducing potentially inappropriate medications among multi-morbid, older, long-term care residents in a metropolitan area of a Southwestern state.

Design: In this quality improvement project, seven prescribers working within four long-term care facilities were trained to assess for potentially inappropriate medications using the STOPP/START tool. The medication lists for long-term care residents (n =45) over age 65 were collected at baseline and again at three months post-intervention and assessed for overall medication use, psychotropics, and proton pump inhibitors. The project also assessed prescribers’ comfort and …

Prenatal Alcohol Exposure Alters The Expression Of Mir-150-5p And Its Vascular Targets In Brain Microvascular Endothelial Cells And Disrupts The Structure And Integrity Of The Developing Brain Vasculature, Gabriela Perales

Biomedical Sciences ETDs

Prenatal alcohol exposure (PAE) can result in fetal alcohol spectrum disorders (FASD) causing developmental disabilities and neurocognitive deficits. The effects of PAE on neuronal-specific alterations during brain development have been studied extensively but the contribution of the brain vascular system is limited. Recent studies have determined that there are alterations to the cortical microvasculature during PAE, posing new questions about the role of the vasculature and the development of PAE-mediated neurocognitive deficits. Even less studied are the molecular mechanisms that contribute to changes in the vasculature during PAE. As microRNAs (miRNAs) are master post-transcriptional regulators capable of regulating many mRNA …

Albuquerque Public School’S Vision Zero For Youth Initiative: Engaging Student Youth In Designing A School District Transportation Safety Program, Cordell S. Bock

Architecture and Planning ETDs

The APS (Albuquerque Public Schools) Vision Zero for Youth Initiative adopts the global Vision Zero traffic safety movement’s goal of eliminating traffic fatalities and injuries to pedestrians and cyclists from vehicular crashes. The APS Vision Zero for Youth Initiative is comprised of a traffic-safety curriculum for K-8 students, an action plan that sets traffic-safety goals and progress evaluation frameworks for the school district, and a campaign to build a new culture of traffic safety for students, families, and local communities.

This project employs participatory methods that build the capacity of students enrolled in local public schools to produce and share …

Surgical Intervention With Adjunctive Cryotherapy For Canine Conjunctival Hemangiosarcomas Versus Hemangiomas, Lisa M. Hoard

Biomedical Engineering ETDs

Conjunctival hemangiomas and hemangiosarcomas are vascular tumors that affect the tissue in the eyes of canines. While relatively rare, these tumors can be costly to remove, and have a possibility of recurrence. Therefore, more understanding of the nature of these tumors and recurrence rates is of importance to the veterinary ophthalmologist. To date, there is limited data in the literature (2 retrospective studies) that examine the development, treatment, and recurrence of these vascular tumors; furthermore, the analyses do not examine the potential recurrence of tumors after treatment with therapies adjunctive to surgery (such as cryoablation, radiotherapy, and others). For this …