Dental Therapists Providing Access To Oral Health Care To Children In Florida, Shankisha D. Sizemore

Dental Hygiene ETDs

The state of Florida has proposed the establishment of the dental therapy mid-level provider to alleviate the lack of access to oral health care of the underserved population. Despite the success in other states opposition exists this workforce model. The purpose of this research is to evaluate the attitudes of Florida school-based nurses regarding the development of dental therapists to address the states oral health access issues. A survey queried a random sample of 300 Florida school-based nurses regarding dental therapy and access to oral health care issues among the school age children population. Twenty-three school-based nurses responded (7.8%). Results …

Evolutionary Ecology Of Host-Parasite Relationships: Role Of Host Ecology, Phylogeny, And Demographics In Shaping Parasite Evolution, Erika Taylor Gendron

Biology ETDs

Host-parasite systems exist across complex and ecologically heterogeneous landscapes, and may occur across taxonomically and ecologically disparate host species. Under these conditions, mechanisms underlying microevolutionary processes (i.e. gene flow, genetic drift) are not always clear, and may be mediated by numerous co-occurring factors specific to individual hosts. Host traits such as host immunology, demographics, phylogeny and ecology may act in concert to shape host-parasite relationships, and ultimately evolutionary processes. The research described herein used phylogeographic, phylogenomic, and population genetic methods to further understanding of how host traits impact the evolutionary ecology of trematode systems, using avian schistosomes (Digenea: Schistosomatidae) as …

2020-04-10 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Samuel Anyona, Shawn Stoicu, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Evans Raballah, Perez Olewe, Carolyne Ndege, Hannah Groves, Danielle Rivera, Estefania Montanez, Tudor I. Oprea, Orrin Myers, Rachel D. King, Andrew S. Rowland, Kristine Tollestrup, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

Extra NM HSD SNAP benefits. NM cases >1000. Meds supply chain threatened. Mass graves in NY. Surgeon General screening app. Presidential briefing. Italian healthcare worker deaths. Taiwan tiered care model. Communicating risks to public. French public demand hydroxychloroquine. Vaccination pause dangers. Retesting needed after discharge. CDC report geography and incidence. UW clinical informatics response. UW preparedness guidelines. Wuhan outbreak control. CDC asymptomatic exposed worker guidelines. Mask innovation. Unemployment spikes. Workforce gaps. Workspace modifications reduce transmission. Guidelines and recommendations: ER physician, surgery, cardiopulmonary resuscitation, chest imaging, geriatrics, critically ill children, postpyloric tube placement, genitourinary malignancies, obstetrics, and home work …

Driver Of Avian Haemosporidian Diversity And Host Specificity In The Solomon Islands, Xena Marie Mapel

Biology ETDs

Avian haemosporidians are protist parasites that are distributed worldwide. We investigated these parasites in a tropical South Pacific archipelago to answer two questions: 1) Which community characteristics influence haemosporidian diversity; 2) Does host specificity vary across islands? To answer these questions we sequenced a mitochondrial gene and created linear models to establish relationships between select variables and diversity. In addition, we calculated host breadth of each lineage and constructed models to infer predictors of diversity. The percent of infected individuals on each island was correlated with island area. Haemosporidian phylogenetic diversity on a given island was associated with the proportion …

Unm Staff Council: Diversity, Equity & Inclusion Committee Letter Condemning Racist Threats Against Faculty Member, Unm Staff Council

Black History at UNM

Open letter by UNM Staff Council Diversity, Equity & Inclusion Committee, condemning racist attacks on a UNM faculty member with 439 signatories.

Diagnostic Stewardship Interventions For Clostridioides Diffcile Infection, Luke A. Yeager, M E. Lacy

Quality Improvement/Patient Safety Symposium

Background:Our institution’s rate of hospital acquired Clostridioides difficile (C. diff) infection (CDI) is higher than expected based on documented severity of illness of our patients. The C. diff testing algorithm at our institution utilizes a multi-step approach. It begins with two tests (antigen EIA and toxin A/B EIA). If the results of these two tests are indeterminate, the algorithm then reflexes to a third test (NAAT-PCR). Non-toxin producing C. diff colonization can result in a positive C. diff test in the absence of active infection. ^{1, 2} Up to 20% of hospitalized patients are asymptomatic carriers of C. diff. …

Truman Health Services Transitions In Care Clinic Quality Improvement Initiative, Quinn Jackson, Tracy M. Carlson, Lisette Infante, Lauretta England, Alan Saint, Natalie Mariam Salas

Quality Improvement/Patient Safety Symposium

Introduction:

Patients who are diagnosed with HIV but not retained in medical care have been identified as one of the highest risks for new HIV transmissions and have higher rates of all cause mortality ^1,2. Factors impacting retention in care include timely clinical follow up and timely prescription of anti-retroviral therapy³. We identified specific subpopulations among those living with HIV who are vulnerable to being lost to follow up, namely: patients newly diagnosed with HIV and patients transitioning across the healthcare system, such as those newly discharged from inpatient facilities ^4,5. We reviewed the processes for …

Impact Of A Bundle To Prevent Hysterectomy Surgical Site Infections, Yalda Barlas, Sydney Cooper, Marisa Griego, Sarina Pollat, Amber Lalla, Madeline Palmer, Mingma Sherpa, Niharika Ravichandran, Meghan Brett, Cara Ninivaggio

Quality Improvement/Patient Safety Symposium

Introduction:

In 2018, there were 2,943 surgical site infections (SSIs) among patients who underwent abdominal hysterectomies in the U.S. and these account for substantial morbidity and increased healthcare costs. University of New Mexico Hospitals (UNMH) has had elevated rates of abdominal hysterectomy SSIs compared with national benchmarks. One of these benchmarks includes the Standardized Infection Ratios (SIRs). UNMH’s SIR is often >1 indicating more infections than predicted. In response, a multidisciplinary team created and then implemented a bundle to prevent SSIs. Our objectives were to assess SSI bundle compliance and its impact on SSI rates and numbers.

Materials/Methods:

We collected …

Drug Resistance Of Previously Treated Tuberculosis Patients With Diabetes Mellitus In Shandong, China, Wan-Mei Song, Yi-Fan Li, Jin-Yue Liu, Ning-Ning Tao, Yao Liu, Qian-Yun Zhang, Ting-Ting Xu, Shi-Jin Li, Qi-Qi An, Si-Qi Liu, Chun-Bao Yu, Lei Gao, Cui-Xiang Yu, Min Zhang, Huai-Chen Li

Pathology Research and Scholarship

BACKGROUND: Although the association between diabetes mellitus (DM) and tuberculosis (TB) has been well-documented for centuries, evidence of the link between diabetes and drug resistance among previously treated TB patients remains limited and inconsistent.

METHODS: An observational study was performed that involved 1791 retreated TB-no DM patients (refers to TB cases without diabetes) and 93 retreated TB-DM patients (refers to TB cases with diabetes) in Shandong, China from 2004 to 2017. Baseline data including demographic and clinical characteristics, drug susceptibility test (DST) results, and diabetes status were collected. Categorical baseline characteristics were compared by Fisher's exact or Pearson Chi-square test. …

Protocols, Practices, And Needs For Investigating Sudden Unexpected Infant Deaths, Carri Cottengim, Sharyn Parks, Dale Rhoda, Tom Andrew, Kurt B. Nolte, John Fudenberg, Mary Ann Sens, Jennifer Brustrom, Betsy Payn, Carrie K. Shapiro-Mendoza

Pathology Research and Scholarship

Understanding case identification practices, protocols, and training needs of medical examiners and coroners (MEC) may inform efforts to improve cause-of-death certification. We surveyed a U.S.-representative sample of MECs and described investigation practices and protocols used in certifying sudden unexpected infant deaths (SUID). We also identified MEC training and resource needs. Of the 377 respondents, use of the SUID Investigation Reporting Form or an equivalent was 89% for large, 87% for medium, and 52% for small jurisdictions. Routine completion of infant medical history, witness interviews, autopsy, photos or videos, and family social history for infant death investigations was ≥80%, but routine …

Coalition For Prisoners' Rights Newsletter, Vol 45-B, No. 3, Coalition For Prisoners' Rights

Coalition for Prisoners' Rights Newsletters

Support to do the Right Thing in this Crisis Time

Coronavirus en las Cárceles

Helpful to Know About Coronavirus

The Symptoms

Effect Of Vancomycin Loading Doses On The Attainment Of Target Trough Concentrations In Hospitalized Children, Ella Dolan, Robert Hellinga, Matthew London, Keenan Ryan, Walter N. Dehority

Pediatrics Research and Scholarship

OBJECTIVE: Subtherapeutic vancomycin trough concentrations are common in children and may be associated with suboptimal therapeutic response. Our objective was to determine if vancomycin loading doses safely increase the frequency of target trough attainment in hospitalized children.

METHODS: Patients (≥6 months and15 mg/dL for invasive infections and >10 mg/dL for non-invasive infections.

RESULTS: A total of 151 patients were enrolled, with 77 in the control arm and 74 in the loading dose arm. There was no significant difference in the frequency of comorbidities or need for intensive care unit admission between the two arms. Those receiving a vancomycin loading dose …

Perinatal Opioid Exposure Primes The Peripheral Immune System Toward Hyperreactivity, Jessie Newville, Jessie R Maxwell, Yuma Kitase, Shenandoah Robinson, Lauren L Jantzie

Pediatrics Research and Scholarship

The increased incidence of opioid use during pregnancy warrants investigation to reveal the impact of opioid exposure on the developing fetus. Exposure during critical periods of development could have enduring consequences for affected individuals. Particularly, evidence is mounting that developmental injury can result in immune priming, whereby subsequent immune activation elicits an exaggerated immune response. This maladaptive hypersensitivity to immune challenge perpetuates dysregulated inflammatory signaling and poor health outcomes. Utilizing an established preclinical rat model of perinatal methadone exposure, we sought to investigate the consequences of developmental opioid exposure on

Unm Pathology Pathfinder Winter 2020, Unm Department Of Pathology

Newsletters

No abstract provided.

Unm Health Sciences Center Data Book 2019-20, University Of New Mexico - Health Sciences Center

Health Sciences Center Databook (1990-ongoing)

No abstract provided.

Implementation Of The Hub And Spoke Model For Opioid Use Disorders In California: Rationale, Design And Anticipated Impact., Gloria M. Miele, Lauren Caton, Thomas E. Freese, Mark Mcgovern, Kendall Darfler, Valerie Pearce Antonini, Marlies Perez, Richard Rawson

Project ECHO Bibliography

As part of the State Targeted Response to the opioid epidemic, California has adopted the Hub and Spoke model to expand access to medications for opioid use disorder, particularly buprenorphine, throughout the state. By aligning opioid treatment programs as hubs with primary care, office-based practitioners, and other health care settings as spokes, a broader treatment model can reach more people with opioid use disorder, improve access to medications for opioid use disorders, and decrease overdose deaths. Expanding access requires expanding knowledge and intensive implementation support of new practices. This paper describes the rationale, specific activities and anticipated impact of the …

University Of New Mexico Health Sciences Center Discovery Research Annual Report 2020, Michael Haederle, Jana Fothergill, Rebecca Roybal Jones, Yamhilette Licon Muñoz, Robert Oliver, Rebecca Sena, Michele Sequeira, Leasure Shanley, Seth Fuller

Research Annual Reports

No abstract provided.

The Effects Of Increased Wildfires Due To Climate Change On The Respiratory Health Of New Mexicans, Satyam D. Patel

Climate Change and Public Health Preparedness

No abstract provided.

Diagnostic Performance Of Two Molecular Assays For The Detection Of Vaginitis In Symptomatic Women, Alexandra Thompson, Karen Timm, Noelle Borders, Liz Montoya, Karissa Culbreath

Pathology Research and Scholarship

The three main causes of vaginitis are bacterial vaginosis (BV), vulvovaginal candidiasis (VVC), and trichomoniasis (TV). Two multiplex assays are commercially available for detection of DNA from organisms associated with vaginitis: BD Affirm™ VPIII Microbial Identification Test (Affirm) and BD MAX™ Vaginal Panel (MAX VP). Here, the performance of MAX VP was compared to that of Affirm, which was considered the standard of care. Four vaginal swabs were collected from each subject with the following: BD Affirm™ VPIII Ambient Temperature Transport System (ATTS), BD MAX™ UVE Specimen Collection Kit, Hologic Aptima® Vaginal Swab Specimen Collection Kit, and BD ESwab™ collection …

A Multicenter Evaluation Of A Sample To Answer Real-Time Pcr Assay For Toxigenic C. Difficile In Symptomatic Subjects, Preeti Pancholi, Steve Young, R Widen, Suzane Silbert, B Schmitt, R Dunn, A Drain, S A. Weissfeld

Pathology Research and Scholarship

We evaluated the performance of the Luminex ARIES® C. difficile Assay on 984 stool specimens prospectively collected from patients being tested for CDI at 4 clinical laboratories in the United States. Results were compared to direct and enriched toxigenic culture. Positive percent agreement (PPA) of the ARIES® C. difficile Assay was 98.1% versus direct toxigenic culture, and sensitivity versus direct plus enriched toxigenic culture was 90.5%. Negative percent agreement (NPA) of the ARIES® C. difficile Assay against direct culture was 92.6%, and specificity versus direct plus enriched toxigenic culture was 95.8%. The ARIES® C. difficile Assay was also compared to …

Echo Care: Providing Multidisciplinary Specialty Expertise To Support The Care Of Complex Patients, Miriam Komaromy, Judy Bartlett, Andrea Zurawski, Sarah R. Gonzales-Van Horn, Summers G. Kalishman, Venice Ceballos, Xi Sun, Martin Jurado, Sanjeev Arora

Project ECHO Bibliography

BACKGROUND: Programs for high-need, high-cost (HNHC) patients can improve care and reduce costs. However, it may be challenging to implement these programs in rural and underserved areas, in part due to limited access to specialty consultation.

AIM: Evaluate the feasibility of using the Extension for Community Health Outcomes (ECHO) model to provide specialist input to outpatient intensivist teams (OITs) dedicated to caring for HNHC patients.

SETTING: Weekly group videoconferencing sessions that connect multidisciplinary specialists with OITs.

PARTICIPANTS: Six OITs across New Mexico, typically consisting of a nurse practitioner or physician assistant, a registered nurse, a counselor or social worker, and …

A Short Remark On Multipurpose Laser Therapy “Helios” In Ukraine And Its Potential Application For Treatment Of Neurology Disorders, Florentin Smarandache, Volodymyr Krasnoholovets, Victor Christianto, Rizha Vitania, The Houw Liong

Branch Mathematics and Statistics Faculty and Staff Publications

However, a truly multipurpose laser therapy method is very rarely available. Here we introduce a multipurpose laser therapy device in Ukraine, which is capable to take care a multitude of diseases. It is called “Helios”, by one of us (VK). We also give a case where a patient who suffered from Covid-19 has been treated successfully until he is recovered to healthy condition. In the last section we also discuss potential future application of Helios for other fields; i.e. neurology disorders.

West Virginia's Model Of Buprenorphine Expansion: Preliminary Results, Erin L Winstanley, Laura R Lander, James H Berry, James J Mahoney, Wanhong Zheng, Jeremy Herschler, Patrick Marshalek, Sheena Sayres, Jay Mason, Marc W Haut

Project ECHO Bibliography

West Virginia (WV) is situated at the epicenter of the opioid epidemic with the highest rates of overdose deaths and some of the lowest rates of access to life saving evidence-based medication assisted treatment (MAT) for patients with opioid use disorder (OUD). WV used a modified hub-and-spoke model to build organizational capacity for facilities to use buprenorphine to treat patients with OUD and to provide ongoing case consultation. The purpose of this study is to 1) describe the group-base model of buprenorphine treatment and the model used to build organizational capacity, 2) to describe the preliminary results of buprenorphine expansion …

The Immigrant Population Amid Covid-19 Pandemic Crisis: A Compiled Project For Nurs 518, Maureen S. Reyes

Population Health

Immigrants has been part of the United States (US) historical society ever since this country has long been discovered. They say that this nation is built by immigrants. Some people would strongly disagree; but to be fair that is a reality. The American economy has long thrive and sustained, and has been strengthened by the contributions made by immigrants. Immigrants come from a variety of cultural and ethnic backgrounds; each with their own stories to tell and traditions to share.

The COVID-19 pandemic has made an impact on the socioeconomic and health care inequities of vulnerable and undeserved communities in …

A Model For Recommending Custody Of Minors Based On Neutrosophic Cognitive Map, Mesías Elías Machado Maliza, Janneth Ximena Iglesias Lola, Ximena Cangas Oña, Salah Hasan Saleh Al-Subhi

Neutrosophic Sets and Systems

No abstract provided.

Impacts Of Climate Change On Vector-Borne And Respiratory Disease, Apeksha Dighe

Climate Change and Public Health Preparedness

No abstract provided.

Design Of An Enhanced Public Health Surveillance System For Hepatitis C Virus Elimination In King County, Washington, Atar Baer, Meaghan S. Fagalde, Curtis D. Drake, Elisabeth H. Sohlberg, Elizabeth Barash, Sara Glick, Alexander J. Millman, Jeffrey S. Duchin

Project ECHO Bibliography

Introduction:

With the goal of eliminating hepatitis C virus (HCV) as a public health problem in Washington State, Public Health–Seattle & King County (PHSKC) designed a Hepatitis C Virus Test and Cure (HCV-TAC) data system to integrate surveillance, clinical, and laboratory data into a comprehensive database. The intent of the system was to promote identification, treatment, and cure of HCV-infected persons (ie, HCV care cascade) using a population health approach.

Materials and Methods:

The data system automatically integrated case reports received via telephone and fax from health care providers and laboratories, hepatitis test results reported via electronic laboratory reporting, and …

Print Journal Analysis And Journal Removal Projects, Robyn M Gleasner

Projects

The Health Sciences Library and Informatics Center's main objectives were:

• To analyze the print journal holdings to determine which titles should be retained, donated, or discarded.
• To develop a plan for retaining, removing, and consolidating selected material on both the 3rd floor of the library and in offsite storage in HSSB.

Reconstructing Energy Flow Through Modern And Historical Marine Communities: Insights From Amino Acid Isotope Analysis, Emma A. Elliott Smith

Biology ETDs

The fundamental currency of life is energy. Organisms need energy to grow, to survive and to reproduce. Understanding the acquisition of energy by consumers is thus a foundational aspect of biological research. This is especially important in the modern era, as impacts of ongoing anthropogenic effects will be mediated or amplified through food webs. Here, I explore how isotopic analysis of individual amino acids – a technique new to ecological studies – can be used to trace energy flow through animal communities in modern and ancient time periods. In particular, I focus on kelp forest food webs, which are nearshore …

Impact Of Project Echo Models Of Medical Tele-Education: A Systematic Review, Ryan K. Mcbain, Jessica L. Sousa, Adam J. Rose, Sangita M. Baxi, Laura J. Faherty, Caroline Taplin, Andre Chappel, Shira H. Fischer

Project ECHO Bibliography

BACKGROUND: Extension for Community Healthcare Outcomes (ECHO) and related models of medical tele-education are rapidly expanding; however, their effectiveness remains unclear. This systematic review examines the effectiveness of ECHO and ECHO-like medical tele-education models of healthcare delivery in terms of improved provider- and patient-related outcomes.

METHODS: We searched English-language studies in PubMed, Embase, and PsycINFO databases from 1 January 2007 to 1 December 2018 as well as bibliography review. Two reviewers independently screened citations for peer-reviewed publications reporting provider- and/or patient-related outcomes of technology-enabled collaborative learning models that satisfied six criteria of the ECHO framework. Reviewers then independently abstracted data, …