Digital Commons Network^™

Project Extension For Community Healthcare Outcomes (Echo) In Multiple Sclerosis: Increasing Clinician Capacity, Kurt L. Johnson, Deborah Hertz, Gary Stobbe, Kevin Alschuler, Rosalind Kalb, Katharine S. Alexander, George H. Kraft, John D. Scott

Project ECHO Bibliography

BACKGROUND: A pilot program using the Project Extension for Community Healthcare Outcomes (ECHO) model was conducted for multiple sclerosis (MS) clinicians in the Pacific Northwest. The pilot was a collaboration between the National Multiple Sclerosis Society and faculty at the University of Washington. The goal was to determine the feasibility of using this telehealth model to increase the capacity and capability of clinicians in rural areas to treat people with MS.

METHODS: Thirteen practice sites with 24 clinicians were recruited to participate. Videoconferencing was used to conduct weekly sessions consisting of brief didactics followed by case consultations.

RESULTS: Most participants …

Planning And Completing A Book Drive For Malawi, Karen R. Mcelfresh, Laura J. Hall, Patricia Repar

Posters and Presentations

In the Spring of 2017, our library conducted a book drive for the Malawi College of Health Sciences in Blantyre, Malawi. The College’s library serves about 700 students, as well as health care professionals from a neighboring hospital. However, the library lacks sufficient resources, with most of their books being outdated or in poor condition, which diminishes health care quality in Malawi.

Project Echo: A Telementoring Program For Cervical Cancer Prevention And Treatment In Low-Resource Settings, Melissa S. Lopez, Ellen S. Baker, Andrea M. Milbourne, Rose M. Gowen, Ana M. Rodriguez, Cesaltina Lorenzoni, Catherine Mwaba, Susan Citonje Msadabwe, José Humberto Tavares, Georgia Fontes-Cintra, Gustavo Zucca-Matthes, Donato Callegaro-Filho, Danielle Ramos-Martin, Icaro Thiago De Carvalho, Robson Coelho, Renato Moretti Marques, Thiago Chulam, Mila Pontremoli-Salcedo, Fernanda Nozar, Veronica Fiol, Mauricio Maza, Sanjeev Arora, Ernest T. Hawk, Kathleen M. Schmeler

Project ECHO Bibliography

Cervical cancer incidence and mortality rates are significantly higher in low- and middle-income countries compared with the United States and other developed countries. This disparity is caused by decreased access to screening, often coupled with low numbers of trained providers offering cancer prevention and treatment services. However, similar disparities are also found in underserved areas of the United States, such as the Texas-Mexico border, where cervical cancer mortality rates are 30% higher than in the rest of Texas. To address these issues, we have adopted the Project ECHO (Extension for Community Healthcare Outcomes) program, a low-cost telementoring model previously proven …

University Of Washington Tele-Antimicrobial Stewardship Program (Uw-Tasp/Echo): Collaboration Across Washington State To Improve Antimicrobial Use, Yuan Zhou, John B. Lynch, Paul S. Pottinger, John Scott, Laura A.S Quilter, Maarisa D'Angeli, Zahra Kassamali, Rupali Jain, Robert J. Cybulski, Natalia Martinez-Paz

Project ECHO Bibliography

Background

The Centers for Disease Control and Prevention (CDC) have outlined core elements of effective antimicrobial stewardship programs (ASPs). However, many smaller community and “critical access hospitals” (CAHs) lack resources necessary to fully implement these programs. Tele-antimicrobial stewardship is highlighted in the Federal Register as a potential solution for such situations.

Methods

In January 2017 we implemented UW-TASP/ECHO, a remotely-based electronic answer to the problem of limited resources for ASPs at CAHs. This interdisciplinary collaboration involves infectious diseases (ID) faculty and fellows, ID pharmacists, and microbiologists from UW Medicine; epidemiologists from Washington State Department of Health (WA-DOH); program/technical support staff; …

Wagon Tracks. Volume 22, Issue 2 (February, 2008), Santa Fe Trail Association

Wagon Tracks

No abstract provided.

Wagon Tracks. Volume 25, Issue 2 (February, 2011), Santa Fe Trail Association

Wagon Tracks

No abstract provided.

Wagon Tracks. Volume 28, Issue 1 (November, 2013), Santa Fe Trail Association

Wagon Tracks

Awards and Symposium . 1
President’s Message. 2
Joanne’s Jottings . 3
News .4 - 6
Symposium Photos . 9, 27, 28
Hall of Fame . 7, 15, 24
Chapter Reports . 24
Membership Renewal . 27
Events . 28

Articles
Plan to Rob Wethered and Brevort Foiled . 7
An Estranjero’s Proposal: Tórrez . 8
Surviving Disease on the Plains: Chambers . 10
Low-Level Aerial Photography: Aber. 16

Columns
Cyber Ruts: Maps: Olsen . 14
Book: Comanche Empire: Sears . 23

Assessing The Utility Of Phenylene Ethynylenes Against Candida Species Pathogens, Rina Sylejmani

Biomedical Engineering ETDs

Candida species are the cause of many bloodstream infections through contamination of indwelling medical devices. These infections account for a 40% mortality rate, posing a significant risk to immunocompromised patients. Traditional treatments against Candida infections include amphotericin B and various azole treatments. Unfortunately, these treatments are associated with high toxicity, and resistant strains have become more prevalent. As a new frontier, light-activated phenylene ethynylenes have shown promising biocidal activity against Gram-positive and -negative bacterial pathogens, as well as the environmental yeast, Saccharomyces cerevisiae. In this thesis, we monitored the viability of Candida species after treatment with a cationic conjugated …

Genetic Approaches To Population Ecology And Conservation Of The Sacramento Mountain Salamander, Samantha Jo Nicole Cordova

Biology ETDs

Aneides hardii (Sacramento Mountain salamander) is restricted to high-elevation habitat that is fragmented by low-elevation piñon-juniper woodland. Aneides hardii is a species of conservation concern in New Mexico, in part, because disease and climate change endanger its long-term persistence. In this study, we use sequence data from the mitochondrial cytochrome b gene and a microsatellite locus of A. hardii to addresses the timing and scale of population subdivision. We also calculated genetic diversity measures and compared them among mountain ranges to explore demographic history of A. hardii. Twenty-six haplotypes and three genetically distinct lineages were identified, and each haplotype …

Phylogeography And Population Dynamics Of North American Wolverines (Gulo Gulo Luscus) In Alaska And Western Canada, Dianna M. Krejsa

Biology ETDs

The circumboreal wolverine (Gulo gulo sp.) is ideal for studying responses to environmental perturbation in the North due to a history of persistence in glacial refugia and subsequent glacial recolonization. Wolverines are also excellent indicators of human influence on the environment due to their close association with remote areas and cold, snowy climes. Through the use of genetic tools (i.e., nuclear microsatellite loci and mitochondrial sequences), I examined population structure of wolverines in Alaska and western Canada to identify signatures of glacial refugia, bottlenecks, and distinctive populations, sex-biased dispersal, gene flow, and source and sink population dynamics. I identified genetic …

Unm Pathology Pathfinder Summer 2017, Unm Department Of Pathology

Newsletters

No abstract provided.

Mk2 Promotes Colorectal Cancer Development, Invasion, And Growth Through Mk2-Induced Cytokines, Anita Lynne Ray

Biomedical Sciences ETDs

Colorectal cancer (CRC) is the third most common malignancy in the United States for men and women. A major risk factor for CRC development and progression is inflammation, in particular the inflammatory cytokines IL-1, IL-6, and TNF-α. These proteins promote critical cancer functions, such as proliferation, invasion, survival, and migration. Control of inflammation is one potential area of therapeutic intervention for some cancers. Because signaling of these cytokines overlaps in many of the same pathways, targets upstream of protein production could prove an effective strategy to reduce inflammation. MAPK-activated protein kinase 2 (MK2) pathway controls production of these cytokines within …

Barriers To Treatment With Buprenorphine For Opioid Addiction In New Mexico, Kanwal Qidwai

Biomedical Sciences ETDs

More persons died from drug overdoses in the United States since 2000 than during any past years on record. There were approximately one and a half times more drug overdose deaths in the United States than deaths from motor vehicle crashes in 2015. Opioids, primarily prescription pain relievers and heroin, are the main drugs associated with overdose deaths. The 2014 data demonstrates that the United States opioid overdose epidemic includes two distinct but interrelated trends: a 15-year increase in overdose deaths involving prescription opioid pain relievers along with a recent rise in illicit opioid overdose deaths, driven by heroin. Natural …

Middle Rio Grande Surface And Well Water Quality And The Health Implications To Humans, Juan Carlos Peña-Philippides

Water Resources Professional Project Reports

This professional project reviews the water quality along The Middle Rio Grande in New Mexico from the Cochiti Dam to the town of Bernalillo to San Acacia. This project focuses on the quality of the surface and well water and its implications to human health. The State of New Mexico Environment Department provided historical data of the well water quality in Albuquerque and the surrounding area. This project focuses on the analysis of chemical and microbiological testing in the areas of the North Valley, South Valley and Albuquerque Acres. The Bosque Ecosystem Monitoring Program (BMEP) provided historical data that identifies …

Final Report: Status Of The Arizona Toad (Anaxyrus Microscaphus) In New Mexico, Mason J. Ryan, Jacek Tomasz Giermakowski, Ian M. Latella, Howard L. Snell

Biology Faculty & Staff Publications

This report covers the fourth consecutive year (2013-2016) of research on the population dynamics, ecology, and conservation status of the Arizona Toad (Anaxyrus microscaphus) in New Mexico. The year 2016 represented the rare opportunity to study the effects of El Niño, which typically brings above average precipitation to New Mexico, on the breeding behavior and ecology of the Arizona toad. We expected that the El Niño-driven above average precipitation during the winter of 2015 and spring of 2016 would result in increased detection of toads at breeding sites, especially those sites that were dry in 2013, 2014, and …

Detection Of Healthcare-Associated Infectious Disease Outbreaks With A Special Look At Clostridium Difficile Infection In Long-Term Care Facilities, Almea Matanock

Biomedical Sciences ETDs

Healthcare-associated infections (HAI) are a major cause of morbidity and mortality and a public health priority. However, standard procedures and comprehensive guidelines for HAI outbreak detection and response are still needed. This hybrid thesis describes what is known about HAI outbreaks in the introduction, reviews the HAI outbreaks reported to New Mexico Department of Health (NMDOH), in the first paper, and then in the second paper examines how established methods for detecting infectious disease outbreaks perform in identifying Clostridium difficile infection (CDI) outbreaks in long-term care facilities (LTCF) in Bernalillo County, New Mexico, and finally, it closes with our overall …

Immunology Of The Gray Short-Tailed Opossum During Pregnancy And Prenatal Development, Victoria L. Hansen

Biology ETDs

Vertebrate species that bear live young have overcome the evolutionary challenge of maintaining both a functional adaptive immune system and viviparous life cycle. In normal pregnancy, viviparous mothers are able sustain and nourish a fetus that is genetically half non-self without mounting an immunological attack. In 1953 Sir Peter Medawar brought attention to the “enigma of the fetal graft” and immunologists have been puzzling out the intricacies of fetal tolerance ever since. Although viviparity has evolved in all jawed vertebrate lineages aside from Aves, the vast majority of reproductive immunology research has been limited to eutherian mammals. There are insights …

Back Matter, University Of New Mexico Press

New Mexico Quarterly

No abstract provided.

Public Health, Marion Hotopp

New Mexico Quarterly

No abstract provided.

Validation Of The Pre-B Cell Receptor As A Therapeutic Target In B Cell Precursor Acute Lymphoblastic Leukemia, Michael Frank Erasmus

Biomedical Sciences ETDs

This dissertation is built upon the fundamental idea that the pre-B cell receptor (pre-BCR) is important to leukemia cell survival and a logical therapeutic target in B cell precursor acute lymphoblastic leukemia (BCP-ALL). The pre-BCR is expressed early at a specific stage during B cell development where it plays a central role in survival of healthy B lymphocytes. This receptor is composed of the membrane heavy chain (mIgμ) associated with surrogate light chain components, 5 and VpreB. Through the use of advanced imaging modalities, in particular two-color single particle tracking (SPT), we showed that pre-BCRs formed transient, homotypic interactions. These …

Biology 2017 Apr Self-Study & Documents, University Of New Mexico

UNM Academic Program Review

UNM Biology APR self-study report, review team report, unit response report, and initial action plan for Spring 2017, fulfilling requirements of the Higher Learning Commission.

Hierarchical Modeling Versus Regression Analysis For Evaluating Results Of Orthopaedic Studies That Use The National Inpatient Sample, Joshua W. Hustedt, Kade Mcquivey, John C. Hustedt

UNM Orthopaedic Research Journal

Background: Owing to its hierarchical sampling structure, the National Inpatient Sample (NIS) often involves clusters of study data. We aimed to (1) understand the statistical methods of currently published orthopaedic studies using NIS and (2) examine the role of hierarchical modeling versus traditional regression analysis in a retrospective cohort of patients from NIS.

Methods: We conducted a systematic review to examine statistical methods of orthopaedic studies (published between 2005 and 2014) using NIS. Ultimately, 132 studies were identified. We noted percentages of studies that used hierarchical modeling versus traditional regression analysis. Using NIS, we identified a retrospective cohort of patients …

Missed Early Glenohumeral Septic Arthritis During Emergency Department Visit Owing To Low Virulence Streptococcus Mitis: A Case Report, Ashley A. Crum, Christopher A. Mcgrew, Matthew A. Tennison

UNM Orthopaedic Research Journal

Glenohumeral joint septic arthritis in a native joint is uncommon but can be debilitating if not treated early. Septic arthritis does not always present with the typical clinical findings, especially in immunocompromised patients. We report a rare case of glenohumeral septic arthritis from Streptococcus mitis infection in a diabetic woman that was initially missed on first presentation in the emergency department (ED). The exact cause of infection in this case remains unclear but is likely due to poor dentition and possible transient bacteremia in the setting of large rotator cuff tear in an immunocompromised patient (diabetes). The patient had a …

Unm Pathology Pathfinder Winter 2017, Unm Department Of Pathology

Newsletters

No abstract provided.

Hslic Annual Report Fy2016-17, University Of New Mexico Health Sciences Library And Informatics Center

HSLIC Annual Reports

No abstract provided.

Easier To Break From Inside Than From Outside / Mai Ușor Să Distrugi Din Interior Decât Din Exterior, Florentin Smarandache, Andrusa R. Vatuiu

Branch Mathematics and Statistics Faculty and Staff Publications

Abstract in English:

This book contains concrete examples from history, economy, biology, digital world, nuclear physics, agriculture and so on about breaking a neutrosophic dynamic system (i.e. a dynamic system that has indeterminacy) from inside.

We define a neutrosophic mathematical model using a system of ordinary differential equations and the neutrosophic probability in order to approximate the process of breaking from inside a neutrosophic complex dynamic system.

It shows that for breaking from inside it is needed a smaller force than for breaking from outside the neutrosophic complex dynamic system.

Methods that have been used in the past for breaking …

Biomedical Informatics Seminar Series (Biomiss) 2017 - 2018, Philip J. Kroth

Biomedical Informatics Seminar Series (BioMISS)

No abstract provided.

Mechanistic Plug-And-Play Models For Understanding The Impact Of Control And Climate On Seasonal Dengue Dynamics In Iquitos, Peru, Nathan Levick

Mathematics & Statistics ETDs

Dengue virus is a mosquito-borne multi-serotype disease whose dynamics are not precisely understood despite half of the world’s human population being at risk of infection. A recent dataset of dengue case reports from an isolated Amazonian city— Iquitos, Peru—provides a unique opportunity to assess dengue dynamics in a simpli- fied setting. Ten years of clinical surveillance data reveal a specific pattern: two novel serotypes, in turn, invaded and exclusively dominated incidence over several seasonal cycles, despite limited intra-annual variation in climate conditions. Together with mechanistic mathematical models, these data can provide an improved understand- ing of the nonlinear interactions between …

Medication-Assisted Treatment Models Of Care For Opioid Use Disorder In Primary Care Settings, Roger Chou, P Todd Korthuis, Melissa Weimer, Christina Bougatsos, Ian Blazina, Bernadette Zakher, Sara Grusing, Beth Devine, Dennis Mccarty

Project ECHO Bibliography

No abstract provided.

Importance And Value Of Hiv Education Amongst Dental Hygiene Student Providers, Shawndell Bowers

Dental Hygiene ETDs

Persons living with HIV have an increased risk of complications and manifestations that may include the oral cavity. They are also more susceptible to dental implications such as dental decay and periodontal disease. Their oral health management is dependent on capable dental providers that understand and comprehend their specific needs. Those providers must also demonstrate ethical and clinical competence in order to provide comprehensive care. Preparing capable dental hygiene providers is essential to their long-term management of their oral health. These foundational skills are developed during their academic years and therefore, this qualitative survey was aimed at gaining student perceived …