Digital Commons Network^™

Responsive Feeding Recommendations: Harmonizing Integration Into Dietary Guidelines For Infants And Young Children, Rafael Pérez-Escamilla, Elizabeth Yakes Jimenez, Kathryn G. Dewey

Pediatrics Research and Scholarship

Responsive feeding (RF) involves reciprocal nurturing feeding practices between the caregiver and the child that encourage the child to develop preferences for healthy foods and beverages and to eat autonomously. In this commentary, we summarize RF-related findings from a recent US National Academies of Sciences, Engineering, and Medicine (National Academies) consensus study report examining consistency in infant and young child feeding (IYCF) recommendations in guidelines from high-income countries, and we discuss implications for future IYCF guidelines. Although existing guidelines included generally consistent messages about several RF behaviors, such as the importance of encouraging self-feeding and self-regulation in infants and toddlers, …

Fatigue Predicts Future Reduced Social Participation, Not Reduced Physical Function Or Quality Of Life In People With Systemic Sclerosis, Susan L. Murphy, Daniel Whibley, Anna L. Kratz, Janet L L. Poole, Dinesh Khanna

Pediatrics Research and Scholarship

OBJECTIVE: Although fatigue is one of the most problematic symptoms for people with systemic sclerosis, little is known about how fatigue impacts daily life over time. Such information is important when developing fatigue management interventions. This study was conducted to examine 1) if fatigue severity predicted outcomes of worse functioning (social participation, physical function), and quality of life and 2) if level of self-efficacy moderated significant relationships between fatigue and these outcomes.

METHODS: Data were utilized from a clinical trial in which an online self-management intervention was tested (N = 267). Fatigue, social participation, and physical function were assessed by …

Plant-Based Beverages In The Diets Of Infants And Young Children, Lisa M. Bodnar, Elizabeth Y. Jimenez, Susan S. Baker

Pediatrics Research and Scholarship

No abstract provided.

Self-Administered Cognitive Screening To Monitor For Cognitive Side Effects From Outpatient Electroconvulsive Therapy, Peter Holguin, Christopher Abbott

Quality Improvement/Patient Safety Symposium

Abstract: Electroconvulsive therapy (ECT) is a rapid and effective treatment for multiple types of mental illness including major depressive disorder, bipolar depression, and catatonia. ECT can result in multiple cognitive side effects including post-ECT delirium as well as anterograde and retrograde amnesia. Administering formal cognitive screening at baseline, during, and after completion of ECT could be an effective means of monitoring for cognitive side effects from ECT. Conducting cognitive screening in an outpatient ECT service poses multiple challenges including time, limited staff, and availability of trained staff to administer cognitive screening. After reviewing multiple cognitive screens, the Self-Administered Gerocognitive Examination …

Iina Dziil Be’At’Iin (On The Path Of A Strong Life): Dine (Navajo) Perceptions Of Self-Care And Social Support With Diabetes Management, Chenoa Bah Stilwell-Jensen

Communication ETDs

ABSTRACT

Managing diabetes requires a detailed self-care regimen of physical activity, eating well, testing glucose, healthy weight maintenance, and positive emotional outlook in order to maintain health outcomes. Education, clear communication, and sufficient support are needed to address challenging aspects of daily self-care at the onset of diagnosis and throughout the management of the illness. However, many people diagnosed with diabetes are unable to successfully manage their condition. Native Americans are twice as likely to have diabetes than Whites. Although diabetes-related kidney failure and other negative health effects remain a concern among Native Americans, rates of kidney failure in this …

Effects Of Environmental Change On Ancestral Pueblo Fishing In The Middle Rio Grande, Jonathan William Dombrosky

Anthropology ETDs

It has long been assumed that fishes were unimportant in the diet of past Pueblo people in the U.S. Southwest. Yet, small numbers of fish remains are consistently recovered from Late pre-Hispanic/Early Historic archaeological sites in the Middle Rio Grande of New Mexico. The end of drought conditions may have impacted food choice and fishing decisions during this time. I use behavioral ecology to understand how fishing could have been an optimal food-getting strategy for Ancestral Pueblo farmers. Stable isotope analysis offers a way to account for environmental change. I provide a refined ¹³C Suess correction model to support …

Decreasing Social Determinants Of Health Using Orem’S Self Care Model, Cassandra Garcia

Theoretical Foundation in Advanced Practice Nursing

No abstract provided.

Umbilical Cord Milking Vs Delayed Cord Clamping And Associations With In-Hospital Outcomes Among Extremely Premature Infants, Neha Kumbhat, Barry Eggleston, Alexis S. Davis, Sara B. Demauro, Krisa P. Van Meurs, Elizabeth E. Foglia, Satyan Lakshminrusimha, Michele C. Walsh, Kristi L. Watterberg, Myra H. Wyckoff, Abhik Das, Sara C. Handley, Generic Database Subcommittee Of The Nichd Neonatal Research Network

Pediatrics Research and Scholarship

OBJECTIVE: To compare in-hospital outcomes after umbilical cord milking vs delayed cord clamping among infantsgestation.

STUDY DESIGN: Multicenter retrospective study of infants born(grade III or IV) intraventricular hemorrhage (IVH) by 36 weeks of postmenstrual age (PMA). Secondary outcomes assessed at 36 weeks of PMA were mortality, severe IVH, any IVH or mortality, and a composite of mortality or major morbidity. Outcomes were assessed using multivariable regression, incorporating mortality risk factors identified a priori, confounders, and center. A prespecified, exploratory analysis evaluated severe IVH in 2 gestational age strata, 22-24

RESULTS: Among 1834 infants, 23.6% were exposed to umbilical cord milking …

Snap-Ed New Mexico Works In Tribal Communities, Theresa H. Cruz, Reanna Sanchez, Rachel Marchand

Reports & Documents

No abstract provided.

Studying Health And Inclusive Education: Sentiment Analysis Using Neutrosophy As A Research Tool, Marylin Figueroa Cruz, María Elena Ron Vargas, Kerly Angela Álvarez Cadena, Diana Carolina Ortiz Delgado

Neutrosophic Sets and Systems

No abstract provided.

Implications Of Positive Anti-Gliadin Antibody With Negative Tissue Transglutaminase Antibody Titers While Consuming Gluten, Justin Hessinger, Pankaj Vohra

2021 Pediatric Research Forum Session

Background

Celiac disease is common and affects approximately 0.7 to 1% of the population. Due to its protean manifestations, celiac serology is often requested for chronic non-febrile ailments for which there is no obvious cause.

Tricore Laboratories routinely performs total serum IgA levels, anti-deamidated gliadin IgA antibody and tissue transglutaminase IgA antibody (tTG) levels when a celiac serology is requested.

Past studies have shown that tTG is very sensitive and specific ‘screening’ test for the diagnosis of celiac disease. Additionally, the same studies show that positive anti-gliadin antibody in the presence of negative tTG antibody levels suggests the former to …

Child And Adult Care Food Program Sponsor Perspectives On Barriers And Facilitators To Program Access For Home-Based Child Care Providers, Lucia Vulcan, Hailey Heinz, Dana Bell, Julia Martinez, Margaret Cunningham, Darlene Castillo, Elizabeth Yakes Jimenez

2021 Pediatric Research Forum Session

Intro: The Child and Adult Care Food Program (CACFP) helps child care providers serve nutritious foods and is part of the food and nutrition security safety net for children nationwide. Sponsors are regionally located agencies that assist home-based child care providers with participating in CACFP.

Aim: To describe New Mexico (NM) CACFP sponsor staff perspectives on barriers and facilitators to program access for home-based childcare providers.

Methods: We interviewed 11 NM CACFP sponsor staff representing 9 out of 13 agencies (69% response rate) from August-September 2020. Interviews were recorded, transcribed and coded. Thematic analysis was conducted by a mixture of …

Pediatric Research Forum 2021 – Research Forum Resident School Speakers, Gloria Lopez Hernandez, Sofia M. Markee, Joe Lopez, Iric Guthrie

2021 Pediatric Research Forum Session

Using the Model for Improvement to Refine and Improve Resident PICU Rotation orientation

Improving Electrolyte and Mineral Homeostasis in Extremely Premature Infants

Refining a working definition of sepsis for non-neonatal pediatric inpatients

Providing high reliability care for PICU patients with pulmonary hypertension: a quality improvement project

Health Outcomes As Related To Food Security Status At The Healthy And Fit Children’S Clinic, Kathryne Foos, Janet Page-Reeves, Sylvia Negrete, Alberta Kong

2021 Pediatric Research Forum Session

Childhood obesity is a growing epidemic in the United States and New Mexico. Excess weight early in life greatly increases the risk of severe health complications in adulthood. The Healthy and Fit Children’s Clinic (H&FCC) at Carrie Tingley Hospital treats children ages 2-17 years old who have been referred by their primary pediatrician for elevated BMI (>85^th percentile). The goal of this clinic is to partner with families to lower their child’s weight with lifestyle changes before the need for lifelong medication. Childhood obesity is influenced by a number of social determinants of health, but one that permeates …

Silver Diamine Fluoride: Preventing Dental Caries, Renee S. Bingman

Dental Hygiene ETDs

Purpose

The study was designed to determine awareness and knowledge of silver diamine fluoride (SDF) among dental hygiene program directors and determine if schools have included SDF education to their curriculum.

Methods

A descriptive survey was used to gather information from all United States dental hygiene program directors.

Results

The survey had a max response from 39 school directors. With 92.31% of schools indicating SDF as a product of interest only 76.92% currently provided education to students. There are 76.92% of schools providing SDF education to students yet only 34.21% of those schools are providing SDF education to the faculty. …

Experiences Of Latino First-Year Students Utilizing A Wellness Model For Analysis At A Four-Year Institution In The Southwest, Chriselle Martinez

Individual, Family, and Community Education ETDs

This study was conducted to understand the experiences of wellness among Latino first-year students at a four-year institution in the Southwest. The Wellness Evaluation of Lifestyle (Meyers, Sweeny, & Witmer, 2001, 2004, 2011) was utilized as an analytical tool to further draw upon interview questions and themes. In hopes to inform a body of research in the area of counselor education and student affairs practitioners, this study is attempting to broaden the perspective on lived experience and understanding of wellness for Latino first-year students. The study is qualitative research with four identified themes that arose from the data. Interpretive Phenomenological …

All-Cause 30-Day Non-Elective Hospital Readmissions Among Adults With An Index Visit For Status Epilepticus In The United States, Shannon Kindilien

Pharmaceutical Sciences ETDs

Status epilepticus (SE) is a type of medical emergency. It occurs when a person has a single seizure lasting more than 5 minutes or multiple seizures within a five-minute timeframe without a return to normal function in between. The specific aims of this research include identifying and describing characteristics associated with all-cause non-elective 30-day readmissions for US adult (>18 years) patients following a SE index hospitalization. The costs of the index visit, readmission, and cumulative costs are also described, and characteristics statistically significantly associated with changes in costs reported. This research uses the 2017 National Readmission Database (NRD) from …

Speech & Hearing Sciences 2021 Apr Self-Study & Documents, University Of New Mexico

UNM Academic Program Review

UNM Department of Speech & Hearing Sciences APR self-study and review team report for Spring 2021, fulfilling requirements of the Higher Learning Commission.

Understanding The Prevalence Of Compassion Fatigue, Compassion Satisfaction, And Resilience In Primary Care, Christina M. O'Connell

Doctor of Nursing Practice Scholarly Projects

Compassion fatigue (CF), its components of burnout (BO) and secondary traumatic stress (STS), and compassion satisfaction (CS) affect healthcare providers and staff and can dramatically influence patient care and access to primary care services. Resilience is a tool which serves as a protective factor that can mitigate CF and enhance CS. There is a gap in research regarding the relationship between compassion fatigue, compassion satisfaction, and resilience among primary care providers and frontline staff. Additionally, the current COVID-19 pandemic has revealed healthcare’s deficits related to staff and provider burnout, a myriad of workforce safety issues, disparities in care, and a …

A Neutrosophic Cognitive Map Based Approach To Explore The Health Deterioration Factors, . Shakil, Mohammed Talha Alam, Syed Ubaid, Shahab Saquib Sohail, M. Afshar Alam

Neutrosophic Sets and Systems

No abstract provided.

Southwest Harvest For Health: Adapting A Mentored Vegetable Gardening Intervention For Cancer Survivors In The Southwest, Cindy K. Blair, Elizabeth M. Harding, Prajakta Adsul, Sara Moran, Dolores Guest, Kathy Clough, Andrew L. Sussman, Dorothy Duff, Linda S. Cook, Joseph Rodman, Zoneddy Dayao, Ursa Brown-Glaberman, Towela V. King, V Shane Pankratz, Eduardo Servin, Sally M. Davis, Wendy Demark-Wahnefried

Pediatrics Research and Scholarship

Few diet and physical activity evidence-based interventions have been routinely used in community settings to achieve population health outcomes. Adapting interventions to fit the implementation context is important to achieve the desired results. Harvest for Health is a home-based vegetable gardening intervention that pairs cancer survivors with certified Master Gardeners from the Cooperative Extension Service with the ultimate goal of increasing vegetable consumption and physical activity, and improving physical functioning and health-related quality-of-life. Harvest for Health has potential for widespread dissemination since Master Gardener Programs exist throughout the United States. However, state- and population-specific adaptations may be needed to improve …

Surveillance Systems For Monitoring Cervical Cancer Elimination Efforts: Focus On Hpv Infection, Cervical Dysplasia, Cervical Screening And Treatment., Julia M L Brotherton, Cosette Wheeler, Gary M. Clifford, Miriam Elfström, Marion Saville, John Kaldor, Dorothy A. Machalek

Pathology Research and Scholarship

In order to achieve the global elimination of cervical cancer as a public health problem, close surveillance of progress in public health and clinical activities and outcomes across the three pillars of vaccination, screening and treatment will be required. Surveillance should ideally occur within an integrated system that is planned, funded, and regularly evaluated to ensure it is providing timely, accurate and relevant feedback for action. In this paper, we conceptualise the main public health surveillance objectives as process and outcome measures in each of the three pillars. Process measures include coverage/participation measures for vaccination, screening and treatment alongside the …

Disparities In Sleep Health And Potential Intervention Models: A Focused Review., Martha E. Billings, Robyn T. Cohen, Carol M. Baldwin, Dayna A. Johnson, Brian N. Palen, Sairam Parthasarathy, Sanjay R. Patel, Maureen Russell, Ignacio E. Tapia, Ariel A. Williamson, Sunil Sharma

Project ECHO Bibliography

Disparities in sleep health are important but underrecognized contributors to health disparities. Understanding the factors contributing to sleep heath disparities and developing effective interventions are critical to improving all aspects of heath. Sleep heath disparities are impacted by socioeconomic status, racism, discrimination, neighborhood segregation, geography, social patterns, and access to health care as well as by cultural beliefs, necessitating a cultural appropriateness component in any intervention devised for reducing sleep health disparities. Pediatric sleep disparities require innovative and urgent intervention to establish a foundation of lifelong healthy sleep. Tapping the vast potential of technology in improving sleep health access may …

Perceived Critical Success Factors For Native American And Non-Native American Pre-Licensure Nursing Students In Northern New Mexico, Karen E. Nielsen

Doctor of Nursing Practice Scholarly Projects

Considering the consistent healthcare system load demands, nursing shortages persist, especially in remote areas of the United States. It is vital that students interested in attending nursing school and working in their home communities have expanded nursing program access and supports in order to supply the necessary nursing workforce in remote areas. Lack of diversity in the nursing profession weakens healthcare delivery. Native Americans are underrepresented as nursing students and employed nurses. Measures to provide a more diverse workforce should concentrate on recruitment, retention, and graduation rates of underrepresented minority nursing students. Limited research is available surrounding Native American nursing …

Blood Myo-Inositol Concentrations In Preterm And Term Infants, Luc P Brion, Dale L Phelps, Robert M Ward, Tracy L Nolen, N Mikko K Hallman, Abhik Das, Daniel J Zaccaro, M Bethany Ball, Kristi L Watterberg, Ivan D Frantz, C Michael Cotten, Brenda B Poindexter, William Oh, Ralph A Lugo, Krisa P Van Meurs, T Michael O'Shea, Kristin M Zaterka-Baxter, Rosemary D Higgins

Pediatrics Research and Scholarship

OBJECTIVE: To describe relationship between cord blood (representing fetal) myo-inositol concentrations and gestational age (GA) and to determine trends of blood concentrations in enterally and parenterally fed infants from birth to 70 days of age.

DESIGN/METHODS: Samples were collected in 281 fed or unfed infants born in 2005 and 2006. Myo-inositol concentrations were displayed in scatter plots and analyzed with linear regression models of natural log-transformed values.

RESULTS: In 441 samples obtained from 281 infants, myo-inositol concentrations varied from nondetectable to 1494 μmol/L. Cord myo-inositol concentrations decreased an estimated 11.9% per week increase in GA. Postnatal myo-inositol concentrations decreased an …

California V. Texas: The Role Of Congressional Procedure In Severability Doctrine, Mary Leto Pareja

Faculty Scholarship

The United States Supreme Court is once again considering a case that challenges the constitutionality of the Affordable Care Act (“ACA”). In this round of litigation, plaintiffs argue that because Congress lowered the individual mandate tax penalty to zero in the 2017 Tax Act that makes the individual mandate itself unconstitutional and that, furthermore, the individual mandate cannot be severed from the rest of the ACA. The District Court agreed with the plaintiffs and struck down the entire ACA, and the Supreme Court granted cert to hear this momentous question. A decision is expected by summer of 2021.

The ACA …

Working With Communities: Rural And Urban Underserved Program Scholars Take On Broader Health Issues Working With Communities, Crystal Krabbenhok, Jesse Barnes, A Carolyn Ice, Claire Sava, Tenzin Desel, Robert Williams

HSC Education Days

Clinicians in medically underserved communities encounter both community-wide health issues and community strengths. Together these raise the opportunities and responsibilities for clinicians to take action outside the clinical exam room to improve health in the community. Rural and Urban Underserved Program (RUUP) Scholars develop skills through engagement with communities in: 1) Health related advocacy, 2) Volunteer clinical care, 3) Health education pipeline support, 4) Non-clinical public health based community work, and/or 5) Community health education. Emphasis is on meaningful yet practical ways of partnering with others to work toward improved health goals. Students are encouraged to choose projects which take …

Neutrosophic Sets And Systems, Vol. 39, 2021, Florentin Smarandache, Mohamed Abdel-Basset, Said Broumi

Neutrosophic Sets and Systems

No abstract provided.

Herbicides In The Irrigated Rice Production System In Babahoyo, Ecuador, Using Neutrosophic Statistics, Dalton Cadena-Piedrahita, Salomón Helfgott-Lerne, Andrés Drouet-Cande, Fernando Cobos-Mora, Nessar Rojas-Jorgge

Neutrosophic Sets and Systems

No abstract provided.

University Of New Mexico Health Sciences Center Discovery Research Annual Report 2021, Michael Haederle, Sara Mota, Jana Fothergill, Cindy Foster, Rebecca Roybal Jones, Michele Sequeira, Seth Fuller

Research Annual Reports

No abstract provided.