Digital Commons Network^™

In-Hospital Postoperative Mortality Rates For Selected Procedures In Tanzania's Lake Zone., Taylor Wurdeman, Christopher Strader, Shehnaz Alidina, David Barash, Isabelle Citron, Ntuli Kapologwe, Erastus Maina, Fabian Massaga, Adelina Mazhiqi, John G. Meara, Gopal Menon, Cheri Reynolds, Meaghan Sydlowski, John Varallo, Sarah Maongezi, Mpoki Ulisubisya

Project ECHO Bibliography

BACKGROUND: Postoperative mortality rate is one of six surgical indicators identified by the Lancet Commission on Global Surgery for monitoring access to high-quality surgical care. The primary aim of this study was to measure the postoperative mortality rate in Tanzania's Lake Zone to provide a baseline for surgical strengthening efforts. The secondary aim was to measure the effect of Safe Surgery 2020, a multi-component intervention to improve surgical quality, on postoperative mortality after 10 months.

METHODS: We prospectively collected data on postoperative mortality from 20 health centers, district hospitals, and regional hospitals in Tanzania's Lake Zone over two time periods: …

Medical Nutrition Therapy Access In Ckd: A Cross-Sectional Survey Of Patients And Providers, Elizabeth Yakes Jimenez, Kathryn Kelley, Marsha Schofield, Deborah Brommage, Alison Steiber, Jenica K. Abram, Holly Kramer

Pediatrics Research and Scholarship

RATIONALE & OBJECTIVE: Nutrition management can slow the progression of chronic kidney disease (CKD) and help manage complications of CKD, but few individuals with CKD receive medical nutrition therapy before initiating dialysis. This study aimed to identify knowledge, attitudes, experiences, and practices regarding medical nutrition therapy and barriers and facilitators to medical nutrition therapy access for individuals with CKD stages G1-G5 from the perspective of patients and providers.

STUDY DESIGN: Cross-sectional study composed of anonymous surveys.

SETTING & POPULATION: Adults with CKD stages G1-G5 and medical providers and registered dietitian nutritionists who regularly see patients with CKD stages G1-G5 were …

Physical Activity Newsletter English - Module 2, Unm Prevention Research Center

Module 2 Family Engagement Activities

Physical Activity Newsletter English - Module 2

Post-Discharge Healthcare Utilization In Infants With Neonatal Opioid Withdrawal Syndrome, Shikhar Shrestha, Melissa H. Roberts, Jessie R. Maxwell, Lawrence M. Leeman, Ludmila N. Bakhireva

Family and Community Medicine Research and Scholarship

The opioid epidemic in the United States has led to a significant increase in the incidence of neonatal opioid withdrawal syndrome (NOWS); however, the understanding of long-term consequences of NOWS is limited. The objective of this study was to evaluate post-discharge healthcare utilization in infants with NOWS and examine the association between NOWS severity and healthcare utilization. A retrospective cohort design was used to ascertain healthcare utilization in the first year after birth-related discharge using the CERNER Health Facts® database. ICD-9/ICD-10 diagnostic codes were used to identify live births and to classify infants into two study groups: NOWS and uncomplicated …

Recommendations For Clinical Laboratory Testing For Protein S Deficiency: Communication From The Ssc Committee Plasma Coagulation Inhibitors Of The Isth, Richard A. Marlar, Jana N. Gausman, Hiroko Tsuda, Marian A. Rollins-Raval, Herm Jan M. Brinkman

Pathology Research and Scholarship

Hereditary deficiencies of protein S (PS) increase the risk of venous thrombosis; however, assessing the plasma levels of PS can be difficult because of its complex physiological interactions in plasma, sample-related preanalytical variables, and numerous acquired disease processes. Reliable laboratory assays are essential for accurate evaluation of PS when diagnosing a congenital deficiency based on the plasma phenotype alone. This report presents the current evidence-based recommendations for clinical PS assays as well as when to test for PS abnormalities.

Aging And Gender In The Tsimane’: Differences In Energy Expenditure, Physical Activity, And Horticultural Work, Daniel Kruse Cummings

Anthropology ETDs

The purpose of this dissertation is to measure and explain age- and sex-related differences in energy expenditure, physical activity, and patterns of horticultural work, in the Tsimane’, a subsistence forager-horticulturalist population from the Bolivian Amazon. Changes in the way energy is used with advancing age has important implications for the tradeoffs negotiated within the aging body as it partitions increasingly limited energy among competing life functions. It is guided by a theoretical framework which posits the co-evolution of the unique suite of fast and slow human life history traits, cooperative production of resources, and ageand sex-specific schedules of growth, production, …

Hslic Annual Report Fy2020-21, University Of New Mexico Health Sciences Library And Informatics Center

HSLIC Annual Reports

No abstract provided.

Neutroalgebra For The Evaluation Of Barriers To Migrants’ Access In Primary Health Care In Chile Based On Prospector Function, Diego Silva Jiménez, Juan Alexis Valenzuela Mayorga, Mara Esther Roja Ubilla, Noel Batista Hernández

Neutrosophic Sets and Systems

No abstract provided.

Molecular Studies On The Interactions Between Biomphalaria Snails And Schistosoma Mansoni, Lijun Lu

Biology ETDs

Biomphalaria snails serve as vectors for Schistosoma mansoni, a trematode causing human schistosomiasis. Control of Schistosoma mansoni involves chemotherapy of affected people, but new control methods built on improved understanding of schistosome-snail interactions are needed. My dissertation applies molecular and bioinformatics approaches to understand such interactions. Chapter 1 shows that significant differences exist among Biomphalaria species in Africa with respect to their ability to support schistosome development. Chapters 2 and 3 reveal the transcriptional responses of Biomphalaria glabrata susceptible (SUS) or resistant (RES) to Schistosoma mansoni. Chapter 2 identifies a new family of snail immune factors, the AIG …

Cardiorespiratory And Metabolic Responses To Hexagonal Barbell Deadlift Task Performed At An Intensity Corresponding To The Anaerobic Threshold, Christopher C. Frankel Dr.

Health, Exercise, and Sports Sciences ETDs

The objectives of this study were to identify the lactate threshold (LT) and the first ventilatory threshold (VT) during resistance exercise in a discontinuous incremental test, determine if both thresholds were observed at the same relative workload, and to analyze the acute cardiorespiratory and metabolic responses during a separate constant load resistance exercise protocol. Twelve healthy, trained women (n = 6) and men (n = 6) performed a maximal running test on a treadmill followed by three protocols using the hexagonal bar deadlift (HBDL) exercise. The treadmill test was performed to determine maximal oxygen consumption, peak heart rate, and lactate …

Mexican Americans' Perspectives On "Borderline Diabetes" In Amarillo, Texas, Priscella Pena-Correa

Nursing ETDs

The purpose of this study was to explore the meaning of and experiences living with “borderline diabetes” among Mexican American adults residing in or around Amarillo, Texas. Sixteen Mexican Americans who self-identified as having “borderline diabetes” participated. Research questions focused on how participants understood the condition, self-care practices, and recommendations for improving prediabetes healthcare and education. An interpretive description approach was used to analyze data from phone interviews. Principal findings revolved around issues of disclosure vs. secrecy, information seeking, and challenges or “struggle” to change lifestyle, particularly diet. Self-care was managed in a relational way with support of family, friends, …

Hepatitis C Virus Care Cascade In Persons Experiencing Homelessness In The United States In The Era Of Direct-Acting Antiviral Agents: A Scoping Review, Aubrey Del Rosario

Biomedical Sciences ETDs

Background: The Hepatitis C Virus (HCV) care cascade has been well characterized in the general United States population and other subpopulations. However, information is limited on care cascade outcomes in persons experiencing homelessness now that highly effective medications offer the potential for cure.

Objectives: The main objective of this study is to map the available evidence on HCV care cascade outcomes in homeless and marginally housed cohorts in the United States in the era of direct-acting antiviral agents. Primary and secondary outcomes of interest include linkage to care and sustained virologic response. Exploratory outcomes include other care cascade …

Mothers’ Satisfaction With Childcare Choices And Its Links To Family Involvement And Community Support, Hadeel Shamlan Al-Essa

Individual, Family, and Community Education ETDs

This study examined mothers ’reports on types of childcare arrangement for a preschool-age child, levels of mothers’, fathers’, and relatives’ involvement in childcare at home, maternal satisfaction with childcare arrangement, the influence of socioeconomic status and social support on mothers ’satisfaction with childcare arrangement, and the nature of mothers ’affection, responsiveness, encouragement, and teaching behaviors during mother-child play sessions. The sample consisted of 130 New Mexico mothers from two-parent families with a preschool child. A subsample of four mothers was selected for collecting data on mother-child play interactions through a 10-minute observation session. Analyses suggested that mothers were the primary …

New Mexico: Land Of The Drought, Brandi Davis

Climate Change and Public Health Preparedness

No abstract provided.

Breast Cancer Screening Among Medically Underserved Women In New Mexico: Potential For Lower Recall Rates With Digital Breast Tomosynthesis, Martha T Manda-Mapalo, Stephanie G Fine, Sarah Safadi, Ji-Hyun Lee, Ruofei Du, Andrew L Sussman, Shiraz Mishra, Reed G Selwyn, Jennifer L Saline, Wendy L Hine, Ursa A Brown-Glaberman

Pediatrics Research and Scholarship

Introduction: Digital breast tomosynthesis (DBT) may decrease recall rates (RRs) and improve positive predictive values (PPVs) and cancer detection rates (CDRs) versus full-field digital mammography (FFDM). The value of DBT has not been assessed in New Mexico's rural and minority population. Objectives of this study were to compare RRs, CDRs, and PPVs using FFDM+DBT versus FFDM in screening mammograms at the University of New Mexico between 2013 and 2016 and to qualitatively evaluate patient decision-making regarding DBT. Materials and Methods: RRs, CDRs, and PPVs with 95% confidence intervals and relative risk were calculated from 35,147 mammograms. The association between relative …

Bystanders’ Perspectives On The Provision Of Informal, Hospital-Based Care To Bedridden Patients With Cancer In Sri Lanka, B. Sunil S. De Silva

Nursing ETDs

Due to the nursing shortage in Sri Lanka, patients need informal caregivers, known as bystanders, to help provide patient care. This study described bystanders’ perspectives on informal, hospital-based care to bedridden patients with cancer in Sri Lanka. In this qualitative descriptive study, 17 bystanders at Apeksa/Cancer Hospital, Sri Lanka, were recruited using snowballing sampling. Data were collected through telephone interviews and analyzed using content and thematic analyses. Findings showed that paid and unpaid bystanders cover all caregiving tasks with minimum interaction with nurses. Unpaid bystanders described the need for same-sex bystanders and additional help with patients’ mobilization and specialized care. …

Through The Funnel: A Critical Policy Analysis Of Educational Policy Relating To The School-To-Prison Pipeline., Jesse V. Hall

Special Education ETDs

The purpose of the present study involved analyzing the policies of the Trump administration to determine the ways it impacted the school-to-prison pipeline. The focus of the study included the Departments of Education and Justice. The findings revealed educational policies and deregulatory practices that maintained and intensified the school-to-prison pipeline.

Oral Health Literacy Status Of School Staff Members In Southern Minnesota, Gabrielle Sullivan

Dental Hygiene ETDs

Purpose:

This study evaluated the oral health literacy OHL of school staff in Southern Minnesota. OHL is the degree to which individuals can understand health information. Dental caries is the most common chronic disease in school aged children, and school staff members spend a large portion of the day with children. Therefore, it is important for all school staff members to have a moderate or higher OHL status.

Methods:

The survey used a convenience sample of school staff in 3 different schools in southern Minnesota and used the REALD-30 OHL instrument with slight modification, to simplify data collection.

Results:

Fifty …

A Bayesian Network Analysis Of The Human Exposure To Escherichia Coli Bacteria In The Environment, Brandon G. De Flon

Mathematics & Statistics ETDs

Diarrhea is a leading cause of death worldwide because a lack thereof in household sanitization exposes humans to high concentrations of pathogenic Escherichia coli. In 2016, the University of New Mexico’s Nepal Study Center collected cross-sectional survey data using proportional random sampling on three communities in Western Nepal. Structural and parameter learning estimation and approximate inference of Bayesian networks studied diarrheagenic E. coli exposure while incorporating participation in sanitary behaviors, access to sanitary built-in environments, and other human characteristics. Of the reported sickness, hand washing resulted in a 20 percent decrease, water treatment 8 percent, and both 28 percent. Of …

Referring Patients With Type 2 Diabetes To A Registered Dietitian Nutritionist In New Mexico, Rebecca A. Lamoreux

Individual, Family, and Community Education ETDs

Prevalence of Type 2 Diabetes (T2DM) in New Mexico (NM) has steadily increased to 12.5% in 2019.¹Registered Dietitian Nutritionists (RDNs) play a critical role in the T2DM healthcare team. A web-based survey was distributed to NM clinicians [Medical Doctors (MD), Doctors of Osteopathic Medicine (DO), Certified Nurse Practitioners (CNP), and Certified Physician Assistants (PA-C)] investigating barriers preventing referral of patients with T2DM to an RDN.

In total, 132 clinicians completed the survey (average age=52 years; 54.5% CNPs, 32.6% MDs, 9.1% PA-Cs, 3.9% DOs; 44% female). Most (67.4%) did not have an RDN employed in their practice. The majority …

Inoculum Potential Of Pinus Edulis-Associated Ectomycorrhizal Fungi Across A Forest Extirpation Chronosequence, Annie M. Montes

Biology ETDs

Few studies have examined inoculum potential of ectomycorrhizal fungi (EMF) in the absence of plant hosts, yet persistence of these fungi may be paramount to resilience of Pinus edulis and other mycorrhizal plant species. We conducted a study in which seven sites were selected in northwestern New Mexico with known dates of P. edulis extirpation and a lack of regeneration. Age classes included: two sites extirpated 10-20 years ago, two extirpated 55-65 years ago, two extirpated 500+ years ago, and one extirpated 11,000+ years ago. At each site, two plots were paired: an extirpated plot and the nearest live adult …

Caregivers' Perceptions Towards Medical Nutritional Supplements, Nancy Perez, Kathryn E Coakley, Diana Gonzales-Pacheco, Deborah Luffey, Deborah Cohen

Individual, Family, and Community Education ETDs

Children 2-5 years of age can be vulnerable to being underweight due to characteristics like selective eating. As a result, children may not be consuming essential nutrients from balanced meals and may have a reduction in the variety of foods they eat. Medical nutritional supplements are often recommended by healthcare professionals including physicians and registered dietitian nutritionists (RDNs). Parents/caregivers may not research how the medical nutritional supplement benefits their child’s health and may not comprehend the meaning of the words “healthy growth”. This study investigated the attitudes and the perceptions of caregivers of children 2-5 years of age toward liquid …

The Effectiveness Of Mind Maps As A Study Tool In An Undergraduate Human Nutrition Class To Increase Knowledge, Exam Scores, And Final Grades, Suzanne Porter-Bolton

Individual, Family, and Community Education ETDs

The objective of this quasi-experimental study was to assess whether instructor-prepared mind maps increased knowledge, exam scores and final grades in undergraduate students enrolled in an introductory human nutrition course. Two sections of the same class (one intervention, one control) were taught by the same student instructor/investigator. Mind maps were posted online for the intervention class following each chapter lecture. Students tracked their study methods, including whether they used the mind maps. Exam scores and final grades were analyzed and compared for differences in learning and course performance between groups. There were no statistically significant differences in exam scores or …

Covid-19 Pandemic And Nepal: Issues And Perspectives, Basu Sharma, Ambika P. Adhikari

Himalayan Research Papers Archive

Asta-Ja USA and Asta-Ja RDC published the book “Issues and Perspective on the Covid-19 and Nepal” in December 2020. Edited by Basu Sharma and Ambika P. Adhikari, the book contains 12 papers by 17 authors. The 173-page book is a part of Asta-Ja’s Occasional Paper Series and addresses some of the key impacts of the ongoing Covid-19 pandemic in Nepal, and proposes some policy recommendations to mitigate those impacts. The book covers the areas of how agriculture, food production, employment, urban planning, economy, public health and research activities are impacted by the Covid-19 pandemic. The authors review the pandemic’s impact …

A Technical Assistance Model To Facilitate Use Of The School Health Index To Assess Chronic Health Condition Management In Schools, Grace L. Mccauley, Sarah Sanders, Anne Marlow-Geter, Elizabeth Yakes Jimenez

2020 Pediatric Research Forum Session

Introduction:

Chronic health conditions, such as asthma and food allergies, affect a substantial proportion of school-aged children in New Mexico (NM). School health services, policies, programs, and practices can affect daily management of chronic pediatric health conditions. The Center for Disease Control and Prevention’s School Health Index (SHI) is a self-assessment and planning guide that evaluates school services, policies, and programs for promoting health and safety. Our aim was to determine if a technical assistance (TA) model could effectively support school districts in using the SHI to complete a chronic disease needs assessment (CDNA).

Methods:

Seven public and one charter …

Ocho Pasos: A Quality Improvement Pilot To Improve Outpatient Clinic Breastfeeding Support, Julia M. Martinez, Timothy J. Ozechowski, Rachel A. Sebastian, Emilie A. Sebesta, Mary M. Ramos

2020 Pediatric Research Forum Session

Purpose of Study:

Only a third of US mothers achieve three months of exclusive breastfeeding (BF) despite the American Academy of Pediatrics (AAP) recommendation to exclusively BF for six months. National experts have recently published evidence-based guidelines for outpatient clinics to support longer durations of BF. Our pilot study sought to evaluate the feasibility of an intervention to improve support for BF in outpatient primary care clinics.

Methods Used:

We compared evidence-based BF-friendly guidelines from the AAP, Academy of Breastfeeding Medicine, California’s 9 Steps, and Washington’s 10 Steps to create Ocho Pasos (Eight Steps),guidelines tailored to the New Mexico population. …

Food And Housing Insecurity Screening Practices Among Unmh Pediatric Providers, Crystal Avila-Schroeder, Kyle Randolph, Lorena Galvan, Ana Duran, Maria Velazquez-Campbell

2020 Pediatric Research Forum Session

Introduction:

The American Academy of Pediatrics recommends food insecurity (FI) screening at all pediatric visits. Despite an existing EMR screening tool, how our pediatric providers screen FI and housing insecurity (HI) is unknown. Our objective was to collect formative data on FI and HI screening practices of UNMH pediatric providers to allow for the design of a quality improvement (QI) project.

Methods:

We performed a baseline cross-sectional survey with UNMH pediatric residents and attendings in May 2020.

Results:

Fifty-two individuals completed the survey (40.4% attendings, 59.6% residents). In inpatient settings, 67.8% of residents and 33.3% of attendings screen FI occasionally …

Screening For And Diagnosing Malnutrition In Hospitalized Pediatric Patients, Samuel Thompson, Erin Lamers-Johnson, Kathryn Kelley, Lindsay Woodcock, Julie Long, Courtney Bliss, Jenica K. Abram, Alison Steiber, Elizabeth Yakes Jimenez

2020 Pediatric Research Forum Session

Background:

Malnutrition is often underdiagnosed, and consequently undertreated, in hospitalized patients. A nationwide study is being conducted to validate indicators (the Malnutrition Clinical Characteristics [MCC]) to diagnose malnutrition in hospitalized patients.

Methods:

For the full study, sixty pediatric hospitals will collect patient medical history, patient STRONGKids malnutrition screening score, and nutrition intervention data. Six hundred pediatric patients will be randomly selected from the cohort to be assessed for the MCC and the Nutrition Focused Physical Exam (NFPE). Medical outcomes will be collected for all patients for a three-month period thereafter. Baseline data from a subset of sites that have started …

Remote Assessment Of Functional Mobility And Strength In Older Cancer Survivors: Protocol For A Validity And Reliability Study, Cindy K. Blair, Elizabeth Harding, Carla Herman, Tawny Boyce, Wendy Demark-Wahnefried, Sally M. Davis, Anita Y. Kinney, Vernon S. Pankratz

Pediatrics Research and Scholarship

BACKGROUND: Older cancer survivors, faced with both age- and treatment-related morbidity, are at increased and premature risk for physical function limitations. Physical performance is an important predictor of disability, quality of life, and premature mortality, and thus is considered an important target of interventions designed to prevent, delay, or attenuate the physical functional decline. Currently, low-cost, valid, and reliable methods to remotely assess physical performance tests that are self-administered by older adults in the home-setting do not exist, thus limiting the reach, scalability, and dissemination of interventions.

OBJECTIVE: This paper will describe the rationale and design for a study to …

Standardizing Assessment And Management Of Ankyloglossia, Marcia Nicole Cowen

Doctor of Nursing Practice Scholarly Projects

Ankyloglossia, which is characterized by a short, tight or thick lingual frenulum, can negatively impact breastfeeding. It has been recognized as a problem for centuries. Frenotomies have traditionally been performed to remove the lingual frenulum when indicated. The use of frenotomies and a focus on ankyloglossia fell out of favor in the twentieth century with renewed attention in the past several decades. Limited high-quality studies have been undertaken on ankyloglossia. There remains no standardized diagnosis or management recommendations. In efforts to promote a standardized approach that is based on current knowledge, this study will involve an educational in-service on ankyloglossia, …