Digital Commons Network^™

The Distribution Trends Of Labor Cost In A Government Organization, Robert Carlos

Public Administration ETDs

This study will research growth in the cost of support personnel in a government organization. It will provide a comprehensive, six-year comparison of costs from Fiscal Year (FY) 2014 to 2020. Furthermore, the study will analyze trends, and provide recommendations for best practices and optimum resource allocation.

Significant management concern has arisen due to the recent trend in rising indirect labor costs. A comparison of indirect and overhead to direct labor costs details a growth trend illustrating the uneven development and inefficiencies in the distribution of labor cost in the directorate.

The cost of labor is rising faster than the …

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 …

Providing Virtual Intrauterine Device Insertion And Removal Training During Covid-19: A Sustainable Solution For Rural Provider Access, Andrea Andersen, Jennifer Robinson, Erin Rayburn, Anna White, Rachel Sebastian, Irene Cantu, Franceska Alexander, Naaima Zaidi, Cynthia Harper, Elizabeth Yakes Jimenez

2021 Pediatric Research Forum Session

The LARC Mentoring Program (LMP) seeks to increase access to long-acting reversible contraceptives (LARCs) by broadening clinicians’ skills to insert and remove LARC devices and to provide counseling on all contraceptive methods. Before March 2020, the LMP training model consisted of in-person, hands-on trainings to teach clinical skills. When in-person trainings were no longer viable, the LMP team developed a virtual, hands-on Intrauterine Device (IUD) Insertion practicum for providers in New Mexico in collaboration with the Beyond the Pill program from the University of California, San Francisco. From December 2020 to February 2021, 15 health care providers from rural and …

Envision Nm 2.0 Maintenance Of Certification (Moc), American Board Of Medical Specialties (Abms) Multi-Specialty Portfolio Program, Sylvia Negrete, Patricia Roldan, Elizabeth Yakes Jimenez, Alberta S. Kong, Vanessa Will

2021 Pediatric Research Forum Session

Physician participation in initiatives approved by the American Board of Medical Specialties (ABMS) Multi-Specialty Portfolio Program can earn them 25 Improvement in Medical Practice (IMP/Part IV) credit from their ABMS Member Board for maintenance of certification (MOC) and 20 Category 1 Performance Improvement-Continuing Medical Education (PI-CME) credits for physician assistants through the National Commission on Certification of Physician Assistants (NCCPA).

As an approved portfolio sponsor, Envision NM 2.0 has been approved by the ABMS Multi-Specialty Portfolio Approval Program Organization to approve QI Activities for MOC (IMP/Part IV) for physicians and Category 1 PI-CME credit for physician assistants

ONLY American Board …

Department Of Pediatrics Infrastructure To Support Quality Improvement Activities And Professional Development, Elizabeth Yakes Jimenez, Anjali Subbaswamy, Lanier Lopez, Rebecca Craig, Hengameh Raissy, Alberta S. Kong, Vanessa Will

2021 Pediatric Research Forum Session

The Department of Pediatrics provides support for faculty and residents conducting quality improvement (QI) activities to meet Accreditation Council for Graduate Medical Education (ACGME) requirements related to quality improvement and patient safety (QIPS) and to improve patient care and enhance provider satisfaction. The Department has infrastructure and resources available to facilitate training and professional development in QI methodology, as well as all aspects of QI work, including project planning, implementation and dissemination. As an initiative dedicated to supporting sustainable enhancements in health care service delivery to improve New Mexico child and adolescent health, Envision NM 2.0 in the Division of …

Hydrometrocolpos And Post-Axial Polydactyly In A Neonate; A Case Presentation, Morgan Day, Crystal Avila, Dawn Novak

2021 Pediatric Research Forum Session

This case report is of a 35-week female neonate with the finding of cystic abdominal mass on 28-week antenatal ultrasound, confirmed by fetal MRI and suspected to be hydrometrocolpos. At birth the infant’s physical exam was notable for post axial polydactyly (PAP) of left hand and right foot, distended abdomen with a circumference of 36cm, and abnormal urethral opening requiring suprapubic catheterization on day of life one. Chest x-ray reveals hypo-inflated lungs and abdominal ultrasound reveals bilateral hydronephrosis and pelvic ascites. The differential diagnosis includes Bardet-Biedl Syndrome (BBS) versus McKusick-Kaufman Syndrome (MKKS). Genetic panel revealed she was a carrier for …

Early Hydrocortisone Administration For Bronchopulmonary Dysplasia Prevention, Jessica Wilcken, Dawn Novak, Conra Lacy, Cheng Chen

2021 Pediatric Research Forum Session

Objective: To assess changes in the incidence of bronchopulmonary dysplasia (BPD) in extremely preterm infants at UNMH after implementation of routine use of prophylactic hydrocortisone. The secondary objective is to assess for possible complications that can occur with the treatment of steroids, including the presence of spontaneous gastrointestinal perforation, late onset sepsis, significant hyperglycemia, and significant hypertension.

Background: BPD is the leading cause of morbidity and mortality in preterm infants and has been found to be an independent risk factor for poor neurodevelopmental outcomes in extremely premature infants. Hydrocortisone has been shown to be effective in improving survival and decreasing …

Moderate Prenatal Alcohol Exposure Increases Toll-Like Receptors Activity Detectable In Umbilical Cord Blood At Birth, Jessie R. Maxwell, Shahani Noor, Nathaniel Pavlik, Dominique Rodriguez, Lidia Enriquez Marquez, Jared Didomenico, Ludmila N. Bakhireva

2021 Pediatric Research Forum Session

One in nine pregnant women report drinking during pregnancy. Prenatal alcohol exposure (PAE) increases the risk of infection in the newborn by altering development with resultant changes in immune function including cytokine expression. Toll-like receptors are expressed on multiple types of cells and play a vital role in modulation of the innate immune system and the release of inflammatory mediators. Therefore, we predicted that PAE would result in alterations in the pattern of cytokine expression following stimulation with toll-like receptor agonists, in umbilical cord blood samples.

Cord blood samples were obtained from a subset of infants born to the prospective …

Rehabilitation Considerations And Management In A Pediatric Patient With Acute Transverse Myelitis Associated With Covid-19, Chris Buton, Robert Allen

2021 Pediatric Research Forum Session

Case Diagnosis

Severe respiratory failure represents the most fatal aspect of COVID-19. However, other consequences of the disease including neurological deficits may result in long-term disability. We report a rare case of transverse myelitis (TM) in a child associated with SARS-CoV-2 infection.

Case Description

A 3-year-old female with no significant past medical history presented to the emergency department with acute-onset weakness in all four extremities. Within hours, the patient experienced respiratory distress, worsening weakness, and decreased level of consciousness. She was intubated and admitted to the PICU. Within the next few days, she was found to be positive for the …

Pediatric Residency Academic Rotation Improves Self-Rated Proficiency In Quality Improvement Skills, Maria Heubeck, Rebecca Craig, Taylor Ford, Lanier Lopez, Grace Mccauley, Elizabeth Yakes Jimenez

2021 Pediatric Research Forum Session

Introduction: As of July 2020, all second-year pediatric residents participate in a one-month academic rotation. The rotation focuses on quality improvement (QI), research, education and leadership skills and experience. This project aims to assess the impact of the rotation on residents’ self-reported QI proficiency, self-rated motivation to pursue scholarly activities, and competency based on ACGME milestones.

Methods: Pediatric residents participating in the academic rotation from July 2020 to March 2021 were invited via e-mail to complete pre- and post-rotation surveys in REDCap. We conducted a Wilcoxon signed-rank test in Stata/SE 15 to compare pre- and post-survey responses for residents who …

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 …

Neonatal Birth Characteristics Following Antenatal Maternal Covid-19 Infection, Tiffany J. Emery, Kati N. Baillie, Jessie R. Maxwell

2021 Pediatric Research Forum Session

Background: Severe Acute Respiratory Syndrome Coronavirus-1 (SARS CoV-1) and Middle East Respiratory Syndrome (MERS), two illnesses caused by a coronavirus, have been shown to affect maternal and neonatal morbidity and mortality. Coronavirus disease 2019 (Covid-19), a novel coronavirus, may have similar effects during the antenatal period and has been shown to affect vasculature and cause placental changes. The placenta is a vital vascular organ of pregnancy that plays a key role in both maternal and fetal health, including transport of nutrients responsible for appropriate fetal growth. Covid-19 has been shown to cause placental changes such as microcalcifications, increased fibrin, and …

Heterogeneity In Hosts And Environment: Implications For Schistosomiasis Control, Larissa Celeste Anderson

Biology ETDs

Schistosomiasis is a widespread neglected parasitic disease, endemic in 54 countries, for which 290 million people needed treatment in 2018. A major Schistosoma species, Schistosoma mansoni, is sustained via a life cycle that includes both human and snail hosts. Mathematical models of S. mansoni transmission are an integral tool for elucidating the complexities of the transmission cycle, interactions between parasite species and for the estimation of the impact of intervention efforts. We designed both deterministic and stochastic mathematical models to understand the impact of heterogeneity in host and parasite composition on projected infection control. These models indicate the impact of …

Sundiata Keita's Invention Of Latin Purgatory: The West African Gold Trade's Influence On Western European Society (Ca. 1050-1350), Graham Abney

History ETDs

Following the advent of the North African Almoravids into West Africa during the late eleventh century, the region experienced a prolonged period of political instability, resolved only after the legendary victory at the battle of Kirina in 1235 by Sundiata Keita (r. 1235-55), ruler of Mali. Despite this turmoil, West Africa—the premodern world’s major supplier of gold—is still largely imagined in historiography as producing and exporting gold into the global market during this time at or above pre-conquest levels. Concurrent to these developments, however, Western Europe experienced a prolonged gold famine. By utilizing world systems theory and synthesizing high medieval …

1990'S Archdiocese Of Santa Fe Sex Abuse, Edgar Romero Ramos

Oral Histories HIST300, Spring 2021

In light of the sexual abuse allegations posed against Cardinal Theodore McCarrick in 2018; it seemed appropriate to delve into a deeper historical narrative regarding the first wave of sexual abuse allegations posed against the Archdiocese of Santa Fe.

From Vision To Reality: Building Community-Based Adaptive Sports And Fitness Facilities Across The United States, Mary Beth Schubauer

Health, Exercise, and Sports Sciences ETDs

People with physical disabilities face multiple barriers to activity and sports participation. This study aims to fill a gap in the literature by describing how community-based adaptive sports and fitness facilities are built in communities in the United States. Structured interviews of 11 participants, facility tours, and review of documents and photographs, are incorporated in the data collection and analysis. Understanding the necessary components for facility accessibility for people with disabilities also assists in ease of use by other community members. Three main concepts emerged from the analysis: incorporating viewpoints of people with disabilities in planning stages, use of universal …

Is The Skeletal Muscle Hypoxic Response To Exercise Different Between Endurance Trained And Untrained Individuals?, Roberto C. Nava, Zachary Fennel, Zachary Mckenna, Quint Berkemeier, Flávio De Castro Magalhães, Michael Deyhle, Fabiano Amorim, Christine Mermier

Health, Exercise, and Sports Sciences ETDs

It was previously hypothesized that endurance exercise training blunts the hypoxia inducible factor 1 (HIF-1) response to acute exercise. We investigated whether training status influences the skeletal muscle HIF-1 response to acute exercise. 7 endurance athletes and 8 untrained controls performed a bout of cycling exercise. Skeletal muscle protein levels of HIF-1α and its inhibitors, prolyl hydroxylase 2 (PHD2), factor inhibiting HIF (FIH) and von Hippel-Lindau (VHL) were measured pre, post and 3h post-exercise. HIF-1 target gene expression was assessed via rtPCR and RNA-sequencing. Baseline protein levels of FIH and PHD2 were greater in the trained group. The exercise-induced increase …

20210415_Next Week- Indigenous Honeys Presents Engaging Your Senses And Honoring Your Body Through Zine-Making, Kelleen Maluski

HSLIC Blog Post

No abstract provided.

Rectal Digging Associated With Prader-Willi And Solitary Rectal Ulcer Syndrome: A Case Of The Chicken Or The Egg, Kelsey Soppet, Pankaj Vohra

2021 Pediatric Research Forum Session

Individuals with Prader-Willi are prone to skin picking behaviors and, in severe instances, rectal digging. Rectal digging may also be a resultant behavior of solitary rectal ulcer syndrome (SRUS), a rare condition manifested by feelings of incomplete defecation. A 12-year-old male with Prader-Willi Syndrome and developmental delay was admitted to the floor for aggressive and self-injurious behaviors including rectal digging after bowel movements resulting in profuse bleeding and subsequent ingestion. The initial CBC revealed a normocytic anemia and psychiatric treatment was initiated. Upon visualization of rectal prolapse during his stay, GI was consulted and a CBC with differential was repeated …

Providing High Reliability Care For Picu Patients With Pulmonary Hypertension: A Quality Improvement Project, Anjali Subbaswamy, Nicholas Tan, Iric Guthrie, Cole Linzmeyer, Kelsey Fath, Elizabeth Yakes Jimenez

2021 Pediatric Research Forum Session

Purpose: Pediatric patients with pulmonary hypertension (PHTN) are a high acuity, low frequency population. To mitigate the risk of precipitating a potentially life-threatening pulmonary hypertensive crisis, health care staff need to take specific precautions. This quality improvement (QI) project aims to increase the number of inpatient PHTN patients for whom PHTN precautions are applied to 100% by September 2021.

Methods: The QI project uses the Model for Improvement methodology. The primary outcome measure will be application of PHTN precautions for patients with PHTN, based on chart audit. A series of Plan-Do-Study-Act (PDSA) cycles were conducted to test ways to increase …

Pediatric Research Forum 2021 – Grand Round Speakers, Sylvia Negrete, Brandi Bahringer, Anjali Subbaswamy

2021 Pediatric Research Forum Session

Envision NM 2.0 Maintenance of Certification (MOC), American Board of Medical Specialties (ABMS) Multi-Specialty Portfolio Program

Associations between maternal iron-deficiency anemia and neonatal outcomes in New Mexico

Antibiotic use for children in the PICU with severe viral bronchiolitis

A Search For New Physics In B(S) To Mu+Mu- Decays Using Multivariate Data Analysis, And Development Of Particle Detection Technology With Silicon Pixel Detectors, Aidan Grummer

Physics & Astronomy ETDs

A suite of linked research projects is undertaken, combining a search for phenomena beyond the Standard Model of particle physics, development of new instruments for greater precision in detecting fundamental particles, and tracking and understanding the effect upon the detectors of the radiation that is an indelible element of their operating environment. Data recorded by the ATLAS Detector at CERN are employed in a search for evidence of undiscovered particles contributing to the rate of decays of B⁰ and B⁰_s mesons to dimuon final states. New applications of machine learning techniques are implemented to separate this signal …

Development Of A Low-Cost Efficient Wireless Intelligent Sensor For Strain (Lewis-S) And Applications In Measuring Nonlinear Dynamics, Eric Robbins

Civil Engineering ETDs

Nonlinearities exist in all real-life systems and can be caused by behaviors such as large deformations, yielding, contact, etc. which can result in phenomena not found in linear testing. Considering nonlinear behavior in dynamic analyses can be beneficial to increase model predictability and can accurately characterize system responses. Generally, accelerometers are commonly used in linear and nonlinear vibration testing to obtain the acceleration response of a system. However, some systems may render the use of accelerometers problematic, or accelerometers may introduce limitations to measurement capabilities such that it can be beneficial to obtain experimental data using different sensors. In the …

Nighttime Pedestrian Fatalities Across The United States And Their Relationship With Built Environment And Socioeconomic Factors: Gis-Based Analysis And Assessment, Amir Tarighi

Civil Engineering ETDs

Fatalities from motor vehicle collisions are the fifth leading cause of years of lost life worldwide (Foreman et al., 2018) and are a great concern for all communities. This road safety crisis has been especially pronounced for U.S. pedestrians over the last decade. National records show that between 2010 and 2019, pedestrian fatalities in the U.S. increased 44% while all other traffic fatalities increased only 4% and more than fifty percent of pedestrian fatalities occurred in dark lighting conditions. This study analyzed the relationship between pedestrian fatality locations at night and five demographic characteristics of those locations including population density, …

Avid Graduates' Transition To College, Kathryn Cybele Leverett

Teacher Education, Educational Leadership & Policy ETDs

Graduates of the Advancement Via Individual Determination (AVID) program have higher college-going and persistence rates, even in New Mexico where they face serious educational barriers as first generation, low income, students of color. In this exploratory, phenomenological study, a mixed methods approach was employed to answer Research Question 1, What is the lived experience of AVID graduates as they transition to college?

In consideration of Research Question 2, What are the graduates’ perceptions of the AVID College & Career Readiness Framework (Rigorous Academic Preparedness, Opportunity Knowledge, and Student Agency)? Tinto’s Conceptual Schema for Dropout from College is aligned to AVID’s …

A Reconfigurable Stretchable Liquid Metal Antenna, Phase Shifter, And Array For Wideband Applications, David M. Hensley

Electrical and Computer Engineering ETDs

While liquid metals, such as mercury, have been used in electronics for quite some time, the non-toxic gallium based liquid metals have caused an increase in research for liquid metal applications. Some of the potential applications that have been previously presented range from reconfigurable antennas, strain and pressure sensors, and speakers and microphones to name a few. The focus of this work is to provide further research into the use of gallium based liquid metals as a reconfigurable antenna, a phase shifter, and an array. This is done by designing, constructing, and characterizing each of these reconfigurable liquid metal (LM) …

Language Co-Activation In Novice And Intermediate L2 Learners, Nicholas Sulier

Linguistics ETDs

One of the most intriguing aspects of bilingual speakers and signers is their ability to access both languages simultaneously. Though much research has been dedicated to understanding how two languages interact, or co-activate, within proficient bilinguals, less is understood about how and when novice and intermediate learners develop similar cross-language interactions. Thus, the current study aimed to uncover at what stages during novice and intermediate L2 development co-activation can be detected. It also investigated possible mechanisms behind co-activation. Specifically, the study attempted to clarify if any detected co-activation amongst L2 learners is dependent on associations between lexical and conceptual representations, …

Development And Implementation Of A Neonatal Massive Transfusion Protocol: A Quality Improvement Project, Hellen Ko, Joseph Griggs, Tara Zamora

2021 Pediatric Research Forum Session

Background: A Massive Transfusion Protocol (MTP) is an institutional plan created to expedite the allocation and delivery of blood products to patients with active bleeding. When run as designed, the MTP facilitates communication, ensures timely lab monitoring, and reduces delays/errors when ordering and administering blood products. Adult and pediatric MTPs have been developed, and their utility has been well-established for patients involved in trauma, major surgery, or extracorporeal membrane oxygenation (ECMO). However, these same MTPs are ill-suited for use in the neonatal population. Evidence-based guidelines for neonatal MTPs (N-MTP) are lacking for infants, including those born preterm. Given the unique …