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Optimizing The Educational Value Of Surgical Morbidity And Mortality Conference, Rebecca Lynn Williams-Karnesky, Jorge Wernly, Erika Ketteler, M Tim Nelson, Jasmeet S. Paul, John C. Russell

Quality Improvement/Patient Safety Symposium

Introduction:

Weekly morbidity and mortality (M&M) conference has been a long-standing part of graduate surgical education in the United States. M&M conferences were established in the early 1900s as a tool for personal improvement. Since their inception, M&M conferences have focused on the presentation and discussion of cases which result in adverse outcomes for patients. The context in which healthcare is delivered has become increasingly complex, and training paradigms have changed, but the process of M&M has remained relatively unchanged. We sought to revise the weekly M&M conference in the Department of General Surgery in order to increase the educational …

Geriatric Hip Fracture Quality Initiative, K C. Helmig, C L. Shultz, S A. Mcarthur, R B. Blackstone, C Kurnik, M Wharton, D H. Chafey

Quality Improvement/Patient Safety Symposium

Introduction:

Multiple studies demonstrate increased morbidity, mortality, and loss of independence after hip fractures in geriatric patients. The 1-year mortality rate after a hip fracture has been estimated at anywhere from 14% to 58%. Hip fractures are one of the most common injuries evaluated by the UNM Orthopedic department. Geriatric hip fracture protocols have shown improved outcomes at many other centers with regard to improved functionality and decreased morbidity. The goal of this initiative is to improve outcomes with regard to length of hospital stay, functionality after surgery, and as a result, decreased morbidity and mortality.

Materials/methods:

All deaths in …

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 …

Use Of Enhanced Recovery After Surgery (Eras) Protocol For Immediate Sub-Muscular Breast Reconstruction After Outpatient Mastectomy Is Safe And Significantly Reduces Costs, Ryan Kunkel, Audrey Rich, Venus Barlas, Stephanie Fine

Quality Improvement/Patient Safety Symposium

Introduction:

• ERAS protocols are associated with decreased postoperative stays, reduced opioid use, lower rates of postoperative nausea and vomiting, and lower overall costs to institutions and healthcare systems
• The aim of this study was to evaluate the impact of an ERAS approach on mastectomy with implant-based subpectoral reconstruction (IBR) with respect to procedure cost and 30-day complication rates for both ambulatory surgery patients and patients hospitalized overnight

Methods:

Study Type: Retrospective chart review analysis

Subjects: Patients over age 18 undergoing nipple-sparing mastectomy or skinsparing mastectomy with subpectoral IBR at a single institution.

Study Cohorts:

● ERAS: same-day surgery at an …

20200304_Come To Pubmed Now- Changes To The Interface, Kelleen Maluski

HSLIC Blog Post

No abstract provided.

03-02-2020 Hsc Committee Agenda (Revised V2), Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

02-11-2020 Hsc Committee Minutes, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

20200302_Hslic's Biomedical Informatics Seminar Series Presents Jonathan Eldredge, Phd, Tamara Wheeler

HSLIC Blog Post

No abstract provided.

Assessing And Expanding The Evidence Base For Project Echo And Echo-Like Models: Findings Of A Technical Expert Panel., Laura J Faherty, Adam J Rose, Andre Chappel, Caroline Taplin, Monique Martineau, Shira H Fischer

Project ECHO Bibliography

BACKGROUND: In 2003, Project ECHO (Extension for Community Healthcare Outcomes) began using technology-enabled collaborative models of care to help general practitioners in rural settings manage hepatitis C. Today, ECHO and ECHO-like models (EELM) have been applied to a variety of settings and health conditions, but the evidence base underlying EELM is thin, despite widespread enthusiasm for the model.

METHODS: In April 2018, a technical expert panel (TEP) meeting was convened to assess the current evidence base for EELM and identify ways to strengthen it.

RESULTS: TEP members identified four strategies for future implementors and evaluators of EELM to address key …

Coronao, Mt Angel

New Mexicans Reflect on Health and Wellness During COVID-19

Reflections on thoughts during the early stages of quarantine during the covid19 pandemic.

Inlp Newsletter, March 2020, Indigenous Nations Library Program

Monthly Newsletters

-Academic Service Hours

• University Libraries Spring 2020 Hours

-Upcoming events

• College Horizons
• Wemytewa Exhibit Opening

-Accepting Nominations for Native American Global Leadership Program

-Indigenous Reflections Film Project

-Michael and Enokena Memorial Scholarship Deadline

-Indigenous Design Studio Progress

-New Student Employee Spotlight

• Raven Alcott
• Ashanti Antonio

Evaluating Screening Participation, Follow-Up, And Outcomes For Breast, Cervical, And Colorectal Cancer In The Prospr Consortium, William E. Barlow, Elisabeth F. Beaber, Berta M. Geller, Aruna Kamineni, Yingye Zheng, Jennifer S. Haas, Chun R. Chao, Carolyn M. Rutter, Ann G. Zauber, Brian L. Sprague, Ethan A. Halm, Donald L. Weaver, Jessica Chubak, V Paul Doria-Rose, Sarah Kobrin, Tracy Onega, Virginia P. Quinn, Marilyn M. Schapira, Anna N A Tosteson, Douglas A. Corley, Celette Sugg Skinner, Mitchell D. Schnall, Katrina Armstrong, Cosette M. Wheeler, Michael J. Silverberg, Bijal A. Balasubramanian, Chyke A. Doubeni, Dale Mclerran, Jasmin A. Tiro

Pathology Research and Scholarship

BACKGROUND: Cancer screening is a complex process encompassing risk assessment, the initial screening examination, diagnostic evaluation, and treatment of cancer precursors or early cancers. Metrics that enable comparisons across different screening targets are needed. We present population-based screening metrics for breast, cervical, and colorectal cancers for nine sites participating in the Population-based Research Optimizing Screening through Personalized Regimens consortium.

METHODS: We describe how selected metrics map to a trans-organ conceptual model of the screening process. For each cancer type, we calculated calendar year 2013 metrics for the screen-eligible target population (breast: ages 40-74 years; cervical: ages 21-64 years; colorectal: ages …

Transfusion Of Uncrossmatched Group O Erythrocyte-Containing Products Does Not Interfere With Most Abo Typings, Mark H. Yazer, Philip C. Spinella, Leilani Doyle, Richard M. Kaufman, Robyn Dunn, John R. Hess, Luiz Amorim Filho, Magali Fontaine, Birgit Gathof, Bryon Jackson, Michael F Murphy, Jeremiah Pasion, Jay S. Raval, Kristin Rosinski, Jansen Seheult, Andrew W. Shih, Jason Sperry, Julie Staves, Erin E. Tuott, Alyssa Ziman, Darrell J. Triulzi

Pathology Research and Scholarship

BACKGROUND: Group O erythrocytes and/or whole blood are used for urgent transfusions in patients of unknown blood type. This study investigated the impact of transfusing increasing numbers of uncrossmatched type O products on the recipient's first in-hospital ABO type.

METHODS: This was a retrospective cohort study. Results of the first ABO type obtained in adult, non-type O recipients (i.e., types A, B, AB) after receiving at least one unit of uncrossmatched type O erythrocyte-containing product(s) for any bleeding etiology were analyzed along with the number of uncrossmatched type O erythrocyte-containing products administered in the prehospital and/or in hospital setting before …

Sclerosing Epithelioid Mesenchymal Neoplasm Of The Pancreas - A Proposed New Entity, Olca Basturk, Britta Weigelt, Volkan Adsay, Jamal K Benhamida, Gokce Askan, Lu Wang, Maria E. Arcila, Giuseppe Zamboni, Noriyoshi Fukushima, Rodrigo Gularte-Mérida, Arnaud Da Cruz Paula, Pier Selenica, Rahul Kumar, Fresia Pareja, Christopher A. Maher, John Scholes, Yoshinao Oda, Donatella Santini, Leona A. Doyle, Iver Petersen, Uta Flucke, Christian Koelsche, Samuel J. Reynolds, Aslihan Yavas, Andreas Von Deimling, Jorge S. Reis-Filho, David S. Klimstra

Pathology Research and Scholarship

We have encountered pancreatic tumors with unique histologic features, which do not conform to any of the known tumors of the pancreas or other anatomical sites. We aimed to define their clinicopathologic features and whether they are characterized by recurrent molecular signatures. Eight cases were identified; studied histologically and by immunohistochemistry. Selected cases were also subjected to whole-exome sequencing (WES; n = 4), RNA-sequencing (n = 6), Archer FusionPlex assay (n = 5), methylation profiling using the Illumina MethylationEPIC (850k) array platform (n = 6), and TERT promoter sequencing (n = 5). Six neoplasms occurred in females. The mean age …

Hobnail Cells In Encapsulated Papillary Thyroid Carcinoma: Report Of 2 Cases With Immunohistochemical And Molecular Findings And Literature Analysis, Shweta Agarwal, Qandeel Sadiq, Ibrahim Ortanca

Pathology Research and Scholarship

Papillary thyroid carcinoma (PTC) is the most common malignant tumor of the thyroid gland with most tumors behaving in an indolent fashion. However, morphologic variants have been described, such as tall cell, diffuse sclerosing, columnar cell etc. which are biologically more aggressive. One of these variants includes the more recently described hobnail variant (HVPTC) which shows micropapillae and presence of large cells with apically placed hyperchromatic nuclei, reverse polarity, and eosinophilic cytoplasm, akin to hobnail cells. The presence of >30% hobnail cells in a PTC deserves categorization as a hobnail variant. This variant is usually associated with extra thyroidal extension, …

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

A Deep Learning Convolutional Neural Network Can Recognize Common Patterns Of Injury In Gastric Pathology, David R. Martin, Joshua A. Hanson, Rama R. Gullapalli, Fred A. Schultz, Aisha Sethi, Douglas P. Clark

Pathology Research and Scholarship

CONTEXT.—: Most deep learning (DL) studies have focused on neoplastic pathology, with the realm of inflammatory pathology remaining largely untouched.

OBJECTIVE.—: To investigate the use of DL for nonneoplastic gastric biopsies.

DESIGN.—: Gold standard diagnoses were blindly established by 2 gastrointestinal pathologists. For phase 1, 300 classic cases (100 normal, 100

RESULTS.—: For Phase 1, receiver operating curves showed near perfect agreement with the gold standard diagnoses at an AD percentage cutoff of 50% for normal (area under the curve [AUC] = 99.7%) and

CONCLUSIONS.—: A convolutional neural network can serve as an effective screening tool/diagnostic aid for

Kinetic Model Of Incipient Hydride Formation In Zr Clad Under Dynamic Oxide Growth Conditions, Qianran Yu, Michael Reyes, Nachiket Shah, Jaime Marian

Pathology Research and Scholarship

The formation of elongated zirconium hydride platelets during corrosion of nuclear fuel clad is linked to its premature failure due to embrittlement and delayed hydride cracking. Despite their importance, however, most existing models of hydride nucleation and growth in Zr alloys are phenomenological and lack sufficient physical detail to become predictive under the variety of conditions found in nuclear reactors during operation. Moreover, most models ignore the dynamic nature of clad oxidation, which requires that hydrogen transport and precipitation be considered in a scenario where the oxide layer is continuously growing at the expense of the metal substrate. In this …

Deconstructing Foundational Principles Of Trusts And Estates Law, Sergio Pareja

Faculty Scholarship

REVIEW: Naomi R. Cahn, Dismantling the Trusts and Estates Canon, 2019 Wis. L. Rev. 165 (2019).

All areas of the law have certain foundational principles or beliefs that are widely shared. These underlying assumptions often go unchallenged. In the trusts and estates field, these principles include: (1) giving a certain amount of ongoing control to the transferor, or in the case of a decedent, to the “dead hand,” (2) respect for formality, (3) the importance of the traditional, legally-recognized family, and (4) the “wealth” narrative that focuses on the transmission of conventional forms of wealth.

In her …

20200225_Brain Slice Specimens Have Been Relocated, Jonathan M. Pringle

HSLIC Blog Post

No abstract provided.

The Mystery Room: Discovering The Flexibility Of An Information Literacy-Based Educational Escape Room, Glenn Koelling, Alyssa Russo

University Libraries & Learning Sciences Faculty and Staff Publications

The Mystery Room is an educational escape room based on information literacy and applied to multiple audiences, including first-year students and library student employees. In this article, we explain how we developed the game, its theoretical underpinnings, and why it’s a flexible workshop for a variety of audiences.

03-02-2020 Hsc Committee Notice, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

20200220_Meditation Sit In Hslic, Kelleen Maluski

HSLIC Blog Post

No abstract provided.

12-09-2019 Hsc Committee Meeting Minutes, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

University Of New Mexico Board Of Regents Minutes For February 18, 2020, University Of New Mexico Board Of Regents

Board of Regents Meeting Minutes

No abstract provided.

Outcomes Of Inflammatory Bowel Disease In Patients With Eosinophil-Predominant Colonic Inflammation, Tarik Alhmoud, Anas Gremida, Diego Colom Steele, Imaneh Fallahi, Wael Tuqan, Nina Nandy, Mahmoud Ismail, Barakat Aburajab Altamimi, Meng-Jun Xiong, Audra Kerwin, David Martin

Pathology Research and Scholarship

BACKGROUND: Inflammatory bowel disease (IBD) is characterised by acute intestinal mucosal inflammation with chronic inflammatory features. Various degrees of mucosal eosinophilia are present along with the typical acute (neutrophil-predominant) inflammation. The effect of intestinal eosinophils on IBD outcomes remains unclear.

METHODS: This is a retrospective study. Archived intestinal mucosal biopsy specimens of treatment-naïve IBD patients were examined by two pathologists. The number of eosinophils per high-power field was counted, and the mucosal inflammation was classified according to the eosinophilic inflammatory patterns. Clinical outcomes during the follow-up period were recorded.

RESULTS: 142 treatment-naïve IBD patients were included. Mean age was 39 …

2020-02-14 A Message From Chancellor Roth, Paul B. Roth

HSC Messages from the Chancellor

No abstract provided.

20200211_Join Us. Managing Impostor Syndrome Workshop, Kelleen Maluski

HSLIC Blog Post

No abstract provided.