Digital Commons Network^™

Evaluating Academia During A Pandemic, The Grace E. Harris Leadership Institute At Virginia Commonwealth University, Mary Fain, Nicholas Georges, Janina Golob Deeb, Lisa Mathews-Ailsworth, Rita Shiang, Patrick Smith

The Grace E. Harris Leadership Institute Publications

COVID-19 disrupted educational instruction which transitioned into remote learning and testing modes. Faculty adopted various platforms of remote learning, however, the students' perception of efficacy and adequacy remains unclear. Curriculum delivery transformation should be based on student feedback to align it with their needs and expectations. As remote learning evolves, it is important to identify perceptions from faculty and students. Our project might help improve and potentially enhance remote teaching and learning techniques.

The Potential Effects Of Hormonal Therapy And Stress On The Oral Health Of The Transitioning Population, Elena G. Cantwell, Devon Mcclure

Dental Hygiene Student Scholarship

Problem: In terms of healthcare, the transgender population is underserved. Unfortunately, these individuals often experience stress related to seeking preventative care and fear discrimination. These factors preventing them from seeking care, in addition to hormone therapy taken during the transition process, could have severe impacts on their dental health. The purpose of this study is to establish a link between the hormone therapy used during gender transitioning and the effect on oral health. While there is a correlation between hormone replacement therapy and clinical evidence that sex hormones can impact on periodontal tissues, few studies have linked this knowledge to …

Virginia Commonwealth University Undergraduate Bulletin [2020], Virginia Commonwealth University

VCU Bulletins

Undergraduate bulletin for Virginia Commonwealth University for the academic year 2020-2021. It includes information on academic regulations, degree requirements, course offerings, faculty, academic calendar, and tuition and expenses for undergraduate programs.

Infection Prevention In Patients Receiving Continuous Renal Replacement Therapy Through Proper Hemodialysis Line Care, Nicole Ingram, Susan Mckenna

VCU Health Nursing

The goal was to reduce Continuous Renal Replacement Therapy (CRRT)-related Central Line-Associated Bloodstream Infection (CLABSI) rates by introducing a just-in-time re-education toolkit for proper hemodialysis (HD) line care in adult Intensive Care Units (ICU).

CRRT requires specialized expertise delivered in the ICU setting with the support of HD nurses. Problem-solving when cartridges clot or clog requires ICU nurses to return the blood and notify HD to restart therapy. Current evidence supports the use of white Curos^TM caps and Tego^TM connectors when deaccessing lines in order to prevent CLABSIs, air emboli, and bleeding. A learning needs assessment revealed inconsistent …

Seasonal Facilitative And Competitive Trade‐Offs Between Shrub Seedlings And Coastal Grasses, Michael N. Sinclair, Natasha N. Woods, Julie C. Zinnert

Biology Publications

Shrub expansion is occurring in grasslands globally and may be impacted by the balance of competition and facilitation with existing grasses. Along the mid‐Atlantic and Gulf coasts, the native shrub Morella cerifera (wax myrtle) is rapidly expanding and displacing other native coastal species. Recent research suggests that much of this expansion is due to warming winter temperatures, as temperatures below −15°C kill M. cerifera. The objective of this project was to understand the importance of species interactions with grasses on the growth and physiology of M. cerifera at the seedling life stage through both field and laboratory experiments. In …

Immigration Policies On Adolescent Trauma Among Mixed-Status Latinx Families: A Systematic Review, Isis Garcia-Rodriguez, Oswaldo Moreno

Psychology Publications

The current policy surrounding immigration in the United States (U.S.) has sparked negative attitudes surrounding individuals that are undocumented, as well as mixed-status families.¹ Latinx adolescents residing in the U.S. are already at risk for psychological (i.e., depression, stress, anxiety) and physical health problems (i.e., chronic and acute health problems),^2-4 and the current political climate only exacerbates these health outcomes.^5-7 These experiences are striking given that 58.9 million Latinx individuals reside in the U.S.⁸ Given the impact that these recent local and federal policies have on the largest minority group in the U.S., these policies may …

Virginia Commonwealth University Courses [2020], Virginia Commonwealth University

VCU Bulletins

Listing of courses for the 2020-2021 year.

Virginia Commonwealth University Graduate Bulletin [2020], Virginia Commonwealth University

VCU Bulletins

Graduate bulletin for Virginia Commonwealth University for the academic year 2020-2021. It includes information on academic regulations, degree requirements, course offerings, faculty, academic calendar, and tuition and expenses for graduate programs.

Gastrointestinal Stromal Tumor (Gist) In Long Standing Crohn’S Disease On Anti-Tnf Therapy, David Mendel, Taseen Syed, H R. Lippman, Brian Davis

Graduate Medical Education (GME) Resident and Fellow Research Day Posters

Introduction

Patients suffering from inflammatory bowel disease (IBD) are at increased risk for developing cancer. Adenocarcinomas are the most commonly observed tumors of the gastrointestinal tract whereas data on gastrointestinal stromal tumor (GIST) in IBD patients is limited. GIST is a neoplasm that originates from the interstitial cells of Cajal in the smooth muscle layers of the gastrointestinal tract. [1] The association between GIST and Crohn’s disease (CD) is debated, as the tumor inconsistently present in areas of inflammatory activity. We report an interesting case of CD maintained on Infliximab, who presented with a flare that revealed GIST in the …

Charles William Sargent, Phd, Ahip, Fmla, 1925–2020, Teresa L. Knott

VCU Libraries Faculty and Staff Publications

Charles William Sargent, PhD, AHIP, FMLA, director emeritus of the Texas Tech University Health Sciences Center Library of the Health Sciences and 1981–1982 president and member of the 1972–1975 Board of Directors of the Medical Library Association (MLA), died on January 8, 2020, in San Antonio, Texas. Sargent’s career in librarianship included positions at research, special, and health sciences libraries, as well as an appointment as a library school faculty member. He was known for his mentoring, interest in clinical librarianship, and belief in the power of organizations.

Virginia Dental Journal (Vol. 97, No. 1, 2020)

Virginia Dental Journal

No abstract provided.

Gut Microbiome And Opioid-Induced Analgesic Tolerance, Sach D. Thakker, Karan H. Muchhala

Biology Publications

The gut microbiome plays an important role in maintaining health and homeostasis. Chronic usage of opioids leads to microbial dysbiosis in the gut. This dysbiosis leads to several severe diseases such as irritable bowel syndrome (IBS), diabetes, cancer, and obesity. Here, we discuss the literature on how opioids affect the gut-microbiome axis and how these changes alter the ability of morphine to produce analgesic tolerance. Chronic morphine exposure leads to increases in gut permeability due to disruption of tight junction proteins and increases in inflammation due to release of proinflammatory cytokines, both of which promote tolerance to morphine. Additionally, it …

When Statistical Significance Is Not Enough: Investigating Relevance, Practical Significance, And Statistical Significance, Kaveh Mohajeri, Mostafa Mesgari, Allen S. Lee

Information Systems Publications

The notions of significance and relevance have provoked much controversy and confusion among those who conduct and those who are intended to be informed by quantitative research in the information systems (IS) field. The history of quantitative research in the IS field and beyond reveals not only disputes over the adequacy of statistical significance to warrant the scientific merits of research, but also pleas for drawing attention to practical significance, as well as a lack of distinction between relevance and practical significance. This essay offers a remedial, overarching account. We establish the position that statistical significance, practical significance, and relevance …

Virginia Commonwealth University Professional Bulletin [2020], Virginia Commonwealth University

VCU Bulletins

Professional programs bulletin for Virginia Commonwealth University for the academic year 2020-2021. It includes information on academic regulations, degree requirements, course offerings, faculty, academic calendar, and tuition and expenses.

Letters From The “Gentlemen Of The Press,” 1810-1845, David E. Latane

English Publications

A collection of letters by men and women associated with the periodical press in England in the first half of the nineteenth century, transcribed, annotated, and presented with scans of the original letters. Notable contributors include Times editors Thomas Barnes and John Delane, Fraser's Magazine writers William Maginn and John Heraud, Charles Molloy Westmacott editor of The Age, Stanley Lees Giffard of The Standard , and Mary Russell Mitford.

Annual Higher Ground Women's Leadership Conference 2020, The Grace E. Harris Leadership Institute At Virginia Commonwealth University

The Grace E. Harris Leadership Institute Publications

No abstract provided.

Mohs Micrographic Surgery In A Pediatric Patient With Squamous Cell Carcinoma, Cameron Nichols, Shields W. Callahan Md

Graduate Medical Education (GME) Resident and Fellow Research Day Posters

An 11-year old boy presented with biopsy proven squamous cell carcinoma (SCC) of the left cheek. Pathology demonstrated moderate to well-differentiated SCC with positive deep and peripheral margins and no signs of definitive perineural invasion. Past medical history was significant for radiation therapy, chemotherapy, and stem cell transplant seven years prior for the treatment of a spinal embryonal tumor with multilayered rosettes with no signs of recurrence. He never had any direct radiation therapy to the site of his SCC. Mohs micrographic surgery (MMS) was ultimately selected as the treatment of choice for his SCC.

The main concern with MMS …

Hip Labral Injury Worsens After Platelet Rich Plasma Injections: A Case Report, Brennan M. Wright, Carmen Wong

Graduate Medical Education (GME) Resident and Fellow Research Day Posters

Case Description

A 47-year-old active male presented with 2.5 years of right hip pain suggestive of labral pathology. Ice, heat, celecoxib, ibuprofen, diclofenac gel, and physical therapy provided minimal relief. A diagnostic intra-articular bupivacaine injection resolved the pain. A subsequent MR arthrogram revealed a non-displaced tear of the right anterior superior acetabular labrum.

In pursuit of conservative treatment, the patient agreed to a series of 3 right hip intra-articular PRP (platelet rich plasma) injections. When he presented for the second injection, he reported his pain had decreased by 20% and he was tolerating light running. Due to improvement in symptoms, …

Reduced Length Of Stay In Major Hepatectomy Surgery After Implementation Of An Enhanced Recovery Pathway In The United States Veteran Population, Yvonne Nguyen Md, Marilyn Mcnulty Np, Leopoldo Fernandez Md, Michael R. Kazior Md

Graduate Medical Education (GME) Resident and Fellow Research Day Posters

Introduction

Enhanced recovery after surgery (ERAS) pathways are associated with better postoperative recovery, however, evidence is lacking in major liver surgery, .This study aimed to evaluate the impact of an ERAS pathway in U.S. veterans undergoing major hepatectomy surgery. We hypothesized that the adoption of an ERAS pathway reduces decreased length of stay (LOS).

Methods

After approval from the Hunter Holmes McGuire VA Medical Center IRB, we compared data from consecutive patients undergoing elective open hepatectomy within an ERAS pathway (January 2019-December 2019) to a previous cohort of patients before introduction of ERAS (July 2016-December 2017). One surgeon performed all …

Budd-Chiari Syndrome As The Initial Manifestation Of Behcet’S Disease​, Yashswee Kc, Abhishek Nandan, Nishant Desai

Graduate Medical Education (GME) Resident and Fellow Research Day Posters

No abstract provided.

Telemedicine Hcv Treatment In Department Of Corrections Results In High Svr In Era Of Direct-Acting Antivirals (Daa), Taseen A. Syed, Reena Cherian, Lewis Shawn, Richard K. Sterling

Graduate Medical Education (GME) Resident and Fellow Research Day Posters

No abstract provided.

Severe Drug-Induced Gingival Enlargement And Periodontitis: A Case Series With Clinical Presentation And Management, Janina Golob Deeb, Denver J. Lyons, Daniel M. Laskin, George R. Deeb

Periodontics Publications

Gingival enlargement (GE) is a condition in which the size of the gingiva increases in response to inflammation, systemic disease, or certain medications including anticonvulsants, calcium-channel blockers, and immunosuppressants. This report describes the management of two cases involving severe gingival enlargement related to the use of an anti-hypertensive calcium-channel blocker and an immunosuppressant. Besides taking amlodipine, one patient had undergone a heart transplantation seven years prior and has been taking two immunosuppressant drugs, mycophenolate and tacrolimus. The extent of the destruction of periodontal support, aggravated by gingival enlargement, resulted in extensive tooth loss. Periodontitis and gingival enlargement exacerbate and accelerate …

Loneliness And Sleep: A Systematic Review And Meta-Analysis, Sarah C. Griffin, Allison B. Williams, Scott G. Ravyts, Samantha N. Mladen, Bruce D. Rybarczyk

Psychology Publications

Despite the mounting evidence linking loneliness with health, the mechanisms underlying this relationship remain obscure. This systematic review and meta-analysis on the association between loneliness and one potential mechanism—sleep—identified 27 relevant articles. Loneliness correlated with self-reported sleep disturbance (r = .28, 95% confidence interval (.24, .33)) but not duration, across a diverse set of samples and measures. There was no evidence supporting age or gender as moderators or suggesting publication bias. The longitudinal relationship between loneliness and sleep remains unclear. Loneliness is related to sleep disturbance, but research is necessary to determine directionality, examine the influence of other factors, …

Demographic Factors And Attitudes Towards Mental Health Medication Treatments Among Latinxs, Kyle Hernandez-Figueroa, Jesus Carranza, Jennifer Argueta-Contreras, Isis Garcia-Rodriguez, Oswaldo Moreno

Psychology Publications

Attitudes towards mental health medications vary, however negative perceptions are often born of normative cultural values, stigma, and religious fatalism,1-3 as well as overall demographic characteristics such as gender, nativity, and primary language.4,5 Further research suggests many Latinx adults fear negative outcomes from adhering to medication for mental health treatment, such as dependence and side effects and, instead, would prefer psychotherapy over psychopharmacology.1,2 Lastly, a lack of health literacy,6 culturally appropriate treatments and information,7 as well as barriers to care also have shown to impact attitudes towards mental health medication treatments among Latinxs.8 To date, little attention has been given …

The Role Of Dental Hygienist In Hpv Prevention And Education In Parents Of Adolescents, Kelsey Dore, Sari Sweet

Dental Hygiene Student Scholarship

Objectives/Aims: Today the Human Papillomavirus (HPV) infects nearly 14 million people each year in the United States alone. HPV is responsible for several cancers, including oropharyngeal, which is currently on the rise. Each year an estimated 53,000 cases of oropharyngeal cancers are diagnosed, with 70% of the cases related to HPV. The significance of educating dental providers and patients of the correlations between HPV and oropharyngeal cancers involves increased prevention strategies in dental practices. The aim is to begin offering multi-level education to adolescents’ parent’s in routine dental care visits, in order to provide an innovative approach to reduce HPV-related …

Lifestyle Risk Factor Related Disparities In Oral Cancer Examination In The U.S: A Population-Based Cross-Sectional Study, Aderonke A. Akinkugbe, Dina T. Garcia, Tegwyn H. Brickhouse, Maghboeba Mosavel

Dental Public Health and Policy Publications

Background: Oral cancers account for 3% of annual U.S. cancer diagnosis, 2 in 5 of which are diagnosed late when prognosis is poor. The purpose of this study was to report the population-level prevalence of oral cancer examination among adult smokers and alcohol drinkers and assess if these modifiable lifestyle factors are associated with receiving an oral cancer examination.

Methods: Adult participants ≥30 years (n = 9374) of the 2013–2016 cycles of the National Health and Nutrition Examination Survey were included. Oral cancer examination (yes/no), smoking (never, former, current) and alcohol use (abstainers, former, current) were self-reported. Survey-logistic regression …

Impact Of Making Dental Care Affordable On Quality Of Life In Adults Aged 45 Years And Older, Shillpa Naavaal, Susan O. Griffin, Judith A. Jones

Dental Public Health and Policy Publications

Objective:

The objective of this study was to examine the associations between self-reported ability to afford dental care and quality of life in adults aged 45 years and older.

Method:

We used publicly available cross-sectional data from the 2008 National Health Interview Survey and its oral health supplement for 11,760 adults aged 45+ years. The increased probabilities of reporting dental problems attributable to an inability to afford dental care were estimated from multivariate models and combined with respective dental problem disability weights from the Global Burden of Disease to measure loss in quality of life.

Results:

Prevalence of reported inability …

Self-Reported Oral Health Status Among Adults Aged 40+ Years With And Without Vision Impairment: National Health Interview Survey, 2008, John E. Crews, Chiu-Fang Chou, Shillpa Naavaal, Susan O. Griffin, Jinan B. Saaddine

Dental Public Health and Policy Publications

Purpose: To examine self-reported oral health among adults aged 40 years and older with and without vision impairment.

Design: Cross-sectional, with a nationally representative sample.

Methods: We used publicly available data from the Oral Health Module, last administered in 2008, of the National Health Interview Survey. Outcome variables included fair/poor oral health status, mouth condition compared to others the same age, mouth problems (mouth sores, difficulty eating, dry mouth, bad breath, and/or jaw pain), teeth problems (toothache; broken/missing fillings or teeth; loose, crooked, or stained teeth; and/or bleeding gums), and lack of social participation. Using descriptive statistics and multivariate logistic …

Multi-Morbidities Are Not A Driving Factor For An Increase Of Copd-Related 30-Day Readmission Risk, Shuo-Yu Lin, Hong Xue, Yangyang Deng, Askar Chukmaitov

Health Policy Publications

Background and Objective: Chronic obstructive pulmonary disease (COPD) is the third leading cause of death in the United States. COPD is expensive to treat, whereas the quality of care is difficult to evaluate due to the high prevalence of multi-morbidity among COPD patients. In the US, the Hospital Readmissions Reduction Program (HRRP) was initiated by the Centers for Medicare and Medicaid Services to penalize hospitals for excessive 30-day readmission rates for six diseases, including COPD. This study examines the difference in 30-day readmission risk between COPD patients with and without comorbidities.
Methods: In this retrospective cohort study, we used Cox …

Trajectories In Muscular Strength And Physical Function Among Men With And Without Prostate Cancer In The Health Aging And Body Composition Study, Alexander R. Lucas, Rhonda L. Bitting, Jason Fanning, Scott Isom, W. Jack Rejeski, Heidi D. Klepin, Stephen B. Kritchevsky

Health Policy Publications

Objectives

To examine and compare changes in strength and physical function from pre- to post-diagnosis among men with prostate cancer (PC, [cases]) and matched non-cancer controls identified from the Health, Aging and Body Composition (Health ABC) study.

Materials and methods

We conducted a longitudinal analysis of 2 strength and 3 physical function-based measures among both cases and controls, identified from a large cohort of community living older adults enrolled in the Health ABC study. We plotted trajectories for each measure and compared cases vs. controls from the point of diagnosis onwards using mixed-effects regression models. For cases only, we examined …