Digital Commons Network^™

Successful Mentorship In Perioperative Surgical Services Can Happen! Developing The M.A.P.P. (Mentorship Amongst Peers Program), Natalie Sorensen, Diane Hanson-Johnson

VCU Health Nursing

Description of Team: Multidisciplinary team consisting of Nurse Educators, Registered Nurses, Certified Surgical Technologist, Administrative Staff, and a Health Care Partner. This team came together with a common goal of improving morale, breaking out of silos, and ultimately increasing retention throughout Perioperative Surgical Services.

Preparation and Planning: Research was performed previously on retention by Clinical IV Registered Nurse as part of her Master’s in Nursing program thesis. She presented the research to department leaders as a method to improve satisfaction and in turn, increase retention. In April 2018 a mentoring planning workshop was held with team members from each unit …

Deleting A Sacred Cow From The Emr: Removing Gastric Residual Volume Assessments, Christoph Lecznar

VCU Health Nursing

Purpose: The purpose of this Evidence-based practice (EBP) project was to implement current guidelines related to gastric residual volume (GRV) assessments for monitoring of feeding intolerance.

Background: Metabolic support of patients is critical for the survival of critical illness and optimal recovery. Enteral nutrition is the preferred method of delivery, but its success is dependent upon the bedside clinician₂. Current clinical practice guidelines do not support the practice of monitoring GRVs however₂; greater than 98% of critical care nurses utilize GRV monitoring to assess for feeding intolerance₁. In our urban Academic Level I Trauma …

Someone's Missing...And I Think It's Me: Our Great Adventure With Dementia, J. L. Gaustad

Someone's Missing...and I Think It's Me

Someone’s Missing…and I Think It’s Me is a unique blend of memoir, advice, and art. Gaustad chronicles her experiences with her late husband, prominent artist and VCU faculty member Gerald Donato, as they try to navigate the mysteries and terrors of early-onset dementia. Beautifully illustrated with original artwork by the author, Donato, and artist friends, Gaustad takes a brutally honest, sometimes harrowing, and ultimately life-affirming look at their challenged marriage. Although her original intent was to create a guide for those dealing with brain illness in loved ones, the book became a testament to the beauty and humor to be …

Sexual Identity And Alcohol, Cigarette, And E-Cigarette Use, Zoe H. Webster, Elizabeth K. Do Phd, Mph

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

The Impact Of Minority Stress On Lgbtq+ College Student Complete Mental Health, Stephanie Cull, Bethany M. Coston Phd

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

The Effects Of Emotional Distress On Substance Use In First Generation And Continuing Generation College Students, E. Noelle Rogers, Karen G. Chartier Phd, Msw

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

The Association Between Frequency Of Alcohol Consumption And Sensation Seeking In College Freshmen, Anna Lee, Elizabeth Prom-Wormley Mph, Phd

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

Cultural Socialization And Ethnic Racial Identity: Testing Conversations About Race As Mediators Among Diverse College Students, Sabrina Hawa, Maria De Jesus Cisneros, Eryn Delaney, Chloe Walker, Chelsea Williams Phd, The Spit For Science Working Group, Danielle Dick Phd

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

Spiraling: Do Parents Help Lighten The Blow Of Trauma, Ruth Laryea, Marcia Winter Phd

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

Worried About Being Un-Masked By Booze? Associations Between Psychopathy And The Fear Of Behavioral Disinhibition During Alcohol Misuse, Jenely J. Villegas, David S. Chester Phd

IRBEH/Spit for Science Publications and Presentations

No abstract provided.

Implicit Racial Bias In Physicians: Racial Disparity In Opioid Prescriptions In United States Emergency Departments, Anjali Ta

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

Over the past 30 years, a documented racial disparity in opioid prescriptions in U.S. emergency care departments has persisted despite overall prescription trends fluctuating throughout the rise and fall of the early 2000’s opioid epidemic. Consistently, Blacks and other minorities receive lower levels of opioid analgesics when presenting with conditions or characterizing pain levels similar to white patients. This study focuses on identifying the mechanisms of implicit racial bias, quantified by scores on the Implicit Bias Association Test (IAT), that influences physicians’ abilities to equitably assess and treat pain of racially diverse patient populations. Research has shown that physicians with …

Paroxetine Is Pro-Inflammatory In Human Brain Microvascular Endothelial Cells, Syeda Hashimi, Sulay Patel, Omar Hassan, Bukola Odeniyi

Graduate Research Posters

BACKGROUND: Paroxetine is an antidepressant that is widely used. However, Paroxetine possesses anticholinergic properties which may contribute to cognitive decline in older adults. Surprisingly, the mechanisms of the cognitive decline of anticholinergic drugs in older adults remains elusive. A hypothesis is that a loss of cholinergic signaling is pro-inflammatory in the brain. We designed experiments to determine if Paroxetine is pro-inflammatory in Normal Human Brain Microvascular Endothelial Cells (NHBMECs).

METHOD: NHBMECs were grown at 5% CO2, 37C and 95% relative humidity until 90% confluent. NHBMECs were treated with the RNA free water as control, Paroxetine as 1.67x 10 4 mM/mol, …

Legal Status Effects On Parent-Child Relationships And Parent Well-Being, Isis Garcia-Rodriguez, Tamara Ribas-Camargo, Ronald L. Blackwell, Amy K. Marks

Graduate Research Posters

Despite heightened levels of parenting stress and psychological distress experienced by many immigrant-origin families in the United States, little is known about the resiliency of Latinx families, particularly in today’s political climate. This research presents the results of a pilot study examining the effects of legal stressors on parent-child relationships and parent well-being in Latinx immigrant families. Taken from the Latinx Immigrant Family Stories and Strengths project, this mixed-methods study was informed by the integrative risk and resilience model for understanding the adaptation of immigrant-origin children and youth (Suarez-Orozco, Motti- Stefanidi, Marks, & Katsiaficas, 2018). The pilot included a sample …

Addressing Minority Health Disparities In Richmond: Results From A Health Needs Assessment Of A Southside Community, Nixon Arauz, Ma, Shanteney Jackson, Ma, Robert A. Blanco, Mph

Graduate Research Posters

Background:

Evidence shows the effectiveness of integrating community health workers (CHWs) into care models serving high-risk patients to reduce emergency department (ED) use, increase primary care use, and address adverse social determinants of health (SDH). The Southwood Resource Center, part of a network of clinics established by Richmond City Health Department, utilizes CHWs to address disparities affecting underserved populations through primary care referrals and additional resource linkages. Local student-volunteers in partnership with CHWs conducted a community needs assessment to identify patient resource gaps, aid in design and implementation of SDH interventions, and examine the relationship between chronic disease management and …

Dendrimer Conjugation Enhances Tumor Penetration And Cell Kill Of Doxorubicin In 3d Coculture Lung Cancer Models, Rashed Almuqbil, Rodrigo S. Heyder, Elizabeth R. Bielski, Mikhail Durymanov, Joshua J. Reineke, Sandro R. P. Da Rocha

Graduate Research Posters

Background: Doxorubicin (DOX) is a potent chemotherapeutic widely used for solid tumors (1). Despite high efficacy in 2D cell culture, DOX efficacy does not translate to in vivo lung cancer models (2). Major side effects such as cardiotoxicity may be alleviated with nano-based drug delivery systems (nanoDDS). However, tumor penetration of DOX and DOX-nanoDDS is largely unknown and is an additional barrier to effective clinical therapy (3). Here we describe a nanoDDS capable of enhancing the penetration of DOX.

Methods: DOX was conjugated to generation 4 poly(amido-amine) dendrimers through (GFLG) tumor- liable bond. G4SA-GFLG-DOX was synthesized/characterized. spheroids were formed of …

Vascular Dysfunction And Posttraumatic Stress Disorder: Examining The Role Of Oxidative Stress And Sympathetic Activity, Jennifer Weggen, Aaron Autler, Gina Tuzzolo, Austin C. Hogwood, Ashley M. Darling, Kevin P. Decker, Ryan S. Garten

Graduate Research Posters

Purpose: The physiological manifestations of posttraumatic stress disorder (PTSD) have been associated with an increase in risk of cardiovascular disease (CVD) independent of negative lifestyle factors. The goal of the study was to better elucidate the mechanisms behind the increased CVD risk by examining peripheral vascular function, a precursor to CVD. Moreover, this study sought to determine the role of oxidative stress and sympathetic nervous system (SNS) activity in PTSD-induced vascular dysfunction.

Methods: Sixteen individuals with PTSD (10 women, 6 men; age 24 ± 4 years), and twenty-four healthy controls (CTRL; 15 women, 9 men, 24 ± 4 years), participated …

“How Am I Supposed To Feel?”: Social Support And Black Mothers’ Infant Feeding Decisions, Hannah M. Ming, Cecilia Barbosa

Graduate Research Posters

Background: Many of the adverse health outcomes that breastfeeding protects against disparately affect black mothers and children; however, black mothers are the least likely racial group in the U.S. to breastfeed. Black mothers have indicated that breastfeeding barriers include a lack of social support. Qualitative studies examining such breastfeeding barriers often focus on women who have unsuccessfully breastfed and fail to define the experiences of women who have successfully breastfed. This study aims to identify the impacts of social support on the infant feeding decisions of black women with varying levels of breastfeeding success.

Methods: Twenty-five black women were interviewed …

Dyrk1a And The Cell Cycle, Holly Byers, Larisa Litovchick, Md, Phd

Graduate Research Posters

The ability to halt the cell cycle is critical for cells to maintain tissue and organ size, to suppress tumors and abnormal growth, and exists as a helpful mechanism to pause the cell cycle for DNA repair. DYRK1A is (dual specificity tyrosine-(Y)-phosphorylation regulated kinase 1A) a human gene found on the long (q) arm of chromosome 21, which is known to be involved with nervous system development, cell growth and division, and neuronal differentiation. In glioblastoma cells grown in vitro (T98G cell line), there are three copies of DYRK1A, which have dosage- dependent effects on the cell, including association with …

Shedding Psychological Light On The Racial Disparities In School Disciplinary Measures: The Role Of Dehumanization As A Potential Mechanism, Ebony Lambert, Nao Hagiwara

Graduate Research Posters

Schools should be safe and supportive spaces for all students, yet Black students tend to face biased treatment in the education system, which often results in harsh disciplinary measures. This research examined the role of animalistic dehumanization (i.e., perceiving others as animal- like and uncultured and denying uniquely human characteristics), in predicting choice of harsher disciplinary measures for Black students as opposed to White students. It was hypothesized that individuals who dehumanize Black students to a greater degree would be more likely to believe that Black students need to be disciplined through harsher measures. Both Study 1 (in which dehumanization …

Multidimensional Recovery Among An Opioid Use Disorder Outpatient Treatment Population, Anna Beth Parlier-Ahmad, Lori Beck, Caitlin E. Martin

Graduate Research Posters

Background: Given the current opioid crisis, recovery from opioid use disorder (OUD) warrants attention. SAMHSA’s working definition of recovery highlights dimensions that support recovery including health, home, community, and purpose. Recovery capital captures factors that support recovery within these dimensions and has been associated with recovery outcomes. Prior research highlights possible gender differences in recovery outcomes. Objective: 1) Describe and compare recovery capital among an OUD outpatient treatment population by gender; 2) Identify the relationship between recovery capital and length of time in treatment within this population.

Methods: Patients (n=126) taking medication for OUD at a single outpatient substance use …

The Effects Of A High Fat Meal On Blood Flow Regulation During Arm Exercise, Alexander Chiu, Lauren Pederson, Jeremy O. Via, Natalie J. Bohmke, Jacob Richardson, Aaron Autler, Hunter Reed, Eric Henderson, R. Lee Franco, Ryan S. Garten

Graduate Research Posters

A diet high in saturated fats results in endothelial dysfunction and can lead to atherosclerosis, a precursor to cardiovascular disease. Exercise training is a potent stimulus though to mitigate the negative effects of a high saturated fat diet; however, it is unclear how high-saturated fat meal (HSFM) consumption impacts blood flow regulation during a single exercise session.

PURPOSE: This study sought to examine the impact of a single HSFM on peripheral vascular function during an acute upper limb exercise bout.

METHODS: Ten young healthy individuals completed two sessions of progressive handgrip exercise. Subjects either consumed a HSFM (0.84 g of …

Emotion Regulation And Prosocial Tendencies Mediate The Association Between Parenting Styles And Later Substance Use, Nathaniel Thomas, Marcia Winter, The Spit For Science Working Group, Danielle Dick

Graduate Research Posters

PURPOSE: Substance use is common, heritable, and associated with negative outcomes in emerging adults. Previous work suggests that parenting styles are associated with substance use outcomes. Emotion regulation and prosocial tendencies, such as civic efficacy and engagement with community or school extracurricular activities, are associated with lower levels of substance use and may represent mechanisms of the influence of parenting styles on substance use. The current study examines whether the association between parenting styles and substance use is mediated by emotion regulation and prosocial tendencies in a large sample of emerging adult college students

METHODS: Subjects were drawn from a …

Let’S Talk: A Study Of The Impact Of Gendered Racial Socialization On African American Adolescent Girls’ Mental Health, Lesley Winchester, Keyona Allen, Shawn C. T. Jones, Ph.D, Elan Hope, Ph.D

Graduate Research Posters

Internalized racial oppression in African American girls is understudied within research. As people of color are victimized by racism, they may internalize it, developing ideas, beliefs, actions and behaviors that support or collude with racism (Bivens, 1995). This internalized racism has its own systemic reality and its own negative consequences in the lives and communities of people of color. Understanding the way negative racial messages influence the mental health of African American adolescent girls allows for the development of intervention and prevention methods to reduce symptomology of depression, anxiety, and stress. In order for African American girls and young women …

Clinical Reconciliation Of Patient Social Context And Implementation Of Preventive Care Guidelines, April Williams

Graduate Research Posters

Background

Preventive care practice guidelines are disseminated regularly through federal and scientific groups as a way of promoting best practices and evidence-based health promotion. Yet rates of their implementation are historically low and complex, with cited barriers including limits on physicians’ time, knowledge or attitudes; and external factors related to the guideline itself, the clinical environment, or patient factors. The objective of this qualitative research is to understand how primary care clinicians and staff reconcile perceived patient-level factors and implementation of preventive care guidelines.

Methods

Key informant interviews (n=23) with 14 clinicians and 9 office managers from 14 primary care …

Offering The Choice Of Self-Administered Oral Hiv Testing (Chivst) Among Long-Distance Truck Drivers In Kenya: A Trial-Based Cost-Effectiveness Analysis, Deo Mujwara, April D. Kimmel

Graduate Research Posters

Background: Long distance truck drivers (LDTD) are a high-HIV-risk population facing unique healthcare barriers due to continuous travel and irregular schedules, and may require targeted, resource-intensive strategies for HIV-test uptake. We conducted a trial-based cost-effectiveness of CHIVST among LDTD in Kenya.

Methods: Effectiveness data came from a randomized-controlled trial of CHIVST (n=150) versus provider-administered testing (n=155). Economic cost data came from the literature and reflected a societal perspective. Generalized Poisson and linear-gamma regression models estimated the effectiveness (relative-risk) and incremental costs (2017 I$), respectively, with incremental effectiveness calculated as the reciprocal of the absolute risk difference and reported as the …

Elastic Foundations As Heterogeneous Adventitial Boundary Condition For The Assessment Of Aortic Wall And Peri-Aortic Stiffness From Dense-Mri Data Using Inverse Fem Approach, Johane H. Bracamonte, John S. Wilson, Joao S. Soares

Graduate Research Posters

Background: The establishment of in vivo, patient-specific, and regionally resolved techniques to quantify aortic properties is key for improving risk assessment in clinical practice and scientific understanding of cardiovascular growth and remodeling. Many in vivo studies quantify vascular stiffness using Pulse Wave Velocity. This method provides an averaged measure of stiffness for the entire aorta, ignoring variations in wall stiffness and boundary conditions. Previous studies using Displacement Encoding with Stimulated Echoes Magnetic Resonance Imaging (DENSE-MRI) suggested that the infrarenal abdominal aorta (IAA) deforms heterogeneously throughout the cardiac cycle.

Method: Herein, we hypothesize that the aortic wall strain heterogeneity is driven …

For I Know The Plans I Have For You: God Locus Of Control, Spiritual Change, And Death Anxiety In Primary Brain Tumor Patients, Kelci D. Willis, Julia Brechbiel, Rachel Boutte, Laurel Kovalchick, Kyra Parker, Audrey Ann Louis Villanueva, Ashlee R. Loughan

Graduate Research Posters

Background/Purpose. Primary brain tumor (PBT) patients risk experiencing death anxiety given the high mortality rate of their diagnosis. In line with Terror Management Theory (TMT), many diagnosed with cancer utilize religion as a method of coping with the disease. However, previous literature on the relation between death anxiety and religion in cancer patients indicates mixed findings of either a negative relationship or no association. To the authors’ knowledge, no study has analyzed these two constructs together in PBT patients. The current study sought to address this gap by investigating the relationship between religiosity and death anxiety in an understudied population. …

Examining Gender Differences In Young Men And Women’S Goals For A Technology-Driven Weight Loss Intervention, Jean M. Reading, Melissa M. Crane, Jessica G. Larose

Graduate Research Posters

Background

Emerging adults (EA) are at high risk for weight gain and obesity yet are underrepresented in behavioral weight loss (BWL) programs and fare worse than their older counterparts when they join these programs. Further, even within BWL programs adapted specifically for this population, young men are particularly challenging to recruit, representing less than 20% of samples in recent trials. One hypothesis for the poor recruitment of men is that men’s goals for a weight loss program are not described in recruitment messages for these studies. Understanding whether men and women’s personal goals for participating in a weight loss program …

Six Weeks Of Resveratrol Improves Cardiovascular Health In Patients With Copd, Rebekah Lavender, Kolton Cobb, Kendall Goldman, Paula Rodriguez-Miguelez Phd

Graduate Research Posters

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide. One-third of people diagnosed with COPD die of cardiovascular (CV) complications as opposed to pulmonary. Despite these odds, there are no therapies that mitigate this important health issue. Resveratrol, a naturally occurring antioxidant, improves CV health in other populations. However, there is currently no literature on resveratrol in patients with COPD. The purpose of this pilot study was to test if six weeks of resveratrol supplementation could improve CV health in patients with COPD. METHODS: A randomized, double-blind, pilot trial was completed in 8 patients with …

Impact Of Diet On Colorectal Cancer, Ashley Rosenberg Md, Mirinda Gromley Msph, Nicole Weighard Md, Juan Lu J Phd Mph Md

Graduate Research Posters

Background

Colorectal cancer (CRC) is the third most common cancer diagnosed worldwide. Modifiable risk factors such as diet have been linked to the development of CRC but results of previous research have been inconsistent. We utilized the National Health and Nutrition Examination Survey (NHANES) to determine whether the consumption of dietary variables contributed to increased diagnosis of colorectal cancer.

Methods

Participants from NHANES 2015-2016 database aged 16 years or older, with available two-day dietary and CRC information were included. Study exposure included dietary consumptions (salt, cholesterol, sugar, fat, and carbohydrates); the outcome was self-reported CRC. Descriptive analysis was performed with …