Digital Commons Network^™

Variables Affecting Neurodevelopmental Outcome In Infants With Critical Congenital Heart Disease, Elizabeth Loughman, Julie Weiner Do, Marcie Files Md

Research Days

Background: The mortality of cardiac conditions in infancy is improving with advances in surgical planning and medical management. Neurologic morbidity remains significant. Clinically correlating an infant with their neurologic exam, MRI/EEG, and subsequent developmental testing remains a challenge. Counseling regarding neurologic outcomes after cardiac intervention is difficult due to the wide range of findings that can sometimes be clinically irrelevant.

Purpose: The goal of this study is to identify factors associated with poor neurodevelopmental outcomes in infants with critical congenital heart defects (CCHD) as assessed by the Bayley Scales of Infant and Toddler Development Edition IV (Bayley).

Methods: This is …

Implementation Of A Weaning Protocol For Inhaled Nitric Oxide In A Level Iv Neonatal Intensive Care Unit, Elizabeth Loughman, Julie Weiner Do, Maryam El Tawil, Chris Nitkin Md

Research Days

Background: Decrease time to begin iNO weaning from 13 hours to 9.75 hours by 31 December 2024 in patients with persistent pulmonary hypertension of the newborn (PPHN).

Methods: Countermeasures include (1) provider education at each disciplinary level, (2) badge reminder cards and laminated copies of the protocol available at the bedside, (3) order set modifications, (4) abnormality tracking at huddles. Data collection will be automated through weekly Business Objects report. The main outcome measure will be time to first wean of iNO after meeting protocol criteria. Feedback regarding the ease of weaning will be generated via Gemba Rounds.

Results: These …

Preferred And Actual Place Of Death To Assess Goal Concordant End Of Life Care For Children With Cancer, Amy Johnson Md, Mba, Lisa Tarbell Msn, Rn, Fnp-C, Brooke Fridley Phd, Terrie Flatt Do

Research Days

This study examines disparities in pediatric end-of-life (EOL) cancer care, highlighting socioeconomic and racial inequities in concordance between preferred and actual death locations, ICU deaths, and intensive interventions, with findings emphasizing the need for earlier palliative care integration, proactive preference documentation, and tailored approaches to improve equity and family-centered care.

Effect Of Social Determinants Of Health On Clinic Visit Attendance In Patients With Hemophilia, Shailly Gaur Md, Brian Lee Phd, Mph, James Anderst Md, Msci, Katie Foote Lscsw, Lcsw, Osw-C, Andrea Bradley-Ewing Mpa, Ma, Shannon Carpenter Md

Research Days

Background

Social determinants of health (SDOH) create barriers to seeking care regularly, especially for patients with chronic disease. Patients with moderate-severe hemophilia A and B (factor 8 and 9 deficiencies respectively) have a life-long higher risk of bleeding and require chronic therapies. Specialized care is offered through hemophilia treatment centers (HTCs); however, these can be difficult to access for some individuals. Previous SDOH research in this patient population has been limited; therefore, it can be difficult to identify the barriers to care that exist. There is a need to examine SDOH more thoroughly to create patient-directed interventions to improve access …

Intraspinal Anomalies In Presumed Ais Does Not Increase The Risk Of Intraoperative Neuromonitoring Changes During Posterior Spinal Fusion, Connor Mathes, Bill Woodhams, Aaron Shaw, John Anderson, Michael Benvenuti, Richard Schwend

Research Days

This study aims to identify the association between intraoperative neuromonitoring changes during posterior spinal fusion surgery among patients with adolescent idiopathic scoliosis and those found to have intraspinal anomalies on standard preoperative imaging.

Teen And Young Adult Experiences With Intrauterine Device Placement Under Procedural Sedation: A Pilot Study, Ellen Bryant, Stephani L. Stancil, Anne-Marie Priebe, Andrea Nos, Ashli A. Lawson

Research Days

Intrauterine devices (IUDs) are a reliable method of contraception and menstrual management, but uptake of them, especially in the adolescent population, can be limited by concerns for pain and anxiety during the placement procedure. Pain management plans for IUD insertion are recommended prior to placement, but data regarding multiple modes of analgesia and anxiolysis have shown mixed results. This study is designed as a pilot study to analyze adolescent experiences with IUD placement with sedation, as well as to identify patient characteristics that may be associated with a favorable or unfavorable experience.

Implementation Of An Enhanced Recovery After Surgery Pathway In Adolescent Patients Undergoing Laparoscopic Evaluation Of Endometriosis, Lauren Roth Md, Madeline Ross Md, Todd Glenski Md, Emily Weisberg Md, Ashli Lawson

Research Days

This study evaluates the implementation of an Enhanced Recovery After Surgery (ERAS) pathway for adolescent patients undergoing diagnostic laparoscopy for endometriosis at a tertiary children's hospital. The retrospective reviewed included 53 patients (20 pre-ERAS, 33 post-ERAS) aged 12-20 years old, comparing preoperative compliance, intraoperative adherence, and postoperative outcomes. Findings showed 81% compliance with preoperative medication, 76% received appropriate preoperative medications, and 39% had recommended carbohydrate loading. Intraoperative compliance was 87%, with 61% adherence to postoperative medications. Post-anesthesia care unit (PACU) stay time increased (44 vs 53 minutes, p=0.21), but pain scores, postoperative prescriptions, and hospital readmissions remained unchanged. This study …

Impact Of A Multidisciplinary Clinic On Hormone Replacement Therapy In Adolescents With Turner Syndrome, Madeline Ross, Trisha Patel, Ashli A. Lawson, Joseph Cernich, Tazim Dowlut-Mcelroy

Research Days

Background

Turner Syndrome (TS) is associated with primary ovarian insufficiency (POI). Most adolescents with TS require hormone replacement therapy (HRT).1 International guidelines recommend transdermal estradiol (TDE) as first-line estrogen replacement therapy.1 Care within a multidisciplinary clinic (MDC) has been associated with higher adherence to screening guidelines for metabolic and auditory disorders in TS.2 It is unknown if adherence to guidelines for postpubertal HRT differ for adolescents with TS managed in a MDC compared to those managed outside of a MDC. Our study aimed to compare 1) postpubertal HRT regimen prescribed, and 2) compliance to HRT and menstrual bleeding patterns for …

Analytical Verification Of The Fda Cleared Xpert® Xpress Cov-2 Plus Test For Sars-Cov-2 Detection In Respiratory Specimens, Gabriela M. Henriquez, Neena Kanwar, Rangaraj Selvarangan

Research Days

Introduction

The COVID-19 pandemic, caused by SARS-CoV-2, highlighted severe gaps in broad testing and prompt diagnosis. Rapid real-time RT-PCR assay Xpert® Xpress CoV-2 Plus was developed to enhance SARSCoV-2 detection in respiratory specimens. Using ZeptoMetrix's inactivated organisms, this study seeks to assess its analytical performance and compare its accuracy with current standard of care diagnostic assay.

Methods

The accuracy of the Xpert® Xpress CoV-2 Plus test was evaluated using ZeptoMetrix NATtrol inactivated SARS-CoV-2 organisms diluted with pooled negative nasopharyngeal (NP) swabs. Ten positive and ten negative NP swabs were tested over five days at two sites, with >90% agreement required. …

A Novel Approach To The Management Of Extreme Hypernatremia Using Continuous Kidney Replacement Therapy And Hypertonic Saline, Bahar Barani, Xuexin Lu, Darcy Weidemann, Jenna Miller, Nathan Beins, Judith Vansickle, Vimal Chadha

Research Days

Case series about two patients with severe hypernatremia and kidney failure who were treated with a novel mechanism using continuous dialysis and customized fluids with good outcomes.

Bivalirudin Versus Heparin In Patients With Congenital Diaphragmatic Hernias Requiring Extracorporeal Life Support, Cory Nonnemacher, Seth Saylors, Vatche Melkonian, Richard Hendrickson, Inna Lobeck

Research Days

Introduction

Congenital Diaphragmatic Hernia (CDH) is a rare congenital anomaly. The pulmonary hypoplasia, pulmonary hypertension and altered cardiac function associated with CDH may result in early cardiorespiratory failure requiring life-saving extracorporeal life support (ECLS). Early repair of CDH on ECLS has shown to improve survival, but poses an increased bleeding risk due to anticoagulation. Heparin has traditionally been the anticoagulant of choice for ECLS. Recent data has suggested that the use of bivalirudin may result in lower bleeding rates and transfusion requirements. This study aims to stratify complications for patients with CDH repaired on heparin versus bivalirudin, hypothesizing that complications …

Spinal Deformity Characteristics Associated With Intraspinal Anomalies In A Population Of Presumed Ais, Connor Mathes, Aaron Shaw, Bill Woodhams, John Anderson, Michael Benvenuti, Richard Schwend

Research Days

This study aims to identify an association between pre-operative radiographic criterion and the presence of an underlying intraspinal anomaly in patients presenting with presumed adolescent idiopathic scoliosis undergoing posterior spinal fusion.

Adherence To Oral Iron In Adolescent Females With Iron Deficiency Secondary To Heavy Menstrual Bleeding, Kennedy Sheedy, Lauren Amos Md, Ms

Research Days

Iron deficiency is an important, but often minimized issue among adolescent females. While treat with oral iron is generally first-line treatment, IV iron has been shown to be safe and effective. Our study looks at adherence and barriers to oral iron treatment and assesses current use of IV iron for iron deficiency at Children's Mercy, in hopes of helping move towards utilizing the most beneficial treatment for each individual patient.

Experiential Learning Through Service Learning -- Integrating The Social Inequality Classroom, Mehmet Soyer, Mike Spence, Zach Johnson

Utah Conference on Community Engagement

This session explores the role of service-learning in social inequality education, highlighting an experiential learning assignment that engages students with local non-profits. Participants will learn how structured reflections and community engagement deepen students' understanding of inequality and civic responsibility. The session will provide practical insights into implementing service-learning to foster critical thinking and social change.

From Paywalls To Practice: Accessing And Using Evidence For Community Impact, Jayme Walters, Becky Thoms, Kacy Lundstrom, Rachel Blume

Utah Conference on Community Engagement

Leaders and practitioners have a responsibility to utilize reputable, up-to-date research to inform their work in communities. However, peer-reviewed literature is often hidden behind paywalls, with an average cost of $30-$50 per article. An increase in predatory publishing has also made it difficult for readers to decipher reliable articles from those that are of poor quality. Additionally, even when openly accessible to readers, peer-reviewed articles are generally written by academic researchers for other academic researchers, resulting in articles that are too dense both in length and readability. This workshop will equip participants with practical strategies for locating and identifying quality, …

Community Strategy For Equitable Home Electrification, Alyson Bergomi, Kelbe Goupil, Kevin Emerson

Utah Conference on Community Engagement

Between 2021-2023, Utah Clean Energy collaborated with four community partners to develop the Community Strategy for Equitable Home Electrification. This involved developing an understanding of the barriers and challenges to home electrification, creating a vision statement for equitable home electrification, developing four high-priority solutions to the barriers to home electrification, and creating several action steps for each solution, all based on community input. This document is intended to inform and guide the design and implementation of programs and policies related to home efficiency and electrification that are intended to expand access for low-income and disadvantaged communities.

Teaming Up For Better Health: An Interprofessional Collaborative Approach To Older Adult Oral Care, Deborah Dowd, Jodie Lopez, Jennifer Goodman

Utah Conference on Community Engagement

Oral health is a critical component of overall health, significantly influencing systemic diseases and the quality of life in older adults. Conditions such as xerostomia, swallowing difficulties, and poor oral self-care are associated with aspiration pneumonia. Integrating oral health into healthcare in long-term care facilities (LTCFs) is essential for preventing various conditions and improving quality of life. Effective oral hygiene is crucial in avoiding non-ventilator hospital-associated pneumonia by reducing oral biofilm and lowering the risk of pneumonia. Nurses' knowledge and care in oral health across healthcare settings are vital for positive health outcomes. Revising nursing curricula to incorporate oral health …

Jail Based Substance Use Disorder Treatment, Matt Huntington

Utah Conference on Community Engagement

This session will cover how to create community partnerships with law enforcement and incarceration partners. The goal of our program with the Tooele County Sheriff's Office was to reduce jail recidivism and overdose by preparing individuals to safely leave the jail. Come join an interactive discussion on creating programs for high need communities through innovative partnerships.

Reaching Communities And Serving People: Assessing Utah's Legal Needs, Pamela Beatse J.D, Scotti Hill J.D, Keenan Carroll J.D., Hannah Kiely M.A

Utah Conference on Community Engagement

"Utah Legal Services (ULS) conducted a comprehensive legal needs assessment in 2024 to gather the necessary data and information to better meet its mission of providing high-quality civil legal aid without cost to people who are unable to afford legal representation or are facing disadvantages. Using the combination of an online survey, a series of focus groups throughout the Wasatch front, individual or group interviews, and several community soundboards, ULS conducted a broad, statewide survey. We connected with representatives, organizations, advocates, case managers, and leaders in the community as well as with client-eligible Utahns and ULS staff. This process allowed …

Building Community Power Using The Principles Of Mutual Aid, Cristina Chirvasa, Nicole Steinicke, Rivkah Haubner

Utah Conference on Community Engagement

Globally, many communities are fragmented and struggling to have their needs met. One strategy to meet local needs is to adopt a bottom-up approach, working within communities to build power. This strategy is especially effective because it allows people to make decisions around issues impacting them directly and forge critical connections with one another. Mutual aid offers a framework for establishing power by mobilizing community members to support one another based on solidarity and reciprocal relationships, which can be adapted to many different contexts. Here, we will turn the basic principles of mutual aid into an interactive roundtable in which …

How Are You? Increasing Pre-Service Educators' Out-Of-Class Communication With Social And Emotional Learning, Brittany Severino

International Journal for the Scholarship of Teaching & Learning

Social and Emotional Learning (SEL) can be embedded within professors’ teaching pedagogy to help support students’ mental well-being and create an inclusive learning environment. However, studies that explore implementing specific SEL strategies within higher education are extremely limited. To explore the potential benefits, the researcher and professor of this study engaged in the Scholarship of Teaching and Learning (SoTL), by evaluating the potential impact of a consistent SEL check-in at the start of each class session on the student-initiated out-of-class communication (OCC), attendance, and academic performance of undergraduate education majors pursuing a special education certification or minor. Quantitative and qualitative …

Student And Perceived Instructor Big Five Traits As Predictors Of Rapport And Course Grades, Anna E. Park, J. Arthur Gillaspy, Jr., William Lammers

International Journal for the Scholarship of Teaching & Learning

Studies show that student-instructor rapport is correlated with student success in college courses (e.g., Lammers & Gillaspy, 2013). Less is known about the personality traits of students and their perceptions of instructors’ personality traits that are associated with rapport. This study addressed this gap in the literature. In an online survey, students self-reported their big five personality traits. They then thought about a particular class from the previous semester. They rated the associated instructor’s big five and their rapport with the instructor. Their ratings of their instructor’s big five were more predictive of rapport than their own self-reported big five. …

Reflective Perspectives On Interdisciplinary Teaching In Public Health Education: Insights From A Mixed-Methods Approach, Raymond Boon Tar Lim, Claire Gek Ling Tan, Kelly Voo, Lee, Cecilia Woon Chien Teng

International Journal for the Scholarship of Teaching & Learning

Interdisciplinary teaching is vital for equipping students to address complex public health challenges. This study explores teachers' reflections on interdisciplinary teaching in Singapore’s undergraduate public health programmes, examining facilitators and barriers to its implementation. Using surveys and in-depth interviews, we gathered diverse insights from teachers. Quantitative results revealed a significant positive association between interdisciplinary teaching frequency, and willingness for further integration, and non-significant associations for perceptions on knowledge and importance of integration. Notably, participants' satisfaction with the current state of interdisciplinary learning in the public health curriculum or during internship supervision was low, although this finding was not significant. Qualitative …

Avatars Vs. Actors: Comparison Shows Little Difference In Role-Play Simulations For Psychology Students, Melinda Russell-Stamp, Jean R. Norman, Kennedy Parker

International Journal for the Scholarship of Teaching & Learning

Role-playing using avatars has been demonstrated as effective, but it has not been compared to role-playing with a live actor. In this study, undergraduate psychology students (N=93) conducted a clinical interview in a role-play with an avatar or live actor. Mixed methods included a survey and written reflection. The study found no differences in student interest-enjoyment, skills-knowledge, comfort level, or utility value in survey scales found to be reliable. High levels of active learning were found in qualitative data in both conditions, though it was significantly higher in the avatar group. High levels of benefits from group work also were …

Lecturers’ Experiences Of Teaching A Module In An Interdisciplinary Study Programme, Jennifer Schijf, Greetje Van Der Werf, Ellen Jansen

International Journal for the Scholarship of Teaching & Learning

Research universities are increasingly incorporating interdisciplinary education into their strategies. In this transition from monodisciplinary to interdisciplinary education, there is a need for insight into the optimal implementation of such activities. The current study investigates university lecturers’ interpretations of interdisciplinary education, their approaches towards developing interdisciplinary modules, and the challenges they face in teaching these. Based on interviews with nine lecturers, three interpretations of interdisciplinarity emerged. From the first interpretation, lecturers teach monodisciplinary knowledge and skills and expect the students to collect different perspectives. A second interpretation emphasizes participating students as being disciplinary experts that share their knowledge throughout the …

Evidence In Support Of Adaptive Learning For Pre-Class Preparation In A Flipped Stem Classroom, Renee M. Clark, Autar Kaw, Andrew Scott, Saurav Kumar, Ali Yalcin

International Journal for the Scholarship of Teaching & Learning

Adaptive learning supports online instruction by offering feedback to students using machine learning. In a funded study, adaptive learning was used in a flipped STEM course at three universities for pre-class preparation. We conducted a comparative analysis with and without adaptive learning. The assessments were a final exam and concept inventory (stratified demographically) and affective questions from the College and University Classroom Environment Inventory, focus groups, and evaluation survey. This study found classroom environment enhancement with adaptive learning, with Task Orientation and Satisfaction exhibiting significant changes at two universities. We found enhanced perspectives with adaptive learning, including increased preference for …

Enhancing Students’ Academic Success Through Reflective Writing In An Undergraduate Flipped Course, Grace Onodipe, Darryl Romanow, Michelle M. Robbins

International Journal for the Scholarship of Teaching & Learning

Prior research has posited that flipped classrooms facilitate students’ self-directed learning and enhance grades. Although reflective writing is one method linked to academic success, it rarely has been examined empirically in the literature within the context of flipped classrooms. The current study investigated the association between growth mindset-inspired reflective writing, self-regulated learning assessments, and academic performance in a fully flipped Introduction to Economics course. Regression analyses found that reflective writing effort and targeted self-directed learning scores were associated with higher grades on course assessments. These findings suggest that reflective writing that incorporates growth-mindset messaging should be encouraged in flipped classrooms.

Belonging, Re-Belonging And Re-Becoming: A Science Teacher Educator’S Self-Study Of Using Pedagogical Tensions To Explore The Shaping Of One’S Pedagogical Approaches, Hlologelo Climant Khoza

International Journal for the Scholarship of Teaching & Learning

The education landscape continues to change as perpetuated by crises like COVID-19 propelling teachers to adapt and change their pedagogical approaches. As a mid-career science teacher educator, having developed ways of teaching, I experienced pedagogical tensions that were unsettling during COVID-19, thus threatening what I already knew about teaching pre-service teachers. In this self-study, I used the construct of pedagogical equilibrium as a theoretical lens to understand how these pedagogical tensions shape my pedagogical approaches to teaching pre-service teachers in the present time. Data were collected through journaling and discussions with critical friends. These data sets were transformed into narratives …

Piloting The Appreciative Tuning Protocol: Improving Integration Through A Collaborative Professional Development Model, Teresa S. Foulger, Ashleigh King, Shyla Gonzalez-Dogan

International Journal for the Scholarship of Teaching & Learning

This qualitative, self-reflection study was conducted by three instructors who had recently participated in a workshop on Principled Innovation, a character development framework designed in their college of education. They were confident about how they integrated PI into their courses but saw potential for further improvement. Drawing on collaborative professional development literature, they explored two models, Appreciative Inquiry and Tuning, that seemed to meet their needs. By merging elements of both, they created the Appreciative Tuning Protocol (ATP), a 30-minute, agenda-driven meeting where instructors identify a successful part of the integration effort (a bright spot), explore ways to enhance it, …

Construction Of A Cure Community To Empower Faculty And Accelerate Pedagogical Change, Laura M. Christian, Kristin M. Fox, Anthony J. Bell Jr., Dechenne-Peters, Joseph Provost Phd, Jessica K. Bell, J. Ellis Bell

International Journal for the Scholarship of Teaching & Learning

Labs that incorporate a course-based undergraduate research experience (CURE) increase student gains in discovery, ownership, and scientific identity. One barrier for faculty developing CURE courses is finding support for the scientific and pedagogical methods necessary for offering a CURE. The Malate Dehydrogenase (MDH) CUREs Community (MCC) was created as part of an NSF-IUSE grant to fill a need for protein-based CUREs. To evaluate the role of the MCC in development and teaching of CUREs, a survey was submitted to MCC faculty. Survey data showed that community-building activities and resources were supportive components in the development of the MCC. Survey responses …