Digital Commons Network^™

An Educational Intervention To Improve Pediatric Inter-Rater Reliability Of The Hospital Asthma Severity Score (Hass), Anne Coates, Amanda Gagnon, Noah Diminick

Costas T. Lambrew Research Retreat 2023

Objective: To assess if an inter-professional educational intervention can improve the accuracy and inter-rater reliability of the HASS

A Potential Model For Hepatic Regulation Of Peripheral Adipose Tissue Expansion, Madeleine Nowak, Rea Anuciado, Robert Koza

Costas T. Lambrew Research Retreat 2023

Given the established relationship between liver and white adipose tissue, we hypothesize that hepatokines—particularly adropin—are the source of coordinated gene expression in peripheral adipose tissue driving fat mass expansion.

Is Sepsis Hiding In Plain Sight? Implementation Of An Interprofessional (Ip) Sepsis Simulation To Detect Early Sepsis, Sarah Chang, Amanda Bennett, Anne Dean, Meaghan Anderson, Micheline Chipman

Costas T. Lambrew Research Retreat 2023

Early detection of hospital-acquired sepsis can be challenging. With highly effective IP teams and efficient healthcare systems, sepsis treated quickly can influence morbidity and mortality. This project is aimed at training IP teams in early recognition of sepsis using simulation. Nurses and providers rarely have opportunities to learn together. Simulation followed by an IP debrief is an excellent tool to collaborate for safe patient care.

Covid-19 Prevalence And Trends Among Pregnant And Postpartum Individuals In Maine By Rurality And Pregnancy Conditions, Charlie Grantham, Christina Ackerman-Banks, Heather Lipkind, Kristin Palmsten, Katherine Ahrens

Costas T. Lambrew Research Retreat 2023

Our study is the first to estimate prevalence of COVID-19 among pregnant and postpartum individuals for Maine, using data that captures both commercial and public insurance and examines differences by rurality, a known modifier of COVID-19 infections in the U.S. individuals.

Erbb3 Signaling Prevents Cardiac Fibrosis After Isoproterenol-Induced Myocardial Injury, Sergey Tsibulnikov, Laccey Knudsen, Elena Chepurko, Vadim Chepurko, Joanne Dekay, Douglas Sawyer

Costas T. Lambrew Research Retreat 2023

We generate a new tamoxifen-inducible mice model of EC-specific ErbB3 overexpression to investigate the role of ErbB3 in myocardial ischemia and heart failure. In the present study, we compared cardiac function and fibrosis development in EC cell-specific ErbB3 overexpressing mice versus control after the Isoproterenol (ISO)-induced model of cardiac injury, which culminates in cardiac fibrosis development.

Simulation-Based Resuscitative Transesophageal Echocardiography Training For Emergency Medicine Residents, August Felix, Andrew Fried, Jessica Hathaway, Tania D. Strout

Costas T. Lambrew Research Retreat 2023

Introduction: Resuscitative TEE is an emerging tool in the cardiac arrest tool-box, and can improve outcomes in OHCA.

• Identifies reversible causes

• Decreases time off chest

• Evaluates compression efficacy

• Improves assessment during pulse-checks

• Simulation training can prepare EM residents to obtain and interpret TEE views on a live patient.

Considerations And Strategies For Incorporating Lived Experience In Mental Health Research, Elizabeth Bernier, Elias Peirce, Elizabeth M. Mutina, Saras Yerlig, Kristen A. Woodberry

Costas T. Lambrew Research Retreat 2023

Introduction: Incorporating lived experience in mental health research deserves special focus due to the unique stigma faced by those with lived experience and the unique gap between the experience and expression of mental health struggle.

Optimizing Psychological Safety- Perspectives Of Standardized Patients Who Identify As Lgbtq+, Leah Mallory, Brandy Brown, Rachel Kupferman, Bethany Rocheleau, Christine Mallar, Beth Gray, Karissa Hannifan, Vicki Hayes

Costas T. Lambrew Research Retreat 2023

Innovative collaboration with LGBTQ+ Standardized Patients yields remarkable impact in development of inclusive sexual health curricula

Audit Of Correct Order Entry Of Registered Dietitian Recommendations For Nutrition Support, Paul A. Blakeslee, Felicia Bryant, Michele Creech, Alexandra Fierros, Kristine Kittridge, Casey Larsen, Thomas Mellette, Anh Thu Truong

Costas T. Lambrew Research Retreat 2023

Several quality improvement (QI) analyses have demonstrated that optimizing accuracy and efficiency of clinical nutrition interventions improves patient outcomes, including increased calorie and protein delivery, decreased length-of-stay, decreased mortality, and improved quality of life post-discharge.

Covid-19 And Depression And Anxiety Screening In Primary Care, Elizabeth Bernier, Abrey Feliccia, Leah Wood, Kate Herlihy, Kristen A. Woodberry

Costas T. Lambrew Research Retreat 2023

Introduction:

• The COVID-19 pandemic had a severe effect on mental health, heightening the prevalence and severity of anxiety and depression amongst the general population in rural and non-rural areas, particularly youth.

• Most reports draw from available data from mental health referrals, hospitalizations, suicides, and other incident data

• There is limited longitudinal information from general population samples using standardized mental health assessments.

Pathways To Care Of Maine Youth With Psychosis, Elizabeth M. Mutina, Rebecca Jaynes, Dave Weiss, Elizabeth Bernier, Kristen A. Woodberry

Costas T. Lambrew Research Retreat 2023

Study clinicians conducted semi-structured interviews to identify the timing and steps of each person’s Pathway to Care (PtC).

Access To Pediatric Type 1 Diabetes Care In Montana, James C. Bohnhoff, Michael Kohut Phd, Chelsea Bodnar, Elizabeth A. Jacobs

Costas T. Lambrew Research Retreat 2023

Introduction: Management of Type 1 Diabetes (T1D) requires significant family effort and specialty support. We aimed to understand how living in a rural state impacts families’ experiences during and after diagnosis.

Evidence For Cthrc1 Cleavage And Role In Promoting Metabolic Efficiency: Potential Implications For Endurance Athletic Performance, Barbara Toomey, Volkhard Lindner, Doreen Kacer, Igor Prudovsky

Costas T. Lambrew Research Retreat 2023

CTHRC1 is a secreted protein that is cleaved in both in vitro and in vivo conditions, and cleavage may be due to protease activity. We hypothesize that cell injury or cell death is associated with the release of a protease that could cleave CTHRC1, allowing for the generation of active CTHRC1 at sites of tissue injury, including myocardial infarction.

The Maine Obstetric Medical Simulation (Momsim) Program Identifies And Categorizes Latent Safety Threats Across Rural Hospitals, Jeffrey Holmes, Leah Mallory, Micheline Chipman, Becky Hunt, Sarah Austin, Tracey E. Mcmillan, Emily Watson, Mainehealth

Costas T. Lambrew Research Retreat 2023

Objective: Combine in-situ simulation with an HFMEA framework to identify and categorize common system wide LST and opportunities to improve patient safety

An Oncology, Lifestyle Medicine, And Cardiac Rehabilitation Partnership In The Development Of A Group Medical Visit Model For Cancer Survivors, Amy Litterini, Caitlin Coppenrath, Ashley Speckhart, Amy Pearl, Theodore Wissink

Costas T. Lambrew Research Retreat 2023

Methods/Approach: An oncology and cardiology team developed an oncology provider survey in REDCap designed to assess attitudes regarding perspectives on cardio-oncology, rehabilitation, and Lifestyle Medicine. The 27-item multiple choice and Likert-style survey was distributed via email on three separate occasions to MaineHealth Cancer Care Network providers (n=66) in spring, 2022.

Neurocope: A Novel Intervention To Increase Professional Fulfillment And Reduce Burnout By Connecting Neuro-Icu Healthcare Workers To Their Post-Recovery Patients, Angela Leclerc, Mary Sorcher, David Seder, Sara Penrod, Meghan Searight, Alison Daley, Sarah Hanken, Christine Lord, Whitney Trosper, Stephanie Chan, Jennifer Cote

Costas T. Lambrew Research Retreat 2023

Background:

Healthcare workers (HCWs) caring for patients with acute neurologic injury in the ICU rarely receive detailed information on the recovery of their patients. The missing connection between the period of acute neurologic injury and long-term outcomes is a psychological burden that contributes to moral fatigue and burnout.

We hypothesize that attending an Interprofessional conference series through which patients describe their acute brain injury and recovery to Neuro-ICU HCWs may ease moral fatigue, increasing professional fulfillment and reducing burnout.

Representations Of Time In Time-Based Media: An Exploration Of The Human Experience Of Temporality In Film And Tv, Nelea Fong

Honors Thesis

Time is an aspect of the human experience that fascinates us but eludes our understanding. Humans have turned to science, philosophy, and theology in our endeavor to understand time, but our shared love and history of storytelling drives us to explore temporality through visual medias that have a structural foundation in time. Expanding our understanding of the human experience of time through time-based media such as movies and TV can point us toward comprehending various forms of time and how each person can perceive said time differently. Using film and TV theory, informed by scientific and philosophical explorations in the …

Lapd Suffers Hiring Shortage Following A Shift In How Angelinos View Police, Nicole Norman

Honors Thesis

This is a news article written about how the nationwide police shortage following the murder of George Floyd has affected the City of Los Angeles. According to a poll done by Suffolk University and the LA Times, about one third of Angelinos believe that the police are performing poorly. However, those who are younger than 35 are more than twice likely to believe that police are performing poorly. Through this article, I will explore the changes that the LAPD is making in order to keep up with a changing social climate and an upcoming workforce that is not interested in …

Growing Up In Ana’S Shadow, Michaela Cahill, Gail Wronsky

Honors Thesis

In this collection, the poet explores how her personal struggles with mental health have shaped her development, relationships, experiences, and outlook on life. In poems that display a variety of stylistic forms and poetic techniques, the collection creatively sheds light on taboo topics including eating disorders, OCD, anxiety, and depression. Without making light of the sensitive subject matter, the poems reflect the author’s characteristic humor, self-satire, authenticity, and humility. Through metaphors, symbolism, and allegory, many draw subtle attention to the stigma around therapy, residential rehabilitation, and psychiatric prescriptions, in hopes of raising awareness for mental health treatment and removing the …

University To Award Honorary Doctorate To Clayton Mathile, Community Builder; Former Owner, Ceo Of The Iams Company, University Of Dayton

News Releases

The University of Dayton will award an honorary doctorate to Clayton Mathile, former owner and CEO of The Iams Company whose entrepreneurial vision and philanthropy has had a significant impact on people near and far, with a very strong passion for the people of southwest Ohio.

Cover, Cleveland State Journal Of Law And Health

Journal of Law and Health

No abstract provided.

Catalyst Pharms., Inc. V. Becerra: When The Food And Drug Administration Repeatedly Ignores The Plain Language Of The Orphan Drug Act (Oda), Yifan Wang

Journal of Law and Health

In Catalyst Pharms., Inc. v. Becerra, the court held that the scope of orphan drug exclusivity applies to the disease or conditions for which the drug is designated because the plain language of the 21 U.S.C. § 360cc(a) is clear. The decision is in contrast to the practice of the FDA to narrowly construe the exclusivity to apply only to the uses or indications for which the drug is approved. The court correctly reached its holding using a plain language approach and rejected the FDA’s argument based on legislative history and purpose. The FDA has repeatedly ignored courts interpretations …

Befast Assessment In A Rural Community Hospital – The Birch Study, Caroline Knight, Eileen Hawkins, Hilary Merrifield, Laura Stein, Robert Stein

Costas T. Lambrew Research Retreat 2023

Background: There are known regional disparities in treatment rates with thrombolysis and thrombectomy for acute ischemic stroke. BEFAST has been implemented in acute stroke protocols to aid in recognition of signs of stroke, but its utility in a rural ED is not well known.

The Past, Present, And Future Of Distress Screening: Launching A Robust Distress Screening Program At A Large Outpatient Medical Oncology Practice Serving Rural/Underserved Communities, Kevin Stein, Trisha Warren-Vanhorn, Meredith Curtis, Amy Litterini, Amit Sanyal

Costas T. Lambrew Research Retreat 2023

After redesign, administration of the DT at initial chemotherapy teaching sessions and robust searchable databases integrated with EHR systems, allowing providers/researchers to create reports filtered by date ranges, encounter type, clinical site/facility, scores of ≥4, domain (physical, emotional, practical), and outcome (referral to specialist)

“I Know My Body Better Than Anyone Else” Perspectives Of People Who Inject Drugs On Antimicrobial Treatment Decision Making For Serious Infections, Amy Eckland, Michael Kohut Phd, Henry Stoddard, Debra Burris, Frank Chessa, Monica Sikka, Daniel Solomon, Colleen Kershaw, Ellen Eaton, Rebecca N. Hutchinson, Peter Friedmann, Thomas Stopka, Kathleen Fairfield, Kinna Thakarar

Costas T. Lambrew Research Retreat 2023

Introduction:

• Few studies have examined the perspectives of patients with lived experience regarding outpatient treatment options for injection drug use (IDU) associated infections.

• We sought to better understand the perspectives of both community partners with lived experience who work with people who inject drugs (PWID) and hospitalized patients with IDU-associated infections on shared treatment decision making.

Healthy Links – Addressing Social Determinants Of Health And Improving Cardiac Health With Medically Tailored Meals, Emily Follo, Katherine Sharp, Mylan Cohen

Costas T. Lambrew Research Retreat 2023

Introduction:

• Social determinants of health (SDOH) strongly influence risk factors for cardiac disease, especially in rural areas

• Medically-tailored meals have shown promising results for reducing hospitalizations

• Some state insurance programs are covering medically-tailored meals given beneficial outcome studies

• This project builds upon prior Healthy Links programs to expand our reach to rural patients

Simulation To Improve Health Equity- Pilot Results From A Standardized Patient-Based Learning Opportunity To Practice Taking An Inclusive Sexual Health History, Leah Mallory, Rachel Kupferman, Bethany Rocheleau, Christine Mallar, Karissa Hannifan, Beth Gray, Vicki Hayes, Brandy Brown

Costas T. Lambrew Research Retreat 2023

Improving Inclusive Communication Pilot results from a Simulation-based learning opportunity to practice taking a sexual health history.

Conversion Total Hip Arthroplasty: Perioperative And Postoperative Outcomes With The Able Approach, Bailey Shevenell, Johanna Mackenzie, Sarah Hearns, George Babikian, Brian J. Mcgrory, Adam Rana

Costas T. Lambrew Research Retreat 2023

The ABLE™ Approach for Conversion Total Hip Arthroplasty decreases surgical duration and length of stay

The Use Of The Ipack Block With The Adductor Canal Block (Acb) Decreases 48-Hour Narcotic Usage And Postoperative Pain Following Total Knee Arthroplasty, Bailey Shevenell, Johanna Mackenzie, Matthew Hersch, Michael Becker, Brian J. Mcgrory, Nicholas Colacchio, Adam Rana, Ryan Mountjoy, Rob Hubbs

Costas T. Lambrew Research Retreat 2023

Adductor Canal and iPACK Blocks reduce pain levels and narcotic consumption following Total Knee Arthroplasty

The Relationship Between Adverse Childhood Experiences And Pediatric Functional Gastrointestinal Disorders, Rachel Coffey, Jackson Bloch, Anya K. Cutler, Sarah M. Gabrielson, Stephen Digiovanni, Julia Fritz

Costas T. Lambrew Research Retreat 2023

Introduction:

• 1 in 4 kids in Maine have 3+ adverse childhood experiences (ACEs)

• ACEs negatively impact health outcomes

• Adult literature shows association between ACEs and irritable bowel syndrome, a functional gastrointestinal disorder (FGID)