Association Of Patient Demographics, Code Characteristics, And Survival To Discharge After In-Hospital Cardiac Arrests In The Pediatric Intensive Care Unit, Nathan Lavoy

Research Days

Background: Lower socioeconomic status and minority background have been linked to worse outcomes after out-ofhospital and in-hospital cardiac arrests (IHCA). Despite this, there has not been a focus on IHCA within a pediatric intensive care unit (PICU) evaluating patient demographics and code characteristics.

Objectives/Goal: The primary objective is to describe patient demographics, code characteristics, and survival to discharge of patients that suffer IHCA in a quaternary PICU. The goal of this descriptive, retrospective study is to identify possible differences in outcomes related to patient demographics, laying the foundation for further QI initiatives.

Methods/Design: Participants included patients between 24 hours and …

Neonatal Hypoxia Due To Pulmonary Artery Thrombus, Bianca Cherestal

Research Days

Background: Pulmonary artery thrombus is rare and should be considered in neonates with refractory hypoxia.

Case: Preterm female neonate had persistent hypoxia after birth despite intubation, high-frequency oscillatory ventilation (FiO2 100%), and inhaled nitric oxide. Delivery was via c-section at 33 weeks 4 days for new onset hydrops and poor biophysical profile. Echocardiogram revealed echo brightness in the lumen of the left pulmonary artery (LPA) with no color flow (figure 1a), concerning for occlusive thrombus. Chest CT angiogram confirmed the diagnosis (figure 1b, c). Hematology was consulted and recommended systemic thrombolysis (tissue plasminogen activator, tPA) with concomitant anticoagulation (Bivalirudin). Imaging …

The Effects Of Necrotizing Enterocolitis And Short Chain Fatty Acids On The Developing Brain In Mice, Maribel Martinez, Venkatesh Sampath, Paula Nichols, Wei Yu, Suban Burale, Tianhua Lei

Research Days

Background: Necrotizing enterocolitis (NEC) is a devastating disease in premature infants characterized by acute intestinal inflammation and necrosis with a mortality of 15%-30%. Approximately 50% of infants that survive NEC will develop neurodevelopmental defects[1]. Studies on the effects of NEC on the neonatal brain are limited, however it’s postulated that neurodevelopmental damage is induced via cytokine activation of toll-like-receptor 4 (TLR4) by high mobility group box protein 1 (HMGB1) on the microglia Accumulation of reactive oxygen and demyelination contribute to neuronal damage. Therapies that limit the development of NEC can potentially also limit the neuroinflammatory changes seen in NEC[2]. We …

Identifying Predictive Factors For Patients Transferred From Floor To Picu Within 24 Hours Of Admission By A Pediatric Critical Care Transport Team, Gina Patel

Research Days

Background: Appropriate triage and disposition during transport can reduce the need for unplanned transfers to the pediatric intensive care unit (PICU) within 24 hours of admission. We sought to determine predictive factors of patients admitted to the inpatient ward that required PICU transfer within 24 hours following transport by Children’s Mercy Critical Care Transport (CMCCT) team. The pediatric early warning score (PEWS) is used to monitor changes in the level of acuity for inpatients at our hospital and has been utilized to measure acuity during transport. We hypothesized patients with respiratory illness and PEWS > 4 during interfacility transport are at …

Repeat Tracheal Aspirates In Pediatric Intensive Care Patients: Understanding Clinical Application, Edward Lyon

Research Days

Background: Tracheal aspirate cultures (TA) are regularly obtained in the pediatric intensive care unit (PICU) when clinical changes in intubated or tracheostomy dependent children occur. Positive TA results are often unable to distinguish infection from colonization. There is no data describing the frequency and impact of repeated TAs on patients in the PICU.

Goal: Our objectives were to describe the frequency of repeated TAs in PICU children and emergence of multidrug resistant organisms (MDRO), identify bacterial profile of TAs, and examine antibiotic prescribing patterns related to these cultures.

Methods: A retrospective chart review occurred on 15 patients in the PICU …

Introduction To The National Institutes Of Health Funding, Stacy Stuart

Research and Innovation Events

This video presentation gives an overview of NIH as a federal funding agency. It covers NIH’s funding priorities, solicitation types, and proposal resources. It also includes information from on-campus NIH awardees Drs. Philip Massey, Feng Wang, Kevin Murach, and Adam Pare.

Sponsored by the Division of Research and Innovation.

Rates Of Physical Abuse Screening And Detection In Infants With Brief Resolved Unexplained Events (Brues), Angela Doswell

Research Days

Watch recording of live presentation

Background: “Apparent Life-Threatening Events” (ALTEs) have been associated with child physical abuse (CPA). In 2016, “Brief Resolved Unexplained Event” (BRUE) and development of its clinical guidelines and risk-stratification replaced ALTE. It is unknown if there is a similar association between BRUEs and CPA.

Objectives: To determine the rate of CPA in infants presenting with a BRUE, examine differences between infants with/without CPA, and examine rates of diagnostic testing used to detect CPA.

Methods/Design: This study was part of the BRUE Research and Quality Improvement Network, composed of 15 academic and community hospitals. Subjects were infants …

Healthcare Utilization Of Victims Of Commercial Sexual Exploitation Compared To Non-Victims, Cree Kachelski

Research Days

Watch recording of live presentation

Background: Approximately 17,000 US children are victims of Commercial Sexual Exploitation of Children (CSEC) annually. Nearly 75% of adolescent CSEC victims received medical care within 6 months prior to identification. Screening tools have been developed based on known characteristics of CSEC victims; however, little is known about how CSEC victims compare to non-CSEC adolescents in healthcare utilization. Thus, appropriate medical CSEC screening settings are unknown.

Objectives/Goal: We aimed to identify where and how often adolescents presented to medical care in the 12 months prior to CSEC identification. We hypothesized that compared to controls, CSEC positive …

Cvst As A Rare Complication Of Acute Pediatric Covid-19, Erin Bolen

Research Days

Background: A previously healthy 13-year-old male was admitted to the hospital for a bacterial superinfection in the setting of recent COVID-19, including orbital cellulitis and pansinusitis with subgaleal, epidural, and subdural empyema. Further workup identified an occult, non-occlusive cerebral venous sinus thrombosis (CVST) along the length of the superior sagittal sinus.

Objectives/Goal: To evaluate the reported cases of CVST as a potential complication of COVID-19 in the pediatric population and identify meaningful trends in demographics, presentation, and diagnostic course.

Methods/Design: A literature search was run with various combinations of the following terms, always including “COVID”: “pediatric,” “adolescent,” “CVST,” “cerebral venous …

Evaluation Of A Hirschsprung Disease Systemwide Enterocolitis De-Escalation Strategy, Albert Aickareth

Research Days

Problem Statement/Question: Components of systems that identify, treat and prevent enterocolitis are not well described. In addition, for patients with HSCR both pre and post pull-through, questions regarding a child’s clinical status occur through several different medical access points and may occur outside of colorectal center clinic hours.

Background/Project Intent (Aim Statement): Hirschsprung associated enterocolitis (HAEC) is a severe and potentially life-threatening complication of Hirschsprung Disease (HSCR) that can present with a variety of symptoms from mild abdominal pain to fulminant colitis. We evaluated our system-wide enterocolitis de-escalation strategy for both hospital staff and patient caregivers. Our primary analysis was …

Impact Of A Mental Health Screening Process In A Pediatric Ed, Bryan Stocker Do, Shobhit Jain Md, Kathryn Worland Msw, Celeste Tarantino Md, Lina Patel Md, Shayla Sullivant Md

Research Days

Background: Up to 20% of children in the United States experience a mental health disorder and suicide is the second leading cause of death among adolescents. Children presenting with mental health concerns to the Emergency Department (ED) can be challenging due to lack of access to trained professionals and long lengths of stay. Specialized teams have shown to be beneficial, but little is known about their impact in the ED.

Objectives/Goal: This study explored the impact of specialized social workers partnering with emergency medicine providers to provide care during an acute mental health crisis.

Methods/Design: We performed this work at …

X-Linked Nephrogenic Syndrome Of Inappropriate Antidiuresis Secondary To Vasopressin Receptor 2 Mutation, Erica Zarse

Research Days

Background: X-linked nephrogenic syndrome of inappropriate antidiuresis (NSIAD) is a rare cause of hyponatremia with a similar biochemical evaluation to the syndrome of inappropriate antidiuretic hormone secretion but with suppressed vasopressin (AVP) levels.

Objectives: We present a case of hyponatremia due to NSIAD.

Results: A 25-month-old male with developmental delay became unresponsive 30 minutes after falling off a couch onto a hardwood floor. He presented with tonic-clonic movements and eye deviation requiring antiepileptics. Serum laboratories noted hyponatremia (123 mmol/L), hypoosmolality (262 mOsm/kg) and hypochloremia (90 mmol/L) prompting endocrine consult. Head imaging normal. Urine dilute with specific gravity 1.004, osmolality 160 …

Covid-19: Perspectives From Youth In Detention, April Mcneill-Johnson

Research Days

Background: The COVID-19 pandemic amplified health disparities among youth in detention. Understanding perspectives of these youth on the pandemic and COVID-19 vaccination may identify strategies to mitigate pandemic-related health disparities in this group.

Objectives/Goal: To explore perspectives on the COVID-19 pandemic, effect on detention experience and the COVID vaccine among youth in detention.

Methods/Design: This is a secondary analysis of a study examining healthcare needs and experiences of youth in detention. We recruited a convenience sample of youth (14-17 years) detained in urban midwestern juvenile detention centers from January-November 2021. We conducted semistructured individual interviews & used a thematic analysis …

Gastrointestinal Fibromatosis: A Case Of Successful Oral Tyrosine Kinase Inhibitor Delivery To An Infant With Proximal Duodenal Obstruction, Darius Blanding

Research Days

Background: Infantile myofibromatosis (IM) is a rare disorder characterized by the fibrous proliferation of the skin, bone, muscle, and viscera that usually presents at birth, or soon after. Although IM is a benign condition, significantly higher morbidity and mortality have been reported when the viscera is involved. This case report is of a 6-week-old female who presented with poor feeding along with subcutaneous nodules that were diagnosed as IM. Upper and lower endoscopy were performed for worsening feeding intolerance showing marked nodularity throughout the gastrointestinal (GI) tract, including partial obstruction of the proximal duodenum by biopsy-proven myofibromas, confirming visceral IM …

Subclinical Status Epilepticus In The Setting Of An Acute Covid-19 Infection, Thomas Rieth

Research Days

Background: While COVID-19 commonly presents as an upper respiratory infection, acute COVID infections has the potential to have multisystem involvement. Neurological symptoms, which have mainly been reported in adults, are rare in children and are not well recognized. Better understanding of the neurological manifestations of COVID-19 in children can lead to earlier detection of COVID-19 and help with medical decision making and treatment.

Objectives/Goal: To describe an unusual presentation of COVID-19 in a previously healthy female and explore the neurological presentations of COVID-19.

Results: A 10 year old previously healthy female presented with a 1 day history of altered mental …

A Case Of Fibrous Hamartoma In Term Neonate, Elizabeth Perry

Research Days

Case report abstract: Fibrous hamartoma of infancy (FHI) is a rare, benign lesion characterized as a tumor of myofibroblastic origin that has characteristic features of triphasic histology. FHI was first described in 1956 by Reye and formally named by Enzinger in 1965 (1, 2). The lesion is defined as a hamartoma due to the histologic presentation of disorganized mesenchymal, fibrous, and adipose tissue with absence of mitotic figures; this combination of derived tissue without evidence of anaplasia is diagnostic for FHI. These lesions typically arise as a single, solitary mass, are most commonly located on the extremities, trunk, sacrum, or …

Early Onset Obesity In A 4-Year-Old Female Found To Have Variants In Both The Single-Minded Homolog 1 And Sh2b Adaptor Protein 1 Genes, Erica Zarse

Research Days

No abstract provided.

Sjsu Erfa Board Minutes, May 2, 2022, San Jose State University, Emeritus And Retired Faculty Association

SJSU ERFA Minutes

SJSU ERFA Executive Board Minutes

May 2, 2022

Registered Apprenticeship Programs And Teacher Residencies: Building Shared Understandings Between Workforce Development And Education, Prepared To Teach, Bank Street College

Prepared to Teach

This brief is the first in a series exploring principles that Prepared To Teach has surfaced as helpful for designing Registered Apprenticeship Programs for teacher residencies to promote and support high-quality teacher preparation systems. Sign up for our monthly newsletter for future releases.

Collaborative Teaching And Inclusion In Northeast, Tn, Sherianne Pigeon

Undergraduate Honors Theses

Abstract

Collaborative teaching is a commonly used, research-based method to support inclusion of students with disabilities in the general education classroom. However, there is a lack of research describing current teachers’ experiences with and perceptions of collaborative teaching and inclusion. Results from a survey disseminated to teachers in Northeast TN school systems revealed that 64.3% of respondents have either never co-taught a class or have co-taught only one or two classes. Additionally, respondents agree that collaborative teaching is beneficial to support inclusion, enhance delivery of instruction, improve teacher relations and improve classroom management. However, teachers expressed collaborative teaching is more …

Latina/O Students In Community College: Institutional Actions And Persistence, Yvette V. Huerta

Open Access Theses & Dissertations

The purpose of this study is to examine the institutional actions related to Latina/o student success at a two-year institution in the southwest on the United States-Mexico border. Research has shown that institutional actions play a role in student persistence and completion and thus contribute to student success outcomes. Determining the institutional actions that contribute to student success will add to the limited higher education Latina/o research on institutional factors and provide information to community college leaders to improve student outcomes. The study examines three institutional actions and their relationship with three student persistence and achievement efforts.

Innovative Behavior; Raising Awareness For Creative Behavior In Education To Cultivate An Innovative Approach In Vocational Education., Jeanette Janine Matser

Creativity and Change Leadership Graduate Student Master's Projects

_{Innovative Behavior; Raising Awareness for Creative Behavior in Education to Cultivate an Innovative Approach in Vocational Education.}

The development of a rubric for innovative behavior in teachers is related to encouraging the status of creativity in the innovation process. It is powerful to use feedback to create a more creative approach in schools, it helps teachers to think creatively and how to cultivate a more innovative approach in the classroom. It creates and structures conversations among teachers interested in teaching and assessing creativity.

This project presents a background and the development of a rubric and a complimentary booklet to self-test …

Student Centered Language Teaching: A Focus On Student Identity, Rachel Mano

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

This portfolio is a compilation of essays that describe what the writer has come to see as essential topics in second language acquisition. It begins with a professional environment piece, and then a teaching philosophy statement focused on student identity and interaction in the classroom. This is followed by an essay on observations of teaching. The next two sections focus on pragmatic resistance among advanced learners and the importance of preparing learners for peer interaction. The portfolio concludes with an annotated bibliography outlining the main concepts associated with Communicative Language Teaching, a method that is commonly employed in second language …

The International Student Border Commuter Experience: An Investigation On The Southern U.S. Border, Kristin Oberheide

Open Access Theses & Dissertations

Prior literature on transborder (transfronterizos, transfronteriz@s, or transfronterizx) students in the Mexico-United States border region focuses predominantly on United States citizens and the San Diego-Tijuana region. This phenomenological study focuses on Mexican citizen international students, who live in Ciudad Juárez, Mexico, and commute across the border with student visas daily to attend college in El Paso, Texas. The study sought to determine â??What are the everyday experiences of Mexican international student border commuters?â?? Twenty-three international student border commuters were interviewed with a series of open-ended questions, during June 2016 in El Paso. The following seven themes emerged as the essence …

Students' Perceived Value Of Women's And Gender Studies And Chicana/O Studies At A Hispanic Serving Institution: A Quantitative Analysis Of "The Studies" In Higher Education, Hilda Na Ontiveros

Open Access Theses & Dissertations

Previous research indicates that “The Studies” are helpful to students at both K-12 and higher education levels. Most of these studies focus on K-12 schools, fewer are at the higher education level, and few use quantitative methods to examine students’ perceptions of “The Studies.” The purpose of this study is to research students’ perceived value of Women’s & Gender Studies and Chicana/o Studies at a Hispanic Serving Institution. This quantitative study employed a feminist framework and methodology to develop a survey instrument and to analyze the survey responses from students who took courses in Women’s & Gender Studies and Chicana/o …

Examining Diversity And The Role And Influence Of Post-Secondary Faculty At A Predominantly White Institution In Tennessee: A Critical Race Case Analysis, Lanell Smith

Electronic Theses and Dissertations

The purpose of this qualitative, critical race analysis study is to explore how White faculty conceptualize and apply critical race theory (CRT) and culturally responsive pedagogy (CRP) to curricula within a college of education and how the perceptions of their students’ identities influence specific pedagogical decisions. The researcher sought to extend the research on CRT in education by analyzing specific, detailed cases and incorporating purposeful sampling by selecting participants who match specific study criteria, i.e. graduate-level White faculty located in Tennessee who teach in programs of education.

This study was limited to six faculty in a college of education (in …

Inclusive Pedagogy: Connecting Disability And Race In Higher Education, Meredith Persin

All Theses

Higher education was never made for marginalized people. The academy was created based on the privileged white, able-bodied, males who preoccupied higher education for the longest time. While that has certainly changed over the years, the institution itself is still in the past resulting in BIPOC students and disabled students continuing to struggle within higher education. While instructors have begun to take interest in the need for inclusive pedagogy within the last decade, it still has a far way to come in order to help the marginalized students with intersecting identities and students who may not benefit from a one …

Examination Of Experiential Phenomena Influencing Culinary Educators’ Pedagogical Content Knowledge, Danny Babin

Electronic Theses, Projects, and Dissertations

This study aimed to explore the theory of expert teaching by comparing culinary educators at the secondary and postsecondary levels based on their varying levels of experience. Experience for culinary educators included pre-service teacher training, in-service teacher training, professional industry experience, and teaching experience. The primary goal of this descriptive phenomenological study was to examine the impact professional experience has on culinary educators’ pedagogical content knowledge (PCK). Distinctions in PCK include collective PCK, personal PCK, and enacted PCK. PCK theory has been an integral part of educational research for over three decades; it has been studied, refined, and implemented into …

Radicalizing First Year Composition: A Novice Educator’S Venture Into Revolutionary Teaching, Xochilt Trujillo Flores

Electronic Theses, Projects, and Dissertations

­­This project is based on my experiences and reflections as a novice instructor on implementing educational practices which center a critical, feminist, anti-racist pedagogical approach in a first year composition course. Using my own experiences of teaching FYC as a central focus, this project will collect data through teacher-reflective journals. Those journals will be focused on how radical pedagogy shapes my approaches to teaching and how I experience/implement that approach in my day-to-day practices. In doing so, this project aims to address the persistent gap between theory and practice, particularly in the context of novice educators’ experiences in a …

Curiosity, Motivation, Autonomy, And Lifelong Learning In Education And The United States Marine Corps, Cynthia Malmquist

Department of Teaching, Learning, and Teacher Education: Theses and Other Student Research

Curiosity, intrinsic motivation, and autonomy-supportive teaching all promote lifelong learning in both the classroom and Marine Corps. Humans are all born with curiosity. Children inherently practice forms of intrinsic motivation. Most would agree that they do not like being micromanaged - they enjoy a sense of freedom when completing tasks. Despite this, many students learn in a controlling environment and many Marines work under controlling leaders. Though a large amount of time is spent on learning through the first 18 years of life, lifelong learning does not come naturally and is not commonly practiced. The research and ideas discussed below …