Teacher Education and Professional Development Commons^™

Potassium Status In Pediatric Chronic Kidney Disease, Katherine L. Kurzinski

Research Days

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Background: Potassium trends are well described in adult chronic kidney disease (CKD) and hyperkalemia is known to be associated with increased disease progression, morbidity, and mortality. Large scale studies assessing potassium trends and the prevalence of hyperkalemia in pediatric CKD have not been performed.

Objectives/Goal: We aimed to characterize median serum potassium levels and the prevalence of hyperkalemia for each CKD stage using the CKiD cohort. The relationship of serum potassium and hyperkalemia with patient demographics, CKD etiology (glomerular or non-glomerular), presence of acidosis, and degree of proteinuria was also evaluated.

Methods/Design: Median serum potassium …

Association Of Rare Variants In Kidney Developmental Genes With Hypertension And Ckd: A Uk Biobank Study, Benjamin L. Spector

Research Days

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Background: Prior studies show chronic kidney disease (CKD) is heritable but only a few common variants have been associated with CKD and kidney dysfunction. Much of CKD heritability remains unknown and limited studies have explored the role of rare genetic variants in this missing heritability.

Objectives/Goal: Identify rare genetic variants in renal developmental genes associated with hypertension and CKD.

Methods/Design: We examined the association between rare variants in 58 candidate genes from five renal developmental compartments and presence of CKD and elevated blood pressure (BP) in 49,989 individuals using whole exome sequencing and phenotypic data …

Treatment Of Recurrent Wilms Tumor With Irinotecan/Temozolomide, Meagan Vacek

Research Days

Background: Despite improvement in relapse free survival (RFS) in recurrent Wilms tumor, the 4- year RFS rate for patients treated with vincristine/dactinomycin/doxorubicin is approximately 40%. Ifosfamide, carboplatin and etoposide are commonly used in relapsed solid tumors but have significant toxicities and require hospital admission for administration. Our patient focused on quality of life, and this led to exploration of other treatment options.

Objectives/Goal: Describe a case of multiply relapsed Wilms tumor with management on oral chemotherapy for improved quality of life and remission for almost 1 year.

Methods/Design: Case Report

Results: The patient is an 11-year-old female diagnosed with Wilms …

Increasing Incentive Spirometry Use In Patients With Sickle Cell Disease Admitted To Children’S Mercy Hospital, Thomas Cochran, Alexandra Prosser

Research Days

Background: Acute chest syndrome is one of the leading causes of morbidity and mortality in patients with sickle cell disease. The National Heart, Lung, and Blood Institute (NHLBI) provides specific recommendations for providing ten breaths of incentive spirometry (IS) every two hours while awake for patients with sickle cell disease to help prevent development of acute chest syndrome.

Problem Statement: We reviewed provision of incentive spirometry at Children’s Mercy between 08/01/2021 and 11/01/2021. Data was collected and the target population was identified via a report generated from the electronic medical records with specific criteria. Of those patients admitted with sickle …

Wilms Tumor Presenting With Spontaneous Necrosis And Clostridium Perfringens Co-Infection, Ronald Palmen, Abbey Elsbernd, Kristin Palmen

Research Days

Background: Wilm’s Tumor (WT) is the most common renal malignancy of childhood. The initial presentation of WT may mimic infection or other malignancies with nonspecific symptoms including fever, abdominal/flank pain, or hematuria. This poses a diagnostic challenge for providers, particularly when both infection and malignancy are observed. We describe a case of WT with spontaneous necrosis initially obscured by overlying Clostridium perfringens infection, making diagnosis of the cancer difficult.

Case Description: A previously healthy 5-year-old girl presented to the emergency department with a two-day history of left flank pain and fevers. In the emergency department, she was tachycardic (130 bpm), …

Acute Complications In Pediatric Patients With Diabetes Admitted With Isolated Diabetic Ketoacidosis, Isolated Hyperglycemic Hyperosmolar State, And Mixed Hyperosmolar Diabetic Ketoacidosis, Erica Zarse

Research Days

Background: Diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), and mixed DKA and HHS (hyperosmolar DKA) are hyperglycemic emergencies for which children with diabetes mellitus (DM) are admitted to the hospital. To date, there is little evidence to guide the management of pediatric diabetic patients with hyperosmolarity.

Objectives: The objective of this study is to compare the in-hospital complications at our institution in patients who have isolated DKA to those with a component of hyperosmolarity.

Methods: We reviewed medical records of patients from 01/2019 through 12/2020 admitted with DKA (serum bicarbonate ≤16 mEq/L) and/or HHS (blood glucose ≥600 mg/dL and osmolality …

Memory T Cell Populations In Human Leukemia, Sara Mcelroy

Research Days

Background: Incorporating the immune system into cancer management is an area of robust research. Treatment modalities aimed at activating cytotoxic T cells against malignancies include immune checkpoint inhibitors, bispecific T-cell engagers, and chimeric antigen receptor (CAR) tumor-specific T cells. Most anti-cancer T cell research is narrowly focused, but knowledge about the nature of diverse sub-populations of T cells in cancer, particularly memory T cells, is vital prior to potential incorporation into therapies. T memory stem cells (Tscm) are of interest due to their longevity and powerful abilities of self-renewal and creating the full spectrum of memory CD8+ T cells, including …

Quality Improvement Project To Improve Provider-To-Nursing Communication During Daily Rounds, Kayeleigh Higgerson Do, Sara Mcelroy Md

Research Days

Problem Statement/Question: We aim that by June 2021, our Heme/Onc resident service daily table rounds will include 80% of bedside nurses to improve communication between the provider team and bedside nurse.

Background/Project Intent (Aim Statement): Daily rounds on our Heme/Onc resident service include table rounds (discussion of overnight events and daily plan) and bedside rounds (team goes to see patients and relay daily plan). These rounds infrequently include the bedside nurse caring for the patient, leading to poor communication of the plan from the provider team. This is a problem, because it has the potential to lead to medical errors …

Acute Kidney Injury In Youth With Diabetes Admitted With Isolated Diabetic Ketoacidosis, Isolated Hyperglycemic Hyperosmolar State, And Hyperosmolar Diabetic Ketoacidosis: A Single Center Experience, Erica Zarse

Research Days

Background: Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are hyperglycemic emergencies for which children are admitted to the hospital.

Objectives/Goal: Our objective was to compare acute kidney injury (AKI) between youth with isolated DKA to those with hyperosmolarity and explore associations to risk of AKI.

Methods/Design: Charts were reviewed from 01/2019 through 12/2020 for youth admitted with DKA (serum bicarbonate ≤16 mEq/L) and/or HHS (blood glucose ≥600 mg/dL and osmolality ≥320 mOsm/kg). Isolated HHS youth were combined with hyperosmolar DKA for analysis. AKI was defined as elevated creatinine level for age. The total amount of isotonic fluids administered was …

Infographic: Supporting Students With Adhd, Zoe Kaskamanidis

Teacher infographics

National charity ADHD Australia surveyed 1024 primary, secondary and tertiary educators in all Australian states and territories to identify their knowledge, training and experience to support students with Attention Deficit Hyperactivity Disorder (ADHD). Find out more in today’s infographic.

Engagement Strategies For Online Students: Use Of Technology To Enhance Learning, Jim Maddox

TFSC Publications and Presentations

Teaching students in an online program requires being intentional with how the course is constructed and how space is created for students to fully engage. Face-to-face courses provide the means of this interaction that creates a challenge for online learning. The following are some innovative and creative ways I am using technology to engage my online students and enhance their learning. I utilize Zoom to hold optional Live Chats via Zoom. These are also recorded for students to watch later as well. I use breakout rooms for small group discussions (pair-and-share, triads, and larger groups), we have Q & A …

A Shared Language: An Examination Of School Interaction Experiences Of Hispanic Ell Students In Northwest Arkansas, Tricia Tice

ATU Theses and Dissertations 2021 - Present

A SHARED LANGUAGE: AN EXAMINATION OF SCHOOL INTERACTION EXPERIENCES OF HISPANIC ELL STUDENTS IN NORTHWEST ARKANSAS

Tricia Dawn Tice

Arkansas has one of the fastest-growing Latino populations in the country (Garcia Mont, 2015; Brown & Lopez, 2013). The Northwest Arkansas corridor has the largest concentration of Latinos to date due to the area being host to some of the largest companies in the United States (Garcia Mont, 2015; Brown & Lopez, 2013). Hispanic immigration into Arkansas has greatly increased since the late 1980s (Monroe, 1999). As a result of the area growth, public schools have seen tremendous increases in the …

Teaching Innovation Learned From The 2022 Amte Conference: Prepare Future Mathematics Educators, Yi-Jung Lee

TFSC Publications and Presentations

The role of mathematics has transformed from gatekeeper to launchpad in K-12 schools and been considered as a critical factor in career readiness in a diverse society (CDE, 2022). Therefore, teacher education programs must adopt effective teaching approaches with cultural awareness while preparing future mathematics teachers. I shared a revised teaching design framework (Rhodes, 2021) along with the Culturally Responsive Mathematical Modeling perspectives to help educators integrate a) productive disposition, b) the instructional design with modeling tasks, and c) equity-minded practice into their teaching preparation and practices.

Photovoice Gives Students A Voice, Lynne Meade

TFSC Publications and Presentations

Students often struggle with ways to turn their experiences into meaningful stories. Photovoice is a way to use photography for positive social change and to help people tell their stories. I used Photovoice to help students process the uncertainty of moving back home when the university switched to remote in Spring 2020. Since I teach public speaking, I used those stories to teach public speaking skills as well.
For example, one prompt I used was “an unexpected use of something.” I showed them a small hand weight that I used as a doorstop. I took creative pictures of the weight …

Student Motivation And Engagement In The Middle School Math Classroom: How Can Teachers Respond?, Sarah Janae Mcglothlin

Masters of Education in Teaching and Learning

This study investigated the factors that contribute to and take away from middle school students’ active and meaningful participation in math class. The study also sought to gather students’ opinions and ideas for how their teachers could better engage and motivate them in the middle school math classroom setting. Using surveys, student interviews, and a teacher focus group, the researcher gathered and coded data via the constant comparative method and identified the major themes of intrinsic motivators, extrinsic motivators, distractions, and impacts of COVID-19 as key factors. The study also generated the concepts of teacher assistance, lesson style and activities, …

Examining The Effect Of Social Emotional Learning On Student Perceptions Of The Safety And Comfortability In The Theatre Classroom, Emily Wooten

Masters of Education in Teaching and Learning

This study examined the effects of social emotional learning (SEL) on student perceptions of safety and comfortability in the theatre classroom. The researcher implemented SEL lessons using a morning meeting/class meeting format. Data was collected using a pre-survey, field notes, and focus group interviews. Data was analyzed using the constant comparative method to look for recurring themes to use for poetic transcription. Four primary codes, entitled “Will You Please Join Us?,” “Friend or Foe?,” “Climbing the Mountain of Anxiety,” and “The Love of Theatre” were used to create their own unique poem demonstrating the thoughts and emotions of the students …

Philosophizing With Children’S Literature: A Response To Turgeon And Wartenberg, Darren Chetty, Maughn Rollins Gregory, Megan Jane Laverty

Department of Educational Foundations Scholarship and Creative Works

Introduction: With the maturation of a field comes the opportunity and the responsibility to reflect on its sources, its areas and directions of development, debates among its proponents, and critiques originating from inside and outside the field. While early proponents of philosophy for children supported each other in the face of misunderstanding and misapprehension, differences inevitably arose among them, not only concerning materials and methods, but also concerning the very meanings of philosophy, childhood and education. These differences remain among contemporary scholars, educators and practitioners, who continue to engage in robust debates about how to research and practice philosophy with …

Getting It Write: The Influence Of Growth Mindset On Secondary Students' Perceptions Of Their Writing Abilities, Megan Hertz

Masters of Education in Teaching and Learning

This study investigated the ways in which growth mindset activities influenced secondary students’ perceptions of their writing abilities and skills. The researcher introduced growth mindset strategies, language, and instruction into two class periods of a 10th–grade English classroom to improve students’ perceptions of their writing abilities and to develop students’ writing skills. Data were collected with pre– and post–intervention surveys, field notes, written artifacts, and individual interviews. The constant comparative method was used to analyze qualitative data to identify significant themes. Descriptive statistics were used to analyze quantitative data. The researcher found the participants expressed improved resilience in response to …

The Racial And Ethnic Makeup Of The Asthma Clinical Trials Informing The 2020 Nhlbi Asthma Guidelines Update, Esosa Adah

Research Days

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Rationale: Black/African American and Hispanic people in the United States are disproportionately impacted by asthma with increased prevalence, morbidity, and mortality. However, these groups are often under-represented in asthma clinical and translational research studies which is a barrier to achieving health equity. We describe the racial/ethnic makeup of participants included in clinical trials which informed the recent 2020 National Heart, Lung, and Blood Institute(NHLBI) asthma management guidelines focused update.

Methods: We identified clinical trials included within the 2020 NHLBI asthma management guidelines focused update. We determined the frequency (%) of studies reporting study participant racial/ethnic …

Improving Advanced Therapeutic Endoscopy Performance At An Academic Children's Hospital, Julia Snodgrass, Thomas M. Attard, Donna Ditsch, John Colgan, Amanda Weston, Jessica Koch, Nadia Ibrahimi, Pang Krasaelap, Voytek Slowick, Laura Shroyer

Research Days

Problem Statement/Question: Advanced therapeutic endoscopy is infrequently needed but critical in the management of children with complex gastroenterology disorders. Hands-on experience in specific advanced techniques, set up of endoscopy equipment and familiarity with new ancillary equipment for use during endoscopy have been intra-departmentally identified as potential areas for improvement.

Background/Project Intent: Our aim is to improve provider scoring on an endoscopy practice test based on technical aspects of therapeutic techniques, indications and set up of standard and new endoscopic equipment by 20% over pre-practice session testing.

Methods: The Model for Improvement framework was utilized. A multidisciplinary team was created including …

A Case Of An Elevated Tryptase, Sonya Parashar

Research Days

Introduction: Hereditary Alpha Tryptasemia (HαT) is an autosomal dominant disorder characterized by an elevated baseline tryptase that occurs up to 3% of the population and clinically resembles mast cell activation syndrome.

Case description: A full-term, 13-month-old female patient presented to Allergy and Immunology clinic for persistently elevated tryptase. Her initial symptom was non-bloody loose stools, but she later developed recurrent flushing, joint pain, constipation, and frequent nighttime awakenings. Her past medical history included gastroesophageal reflux disease. Family history was significant for an older sibling with history of flushing. At all visits, physical examination was normal. Tryptase ranged between 11.7 - …

Evaluating Caretaker Satisfaction With Same-Day Discharge After Gastrostomy Tube Placement, James A. Fraser Md, Shai Stewart Md, Kayla B. Briggs Md, Shawn D. St. Peter Md, Tolulope A. Oyetunji Md Mph

Research Days

Background: Same-day discharge (SDD) after outpatient laparoscopic gastrostomy tube (G-tube) placement has been our standard institutional practice since 2017, following written and video-based preoperative education regarding G-tube use, maintenance, and exchange at the time of consultation.

Objectives/Goal: We aim to evaluate caretaker satisfaction with our same day discharge protocol following laparoscopic gastrostomy tube placement.

Methods/Design: Following IRB approval, all patients planned for SDD after G-tube placement from FebruarySeptember 2021 at a tertiary care academic center were identified. Retrospective chart review was performed to identify demographic information, successful same-day discharge or reason for postoperative admission, time to first postoperative feed, length …

Ultrasound Guided Peripheral Iv Access Curriculum For The Pediatric Emergency Department: A Pilot Study., Samuel Dillman

Research Days

Background: Up to 50% of children have difficult venous access. Studies in the Pediatric Emergency department (PED) have shown that ultrasound guided peripheral IV (USGPIV) access has decreased IV access time and ED length of stay.  Barriers for use include lack of training and comfort with the procedure.

Objectives/Goal: Our objectives are to pilot and evaluate USGPIV training for Pediatric Emergency Medicine (PEM) physicians and nurses.

Methods/Design: The course included a 4-hour, hands-on session with US IV training using a blue phantom task trainer in conjunction with the Vascular Access Team (VAT) for PEM physicians and nurses.  Participants’ skills were …

Recurrent Primary Spontaneous Pneumothorax Masquerading As A Congenital Pulmonary Airway Malformation In A Young Female, Chandra Swanson

Research Days

Background: Spontaneous pneumothoraxes in children are uncommon, may be idiopathic or associated with underlying pulmonary disease, and can present management challenges.

Objectives/Goal: We present a 12-year-old female with recurrent right sided spontaneous pneumothorax in the setting of an asymptomatic SARS-Co-V2 (COVID) infection and imaging concerning for congenital lobar overinflation (CLO) versus congenital pulmonary airway malformation (CPAM), prompting surgical intervention.

Methods/Design: A literature review and chart review were completed for this case report.

Results: A 12-year-old pre-menstrual female with remote history of eczema, asthma, and environmental allergies presented from an outside facility with four-days of progressive chest pain and dyspnea on …

Factors Leading To Reduced Unscheduled Pediatric Asthma Visits During Covid-19, Sean Stout

Research Days

Background: Emergency Department (ED) and inpatient (IP) asthma visits were reduced during 2020 at a tertiary pediatric hospital. This was likely due to measures used to avoid exposure to the SARS-CoV2 virus which led to fewer viral upper respiratory infections (URIs). Other known asthma triggers include allergens, air pollution, and weather changes.

Objectives/Goal: To determine whether other factors could explain this reduction, we looked for changes in other asthma triggers such as pollen, air pollution, and weather.

Methods/Design: Monthly ED and IP asthma visits from 2010 to 2019 were compared to 2020 by time series analysis (TSA), controlling for total …

Virtual Free-Writing Journal Portfolios In An Intensive English Program In Iraq, Charles Mckinney

MA TESOL Collection

Middle-Eastern English language learners (ELLs), specifically Iraqi students, are often not well equipped to succeed in university settings where English is the medium of instruction (EMI) for their intended graduate and undergraduate studies. Oftentimes, they are weaker in their academic literacy skills, when compared to listening and speaking, and need extra scaffolding and/or remedial instruction to develop their reading and writing dexterity for overall academic success. One way to support their writing development is to implement free-writing journal projects that will enable them to cultivate an original writer voice, to think quickly and critically in the L2, and to integrate …

Leading With Heart: How Exemplary K-5 Principals Demonstrate Transformational Leadership Through Heart-Based Practices, Teresa Hubbard

Dissertations

Purpose: The purpose of this phenomenological study was to describe how exemplary K-5 principals in Southern California lead from the heart using Mark Crowley’s (2011) 4 principles (building a highly engaged team, connecting on a personal level, maximizing employee potential and valuing and honoring achievements) to accomplish extraordinary results in their schools.

Methodology: This study utilized a qualitative phenomenological methodology to study the behaviors of elementary principals. This study, due to current Covid restrictions, included virtual one-on-one interviews that were held via the Zoom online platform. The data collected included audio and video recordings, written transcripts, and artifacts from school …

Strength, Beauty, And Resilience: The Impact Of Self Reflection & Exploration Of Memory On Postmodern Feminist Educators, Inside And Outside The Classroom, Maryjo M. Rosania-Harvie

Education Doctorate Dissertations

This study utilizes an autoethnographic methodology, informed by narrative inquiry, to explore the impact of memories on feminist educators. The participants in the study included two of the researcher’s former colleagues and one former student. The study's goal was to examine how the relationships between researcher and participant and the memories they shared impacted them as educators; in the process, the concept of authenticity in educators was examined in relation to the research and the participants’ feminist and postmodern approach. The researcher collected qualitative data through interviews, personal journals, timelining, and an epistolary writing exercise to define authenticity and explore …

Feeding And Swallowing Disorders In 100 Children With 22q11.2 Syndrome, Jana Ghulmiyyah

Research Days

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Background: 22q11.2 deletion syndrome (22q11DS) is the most common microdeletion syndrome. The syndrome includes a wide range of variable features including congenital heart disease, palatal abnormalities, immune deficiency and learning difficulties. Otolaryngologic manifestations include hearing loss, characteristic facial features and laryngotracheal abnormalities. A few studies have reported dysphagia as a common feature of this syndrome however little is known about the specific feeding and swallowing difficulties that occur in children with 22q11DS.

Objectives/Goal: The aim of the study is to identify the frequency of feeding and swallowing disorders in a large cohort of pediatric patients …

Evaluation Of A Modified Pre-Medication Algorithm For Non-Emergent Intubation In A Neonatal Intensive Care Unit, Lilah Melzer

Research Days

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Background: The use of pre-medication for elective non-emergent intubation in neonates and infants has been suggested to minimize physiologic instability, decrease oral/pharyngeal trauma and decrease time and attempts to successful intubation. A pre-medication algorithm including the use of Fentanyl + Atropine was modified to include a higher dose of fentanyl with addition of muscle relaxant and benzodiazepine in a level IV neonatal intensive care unit.

Objective: The objective of this study was to compare first attempt success of intubation pre- vs post-modification of the pre-medication algorithm.

Methods: This is a single site retrospective chart review. …