Medicine and Health Sciences Commons^™

Long Term Catheter Reduction In The Renal Center, Francis Nuguid

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Fall Prevention In Observation Patients, David Ochoa

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Enhanced Mobility On General Surgery, Connie Landayan

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Geriatric Fall Risk Screening In The Emergency Care Center –A Process Improvement Project, Dixie Stiles, Rn, Msn, Fnp-Bc, Gnp-Bc, Cen, Ccrn, Cn Iv

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

The Use Of End Tidal Carbon Dioxide (Etco2) For Moderate Sedation, Christiane Pepitone, Bsn, Rn, Cen, Belinda N. Leos, Msn, Rn, Cen, C.J. Pfeiffer, Msn, Rn, Cen, Elizabeth Winokur

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

The Use Of Rocephin (Ceftriaxone) Ivp In The Emergency Care Center (Ecc), C.J. Pfeiffer, Msn, Rn, Cen, Elizabeth Winokur, Belinda N. Leos, Msn, Rn, Cen, Christiane Pepitone, Bsn, Rn, Cen

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Improving Medication Reconciliation Processes In The Chronic Dialysis Unit, Ana Lopez, Shreya Patel, Anna Roxas

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Preventing Opioid Addiction In Obstetrical Patients -Educating Nursing Professionals, Gloria Morgan

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Intimate Partner Violence, Emergency Care Center (Ecc) Screening And Intervention, Diane Martinez

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Enhanced Detection Of Community-Acquired Pneumonia Pathogens With The Biofire® Pneumonia Filmarray® Panel., David Gilbert, James E Leggett, Lian Wang, Shirin Ferdosian, Gita D Gelfer, Michael L Johnston, Brent Footer, Kathryn W Hendrickson, Hiromichi Park, Emma White, John Heffner

Articles, Abstracts, and Reports

Background: Although most observational studies identify viral or bacterial pathogens in 50% or less of patients hospitalized with community-acquired pneumonia (CAP), we previously demonstrated that a multi-test bundle (MTB) detected a potential pathogen in 73% of patients. This study compares detection rates for potential pathogens with the MTB versus the Biofire® Pneumonia FilmArray® panel (BPFA) multiplex PCR platform and presents an approach for integrating BPFA results as a foundation for subsequent antibiotic stewardship (AS) activities.

Methods: Between January 2017 to March 2018, all patients admitted for CAP were enrolled. Patients were considered evaluable if all elements of the MTB and …

An Unexpected Outcome Of A Pediatric Simulation Encounter For Occupational Therapy Students., Anne H. Zachry, K. Booker, S. B. Lancaster

Faculty Presentations

This presentation reviewed how to plan and implement a pediatric simulated educational experience to align with the targeted course learning objective(s). Participants learned how to incorporate best practices into simulation education in order to advance occupational therapy education.

Three Decades Of Research: The Case For Comprehensive Sex Education, Eva Goldfarb, Lisa D. Lieberman

Department of Public Health Scholarship and Creative Works

Purpose

School-based sex education plays a vital role in the sexual health and well-being of young people. Little is known, however, about the effectiveness of efforts beyond pregnancy and sexually transmitted disease prevention. The authors conducted a systematic literature review of three decades of research on school-based programs to find evidence for the effectiveness of comprehensive sex education.

Methods

Researchers searched the ERIC, PsycINFO, and MEDLINE. The research team identified papers meeting the systematic literature review criteria. Of 8,058 relevant articles, 218 met specific review criteria. More than 80% focused solely on pregnancy and disease prevention and were excluded, leaving …

Week Of October 12, 2020, New York Medical College

InTouch

• GSA Adapts to a New Normal
• TCDM Opens New Pediatric Practice
• Touro to Host Fall Faculty Development Workshop
• NYMC Leadership Examines Student Behavior During the Pandemic

Ratings Of Performance In Multisource Feedback: Comparing Performance Theories Of Residents And Nurses, Muhammed Tariq, Marjan Govaerts, Azam Afzal, Syed Ahsan Ali, Tabassum Zehra

Department for Educational Development

Background: Multisource feedback (MSF) is increasingly being used to assess trainee performance, with different assessor groups fulfilling a crucial role in utility of assessment data. However, in health professions education, research on assessor behaviors in MSF is limited. When assessing trainee performance in work settings, assessors use multidimensional conceptualizations of what constitutes effective performance, also called personal performance theories, to distinguish between various behaviors and sub competencies., This may not only explain assessor variability in Multi Source Feedback, but also result in differing acceptance (and use) of assessment data for developmental purposes. The purpose of this study was to explore …

Do Atypical Antipsychotics Trigger Manic Switching In Patients With Bipolar I Disorder?, Hilary P. Stevenson Md, Phd

Clinical Research in Practice: The Journal of Team Hippocrates

A 22-year-old newly diagnosed patient with bipolar is discussing with her doctor the safety of starting an atypical antipsychotic as part of her treatment plan for depression. The patient was recently diagnosed with bipolar disorder after years of ups and downs making school and her relationship especially difficult. After seeking out a university student health psychiatrist for a severe depressive episode she was prescribed an antidepressant, which within a few weeks triggered a manic episode that required hospitalization. Since that time she has been compliant with her medications but has fallen into another depressive episode. Her psychiatrist encourages her to …

Behavioral Therapy Is A Viable Treatment Option For Children And Adolescents With Trichotillomania, Elizabeth Nesbitt

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Franklin ME, Edson AL, Ledley DA, Cahill SP. Behavior therapy for pediatric trichotillomania: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2011;50(8):763-771. https://doi.org/10.1016/j.jaac.2011.05.0091 for a patient with trichotillomania.

Janus Kinase Inhibitors May Be An Effective Treatment To Reduce Skin Depigmentation In Vitiligo, Shannon E. Lohman

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Rothstein B, Joshipura D, Saraiya A, Abdat R, Ashkar H, Turkowski Y, Sheth V, Huang V, Au SC, Kachuk C, Dumont N, Gottlieb AB, Rosmarin D. Treatment of vitiligo with the topical Janus kinase inhibitor ruxolitinib. J Am Acad Dermatol. 2017 Jun;76(6):1054-1060.e1. https://doi.org/10.1016/j.jaad.2017.02.049 for a patient with worsening vitiligo.

Mindfulness Therapy Is An Effective Adjunctive Treatment For Adolescents Living With Hiv, Samantha Rea

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Webb L, Perry-Parrish C, Ellen J, Sibinga E. Mindfulness instruction for HIV-infected youth: a randomized controlled trial. AIDS Care. 2018;30(6):688–695. https://doi.org/10.1080/09540121.2017.1394434

Inpatient Motivational Interviewing For Adolescent Type 1 Diabetics With Poor Glycemic Control Is Ineffective, Andrew L. Roberts

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Wang Y-C, Mackenzie M, Nakonezny PA, et al. A randomized controlled trial comparing motivational interviewing in education to structured diabetes education in teens with type 1 diabetes. Diabetes Care. 2010;33(8):1741-1743. https://doi.org/10.2337/dc10-0019.

Addition Of An Anti-Staphylococcal Beta Lactam To Standard Antibiotic Therapy Does Not Decrease 90-Day Mortality Of Mrsa Bacteremia Versus Standard Therapy Alone, Monica Hessler

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Tong SYC, Lye DC, Yahav D, et al. Effect of vancomycin or daptomycin with vs without an antistaphylococcal β-lactam on mortality, bacteremia, relapse, or treatment failure in patients with MRSA bacteremia: a randomized clinical trial. JAMA. 2020;323(6):527–537. https://doi.org/10.1001/jama.2020.0103 for a patient with multiple comorbidities including heart failure, severe aortic regurgitation, aortic aneurysm and intellectual disability being treated for MRSA bacteremia who is intubated in the ICU.

Septic Shock Better Controlled With Earlier Administration Of Norepinephrine, Steve Durham

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Elbouhy MA, Soliman M, Gaber A, Taema KM, Abdel-Aziz A. Early use of norepinephrine improves survival in septic shock: earlier than early. Archives of Medical Research. 2019;50(6):325–332. https://doi.org/10.1016/j.arcmed.2019.10.003.

One-Stage And Two-Stage Breast Reconstruction Have No Meaningful Difference In Patient Quality Of Life, Amer Mansoor

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Negenborn VL, Young-Afat DA, Dikmans REG, et al. Quality of life and patient satisfaction after one-stage implant-based breast reconstruction with an acellular dermal matrix versus two-stage breast reconstruction (BRIOS): primary outcome of a randomised, controlled trial. Lancet Oncology. 2018;19(9):1205-14. https://doi.org/10.1016/s1470-2045(18)30378-4.

Comparing In Vivo Versus Simulation Training For Transnasal Endoscopy Skills, Laura L. Wolford, George W. Wolford

Teaching and Learning in Communication Sciences & Disorders

Fiberoptic endoscopic evaluations of swallowing (FEES) is as important of a swallowing evaluation as the videoflouroscopic swallow study, but far fewer speech-language pathologists are competent in its use (Ambika, Datta, Manjula, Warawantkar, & Thomas, 2019; Brady & Donzelli, 2013; Pisegna & Langmore, 2016). One hurdle in FEES training is the necessity of practicing transnasal endoscopy on volunteers. The primary aim of this study was to compare the learning effectiveness of practicing transnasal endoscopy via simulation with practice in vivo for a student’s first passes of the endoscope. The end goal of this study was to determine the most cost-effective and …

Communicating Confidently: Skills For Nursing Student Clinical Success, Cari Granier

Journal of Interprofessional Practice and Collaboration

Background: Ineffective communication in healthcare has been tied to medical errors and provider stress (Chaharsoughi et al., 2014). Many nursing students struggle when communicating in the clinical setting because they lack confidence. When left unaddressed, this issue can follow students as they begin their nursing careers. Purpose: The study focused on measuring how confident undergraduate nursing students felt communicating with patients, visitors, nurses, and faculty in the clinical setting prior to and after instructor-led interventions. Methods: 17 first-year baccalaureate nursing students from Nicholls State University volunteered to participate. Participants were asked to anonymously complete a survey prior …

Week Of October 5, 2020, New York Medical College

InTouch

• Sixth COVID-19 Symposium Continues to Address "What Have We Learned? How Can We Use What We Have Learned?"
• NYMC Honored at "Westchester Doctors of Distinction"
• Medical Students Continue to Stop the Spread with Mask Transit
• The Race for Rehab Goes Virtual
• Health Sciences Library Offers Expanded Hours
• Chancellor Halperin Addresses Cultural Appropriation

Telehealth Care And Its Role In Undergraduate Medical Education In The Covid-19 Era., Peter J. Gonzalez, Dustin J. Paul

MEDI 9331 Scholarly Activities Clinical Years

Background

On March 17, 2020, the American Association of Medical Colleges issued a statement which “strongly supports medical schools pausing all student clinical rotations, effective immediately, until at least March 31.” The University of Texas Rio Grande Valley School of Medicine immediately withdrew third- and fourth-year students from clinical rotation sites, and developed alternative, online-based clerkship curricula to complete for the remainder of the academic year. The COVID-19 pandemic has brought about many challenges to Undergraduate Medical Education, and has deprived upper-level students of foundational, in-person, clinical experiences. The UTRGV School of Medicine Department of Neurology is among the first …

Identifying Medical Residents’ Perceived Needs In Vaccine Education Though A Needs Assessment Survey, Sarah Williams, Shannon Clark, Sharon Humiston, Barbara Pahud, Donald Middleton, Kadriye O. Lewis

Manuscripts, Articles, Book Chapters and Other Papers

Background: Vaccine education during residency is not standardized. Little is known about resident perspectives on vaccines and ideal vaccine training.

Methods: A convenience sample of pediatric and family medicine (FM) residents were surveyed using a de novo 22 question survey to understand perspectives on vaccines and current and preferred vaccine education curriculum. Responses were analyzed categorically and compared by resident year using Fisher’s Exact test.

Results: In October 2016, 126 residents from 9 pediatric and FM programs completed the survey. Resident respondents’ training levels varied. Most were 25-29 years old and female. High familiarity with vaccines and agreeing to defer …

Health Communication Toolkit Case Competition, Halmos College Of Arts And Sciences (Hcas)

HCAS Case Competitions

No abstract provided.

Missed Opportunities For Hpv Vaccination Discussion Among Medical Trainees, Jahnavi Sunkara, Emily Noonan, Laura Weingartner

Undergraduate Research Events

MISSED OPPORTUNITIES FOR HPV VACCINATION DISCUSSION AMONG MEDICAL TRAINEES

Jahnavi Sunkara, BA Candidate; Emily J Noonan, Ph.D., M.A; Laura A. Weingartner, Ph.D., M.S.Abstract

BACKGROUND

Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States and can cause serious health problems like genital warts and cancer. However, vaccination can prevent some of these issues. Although the CDC recommends that individuals between 9-26 years old should receive the HPV vaccine, catch-up vaccination until 45 years old is available upon further guidance from healthcare providers.

METHODS

Standardized patient (SP) encounters (n=28) were randomly sampled from 134 video recordings of …

New Dentist News (October 2020), Ada Committee On The New Dentist

New Dentist News

New Dentist News offers timely information on scientific, social, educational, political and economic developments affecting new dentists. This collection is historical and items may not reflect current standards. For up-to-date information contact the ADA. The New Dentist News was alternately titled ADA Lifeline, 1997-June 2001.