Medicine and Health Sciences Commons^™

Improving Bedside Procedural Safety Through Optimizing Timeout Documentation And A Pre-Procedure Checklist, Jennifer Harris, Md, R. Benson Jones, Md, Kristin Lohr, Md, Grant Turner, Md, Drew Kotler, Md, Justine Blum, Md, Megan Margiotta, Md, Matthew Bokhari, Md, Erica Li, Md, Riti Kanesa-Thasan, Md, Bracken Babula, Md, Rebecca Jaffe, Md

Department of Medicine Posters

Aim

GOAL: Improve the safety of patients undergoing bedside procedures while maintaining the full spectrum of graduated autonomy in procedure training for residents.

SMART Aim: Increase the rate of timeouts documented for bedside procedures from 29% to 50% by June 2018.

Identifying And Addressing Hepatitis C Linkage Barriers Through An Institutional Screening Process, Madalene Zale, Mph, Priya Mammen, Md, Mph

Department of Emergency Medicine Posters

Aim

This study evaluates the impact of Act 87 on HCV screening in an urban, academic hospital system with particular attention to disparate care and barriers to linkage to specialty treatment

Integration Of A Pharmacist In A Pediatric Medical Home For Children With Medical Complexity, Alannah K. Yoder, Richard K. Ogden Jr., Ingrid A. Larson, Emily J. Goodwin

Pharmacy Posters

Background/Objectives

Children with medical complexity require unique care, specialized attention, and a dedicated team to meet the needs of the patient & caregivers. Drug-therapy related problems in complex, chronic conditions influence financial, institutional, and patient outcomes. The addition of a pharmacist allows for collaboration and delivery of comprehensive medication management in order to provide value-added medication services to optimize complex therapeutic regimens and patient outcomes through evidence-based practice, medication adherence, medication use coordination, and medication safety processes.

Description

Our program provides a pediatric medical home for hundreds of children with medical complexity. Families are cared for by a comprehensive …

Birth Outcomes And Water: A Multidisciplinary Study, Moses New-Aaron, Jane L. Meza, Patrick J. Shea, Martha Rhoades

Posters and Presentations: College of Public Health

Evidence that agrichemicals are associated with the incidence of birth defects is inconsistent. We examined whether nitrate and nitrosatable agrichemicals present in well water are associated with birth defect rates in Nebraska counties. Birth defect data from the Nebraska Department of Health and Human Services, 2005-2014, were merged with well data obtained from the Quality-Assessed Agrichemical Contaminant Database for Nebraska Ground Water (1977-2014). Nebraska counties with higher rates of birth defects had a greater prevalence of agrichemicals in well water. Of the 33 contaminants sampled from different well types, nitrate and atrazine were of interest. Birth defect rates were negatively …

Effect Of N-Nitrosoatrazine On Embryogenesis In Avian Embryos, Nur Firyal Roslan, Moses New-Aaron, Martha Rhoades, Kent Eskridge

Posters and Presentations: College of Public Health

Preliminary studies suggest that the nitrosamine N-nitrosoatrazine (NNAT) is teratogenic and mutagenic. We hypothesized that the embryos exposed to NNAT would have higher mortality and lower growth rate compared to unexposed embryos. In this study, we evaluated growth and mortality in chick embryos after exposure to NNAT dissolved in dimethyl sulfoxide (DMSO). The study was divided into three experiments depending treatment design. First, the effect of DMSO on embryo growth and survival was tested. Second, we compared growth and survival between embryos treated with DMSO, 50:50 DMSO:water and NNAT at 0.245 µmol/l. Finally, we compared growth and survival between …

Economic Implications Of Tobacco Use For The State Of Nebraska Government, Fernando A. Wilson, Nizar K. Wehbi, Ali S. Khan

Reports: Center for Health Policy

We examine smoking-related expenditures for the state Medicaid program and for lost productivity among state government employees. The predicted number of new diagnoses of smoking-related illnesses among government employees ranged from 109 cases of kidney disease to 856 cases of arthritis and related diseases. We estimate over 6,000 lost workdays due to sick leave among currently smoking vs. non-smoking employees. Smoking-related illness is estimated to increase state budgetary expenditures on Medicaid by approximately $114.9 million annually.

Evaluation Of A Competency-Based Health Policy Training Program, Jim P. Stimpson, Kathleen Brandert, Brandon Grimm, Fernando A. Wilson

Reports: Center for Health Policy

No abstract provided.

Evaluation Of A Competency-Based Health Policy Training Program, Jim P. Stimpson, Kathleen Brandert, Brandon Grimm, Fernando A. Wilson

Reports: Center for Health Policy

An academic and practice partnership was formed to create and implement a competency-based training program for local health departments in health policy. We evaluated if the training program improved the policy knowledge and competency of participants.

Participants exhibited significant increases for self-assessed policy competency, including substantial improvements in “Critique the feasibility and expected outcomes of potential policy options”, “Identify and assess the strengths and motivations of key stakeholders and potential resistors”, and “Recommend a specific policy change”.

The policy competency instrument developed in this report could be used to measure policy knowledge and competency in future training implementations.

[2018 Winner] Filipino Americans: A Health Profile Addressing Health Disparities And The Effects Of U.S. Assimilation And Discrimination, Marisol Cruz

Ethnic Studies Research Paper Award

Filipino Americans have a rich history in migrating to the U.S as well as assimilating into American culture. They have a distinct immigrant experience because of their colonial past. This paper states Filipino American U.S demographics, health statistics, and traditional health beliefs and practices to understand Filipino American culture and beliefs. Lastly, there is an emphasis in the leading health disparity among them, heart disease, and the effects of racism and discrimination and how that impacts a Filipino Americans overall physical and mental health.

Dominique Gummelt, Dominique Gummelt

Summer 2018

It is so easy to live or work alongside someone for many years and not really know them. I have always been inspired by the energy, passion and cheerfulness of our director of University Health & Wellness, Dominique Gummelt, but I have never spent time getting to know her. This week I decided it was time to change that reality. I am glad I did. As she shared her story with me, I discovered some interesting facts. Dominique came to the United States as an exchange student at age 16 and has lived here since that time. Life had been …

Commencement Program 2018, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2018 Events of Commencement

5 | The Academic Procession

7 | Significance of Academic Regalia

9 | The Good Samaritan

10 | University History Highlights

12 | Loma Linda University Song - "Healing Love"

13 | Criteria for Institutional Awards—Loma Linda University and Loma Linda University Health

15 | Loma Linda University Health and Loma Linda University Honorees

32 | The Programs, The School Honorees, and The Speakers

• School of Medicine, 33
• School of Pharmacy, 63
• School of Dentistry, 76
• School of Allied Health Professions - Allied Health Studies, Cardiopulmonary Sciences, …

Drug Abuse Manifesting As Persistent Hypoglycemia: A Case Report Of Hidden Sulfonylurea Poisoning, Frederick B. Peng, Sharon Li, Md

Department of Medicine Posters

Background

• Prescription drug abuse is on the rise. According to the Philadelphia Department of Health data in 2017, up to 26% of adults may be using benzodiazepines and/or opioids (Table 1).
• 12% or 1/8 Philadelphians are estimated to be current benzodiazepine users and have taken one in the last 7 days. Benzodiazepine use is most common among people with household incomes below $25,000 and among the 45-54 years old age group (17.7%) [1].
• Most current users (84%) obtain benzodiazepines from health care providers [1]. However, with new policies to closely monitor controlled substances, those with dependence on benzodiazepines may turn …

Mentally Healthy And Happy Exercise Your Mind, Chloe Riggs, Ashley Rowe, Sarah Webb, Tyler Stephens, Tanner Young, Shelley Sadler

Celebration of Student Scholarship Poster Sessions Archive

No abstract provided.

Coffee Consumption, Perceptions, And Patterns, Shannon Rodriguez

Student Research Posters

Coffee is a substance people consume daily, but there are inconclusive and conflicting results from studies about the positive and negative effects of coffee and caffeine. For example, evidence from one study links lower levels of stress with coffee consumption while another study concluded drinking coffee results in sleep disruption. Given this information, there are numerous factors that contribute to why people drink coffee and the effects it has on each individual. The purpose of this study is to see if there are patterns between demographics, coffee consumption, and perceptions to understand how students, staff, and faculty at Dominican University …

Success And Limitations Of Hepatitis C Screening In The Inpatient Setting, Madalene Zale, Mphc, Priya Mammen, Md, Mph

College of Population Health Posters

This study evaluates the outcomes that a state level mandate for HCV screening with HCV-Antibody-only has on linkage to care and access to treatment, compared to a specific programmatic effort, which includes HCV confirmation.

Sling Complications, David L. Howard, Andrea Mcglynn, Joy A. Greer

Research Briefs

No abstract provided.

Nutraceuticals: An Alternative Treatment For Influenza Virus, Siale Teaupa

FHSS Mentored Research Conference

Influenza virus is a contagious respiratory pathogen that infects hundreds of thousands of people a year, making it a serious global health concern. The virus has a rapid mutation rate and has developed resistance to current antiviral agents, making it a difficult target for effective treatment. There is an increasing need to identify new treatments for Influenza. Recently, we have tested nutraceuticals as an effective alternative for blocking Influenza. We have tested Jamaican Sorrel, Black Currant Berries, and Manuka Honey paired with Bee Pollen for antiviral activity. We have demonstrated that these nutraceuticals block the 2009 Pandemic California Influenza strain …

Effect Of Nitrosamine (Nnat) On Embryogenesis: Evidence From A Study Using Avian Embryos Exposed To Nnat, Moses New-Aaron, Martha Rhoades, Jane L. Meza, Jeffrey Wallman

Posters and Presentations: College of Public Health

Background

Birth defects are a known cause of infant death in the United States with higher rates in the Midwest perhaps due to higher use of agrichemicals for farm activities. Nitrate and atrazine are two of the most prevalent agrichemicals contaminating drinking water supplies. When ingested together, in the acidic environment of the human stomach, they can react to form a nitrosamine, NNAT. Many nitrosamines are known to be mutagenic, carcinogenic and teratogenic.

Significance

Preliminary studies have suggested that NNAT is a teratogen and mutagen. Several other agrichemical compounds have been detected in Nebraska groundwater wells that have the potential …

A Systematic Review Of Universal, Teacher-Led Interventions Targeting Anxiety In U.S. Schools, Sonja F. Tutsch, Patrick Fowler, Gaurav Kumar, Adam Weaver, Brian Mckevitt, Denise Britigan, Christian I.J. Minter, Lorena Baccaglini

Posters and Presentations: College of Public Health

Implications of anxiety symptomatology experienced among children and adolescents in the US constitute a major public health crisis, calling for promising universal mental health interventions in K-12 schools. Schools represent an ideal setting for the implementation of population based, public health interventions, as children and adolescents spend a significant proportion of time in school. Discussions within the scientific community document several advantages to utilization of universal, Tier1 interventions. However, the efficacy of universal, school-based anxiety interventions in the US are not consistently documented. The purpose of this study is to systematically review the literature to identify the efficacy of universal …

Cervical Cancer Screening Among Patients Receiving Arvs In A Resource-Limited Environment, Moses New-Aaron, Jane L. Meza, Martha Goedert, Stephen Kibusi, Samwel Sumba, Caroline Damien, Siraj Shabani, James Charles

Posters and Presentations: College of Public Health

Significance

Cervical cancer is the most common cancer worldwide with increased risk among women living with HIV in a resource limited environment. Hence the need to determine factors affecting awareness, prior uptake of cervical cancer screening and willingness to screen among patients receiving Antiretroviral (ARV) drugs.

Data analysis

The data was collected by administered questionnaires to patients presenting for monthly ARV refills in a HIV clinic in Dodoma, Tanzania. A total of 421 women in the clinic with an average monthly income of 39 (USD) were interviewed. A total of 306 (73%) were aware of cervical cancer. Among those who …

The Impact On Youth Smoking Of Increasing The Cigarette Tax In Nebraska: An Update For 2018, Fernando A. Wilson, Nizar K. Wehbi, Jamie Larson, Li-Wu Chen

Reports: Center for Health Policy

No abstract provided.

The Status Of The Healthcare Workforce In The State Of Nebraska, Fernando A. Wilson, Nizar K. Wehbi, Jamie Larson, Kavita Mosalpuria, Ethan Chen, Marlene Deras

Reports: Center for Health Policy

No abstract provided.

Radon, From The Ground Into Our Schools: Parent/Guardian Awareness Of Radon Levels In Vermont Schools, Kathryn Grenoble, Florence Lambert-Fliszar, Kirsten Martin, Scott Neary, Kyle Remy, Shawn Sanford, Ethan Witt, Rebecca Ryan, David Kaminsky, Jan Carney

Public Health Projects, 2008-present

Introduction. Radon is the leading cause of lung cancer among non-smokers. Ex- posure to radon in schools may be harmful to schoolchildren, faculty, and staff, but there is currently no legislation mandating testing or mitigation of radon levels in Vermont schools.

Objectives. The goal of our study was to assess Vermont parents’ awareness of radon’s harmful effects, as well as awareness of and support for testing and mitigation of radon levels in their children’s schools.

Methods. We distributed paper and online surveys to Vermont parents of children grades K-12. 126 surveys were received and quantitatively analyzed. We held a …

Impact Of Deferral For Low Hemoglobin On Donor Return, Ashley Aiken, Alexander Disciullo, Cyrus Jalai, Nektarios Konstantinopoulos, Tyler Oe, Mark Fung, Jan Carney, Jenny Lamping

Public Health Projects, 2008-present

Introduction. A consistent blood supply to support life-saving transfusions relies on regular and repeat volunteer blood donations. In this study, we focused on donors previously deferred for low-hemoglobin (Hb) levels to better understand the value of supplying post-deferral educational information, and the actions donors took based on their deferral.

Methods. An anonymous national survey of active and inactive donor groups (10,000 each) was conducted. The survey questions assessed post-deferral donor actions, preferences regarding post deferral education, understanding of their deferral, and demographic information. Chi-square analysis was performed to compare categorical survey results between donor groups with p < 0.05 denoting statistical significance.

Results. The survey …

Patient Perspectives Of The Doctor-At-Home Service, Daniel De Los Santos, Erin Hunt, Scott Mitchell, Rachel Munoz, Monica Rodgers, Gregory Roy, Danielle Smith, Jolie Lavigne, Karen Lounsbury, Jan Carney, Karen Sokol

Public Health Projects, 2008-present

Introduction. Home health care has been established as an effective model for reducing mortality in the elderly. The Doctor-at-Home Service at the Community Health Centers of Burlington (CHCB) has offered home health care to Burlington residents since January 2015. Dr. Karen Sokol, MD, alone provides care to 176 patients at their homes, including at-home palliative care. CHCB hope to expand this program by hiring more providers.

Objective. To understand the impact of the Doctor-at-Home Service from the pa- tients’ perspective.

Methods. A survey was administered to a cohort of eighteen patients over an 8- week period and addressed topics such …

Health And Nutrition In Vermont Children, Gesca Borchardt, Kyna Donohue, Anthony Gallegos, Wilson Huang, Hannah Johnson, Samuel Logan, Patrick Saunders, Paula Tracy, Tina Zuk

Public Health Projects, 2008-present

Introduction. The AHA (American Heart Association) supports legislation in Ver- mont ensuring that restaurants’ children’s menu meals meet certain nutritional standards. This study investigated Vermont parents’ attitudes towards both dining at restaurants with their children and potential legislation to improve nutritional standards of restaurant food.

Methods. An anonymous 21-question survey for parents with children under age 18 was distributed electronically to local organizations via Facebook groups and email, and as paper questionnaires at the Community Health Center of Burlington. Questions probed parents’ overall attitudes surrounding their children’s health, habits pertaining to eating at restaurants, and attitudes towards legislation to ensure …

Assessing Barriers To Health Care Access For New Americans, Dylon Gookin, Megan Kawasaki, Isabelle Mason, Cole Shapiro, Patricia Wang, Caleb Watkins, Molly Moore, Taylor Puckhaber

Public Health Projects, 2008-present

Introduction. Healthcare within the United States has been at the forefront of public discussion and political representation in recent years, particularly as it relates to healthcare access and barriers to said access. Focus has been placed on low-income groups that most generally represent the face of the average American, but this leaves the question: How are new Americans faring, and do their struggles match those faced by the rest of the country? The new Americans of Burlington, Vermont serve as a small window into a unique refugee population’s experiences with healthcare in the United States.

Methods. A focus group consisting …

Engagement And Disengagement In Art Interventions With Memory Impairment, Nana Agyepong, Karamatullah Danyal, Lauren Gaffaney, Nicole Jedrqynski, Michael Rodriguez, Matthew Sommers, Andrew Wick, Judith Christensen, Ellen Meagher

Public Health Projects, 2008-present

Introduction. Studies have shown art intervention to be an effective therapy for patients with memory impairments, leading to overall positive behaviors, increased quality of life and decreased caregiver burden. We conducted a preliminary study to evaluate and compare the effect of participation in weekly art appreciation and painting sessions on the behavior of memory impaired residents in an assisted living facility.

Methods. Residents’ behaviors were observed during art appreciation and active painting sessions over a six-week period. Each session consisted of either viewing and discussing artwork or actively painting in the style of the artist discussed. Positive and negative behaviors …

Health And Housing Trends Of Single Homeless Adults In Chittenden County, Vermont, Alexa Arvidson, Harshal Athalye, Pamela Derickson, Gregory Johnston, Elizabeth Mcleod, Elizabeth O'Neill, Andrew Pham, Christopher Brzovic, Virginia Hood

Public Health Projects, 2008-present

Introduction. Homeless individuals are at an increased risk for both physical and mental health comorbidities compared to those with stable housing. Prior studies have demonstrated that many of these individuals do not seek or receive proper medical care. This study provides a landscape analysis of health characteristics in the single adult homeless population in Chittenden County, Vermont.

Methods. Interviews were conducted using a modified version of the Vulnerability Index – Service Prioritization Decision Assistance Tool to determine vulnerability indices across a range of different health and social wellness domains. Single home- less adults were sampled from community self-help clinics and …

Nutrition Knowledge Assessment Of Lund Family Center Residents, Nathan Dreyfus, Caleb Knight, Jennifer Morris, Kathryn Patton, Melissa Romero, Jackie Tsao, Christopher Veal, Sarah Mccarthy, Jessilyn Dolan

Public Health Projects, 2008-present

Introduction. Staff at the Lund Family Center report that there may be knowledge deficits, with regards to nutrition, among the Center’s residents—primarily pregnant/ parenting women with substance abuse and mental health issues. Before considering intervention options, we wanted to identify the specifics of the residents’ knowledge gaps.

Methods. We administered paper versions of a revised General Nutrition Knowledge Questionnaire (GNKQ-R) Section 2 to 21 Lund residents to explore nutri- tion knowledge as compared to groups more representative of the general population. The GNKQ-R Section 2 is an externally validated, efficacious tool that specifically as- sesses knowledge of food groups and …