Medicine and Health Sciences Commons^™

Machine Learning Approaches For Neurological Risk Stratification Within 6 Hours Of Cardiac Arrest, Richard R. Riker, Qingchu Jin, Hunter Williams, Teresa May, David Seder, Raimond L. Winslow

Costas T. Lambrew Research Retreat 2024

Background:

• Prognostication of neurological outcome should be delayed at least 72 hours after cardiac arrest. Early stratification of risk severity provides important information enabling improved medical decision making, research enrollment, and precision medicine approaches.

• We propose that electroencephalography (EEG)-derived indices are valid biomarkers of severity of neurological injury very early after cardiac arrest.

• This study was designed to assess the relative impact of early clinical data and processed EEG indices in the first 6 hours after recovery of spontaneous circulation (ROSC) after cardiac arrest.

A Continuous Objective Shivering Monitor During Targeted Temperature Management After Cardiac Arrest, Richard R. Riker, Erica Schlichting, David Seder, Mary Weatherbee, David J Gagnon, Teresa May

Costas T. Lambrew Research Retreat 2024

Background:

• Shivering during targeted temperature management (TTM) after cardiac arrest is stressful and linked to cerebral metabolic crisis.

• Few publications report shivering incidence, timing, or severity during TTM, and shivering treatment recommendations conflict.

• To evaluate multimodal shivering assessments, we studied patients during TTM managed with surface cooling, moderate analgosedation, surface counterwarming, and intermittent neuromuscular blockade (NMB) and evaluated surface electromyographic (EMG) power in decibels using the Medtronic bispectral index (BIS) monitor.

The Association Of Season Of Surgery And Patient Reported Outcomes Following Total Hip Arthroplasty, Catherine M. Call, Andrew Lachance, Zachary Radford, Henry Stoddard, Callahan Sturgeon, George Babikian, Adam Rana, Brian J. Mcgrory

Costas T. Lambrew Research Retreat 2024

Introduction

• Understanding the impact of situational variables on surgical recovery can improve outcomes in total hip arthroplasty (THA).

• Literature examining hospital outcomes by season remains inconclusive, with limited focus on patient experience.

• The aim of this study was to investigate if there were differences in hospital and patient-reported outcomes measures (PROMS) after THA depending on the season in an area with 4 distinct seasons.

Risky Business: Creating A Process To Review Accuracy Of American Society Of Anesthesia (Asa) Classification And To Improve Overall Quality Risk Adjustment Of Surgical Patients, Jane Kinney, Sonja Orff, Robyn Begin, Nicholas Flavin, Eira Hyrkas, Christopher Adams, Ian Neilson

Costas T. Lambrew Research Retreat 2024

Through interdisciplinary education and the creation of an audit process, we have observed a 30.6% reduction in the number of ASA assignment misclassifications.

Increasing Equitable Access To Pediatric Specialty Care In Maine Through Implementation Of Econsults, David Ireland, Rachel Rockers, Sarah M. Gabrielson, Anya K. Cutler, Laura J. Faherty, Genevieve Whiting

Costas T. Lambrew Research Retreat 2024

Introduction

•Barriers to accessing pediatric specialty care exist for many and are not experienced equally by all.

•eConsults are an asynchronous provider-provider referral modality to obtain low-barrier specialist input in place of some face-to-face (F2F) visits.

•We evaluated sociodemographic factors associated with referral to and receipt of specialist input before and after eConsult implementation at MaineHealth to examine equity implications.

Variations Exist In Hospital And Patient-Reported Outcomes Following Total Hip Arthroplasty According To Biological Sex, Catherine Call, Andrew Lachance, Thomas Zink, Henry Stoddard, Callahan Sturgeon, George Babikian, Adam Rana, Brian J. Mcgrory

Costas T. Lambrew Research Retreat 2024

Introduction

• The effect of biological sex on the outcomes of THA remains unclear.

• Average combined data may mask sex-related variation and obscure clinically relevant differences in outcomes.

Healthcare Enabled By Artificial Intelligence In Real-Time, Felistas Mazhude, Robert S. Kramer, Qingchu Jin, Paul Terwilliger, Alan Hicks, Tyler Kelting, Douglas Sawyer, Jaime Rabb

Costas T. Lambrew Research Retreat 2024

INTRODUCTION: The HEART (Healthcare Enabled by Artificial Intelligence in Real-Time) Project pioneers developing real-time machine learning (ML) predictive analytics to address the need to improve outcomes during recovery from open heart surgery. Our broad objective is to enhance patient outcomes by developing, validating and deploying predictive algorithms into the hands of clinical teams as an early warning and guidance system, allowing care teams an opportunity to be proactive.

Geographic Distribution Of Melanoma Cases In Maine: Identifying Vulnerable Counties For Targeted Intervention, Joshua R. Parbs, Madeline Prentiss, Calla Hladky, Henry Stoddard, Kathryn Stevens, Elizabeth V. Seiverling, Peggy Cyr

Journal of Maine Medical Center

Introduction: Maine has the twelfth highest incidence of melanoma in the United States. The purpose of this study was to determine which Maine counties were the most impacted by melanoma through the use of geographical methods. Identification of counties with the highest prevalence of melanoma will help in targeting future training and public health interventions.

Methods: All melanoma cases (n=5,340) reported to the Maine CDC Cancer Registry from 2013 to 2018 were sorted by pathologic T stage. Data were sorted by county and population-adjusted. Population data and provider data came from Area Health Resource Files. County and zip-code maps were …

Evaluating A Training Program For Rural Doctors And Nursing Home Staff On Safe Medicine Use For Patients With Dementia And Nursing Home Residents, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Program goal: Reduce unnecessary use of certain medications without worsening symptoms

Comparing Universal Versus Targeted School Screenings For Depression Among Teens, Research Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The US Preventive Services Task Force endorses universal adolescent major depressive disorder (MDD) screening in primary care; however, most adolescents lack preventive health care, resulting in worsening disparities in MDD screening and treatment.

Comparing Long-Term Outcomes Of Two Collaborative Care Approaches For People With Depression, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

People with depression usually get treatment in healthcare settings, such as clinics. In communities with few resources, people may also get help in community settings such as social services agencies or churches. Collaborative care brings together healthcare and community programs to help people with depression.

Comparing Cognitive Behavioral Therapy (Cbt) Versus Yoga For Helping Older Adults Address High Levels Of Worry, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Some older adults have high levels of worry that cause them to feel restless, tired, or tense. Two ways to treat worry are Cognitive Behavior Therapy (CBT) and yoga.

Testing A Clinic-Based Program To Reduce Risky Behaviors Among Teens, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Risky behaviors, including eating poorly, not getting enough sleep or exercise, using drugs, and not wearing a helmet or seatbelt often emerge during the teen years.

Evaluating A Program To Lower Prescription Opioid Doses For Patients With Chronic Pain, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Patients who use opioids for a long time are at increased risk for addiction, care crashes, overdose, & injuries.

Treating Chronic Pain Using Approaches Adapted For Patients With Limited Reading Skills, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Patients with chronic pain may find some psychosocial interventions to be effective but for those with limited reading skills, it can be hard to understand and use these options.

Does A Parent Peer Support Program Help Parents Of Children Who Need Mental Health Services Support Their Child’S Care?, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The study aimed to assess the impact of a Family Navigator (FN) program developed to increase child behavioral therapy service utilization on parent and child outcomes.

Improving Classroom Behaviors Among Students With Symptoms Of Autism Spectrum Disorder (Asd) Or Attention Deficit Hyperactivity Disorder (Adhd), Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The study aimed to compare the effectiveness of two school-based behavioral programs on improving executive functioning behaviors among students with symptoms of ADHD or ASD.

Behavioral Health Integration And Outcomes That Matter To Patients: A Longitudinal Mixed-Methods Observational Study, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The study team hypothesized that patients would have a better experience over time in clinics that had greater degrees of behavioral health integration.

Does A Video Chat Referral Process Help Families With Children Who Have Medicaid To Initiate Mental Health Care?, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Many children with Medicaid and mental health concerns don’t get the care they need.

Using A Transitional Care Program To Prepare Patients To Take Care Of Themselves After Leaving The Hospital, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Some patients have difficulty caring for themselves after they return home from a hospital stay.

Peer-Navigator Support For Latinx Patients With Serious Mental Illness, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

People who have a serious mental illness (SMI), are at higher risk for other health problems.

Comparing Two Ways To Treat Serious Worry Among Older Adults From Underserved, Racial Or Ethnic Minority Communities, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Compared with other older adults, those with serious worry are more likely to have poor physical health, and often have depression, sleep problems, and trouble thinking clearly..

Is A Patient Navigation Program More Helpful Than A Referral Program For Reducing Depression And Improving Quality Of Life Among Women Living In Neighborhoods With Few Resources?, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The research team compared two programs designed to help women with feelings of depression who live in neighborhoods with few resources. Both programs lasted four months.

Examining Health Outcomes For People Who Are Transgender, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The Study of Transition, Outcomes, and Gender was initiated to assess morbidity among transgender people in general and after gender-affirming treatments.

Helping Patients With Mental Illness Engage In Their Transitional Care, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Effective transitional care can keep patients from going back to the hospital.

Examining Effects Of State Policies To Monitor Mental Health Medicines For Children In Foster Care, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Antipsychotics can have long-term risks but help treat conditions like schizophrenia.

Does A Peer-Led Program With Wellness Coaching Improve Wellness Among People With Serious Mental Illness?, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

People with serious mental illness, or SMI, such as bipolar disorder or schizophrenia often also have long-term physical health problems.

Covid-19 Prevalence And Trends Among Pregnant And Postpartum Persons In Maine By Rurality And Pregnancy Conditions, Charlie O. Grantham, Christina M. Ackerman-Banks Md, Heather S. Lipkind Md, Ms, Kristin Palmsten Scd, Katherine A. Ahrens Mph, Phd

Journal of Maine Medical Center

No abstract provided.

Sports-Related Concussion Management And Guideline Awareness In The Primary Care Setting, Stephanie K. Eble, Oleksandra Pashchenko, William Patterson, Christina T. Holt, William Dexter, Kristine Karlson

Journal of Maine Medical Center

No abstract provided.

Use Of Syringe Service Programs In Rural Vs Urban Maine: A Harm-Reduction Study, Lisa W. Miller, Kim Murray, Emma Daybranch, Kinna Thakarar

Journal of Maine Medical Center

Introduction: Syringe service programs (SSPs) reduce HIV and viral hepatitis transmission, as well as the prevalence of improperly disposed needles and needle stick injuries among first responders. Infections associated with injection drug use are rising in rural areas, including Maine, leading to concerns that SSP services are difficult to access for rural residents.

Methods: A cross-sectional survey of 101 participants hospitalized with infections associated with injection drug use at 4 hospitals in Maine was collected over a 15-month period. Descriptive analyses were performed. Statistical analyses were completed using Fisher’s exact tests, Pearson’s chi-squared tests, and Student’s t tests.

Results: Of …