Medicine and Health Sciences Commons^™

B-Type Natriuretic Peptide (Bnp) Levels During Extracorporeal Membrane Oxygenation (Ecmo) Weaning May Predict Survival To Hospital Discharge, John Graham, Jennifer Flint, Erica Molitor-Kirsch

Posters

Background: Despite apparent clinical and echocardiographic evidence of adequate myocardial function and successful weaning towards decannulation, up to 33% of children who separate from cardiac ECMO do not survive to hospital discharge. Brain natriuretic peptide (BNP) is used as a marker of myocardial dysfunction in multiple clinical settings. We have anecdotally observed that during ECMO weaning, BNP levels remain stable or decreased in patients who survive after decannulation, but are elevated or rise in other children who die following decannulation.

Hypothesis: We hypothesized that trends in BNP levels during weaning from V-A ECMO may be useful to predict survival after …

Improving On Time Starts For Procedures, Diane Rydzy Rn, Stuart Zarich

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Patient satisfaction is clearly linked to how long a patient waits for their procedure. In order to positively impact patient satisfaction we evaluated start times for our non-invasive cardiology procedures. According to Press Ganey Associates when time spent waiting is 0-20 minutes, overall patient satisfaction ranges from 89.8 to 95.4%.

Do The Best Hospitals Have Librarians?, Brenda R. Pfannenstiel

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Objective: Determine how the presence of medical librarians correlates with hospital ranking on the U.S. News & World Report best hospitals list.

Project Title Improving Pci Door-To-Balloon Times Through Team Collaboration, Diane Rydzy Rn, Kenneth Forte Dnp, Rockman Ferrigno, Stuart Zarich

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Objective: To utilize a team approach in identifying areas of improvement to reduce median door-to-balloon times (D2B) for heart attack patients

Simulating Real Life Enhances Palliative Care For Patients In The Micu, Jennifer O'Neil Bsn, Rn, Leigh Jimmie Bsn, Rn

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The objective of this project was to determine whether or not a palliative care education program would increase RN knowledge and comfort in caring for palliative care appropriate patients in the Medical Intensive Care Unit.

Improving Efficacy In And Across The Intermediate Care Area (Ica) Team, Jennifer O'Neil Bsn, Rn, Emma Branca Bsn, Rn

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PURPOSE •Improve staff efficacy through improved communication, management of daily workflow and allocation of work assignments •Better meet patient needs •Promote patient safety •Improve patient and staff satisfaction

The Orphan Train Movement And Its Influence On Child Welfare Policy In Kansas, Robert Schremmer, Jane F. Knapp Md

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The Orphan Train Movement was responsible for relocating thousands of children from large eastern cities to rural areas and can be seen as the forerunner to today's foster care system.

Ahead Of Their Time: The Story Of Alice Berry Graham And Katharine Berry Richardson, The Founders Of Children's Mercy Hospital In Kansas City, Jane F. Knapp Md, Robert Schremmer

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Describes the founding of Children's Mercy Hospital through the story of its founders, Katharine Berry Richardson and Alice Berry Graham.

Same-Day Discharge Of Transradial Elective Coronary Intervention, Diane Rydzy Rn, Stuart Zarich

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To increase the percentage of same day discharges of elective radial interventional cases.

Same-Day Discharge Of Transradial Elective Coronary Intervention, Diane Rydzy Rn, Stuart Zarich

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Transradial coronary interventions appear to be increasing in all cardiac catheterization laboratories across the country. The benefits of this approach have become apparent with fewer bleeding complications, faster recovery time and most of all, improved patient satisfaction. These benefits indirectly increase patient throughput and decrease costs due to more efficient resource utilization. With increased financial constraints transradial coronary procedures are also a benefit in cost reductions.

B-Type Natriuretic Peptide (Bnp): A Potential Biomarker For Extubation Failure In Infants Following Cardiac Surgery, Jennifer Flint, Lori Erickson, Dawn Tucker, Erica Molitor-Kirsch

Posters

Background: BNP is a hormone released from the cardiac ventricles in response to increased pressure and volume overload1 and is an important biomarker in heart failure. Following congenital heart surgery, elevated BNP levels correlate with longer duration of mechanical ventilation, low cardiac output syndrome, and increased ICU length of stay2-4 Mechanical ventilation (MV) has an exaggerated impact on cardiopulmonary interactions in children with myocardial dysfunction, and extubation readiness can be difficult to determine post-operatively following congenital heart surgery.

Hypothesis: An increase in post-extubation BNP levels can predict extubation failure and the need for reintubation within 48 hours.

Methods:

Design: prospective, …

B-Type Natriuretic Peptide (Bnp): A Potential Biomarker For Extubation Failure In Infants Following Cardiac Surgery, Jennifer Flint, Lori Erickson, Dawn Tucker, Erica Molitor-Kirsch

Posters

Background: BNP is a hormone released from the cardiac ventricles in response to increased pressure and volume overload1 and is an important biomarker in heart failure. Following congenital heart surgery, elevated BNP levels correlate with longer duration of mechanical ventilation, low cardiac output syndrome, and increased ICU length of stay2-4 Mechanical ventilation (MV) has an exaggerated impact on cardiopulmonary interactions in children with myocardial dysfunction, and extubation readiness can be difficult to determine post-operatively following congenital heart surgery.

Hypothesis: An increase in post-extubation BNP levels can predict extubation failure and the need for reintubation within 48 hours.

Methods:

Design: prospective, …

Librarians Collaborate To Touch The Lives Of Patients Through Community Pediatricians, Keri Swaggart, Nancy Allen

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MCMLA 2012 Annual Meeting Presentation

Symptomatic Hypocalcemia During Urinary Alkalinization For Acute Aspirin Toxicity, Jennifer Flint, Bruce Banwart

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A16y/o ingested 165 tablets of 325 mg ASA(1000 mg/kg). He presented to an outside facility 8 hours after ingestion alert with stable vital signs and ASA level 78 mg/dL. Initial lab values showed an arterial blood gas (ABG) pH 7.46, pCO2 26 mmHg, HCO3 18 mmol/L, ionized calcium 1.09 mmol/L, serum calcium 10 mg/dL, albumin 4.5 gm/dL, magnesium 2.1 mg/dL. Urinary alkalinization was initiated with a sodium bicarbonate infusion (NaHCO3) and he arrived to our facility 12 hours after ingestion with Kussmaul respirations and altered mentation. Repeat ASA 116mg/dL, ionized calcium 0.88 mmol/L and serum calcium 8.8 mg/dL. He became …

The Life And Times Of A Kansas Horse And Buggy Doctor And His Recollections On The Care Of Children, Robert D. Schremmer Md, Jane F. Knapp Md

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Describes the career of Arthur Emmanuel Hertzler, MD, 1870-1946, who practiced in Halstead, Kansas.

Correlation Of Substance Use Disorder And Self-Harm Urges And Actions In Borderline Personality Disorder, Bianca F. Aaron, Timothy J. Trull, Rachel L. Tomoko, Elaina J. Miller, Molly J. Gallagher

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No abstract provided.

Post-Traumatic Stress Disorder And Alcohol Dependence In Young Women, Nicole E. Pommer, Carolyn E. Sartor, Vivia V. Mccutchen, Elliot C. Nelson, Kathleen K. Bucholz, Pamela A.F Madden, Andrew C. Heath

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No abstract provided.

Drinking And Driving Expectancies As A Mediator Of Impulsivity’S Influence On Drinking And Driving, D. H. Morris, H. R. Treloar, D. M. Mccarthy

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No abstract provided.

Specificity Of A Cocaine-Derived Dopaminergic Genetic Risk Score, Jamie Derringer, Robert F. Krueger, Danielle M. Dick, Fazil Aliev, Richard A. Grucza, Scott Saccone, Arpana Agrawal, Alison M. Goate, Peng Lin, Michael T. Lynskey, Rosalind J. Neuman, John P. Rice, Howard J. Edenberg, John I. Nurnberger Jr., Victor M. Hesselbrock, John R. Kramer, Jay A. Tischfield, Laura J. Bierut

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No abstract provided.

The Effect Of Depression On Alcohol Use Among Female Heavy Drinkers Who Underwent Hiv Prevention Intervention, Supachoke Singhakant, Susan Bradford, Linda B. Cottler

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No abstract provided.

Neuropeptide Y Rs16147 Single Nucleotide Polymorphism Is Associated With Heavy Drinking And Severity Of Alcohol Dependence, Derick Vergne, Raymond Anton, Konstantin Voronin, Abraham Tiffany, Hugh Myrick, Caleb Canders, Garrick Klaybor, Patrick Randall, Joe Schacht

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No abstract provided.

The Influence Of Gender Role Adherence On Alcohol Use And Problems, Taleb S. Khairallah, Hayley R. Treloar, Denis M. Mccarthy

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No abstract provided.

Gender Specific Effects Of Perinatal Influences On The Risk For Alcoholism In A 45-Year Danish Birth Cohort, Anna Manzardo, Wendy Madarasz, Elizabeth C. Penick, Joachim Knop, Erik Lykke Mortensen, Holger J. Sorenson, Ulrik Becker, Elizabeth J. Nickel, William F. Gabrielli Jr.

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No abstract provided.

Genetic And Environmental Contributions To Post-Traumatic Stress Disorder And Alcohol Dependence In Young Women, Carolyn E. Sartor, Nicole E. Pommer, Vivia V. Mccutcheon, Elliot C. Nelson, Kathy K. Bucholz, Pamela A.F Madden, Andrew C. Heath

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No abstract provided.

College Students’ Drinking Patterns, Impulsivity, And Estimation Of Peers’ Drinking Patterns, Rachelle L. Yankelevitz, Suzanne H. Mitchell, Yueping Zhang

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No abstract provided.

Alcohol Dependence And Comorbid Personality Disorders: Antisocial And Borderline Symptom Analysis, Rachel L. Tomko, Timothy J. Trull, Seungmin Jahng, Phillip K. Wood, Kenneth J. Sher

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No abstract provided.

Interactions Between Positive And Negative Alcohol Expectancies, Alvaro J. Verges, Kenneth J. Sher

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No abstract provided.

Sexual Orientation And Substance Use Trajectories In Emerging Adulthood, Amelia E. Talley, Kenneth J. Sher

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No abstract provided.

Sex Differences In Ca1 Hippocampal Region Cell Death Following Antagonism Of Girk Channels During Ethanol Withdrawal, Tracy R. Butler, Lynda J. Sharrett-Field, Jennifer N. Berry, Mark A. Prendergast

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No abstract provided.

Reducing Late Charges In Cardiovascular Services, Diane Rydzy Rn

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• Late charges are charges that are “added” to a patient’s bill after the bill has been sent
• Late charges strain the system by making it necessary to “re-bill” the account
• In order to reduce late charges, it is necessary to understand how late charges occur