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Full-Text Articles in Medicine and Health Sciences

Week Of December 21, 2020, New York Medical College Dec 2020

Week Of December 14, 2020, New York Medical College Dec 2020

Creating A Sustainable Occupational Therapy International Collaboration Through The Development Of A Cross-Cultural Pediatric Experience, Melissa Valencia, Becki Cohill, Beverly Hoffman, Susan Macdermott, Karen Park Dec 2020

Creating A Sustainable Occupational Therapy International Collaboration Through The Development Of A Cross-Cultural Pediatric Experience, Melissa Valencia, Becki Cohill, Beverly Hoffman, Susan Macdermott, Karen Park

Fall 2020 Virtual OTD Capstone Symposium

The multicultural population is expected to rise to 56% by the year 2060 (U.S. Census Bureau, 2017). Despite the ongoing increase in cultural diversity of the U.S. population, there still continues to be limited diversity in the field of occupational therapy (Crowe et al., 2016). In academia, it is recognized that there is a need for a necessary to focus on culture and occupational therapy. However, it is questioned to what extent this is actually implemented into the academic curriculum as what constitutes cultural competency in entry level practitioners varies (Humbert et al., 2012). Society is becoming less mono-cultural, indicating …


Week Of December 7, 2020, New York Medical College Dec 2020

Health Insurance Availability, Madison Shakespear Dec 2020

Health Insurance Availability, Madison Shakespear

Sociology Student Work Collection

My presentation focuses on health insurance availability. Primarily, how much it costs and who is covered—or not covered—by third-party contributors (eg. employers). I also discuss the correlation between insurance-included benefits and higher education.


Week Of November 23, 2020, New York Medical College Nov 2020

Week Of November 16, 2020, New York Medical College Nov 2020

Week Of November 9, 2020, New York Medical College Nov 2020

Week Of November 2, 2020, New York Medical College Nov 2020

Week Of October 26, 2020, New York Medical College Oct 2020

Week Of October 19, 2020, New York Medical College Oct 2020

Week Of October 12, 2020, New York Medical College Oct 2020

Week Of October 5, 2020, New York Medical College Oct 2020

The Write Stuff - Autumn 2020 (Vol. 17, No. 4), Research Medical Library Oct 2020

The Write Stuff - Autumn 2020 (Vol. 17, No. 4), Research Medical Library

Write Stuff 2020

  • New NIH training module: Vertebrate Animals Section
  • When a journal requests English-language editing
  • CRediT aims to clarify contributions to scientific publications
  • The Assisted Referral Tool (ART): A resource for selecting the best NIH study sections for your grant proposal
  • Unusual terms used in scientific writing and publishing: Cascading peer review


End Of Life Virtual Reality Training: Medical Student Increased Empathic Ability, Daniel Minukhin Oct 2020

End Of Life Virtual Reality Training: Medical Student Increased Empathic Ability, Daniel Minukhin

Osteopathic Medicine Student Projects

Presentation regarding the following research: To determine if self-assessed empathy can be increased through an end of life virtual reality (VR) experience, second year UNE COM medical students (N=174) completed the Clay Lab VR experience during January 2020. Student embodied Clay, 66 year old male veteran with incurable lung cancer. Experiences included a difficult end-of-life conversation; transition to home hospice care; and eventually death. Students were asked to complete a pre-test and post-test survey. The pre/post test surveys included eight Likert scale questions and two open-ended questions. The data was collected via the RedCap program. Pre and post-test data was …


Week Of September 21, 2020, New York Medical College Sep 2020

Week Of September 14, 2020, New York Medical College Sep 2020

Week Of September 9, 2020, New York Medical College Sep 2020

Week Of August 31, 2020, New York Medical College Aug 2020

Week Of August 24, 2020, New York Medical College Aug 2020

Week Of August 17, 2020, New York Medical College Aug 2020

Week Of August 3, 2020, New York Medical College Aug 2020

Intratracheal Lidocaine And Postoperative Sore Throat At Providence Sacred Heart Medical Center And Providence Holy Family Hospital, Jennifer Cowgill, Scot Pettey, Kenn B Daratha Aug 2020

Intratracheal Lidocaine And Postoperative Sore Throat At Providence Sacred Heart Medical Center And Providence Holy Family Hospital, Jennifer Cowgill, Scot Pettey, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Postoperative sore throat (POST) is a common side effect from general anesthesia (GA) and has a prevalence of 14.4-50%.1 The experience of POST contributes to patient discomfort during recovery from surgery. The etiology of this is thought to be from tracheal mucosal erosion from the cuff of the endotracheal tube (ETT), trauma from intubation, coughing and bucking, and friction between the ETT and the tracheal mucosa during general anesthesia.2 Risk factors shown to contribute to the development of POST include, but are not limited to, elderly age, smoking history, patient positioning, ETT cuff pressure, and movement of ETT during …


Postoperative Length Of Stay Following Enhanced Recovery After Surgery Protocol Implementation For Scheduled Cesarean Deliveries, Hannah Zimmerman, Emily L. Mcquaid-Hanson, Amanda Affleck, Kenn B Daratha Aug 2020

Postoperative Length Of Stay Following Enhanced Recovery After Surgery Protocol Implementation For Scheduled Cesarean Deliveries, Hannah Zimmerman, Emily L. Mcquaid-Hanson, Amanda Affleck, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Cesarean delivery is the most common major surgery worldwide. 1 In 2018, 1.2 million cesarean deliveries occurred in the United States, accounting for nearly 32% of all deliveries.2 Research has shown ERAS benefits include decreased length of stay, improved pain control, and improved patient satisfaction.2,3 Despite its use in numerous surgical specialties, ERAS implementation within obstetrics has been slow.2 The ERAS Society released a three-part guideline specific to cesarean deliveries in 2018 and 2019,4,5,6 yet few studies have assessed the impact of ERAS on cesarean postoperative outcomes.2 An improved perioperative course would be particularly beneficial for mothers undergoing cesarean …


Opioid Consumption After Scheduled Cesarean Delivery Following Implementation Of Enhanced Recovery After Surgery, Mindy Woodruff, Emily L. Mcquaid-Hanson, Amanda Affleck, Kenn B Daratha Aug 2020

Opioid Consumption After Scheduled Cesarean Delivery Following Implementation Of Enhanced Recovery After Surgery, Mindy Woodruff, Emily L. Mcquaid-Hanson, Amanda Affleck, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background With 47,600 opioid overdose related deaths in the U.S. in 2017, the opioid crisis is of national concern.1 Cesarean delivery is the most common surgery worldwide, with over 1.2 million in the U.S. in 2018 alone.2,3 As cesarean delivery is a highly prevalent surgery it has a large capacity to influence the opioid epidemic. Literature is showing that Enhanced Recovery after Surgery (ERAS) and multimodal analgesia are effective means of managing postoperative pain while minimizing opioid use.4,5,6,7,8 This project aims to help discover if introduction of ERAS, and more specifically it’s multimodal analgesia aspect, has helped decrease oral morphine …


Neostigmine Versus Sugammadex And The Relationship To Reintubation Rates In The Pacu, Delanie Urrutia, Scot Pettey, Kenn B Daratha Aug 2020

Neostigmine Versus Sugammadex And The Relationship To Reintubation Rates In The Pacu, Delanie Urrutia, Scot Pettey, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Findings Discussion Reintubation in the post-anesthesia care unit (PACU) is a complication that may be related to residual neuromuscular blockade. Neostigmine and sugammadex have different pharmacokinetics that effect speed and completeness of reversal of paralysis. According to Tillquist et al. (2016) reintubation following general anesthesia in the PACU is associated with a 50% increased risk of mortality. Few studies have investigated the incidence rate of PACU reintubation and its possible relationship and choice of reversal medication.

Methods • Retrospective Observational Research Study. • This project was approved by the PSHMC Clinical Innovation and Research Council and deemed human subjects …


Rate Of Unscheduled Administration Of An Epidural Bolus Among Pregnant Women Receiving Labor Epidurals, Aleksandr A. Lyakhov, Emily L. Mcquaid-Hanson, Amanda Affleck, Kenn B Daratha Aug 2020

Rate Of Unscheduled Administration Of An Epidural Bolus Among Pregnant Women Receiving Labor Epidurals, Aleksandr A. Lyakhov, Emily L. Mcquaid-Hanson, Amanda Affleck, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background The labor and delivery process is a painful experience that pregnant women undergo and while various medical options are available for managing labor pain, labor epidurals are the most common.1,3 Breakthrough pain, or inadequate analgesia, is a significant complication of labor epidurals that is typically managed with the administration of an unscheduled epidural bolus. The purpose of this evidence-based practice (EBP) project is to describe the rate of unscheduled epidural bolus administration in pregnant women receiving continuous labor epidurals (CLE) at Providence Sacred Heart Medical Center (PSHMC) and Providence Holy Family Hospital (PHFH).

Methods • Design: Retrospective, observational, EBP …


Correlation Of Ondansetron Timing In Postoperative Nausea And Vomiting: A Retrospective Evaluation Amongst Adult Patients Receiving General Anesthesia, Jeff Tanguay, Braden Hemingway, Kenn B Daratha Aug 2020

Correlation Of Ondansetron Timing In Postoperative Nausea And Vomiting: A Retrospective Evaluation Amongst Adult Patients Receiving General Anesthesia, Jeff Tanguay, Braden Hemingway, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Addressed as a national quality initiative by the Centers for Medicare and Medicaid Services (CMS), postoperative nausea and vomiting (PONV) is a vexing complication requiring further attention by anesthesia providers.3 Medication optimization is an area of focus to address this complication.4 Ondansetron, a selective 5- hydroxytryptophan subtype 3 (5-HT3 ) receptor antagonist, is effective and considered the “gold standard” in the prevention of PONV.4 GlaxoSmithKline™ suggests administering Zofran® (ondansetron) before the induction of anesthesia.5 These directions are in contrast to the synthesis of the research evidence, which supports increased effectiveness of ondansetron when administered 30 minutes before emergence from …


Rates Of Ondansetron Administration Prior To Spinal Anesthesia: Evaluating The Practice Of Prophylactic Attenuation Of Spinal-Induced Hypotension And Bradycardia, Clare Santana, Scot Pettey, Kenn B Daratha Aug 2020

Rates Of Ondansetron Administration Prior To Spinal Anesthesia: Evaluating The Practice Of Prophylactic Attenuation Of Spinal-Induced Hypotension And Bradycardia, Clare Santana, Scot Pettey, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Hypotension and bradycardia are common complications of spinal anesthesia. Intraoperative hypotension and bradycardia may lead to complications that require additional treatment and increase cost. The literature identifies intervention strategies to attenuate spinalinduced hypotension (SIH) and bradycardia.1 Prophylactic administration of ondansetron, a serotonin 5-hydroxytryptamine receptor antagonist, prior to spinal anesthesia is associated with reduced SIH and bradycardia.1,2,3,4,6 The objective of this scholarly project was to report the practice of ondansetron prophylaxis for SIH and bradycardia and the rate of rescue interventions in patients who received ondansetron prior to spinal anesthesia.

Methods Retrospective, multi-center observational evidence-based practice project conducted at Providence …


Prophylactic Phenylephrine Infusion To Mitigate Intraoperative Hypotension After Spinal Anesthesia Among Orthopedic Patients, David Nelson, Braden Hemingway, Kenn B Daratha Aug 2020

Prophylactic Phenylephrine Infusion To Mitigate Intraoperative Hypotension After Spinal Anesthesia Among Orthopedic Patients, David Nelson, Braden Hemingway, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background

Intraoperative Hypotension (IOH) is common after spinal anesthesia (SA) and is associated with an increased risk of end organ damage.1 2 3 The treatment regimen for IOH after SA varies in the orthopedic population. However, the current research literature suggests that a prophylactic infusion of phenylephrine significantly reduces the number of episodes and duration of hypotension.1 This EBP project aims to report the proportion of patients receiving prophylactic phenylephrine infusions and the incidence of hypotension following SA among orthopedic surgery patients at Providence Sacred Heart Medical Center (PSHMC) in Spokane, WA.

Methods

• A retrospective, observational EBP project was …