Medicine and Health Sciences Commons^™

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

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

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 …

Intraoperative Hypotension And Acute Kidney Injury In Non-Cardiac Surgery At Providence Sacred Heart Medical Center, Elizabeth Davison, Amanda Affleck, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Acute kidney injury (AKI) is a serious postoperative complication that increases a patient’s risk for both long and short-term morbidity and mortality.¹ Intraoperative hypotension (IOH) is an independent risk factor for AKI,^2-5 which can be readily modified by anesthesia providers. This project aims to describe the risk factors and rates of AKI following IOH at various absolute mean arterial blood pressure (MAP) thresholds for specified durations of time among adults undergoing non-cardiac surgery at Providence Sacred Heart Medical Center (PSHMC).

Methods PSHMC approved this retrospective, observational evidence-based project and deemed the project exempt by the Institutional Review …

Postoperative Nausea And Vomiting With Low-Dose Propofol Infusions In Patients Undergoing Gynecological Surgeries With Volatile Anesthetics At Providence Sacred Heart Medical Center And Providence Holy Family Hospital, Adrianna Silva, Braden Hemingway, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Postoperative nausea and vomiting (PONV) is a common complication following surgery. It remains the most important determinant of length of stay and leading cause of dissatisfaction in anesthesia.4 Females undergoing gynecological laparoscopic surgery have the highest rates.8 Apfel’s baseline risk factors for PONV include female gender, history of motion sickness and/or PONV, non-smoking status and administration of postoperative opioids.1 Propofol has antiemetic properties and Gan’s evidence supports the use of an intraoperative low-dose infusion to reduce baseline risk factors for PONV.6 This project aims to describe the rates of intraoperative low-dose propofol infusions in female patients undergoing gynecological surgery …

Intraoperative Dexmedetomidine Use On Adult Surgical Patients At Providence Sacred Heart Medical Center, Christina Rose, Scot Pettey, Norel Smith, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Opioids are considered the standard of practice for intraoperative and postoperative pain management but yield unfavorable outcomes.6 The research evidence demonstrates reductions in post-operative opioid use following intraoperative administration of dexmedetomidine.1,3,4,5,6 Due to the prospective nature of literature surrounding dexmedetomidine, the rate of implementation remains largely unknown. The aim of this retrospective, observational project was to identify the rate of adoption of intraoperative dexmedetomidine administration among adult surgical patients at Providence Sacred Heart Medical Center (PSHMC) from January 1, 2015 to December 31, 2019. Accordingly, investigation into dexmedetomidine administration at PSHMC may shed light on this strategy aimed to …

Phonetics Workbook For Students Of Communication Sciences And Disorders, April M. Yorke, Emily Sternad, Carley Shermak, Alyssa Mahler

MSL Academic Endeavors eBooks

This workbook is designed to give students in communication sciences and disorders foundational knowledge in Phonetics. Students will learn to listen and transcribe the speech of typically developing speakers of Standard American English in the International Phonetic Alphabet (IPA). Students will also learn how to listen and transcribe the speech of individuals with common speech sound disorders (i.e., residual articulation disorders and phonological disorders). Students will also be introduced to the fundamentals of speech science and spectrograms as they pertain to speech sound production. Written by April M. Yorke, PhD, CCC-SLP with her students.

The Scoop, Vol. 7 Issue 5, August 2020, Health Sciences Library

Volume 7

Latest news and updates from the Health Sciences Library in our monthly newsletter for August 2020.

Inspire : Vol 3, Issue 8, Department Of Medicine

INSPIRE

Content

• Medicine at National and International Forums
• Neurology & COVID -19 Webinar Live Session
• Implementing Plain Packaging of Cigarettes as a Tobacco Control Measure
• World Brain Day
• Dr Lubna Kamani acknowledged at WGO Website
• In-depth-Featuring Dr Bushra Jamil
• Featured Faculty: Dr. Ali Aziz “ …Treat any patient as if you are treating your own family member…”
• Publications

Atopic Dermatitis: Infected, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Care Process Models)

No abstract provided.

Atopic Dermatitis: Non-Infected, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Care Process Models)

No abstract provided.

Week Of July 27, 2020, New York Medical College

InTouch

• Research on Rapid Diagnostic Test for COVID-19 Underway at NYMC
• D.P.T. Students Offer Health and Wellness Tips on Social Media
• Open Letter To Medical Students On The Road Ahead To Becoming Professional Physicians

Who Will Care For The Early Care And Education Workforce? Covid-19 And The Need To Support Early Childhood Educators’ Emotional Well-Being, Mark Nagasawa, Kate Tarrant

Straus Center for Young Children & Families

This brief report describes issues and opportunities related to early childhood educators' emotional well-being that emerged from a survey exploring how the COVID-19 was affecting early educators across New York City and New York State (n=3355). Among our key findings were: (1) that mental health support was the most frequently identified need (n=910); (2) professional mental health was the least reported approach to coping (n=216); and (3) how those teaching and caring remotely were approximately one-and-a- half times more likely to rate their emotional well-being as lower than those whose sites were closed (CI 95% 1.157, 1.896). We argue, given …

2020 Apothecary, Southwestern Oklahoma State University

Apothecary

This publication is dedicated to the Southwestern College of Pharmacy faculty, staff, alumni, and students. We congratulate this year's graduating seniors and wish you success in your professional careers.

It is with great honor we present the 2020 Apothecary issue. This year’s Apothecary was made possible by the provision of generous financial contributions from many stores, businesses, and Southwestern College of Pharmacy alumni. We greatly appreciate and thank you for your continued support.

Insight - Summer 2020, Dugoni School Of Dentistry

Insight

Whether you are involved in clinical research, biomedical research, the scholarship of teaching and learning, improvement of the health care system, or professional partnerships that advance the field, we aim to spotlight the work of people at the Dugoni School.

Week Of July 14, 2020, New York Medical College

InTouch

• NYMC Announces Breakthrough Patent for Revolutionary New Bandage Using Nano Cells to Deliver Antimicrobials and Promote Healing
• NYMC Welcomes Neil W. Schluger, M.D., as the Barbara and William Rosenthal Chair of the Department of Medicine
• Join the HSL for a Community Read and Book Club

Week Of July 6, 2020, New York Medical College

InTouch

• NYMC Enters Academic Affiliation with NYC Health + Hospitals/Lincoln
• SOM Hosts Virtual GHHS Student Clinician Ceremony
• Meet the Doctors: NYMC Sheds Light on Summer Camp Safety
• Bench to Bedside Webinar Focuses on COVID-19: Vaccine and Testing Challenges

Infuse!_Volume 4_Number 1_2020, College Of Nursing

Infuse! College of Nursing Magazine

No abstract provided.

Llusd Articulator - Volume 31, Number 1, Loma Linda University School Of Dentistry

Articulator (Dentistry Journal)

Contents:

6 | Dean's Message
10 | Curriculum transformation continues
11 | Holli Riter appointed Chief Medical Officer
15 | Patient Layla's "jaw in a day"
17 | Just-in-time Homecoming 2020
26 | From the Class of 1970, a story of service
27 | LLUSD manages a pandemic
33 | Imaging Clinic acquires NewTom VGi EVO
35 | Lane Thomsen honored for CE contributions

2020-2021 Pediatric Subspecialty Trainees, Children's Mercy Hospital

Residents and Fellows Portraits

Photo composites of the graduate pediatric trainees in adolescent medicine, allergy/immunology, child abuse pediatrics, child neurology, coagulation, congenital cardiac surgery; clinical child psychology, developmental-behavioral pediatrics, epilepsy, headache medicine, hospice & palliative care, laboratory genetics & genomics, neonatal-perinatal medicine, pediatric adolescent gynecology, pediatric bioethics, pediatric cardiology, pediatric clinical pharmacology, pediatric critical care medicine, pediatric dentistry, pediatric emergency medicine, pediatric EM/child abuse, pediatric dermatology, pediatric endocrinology, pediatric gastroenterology, pediatric hematology/oncology, pediatric hospital medicine, pediatric infectious diseases, pediatric nephrology, pediatric optometry, pediatric otolaryngology, pediatric pathology, pediatric pulmonology, pediatric readiology, pediatric rehabilitation, pediatric sports medicine, pediatric surgery, pharmacy, pediatric residency and med/peds residency

Exparel Versus Bupivacaine: Outcomes, Advantages, And Costs, Jessica Duraney

Nurse Anesthesia Student Research Posters

Research poster comparing two local anesthetics, bupivacaine and Exparel (liposomal bupivacaine). The use of these drugs in various regional techniques, specifically for total knee arthroplasty (TKA) and abdominal surgeries, is discussed. Research shows that adequate pain control is associated with increased patient satisfaction, faster rehabilitation, mobilization, reduced hospital stays, and ultimately decreased hospital costs. Due to the many disadvantages of opioids, such as ileus, nausea, vomiting, respiratory depression, tolerance, and physical dependence, there has been a push for opioid-sparing and multimodal analgesia perioperatively.

Perspectives, Summer/Fall 2020, Volume 8, Number 2, Nova Southeastern University

Perspectives

No abstract provided.

Alumni Journal - Volume 91, Number 2, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Editorials
2 | From the Editor
4 | From the President
6 | From the Dean

News
8 | School of Medicine News
10 | Alumni News
11 | AIMS Report
12 | Students

Graduation 2020
13 | Graduation Feature: A letter to the graduates, awards, photos, residency information, and more
14 | The Missing Regalia: Debra L. Stottlemyer '86 shares how alumni supported the senior class

Features
30 | Gloves: Hannah C. Lokos '20 tells a story of how she saw a glimpse of God
32 | Department Reports: Emergency Medicine and Urology: E. Lea Walters '94 and Herbert …

Notice: Improving Picu Practices For High-Risk Medications, Zelia Almeida Rn, Julie Sheperd Rn

Research and Education Celebration 2023 - Nursing Research Posters

No abstract provided.

Library & Knowledge Services Newsletter - Summer 2020, Baystate Health Sciences Library

Library Newsletters

Baystate Library & Knowledge Services Newsletter - Summer 2020

Growing South Dakota (Summer 2020), College Of Agriculture, Food And Environmental Sciences

Growing South Dakota (Publication of the College of Agriculture, Food and Environmental Sciences)

[Page] 3 COVID-19: From Our Students' Perspective
[Page] 11 Class of 2020 Q&A
[Page] 19 Alumni Advice for the Future Generation
[Page] 21 Recent Alumni Features
[Page] 25 Student Features
[Page] 31 CAFES News, Student Success, Awards and Achievements
[Page] 57 Jackrabbits Now and Then: A Current Student and Alumni Q&A

A Modified Sir Model Equivalent To A Generalized Logistic Model, With Standard Logistic Approximations, David E Clark, Jordan S Peck, Gavin Welch

Costas T. Lambrew Research Retreat 2021

No abstract provided.

Wellness As A Component Of The Curriculum And Co-Curriculum At The University Of New England College Of Pharmacy, Sarah Vincent, Sydney Springer, Emily Dornblaser, Ashley Barba, Jean Woodward

Pharmacy Practice Faculty Posters

The educational literature is replete with data suggesting the positive impact of wellness behaviors on student success in the 21st century. Pharmacy graduates with a background in wellness and integrative/complimentary medicine will become increasingly important as we expand our understanding of the role social determinants, such as emotional and cognitive influences, have on health. The University of New England College of Pharmacy has adopted both a curricular and co-curricular approach to wellness. We have established a specialty track in Wellness and Integrative Medicine [SS1] that will prepare students, through both didactic and experiential coursework, to employ evidence-based treatments that enhance …

Comparison Of Sars-Cov-2 To Sars-Cov, Mers, And Influenza A: A Systematic Review, Debbie Calabrese

Health Informatics Student Papers and Projects

Differences and similarities are examined among SARS-CoV-2, SARS-CoV-1, MERS and influenza A, in the context of transmissibility. Characteristics specific to the respective pathogens prove invaluable as they set the stage for intervention and management. SARS-CoV-2 bears similarities to other recently emerged infectious diseases in basic virologic ways, yet is distinctly different in terms of viral transmission dynamics. These differences arise from genomic qualities and properties specific to the virus. As ACE2 receptors are determinants for attachment and spread of the virus, and their role throughout tissues in the body is vast, an understanding of organ-level pathogenesis of SARS-CoV-2 is crucial …

The Write Stuff - Summer 2020 (Vol. 17, No. 3), Research Medical Library

Write Stuff 2020

• Boost your chances of publication by following journals’ instructions to authors
• EndNote, Mendeley, Zotero: which citation management software is best?
• Building your data management plan
• Search for funding opportunities with Pivot
• Expanding use of digital object identifiers in scientific publishing