Medicine and Health Sciences Commons^™

An Unhandy Presentation, Jackson Bagby, Ross Mathiasen, Jason Meredith

Posters and Presentations: Family Medicine

No abstract provided.

Eye Spy Ai: Analysis Of The Implementation Of Outpatient Ai-Driven Diabetic Retinopathy Screening, Nathan Richling, Cody Masters, Jenenne Geske, Hannah Christianson

Posters and Presentations: Family Medicine

No abstract provided.

Improving Postpartum Depression Screening Rates In The Doc Family Medicine Clinic, Hannah Wesslund, Neil Kalsi, Jenenne Geske

Posters and Presentations: Family Medicine

No abstract provided.

The Effect Of Travel Load On Milb Injuries Part 2: Injury Frequency By Position, Spencer Cooper, T. Jason Meredith, Samuel Wilkins, Adam Rosen

Posters and Presentations: Family Medicine

No abstract provided.

Comparing Adenoma Detection Rate And Polyp Detection Rates As A Tool For Colonoscopy Quality Metrics, Quintin Ireland, Jenenne Geske, Robert Messbarger

Posters and Presentations: Family Medicine

No abstract provided.

The Effect Of Pitch Clock Rules On Pitching Injuries In Milb From 2012 To 2024, Scott Goodsell, Jason Meredith, Samuel J. Wilkins, Adam B. Rosen

Posters and Presentations: Family Medicine

No abstract provided.

Temporal Trends Of Obesity Among Nebraska Adults: Emr Data Shows A More Rapid Increase Than Projected, Elizabeth Gibson, Jenenne Geske, Birgit Khandalavala

Posters and Presentations: Family Medicine

No abstract provided.

Enhancing Well- Being In Individuals With Special Needs: The Power Of Music Therapy, Nicole Love Lazaro

Nursing | Student Research Posters

No abstract provided.

Optimizing Pelvic Health: Evaluating The Efficacy Of Prenatal Strength And Resistance Training Combined With Pelvic Floor Muscle Exercises In Reducing Pelvic Organ Prolapse Risk, Samantha Requilman

Nursing | Student Research Posters

Pelvic organ prolapse (POP) is the descent of pelvic organs—such as the bladder, rectum, or uterus—into the vaginal canal, causing symptoms like discomfort, incontinence, and pain. Beyond physical effects, postpartum women may also experience anxiety, decreased self-confidence, and fear of symptom progression. Research by O’Boyle et al. (2002) highlights that POP studies have focused more on treatment than prevention and suggests that while pelvic floor muscle exercises (PFME) are supported as effective preventive strategies, POP remains prevalent in pregnancy. There are limited research studies on the effectiveness of prenatal resistance training in the prevention of pelvic dysfunctions and this study …

The Sound Of Survival: The Effect Of Personalized Music Selection On Cpr Performance And Anxiety Levels, Carmin A. Dotario

Nursing | Student Research Posters

No abstract provided.

Advanced Screening For Intimate Partner Violence To Prevent Adverse Pregnancy And Maternal Outcomes, Emilia R. Valdez

Nursing | Student Research Posters

Background: Intimate Partner Violence experienced by pregnant individuals contributes to adverse pregnancy outcomes and maternal health. A mother’s exposure to Intimate Partner Violence (IPV) can affect their ability to carry a healthy pregnancy to term (38 – 40 weeks gestational age) and places them at risk for comorbidities including; Preterm birth, Intrauterine Growth Restriction, Low Birth Weight/ Small for Gestational Age, Premature Rupture of Membranes and Miscarriage. The incidence of IPV screening is not accessible to all pregnant individuals due to healthcare providers lack of education, time constraints in the workplace, bias and discomfort towards IPV. The implementation of …

A Preliminary Scoping Review Examining The Relationship Between Congenital Syphilis And Access To Care In The United States, Lizbeth Salazar Sanchez, Cheyenne Barnes, Mandy Golman

Honors Nursing Posters

Presented at the Great Plains Honors Council (GPHC), Great Plains Greater Possibilities at The University of North Texas, Denton, TX,

Tuberculosis Screening In The Ambulatory Setting, Children's Mercy Kansas City

Clinical Pathways

No abstract provided.

Aht Diagnoses: The Influences Of Clinical Presentation And Evidence Of Impact, Ruairi Smith-Dewey, Angela Bachim, Colleen Bressler, Kristine Campbell, Lori Frasier, Christopher Greeley, Danielle Horton, Nicole Johnson, Jan Leonard, Megan Letson, Caitlin Mcnamara, Ashley K. Sherman, Shalon Nienow, Joanne Wood, James Anderst

Posters

In cases where Child Abuse Pediatricians (CAPs) diagnose abusive head trauma (AHT) in young children, some factors surrounding the diagnosis have been challenged including causative shaking, necessity of external signs of impact, or concomitant suspicious injuries. Evaluation of CAP diagnoses in children with subdural hemorrhage (SDH) can give insight into factors related to the frequency of abusive head trauma (AHT) diagnoses. Additionally, characterization of those with SDH+CSI without evidence of impact may inform controversies around AHT diagnoses. Objective We aim to compare CAP diagnoses in subjects with SDH across clinical presentations and in the context of evidence of head impact. …

Decreasing Time To Narcotic Pain Medication In Patients With Sickle Cell Disease Presenting With Acute Pain Crises In A Pediatric Emergency Department: A Quality Improvement Initiative, Allison Adam, Lina Patel, Christopher Kaberline, Ibad Siddiqi, Leslie Hueschen

Posters

No abstract provided.

A Risk Score To Predict Recurrent High Intensity Inpatient Resource Utilization For Children With Medical Complexity., Charles Maloy, Matt Hall, Jessica L. Bettenhausen, Yr Chan, Leah Jones, Kathryn Kyler, Laura Plencner, Jessica Markham, Jacqueline Walker, Smit Shah, Sian Best, Jonathan Ermer, Shelby Chesbro, Maria Newmaster, Hank Puls

Posters

Background

Children with medical complexity (CMC) use a greater amount of inpatient resources and stand to benefit from unique care models and coordination. However, hospital resources can be limited, and a better understanding of which CMC are high resource users could improve hospital and staff planning.

Objective:

To develop a risk score predictive of recurrent high intensity inpatient utilization among CMC.

Methods:

We conducted a retrospective cohort study of children < 18 years old with ≥3 complex chronic conditions (CCC) discharged from one of 48 children’s hospitals in the Pediatric Health Information System during 2021 and 2022. To reflect CMC typically cared for by a general medical service, children with cardiac procedures, dialysis, oncology, or transplant CCCs, and index hospitalization mortality were excluded. We used multivariable logistic regression to determine factors present on the index hospitalization associated with ≥5 hospitalizations or ≥3 hospitalizations with one lasting ≥25 days within any 365-day period (high inpatient utilization) in 2021-2023. We developed risk scoring system using model coefficients and defined the optimal risk score cutoff to maximize sensitivity and specificity. We then applied the risk score cutoff to children discharged to determine (a) ratio of predicted:actual CMC with recurrent high resource use and (b) the total predicted daily volume on 50th, 75th, and 90th percentile days for each hospital.

Results:

Of 44,432 included children , 9,596 (21.6%) had high inpatient utilization (Table). Children under 1 year of age had the highest odds of high inpatient utilization (OR 2.26 [95% …

Sox18 Unleashed: Exploring The Transcriptomic Landscape – Differential Gene Expression Analysis Via Rna Seq In Overexpressed Sox18, Van Nguyen, Terry Shackleford, Lori Boies

Posters - 2025

Cancer remains a leading cause of death worldwide, and childhood sarcomas such as Rhabdomyosarcoma (RMS) and Ewing Sarcoma (ES) are particularly aggressive with limited targeted treatment options. Despite advancements in cancer therapies, metastatic sarcomas still have a survival rate below 30%, emphasizing the need for new therapeutic targets. SOX18, a transcription factor has played a role in vascular development and endothelial differentiation, functioning as a key driver of angiogenesis. In cancer, increased SOX18 expression has been linked to dysregulated cell migration, invasion, and therapy resistance mechanisms. However, the extent to which SOX18 influences RMS and ES at the transcriptional level …

Maternal Obesity Alters Antigen-Bound Igg Levels In Breast Milk, G. Sophia Noriega, Andrea Paredes, Emma C. Colins, Elizabeth A. Leadbetter

Posters - 2025

• Maternal obesity is an increasingly prevalent condition worldwide that has been associated with adverse outcomes in offspring, including higher propensity to infection and elevated risk of immune-related disorders like asthma and allergies 1 .

• Breast milk contains a wide variety of immunological components that are essential for neonatal immune development. Among these, it contains immunoglobin G (IgG) immune complexes, which are formed by IgG bound to specific antigens2 .

• These immune complexes have been suggested to play a crucial role in antigen-specific immune response in breastfed infants3 , increasing oral tolerance and asthma prevention 4 .

• …

The Impact Of Employer-Provided Drug/Alcohol Education On Marijuana And Alcohol Use In Young Adults., Sonia Cerrillo, Naomi Ramirez

Posters - 2025

According to the American Society of Addiction Medicine, addiction is a treatable, chronic medical disease involving complex interactions among brain circuits, genetics, the environment, and an individual’s life experiences (1). People with addiction use substances or engage in behaviors that become compulsive and often continue despite harmful consequences. The most common addictions in the United States are alcohol and marijuana (2). In the U.S., 59.277 million people twelve and older have used illegal drugs or misused prescription drugs. Out of the 138.522 million Americans who overdrink alcohol, 28.32 million have an alcohol use disorder (3).

Since alcohol and drug abuse …

Spectroscopic And Electrochemical Properties Of Ugi Adducts Of Isatin, Callah Preti, Erick Y. Morales Orrante

Posters - 2025

• β-lactams are essential structural components of many antibiotics and widely studied due to their biological importance and synthetic versatility.

• The Ugi reaction is a multicomponent reaction involving: • Aldehyde, primary amine, carboxylic acid, and isocyanide.

• Rapidly generates α-acetamido carboxamide derivatives (Ugi adducts). • The study focuses on the synthesis and characterization of two oxindole-based β-lactam derivatives:

• 1-Benzyl-N-(tert-butyl)-2-oxo-3-(2-oxoazetidin-1-yl)indoline-3- carboxamide (4a).

• N-(tert-Butyl)-2-oxo-3-(2-oxoazetidin-1-yl)indoline-3- carboxamide (4d).

• Characterization methods included IR Spectroscopy, UV-Visible Spectroscopy, and X-Ray Crystallography.

• Future work will investigate metal complexation to enhance β-lactam stability, alter electronic properties, and improve biological activity

Examining The Features Of Former Research Regarding Substance Abuse Treatment, Autumn Gonzales

Posters - 2025

“Drug misuse is one of the major social, legal, and publichealth challenges in the modern world” (Nutt et al., 2007). This study explored the characteristics of former research on substance abuse treatment approaches and treatment settings. Past literature showed short-term treatment can be beneficial depending on what works best for the individual and studies have shown short-term treatment has helped individuals with Substance Use Disorder (SUD). However, long-term treatment is the preferred method for individuals as it has a lower chance of relapse. A small systematic review was conducted from which data were coded of former published articles. A frequency …

Evaluation Of Angiogenesis In An Ex-Ovo Chick Chorioallantoic Membrane (Cam) Assay To Study The Mmp9 Gene In Pediatric Cancer Cell Lines, Franchesca Tinacba, Kahlie Hernandez, Terry Jo Shackleford

Posters - 2025

Model organisms are widely utilized in cancer research due to their ability to allow researchers to study biological processes that occur within cancer progression. One model organism that is used is the Chorioallantoic Membrane (CAM) assays. Chicken embryos are a sufficient model that are used to study processes such as angiogenesis, tumor growth, and drug effects. What makes these models useful is due to the cost efficiency, accessibility, and the increased speed the blood vessels can grow. Despite the results, it can be difficult to image the results or monitor the CAM assay. That is why Ex-ovo CAM assays have …

Cd36 Deletion Hampers T-Bet B Cell-Differentiation In R848 Immunized Mice And Hfd Models, Andrea Paredes, G. Sophia Noriega, Carlo Vanz, Emma Collins, Elizabeth A. Leadbetter, Benjamin T. Enslow

Posters - 2025

In states of chronic inflammation, a subset of B cells exquisitely responsive to nucleic acid antigen and expressing the proinflammatory transcription factor T-bet have been found to accumulate1. Depending on the context, these T-bet+ B cells can play both protective and pathogenic roles, from enhancing antiviral defenses to contributing to autoreactive antibody production and exacerbating metabolic disease1,2.

• Recently, our laboratory and others have found that T-bet+ B cells extracted from human or murine tissues exhibit unusually high expression of the class B scavenger receptor and fatty acid translocase CD36.

• As CD36 expression in B cells is generally limited …

The Acute Effects Of High-Intensity Functional Training On Inhibitory Control, Julia Daniel, Amaryllis Rubalcaba, Brianna Valadez

Posters - 2025

High-Intensity Functional Training (HIFT), such as CrossFit®, integrates high-intensity, multi-joint movements and has gained attention for its potential to enhance both physical and cognitive performance. While acute resistance exercise (RE) is known to influence physiological responses like heart rate variability (HRV) and cognitive functions such as inhibitory control, the specific effects of CrossFit®—a structured HIFT program—on cognitive outcomes remain underexplored, particularly when comparing trained CrossFit participants to untrained or non-CrossFit populations. HIFT’s unique combination of cardiorespiratory and muscular stress may uniquely enhance cognitive processing speed and response stability, especially in individuals with chronic CrossFit® experience. However, it is unclear how …

V.O.T.S. Virus Outbreak Tracking System, Izak O. De La Cruz, Elias Ciudad Leon, Van Nguyen, Amy Torres, Enzo Jaques

Posters - 2025

In a post-pandemic world, the need for real-time, accessible disease tracking has never been more critical. While global COVID-19 heat maps were widely utilized during the pandemic, local virus tracking tools have since diminished, leaving a gap in public health awareness.

V.O.T.S. is an interactive application that visualizes real time disease outbreaks through an interactive heatmap, enabling users to track virus trends by county, severity, and timeframe. The system integrates public health data from trusted sources such as the CDC, empowering individuals and healthcare professionals to make informed decisions. In addition, V.O.T.S. enhances accessibility with multilingual support, symptoms assessment, and …

Investigating The Drug Response Of Pdac Cells To Pan-Kras Inhibitor, Jalyn De La Fuente, Yi Xu, Jun Liu, Angel Dominquez, Ava Sanchez, Pei Wang

Posters - 2025

Pancreatic ductal adenocarcinoma (PDAC) is an exocrine pancreatic cancer. It is one of the most lethal types of cancer and is projected to become the second leading cause of cancer-related deaths by 20401 . One major challenge in treating PDAC is drug resistance and the lack of effective treatments. Oncogenic KRAS mutation and loss of function mutation in tumor suppressor genes including P16, TP53, and SMAD4 are found in most PDAC patients. It is unclear whether the different driver mutations can affect the tumor responses to chemo- and targeted therapy. Gemcitabine, a chemotherapy drug, is a cytotoxic agent that has …

Acute Physiological Responses To An Infrared Sauna Blanket Towards Home Based Passive Heat Therapy, Arlene Chaidez, Mia Gonzales, Amaryllis Rubalcaba, Meghan Walls, Rene Barbier

Posters - 2025

Repeated passive heat exposure can improve cardiovascular health outcomes. A novel infrared sauna blanket may enable home-based heat therapy, but these devices are yet understudied. By closely monitoring blood pressure, heart rate, core body temperature, and perceptual responses, it could be determined how a participant's body reacts to the infrared treatment. We found elevated cardiovascular activity in response to the sauna blanket, similar to that observed during moderate-intensity exercise. Therefore, the infrared sauna blanket may have potential for inducing long-term cardiovascular adaptations and become an accessible and costeffective way of treating/preventing chronic illness.

A Wellness And Social Engagement Program For Post-Lower Limb Amputees, Graciela Gonzalez, Cassandra Nelson

Spring 2025 OTD Capstone Symposium

A wellness and social engagement program was developed and implemented to provide education relating to the mental health impacts, decrease in health management, and lack of social participation after a lower-limb amputation amongst adults, 18 years or older. The program provided a manual with educational information, external resources, and visual aids to enhance independence in activities of daily living (ADLs).

More Of Less: Optimizing Opioid Prescriptions For Acute Fractures In The Emergency Department At A Children’S Hospital, Mitch Kinkor, Spencer Young, Colton Schwarz, Nicholas Clark, Michelle Dephillips, Elizabeth Edmundson, Ryan Mcdonough, Warren Teachout

Presentations

Introduction: Deaths related to drug overdose are at record highs, with over 110,000 recorded from May 2022-2023.1 75% of drug overdose deaths can be attributed to opioids.1 Pediatric opioid exposure is significant, with 406,000 American teens reporting illicit opioid use in 2022.2 Increased prescription opioids in circulation leads to increased opportunity for ingestion by children and adolescents. Current literature suggests most pediatric patients may only use one-two days’ worth of opioid doses prescribed for acute pain control, with the rest of prescribed doses going unused.3 From 2022-2023 in the Children’s Mercy Emergency Department (ED), 48% of children prescribed opioids for …

Opportunities For Solid Organ Donation In The Neonatal Intensive Care Unit, Sarah Pippin, Ashley Sherman, Julie Weiner, Jotishna Sharma

Posters

Background: Pediatric patients are at an increased risk of mortality when waiting for an organ transplant. Approximately 50% of pediatric patients wait for> a year for a solid organ transplant and infants < 1 year of age have the highest death rate while awaiting transplantation. There are two pathways for organ donation (OD), donation after death by neurologic criteria (DDNC) or donation after circulatory determination of death (DCDD). Neonates rarely meet brain death criteria, and since most deaths in the NICU occur aftera planned extubation, DCDD with organ procurement after a planned extubation from mechanical ventilation can be a consideration especially with kidney and liver donations. Organ procurement may be limited by warm ischernic time (WI1); usually :'.S 90 minutes. The question remains which neonates would meet criteria for DCDD.

Purpose: The aim of this study is to characterize theoretical eligibility of DCDD in infants undergoing withdrawal of care in the NICU based on WIT :'.S 90 minutes

Method: Retrospective study of a cohort of infants 2:36 weeks at the time of death who died at a level IV NICU from January 1, 2012, to December 31, 2022. Demographic information was obtained. Mode of death was categorized as …