Medicine and Health Sciences Commons^™

Parent Satisfaction With Same Day Discharge After Laparoscopic Appendectomy For Non Perforated Appendicitis, Nelimar Cruz-Centeno, James Fraser, Shai Stewart Md, Derek Marlor, Rebecca M. Rentea, Pablo Aguayo, David Juang, Richard J. Hendrickson, Charles L. Snyder, Bhargava Mullapudi, Shawn D. St.Peter, Jason D. Fraser, Tolulope A. Oyetunji

Presentations

Background: Same-day discharge (SDD) after laparoscopic appendectomy for acute non-perforated appendicitis is safe, without an increased rate of postoperative complications, emergency department visits, or re-admissions. We aimed to evaluate caregiver satisfaction with this protocol. Materials and Methods: Patients discharged on the day of laparoscopic appendectomy for non-perforated acute appendicitis were identified between January 2022-August 2022. Surveys to evaluate satisfaction with the protocol were distributed to the caregivers via e-mail or text message 96 hours after discharge. Telephone surveys were conducted if there were no responses to the initial online survey. The surveys assessed comfort with SDD, post-operative pain control adequacy, …

Successful Va Ecmo For A Pre-B Cell Acute Lymphoblastic Leukemia Patient With Necrotizing Faciitis From Clostridium Septicum, Johanna I. Orrick, Brittany Rouchou, Cara Holton, Jenna Miller

Posters

REPORT: It can be challenging to calculate the risks versus benefits of a potential Extracorporeal Membrane Oxygenation (ECMO) pediatric candidate. A patient with an oncologic comorbidity and an increased potential of needing near-future surgical interventions carries higher ECMO risks. We report a successful VA ECMO run of a newly diagnosed acute lymphoblastic leukemia (ALL) adolescent with Clostridium septicum necrotizing fasciitis. A previously healthy 16-year-old male was diagnosed with pre-B cell ALL after having an ileocolic intussusception and a Clostridium septicum blood infection. He underwent successful surgical intussusception reduction, started induction chemotherapy, and completed a ten-day course of antibiotics. On hospital …

Experiences Of Racism Among Black And African Children With Asthma, Esosa Adah, Rayanna Tucker, Bridgette Jones

Posters

Rationale: The relationship between adverse childhood experiences, toxic stress and asthma risk has been previously described in the literature among adult and pediatric populations. Studies have identified experiences of racism as a chronic stressor associated with asthma morbidity however, most studies have focused primarily on adults or parental perspectives. We initiated a pilot study to characterize described experiences of racism among Black/African American children with persistent asthma and describe some of our initial results. Methods: Children were asked to complete the “Perceptions of Racism in Children and Youth,” a validated questionnaire, measuring perceptions of racism and discrimination. Responses were analyzed …

The Scoop, Vol. 9 Issue 11, February 2023, Health Sciences Library

Volume 9

Latest news and updates from the Health Sciences Library in our monthly newsletter for February 2023.

Hypertrophic Pyloric Stenosis Protocol: A Single Center Study, Nelimar Cruz-Centeno, James A. Fraser Md, Shai Stewart Md, Derek Marlor, Rebecca M. Rentea, Pablo Aguayo, David Juang, Richard J. Hendrickson, Charles L. Snyder, Shawn D. St.Peter, Jason D. Fraser, Tolulope A. Oyetunji

Presentations

Introduction: Initial management of hypertrophic pyloric stenosis (HPS) is correction of electrolyte disturbances with fluid resuscitation. In 2015, our institution implemented a fluid resuscitation protocol based on previous data that focused on minimizing blood draws and allowing immediate ad libitum feeds postoperatively. Here we describe the protocol and subsequent outcomes. Methods: We conducted a single-center retrospective review of patients diagnosed with HPS from 2016-2020. All patients were managed per the protocol outlined in Figure 1. All were given formula or breast milk after the post-anesthesia care unit and discharged home after tolerating three consecutive feeds. Feedings were given every 2-3 …

Persistent Pediatric Breast Abscesses Following Initial Treatment At Tertiary And Community Centers, Derek Marlor, Kayla B. Briggs, Shai Stewart Md, Nelimar Cruz-Centeno, Charlene Dekonenko, Tolulope A. Oyetunji, Jason D. Fraser

Presentations

Introduction: Our institution previously reported on outcomes of children with untreated and not spontaneously draining breast abscesses. This study aimed to evaluate the outcomes of all patients with breast abscesses who were evaluated at our institution. Methods: Following IRB approval, all patients < 18-years-old with breast abscesses were included. A total of 145 patients treated from January 2008-December 2018 were identified. Patients were divided into 2 groups; Group 1 included patients initially evaluated at our institution and Group 2 included patients who were initially evaluated at referring centers. The primary outcome was disease persistence. Secondary outcomes were antibiotic utilization, number and type of procedures performed, and risk factors for recurrence. Statistical analysis was performed using STATA® 17 with a p-value of <0.05 indicating significance. Results: A total of 145 patients were identified: 111 (76.6%) in Group 1 and 34 (23.4%) in Group 2. Demographics were similar between groups. Of the 111 patients in Group 1, 2 (1.8%)) were treated with observation alone, 58 (52.3%) were treated with antibiotics alone, 26 (23.4%) were treated with aspiration, and 25 (22.5%) were treated with incision and drainage. Of the 34 patients in Group 2, 4 (11.8%) were treated initially with observation, 22 (64.7%) with antibiotics alone, 5 (14.7%) with manual expression, 2 (5.9%) with incision and drainage, and 1 (2.9%) with warm compresses. Patients in Group 1 were more likely to receive needle aspiration (23.4% vs. 0%; p<0.001) or incision and drainage (22.5.% vs. 5.9%; p<0.001) as initial treatment. Compared to Group 2, patients in Group 1 were more likely to be prescribed clindamycin when treated with antibiotics alone (69.9% vs 18.2%; p<0.001). They also had a 12.6% persistent disease rate (n=14). Second treatment in those with persistent disease included aspiration in 50% (n=7), incision and drainage 45.5% (n=5), antibiotics 7.1% (n=1), and manual expression 7.1% (n=1). No patients had persistent disease following second treatment. Patients in Group 2 were more likely to be treated with antibiotics alone (64.7% vs. 52.3%; p<0.001), with trimethoprim/sulfamethoxazole being the most commonly prescribed antibiotic (54.6%). In patients with persistent disease treated at our institution following initial evaluation at a referring center, 50.0% were treated with antibiotics alone, 26.5% with aspiration, 17.7% with incision and drainage, and 5.9% with manual expression. Following treatment at our institution, the rate of persistent disease was similar between groups (12.6% vs 11.8%;). Conclusions: Persistent breast abscesses may be treated with antibiotics alone in community and tertiary care centers. Disease persistence is similar regardless of the initial treatment setting.

February 2023, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

February Is American Heart Month

February is the month for love and celebrating Valentine’s, but it is also American Heart month. While heart disease can be deadly, there are steps you can take to reduce your risk.

Inspire : Vol 6, Issue 2, Department Of Medicine

INSPIRE – Department of Medicine Archives

• Message from the Chair
• Medicine at National and International Forums
• Pan Arab Union of Neurological Societies
• APPNA Merit HIV Awareness, Prevention and Education Project in Pakistan
• International Women Leaders Summit
• Early Career Researcher Training Grant – The Association of Commonwealth Universities
• Life Saving Training in Sindh under PLSP by AKU
• In-depth- featuring Dr Osman Faheem
• Featured Person: Dr. Saadia Farooqui | Senior Manager “You’ll never know how strong you are, until being strong is the only choice you have”
• Poem Section - If by Rudyard Kipling
• What are Academics Around the World Reading This Month?
• Publications

Human Immunodeficiency Virus (Hiv), Children's Mercy Kansas City

Clinical Pathways (Formally Known As Care Process Models)

No abstract provided.

Ob-Gyn Resident Education Of Postpartum Care: A Needs Assessment, Melanie Hotz, Ms, Md, Cheryl Godcharles, Md, Ibclc, Julia Switzer, Md

Department of Obstetrics and Gynecology Posters

Background

• Increased recognition of the importance of the ‘fourth trimester’ and the pressing need to reduce maternal morbidity and mortality, has led to a renewed focus on postpartum care.
• Advanced Milestones for The Care of the Postpartum Patient include ability to effectively counsel patients on antenatal, intrapartum and postpartum complications, collaboration with other members of the health care team in postpartum care and application of innovative approaches to the management of patients in the postpartum period.¹
• The CREOG Learning objectives include several specific learning objectives regarding the diagnosis, management and counseling about normal postpartum recovery and complications of the …

Intouch Week Of January 30, 2023, New York Medical College

InTouch

• $2.725 Million in Federal Funding Helps Launch Two Programs at NYMC
• Debra Bessen, Ph.D., Receives $2.9 Million NIH Grant for Preventing Strep A Infection
• SHSP Rolls Out M.P.H. Generalist Program
• FDA Awards Supriya Jain, M.D., $1.9 million for COVID-19 Vaccine-Associated Myocarditis Research
• Augustine Moscatello, M.D., M.S., and Manoj T. Abraham, M.D., F.A.C.S, Treat Ukrainians on Mission Trip
• SHSP Launches Pharm.D./M.P.H. Program with TCOP
• Study Finds Children of Lower Socioeconomic Status Suffer Worse Outcomes After Traumatic Brain Injury

3d Printed Coronary Arteries: A Useful Tool In Anatomical Education, Zachary Pang, Shreyas Chandragiri, Alexander Hajduczok, Md, Zachary Mace, Jesse Ottaway, Cannon Greco Hiranaka, Michael Wong, Tammy Yoshioka, Noah Haroian, Md, Pharmd, Guiyun Zhang, Md, Phd

Department of Medical Education Posters

Introduction

Learning 3D anatomy from 2D figures can be challenging. The use of 3D printing in medical education has shown to improve knowledge and skill in surgical training⁽¹⁾. We investigated the efficacy of 3D printed coronary artery models in teaching coronary anatomy to medical students.

Disparities In Contraception In Women With Cardiovascular Diseases In The Cardiac-Obstetrical Clinic, Laura Fiorini, Maria De Abreu Pineda, Jason K. Baxter, Rebekah J. Mccurdy, Andria Jones, Indranee Rajapreyar, Amanda Roman-Camargo

Department of Obstetrics and Gynecology Posters

Objective

- National Survey of Family Growth 2017-19 survey reported a 65.3% contraceptive use:

• 18% tubal, 5.6% vasectomy
• 18% hormonal therapy
• 8.4% intrauterine devices (IUD)
• 8.4% condoms

- To evaluate postpartum contraception plans and use in pregnant women with cardiovascular disease (CVD) after visits to the combined cardio-obstetric clinic

Covid-19 Newsletter (Vol. 153), Center For Disaster Medicine, New York Medical College

COVID-19 Newsletter

No abstract provided.

Optimizing Your Capstone Experience: A Guidebook For Allied Health Professionals, Virginia E. Koenig

Open Touro Created

2023

This guidebook is designed for allied health professional students. Each chapter in this guidebook provides students with useful information, tools, and examples that will support them before, during, and after their capstone journey. This is a one of a kind resource that can be used in a variety of professional academic settings. The primary goal of this guidebook is to support students throughout their capstone experience and to help them understand how the capstone process will enrich both their personal and professional advancement.

Intouch Week Of January 17, 2023, New York Medical College

InTouch

• Medical Students Showcase Research as Annual Research Forum Returns to In-Person Event
• Mitchell S. Cairo M.D., Awarded Research Grant by St. Baldrick’s Foundation
• NYMC Welcomes Kyoko Tirado, M.A., as Director of International Advisement
• New Policy Weapons on Campus
• Updated Policy Policy on Emergency Situation Closings Inclement Weather

Covid-19 Newsletter (Vol. 152), Center For Disaster Medicine, New York Medical College

COVID-19 Newsletter

No abstract provided.

Intro To Primary Sources, Katie Strand, Jen Kirk, Dan Davis, Lara Petersen

All E-Learning Resources

Attention: As of 2026 updated versions of this item will no longer be available on Digital Commons. Please contact [email protected] for more information.

The Identifying Primary Sources tutorial teaches students how they find, evaluate, and use primary sources in their own research. Along the way, they'll learn about some great places to start researching when looking for primary sources.

Intouch Week Of January 3, 2023, New York Medical College

InTouch

• NYMC Takes a Look Back at 2022
• Public Health Program Receives Seven-Year CEPH Accreditation
• Diversity in Research Study Group Inspires Student Research Collaborations Across a Variety of Topics
• NYMC Examines Virtual Interviews for Residencies Due to COVID-19 Travel Restrictions

Ct-Guided Lung Biopsy In The Detection Of Lung Cancer, Brooke Lininger

Student Research Poster Presentations 2023

CT-Guided lung Biopsy in the Detection of Lung Cancer

Student Researcher: Brooke Lininger

Faculty Advisor: Dr. Elaine Halesey Ed., R.T. (R)(QM)(ARRT)

Abstract

This project explains computed tomography(CT)-guided lung biopsies in the detection of lung cancer. The project discusses CT, CT-guided lung biopsies, statistics, steps of the procedure, indications, contraindications, complications, pulmonary nodules, fine vs. core needle, as well as future advancements. Lung cancer is the most common type of cancer in the world. There are many factors that contribute to lung cancer such as smoking or being exposed to smoke. There are also three different types of lung cancer. CT-guided …

Exploring The Transition From General Ultrasound To Veterinary Ultrasound: Challenges And Opportunities, Kali Foltz, Juliette Myers

Student Research Poster Presentations 2023

Objective: The objective of the interview and research study was to identify the various challenges and opportunities that may be presented to an individual seeking a transition from human to veterinary ultrasound.

Methods: An interview was conducted between two senior sonography students and one experienced veterinary sonographer.

Results: The interview and research provided information and detail on the transition process, what a sonographer should know prior to the transition, and what benefits and obstacles a sonographer may encounter.

Wound Care Training Using Simulation: Impacts On Clinical Knowledge, Skill Performance, And Satisfaction Among Skilled Nursing Facility Staff, Anna Sue Moody, Vorachai Sribanditmongkol

College of Health Sciences Posters

Impaired skin integrity, wound formation, and infections are significant health concerns. Therefore, competent wound care is essential for skilled nursing facility residents in long-term care. To recoup losses sustained during the COVID-19 pandemic, one skilled, nursing facility in North Carolina increased admissions from other facilities from 59% to 68%, which resulted in a surge of residents with pre-existing and complex wounds. High staff turnover and inconsistent wound care practices were also observed. Research suggests that healthcare institutions with high attrition may experience degradations of clinical knowledge, skill proficiency, and safe, quality nursing care delivery. Evidence supports the use of simulation-based …

Community Healthcare Providers’ Perspectives On Hiv Pre-Exposure Prophylaxis (Prep) Use Among Black Women, Kayla Pitchford, Sylvia Shangani, Charlotte Dawson, Kristin Heron

College of Sciences Posters

The most at-risk population among women for HIV diagnosis in the U.S. are Black women, who account for 61% of all new HIV cases. Pre-exposure prophylaxis (PrEP) is a safe and effective HIV prevention method for people at risk of HIV acquisition. Despite being disproportionately affected by HIV, Black women’s knowledge, perceived benefits, and uptake of PrEP remain low. The socio-ecological model may be useful for understanding why there is a low uptake of PrEP among Black women by examining the complex interplay between individual, relationship, community, and societal factors. The current study used the socio-ecological framework to explore provider …

The Use Of Culturally Sustaining Practices In Play To Foster Resilience, Genevieve Lowry

Graduate School of Education

Children present in the hospital with an array of previous experiences. Play specialists must learn to help children use experiences as opportunities for growth and coping and be prepared when significant life events emerge as part of a child's play. Ecological models provide a framework for understanding children's lived experiences affecting development and offering insight into children and families responses to stress. Foundational theories of play provide knowledge of children's development, interests, and understanding of themselves and the world. This chapter examines two culturally sustaining models that build on play theories viewing children and families through a strengths-based lens that …

Play's Continuum Of Needs: Building Blocks For Deepening Play Opportunities In Medical Environments, Deborah Brewster Vilas

Graduate School of Education

Optimal healing for children in hospitals occurs when their developmental needs are considered as part of their overall treatment plan. One of the most pressing developmental needs for all children is the need to play, and this remains so even when they are confined to a hospital bed or face developmental delays or disabilities. This chapter examines the most basic components of implementing play programs in hospitals, such as the intentional creation of space for play, determining the best times for children to play, and exploring what types of play are therapeutic and possible in a hospital environment. The author …

Accelerated Onboarding For Unlicensed Personnel When Preceptors Are Limited, Britney Winkelman

Nursing Posters

Problem:

The timeframe between hiring unlicensed personnel (UP) to beginning the role within the organization began to increase due to limited orientation resources, rising staff shortages, and insufficient number of preceptors.

Purpose:

Accelerate the onboarding of UPs to decrease the workload for preceptors and reduce staff shortages, while generating competence and reducing costs for the organization.

Clinical Nurse Specialists: A Rare Breed, Teresa Jahn, Evalyn Michira, Elizabeth Plante

Nursing Posters

What is a CNS?:

• A clinical nurse specialist (CNS) is an advanced practice registered nurse (APRN) with graduate level education in nursing.
• CNSs are prepared to provided leadership, consultation, and clinical expertise for patients and their families, nurses, and systems.
• Have the autonomy to diagnose and treat based on advanced clinical assessment like other APRNs (Nurse practitioners, certified nurse midwives, certified registered nurse anesthetists).
• CNS work in all areas of healthcare like clinics, emergency departments, hospital units, entire healthcare systems, or even as independent practitioners/contractors.

Icu Cauti Incidence Reduction, Michelle Gamble

Nursing Posters

Situation:

Catheter-Associated Urinary Tract Infection (CAUTI) rates in the adult Intensive Care Unit (ICU) increased from nine infections in FY21 to 18 in FY22.

Backgroud:

CAUTIs are the most reported healthcare acquired infection. It is important for healthcare providers to understand the complications and effects of CAUTIs. CAUTIs contribute to extended length of stay, increased healthcare costs, and patient morbidity and mortality.

Most CAUTIs are directly related to inadequate urinary catheter care. Evidence based practice demonstrates a decrease in CAUTIs related to the use of Theraworx^® Protect wipes twice daily (BID) and as needed (PRN) for patients with a …

Pupillometry, Elizabeth Plante, Casey Schmidt

Nursing Posters

Background:

• Measuring pupillary light reflex is a standard part of neurological assessment.
• Changes in pupil reactivity may indicate unfavorable outcomes, such as increased intracranial pressure and brain herniation.
• Physiologic and pharmacologic agents may affect pupil reactivity.
• In some instances, pupillary light reflex is the only piece of neurologic assessment readily testable.

What I Need: Self Care At The Unit Level, Jessica A. Tindal

Nursing Posters

Purpose:

Self-care is individualized and best done when awarded on a small scale.

Goals:

For all employees of the ICU to:

• Feel valued outside of work
• Be recognized for taking care of themselves
• Participate in positive discussions
• Be rewarded for work life balance
• Be reminded of self-care
• Not feel alone with their thoughts
• Pause and reflect
• Help others, spouses, kids, etc.

Future plans include:

• Seasonal questions of things to see, places to explore
• Recipe sharing
• Hobby experts
• Focusing on staffs' interests