Medicine and Health Sciences Commons^™

Week Of January 21, 2020, New York Medical College

InTouch

• Class of 2020 Commencement Set for May 19
• Prominent Gastroenterologist to Address 24th Medical Student Research Forum
• STAR Alum is in Top 300 Scholars in the Regeneron Science Talent Search 2020

What's Happening: January 20, 2020, Maine Medical Center

What's Happening

No abstract provided.

What's Happening: January 13, 2020, Maine Medical Center

What's Happening

No abstract provided.

Week Of January 13, 2020, New York Medical College

InTouch

• Ira J. Bedzow, Ph.D., is Named UNESCO Chair of Bioethics
• Department of Surgery Hosts Sixteenth Annual Louis R.M. Del Guercio, M.D., Distinguished Visiting Professorship and Research Day
• Graduate Student Association Aims to Enhance Student Life
• Center for Disaster Medicine Hosts Pediatric Focused Disaster Response Training

Statistical Analysis Of Social Network Change, Teresa D. Schmidt

Systems Science Friday Noon Seminar Series

We explore two statistical methods that infer social network structures and statistically test those structures for change over time: regression-based differential network analysis (R-DNA) and information theory-based differential network analysis (I-DNA). RDNA is adapted from bioinformatics and I-DNA employs reconstructability analysis. Both methods are used to analyze Medicaid claims data from one-year periods before and after the formation of the Health Share of Oregon Coordinated Care Organization (CCO). We hypothesized that Health Share’s CCO formation would be followed by several changes in the healthcare delivery network.

Application of R-DNA and I-DNA to claims data involves three steps: (a) the inference …

What's Happening: January 6, 2020, Maine Medical Center

What's Happening

No abstract provided.

Nursing Annual Report 2019, Children's Mercy Hospital

Nursing Annual Reports

Annual report for nursing services at Children's Mercy Kansas City.

Single- And Dual-Energy Ct: A Comparison, Emilee Bixler

Student Research Poster Presentations 2020

This research offers a comparison of two types of computed tomography (CT) configurations by exploring each scanner type and the accompanying image specifications, protocols, radiation doses, geometric aspects, and photographic aspects of the resulting images. The comparison aimed to determine if single-energy CT (SECT) or dual-energy CT (DECT) had any clear advantages over the other scanner type. Several studies in the research resulted in DECT displaying a decrease in dose without compromising contrast-to-noise ratio (CNR). The studies in this research also showed DECT had a superior ability of decreasing iodine by 70% concentration dose while obtaining the same image quality …

Evidence Based Practice Positively Affects The Delivery Of Nursing Care, Miranda Lee

Student Research Poster Presentations 2020

No abstract provided.

Breast Density Awareness, Alyssa Acker

Student Research Poster Presentations 2020

Breast density refers to the amount of fibrous and glandular tissue in comparison to fatty tissue demonstrated on a mammogram. A woman’s breast density is significant because as the density of the tissue increases, the woman’s risk for developing breast cancer increases and the more challenging for microcalcifications or lesions to be seen on mammography images. The Mammography Quality Standards Act, requires radiologists or imaging facilities to send each patient a written summary of their mammogram report and communicate to the patient if their results suggest further imaging. In addition to this requirement, 38 states that have passed a Breast …

The Use Of Cyberknife Stereotactic Body Radiation Therapy In Treating Hepatocellular Carcinoma, Alexis Baddick

Student Research Poster Presentations 2020

Radiation therapy is an ever-changing field, making it easier and safer to treat a broader range of cancers. With the advancement of the CyberKnife System, we can now investigate how effective stereotactic body radiation therapy (SBRT) treatments are in terms of treating hepatocellular carcinoma (HCC) patients. HCC is the most common liver cancer as well as one of the most prominent cancer-related deaths in the world. Several studies indicated that, previously, treating HCC with ionizing radiation was not an effective option due to the liver’s sensitivity to radiation, among other factors. After conducting research and examining nine different sources, there …

The Sonographic Progression Of Non-Alcoholic Fatty Liver Disease Into Non-Alcoholic Cirrhosis Of The Liver, Giana Tondora

Student Research Poster Presentations 2020

Cirrhosis is quickly becoming a prevalent disease in the United States alone and affects 1 in every 400 Americans. Cirrhosis occurs when the liver's fibrous bands are no longer fibrous in response to the liver being scarred and no longer being able to filter toxins from the blood. Ultrasound is a key tool along with blood tests that allows cirrhosis to definitively be detected and diagnosed in patients. Cirrhosis can be either non-alcoholic or alcoholic depending on the patient’s history and there are distinct differences in appearance of the liver sonographically as well as symptoms and treatment of this disease …

Retrospective Study Of Warfarin Use In The Centracare Family Health Clinic, Lauren Martens, Jessica Lind

Pharmacy Posters

Introduction:

• Warfarin is FDA approved for a variety of indications
• Recommended INR goal ranges can vary depending on indication
• Appropriate warfarin management is necessary for safety and efficacy of the medication
• Since November 2019, warfarin has been managed by the ambulatory pharmacist in the Family Health Clinic

Purpose:

• To further understand the patterns of use of warfarin within the CentraCare Family Health Clinic
• Specifically, determine the prevalence of warfarin indications and corresponding INR goals.

Evaluation Of Heparin-Induced Thrombocytopenia Antibody Laboratory Use And Anticoagulation Prescribing Patterns, Piper Swanson, Jesse Greenlee, Gregory Schaefer, Paul Huiras

Pharmacy Posters

Introduction

• Heparin-induced thrombocytopenia (HIT) is a rare adverse reaction
• Calculating a 4T score prior to ordering a heparin-PF4 immunoassay is recommended. For a score < 4, HIT probability is low and an assay is not advised
• If high suspicion of HIT (4T greater than or equal to 4), an assay should be ordered, all heparin products discontinued, and a non-heparin anticoagulant initiated.

Purpose

• Determine if heparin immunoassay ordering was indicted according to retrospective 4T score
• Assess anticoagulation prescribing depending on the result of the assay
• Serve as a pre-group for a planned perverse post-HIT order set implementation analysis

Evaluation Of Antibiotic Use And Duration For Febrile Neutropenia, Kayla Jensen, Patricia Aubert, Joy Ward, Ann Wigton

Pharmacy Posters

Introduction:

• Febrile neutropenia (FN) affects over 80% of patients with hematologic cancer and 10% to 50% of patients with solid tumors
• National Comprehensive Cancer Network (NCCN) guidelines recommend empiric broad-spectrum monotherapy until the absolute neutrophil count (ANC) is over 500 cells/uL.
• Extended durations with broad-spectrum agents leads to increased risk of antibiotic resistance, toxicity and C. difficile infection.

Purpose

• To evaluate antibiotic prescribing patterns for patients with FN to optimize antibiotic stewardship.

Implementation Of Proper Lead Selection Based On Ecg Practice Standards In Hospitalized Patients, Teresa Jahn, Nicole Hubbard, Samantha Pohlmann, Lauren Hoeschen, Shayna Lahr

Nursing Posters

Ensure adult patients in a 36 bed Telemetry Unit and 14 bed Cardiac Intensive Care Unit (CICU) with the diagnosis of STEMI and NSTEMI are being monitored in the appropriate leads to detect acute or silent ischemia and arrhythmias.

Meeting The Educational Needs Of The Busy Bedside Nurse: Curbside Education An Innovative Program, Ashley O'Connell, Kayla Waldoch, Amy Junes

Nursing Posters

• Seek out educational needs of staff based on current changes, trends and new hires
• Provide on the spot reinforcement of skills, policies, education and policy changes for all staff
• Implement skill stations, including "off shifts", to increase staff cohesiveness and preparedness in emergent and nonemergent scenarios

Huddle To Enhance Patient Progression Of Care, Melinda Jennings, Kristi Patterson, Jennifer Salzer

Nursing Posters

CentraCare (CC) is committed to improving patient flow and is now using the Geometric Mean Length of Stay (GMLOS) Index as our primary measure of success. This is a Key Performance Indicator that is monitored by the Patient Flow Steering Committee and Executive Leadership. In recent years, SCH GMLOS Index is higher than expected.

Providing Education Regarding Antimicrobial Stewardship For The Bedside Nurse, Anna Boeke

Nursing Posters

• Two million people acquire drug resistant bacteria and around 23,000 die from infection-related resistance each year (CDC, 2018a) and Up to 50% of antibiotics are incorrectly prescribed, including usage, dosage, and duration (CDC, 2017)
• Clostridium difficile (C.diff) is a common problem seen in the hospital
• Antimicrobial stewardship (AMS) as a proven method of addressing the problem of antibiotic resistance by education, multidisciplinary efforts, and refined resource utilization
• The biggest problem is nursing staff are unsure how to participate in AMS!

Reduced Frequency Monitoring Post-Stoke Treatment, Melissa Freese

Nursing Posters

In 2020, the nation was faced with a pandemic that quickly depleted health care resources. Standards of care were reviewed to identify opportunities to reduce the burden on healthcare resources. One of the standards of care that was reviewed nationally and locally at the St. Cloud Hospital (SCH), was the postalteplase/ thrombectomy patient placement and monitoring.

The standard of care for the placement and monitoring of post-alteplase patients was established during the 1996 NINDS trial and has not been studied since. Very minimal literature is available on the standard of care for patient placement and monitoring post-thrombectomy.

St. Cloud Hospital Hand Hygiene Achievers, Patricia Dumonceaux, Sara Maciej, Jessica Reed, Tamara Welle

Nursing Posters

Develop and adopt a culture change to increase hand hygiene compliance across all St. Cloud Hospital (SCH) inpatient and outpatient departments

• Hand hygiene is the best method to prevent the spread of infection (CDC, 2017).
• Historical data for SCH indicated below desired goal of 95% compliance with hand hygiene practices and continued identification of hospital associated infections.
• Employee engagement best achieved through promoting culture of safety supporting hand hygiene best practices (Piras et al., 2018).
• Educating staff on the WHO 5 Moments of Hand Hygiene, developing monitoring process for assessing opportunities to complete moments of hand hygiene, and providing detailed …

Not Missing: Transcriptions, J. L. Gaustad

Someone's Missing...and I Think It's Me

Not Missing: Transcriptions contains transcriptions of handwritten notes and journal entries from the book Someone's Missing...and I Think It's Me: Our Great Adventure with Dementia, by J.L. Gaustad. It is meant to accompany that book, with page numbers keyed to the pages in the book. For the print edition, this separate zine will be included in a pocket in the cover.

Marijuana Legislation: Identifying The Impact On The Oral Healthcare Provider, Abby L. Geiser, Jessica Reid-Burrell

Dental Hygiene Student Scholarship

Objectives/Aims: Since the mid-2000s, the United States has seen a surge in legislation involving the legalization of marijuana, both recreationally and medicinally. The relaxed laws translated into an increase of marijuana consumption and thereby a potential increase in the number of patients a provider will see that are cannabis users. The purpose of this review is to illustrate how the providers begin to see pathologies related to cannabis use more frequently, and how they will need to be prepared for ways this can be addressed. Additionally, oral healthcare providers will face ethical dilemmas and legal challenges when treating patients and …

The Effect Of Competitive Swimming On Oral Health Status, Laura Apsley, Alexandra Walter

Dental Hygiene Student Scholarship

Objectives/Aims: Competitive athletes are often considered to be susceptible to bodily injury. It is now being realized that competitive swimmers are also at risk, specifically in the unsuspected realm of the oral cavity. The purpose of our research is to examine the effect of competitive swimming on an athlete's oral health status.

Methods: Using sources found on Pubmed and Google Scholar, the data used for the correlation of swimming pools and generalized dental trauma are as follows: competitive swimmers and non- competitive swimmers were examined for specific variables such as decayed, missing, or restoratively involved teeth, plaque and gingival index, …

Lead X-Ray Vests: Pros And Cons In Dental Radiography And Patient Education On Radiographic Technology, Kayla D. Oakley, Emily Deker

Dental Hygiene Student Scholarship

Problem: There is a greater need to emphasize and educate patients and providers about radiologic advancements and patient exposure. The tradition of placing lead x-ray vests on patients for all radiographs is no longer a necessity. Without the explanation of why lead aprons are no longer needed, unnecessary steps for the provider and potential harm to the patient could be caused.

Methods: This review of literature was assembled by analyzing data from primary and secondary sources through online databases. The most recent research on the risks and benefits of the use of lead x-ray vests towards patients in …

The Ethics Of Using A Live Patient For Dental Board Exams, Aaliyah Gibbs, Ashley Christ

Dental Hygiene Student Scholarship

Objective: This study will discuss the various viewpoints regarding the ethics of using a live patient for board examination in dentistry. It will expand upon the inconsistency of the exam to include the compromised patient care, dishonorable delay in care needed so students can perform care during boards, the dignity of both the student and the patient that is paid to agree to be subject to such procedures, and the potential and irreversible harm caused to these patients. The research in this paper will explore various options for obtaining a license for clinical boards in dentistry and dental hygiene in …

Probiotic Biotherapy: Discussing Its Influential Role In Oral Health, Karla Florez, Claudette Sullano

Dental Hygiene Student Scholarship

Introduction: Probiotics are widely known for their health promoting benefits, especially with its association to gastrointestinal health. For many years, most research has been focused on the prevention or treatment of gastrointestinal infections or diseases. However, recently probiotics has been a subject of investigation with its association to oral health. This review of literature is designed to analyze the effectiveness of using probiotics as a preventative and therapeutic method for oral infections/diseases such as periodontitis, dental caries, and the like.

Methods: Databases such as the PubMed, and Google Scholar were utilized to find current and relevant findings for this …

Com Outlook_Winter_2020, College Of Osteopathic Medicine

COM Outlook

No abstract provided.

Sports And Talent Selection In Early Adolescence, Ahmet Uzun

Health Sciences

Early adolescence is the fastest development period between childhood and adulthood. It is understood that this situation is important in determining the differences between ages in terms of academic and sports studies in adolescence development. It should be remembered that differences in the motor power of individuals, especially in early adolescence (11-14 years), may affect athletes' athletic achievement and future athlete training levels.In this case, some physical fitness tests are required to better monitor the health and education levels of individuals in childhood and adolescence. It is seen that these tests are widely used especially in childhood and adolescence. In …

Sé Un Héroe Tú También, Samantha S. Rohe, Sophie Cemaj

Books: Pediatrics

This children's book explains COVID-19 and how to decrease the incidence of transmissions.