Medicine and Health Sciences Commons^™

Who Is Saying What About Inflammatory Bowel Disease On Twitter?, Ali Khan, Anna Silverman, Anthony Rowe, Samantha Rowe, Matt Tick, Steve Testa, Keri Dodds, Bedoor Alabbas, Marie L. Borum

GW Research Days 2016 - 2020

Background: With about 330 million active users and its growing media attention globally, Twitter is a powerful tool for conveying information to the general population. There is limited data on the utilization of Twitter for disseminating medical information. This study evaluated messages on Twitter regarding Inflammatory Bowel Disease (IBD).

Methods: Social Feed Manager (SFM; version 1.10.0; GW University, 2017), a software that mines social media platforms, was used to extract information regarding IBD-related tweets and their accounts over a 10-day period. We queried Twitter for terms related to IBD and categorized messages by geographic origin, type of user, and message …

A Survey Of Language Diversity And Communication In Indian Academic Emergency Departments, Rebecca S. Allen, Lalit Narayan, Jay Pandya, Zohray Talib, Katherine A. Douglass

GW Research Days 2016 - 2020

Background

Communication in the Emergency Department (ED) is particularly important given the acuity of patients and lack of prior medical history. In India, patient care is further complicated by the many spoken languages, the regional differentiation in language and the fact that medical training is primarily delivered in English. Our objective was to document language diversity among clinicians in Indian EDs linked to an international training program and explore issues related to clinician-clinician and clinician-patient communication.

Methodology

A cross-sectional survey of ED clinicians was conducted from May to July 2017. Survey participants were recruited via convenience sampling by a researcher …

Parental Compliance For Two Stage Fowler-Stephens Laparoscopic Orchiopexy: Is Everyone Following Up For The Second Stage And, If Not, Who Is At Risk?, Campbell Grant, H. Gil Rushton, Tanya D. Davis

GW Research Days 2016 - 2020

Purpose: Patients undergoing a two-stage Fowler-Stephens laparoscopic orchiopexy for intra-abdominal testes are typically recommended to undergo the second stage 4-6 months after the first stage. . As part of a quality care initiative, our studied examined if patients were in fact following up within this window and, if not, why patients were lost to follow up.

Materials and Methods: We retrospectively reviewed a cohort of 105 patients who underwent the first stage of a 2-stage Fowler-Stephens orchidopexy at our institution between 1/2005 to 1/2015. Bivariate and multivariate analyses were performed to compare clinical, surgical, and socioeconomic factors. Patients identified as …

Risk For Post-Spinal Surgery Complications Associated With Pre-Operative Blood Transfusions, Ryan Lee, William Probasco, Alex Gu, Raj Rao

GW Research Days 2016 - 2020

Introduction: The frequency of spinal surgeries has increased dramatically in the United States over the past decade and, as with all surgeries, spinal procedures carry inherent risks for complications after the operation. Recently, it has been recognized that procedures in which intra-operative/post-operative blood transfusions are administered carry a higher risk of postoperative morbidity and increased length of hospital stay (Seisean et al.). Despite this, there is little literature, currently, analyzing post-operative complications associated with blood transfusions taking place 72 hours prior to spinal operations. The aim of this study was to investigate the prevalence of pre-operative blood transfusions in …

Etiology And Management Of Hospitalized And Outpatient Diarrhea Among Children Less Than 5 Years Of Age In Lambaréné, Gabon, Christina Pugliese, Natalie Byrne, Frederique Nguema, Kafui Vodounou, Mirabeau Mbong Ngwese, Gedeon Manouana, Jean Edoa, Bayode Adegbite, Jeannot Zinsou, Ayola Adegnika, Martin Grobusch, David Diemert

GW Research Days 2016 - 2020

Objectives: Diarrhea remains a significant cause of global under-5 mortality, particularly in SubSaharan Africa (SSA). To reduce morbidity and mortality, the World Health Organization (WHO) recommends oral rehydration salts (ORS), zinc supplementation, and continued feeding or breastfeeding for all children with diarrhea to prevent dehydration and malnutrition; antibiotics only for bloody diarrhea (i.e. probable shigellosis), suspected cholera, or severe non-intestinal infections (e.g. pneumonia or sepsis); and avoidance of antidiarrheals and antiemetics owing to lack of benefit and potential for harm in young children. Gabon is an upper-middle income country in SSA for which there is a lack of recent, high …

Legionnaire's Disease Presenting With Severe Rhabdomyolysis And Acute Renal Failure: A Case Report, Benjamin Plotz, Victoria K. Shanmugam

GW Research Days 2016 - 2020

Legionnaire's disease is caused by Legionella species, and is a recognized but rare cause of rhabdomyolysis. Legionella species live in water, and exposure to inoculated water systems leads to transmission of the disease, and commonly causes pneumonia in infected individuals. While the mechanism of muscle destruction legionella infection causes is not fully understood, the prevailing theory is that rhabdomyolysis is linked to an endotoxin released by the bacteria into the blood stream. Massive muscle necrosis manifests as limb weakness, muscle pain, swelling, and gross pigmenturia due to the release of electrolytes, myoglobin, and other sarcoplasmic proteins into the bloodstream. A …

Enriching The Medical Student Radiology Clerkship: Simulating The Radiologist’S Experience, Liqi Shu, Faraien Bahri, Navid Mostaghni, Ramin Javan

GW Research Days 2016 - 2020

Background

Current radiology training in medical schools is still predominantly limited to passively observing the radiologist at the workstation and through lectures, textbooks and online sources. Evaluation is also mainly limited on still image interpretation or knowledge-based multiple-choice questions. Furthermore, students may have specific interests based on their choice of residency. In order to create a tailored and active learning experience, and to evaluate students’ ability in image interpretation, we utilized an open-source web-based Picture archiving and communication system (PACS) named "Weasis" and integrated a report system.

Method

We establish a new PACS teaching system by utilizing the open-source PACS …

Environmental Degradation In Baía De Todos Os Santos, Brazil: A Review Of The Evidence, Amanda Chen, Amanda Northcross, Shanell Folger

GW Research Days 2016 - 2020

The communities living in Baía de Todos os Santos (BTS) has been subjected to toxicants released into the environment by the growing petrochemical industry surrounding the area. Community members are concerned about the effects that these chemicals have on the health and wellbeing of the people, as well as the natural environment. Many of the communities are artisanal fishers and rely on the fish and shellfish produced by the bay for a living. Working in collaboration with the Movement of Artisanal Fisher People (MPP), this research aims to summarize previous research conducted in the BTS. The research describes the environmental …

(Video) Reframing Discourse: Using Brfss Data To Deconstruct Influences Of Parenthood On Depression And Lgbtq+ Mental Health, Kate Luxion

GW Research Days 2016 - 2020

Introduction: Rates of depression contribute to the mental health epidemic, with parents in the United States considered a population at greater risk. Framing of mental health and depression has remained centered on cisgender, heterosexual identities (cis-heteronormative) despite diversity in family constellations. This presentation looks to reframe and expand the discussion on LGBTQ+ parents, depression, and mental health. The hypotheses tested look first at the differences in depression diagnosis. Second, the number of poor mental health days per month are examined for differences between the subsamples.

Methods: The study reviewed data from the 2014-2016 BRFSS surveys (n=371,268) focused on parents as …

Disparities In Diabetes Rates And Quality Of Care Within Immigrants In The Usa, Anyun Chatterjee, Martin Blanco, George Gray

GW Research Days 2016 - 2020

Immigrants to the USA present an interesting opportunity to test the classical public health question of the impact of place on a health outcome. Diabetes is a prevalent disease in the USA which is slated to rise in rate in the future. Currently, 9.4% of the country is diabetic, and another 28% of the country is prediabetic. We posed the question - is this impact felt disproportionately by immigrants as they live in the US for a decade or more? Our preliminary literature search indicated that this has not been studied extensively, although the impact of American fast food on …

(Video) Differences In Psychosocial And Behavioral Risk Profiles Of Cigarette Smokers And E-Cigarette Users Among Minnesota Adolescents: 2016, Tara E. Jenson

GW Research Days 2016 - 2020

Background/Objectives: Rates of cigarette smoking among adolescents have been trending downward, however rates of adolescent e-cigarette use rates are now twice those of adolescent cigarette smoking nationally. The objective of this study was to examine the association of demographic, socioeconomic, psychosocial and health behavioral factors as surveyed by the Minnesota Student Survey with cigarette smoking and e-cigarette use among Minnesota adolescents.

Methods: This study analyzed the 2016 Minnesota Student Survey (MSS), an anonymous, school-based, cross-sectional survey of students in grades five, eight, nine and eleven. The 2016 MSS contains a total of 168,733 records, 118,198 of which were …

Tumor Surveillance Using Liquid Biome In Pediatric High Grade Gliomas, Erin Bonner, Eshini Panditharatna, Madhuri Kambhampati, Stefaan Van Gool, Wilfried Stuecker, Roger J. Packer, Javad Nazarian

GW Research Days 2016 - 2020

Immunotherapy is currently being used to treat pediatric brain cancer, though its efficacy in treating patients with diffuse intrinsic pontine glioma (DIPG), the deadliest pediatric brain tumor, has not been evaluated. MRI is the gold standard for monitoring tumor response to therapy, but is limited by pseudoresponse and psuedoprogression: post-treatment, immune cells infiltrate the primary tumor causing transient tumor enlargement, which falsely resembles tumor progression on MRI. Thus, it is critical to develop more accurate approaches to monitor tumor response to immunotherapy. Here, we use a liquid biopsy platform we have already established to monitor tumor response to therapy, to …

How The European Union Is Embracing Cross-Border Telemedicine And What The U.S. State Medical Boards Can Learn From It, Sohyun Laura Chang, Jesse M. Pines, Jane H. Thorpe

GW Research Days 2016 - 2020

Despite the fact that there have been many advances in the field of telemedicine, the United States (U.S.) state and federal laws have not kept pace with these technological advancements and may operate as a barrier to growth in the field of telemedicine. On the other hand, the European Union (EU) has developed a robust legal framework for the practice of telemedicine. The aim of this research project is to evaluate what elements of the EU legal experience could be used to support efforts to better align telemedicine law with the practice of telemedicine in the U.S.

Based on the …

Morbid Obesity Is Associated With Postoperative Complications In Laparoscopic Hysterectomy, Margaret Berrigan, Maria Victoria Vargas, Alex Gu, Chapman Wei, Hannah Robinson, Paul Tyan, Gaby Moawad

GW Research Days 2016 - 2020

Background: The prevalence of obesity in American women is 38.3%. Hysterectomy is the second most common surgery in reproductive age women; most of these procedures are performed laparoscopically. From 2011 to 2015, 3.2% of women age 15-44 years underwent hysterectomy; 89.6% of these procedures were performed for management of medical conditions including uterine fibroids, menstrual disorders, uterine prolapse, and endometriosis. The high rates of obesity and hysterectomy in women demand better understanding of the relationship between obesity and postoperative complications following laparoscopic hysterectomy. Methods: We conducted a retrospective cohort study using the American College of Surgeons National Quality Improvement Database …

Resilience Of Children With Chronic Health Conditions: The Impact Of Neuropsychiatric Comorbidities, Sarah Bernstein, Sandra Cushner-Weinstein

GW Research Days 2016 - 2020

BACKGROUND: Resilience, the ability to overcome adversity and effectively recover from stressful experiences, is a complex theory with many contributing factors. Previous studies have shown that condition-specific summer camps for children with chronic health conditions increase resilience and adaptive coping skills, change attitudes toward the illness, and improve quality of life. The aim of this study was to determine how neuropsychiatric comorbid diagnoses such as attention deficit hyperactivity disorder (ADHD), learning disability, and anxiety disorder influence the resilience of children with chronic health conditions.

METHODS: Children with chronic health conditions including autism, epilepsy, cerebral palsy, Tourette’s syndrome, sickle cell anemia, …

An Intermodal Approach To Identity Formation And Empowerment In The Latina Community, Amanda Bravo

Lesley University Community of Scholars Day

For many in the Latinx community, the question of “Who am I?” depends heavily on your skin color, your gender, your hair texture, your accent, and other factors that distinguish you as non-caucasian, rather than on how many languages you speak, how well you can dance, your passion, or how deeply you love. Identity reflections are at the core of self-esteem and empowerment and can take place in a variety of settings, but unfortunately, many of these settings are tailored to the majority group as well as the individual running the exploration, leaving many Latinx individuals left out.This workshop was …

Creative Approaches To Enhancing Relationships With People With Dementia, Meg Chang, Donna Newman-Bluestein

Lesley University Community of Scholars Day

Dance/Movement Therapy and nonverbal communication research for caregivers of people with dementia (PWD)--training program

̶T̶H̶E̶ ̶ A Possibility For Light, Daniel Burmester

Lesley University Community of Scholars Day

How can an educator help young people feel a reverence for and connection with the world? I asked myself this three years ago as I began thinking about how, as an educator, I could better the world. I believe that harmful action on our world can occur when reverence for and connection with it erodes or has never given a chance to flourish. Researchers in cognitive psychology have suggested that experiencing the emotion awe allows people to feel greater connections with elements of our world. (Keltner, 2016; Shiota, Keltner, & Mossman, 2007) My work at Lesley focuses on the emotion …

Dry Powder Intranasal Oxytocin For Treatment Of Postpartum Hemorrhage In The Developing World, Adrian Goodey

Sustainability Seminar Series

Complications related to pregnancy and child birth claim nearly 800 women’s lives each day. This tragedy is compounded by the fact that the vast majority of these deaths are preventable. However, ninety-nine percent of maternal deaths occur in the developing world where basic medical services and supplies are typically scarce. Postpartum hemorrhage (PPH; excessive bleeding after child birth), accounts for nearly 25% of maternal deaths globally, and is an especially acute concern in resource-scarce settings. The pharmacological treatment recommended for PPH by the World Health Organization, oxytocin, is incompatible with regions where reliable refrigeration is unavailable. Typically formulated as an …

Examining A Relationship Between Chronic Dietary Folic Acid Deficiency And Activation Of P53 Gene In Down Syndrome Ts65dn Mice, Julia Thomas, Susan E. Helm Phd, Jay Brewster

Seaver College Research And Scholarly Achievement Symposium

Seaver Undergraduate Research

The Effects Of Dietary Nitrate Supplementation As An Ergogenic Aid On Ncaa Division Female Soccer Players, Hannah Cooper, Susan E. Helm Phd

Seaver College Research And Scholarly Achievement Symposium

Undergraduate Research

We Are The Medicine, Madalynn Wendland, Toni Speed

Interprofessional Education

We are all healers— to ourselves, each other and the world around us. Whether you are on the path of becoming a health professional, or have been in practice for a long time, this half-day workshop will help you to view healing from a holistic perspective that draws from the ancient traditions while respecting contemporary science.

Does A Correlation Exist Between Coping Skills And Economic Realities?, Xeryus Johnson

Grace Peterson Nursing Research Colloquium

Coping skills are the physiological and behavioral strategies that one employs to negotiate stressful events. (Moskowitz & Folkman, 2004) Those of lower socioeconomic status are exposed to chronic, uncontrollable stress endemics in impoverished environments. (Wadsworth, 2015) Therefore, it can be hypothesized that there is an inverse relationship between adaptive coping skills of and socioeconomic realities. Coping is the body’s way of responding to stress. Any type of perceived threat that a person encounters cause a neuroendocrine reaction of events. It is proposed that atypical self-regulation to chronic, uncontrollable stress is directly associated with environmental adversity. (Wadsworth, 2015) Conceptual framework of …

An Association Between Provider Stigma And Metabolically Healthy Obese Patient Outcomes: An Integrative Literature Review, Katelin Dosky

Grace Peterson Nursing Research Colloquium

Abstract

Background: Provider stigmatization of obese patients, whether they are metabolically healthy (MHO) or not, is a well-known issue in the healthcare system.

Objectives: The purpose of this study is to examine the reasons for weight stigma among providers as well as to identify the effect of the stigma on outcomes and goals for MHO patients, since these have not been previously explored.

Method: The study is an integrative literature review, guided by the Interaction Model of Client Health Behavior (IMCHB) framework, as well as the Whittemore and Knafl method for analyzing research via a chart matrix. A search was …

Use Of Beneficial Complementary And Alternative Medicine For Children With Autism And Attention Deficit Hyperactive Disorder (Adhd), Jaskirin Mand

Grace Peterson Nursing Research Colloquium

Background: In disorders such as autism and attention deficit hyperactivity disorder (ADHD), parents are more likely to choose unreported complementary and alternative medicine (CAM) therapies such as vitamin therapy, physical therapy, music therapy and yoga. CAM treatments are starting to become more popular in the pediatric population. However, it’s not a discussion that most parents have with their doctor.

Objective: This study is an integrative literature review looking at the effectiveness of CAM therapies on autism and ADHD. The therapies that are focused on are music therapy for autism and physical therapy and elimination diets in children with ADHD. As …

A Correlation Between The Therapeutic Nursing Approach And Quality Patient Outcomes: An Integrative Literature Review, Isabel Galang

Grace Peterson Nursing Research Colloquium

A Correlation Between The Therapeutic Nursing Approach and Quality Patient Outcomes: An Integrative Literature Review

Isabel Galang

Faculty Sponsor: Dr. Elizabeth Hartman

Abstract

Background: The therapeutic approach strongly emphasized in nursing is patient-centered care. This individualized approach empowers patient decisions about care through the use of therapeutic communication between patients and nurses. While the use of patient-centered care reports positive outcomes, it is not implemented in practice.

Objectives: The purpose of this integrative literature review is to identify barriers for the underutilization of patient-centered care and to discover strategies to increase its use in practice.

Methods: An integrative literature review …

Barriers Contributing To Disparities In Hpv And Cervical Cancer Screening Among African American And Hispanic Females And The Need For Early Detection, Brianne Chipman, Patrycja Kosacka

Grace Peterson Nursing Research Colloquium

Abstract

Background: The prevalence of Human Papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the United States with approximately 14 million people infected each year (Feldman et al., 2017). African American and Hispanic females have the highest prevalence of HPV infections, but a low attendance of preventive screening.

Objective: The purpose of this study was to evaluate the barriers contributing to disparities in HPV and cervical cancer screening among African American and Hispanic females.

Method: An integrative literature review was conducted. An analysis of literature was conducted to identify barriers from qualitative and quantitative studies. The data …

Factors Associated With Follow Up Care Use After Sexual Assault, Samantha Rifkin

Grace Peterson Nursing Research Colloquium

Background: Sexual assault, particularly rape, is considered to be the most severe form of trauma with long term health consequences. Of the estimated 9.3 to 43 percent of victims who seek initial medical care post assault, only 10 to 50 percent attend follow-up care. Objectives: The purpose of this integrated literature review is to identify factors directly and indirectly associated with sexual assault and rape victims attending follow up care. Methods: Peer review articles from 1998 to 2018 were selected from CINAHL, Cochrane Library, ProQuest Nursing & Allied Health Source, and PubMed. After examining 98 initially retrieved studies for inclusion …

Systematic Review: Diversity Of Enrollment In Multiple Myeloma Drug Trials Among Different Ethnicities, Kaitlin Adams, Laura Guerrieri

Grace Peterson Nursing Research Colloquium

Systematic Review: Diversity of Enrollment in Multiple Myeloma Drug Trials Among Different Ethnicities

Kaitlin Adams & Laura Guerrieri

Faculty Sponsor: Dr. Joseph Tariman

Background & Significance: Multiple Myeloma is 2 to 3 times more prevalent in non-Hispanic Blacks (NHBs) when compared to Non-Hispanic Whites (NHWs), and the overall survival is also dissimilar between these two racial groups. Among patients 65 to 74 years of age, the 10-year Relative Survival Rates (RSRs) have been found to be statistically improved for NHWs (13.3% vs. 20.5%; p =p = .06). Since 2003, The FDA has approved 10 new drugs for myeloma treatment and …

The Benefits Of Yoga Therapy To The Health And Wellness Of Cancer Patients: An Integrative Review, Rima Beitoni

Grace Peterson Nursing Research Colloquium

Abstract

Background: The health and wellness – body, mind, and spirit, of cancer patients is vital to each person’s quality of life. Due to the psychological stressors and physical, mental, and emotional pressures cancer patients’ experience, they are at risk for impaired health and wellness and diminished Quality of Life (QOL). Yoga has been shown to benefit individuals by enhancing their coping ability to transform stress, anxiety, and pain to be more manageable.

Purpose: The purpose of this integrated literature review is to analyze evidence-based research and practices that explore the benefits of yoga in cancer patients and to explain …