Medicine and Health Sciences Commons^™

Comparison Of Data On Preterm Neonatal Growth Measures In The Neonatal Intensive Care Unit, Madison Baty, Emily Faerber, Cayenne Sirois

Providence Nursing Research Conference 2023 – Present

Background:

Extrauterine Growth Restriction (EUGR) has been defined as infant weight-for-age z-score (WAZ) of less than -1.28 standard deviations (SD), at discharge or 36–40 weeks (about 9 months) postmenstrual age. In 2018, the Academy of Nutrition and Dietetics and the American Society for Parenteral and Enteral Nutrition published indicators of neonatal malnutrition, including a decline in WAZ over time. Mild, moderate, and severe neonatal malnutrition is defined as a WAZ decline of 0.8-1.2 SD; >1.2-2 SD; >2 SD, respectively, and it is unclear how widely revised neonatal malnutrition indicators are being used.

Purpose/aim:

To investigate the sensitivity and specificity …

Adherence To Sb5195 Naloxone Distribution Requirements At Discharge From The Emergency Department, E Stewart, J Delfeld, J Mckay, J Corhei, Kailyn Elliot

Providence Nursing Research Conference 2023 – Present

Background: Washington State, mirroring a national crisis, experienced a surge in opioid-related deaths, with 17,502 fatalities from 2007 to 2021. This trend aligns with the U.S.'s broader opioid epidemic, marked by 70,000 drug overdose deaths in 2017, data show overdose deaths involving opioids increased from an estimated 70,029 in 2020 to 80,816 in 2021. Overdose deaths were from synthetic opioids, primarily fentanyl. In response, empowering registered nurses (RNs) in emergency departments (EDs) to issue Nurse-Initiated Orders (NIO) for patients to discharge from the hospital with physical naloxone pre-pack kits to be used in the community, an opioid antagonist, has …

Building The Future: New Grad Residency As A Response To The Staffing Crisis, Caitlin Silva, Geri Harmon

Providence Nursing Research Conference 2023 – Present

Purpose:

An innovative nursing project was created to evaluate if increasing the total number of nurses entering the Transition into Practice (TIP) program would decrease traveler utilization, resulting in cost savings for the hospital.

Relevance/Significance:

Nursing shortages reached a critical level during the pandemic, and many hospitals throughout the country have not recovered. Many nurses have either left the bedside entirely or moved to the competitive pay of travel nursing requiring hospitals to create competitive hiring practices. The utilization of travel nurses results in increased costs and can have negative patient outcomes.

Strategy/Implementation/Methods:

The clinical education team collaborated with leadership …

Sepsis 5 Rights Round (S5rr), William Lim, Bilma Pellissery, Jenny Carrillo

Providence Nursing Research Conference 2023 – Present

Background. Sepsis-related hospitalizations with prolonged length of stay (LOS) are rising in the US. Likewise in our setting, sepsis is the #1 diagnosis-related group (DRG). Moreover, our sepsis patient outcomes for DRG-related LOS, timely discharge, readmission rates, and observed/expected (O/E) mortality did not meet our healthcare system’s regional goals. Thus, because evidence suggests that interprofessional rounds may improve those outcomes among non-sepsis patients, we decided to add afternoon interprofessional rounds to existing morning rounds. Those Sepsis 5 Rights Rounds (S5RR) would focus on the right patient, place, time, level of care, and plan of care.

Purpose.The purpose of this …

Empowering Spanish Heritage Learners Through A Community Informed, Online Medical Spanish Curriculum, Bonnie C. Holmes Ph.D., Kenneth Rhee Md

11th National Symposium on Spanish as a Heritage Language (Archived)

The lack of standardized medical Spanish curriculum leads to variable content and quality, often neglecting heritage language learners. Also, community engagement efforts seldom extend to curriculum development. Learn about a collaboration between Spanish faculty and a physician to create an innovative, virtual Spanish for healthcare curriculum that addresses these challenges.

Efficacy Of Suture Versus Sutureless Technique After Periodontal Flap Surgery – A Split Mouth Study, Saranya M

Annual Research Symposium

Suturing is an integral part of periodontal flap surgery, but it has disadvantages such as difficulty in maintaining oral hygiene, increased post-operative discomfort, and higher infection rate. To overcome these problems, a search for an alternative like tissue adhesives, possibly a sutureless technique has been experimented. The aim of the study was to compare the stability & healing properties after periodontal flap surgery using tissue adhesive and surgical sutures.

Angiofibroma Of Soft Tissue: A Case Report, Mehruba Alam, Jake Robins

Annual Research Symposium

Differentiation between benign angiofibromas of soft tissue and malignant sarcomas.

The accurate diagnosis of this tumor is essential to prevent additional unnecessary treatments and/or surgeries. This can be achieved by proper genetic testing for the presence of markers including the NCOA2 fusion gene, CD34, α-SMA, and epithelial membrane antigen. Genetic testing is an essential component of accurate diagnosis as the appearance of these lesions can mimic other, more harmful neoplasms. Immunohistochemical analysis frequently shows the AHRR-NCOA2 driver mutation which is thought to be associated with t(5;8)(p15;q13), also commonly found in AFSTs. In combination, these immunohistochemical findings allow for accurate diagnosis …

Chronic Intractable Migraine: A Case Study, Natalie Tate, Luis Alvarez, Cassidy Byers, Davis Elm, Louis Michelon, Tallon Muhlestein, Layla Risdon, Garret Vincent, Christina A. Small, David W. Sant, Kyle B. Bills, Kurt M. Alexander

Annual Research Symposium

No abstract provided.

Revolutionizing Denture Excellence: An Invigorating In-Vitro Exploration Of Organic Products In Prosthetic Rehabilitation, Nighila Ravindran, Sneha Joseph, Aswani Surya K

Annual Research Symposium

The denture base comes into contact with diverse substances in the oral cavity, acting as a reservoir for microorganisms like corynebacterium, streptococcus, lactobacillus, and candida. This colonization elevates the risk of complications such as denture stomatitis and candidiasis. Commercial denture cleaners have explored the use of natural ingredients, less commonly employed but offering various advantages. These ingredients aim to mitigate the potential issues associated with microbial colonization on denture surfaces, contributing to improved oral hygiene for denture wearers. The exploration of natural elements reflects a nuanced approach to denture care, considering both efficacy and less conventional alternatives.

Investigating Racial And Ethnic Healthcare Disparities In Screenable Ob/Gyn-Related Cancers, Lara Laughrey

Annual Research Symposium

This is a scoping review of peer-reviewed literature addressing healthcare inequity based on race and ethnicity with a specific focus on Ob/Gyn-related management and treatment of screenable cancers.

Shilajit Elicits Apoptosis And Suppresses Cell Migration In Oral Cancer Cells Through Targeting Urokinase-Type Plasminogen Activator (Upa) And Its Receptor (Upar) And Chemokine Signaling Pathways, Abdullah Alqahtani, Jagadish Hosmani, Abdullah Alqarni, Nasser Alhamid

Annual Research Symposium

Shilajit (Mumio) is a humic substance with a dark brown colour that comes from rocks found at high altitudes. For centuries, shilajit has been a widely employed traditional medicinal remedy to address various physical ailments. Given the prevalence of oral cancer, there is a growing need for more effective therapies in its treatment.

In this in vitro study, the impact of shilajit on normal human gingival fibroblast cells (hGFs) and oral cancer cells (KB-1, subline of the KERATIN-forming tumor cell line HeLa) was compared. The MTT and Annexin-V tests were used to measure the KB-1 cells growth and apoptosis after …

Assessment Of Emotional Intelligence Among Students In Dental College, Gowri Nandana S Final Year Student, Sudeep C. B Professor And Head Of The Department Of Public Health Dentistry

Annual Research Symposium

Over an extended period, the examination of intelligence predominantly centered on the adaptive deployment of cognitive abilities. In more recent times, scholars such as Gardner (1983) and Sternberg (1988) have proposed comprehensive frameworks for comprehending intelligence. Pioneering the concept of "emotional intelligence," Salovey and Mayer (1990) posited that emotional intelligence encompasses three distinct categories of adaptive capabilities: the evaluation and expression of emotions, the regulation of emotions, and the utilization of emotions in problem-solving. The objective is to evaluate emotional intelligence among dental students across various educational institutions.

Ctl+Heal: A Scoping Review On Therapeutic Alliance And Technology, Vineet Sadarangani

Annual Research Symposium

A strong therapeutic alliance between a healthcare provider and patient is built upon a strong bond, trust, and open communication, all essential for successful healthcare outcomes. Establishing a robust therapeutic alliance relies significantly on non-verbal behaviors, including tone, facial expression, and eye contact. Traditionally, expert feedback was essential for addressing undesirable non-verbal behaviors and cultivating desirable ones; however, technological advancements have introduced the concept of technology-assisted feedback. This would eliminate the immediate need for experts, thus allowing the clinician more time to focus on their clinical skills; however, these methods are scattered across various fields of medical education, technology and …

Exploring Glucose Dysregulation In Migraine: Insights From Continuous Glucose Monitoring, Jackson Nielsen, Matthew Jennings, Alexander Kim, Pooja Chemiti, Stephanie Chavez, Alfred Amendolara, John Dougherty Jr., Kyle Reavely, Amanda Page, Brandon J. Burger, Christina A. Small, David W. Sant, John A. Kriak, Kyle B. Bills

Annual Research Symposium

Despite being associated with hypoglycemia for nearly a century, a definitive relationship between migraines and glucose dysregulation remains elusive. Accumulating evidence suggests that migraines are in part due to a metabolic mismatch between cerebral demand and available energy. Research analyzing plasma glucose levels and migraine activity may further elucidate this interface between metabolic dysregulation and migraine pathophysiology and may potentially open avenues for therapeutic interventions targeting holistic metabolism for migraine management.

Quality Of Life In Orthodontics, Claudia Eisenhuth, Gabriel Eisenhuth, Connor Schwartz, Amir Mohajeri, Man Hung, Tiffany Nelson, Ryann Glenn

Annual Research Symposium

Orthodontic treatment goes beyond mere cosmetic enhancement; it significantly impacts various aspects of an individual's quality of life. Beyond the physical benefits of improved oral function and prevention of dental issues, orthodontics also yields profound psychological benefits. Aligned teeth enhance self-confidence, reduce social anxiety, and contribute to better relationships and professional opportunities. Moreover, addressing dental concerns through orthodontic treatment reduces psychological distress and promotes overall happiness and satisfaction. Real-life case studies vividly illustrate the transformative effects of orthodontic interventions, emphasizing the importance of considering quality of life outcomes in dental care.

Exercise Blocks Ethanol-Induced Kappa Opioid Receptor Sensitization In Nucleus Accumbens And Ventral Tegmental Area, Brandon J. Burger, Alexander Kim, Bridger Gunter, Jude Emego, Laura Minor, James Brundage, Benjamin Williams, Christina A. Small, Jordan Yorgason, Scott Steffenson, Kyle B. Bills

Annual Research Symposium

Exercise has been increasingly used as an adjunctive therapy in the treatment of alcohol use disorder (AUD). Despite this, the mechanism by which it influences the mesolimbic circuitry changes underlying alcohol addiction is not well understood. Previous studies have shown alcohol dependence to lead to upregulation of the Dynorphin-Kappa Opioid Receptor (KOR) system, making it a potential target for therapeutics. Thus, gaining a better understanding of these pathways will help develop evidence-based guidelines for integrating exercise into therapies for the treatment of AUD.

Dissecting The Impact Of Medicinal Plants On Systemic Diseases, Karen Ayetiwa

Annual Research Symposium

For this literature review, a range of databases were used such as Google Search, PubMed, and Web of Science (mentioned all the ones you used). The search strategy used was a combination of terms such as "medicinal plant compounds," "plant polysaccharides on metabolic diseases," "effects of berberine on diabetes mellitus," " and "effects of medicinal plants on Alzheimer's." Articles chosen for review were published between 2020 and 2022, and only studies in the English language were considered. The majority of the selected studies were devised to observe and analyze the effects of medicinal plant compounds on various systemic diseases. Medicinal …

De Novo Microdeletion Spanning Ywhae And Crk In An Individual With Intellectual Disability And Stunted Growth, Eden E. Pope, John A. Kriak, Kyle B. Bills, David W. Sant

Annual Research Symposium

In this report, we present a case of a 20-year-old female with congenital intellectual disability, stunted growth, and hypothyroidism. Competitive genetic hybridization (CHG) revealed a loss of a portion of 17p13.3 at least 195 Kb in size, not present in either parent. This area of chromosome 17 is associated with Miller-Dieker Syndrome (MDS) and Isolated Lissencephaly Sequence (ILS), but these conditions are related predominantly to PAFAH1B1, which is not included in the patient’s deletion.

Investigating The Interplay Between Glucose Regulation, Neural Activity, And Motivation: A Novel Approach Utilizing Vibration Stimulation, Blake D. Harris, Patrick Tanner Brain, Alessandra Maisie Rivera, Tiffany Nguyen, James Barber, Amar Paul, John Dougherty Jr., Matthew Jennings, Bridger Gunter, David W. Sant, Christina A. Small, Scott Steffenson, Kyle B. Bills

Annual Research Symposium

This research explores the intricate relationship between glucose regulation, neural activity, and motivation in key brain regions, including the hypothalamus, basal ganglia, ventral tegmental area (VTA), and nucleus accumbens (NA). We aim to unravel the potential relationship of these factors on dopamine (DA) release and the broader implications for mental health, glucose regulation, well-being, and overall health. Our innovative approach involves using a chair that causes heterodyned whole-body vibration designed to stimulate DA release from the VTA and NA, areas associated with motivation and rewards.

Shed Stem Cells: Antibacterial And Immunomodulatory Insights, Manju R Prof

Annual Research Symposium

SHED- Stem cells extracted from exfoliated teeth - resource for Stem Cell based regenerative therapy; multipotent in nature

We examined explored how SHED affects the growth of common oral bacteria, Streptococcus mutans and Enterococcus faecalis, and their role in regulating immune response.

Trichomonas Vaginalis Infection In Emergency Department Patients, Owen Christian Schubert

Annual Research Symposium

Trichomonas vaginalis (TV) is a common sexually transmitted infection (STI) that affects around 2.3 million women and 1.4 million men in the United States. TV infection in females can cause vaginal discharge, dysuria and abdominal pain and can be complicated by pelvic inflammatory disease, infertility, cervical neoplasia and increased transmission rates of other STIs. In males, TV can cause urethral discharge and dysuria, but is often asymptomatic and therefore not often studied. We seek to determine the rates of TV infection among male and female patients presenting to EDs for STI evaluation in the Las Vegas metropolitan area, and compare …

Exploring The Interconnected Role Of The Oral Microbiome And Periodontal Disease In The Development And Progression Of Oral Squamous Cell Carcinoma, Malak Al-Regib, Claudia M. Tellez Freitas

Annual Research Symposium

This comprehensive review explores the complex linkage among the oral microbiome, periodontal disease, and the onset and progression of oral squamous cell carcinoma (OSCC).

Establishing Optimal Tools For An Anatomy Laboratory On The Six-Point Mastery Learning Model, Alice Akunyili, Kanee Lerwill, Dietrich Lorke

Annual Research Symposium

Roseman University of Health Sciences (RU) is establishing a new College of Medicine in Southern Nevada with the goal of transforming Medical Education and Healthcare delivery. To this end, facilities and resources for an integrated anatomy education need to be established, considering best practices for anatomy education. At Roseman University the six-point learning mastery model is at the center of the process of delivering the study materials. This combination of anatomy lab design and educational resources, i.e., plastinated human organs, anatomical models, simulators and virtual anatomy tools, within our block curriculum, will allow for an innovative and inclusive competency-based anatomy …

Non-Hodgkin's Lymphoma Of The Oral Cavity - A Rare Entity, Anita J. Florence Dr, Karpagaselvi Sanjai Prof & Dr

Annual Research Symposium

Non-Hodgkin’s lymphoma (NHL) is a subtype of lymphoma with two-thirds of the cases presenting as lymph node enlargement. The remaining one third of NHL cases has been reported in the extra nodal sites, including the gastro-intestinal tract, Waldeyer’s ring, bone, skin and brain. Intraoral NHL is uncommon and may affect either the jaw bones or occur within the soft tissues of the oral cavity. Here we report an unusual case of non-Hodgkin’s lymphoma in a 54-year-old male patient who presented with a growth from the right lower molar extraction socket with pus discharge.

Assessment Of Position Of Mental Foramen, Intermental Foramen Distance And Its Correlation With Age And Gender Among Pediatric Patients, Arshia Raviraj Raviraj

Annual Research Symposium

The aim of this study was to assess the position of mental foramen, inter-mental foramen distance, and its correlation with age and gender between 9 to 12 years of age.

Modified Zero-Gravity Chair In The Management Of Pain And Anxiety With Emphasis On Pre And Post Anesthesia For Surgical Procedures, Alexander Tisdale, Kinsley Batson, Zachary Jamous, Isabella Termini, Kyle Mooday, Matt Cohn, Jackson Justice

Annual Research Symposium

The purpose of this research is the integration of a zero-gravity chair with planar vibration as a non-pharmaceutical approach to preoperative anxiety and postoperative pain management. The treatment plan involves preoperative familiarization with the chair's vibrational patterns and postoperative use for pain relief. Integration of this approach holds promise in reshaping postoperative care paradigms, advocating for personalized, holistic interventions to enhance patient well-being and mitigate opioid-related risks.

Success And Challenges Of Infrazygomatic Crest Implants In Orthodontics, Gauri Gill

Annual Research Symposium

Poster on success rates of mini implants used in the infrazygomatic region for orthodontic anchorage , as well as the factors that influence the success of the mini implant placed in IZC region.

Dna Extraction Method Development For Ocular Tissues, Conrad K. Ashby, Michael C. Trapnell, Walker C. Kay, Jonathon C. Reynolds, Noah R. Schultz, Brandon J. Burger, Christina A. Small, John A. Kriak, Kyle B. Bills, David W. Sant

Annual Research Symposium

Purpose: DNA extraction kits are traditionally developed to work with liquid tissues such as blood, saliva, and swabs, but some have been proposed to work with solid tissues. Somatic variation in cancers can be important for tumor subtyping and treatment guidance, including ocular tumors. Additionally, epigenetic marks such as 5-methylcytosine (5mC) and 5-hydroxymethylcytosine (5hmC) are tissue-specific and change in disease states, particularly evident in diabetic retinopathy and age-related macular degeneration. Commercial DNA extraction kits are available from several vendors, but the various kits have different strengths and weaknesses, and the removal of PCR inhibitors will vary with each kit. This …

Non-Traditional Presenting Grade Ii Brain Meningioma: A Case Study, Alessandra M. Rivera, Garret Phillips, Serin Baker, Michael Trapnell, Conrad Ashby, Jacob Hill, Prina Patel, Alexander Ruiz, Elden Jenkins, Johan A. Kriak, Kyle B. Bills, Voicu S. Ciobanu, Tipsuda Bahri, David W. Sant

Annual Research Symposium

Meningioma is a relatively common form of cancer, occurring in approximately 97 out of 100,000 individuals. Although it arises from the meninges surrounding the central nervous system (CNS) rather than from neurons, it is classified with CNS tumors due to overlapping symptoms caused by compression of nerves and vessels in the head. Extracranial metastasis is rare, at less than 1%, and correlates with reduced survival rates.

Neurocognitive Considerations And Impacts In Chronic Migraines, Kennedy Madrid, Jacob Warner, Jordyn Huecker, Cassidy Byers, Kyle Reaveley, Kailee Edwards, Luke Sanders, Christina A. Small, David W. Sant, John A. Kriak, Kyle B. Bills

Annual Research Symposium

Migraine, characterized by moderate-to-severe headache, may arise from neurological, psychological, orthopedic, metabolic, or endocrine origins. Pain associated with migraine, while commonly cited as the primary patient concern, only represents a small portion of short- and long-term effects caused by the condition. Many presenting cases include neuromuscular dysfunction, increased neuronal firing, inflammation, and cortical spreading depression. These effects can induce multiple symptoms such as pain, aura, brain fog, confusion, hangover, multiple hypersensitivities, and decreased memory capacity. These effects and symptoms can lead to neurocognitive and neuropsychological deficiencies in many patients. This study aims to investigate the relationship between migraines and neurocognitive …