Medicine and Health Sciences Commons^™

Development Of Medical Alert Cards Using Structured Data To Assist In The Management Of Children With Anorectal Malformation, Cloaca, And Cloacal Exstrophy, Ninad Prasade

Research Days

Introduction: Anorectal malformations (ARM), including cloaca and cloacal exstrophy, are a rare collection of congenital disorders of the distal hindgut resulting in lifelong anatomic and functional impairments. Children with ARM may often have other congenital anomalies in the VACTERL association (vertebral, anorectal, cardiac, tracheoesophageal fistula, renal, limb), leading to anatomic variations and prior surgeries that require consideration in diagnosis and management. Patients with these conditions may have multiple presentations to the healthcare system. Understanding emergencies specific to these conditions can enable patients' families and providers to quickly recognize important anatomic variations and initiate care management.

Aim: Our study aimed to …

Identify Factors Associated With Excessive Corneal Haze Noted To Have Increased In Frequency Over The Last 6 Months Post Corneal Cross-Linking Procedure, Sonal Dangda

Research Days

Problem Statement/Question: Over the past 6 months, increased post-operative corneal haze and decreased vision was noted in patients following corneal crosslinking for keratoconus.

Background/Project Intent (Aim Statement): Identify factors that may contribute to increased postprocedure haze and analyze these factors for the total cohort of crosslinking patients since 2017. The goal of this study is to ensure that the increased haze is due to unique patient factors and not an external cause.

Methods (include PDSA cycles): Patients who underwent corneal cross-linking between January 2017 – December 2021 were identified. Retrospective data was collected at baseline visit, at one-month postcrosslinking and …

Outcomes Of A Quality Improvement Project: Implementing Trauma Informed Care In A Neonatal Intensive Care Unit, Jennie Godwin

Research Days

Problem Statement/Question: Will providing Trauma Informed Care (TIC) education to physicians in a large Level IV NICU increase their uptake and implementation of TIC practices?

Background/Project Intent (Aim Statement): The experience of being hospitalized in a Neonatal Intensive Care Unit (NICU) is recognized as a traumatic stressor to both the infants and their families. Physicians working in the NICU experience indirect traumatization and are at risk for burnout. Trauma Informed Care (TIC) can increase effectiveness of healthcare delivery, ensure that staff, policies and procedures do not cause unintentional harm, promote staff resilience, and improve the overall quality of the patient …

Initiating Coordination Of Care For Children In State Custody Or Shelter Care, Angela Doswell

Research Days

Problem Statement/Question: Children in the foster care system experience barriers to continuity of care, both in the primary and subspecialty outpatient settings.

Background/Project Intent (Aim Statement): To decrease average percentage of scheduled but missed specialty appointments whose initial referrals were placed in the Foundations Foster Care Clinic (FCC) from 40% to 20% over a 10- month period from March-December 2020.

Methods (include PDSA cycles): Referrals to specialty clinics were placed during an initial or follow-up visit in the Foundations Foster Care Clinic (FCC). One PDSA cycle was performed and involved notification of the patient’s case worker when a referral was …

Improving Transition To Adult Care Discussion In A Diabetes Clinic, Erica Wee, Erica Zarse, Lindsay Baldridge

Research Days

Problem Statement: Diabetes mellitus is a chronic condition requiring complex care. Adolescents with diabetes face challenges when transitioning to an adult care setting which can lead to suboptimal glycemic control and emergence of complications. It is important for a pediatric diabetes clinic to provide support and prepare adolescents for success when they transfer to adult care.

Aim Statement: In our diabetes clinic, patients are eligible for transition assessment if they are over age 17 years without a documented discussion in the past 1 year. A review of clinic data between October 2021 and November 2021 revealed that an average of …

Nasal Chondromesenchymal Hamartoma: A Case Report And Review Of The Literature, Jana Ghulmiyyah

Research Days

Background: Nasal chondromesenchymal hamartoma (NCMH) is a rare benign tumor of the sinonasal cavity. It commonly presents in infancy, however there are reported cases of adult tumors. As of August 2021, there have been 56 reported cases in the literature. This is the first description of a solely endoscopically resected NCMH in a neonate in addition to a review of the literature.

Case Presentation: A 5-day old male patient born at term presented to our institution for stridor and cyanosis since birth. The patient was reported to have desaturations while feeding at the outside hospital. On bedside examination, the patient …

Diagnosis, Management, And Treatment Of Lymphadenitis And Deep Neck Space Infections At A Children’S Hospital, Aaron Shaw

Research Days

Background: Although cervical lymphadenitis and deep neck space abscesses (DNSA) are relatively common pediatric diagnoses, no standardized approach exists for management of these infections.

Objectives/Goal: To assess variability in diagnosis and treatment of cervical lymphadenitis and DNSA in a children’s hospital.

Methods/Design: Charts were obtained using ICD9/10 codes for diagnoses of retropharyngeal and parapharyngeal abscess, and lymphadenitis between 1/1/10-12/31/20. 1,237 charts were identified. Patients with a retropharyngeal and/or parapharyngeal abscess were defined as DNSA. Charts were excluded if the diagnosis was not a bacterial infection (e.g. Kawasaki disease), if the lymphadenitis was not in the neck, or if caused by …

Automating A Well Child Visit, Daniel Merrill

Research Days

No abstract provided.

Factors Impacting Heritage Language Maintenance In Children, Helena Sai

Student Research Symposium

This review article aims to examine families’ beliefs and strategies regarding heritage language maintenance in the US. Language status, caregiver beliefs, and community factors are explored in relation to language maintenance across generations. The broader context in which parents make decisions about family language policies were investigated through the following research questions:

1. What is the nature of the relationship between a heritage language’s language status in society and language maintenance across generations?

2. How do parents’ beliefs about the impact of heritage language on academic, social, and career success influence their decision to pass this language to their children?

3. To what …

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Perspectives Of Special Educators And Paraprofessionals On Person-Centered Planning Tools For People Who Use Aac, Samantha K. Stidham, Brandon Eddy, Andryce Andres

Student Research Symposium

Person-centered planning (PCP) is an intervention approach for people experiencing disability. This often results in a document outlining the individual’s preferences in their care, life goals, and transitions. Some people with disabilities communicate using augmentative and alternative communication (AAC), which supplements or compensates for impairments in speech and language production often involving the use of external communication tools. Current PCP tools may not fulfill the needs of people who use AAC (PWUAAC) due to limited focus on supporting communication. No PCP tools yet exist specifically designed for PWUAAC. The purpose of this study was to inform the design of a …

Investigation Of The Externship Selection Process Across Asha-Accredited Speech Language Pathology Programs, Teale Niles, Lindsey Schwab, Brandon Eddy

Student Research Symposium

Graduate students in speech-language pathology (SLP) must complete 400 clinical clock hours during graduate training, the majority of which frequently come from off-campus externship experiences. Graduate students are matched to externship sites by their program. No studies to date have systematically documented how graduate programs in speech-language pathology select students for externship experiences nor the constraints involved in the externship process (e.g., academic schedule). The goal of this study is to survey ASHA accredited SLP programs to describe the current procedures being used to place students at externship sites and the roles and perspectives of the externship coordinators. Externship coordinators …

Implicit Learning In Preschoolers With Developmental Language Disorder, Crystal L. Cairns, Sam Ward, Emma Duran, Molly Franz, Carolyn Quam

Student Research Symposium

We compared implicit learning in preschoolers with and without developmental language disorder (DLD), to test the procedural deficit hypothesis (PDH), which proposes that implicit learning is the core impairment in DLD. During the first experiment we tested 26 preschoolers with typical language development (TLD) and 26 preschoolers with DLD. Eligibility was determined through standardized assessment. We predicted children with DLD would show impairments in a test of implicit learning.

Using computer-based tasks, participants received training on sound discrimination in two dimensions: duration and pitch.They were tested on their ability to accurately categorize these two dimensions by mapping sounds to meaning. …

Augmentative And Alternative Communication Course Design And Features: An Analysis Of Course Syllabi And Calendars, Celine Goodbody, Hosanna Broderick, Brandon Eddy

Student Research Symposium

Augmentative and alternative communication (AAC) is an area of clinical practice that supplements or compensates for impairments in speech-language production and/or comprehension (ASHA, n.d.). A survey study by Johnson and Prebor (2019) found 86% of graduate speech-language pathology (SLP) programs offered an AAC course, though half (49%) suggested their students were underprepared to provide AAC services. High-quality graduate training, including AAC coursework, has been suggested as a solution to prepare clinicians to provide AAC services. Recently, Sauerwein and Burris (2021) surveyed AAC course instructors at accredited SLP graduate programs to analyze AAC course design features. Sixty-four (24.2%) programs responded to …

Effect Of Sin Lek Rice Intervention On Cognitive Function, Dietary Patterns, And Fecal Microbiota Of Elementary School Children In Chiang Rai, Thailand, Angie Setthavongsack, Siam Popluechai,, Jackilen Shannon, Justin Denny, Eleni Gentekaki, Kongkiat Kespechara, Lucky Gruneck, Thomas J. Sharpton, Eddie Niwed, Lisa K. Marriott

Student Research Symposium

I will be speaking about our ongoing project with OHSU and Mae Fah Luang University about the effects of a highly fibrous rice called “Sin Lek” and the changes it will do to both the gut microbiome and cognitive function. My data analysis focuses solely on memory, attention span, and impulsivity on Thai schoolchildren. The poster will document baseline data and it’s outcomes, along with brief information about Dr. Siam Popluechai’s lab findings on certain microbiome species. I will also be going in depth about the area of the study, along with how these were tested such as explaining the …

The Effects Of Running On Arithmetic Problem Solving, Kayia C. Snyder, Nicholas Smith Dr.

Student Research Symposium

In this work, we propose to examine the effects of physical activity on academic performance as physical activity is shown to improve mood, energy levels, confidence, and memory retention. We propose to recruit a sample of 200 psychology students from Portland State University. Each student will be asked to take an arithmetic problem-solving test then asked to study the material for three weeks. Of the 200 students, 100 will be randomly assigned to a physical activity condition, in which they will be asked to run 30 minutes prior to studying, then all students will be asked to take a timed …

Developing Therapeutic Alliance Through Improvisation: A State-Of-The-Art Review For The Speech-Language Pathologist, Ryan Depauw

Student Research Symposium

Background: With the needs of patients in modern healthcare becoming increasingly complex, providers may benefit from using adaptive skills to develop therapeutic alliance in patient-centered care. This review examined the potential application and benefit of theatrical improvisational skills in healthcare generally and in the allied health profession of speech-language pathology specifically.

Methods: A literature search was completed across 6 databases. Search terms included “clinical improvisation,” “medical improvisation,” and “applied improvisation.” Searches were limited to journal articles published in English from November 2011 through November 2021. Articles included for full review were of original research and focused on applied …

Qualitative Research Approaches: Descriptive Phenomenology In The Healthcare Field, Emily Goble, Karyssa Stonick, Alison Wong, Deanna Britton

Student Research Symposium

Qualitative research analyzes psychosocial aspects of the world in an effort to synthesize and understand lived experiences. It is a powerful tool for collecting rich data to explore and build theory in new areas of research with limited existing theory. This oral presentation will share an overview of commonly used qualitative research approaches and their applications with a focus on descriptive phenomenology for patient-centered healthcare research. Developed as part of a student-led research team looking into experiences of dysphagia among individuals with Ehlers-Danlos syndrome, this project will justify why we selected a descriptive phenomenological approach for this project, provide a …

Patterns Of And Experiences With Dysphagia In People With Hypermobile Ehlers Danlos Syndrome (Heds) With Or Without Dysautonomia, Karyssa A. Stonick, Deanna Britton Dr., Emily Goble, Alison Wong, Alena Guggenheim Dr., Donna Graville

Student Research Symposium

Ehlers Danlos Syndromes (EDS) are collagen-based hereditary connective tissue disorders characterized by decreased tissue integrity. Historically, the musculoskeletal and dermatological manifestations have been emphasized. However, EDS is associated with symptoms and conditions affecting nearly all body systems, including swallowing (dysphagia). A Cohort Discovery analysis at Oregon Health & Science University (OHSU) revealed that 14.9% ± 0.3% of patients with an ICD-10 diagnosis of EDS also have an ICD-10 diagnosis of dysphagia in their medical record. Despite only one article in the current literature, the prevalence of dysphagia in EDS is not insignificant and warrants further investigation. Our long-term hypothesis is …

Respiratory Function In Transgender And Gender Diverse Individuals On Testosterone Therapy: A Comparative Study, Jillian River R. Browy, Alicia Heitzman, Deanna Britton, Jeff Conn, Karen Drake, Aaron Ziegler

Student Research Symposium

Introduction: The primary goal of this pilot study was to examine the impact of testosterone therapy, as part of medical treatment to align gender identity, on measures of respiration and voice.

Methods: Participants consisted of a group of transgender and gender-diverse individuals, assigned female at birth, who had been taking testosterone for at least one year and a control group of age- and race-matched peers, also assigned female at birth, who had never taken testosterone. Data were collected on the primary outcomes of respiratory volume and strength, reflected by measures of forced vital capacity (FVC), maximum inspiratory pressure (MIP), and …

Dietary And Behavioral Reflux Management, Adam M. Gehr, Deanna Britton

Student Research Symposium

Chronic gastroesophageal reflux is a common contributing factor to dysphagia. Consequently, dysphagia treatment often includes discussion and education regarding behavioral management strategies and dietary modification to prevent reflux, including the provision of written materials to encourage follow-through. The goal of the current project was to revise and update the existing evidence-based pamphlet of behavioral modifications to manage reflux being used at Oregon Health & Science University (OHSU), including the addition of non-pharmaceutical beverage and homeopathic alternatives to reduce reflux and soothe gastrointestinal (GI) tissues. A scoping literature search was conducted during the period from June 2021 to March 2022 via …

Study Of Soil Lead Levels In Gwinnett County, Jaci Carithers, Alexis Katz, Philipa Wang, Farmaan Judge, Brian Matayoshi

Research Day

INTRODUCTION: The CDC estimates that over half a million US children between ages 1-5 have blood lead levels high enough to damage their health. No level of lead can exist safely in the human body, especially since lead does not aid any of its biological processes and, actually, impedes these processes. Past use of lead paint, leaded gasoline, and manufacturing and disposal procedures in lead-based industries have contributed to lead contamination of soil and water. Now, the risks of lead contaminated soil and produce in urban community gardens pose a new challenge. Saikawa Labs at Emory discovered lead slag in …

Assessing The Safety And Efficacy Of Finerenone In Patients With Chronic Kidney Disease (Ckd) And Comorbid Type Ii Diabetes (T2d), A Systematic Review, Barry Brown

Research Day

Introduction: Potassium-sparing diuretics have long since held an important place in clinical practice; though, there are only a handful of options available. A novel potassium sparing diuretic, finerenone, has recently been investigated in patients with CKD with concomitant T2D to determine its safety and efficacy in a larger group of patients.

Objectives: The purpose of this abstract is to identify and analyze phase III trial data of novel diuretic therapies in patients with CKD and comorbid T2D.

Methods: The terms, “chronic kidney disease”, “type 2 diabetes”, “new therapy”, “effect”, “renal function”, and “cardiovascular disease”, were utilized to conduct a systematic …

A Novel Method For Studying Cerebellar Responses To Tdcs Using Mice: An In Vitro Approach, Madison Cohen, Eashwar Mohan, Sagar Darira, Emily Graves, Huo Lu

Research Day

Cerebellar ataxias are a group of neurodegenerative disorders associated with impaired cerebellar circuitry leading to loss of motor coordination and balance. Recent studies using animal models have shown that transcranial direct stimulation (tDCS) could be an effective therapy for the treatment of cerebellar ataxia. The sole output of the cerebellar cortex is from the axons of Purkinje cells, which allows the cerebellum to influence motor behavior via the cerebello-thalamo-cortical pathway. However, the influence of tDCS on Purkinje cells remains unknown. In this study, we used a customized whole-cell patch-clamp chamber, which allowed for patch-clamp recordings from Purkinje cells during tDCS. …

Pcom Partners: Empowering Community Members To Reduce Covid-19 Vaccine Hesitancy, Jeisson Garcia, Gloria Joseph, Darwin Mendez, Sheeren Mohammed, Danielle Myara, Jessica Myara, Jaclyn Zibman, Megha Bhagavan, Allison Smith, Mallory Hidinger, Brian Matayoshi

Research Day

As of March 24th, 2022, more than 400 million individuals have contracted the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) worldwide with a death toll count of over six million victims. SARS-CoV-2 is an anti-discriminatory virus that affects humanity as a whole. As society navigates through this pandemic, science has found a way to improve the human body’s ability to fight against the virus by creating a vaccine against the virus. Currently there are vaccines with a high rate of effectiveness against the different variants of the virus. However, vaccine hesitancy is a major obstacle in the fight against the …

Barbaloin (Aloin-A) And Isobarbaloin (Aloin-B) Selectively Inhibit Activity Of Papain Like Protease (Plpro) Of Sars-Cov-2 In Vitro, Devin Shane Lewis, Krishna Chavada, Joanna Ho, Savannah Wills, Srujana Rayalam, Vicky Mody, Shashidharamurthy Taval

Research Day

In human adapted corona viruses (including SARS-CoV-2), the most common host entry point is through the initial colonization in the laryngeal and pharyngeal regions which are responsible for spread of the infection. Recent studies suggest that commercially available oral and nasal rinse products are effective in inhibiting the viral replication, however, the anti-viral mechanism of the active ingredients present in the oral rinses have yet to be studied. In the present study, we have assessed in vitro enzymatic inhibitory activity of active ingredients in the oral mouth rinse products: aloin-A and B, chlorhexidine, eucalyptol, hexetidine, menthol, triclosan, methyl salicylate, sodium …

An Interdisciplinary Approach To Addressing Covid-19 Vaccine Uptake Hesitancy Among Community Health Fair Participants In Gwinnett County, Ga, Grace Anim, Naima Bibi, Jared Gordon, Valerie Cadet, Edo-Abasi Mcgee

Research Day

Purpose

Vaccine uptake hesitancy is a key factor affecting public health, notably during this current COVID-19 pandemic. Addressing this is of utmost importance and poses a great challenge requiring effective communication and education. Presently, concerns raised by the public regarding hesitancy include uncertainty about vaccine safety, vaccines being produced too quickly, personal fears and beliefs, conspiracy theories, myths, misinformation, and religious leaders’ misinformation to their congregations. The purpose of this project was to identify some barriers for COVID -19 vaccine uptake hesitancy among non-vaccinated individuals attending community health fairs and possibly address their concerns through education and proper communication.

Methods …

Self-Reported Training And Confidence Levels Among Practitioners Managing Genital Lymphedema, Alicia Schmidt, Shelley Dicecco, Rhian Noble-Jones

Research Day

Introduction

Genital lymphedema (GL) can present with significant psychological, social, and physical impairments. Barriers to treatment include under-reporting, socio-cultural issues, patient/healthcare practitioner (HCP) perception/comfort, and lack of knowledge among HCPs.1-4 General lymphedema training utilizes hands-on approaches to learning for extremities; yet GL training is often minimal with little to no hands-on component. This self-reporting retrospective study investigates GL training, instruction methods, and confidence levels among HCPs.

Methods

An online 20 question survey was disseminated via direct email to HCPs that had previously downloaded tools for males/females with GL, announcements on social media pages related to lymphedema, links provided at conferences/courses, …

Isolation And Recording Of Thalamic Neuronal Activity From Ventral Medial And Ventral Lateral Thalamic Nuclei In Rat, Michael Bien, Halley Fowler, Jessica Hiscox, Anum Ul-Haque, Huo Lu

Research Day

The cerebellum, known for its role in coordination and motor adaptation, is hypothesized to travel through the thalamus in its signaling to and from the cerebral cortex, specifically through the ventral medial (VM) and ventral lateral (VL) thalamic nuclei. The thalamus is located within the diencephalon between the midbrain and cerebral cortex. It is an important relay center between the cerebellum and the motor cortex.

Isolation and recording of electrical activity from neurons in the ventral medial and ventral lateral thalamic nuclei in rats is the first step to study the thalamic response to electrical cerebellar stimulation in future experiments. …

Robotic Versus Laparoscopic Cholecystectomy: A Meta-Analysis, Lana Aleuy, Oluwaferanmi Akande, Aliu Sanni

Research Day

Background: Laparoscopic cholecystectomy (LC) remains the gold standard management of benign gallbladder disease. The adoption of the robotic platform that offers high-resolution 3- dimensional images, dexterity, better range of motion, and precise control in comparison to laparoscopic cholecystectomy (LC) into general practice is still lacking. Recent data on the safety and efficacy of Robotic cholecystectomy (RC) in comparison to LC has not yet been analyzed. The aim of this study is to evaluate the effectiveness and safety of RC compared to LC for gallbladder disease from articles published after 2017.

Methods: A systematic review was conducted using EMBASE, PubMed, and …

The Appropriate Initiation Of Parenteral Nutrition Per Aspen Criteria In A Community Hospital, Adrian Gavre, Hyeseung Kang, Dewayne Cross

Research Day

Introduction

The American Society for Parenteral and Enteral Nutrition (ASPEN) has published guidelines for the proper initiation of parenteral nutrition (PN) in order to safelyadminister PN.

Objective

The objective of this study is to determine the amount of PN orders that were appropriately initiated according to ASPEN guidelines within the WellStar North Fulton campus.

Methods

This study is a single-center, retrospective chart review over 30 months. The data was collected from Wellstar North Fulton Hospital patients from January 1st, 2019, to July 19th, 2021. The sample size is 115 patients. Appropriate initiation of PN was determined by analyzing how PN …