Medicine and Health Sciences Commons^™

Physician Satisfaction With Integrated Behavioral Health In Pediatric Primary Care., Jeffrey F. Hine, Allison Q. Grennan, Kathryn M. Menousek, Gail Robertson, Rachel J. Valleley, Joseph H. Evans

Manuscripts, Articles, Book Chapters and Other Papers

As the benefits of integrated behavioral health care services are becoming more widely recognized, this study investigated physician satisfaction with ongoing integrated psychology services in pediatric primary care clinics. Data were collected across 5 urban and 6 rural clinics and demonstrated the specific factors that physicians view as assets to having efficient access to a pediatric behavioral health practitioner. Results indicated significant satisfaction related to quality and continuity of care and improved access to services. Such models of care may increase access to care and reduce other service barriers encountered by individuals and their families with behavioral health concerns (ie, …

Sleep Disorders And Kidney Transplant Outcomes: Findings From An 18-Year (1997-2015) Historical Cohort Study, Margaret M. Lubas

Health Services Research Dissertations

A historic cohort study of kidney transplant recipients with a failed graft was conducted to examine the associations between sleep disorders and kidney transplant outcomes. Adult kidney transplant recipients who were transplanted and failed or died with a functioning graft during the designated study time period (January 1, 1997 to September 1, 2015, inclusive) were included (n=299). The primary independent variables, any sleep disorder and any sleep-disordered breathing disorders, were defined through a diagnosis in a subject’s medical record. Transplant outcomes included: death with a functioning graft, graft survival time, and patient survival time after graft failure.

Chi-square statistics were …

From Solvent-Free Microspheres To Bioactive Gradient Scaffolds, Morta Rasoulianboroujeni, Mostafa Yazdimamaghani, Payam Khoshkenar, Venkata Raveendra Pothineni, Kwang-Min Kim, Teresa A. Murray, Jayakumar Rajadas, David K. Mills, Daryoosh Vashaee, Keyvan Moharamzadeh, Lobat Tayebi

School of Dentistry Faculty Research and Publications

A solvent-free microsphere sintering technique was developed to fabricate scaffolds with pore size gradient for tissue engineering applications. Poly(D,L-Lactide) microspheres were fabricated through an emulsification method where TiO₂ nanoparticles were employed both as particulate emulsifier in the preparation procedure and as surface modification agent to improve bioactivity of the scaffolds. A fine-tunable pore size gradient was achieved with a pore volume of 30 ± 2.6%. SEM, EDX, XRD and FTIR analyses all confirmed the formation of bone-like apatite at the 14^th day of immersion in Simulated Body Fluid (SBF) implying the ability of our scaffolds to bond to …

Predoctoral Dental Students’ Perceptions Of Dental Implant Training: Effect Of Preclinical Simulation And Clinical Experience, Soni Prasad, Naveen K. Bansal

School of Dentistry Faculty Research and Publications

The aims of this study were to assess 1) differences in perceptions of dental implant training between dental students who received didactic training alone (control group) and those who received didactic plus simulation training (test group); 2) differences in response between students with and without clinical experience in implant dentistry; and 3) the interaction effect of simulation training and clinical experience on students’ satisfaction. A survey was distributed to the control group in 2014 and to the test group in 2015; both groups were at the same U.S. dental school. Data were collected on confidence levels with various implant restorative …

The Immediate Cardiovascular Response To Joint Mobilization Of The Neck - A Randomized, Placebo-Controlled Trial In Pain-Free Adults, Emmanuel Yung, Cheongeun Oh, Michael Wong, Jason K. Grimes, Erica M. Barton, Muhammad I. Ali, David A. Cameron

All PTHMS Faculty Publications

Background: Some normotensive patients can have a spike in resting systolic blood pressure (SBP) in response to acute neck pain. Applying the typical dosage of mobilization may potentially result in a sympatho-excitatory response, further increasing resting SBP. Therefore, there is a need to explore other dosage regimens that could result in a decrease in SBP.

Objectives: To compare the blood pressure (BP) and heart rate (HR) response of pain-free, normotensive adults when receiving unilateral posterior-to-anterior mobilization (PA) applied to the neck versus its corresponding placebo (PA-P).

Study design: Double-Blind, Randomized Clinical Trial.

Ultrasound-Guided Vascular Access: An Evolving Standard Of Care Clinical Practice, Which Is Extremely Under-Utilized In Pakistan, Mohammad Irfan Akhtar, Mohammad Hamid, Fauzia Minai

Department of Anaesthesia

No abstract provided.

Misplaced Cervical Screws Requiring Reoperation., Jeremy C. Peterson, Paul M. Arnold, Zachary A. Smith, Wellington K. Hsu, Michael G. Fehlings, Robert A. Hart, Alan S. Hilibrand, Ahmad Nassr, Ra'kerry K. Rahman, Chadi A. Tannoury, Tony Tannoury, Thomas E. Mroz, Bradford L. Currier, Anthony F. De Giacomo, Jeremy L. Fogelson, Bruce C. Jobse, Eric M. Massicotte, K. Daniel Riew

Rothman Institute Papers

STUDY DESIGN: A multicenter, retrospective case series.

OBJECTIVE: In the past several years, screw fixation of the cervical spine has become commonplace. For the most part, this is a safe, low-risk procedure. While rare, screw backout or misplaced screws can lead to morbidity and increased costs. We report our experiences with this uncommon complication.

METHODS: A multicenter, retrospective case series was undertaken at 23 institutions in the United States. Patients were included who underwent cervical spine surgery from January 1, 2005, to December 31, 2011, and had misplacement of screws requiring reoperation. Institutional review board approval was obtained at all …

Education And Experience In Nursing Professional Values Development, Heidi A. Monroe

Education Dissertations

The nursing code of ethics (American Nurses Association [ANA], 2015) defines professional values for the nurse, but educational differences experienced by nursing students as well as varied work experiences after licensure may affect development of those values. The purpose of this study was to measure the professional values of practicing registered nurses (RNs) in the state of Washington (WA) using the Nurses Professional Values Scale-Revised (NPVS-R; Weis & Schank, 2009), and to determine if their values were significantly related to variables of education and experience. Independent variables in this study were type of pre-licensure nursing program, pre-licensure ethics curriculum method, …

Regulation Of System Xc-By The Neuropeptide Pacap: Implications For Glutamate Transmission In Drug Addiction, Linghai Kong

Dissertations (1934 -)

Drug addiction is a chronic brain disorder characterized by heightened relapse susceptibility. Drug-induced aberrant glutamate signaling in corticostriatal circuitry contributes to behaviors in virtually every preclinical model of drug seeking and correlates with drug craving in human. Here, we propose that glutamate signaling is a product of integrated activity between neurons and astrocytes, such that disruptions within astrocytes can stem from abnormal neuronal signaling (e.g., altered corticostriatal firing) and be the source of additional disruptions in other neuronal circuits. The astrocytic mechanism studied in these experiments is system xc- (Sxc) since drug-induced changes to this non-vesicular glutamate release mechanism contribute …

The Cry Of The Poor: Anthropology Of Suffering And Justice In Health Care From A Latin American Liberation Approach, Alexandre Andrade Martins

Dissertations (1934 -)

This dissertation examines the connection between poverty and health inequalities from a liberation theological ethics perspective. It uses Simone Weil’s and Latin American liberation theology’s approaches to suffering and social justice as theoretical sources to address health inequalities and the suffering of the poor because of social injustice, vulnerability to diseases, and lack of healthcare assistance. First of all, these approaches are examined from how they shape an anthropology of suffering that enable us to understand the suffering of the poor and, at the same time, to recognize them as agents of their own liberation and struggle for justice in …

The Impact Of A Focused Factory On Intraoperative Cost Per Case In Elective Total Knee Replacement Surgery., Hope L. Johnson Msn, Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

Enhancing Communication Along The Perioperative Continuum., Amanda L. Knoll Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

We’Ve Got Talent: Partnering With Human Resources For Recruitment (Poster)., Jeanne P. Luke Msn, Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

Orthostatic Blood Pressure Vital Signs: Educating Staff To Keep Our Geriatric Population Safe., Hilary A. Boos Bsn, Rn, Erin Snyder Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Data Supporting The Effects Of Lysozyme On Mrna And Protein Expression In A Colonic Epithelial Scratch Wound Model, Sarah K. Abey, Paule V. Joseph, Natnael D. Kenea, Nicolaas H. Fourie, Lee Anne B. Sherwin, Christina M. Boulineaux, Kristen R. Weaver-Toedtman Phd, Acnp, Anp, Wendy A. Henderson

Publications

Colonic epithelial health is implicated in a host of gastrointestinal (GI) diseases and disorders. Lysozyme is suspected to play a role in the ability of the epithelium to recover from injury (Abey et al., in press; Gallo, 2012; Rubio, 2014) [1–3]. Disrupted repair mechanisms may lead to delayed or ineffective recovery and disruptions to epithelial biology resulting in GI symptoms and altered barrier function (Peterson and Artis, 2014) [4]. The effect of lysozyme on the transcriptomic and proteomic profile of healthy colonic epithelial cells was investigated. Epithelial cells in culture were scratch wounded and treated with lysozyme. mRNA and protein …

Curated Exhibit Price Of War: Advances In Military Medicine, Laura J. Hall

Posters and Presentations

The Price of War: Advances in Military Medicine exhibit, curated by Laura J. Hall, MFA, explored the significant medical innovations arising from wartime, with a special focus on New Mexico's contributions. The exhibit highlighted the development of the atomic bomb at Los Alamos National Labs and the Trinity Site, the post-war work of the Atomic Bomb Casualty Commission, and the pioneering efforts of Dr. Randy Lovelace in space medicine. On display from April 1, 2017, to March 17, 2020, it documented key medical advancements, from field surgical installations in World War II to modern prosthetics and regenerative medicine, showing how …

Responding To Student Crises At A Regional Campus: A Case Study., Margaret A. Hadinger Edd, Ms, Robert D. Barraco Md, Mph, Kelliann Herman Mba, Michael J. Larock Md

Department of Education

No abstract provided.

A Review Of The Role Of Interleukin-6 On Disease Progression In Epithelial Ovarian Cancer, Urmimala Chaudhuri

Browse all Theses and Dissertations

Ovarian cancer is one of the most harmful gynecological cancers and has one of the highest mortality rates. As ovarian cancer progresses, the patient has changes to the immune system and energy metabolism with symptoms being weight loss, nausea, and fatigue. Changes to the immune system include overexpression of proinflammatory cytokines. One such cytokine is Interleukin-6 (IL-6), which is a useful prognostic marker to measure disease progression. IL-6 is thought to promote cancer cell proliferation by upregulating apoptosis inhibitory proteins. IL-6 also plays a role in ascites formation. While tumors may initially respond to chemotherapy treatment, most patients will have …

Extensive Mediastinal Aspergillosis Presenting With Dyspnoea And Cardiac Tamponade Symptoms, Syed F Mustafa, Hamza Ar Khan, Saulat H. Fatimi

Department of Surgery Docs

No abstract provided.

High Acuity Readmission Risk Pediatric Screen Tool (Harrps), Sarah Bradshaw, Anita Powell

Presentations

Podium Presentation on Quality Improvement Project: Implementing Use of HARRPS Tool

Objectives:

• Describe the development of an evidence-based pediatric risk screen tool for inpatient admissions
• Articulate how formal Continuous Quality Process Improvement (CQPI) methods were utilized during implementation
• Discuss lessons learned and next steps

Graduate Medical Education: Ready For Reform An Analysis Of The Current State Of Change In Pediatric Residencies, Mallory Benson 17

Honor Scholar Theses

No abstract provided.

Anterior Cervical Infection: Presentation And Incidence Of An Uncommon Postoperative Complication., George M. Ghobrial, James S. Harrop, Rick C. Sasso, Chadi A. Tannoury, Tony Tannoury, Zachary A. Smith, Wellington K. Hsu, Paul M. Arnold, Michael G. Fehlings, Thomas E. Mroz, Anthony F. De Giacomo, Bruce C. Jobse, Ra'kerry K. Rahman, Sara E. Thompson, K Daniel Riew

Department of Neurosurgery Faculty Papers

STUDY DESIGN: Retrospective multi-institutional case series.

OBJECTIVE: The anterior cervical discectomy and fusion (ACDF) affords the surgeon the flexibility to treat a variety of cervical pathologies, with the majority being for degenerative and traumatic indications. Limited data in the literature describe the presentation and true incidence of postoperative surgical site infections.

METHODS: A retrospective multicenter case series study was conducted involving 21 high-volume surgical centers from the AOSpine North America Clinical Research Network, selected for their excellence in spine care and clinical research infrastructure and experience. Medical records for 17 625 patients who received cervical spine surgery (levels from C2 …

The Role Of The Dental College Of Georgia In Meeting The Oral Health Needs Of Georgians, Carol A. Lefebvre

Journal of the Georgia Public Health Association

N/A

Social Networks As Predictors Of Colorectal Cancer Screening In African Americans, Ernest Alema-Mensah, Selina A. Smith, Mechelle Claridy, Victor Ede, Benjamin Ansa, Daniel S. Blumenthal

Journal of the Georgia Public Health Association

Background: Early detection can reduce colorectal cancer (CRC) mortality by 15%–33%, and screening is widely recommended for average-risk adults beginning at age 50 years. Colorectal cancer mortality rates are higher in African Americans than in whites, while screening rates are somewhat lower. Individual social networks can reduce emotional and/or logistical barriers to healthpromoting but distasteful procedures such as CRC screening. The aim of this study was to examine social network interactions, and their impact on CRC screening among African Americans. We hypothesized a positive association between social network index (SNI) scores and CRC screening.

Methods: In a community intervention trial …

A Review Of Strategies To Increase Access To Oral Health Services, Breyanna Davis, Sara Plaspohl

Journal of the Georgia Public Health Association

Background: Leading Health Indicators (LHIs), a subset of objectives for Healthy People 2020, were selected to communicate at-risk health issues and actions that can be taken to address them. Nationally, the number of children, adolescents, and adults who visited the dentist in the past year has decreased, suggesting that oral health continues to be a problem caused by barriers preventing access to oral health services. This review aimed to identify strategies to increase access to oral health services that will be useful in moving toward the LHI objectives.

Methods: Preliminary research was conducted on the LHI via the Healthy People …

Onset Of Mild Cognitive Impairment In Parkinson Disease, David K. Johnson, Zachary Langford, Mauricio Garnier-Villarreal, John C. Morris, James E. Galvin

College of Nursing Faculty Research and Publications

Objective: Characterize the onset and timing of cognitive decline in Parkinson disease (PD) from the first recognizable stage of cognitively symptomatic PD-mild cognitive impairment (PD-MCI) to PD dementia (PDD). Thirty-nine participants progressed from PD to PDD and 25 remained cognitively normal.

Methods: Bayesian-estimated disease-state models described the onset of an individual’s cognitive decline across 12 subtests with a change point.

Results: Subtests measuring working memory, visuospatial processing ability, and crystalized memory changed significantly 3 to 5 years before their first nonzero Clinical Dementia Rating and progressively worsened from PD to PD-MCI to PDD. Crystalized memory deficits were …

The Effects Of Behavioral Momentum On Increasing Expressive Writing Behaviors In Children Resistant To Writing Tasks, Hannah D. Batley Psyd

All Student Scholarship

Within this study, the author aimed to expand the research on high-probability/lowprobability (high-p/low-p) interventions to examine the effects of behavioral momentum on the academic behavior of expressive writing. Two second-grade students were selected based on a history of avoidance of with writing tasks, where motivation was determined to be the primary variable impacting expressive writing engagement. An alternating treatments design was used to compare the effects of a traditional expressive writing prompt to the utilization of a high-p/low-p response sequence where instructions to engage in high-probability writing tasks preceded the prompt to complete lowprobability writing tasks. Two dependent variables were …

I Use The Student Recreation Center, But I Would Use It More If…: Understanding Male And Female Constraints To Student Recreation Center Use, Christopher L. Stankowski, Nate E. Trauntvein, Stacey L. Hall

Kinesiology and Health Science Faculty Publications

Studies have found that there is a positive relationship between the number of student visits to campus recreation and academic outcomes such as rates of graduation and grade point average (Huesman, Brown, Lee, Kellogg, & Radcliffe, 2009). Despite the strong correlation between use of fitness facilities and academic performance some students choose not to visit, while some who use the facilities may not be maximizing such use due to constraints (barriers). The purpose of this study was to understand the constraints to using the campus recreation facility at a midsized New England university. Moreover, this study sought to understand the …

Maximizing Health Outcomes In A Medical Home For Children With Medical Complexity: The Beacon Program., Ingrid Larson, Amber Hoffman, Michael Artman

Manuscripts, Articles, Book Chapters and Other Papers

No abstract provided.

The Relationship Between Body Composition, Stress, And Academic Performance In First-Semester College Students, Josie Mansperger

Honors Projects

Background: Students often experience undesirable body composition changes, as well as previously unknown stressors, during the transition to college. This study characterizes the relationship between body composition, stress, and academic performance in the first semester of college.

Methods: At the beginning and end of their first semester, 54 students (59.2% female) completed in-person weight and fat assessment (bioelectrical impedance analysis), as well as online stress assessment (“academic stress” via the Inventory of College Students’ Recent Life Experiences, ICSRLE, and “perceived stress” via the Perceived Stress Scale, PSS). Grade point average (GPA) was obtained from the registrar. Paired t-tests were used …