Medicine and Health Sciences Commons^™

The Early Steps Project: Occupational Therapy In A Pediatric Primary Care Setting, Anne H. Zachry, J. Flick, P. Richey

Faculty Presentations

The purpose of this study is expand on the Early STEPs project goal of identifying early developmental delays in infants and young children in a health disparate population and to collect preliminary data to lay the groundwork for a future NIH grant proposal. Individuals with less education have poor health and shorter life expectancies than well-educated individuals, and research reveals that poverty is directly related to limited education. An innovative approach is needed to overcome barriers, improve health literacy, and educate parents on effective parenting strategies for this population. Technology may be the part of the solution to this issue. …

Medical School Watercooler Newsletter - August 19, 2018, Lindsey Lyle

Watercooler Newsletter

This is the August 19, 2018 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents Include:

• Dan Howard Joins USA Health as Chief Information Officer
• Dr. Frankel to Discuss 'The Gut Microbiota and Cancer Immunotherapy' at Med School Café
• USA Health Expansion Proves Beneficial for Resident Physicians
• Cardiology to Host Grand Rounds Sept. 7
• Basic Medical Sciences Graduate Program Student Receives American Heart Association Funding for Fellowship
• Register Now: 27th Annual Obstetrics and Gynecology Conference
• Class of 2019 Medical Students Named to Alpha Omega Alpha Honor Medical Society

Electrocardiographic Characteristics, Antiarrhythmic Utilization, And Outcomes In Patients With Left Ventricular Assist Devices, Scott Lundgren, Elizabeth Lyden, Douglas Stoller, Marshall Hyden, Adam Burdorf, Ronald Zolty, John Um, Brian Lowes

The VAD Journal

Background: Left ventricular assist devices (LVAD) are an increasingly used therapy for patients with advanced heart failure. Arrhythmias are common complications following LVAD implantation requiring admission, initiation, and escalation of medical therapy. Despite their frequent use in the treatment of arrhythmias, little has been reported regarding electrocardiographic changes, antiarrhythmic utilization, and outcomes post-LVAD.

Methods: A total of 309 patients who received a LVAD underwent retrospective chart review pre- and post-LVAD. Kaplan-Meier curves were calculated and compared using the log-rank test. Cox regression model was used for univariate analysis and those with a p

Results: There was a significant reduction in …

"Use Of Non-Technical Skills Training & Video Simulation To Improve Knowledge Among Nurse Anesthesia Trainees", Laurie L. Mclaughlin

College of Science and Health Theses and Dissertations

Background: The transition from didactic component to clinical practice is challenging for nurse anesthesia trainees. When faced with an airway crisis, successful management involves non-technical skills, which include recognition, decision-making, and prioritization. Limited data is available on the efficacy of instructional video on enhancing non-technical skills during airway crisis management among nurse anesthesia trainees.

Purpose: The purpose of this study was to examine the efficacy of instructional video simulation on enhancing the nurse anesthesia trainee’s knowledge of recognition, decisionmaking, and prioritization during bronchospasm and laryngospasm airway crises.

Methods: A quasi-experimental pre-test and post-test design was used to investigate the effect …

Teaching Links Between Epigenetics And Anesthesia To Anesthesia Providers, Bilanicz Slawomir

College of Science and Health Theses and Dissertations

Background

Epigenetics has been proposed as the epicenter of anesthesia research. The epigenetic landscape developed by Waddington reflects that human diversity is likely the result of a myriad of complex interactions between both intracellular and environmental environments, rather than a simple one-to-one protein coding of the genome. A gap in the literature identifies a need to better explore links between epigenetics and anesthesia. No formal educational program on this topic geared toward anesthesia providers was identified based on the comprehensive literature review completed.

Objectives

This study aimed to describe the knowledge of the anesthesia providers including Certified Registered Nurse Anesthetists …

"Current Anesthesia Education Practices Regarding Music As An Adjunct For Analgesia And Anxiolysis ", Taylor Hull

College of Science and Health Theses and Dissertations

Background: Music has been proven as an effective complementary and alternative medicine, and can be an important tool for nurse anesthetist.

Objectives: The purpose of this project was to assess if nurse anesthesia programs are including music as a part of the complementary and alternative medicine (CAM) curriculum for anxiety and pain in the perioperative setting.

Method: A descriptive survey was sent to program directors of nurse anesthesia programs in the United States to assess the current level of awareness and education regarding music as an alternative medicine as well as barriers to the addition of music into curriculum. …

Implementation And Compliance With A Goal-Directed Fluid Therapy (Gdft) Protocol For Hip Arthroplasties: A Two-Year Review, Michelle N. Pavlik

College of Science and Health Theses and Dissertations

Background: Historically, goal-directed fluid therapy (GDFT) has been shown to improve patient outcomes when used in the perioperative setting for specific cases (colorectal, etc). When anesthesia providers use GDFT protocols, intraoperative fluid therapy is” patient specific” via the use of dynamic patient-specific physiologic parameters.

Objectives: The aim of the study is to assess whether GDFT improved patient-specific fluid administration. A secondary aim was to assess adherence to the instated GDFT protocol.

Method: A retrospective chart review was conducted on 201 patients undergoing total hip arthroplasty (THA) procedures following implementation of a GDFT protocol at the University of Illinois at Chicago …

A Malignant Hyperthermia Competency Training For Nurse Anesthesia Trainees: Development, Implementation, And Evaluation, Andrew M. Christ

College of Science and Health Theses and Dissertations

Background: Video simulation is an alternative method of teaching that can play an important role in nurse anesthesia education. Using video simulation for uncommon crisis could prove beneficial.

Objectives: The purpose of this study is to analyze the effects of an educational video simulation regarding malignant hyperthermia (MH) recognition and management on knowledge of nurse anesthesia trainees (NATs).

Methods: A single group pretest-posttest design was used to compare knowledge on recognition and management of malignant hyperthermia. The study included a voluntary convenience sample of junior and senior nurse anesthesia trainees at NorthShore University HealthSystem School of Nurse Anesthesia. Pretest scores …

Efficacy And Usefulness Of An Educational Video On Safe Medication Handling, Molly Wenzel

College of Science and Health Theses and Dissertations

Background: Medication errors are a significant and detrimental issue in anesthesia practice and have the potential to have drastic effects for patients, providers, and hospitals; therefore, it is important to determine if an educational video on safe medication handling technique can improve knowledge on safe medication handling. Objectives: The purpose of this study was to evaluate the efficacy and perceived usefulness of an investigator-developed educational video on nurse anesthesia trainees’ (NATs) knowledge of safe medication handling.

Methods: A single group pretest-posttest design was used to evaluate actual knowledge and perceived usefulness of safe medication handling video. A convenience sample included …

Efficacy And Usefulness Of An Educational Video On Safe Medication Handling, Suzanne Butz Anderson

College of Science and Health Theses and Dissertations

Background: Medication errors are a significant and detrimental issue in anesthesia practice and have the potential to have drastic effects for patients, providers, and hospitals; therefore, it is important to determine if an educational video on safe medication handling technique can improve knowledge on safe medication handling. Objectives: The purpose of this study was to evaluate the efficacy and perceived usefulness of an investigator-developed educational video on nurse anesthesia trainees’ (NATs) knowledge of safe medication handling.

Methods: A single group pretest-posttest design was used to evaluate actual knowledge and perceived usefulness of safe medication handling video. A convenience sample included …

Are Independent Double-Checks Vital Prior To Safe Subcutaneous Insulin Administration?, Sarah Turecek

Articles, Abstracts, and Reports

BACKGROUND: With the epidemic of diabetes mellitus projected to rise from 1 in 10 U.S. adults (year 2010) to 1 in 3 by the year 2050, there is a need for health care organizations to prepare nurses to manage the complexity of meeting the needs of patients with diabetes, especially in the timely administration of subcutaneous insulin. The traditionally accepted practice of double-checking subcutaneous insulin before administration, albeit non-evidence-based, poses a clinical problem by imposing an unnecessary demand on nurses’ workload, which places an obstacle to their timely administration of time-critical subcutaneous insulin.

PURPOSE: This project aimed to examine if …

Uplc-Ms/Ms Analysis Of Dextromethorphan-O-Demethylation Kinetics In Rat Brain Microsomes, Barent N. Dubois, Reza Mehvar

Pharmacy Faculty Articles and Research

Formation of dextrorphan (DXT) from dextromethorphan (DXM) has been widely used to assess cytochrome P450 2D (CYP2D) activity. Additionally, the kinetics of CYP2D activity have been well characterized in the liver microsomes. However, studies in brain microsomes are limited due to the lower microsomal content and abundance of CYP2D in the brain relative to the liver. In the present study, we developed a micro-scale enzymatic incubation method, coupled with a sensitive UPLC-MS/MS assay for the quantitation of the rate of DXT formation from DXM in brain microsomes. Rat brain microsomes were incubated with different concentrations of DXM for various times. …

“You Travel Faster Alone, But Further Together”: Learning From A Cross Country Research Collaboration From A British Council Newton Fund Grant, Priscilla Reddy, Rachana Desai, Sibusiso Sifunda, Kalipso Chalkidou, Charles Hongoro, William Macharia, Helen Roberts

Faculty of Health Sciences, East Africa

Abstract: Providing universal health coverage (UHC) through better maternal, neonatal, child and adolescent health (MNCAH) can benefit both parties through North–South research collaborations. This paper describes lessons learned from bringing together early career researchers, tutors, consultants and mentors from the United Kingdom, Kenya, and South Africa to work in multi-disciplinary teams in a capacity-building workshop in Johannesburg, co-ordinated by senior researchers from the three partner countries. We recruited early career researchers and research users from a range of sectors and institutions in the participating countries and offered networking sessions, plenary lectures, group activities and discussions. To encourage bonding and accommodate …

Management Of Diabetic Foot Ulcer: A Literature Review, Angger Anugerah Hadi Sulistyo

Jurnal Keperawatan Indonesia

This article explores the effective management of diabetic foot ulcer. A literature review was conducted by analyzing scholar papers including systematic review, clinical and a randomized control trial published between 2000 to 2016 in the English language. Data were searched through CINAHL, PubMed, Proquest and Google Scholar. The keywords used were diabetic foot ulcer or diabetic foot ulcers or diabetic foot or neuropathic foot ulcer combined with assessment and treatment. There were two kinds of assessment used in diabetic foot ulcer which are risk assessment and wound assessment. The treatments that frequently used in diabetic foot ulcer are systemic treatment …

1600 Rn, Jonathan Archibald, Natasha Stankiewicz, Mark Parker, Elizabeth Ridel-Dermanelian, Sandy Ridel-Dermanelian, Amy Stafford, Shawn Taylor, Deb Jackson, Alana Trottier, Roger Maynard, Bonnie Boivin

MaineHealth Maine Medical Center

Due to a changing employment arena, healthcare organizations are hiring more new graduate RNs into acute care units. MMC’s usual process is to put new hires into night shift. Historically, night shifts have less resource availability. These combined factors left staff feeling unsupported; patient care could be compromised when less support is available to those in the beginning of their careers.

Lacrimal Gland Tumors In Turkey: Types, Frequency, And Outcomes., Yağmur Seda Yeşiltaş, Ahmet Kaan Gündüz, Esra Erden, Carol L. Shields

Wills Eye Hospital Papers

AIM: To evaluate the clinical, radiological, and treatment features of lacrimal gland tumors.

METHODS: Retrospective review of 99 eyes of 92 patients with lacrimal gland tumors diagnosed and managed in a single institution between January 1999 and March 2017. Clinical and radiological features, histopathology, treatment methods, and prognosis were evaluated.

RESULTS: The mean patient age was 40.3 (range: 7-80)y. The diagnosis was made histopathologically in 91 (91.9%) tumors and on a clinical and radiological basis in 8 (8.1%) tumors. Final diagnoses included idiopathic orbital inflammation (pseudotumor) in 46 (46.5%) lesions, pleomorphic adenoma in 14 (14.1%), adenoid cystic carcinoma in 12 …

Fast And Powerful Genome Wide Association Of Dense Genetic Data With High Dimensional Imaging Phenotypes, Habib Ganjgahi, Anderson M. Winkler, David C. Glahn, John Blangero, Brian Donohue, Peter Kochunov, Thomas E. Nichols

School of Medicine Publications

Genome wide association (GWA) analysis of brain imaging phenotypes can advance our understanding of the genetic basis of normal and disorder-related variation in the brain. GWA approaches typically use linear mixed effect models to account for non-independence amongst subjects due to factors, such as family relatedness and population structure. The use of these models with high-dimensional imaging phenotypes presents enormous challenges in terms of computational intensity and the need to account multiple testing in both the imaging and genetic domain. Here we present a method that makes mixed models practical with high-dimensional traits by a combination of a transformation applied …

Identifying And Improving Drug Diversion Protocols Through Behavioral Drug Diversion Identification, Leonard Simon

Grace Peterson Nursing Research Colloquium

No abstract provided.

The Effects Of Exercise On Depression In African American And Latino Population, Emmanuel Conliffe

Grace Peterson Nursing Research Colloquium

Abstract

Background: Several studies have shown the effectiveness of exercise as a potential treatment for major depression disorder, but few have focused specific populations such as Blacks and Hispanics. Due to cultural concerns about anti-depressant medications, using exercise and physical activities can be an attractive approach for treatment of depression in African American and Latino populations.

Objectives: To identify the effects of exercise and physical activity on depression among the minority population and to determine whether exercise is an effective type of therapy for this population.

Methods: An integrated literature review was conducted. The keywords included “depression, therapeutic exercise, physical …

Interrelated Topics And Contributing Factors Of African-American Disparities Identified Within Race-Related Sickle Cell Literature, Erica Watkins

Grace Peterson Nursing Research Colloquium

Abstract

Background: Sickle cell disease is a predominately African-American disease that affects more than 100,000 people in the United States. Unfortunately, these patients are subject to many healthcare disparities and issues pertaining to race are often overlooked or marginalized in sickle cell literature.

Objectives:The purpose of this integrative literature review was to expose trending topics amongst race-related sickle cell literature, identify the factors that are found to contribute to sickle cell disease healthcare disparities and report whether or not race was found to affect the management of sickle cell disease.

Method:An integrative literature review was used.

Results:The …

Effective Learning Methods For Clinical Skills In Simulation Laboratories: High-Fidelity Mannequins And Standardized Patients, Sandra Cupic

Grace Peterson Nursing Research Colloquium

Abstract

Background: Many nursing programs are utilizing simulation laboratories to teach clinical skills in a safe environment. Two modes of high-fidelity simulation—high-fidelity mannequins and standardized patients (SPs)—allow for an interactive experience that closely resembles the health care setting.

Objectives: The purpose of this integrative literature review was to compare the two high-fidelity simulation methods—high-fidelity mannequins and standardized patients (SPs)—and their benefits when it comes to the development of nursing skills. Furthermore, the paper explored how skills learning laboratories can be optimized.

Method: An integrative literature review of 19 research articles was conducted using databases of CINAHL, ERIC, …

Self-Perception Of Body Image In Female Patients Living With Ostomies, Elizabeth Cairns

Grace Peterson Nursing Research Colloquium

Background: Women living with ostomies face altered function and appearance of their bodies resulting in social challenges as well as altered self-perception of body image.

Objectives: The purpose of this study is to examine the impact of living with a stoma on self-perception of body image among females and well as identify current and proposed interventions to promote a positive body image in this population.

Method: An integrative review of the literature was conducted searching the databases CINAHL, ProQuest, and PsycINFO. Search terms included ostomy, stoma, ileostomy, colostomy, perception, body image, woman, women, and female.

Results: Many women experience negative …

Attitudes And Beliefs Among Anesthesia Provides Regarding Smartphone Use For Intraoperative Anesthetic Management, Jasprit Dulat, Marjorie Reeves

Grace Peterson Nursing Research Colloquium

Background: Smartphone technology has evolved at the same accelerated pace as healthcare technological innovation. The literature shows that healthcare providers already utilize Smartphone technology to bridge gaps in knowledge and provide quality care to patients. Critics of these advancements are leery about Smartphone use in the operating room (OR) because it may be a source of distraction for anesthesia providers; however, supporters argue that their use is also recognized as a potential aid in learning. Objectives: This study was conducted to assess workplace attitudes and beliefs regarding the use of Smartphones in the operating room in order to establish policies …

Pediatric Peanut Allergy Prevalence Review, Kaitlyn Lynch

Grace Peterson Nursing Research Colloquium

Abstract

Background: The rates of childhood allergies are increasing, prompting the need for continued research. The specific immune reaction to the allergen, peanuts, is the highest reported food allergy in children. The gap in knowledge is regarding the reasons behind the increased prevalence rates and the discrepancies in recommended guidelines for infant introduction of peanuts.

Purpose of Study: The review of studies narrowed down the reasons for prevalence and combined the current research into one integrative review. Additionally, the research standardized protocol recommendations for the early introduction of peanuts in infancy. The integrative review consolidated recent research on peanut prevalence …

Factors Associated With The Rise In Repeat Cesarean Deliveries, Danielle Walczak

Grace Peterson Nursing Research Colloquium

Abstract

Background: Women choose elective repeat cesarean deliveries as opposed to vaginal birth after cesarean (VBAC’s) based on various reasons and these choices are most often made without adequate education from healthcare professionals.

Objectives: The purpose of this integrative literature review is to determine why there is a continuing rise in elective repeat cesareans and whether women in the United States are being routinely informed of VBAC’s based off of their decision for the mode of delivery.

Method: An integrative literature review was conducted using the databases of CINAHL, PubMed, ProQuest Nursing and Allied Health, and other studies from journals …

Common Components Of Fetal Alcohol Spectrum Disorder Prevention Intervention Programs: A Review Of Literature, Ross Siemering

Grace Peterson Nursing Research Colloquium

Abstract

Background: Fetal alcohol spectrum disorders (FASD) are the most common yet completely preventable cause of mental disability in the western world.

Objective: The purpose of this integrative literature review is to examine and identify the common elements among varying interventions for FASD prevention that have demonstrated effectiveness for reducing the risk of FASD to better understand what defining features may contribute to the efficacy of the interventions.

Methods: An integrative literature review was conducted. The databases searched included: CINAHL, PubMed, Cochrane Library, and Science Direct. Articles were then reviewed to determine if they were appropriate for inclusion based upon …

The Effects Of Complementary And Alternative Medicine Therapies On Cognition In Older Adults Diagnosed With Mild Cognitive Impairment: An Integrative Literature Review, Candance Swanigan

Grace Peterson Nursing Research Colloquium

Background: The aging U.S. population is expected to produce a significant increase in persons with progressive cognitive impairment or dementia. A method to prevent, halt, or slow this decline has yet to be found. Research suggests that a multidomain approach in the early stages of impairment, such as in mild cognitive impairment (MCI) should be investigated as an integrative strategy to prevent cognitive decline. Complementary and alternative therapies have the ability to be a part of an integrative approach to preventing cognitive decline.

Objectives: The purpose of study is to explore what research has been conducted regarding complementary and alternative …

Evaluation Of Video Games On Adolescent Health: An Integrative Literature Review, Benjamin Yohannan

Grace Peterson Nursing Research Colloquium

Abstract

Background: As technology has advanced, use video games can make an impact an adolescent’s life. While there is controversy in the use of video games, there are limited studies to a provide a comprehensive review of the positive and negative effects regarding the use of video games.

Objectives: The purpose of this literature review was to use current research in determining whether or not video games are favorable in adolescent’s health by understanding its risks and benefits. With these considerations, appropriate recommendations can be provided to determine how to make the video games more beneficial.

Method: An integrative …

Implementation And Compliance With A Goal-Directed Fluid Therapy (Gdft) Protocol For Total Hip Arthroplasties: A Two-Year Review, Michelle Pavlik

Grace Peterson Nursing Research Colloquium

Background: Historically, goal-directed fluid therapy (GDFT) has been shown to improve patient outcomes when used in the perioperative setting for specific cases (colorectal, etc). When anesthesia providers use GDFT protocols, intraoperative fluid therapy is” patient specific” via the use of dynamic patient-specific physiologic parameters.

Objectives: The aim of the study is to assess whether GDFT improved patient-specific fluid administration. A secondary aim was to assess adherence to the instated GDFT protocol.

Method: A retrospective chart review was conducted on 201 patients undergoing total hip arthroplasty (THA) procedures following implementation of a GDFT protocol at the University of Illinois at Chicago …

Food Assistant Programs’ Food Quality And The Risk Of Developing Type Ii Diabetes In Native Americans, Ignacio Perez Jr

Grace Peterson Nursing Research Colloquium

Abstract

Background: A key factor behind the high rates of diabetes among Native Americans living in reservations is the high poverty rate. Though food assistance is provided on reservations to combat poverty and food insecurity, the rates of type II diabetes are still at an alarming high rate. Continuation of the alarming incidence of type II diabetes brings to question the nutritional quality of the food offered by food assistance programs.

Objectives: The purpose of study was to examine food assistance programs utilized by Native Americans to determine if the food quality may have an impact on the risk of …