Medicine and Health Sciences Commons^™

Meaningful Measurement Of Diversity Initiative Outcomes, Cheryl Thompson

Posters and Presentations: State of the Art Nursing Conference

Diversification of students graduating from Nebraska colleges and schools of nursing is essential to providing a diverse healthcare workforce. Diversity related strategic plans typically include goals expressed using terms such as “increase”, “improve”, or “enhance” the diversity of their applicant pools or graduates. Less common is the practice of providing specific quantitative goals for setting or measuring progress towards expressed goals. This session will demonstrate a method for evaluating current diversity of students or graduates, setting concrete, measurable goals or benchmarks, and evaluating the outcome of diversity initiatives. Participants will take home a detailed tool for determining if recruitment, admission, …

Analytic Appraoch To Determining Causes Of Graduate Student Attrition, Cheryl Thompson

Posters and Presentations: State of the Art Nursing Conference

Student data is collected for a variety of uses from application to graduation. Data is most often collected and stored in a fashion that supports single student data retrieval or mass processing of data, for uses such as preparation for graduation. Because of this, retrieving data for use in analytic reports and for problem solving across cohorts of students is often more difficult. Student services staff may have difficulty explaining to technology staff the nuances required to meet their data needs, particularly when multiple individual queries are needed to reach an answer. One such example is identifying the circumstances leading …

Antrodia Cinnamomea Induces Anti-Tumor Activity By Inhibiting The Stat3 Signaling Pathway In Lung Cancer Cells, Tsung-Teng Huang, Ying-Wei Lan, Chuan-Mu Chen, Yun-Fei Ko, David M. Ojcius, Jan Martel, John D. Young, Kowit-Yu Chong

All Dugoni School of Dentistry Faculty Articles

We examined the effects of an Antrodia cinnamomea ethanol extract (ACEE) on lung cancer cells in vitro and tumor growth in vivo. ACEE produced dose-dependent cytotoxic effects and induced apoptosis in Lewis lung carcinoma (LLC) cells. ACEE treatment increased expression of p53 and Bax, as well as cleavage of caspase-3 and PARP, while reducing expression of survivin and Bcl-2. ACEE also reduced the levels of JAK2 and phosphorylated STAT3 in LLC cells. In a murine allograft tumor model, oral administration of ACEE significantly inhibited LLC tumor growth and metastasis without affecting serum biological parameters or body weight. ACEE increased cleavage …

Lifestyle, Cardiovascular Risk Knowledge And Patient Counselling Among Selected Sub-Saharan African Family Physicians And Trainees. African Journal Of Primary Health Care & Family Medicine, Pius O. Ameh, Kenneth Yakubu, Miriam Miima, Olugbemi Popoola, Gulnaz Mohamoud, Klaus B. Von Pressentin

Family Medicine, East Africa

Background: Cardiovascular disease (CVD)-related deaths in sub-Saharan Africa (SSA) are on the rise, and primary care physicians could facilitate the reversal of this trend through treatment and prevention strategies.

Aim: The aim of this study was to determine the relationship between physician lifestyle practices, CVD prevention knowledge and patient CVD counselling practices among family physicians (FPs) and family medicine (FM) trainees affiliated to FM colleges and organisations in SSA.

Setting: FPs and FM trainees affiliated to FM colleges and organisations in Anglophone SSA.

Methods: A web-based cross-sectional analytical study was conducted using validated, self-administered questionnaires. Following …

Breathe In Breathe Out...Now What? Improved Pediatric Asthma Outcomes Through Improved Inhaler Technique, Gina M. Nickels-Nelson

DNP Final Reports

Asthma is a chronic disease affecting families in the United States; especially pediatric patients aged 5-18. In Pittsfield, Massachusetts the local prevalence of asthma is 14.4% versus 12.1% statewide and 8.4% nationally. These patients miss school days thus causing parental workday loss. In 2016, 14.4 million missed school days occurred due to asthma (Alexander et al., 2016). Unexpected clinic visits, as well as emergency room visits due to asthma, can contribute to rising healthcare costs both locally and nationally. Unexpected asthma visits are a leading reason for visits to this author’s clinic.

Asthma is treated with inhaled medications through a …

Fatiguing Trunk Flexor Exercise Decreases Pain Sensitivity In Postpartum Women, Rita Deering, Tatyana Pashibin, Meredith Cruz, Sandra K. Hunter, Marie K. Hoeger Bement

Physical Therapy Faculty Research and Publications

Background: Low back pain (LBP) is common in the general population and among postpartum women. Abdominal muscle exercise is often used to treat LBP, but it is unknown if fatiguing abdominal muscle exercise can produce exercise-induced hypoalgesia (EIH).

Objectives: To assess pressure pain thresholds (PPTs) at rest and following fatiguing trunk flexor exercise (EIH) in (1) nulligravid and postpartum women to evaluate the impact of pregnancy and childbirth and (2) nulligravid women and men to examine sex differences.

Methods: Seventy healthy adults (31 postpartum women, 23 nulligravid women, 16 men) participated. Postpartum and nulligravid women were tested twice (16–18 weeks …

The Flavonoid Metabolite 2,4,6-Trihydroxybenzoic Acid Is A Cdk Inhibitor And An Anti-Proliferative Agent: A Potential Role In Cancer Prevention, Ranjini Sankaranarayanan, Chaitanya K. Valiveti, Ramesh Kumar Dhandapani, Severine Van Slambrouck, Siddharth S. Kesharwani, Teresa Seefeldt, Joy Scaria, Hemachand Tummala, G. Jayarama Bhat

Entomology Faculty Publications

Flavonoids have emerged as promising compounds capable of preventing colorectal cancer (CRC) due to their anti-oxidant and anti-inflammatory properties. It is hypothesized that the metabolites of flavonoids are primarily responsible for the observed anti-cancer effects owing to the unstable nature of the parent compounds and their degradation by colonic microflora. In this study, we investigated the ability of one metabolite, 2,4,6-trihydroxybenzoic acid (2,4,6-THBA) to inhibit Cyclin Dependent Kinase (CDK) activity and cancer cell proliferation. Using in vitro kinase assays, we demonstrated that 2,4,6-THBA dose-dependently inhibited CDKs 1, 2 and 4 and in silico studies identified key amino acids involved in …

Prehospital Troponin Testing Protocol For Accelerated Diagnosis And Early Intervention In Chest Pain Patients, Ronald D. Meador

DNP Final Reports

Non-ST elevation acute coronary syndromes (NSTE-ACS) have significant morbidity and mortality rates despite the progress made in diagnosis and management and represent a significant public health burden in the United States. Lengthy diagnostic algorithms contribute to emergency department over-crowding, increased health care costs, and adverse patient outcomes. A troponin assay instituted earlier in the diagnostic pathway of patients with chest pain suspected of NSTE-ACS will reduce time to definitive diagnosis and medical intervention. This will improve patient outcomes, decrease emergency department crowding through improved ED workflow, and reduce the economic burden. The Star Model of Knowledge Transformation was used to …

The Influence Of Stressful Life Events On The Development Of Type 2 Diabetes, Joshua Minks

Dissertations

This study examined the relationship between distress and the development of Type 2 diabetes mellitus (T2DM) in the presence of established risk factors. Distress secondary to mental health disparities, stressful life events, and work conditions has been shown to promote insulin resistance and the development of T2DM.

Subjects (N=79) diagnosed with T2DM within the previous six months were recruited from SSM Health Centers and VA Medical Centers in the greater St. Louis area. They completed the Recent Life Changes Questionnaire, ENRICHD Social Support Instrument, and a demographic survey and analyses were conducted to determine differences between the veteran …

What's Happening: March 25, 2019, Maine Medical Center

What's Happening

No abstract provided.

The Time Is Now For Mandatory Liver-Focused Clinical Experiences In Medical School., Alexander Y. Pan, Lauren D. Feld, Jeanne M. Farnan, Steven K. Herrine, Adam E. Mikolajczyk

Division of Gastroenterology and Hepatology Faculty Papers

The national burden of chronic liver disease is steadily increasing and is only expected to worsen with the ongoing obesity and opioid epidemics fueling growth in the prevalence of nonalcoholic fatty liver disease and a resurgence of new hepatitis C infections. Our letter highlights the disparity between the rising prevalence of chronic liver disease and the proportion of medical students who receive exposure to patients with liver disease as part of their medical education. A more comprehensive survey of clerkship directors is needed to further corroborate this data, which may lead to reforms in medical school curricula to better address …

Continuous Quality Improvement Methodology: A Case Study On Multidisciplinary Collaboration To Improve Chlamydia Screening, Allison Ursu, Grant M. Greenberg M.D., M.H.S.A., M.A., Michael Mckee

Department of Family Medicine

This article illustrates quality improvement (QI) methodology using an example intended to improve chlamydia screening in women. QI projects in healthcare provide great opportunities to improve patient quality and safety in a real-world healthcare setting, yet many academic centres lack training programmes on how to conduct QI projects. The choice of chlamydia screening was based on the significant health burden chlamydia poses despite simple ways to screen and treat. At the University of Michigan, we implemented a multidepartment process to improve the chlamydia screening rates using the plan-do-check-act model. Steps to guide QI projects include the following: (1) assemble a …

Effects Of Subclinical Hypothyroidism On Reproduction: Screening And Treatment, Stephanie D. Baldwin

Nursing Capstones

No abstract provided.

Week Of March 25, 2019, New York Medical College

InTouch

• Graduate Student Research Forum Displays a Broad Field of Research
• NYMC Hosts Fourth Annual HeLa Diversity and Inclusion Conference
• Center for Disaster Medicine Conducts Inaugural Tactical Emergency Casualty Course
• NYMC Welcomes AMSNY to Campus
• NYMC AMWA Chapter Hosts Annual Mentorship Dinner
• Alpha Omega Alpha Lecture Set for April 2

Stigma Mitigation Through Fine Arts, Kendall Owens

Honors Theses

Social stigma has plagued our society for centuries. It isolates groups of people based on erroneously defined characteristics causing stigmatized persons to be viewed as socially “abnormal”. This debarment from full social acceptance results in poor population health and well-being. Fine arts have been an integral component of society since the beginning of civilization; current and past research have found involvement in fine arts to improve health and well-being in many ways. In this project, relevant studies related to stigma, fine arts, and population health will be reviewed to support the argument that “fine arts combat and mitigate the …

Rehabilitation Protocols For Total Hip Replacement Patients: A Comparison Of Research And Practicing Physical Therapists, Austin C. Eubanks

Honors College Theses

Keeping procedures and recovery techniques current with new research is expected of the health professions. The main purpose of this study will be to compare the difference of opinion and implementation of recovery techniques, specifically full body weight bearing exercises, between physical therapists and current research in regards to a total hip replacement. By using a questionnaire created from the Eulenburg study (2015), Physical Therapists will record their own personal answers and opinions for the postop hip replacement recovery period. Information that will be gathered from this research will be beneficial for future practices to easily see if practicing Physical …

A Mixed Method Multi-Country Assessment Of Barriers To Implementing Pediatric Inpatient Care Guidelines, Kirkby D. Tickell, Dorothy I. Mangale, Stephanie N. Tornberg-Belanger, Celine Bourdon, Johnstone Thitiri, Molline Timbwa, Jenala Njirammadzi, Wieger Voskuijl, Ali Faisal Saleem, Zaubina Kazi

Department of Paediatrics and Child Health

Introduction: Accelerating progress in reducing child deaths is needed in order to achieve the Sustainable Development Goal child mortality target. This will require a focus on vulnerable children-including young children, those who are undernourished or with acute illnesses requiring hospitalization. Improving adherence to inpatient guidelines may be an important strategy to reduce child mortality, including among the most vulnerable. The aim of our assessment of nine sub-Saharan African and South Asian hospitals was to determine adherence to pediatric inpatient care recommendations, in addition to capacity for and barriers to implementation of guideline-adherent care prior to commencing the Childhood Acute Illness …

Alternative Methods Of Determining Hamstrings-To-Quadriceps Ratios: A Comprehensive Review, Cassio V. Ruas, Ronei S. Pinto, Gregory Haff, Camila D. Lima, Matheus D. Pinto, Lee E. Brown

Research outputs 2014 to 2021

The hamstrings-to-quadriceps muscle strength ratio calculated by peak torque has been used as an important tool to detect muscle imbalance, monitor knee joint stability, describe muscle strength properties and functionality, and for lower extremity injury prevention and rehabilitation. However, this ratio does not consider other neuromuscular variables that can also influence the antagonist to agonist muscle relationship, such as torque produced at multiple angles of range of motion, explosive strength, muscle size, muscle fatigue, or muscle activation. The aim of this study was to comprehensively review alternative methods of determining the hamstrings-to-quadriceps ratio. These include ratios calculated by angle-specific torque, …

Adult-Onset Hypophosphatasia: Before And After Treatment With Asfotase Alfa, Angela Magdaleno Do, Sonum Singh Md, Sandhya Venkataraman Do, Ya-Yu Lee Md

Department of Medicine

No abstract provided.

Medical School Watercooler Newsletter - March 24, 2019, Lindsey Lyle

Watercooler Newsletter

This is the March 24, 2019 edition of the Frederick P. Whiddon College of Medicine's Newsletter - Watercooler.

Contents Include:

Dr. Om Jha wins international Mahatma Gandhi Expatriate Award

Med School Café now online - Technology in the Treatment of Diabetes

Mobile Ranked 5th Fattest City in America: How We Can Slim Down

April Med School Café to focus on melanoma prevention and treatment

Rwanda mission participants gain new perspective on medicine and life

University Urology welcomes nurse practitioner

Twin medical students compete in the classroom and in track and field

Risks Associated With Strict Glycemic Control Of The Type 2 Diabetic Patient In The Intensive Care Unit, Sadie Rivard

Nursing Capstones

No abstract provided.

New Internal Medicine Residency Program At A Community Hospital Improves Mortality Without Increasing The Cost Or Length Of Stay: A Two-Year Follow Up., Javad Savoj, Christine Mikhail, Rajesh Gulati, Napatkamon Ayutyanont, Alina Popa

Medical Education

Opening new residency programs in community hospitals is one strategy to address to address physician shortage. Previous reports have shown better mortality outcomes in university based hospitals. However, less is known about teaching community hospitals. Disrupting well-established workflows in community hospitals is feared to cause an increased cost and possibly a slide in quality of care. Our aim was to assess the impact of starting a new Internal Medicine residency program in a Graduate Medical Education (GME) naive community hospital.

Primary Hyperparathyroidism As Initial Presentation Of Stage Iv Breast Cancer, Angela Magdaleno Do, Angel Lopez Md, Thomas A. Diven Md, Marc A. Vengrove Do, Facp

Department of Medicine

No abstract provided.

Proceedings Of The Cuny Games Conference 5.0, Robert O. Duncan, Joe Bisz, Julie Cassidy, Kathleen Offenholley, Carolyn Stallard, Deborah Sturm, Anders A. Wallace

Publications and Research

The CUNY Games Network is an organization dedicated to encouraging research, scholarship and teaching in the developing field of games-based learning. We connect educators from every campus and discipline at CUNY and beyond who are interested in digital and non-digital games, simulations, and other forms of interactive teaching and inquiry-based learning. The CUNY Games Conference distills its best cutting-edge interactive presentations into a two-day event to promote and discuss game-based pedagogies in higher education, focusing particularly on non-digital learning activities that faculty can use in the classroom every day. The conference will include workshops lead by CUNY Games Organizers on …

Air Of The Dog: Impending Respiratory Failure After A Dog Bite., Gregory Tanquary, Andrew Little, Juan A Morales-Torres

Trauma and Acute Care Articles

Animal and human bites represent a significant health issue worldwide. However, penetrating neck trauma secondary to animal bites is a rare presentation. We present the case of a 32-year-old female with neck pain and difficulty breathing after suffering a dog bite to the neck. Bedside ultrasound and subsequent computed tomography (CT) showed findings consistent with subcutaneous emphysema. Due to rapidly progressing neck swelling and stridor, she required advanced airway management followed by emergent exploratory surgery. We present a case report on impending respiratory failure after a dog bite and review the management of penetrating neck trauma.

Critical Incident Stress Management: Care For Our Caregivers, Linda Winston, Mft, Ceap

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Marijuana; Types & Effects, Ernst Rasyidi, Md

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Canadian Undergraduate Nursing Students' Experiences Of Learning Indigenous Health, Ivy Tran

Western Research Forum

Western Research Forum Abstract Submission

Canadian Undergraduate Nursing Students’ Experiences with Learning Indigenous Health

Background
The purpose of this study is to better understand undergraduate nurses’ experiences in learning about Indigenous health. This will determine what changes are needed within nursing education locally and across Canada. Implications for nursing education, research, practice, policy, and leadership will be drawn to provide pragmatic suggestions in improving Indigenous health status and outcomes. A qualitative study will be conducted using critical ethnography and semi-structured interviews to determine facilitators and barriers to learning about Indigenous health.

Methods
Critical ethnography will be utilized to examine 12 …

The Effect Of Sepsis On Cerebral Microvascular Blood Flow, Laura Mawdsley, Mamadou Diop, Chris G. Ellis

Western Research Forum

Background: Sepsis is a dysregulated host response to infection that affects 18 000 000 people worldwide, and over 325 000 000 dollars are spent treating sepsis in Canada every year. One of the symptoms of severe sepsis is an altered mental state, which is accompanied with a measured decrease in oxygen levels in the skeletal muscle microvasculature. It is hypothesized that his altered mental state is due to a lack of oxygenated blood reaching the brain.

Hypothesis: After the onset of sepsis, microvascular cerebral blood flow and oxygen levels in the blood will decrease. Onset of decreased blood flow in …

Obstacle Negotiation And Dual-Tasking In People With A Unilateral Transtibial Amputation., Humberto Omana, Michael Payne, Ricardo Viana, Susan Winnifred Hunter

Western Research Forum

Background: Falls in people with a lower limb amputation (PLLAs) are common and most often occur while walking, resulting in physical and psychological consequences that adversely affect quality of life. Walking is a complex motor task requiring cognitive resources. Due to walking with a prosthesis, PLLAs report focussing on every step they take, indicating greater cognitive needs. However, cognitive resources are limited, and most of our everyday activities also involve the simultaneous performance of motor and cognitive tasks, known as dual-tasking. The inter-relationship between mobility, cognition and postural stability in PLLAs using a prosthesis is just starting to be understood. …