Medicine and Health Sciences Commons^™

Safe Sleep, Katie Tracy, Sarah Valentine, Sophie Weyers, Krystal White

Nurse Presentations

Describes a project focused on the non-compliance of safe sleep practices in the ICN.

Antimicrobial Stewardship, Lauren Delay, Mary Catherine Digiacinto, Hailey Hoisington, Sydney Lowe, Hannah Mcdonald

Nurse Presentations

Describes a project to increase nurse awareness of the patient's antimicrobial course in Children's Mercy PICU.

Trauma Informed Care And Nurse Resiliency, Macy Allred, Shannon Bertrand, Lauren Estes, Angela Honer, Randi Meyer, Katie Tetrick

Nurse Presentations

Describes a project involving nurse participation in and effectiveness of a nurse-led wellness team on nurse compassion fatigue and secondary traumatic stress in PICU nurses.

Trauma Informed Care, Grace Allen, Samantha Brown, Regan Schoeman

Nurse Presentations

This team studied whether the application of trauma informed care minimizes Secondary Traumatic Stress and impacts the rate of compassion satisfaction and burnout.

Kangaroo Care In The Icn, Taylor Disper, Johanna Moore, Nicole Westlie

Nurse Presentations

Describes a project focused on improving Kangaroo Care rates in the ICN.

Visitor Infection Prevention, Rachel Rittinghouse, Alyssa Stone, Tamara Wall

Nurse Presentations

Describes a project focused on increasing the number of visitors properly using PPE based on the isolation precautions of the patient.

Central Line Buzz, Sarah Hightree, Rachel Lawson, Danielle Sharkey

Nurse Presentations

Describes a project to increase the percentage of nurses discussing central lines in detail during shift hand-off.

Safe Sleep, Taylor Bishop, Rachel Bryant, Austin Howard, Karli Katzer, Olivia Parkhurst, Paige Pruitt, Sydney Smith

Nurse Presentations

This team focused on increasing the compliance with safe sleep on two floors of CMH.

Antimicrobial Stewardship, Morgan Hudson, Hannah Eisele-Miller

Nurse Presentations

Describes a project to increase the value of the nurses' role in antimicrobial stewardship.

Return To Golf In A 71-Year-Old Female After A Mako Robotic-Arm-Assisted Unicompartmental Knee Arthroplasty Surgery: A Case Report, Katelyn Austin

Case Report Papers

Background and Purpose: Knee osteoarthritis is the most common joint disorder in the elderly. The prevalence of unicompartmental knee arthroplasties (UKAs) increases by 30% each year. Benefits of UKA’s are quicker recovery times and an overall less invasive procedure compared to a total knee arthroplasty (TKA). Robotic-arm-assist surgery has been shown to increase the accuracy of implant positioning compared to traditional surgical techniques. The purpose of this case report was to look at the impact of physical therapy (PT) on outcomes and return to golf in a patient following a Mako robotic-arm-assisted UKA. Case Description: The patient was a 71-year-old …

Comparison Of Upper Extremity Function In Women With And Women Without A History Of Breast Cancer, Mary Insana Fisher, Gilson Capilouto, Terry Malone, Heather Bush, Timothy L. Uhl

Physical Therapy Faculty Publications

Design: This was an observational cross-sectional study.

Methods: Women who were diagnosed with breast cancer and had a mean post–surgical treatment time of 51 months (range = 12–336 months) were compared with women who did not have breast cancer (CTRL group). Self-reported upper extremity function using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and shoulder range of motion, strength, and muscular endurance were measured. Participants were divided into 3 groups: breast cancer involving the nondominant limb (BC-ND), breast cancer involving the dominant limb (BC-DOM), and CTRL.

Results: A total of 59 women in the CTRL group, 23 …

Practical Pearl: Abdominal Pain - February 2020, Wael Sayej Md

Pediatrics Practical Pearls: Referral Guidelines for Common Problems

No abstract provided.

Bioactive Growth Hormone In Humans: Controversies, Complexities And Concepts, Wesley C. Hymer, Mary J. Kennett, Samir K. Maji, Kristin L. Gosselink, Gary E. Mccall, Richard E. Grindeland, Emily M. Post, William J. Kramer

Health and Sport Sciences Faculty Scholarship

Objective: To revisit a finding, first described in 1978, which documented existence of a pituitary growth factor that escaped detection by immunoassay, but which was active in the established rat tibia GH bioassay.

Methods: We present a narrative review of the evolution of growth hormone complexity, and its bio-detectability, from a historical perspective.

Results: In humans under the age of 60, physical training (i.e. aerobic endurance and resistance training) are stressors which preferentially stimulate release of bioactive GH (bGH) into the blood. Neuroanatomical studies indicate a) that nerve fibers directly innervate the human anterior pituitary and b) that hind limb …

Cancer Rehabilitation Publications (2008–2018) With A Focus On Physical Function: A Scoping Review, Shana Harrington, Nicole L. Stout, Elizabeth Hile, Mary Insana Fisher, Melissa Eden, Victoria Marchese, Lucinda Pfalzer

Physical Therapy Faculty Publications

Background: Cancer rehabilitation research has accelerated over the last decade. However, closer examination of the published literature reveals that the majority of this work has focused on psychological interventions and cognitive and behavioral therapies. Recent initiatives have aggregated expert consensus around research priorities, highlighting a dearth in research regarding measurement of and interventions for physical function. Increasingly loud calls for the need to address the myriad of physical functional impairments that develop in people living with and beyond cancer have been published in the literature. A detailed survey of the landscape of published research has not been reported to our …

Insight - February 2020, Dugoni School Of Dentistry

Insight

Whether you are involved in clinical research, biomedical research, the scholarship of teaching and learning, improvement of the health care system, or professional partnerships that advance the field, we aim to spotlight the work of people at the Dugoni School.

Dental Practice Success Special Issue: Marketing Principles (February 2020), American Dental Association, Publishing Division

Dental Practice Success

No abstract provided.

Knee Joint Kinematics Of The Pendulum Test In Children With And Without Down Syndrome, Diego M. Ferreira, Huaqing Liang, Jianhan Wua

Physical Therapy Faculty Research

Background: The Wartenberg pendulum test is a common clinical test that is used to measure stiffness about the knee in persons with and without disabilities such as cerebral palsy and Down syndrome (DS). Adults and adolescents with DS show fewer number of swing cycles and a lower relaxation index than healthy controls. However, it is not clear if children with DS show a similar trend compared to typically developing (TD) children.

Research question: Was the knee joint kinematics different between children with and without DS during the pendulum test?

Methods: Thirteen children with DS and 13 TD children participated in …

The Pulse: College Of Health Sciences E-Newsletter, Irvin B. Harrell (Editor)

Ellmer College of Health Sciences Newsletters

February 2020 issue of Old Dominion University's College of Health Sciences Newsletter.

Molecular And Clonal Evolution In Recurrent Metastatic Gliosarcoma., Kevin J Anderson, Aaron C Tan, Jonathon Parkinson, Michael Back, Marina Kastelan, Allison Newey, Janice Brewer, Helen Wheeler, Amanda L Hudson, Samirkumar B Amin, Kevin C Johnson, Floris P Barthel, Roel G W Verhaak, Mustafa Khasraw

Faculty Research 2020

We discuss the molecular evolution of gliosarcoma, a mesenchymal type of glioblastoma (GBM), using the case of a 37-yr-old woman who developed two recurrences and an extracranial metastasis. She was initially diagnosed with isocitrate dehydrogenase (IDH) wild-type gliosarcoma in the frontal lobe and treated with surgery followed by concurrent radiotherapy with temozolomide. Five months later the tumor recurred in the left frontal lobe, outside the initially resected area, and was treated with further surgery and radiotherapy. Six months later the patient developed a second left frontal recurrence and was again treated with surgery and radiotherapy. Six weeks later, further recurrence …

Turning Passion Into Purpose: A Journey To Medicine Through Global Health, Laurenie Louissaint Md

Family Medicine

No abstract provided.

Himmelfarb Headlines - February/March 2020, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Headlines (2009 - present)

News and information about Himmelfarb Health Sciences Library of interest to users.

An Unusual Atrial Septal Defect Producing Symptoms In A Young Lady, Md Mashiul Alam, Md Al-Amin

Internal Medicine

Atrial septal defect is the most common congenital heart disease among adult population. Secundum variety of atrial septal defect comprises most frequently encountered atrial septal anomaly which presents during late age. Primum atrial septal defect usually associated with atrio-ventricular cushion defect among patients with Down syndrome. Small number of patients may present with fenestrated atrial septal defect. We have presented case of a woman who is young and symptomatic due to atrial septal defect comprising both secundum and primum type.

Mississippi Midwives: More Birth For Our Buck, Anne Cafer, Wengora Thompson

APCRL Policy Briefs

No abstract provided.

What We Can Learn From A Genetic Rodent Model About Autism., Dorit Möhrle, Marta Fernández, Olga Peñagarikano, Andreas Frick, Brian Allman, Susanne Schmid

Anatomy and Cell Biology Publications

Autism spectrum disorders (ASD) are complex neurodevelopmental disorders that are caused by genetic and/or environmental impacts, often probably by the interaction of both. They are characterised by deficits in social communication and interaction and by restricted and repetitive behaviours and interests from early childhood on, causing significant impairment. While it is clear that no animal model captures the full complexity of ASD in humans, genetic models are extremely useful for studying specific symptoms associated with ASD and the underlying cellular and molecular mechanisms. In this review we summarize the behavioral paradigms used in rodents to model ASD symptoms as they …

Insights Image For "Evidence Of Increased Hypoxia Signalling In Fetal Liver From Maternal Nutrient Restriction In Mice"., Bethany N Radford, Victor K M Han

Paediatrics Publications

No abstract provided.

Evidence Of Increased Hypoxia Signaling In Fetal Liver From Maternal Nutrient Restriction In Mice., Bethany N Radford, Victor K M Han

Paediatrics Publications

BACKGROUND: Intrauterine growth restriction (IUGR) is a pregnancy condition where fetal growth is reduced, and offspring from IUGR pregnancies are at increased risk for type II diabetes as adults. The liver is susceptible to fetal undernutrition experienced by IUGR infants and animal models of growth restriction. This study aimed to examine hepatic expression changes in a maternal nutrient restriction (MNR) mouse model of IUGR to understand fetal adaptations that influence adult metabolism.

METHODS: Liver samples of male offspring from MNR (70% of ad libitum starting at E6.5) or control pregnancies were obtained at E18.5 and differential expression was assessed by …

Hippocampal Subfields Revealed Through Unfolding And Unsupervised Clustering Of Laminar And Morphological Features In 3d Bigbrain, J. Dekraker, J. C. Lau, K. M. Ferko, A. R. Khan, S. Köhler

Brain and Mind Institute Researchers' Publications

© 2019 Elsevier Inc. The internal structure of the human hippocampus is challenging to map using histology or neuroimaging due to its complex archicortical folding. Here, we aimed to overcome this challenge using a unique combination of three methods. First, we leveraged a histological dataset with unprecedented 3D coverage, BigBrain. Second, we imposed a computational unfolding framework that respects the topological continuity of hippocampal subfields, which are traditionally defined by laminar composition. Third, we adapted neocortical parcellation techniques to map the hippocampus with respect to not only laminar but also morphological features. Unsupervised clustering of these features revealed subdivisions that …

Reactive Stepping After A Forward Fall In People Living With Incomplete Spinal Cord Injury Or Disease, Katherine Chan, Jae Woung Lee, Janelle Unger, Jaeeun Yoo, Kei Masani, Kristin E Musselman

Physical Therapy Publications

STUDY DESIGN: Cross sectional.

OBJECTIVES: To compare the reactive stepping ability of individuals living with incomplete spinal cord injury or disease (SCI/D) to that of sex- and age-matched able-bodied adults.

SETTING: A tertiary SCI/D rehabilitation center in Canada.

METHODS: Thirty-three individuals (20 with incomplete SCI/D) participated. Participants assumed a forward lean position in standing whilst 8-12% of their body weight was supported by a horizontal cable at waist height affixed to a rigid structure. The cable was released unexpectedly, simulating a forward fall and eliciting one or more reactive steps. Behavioral responses (i.e., single step versus non-single step) were compared …

Mandatory And Permissive Reporting Laws: Obligations, Challenges, Moral Dilemmas, And Opportunities, Joel M. Geiderman, Catherine A. Marco

Emergency Medicine Faculty Publications

The duty to report certain conditions to public health or law enforcement authorities is one that falls on all physicians and other health care workers as part of their duty to protect the public from harm. In an open society, others, such as teachers, clergy, police officers, or simply neighbors, share the responsibility of protecting individuals at risk, often by reporting them to authorities. The emergency physician and others in the emergency department are uniquely positioned to identify people at risk or who pose a risk, and to report them as required or allowed under the law. In some circumstances, …

A Comparison Between The Teg 6s And Teg 5000 Analyzers To Assess Coagulation In Trauma Patients, Matthew D. Neal, Ernest E. Moore, Mark Walsh, Scott Thomas, Rachael A. Callcut, Lucy Z. Kornbilth, Martin Schreiber, Akpofure Peter Ekeh, Adam J. Singer, Lawrence Lottenberg, Michael Foreman, Susan Evans, Robert D. Winfield, Michael D. Goodman, Carl Freeman, David Milia, Noelle Saillant, Jan Hartmann, Hardean E. Achneck

Department of Surgery Faculty Publications

BACKGROUND

Trauma-induced coagulopathy is a major driver of mortality following severe injury. Viscoelastic goal-directed resuscitation can reduce mortality after injury. The TEG 5000 system is widely used for viscoelastic testing. However, the TEG 6s system incorporates newer technology, with encouraging results in cardiovascular interventions. The purpose of this study was to validate the TEG 6s system for use in trauma patients.

METHODS

Multicenter noninvasive observational study for method comparison conducted at 12 US Levels I and II trauma centers. Agreement between the TEG 6s and TEG 5000 systems was examined using citrated kaolin reaction time (CK.R), citrated functional fibrinogen maximum …