Medicine and Health Sciences Commons^™

Validity And Reliability Of Three-Dimensional Imaging To Measure Limb Volume: A Systematic Review, Rachel Kremer, Madison Elizabeth Wolfe, Noah James Brueckner, Michaela Claire Viola, Mary Insana Fisher

Physical Therapy Faculty Publications

Introduction: Approximately 30% of women treated for breast cancer will develop lymphedema, yet early identification can prevent this occurrence. It is important to accurately and efficiently measure limb volume to identify pre-clinical lymphedema. Three-dimensional (3 D) imaging is emerging as a potential method to meet the need for accuracy and efficiency. The purpose of this review was to evaluate the psychometrics of 3 D imaging to measure limb volume.

Methods: A systematic search of 4 databases was conducted for articles using 3 D imaging to measure limb volume. Articles were included that compared 3 D imaging to water displacement using …

Baystate Medical Practices Annual Report - 2020, Andrew Artenstein Md

Baystate Medical Practices Annual Report

Practical Pearl: Obesity Management - January 2020, Rushika Conroy Md

Pediatrics Practical Pearls: Referral Guidelines for Common Problems

No abstract provided.

Cancer Care Annual Report 2019-2020, Children's Mercy Hospital

Cancer Center Annual Reports

Annual report of cancer care and oncology services at the Children's Mercy Hospital, Kansas City MO, a pediatric medical center. This year’s report focuses on tumors that arise in the kidney and illustrates three important areas of focus that a childhood cancer center must possess in this new age of medicine.

Fusion, 2020, George Washington University, William H. Beaumont Medical Research Honor Society

Fusion

No abstract provided.

Cuentos - 2020, George Washington University, Medical Faculty Associates

Cuentos

Cuentos is the humanities magazine of the George Washington University Medical Faculty Associates Department of Internal Medicine.

Increasing Access To Sti Services In The Medicaid Program, Naomi Seiler, Katie Horton, Darla Bishop, Madina Adil, Claire Heyison

Health Policy and Management Informal Communications

The United States is undergoing an epidemic of sexually transmitted infections (STIs), including chlamydia, gonorrhea, and syphilis. All three bacterial infections are detectable and treatable, yet they often go diagnosed. Untreated chlamydia and gonorrhea can lead to serious pelvic infections and infertility; untreated syphilis can result in severe complications, including death. Congenital syphilis is increasing as well, with a concurrent rise in stillbirth and newborn deaths.

Increased resources and heightened attention are urgently needed to supplement the work of the public health infrastructure, for which STI funding has remained stagnant for two decades. Fortunately, the Medicaid program is well situated …

Implementing Feno Testing Protocol In A Pulmonary Clinic: A Dnp Project, Herbert "Allen" Nolan

Doctor of Nursing Practice Projects

Airway inflammation is a common condition seen in the pulmonary clinic and can be present in patients with chronic obstructive pulmonary disease, asthma, chronic cough and asthma chronic obstructive overlap syndrome. Utilization of fractional exhaled nitric oxide testing is a quick means of identifying airway inflammation in patients who visit the pulmonary clinic with the diagnoses listed above. Fractional Exhaled Nitric Oxide testing along with Asthma Control Testing were used in the pulmonary clinic to aid in the identification of airway inflammation along with traditional spirometry testing. The results reflected an increase in the identification of patients with airway inflammation …

The Impact Of Nursing Staff Responsiveness On Patient Satisfaction: A Pilot Project, Lisa Wallace

Doctor of Nursing Practice Projects

Timeliness of healthcare staff responsiveness to patient requests is multifactorial. Inadequate responsiveness to patient requests may lead to increased patient injury, increased cost, and patient dissatisfaction which may impact stakeholders and profit margin. Evidence supports that proactive, timely, staff responsiveness to patient requests and call lights may lead to improved patient safety, higher patient satisfaction, and better healthcare outcomes. Bundled staff responsiveness interventions may be implemented to improve patient safety, patient and staff satisfaction. Examples of interventions include engaging staff project buy-in with formation of a patient experience team, hardwiring hourly safety rounding, providing staff education on the importance of …

A Diabetes Crash Course In A Primary Care Setting To Improve Diabetes Self-Care: A Pilot Project, Michelle L. Macdonald

Doctor of Nursing Practice Projects

Diabetes (DM) is a deadly disease affecting millions. Lack of proper DM self-care management can lead to numerous complications and even death. The American Diabetes Association (ADA) recommends lifestyle change as a first-line treatment along with diabetes self-management education (DSME). However, according to the Centers for Disease Control and Prevention (CDC) only a fraction of those diagnosed attend. The purpose of this project was to improve DM self-management behaviors following a patient focused unique DMSE designed to meet community needs. A customized crash course style DM educational session was offered to all DM patients in a rural primary care clinic. …

Checklist Utilization To Reduce Cauti Rates: A Dnp Project, Christina Jah

Doctor of Nursing Practice Projects

Catheter-associated urinary tract infections (CAUTIs) are preventable events with significant ramifications for both patients and hospitals. Proper training on evidence-based practices for catheter management is a vital component of preventing and decreasing CAUTIs. Following a review of the literature, evidence supports that CAUTI education with the use of a standard urinary catheter checklist for registered nurses (RNs) has the potential to ensure that knowledge is applied, thus decrease CAUTIs. This doctoral project developed, implemented, and evaluated an educational program and checklist to reduce CAUTI among patients at a Veterans Administration (VA) hospital. This project utilized a mixed-method data collection with …

Chemical Composition Of Volatile Oils Of Fresh And Air-Dried Buds Of Cannabis Chemovars, Their Insecticidal And Repellent Activities, Amira S. Wanas, Mohamed M. Radwan, Suman Chandra, Hemant Lata, Zlatko Mehmedic, Abbas Ali, K. H.C. Baser, Betul Demirci, Mahmoud A. Elsohly

Faculty and Student Publications

© The Author(s) 2020. The volatile oils of fresh and air-dried buds of 3 different varieties of Cannabis, namely, high cannabidiol (CBD) chemotype, intermediate CBD/tetrahydrocannabinol (THC) chemotype, and high THC chemotype were prepared by hydrodistillation. Gas chromatography analysis of the volatile oils resulted in the identification of 71 compounds, of which 33 were monoterpenes and 38 were sesquiterpenes. The volatile oil obtained from the THC chemotype showed an increase in the ratio of the sesquiterpenes to monoterpenes content. The content of terpinolene was dramatically decreased upon drying of THC chemotype. Moderate increase in β-caryophyllene and caryophyllene oxide was observed. However, …

Associations Of Polypharmacy And Inappropriate Medications With Adverse Outcomes In Older Adults With Cancer: A Systematic Review And Meta-Analysis, Mostafa R. Mohamed, Erika Ramsdale, Kah Poh Loh, Asad Arastu, Huiwen Xu, Spencer Obrecht, Daniel Castillo, Manvi Sharma, Holly M. Holmes, Ginah Nightingale, Katherine M. Juba, Supriya G. Mohile

Faculty and Student Publications

© AlphaMed Press 2019 Background: Polypharmacy (PP) and potentially inappropriate medications (PIM) are highly prevalent in older adults with cancer. This study systematically reviews the associations of PP and/or PIM with outcomes and, through a meta-analysis, obtains estimates of postoperative outcomes associated with PP in this population. Materials and Methods: We searched PubMed, Embase, Web of Science, and Cochrane Register of Clinical Trials using standardized terms for concepts of PP, PIM, and cancer. Eligible studies included cohort studies, cross-sectional studies, meta-analyses, and clinical trials which examined outcomes associated with PP and/or PIM and included older adults with cancer. A random …

A Validated Uplc-Pda Method For Simultaneous Determination Of 3 Biologically Active Isoflavans In Trigonella Stellata Extract, Safa M. Shams Eldin, Mohamed M. Radwan, Amira S. Wanas, Abdel Azim M. Habib, Fahima F. Kassem, Hala M. Hammoda, Mahmoud A. Elsohly

Faculty and Student Publications

© The Author(s) 2020. In this study, an ultra-performance liquid chromatography (UPLC)/photodiode array method was developed for the simultaneous determination of trigonellan glucoside (1), isotrigonellan (2), and methoxy-isotrigonellan (3) in Trigonella stellata extract using an external standard method. The extract was prepared using a standardized method by maceration of the dried plant material in ethanol. The 3 isoflavans (1-3) were separated on an Acquity UPLC C18 column using gradient elution with a mobile phase consisting of 0.1% (v/v) formic acid aqueous solution and 0.1% (v/v) formic acid in acetonitrile, and ultraviolet detection. The method provides a linear correlation for all …

Vestibular, Cognitive, Oculomotor, And Athletic Performance In Eligible Female Collegiate Soccer And Lacrosse Players, Megan Dowdal-Osborn Pt, Phd, C. Broback Spt, Z. Doyle Spt, A. Nelson Spt, J. Stigen Spt, C. Williams Spt

DPT Capstone Posters

Background

• Due to the nature of their sports, soccer and lacrosse athletes are at risk for repeated head impacts.
• Repeated head impacts may influence the athletes’ vestibular function, cognitive function, or athletic performance.

Purpose

• Determine if athletes are fully participating in practices and games with vestibular, cognitive, or athletic performance abnormalities .

Participants

• 30 student athletes from Concordia University in St. Paul, MN

Tests Performed

• Instrumented Dynamic Visual Acuity (iDVA)
• Clinical Dynamic Visual Acuity (cDVA)
• Trail Making Test A & B (TMT A/B)
• Near Point Convergence (NPC)
• Performance Tests: T Test Agility Drill, 40 yard dash (with and without head …

Level Of Agreement Of 36-Month Asq-3 Between Parents, Child Care Providers, And Health Care Professionals, Erin Simunds Pt, Victoria Hill Spt, Emilyne Nichols Spt, Julie Sohre Spt, Madeline Swain Spt, Kathleen Zenker Spt

DPT Capstone Posters

Introduction

• Developmental delay is present in approximately 15 percent of children in the United States. 1
• Less than one fifth of those children receive early intervention before age 3.
• Screening processes in pediatric settings are insufficient to identify all children with developmental delay.

Objective

• Investigate the level of agreement in typical methods of administration of the 36 month Ages and Stages Questionnaire 3rd ed. (ASQ 3) between parents, CCPs, and student physical therapists (SPTs).

Participants

• 11 children and parents from 2 childcare centers
• 5 childcare providers (CCPs)
• 7 student physical therapists (SPTs)

Methods

Outcome Measure: 36-Month ASQ-3

• Standardized developmental screening …

Human Factor Associations With Safety Events In Radiation Therapy, Sheri M. Weintraub

Health Sciences Program Student Theses, Dissertations and Capstones

One important connection for all human beings is that we have a shared need for health care and are at some risk of experiencing medical error. Errors documented in the field of radiation therapy have included tragic levels of suffering and even death from preventable mistakes. Efforts to improve patient safety include an approach called incident learning that makes use of information about known errors to inform safetyimprovement strategy. The complexity of human contributing factors challenges those safety improvements. The problem addressed by this dissertation study is that radiation therapy puts patients at risk, and the incident learning systems designed …

Evaluation Of 18F-Iam6067 As A Sigma-1 Receptor Pet Tracer For Neurodegeneration In Vivo In Rodents And In Human Tissue, François Xavier Lepelletier, Matthias Vandesquille, Marie Claude Asselin, Christian Prenant, Andrew C. Robinson, David M.A. Mann, Michael Green, Elizabeth Barnett, Samuel D. Banister, Marco Mottinelli, Christophe Mesangeau, Christopher R. Mccurdy, Inga B. Fricke, Andreas H. Jacobs, Michael Kassiou, Hervé Boutin

Faculty and Student Publications

© The author(s). This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/). See http://ivyspring.com/terms for full terms and conditions. The sigma 1 receptor (S1R) is widely expressed in the CNS and is mainly located on the endoplasmic reticulum. The S1R is involved in the regulation of many neurotransmission systems and, indirectly, in neurodegenerative diseases. The S1R may therefore represent an interesting neuronal biomarker in neurodegenerative diseases such as Parkinson's (PD) or Alzheimer's diseases (AD). Here we present the characterisation of the S1R-specific 18F-labelled tracer 18F-IAM6067 in two animal models and in human …

Comparison Of Chemical Compositions Of The Pepper Eos From Different Cultivars And Their Ache Inhibitory Activity, Shu Xia Chen, Kong Yang, Jia Yao Xiang, Osafo Raymond Kwaku, Jia Xin Han, Xian Ai Zhu, Ya Ting Huang, Le Jiang Liu, Shao Bin Shen, Hai Zhou Li, Xing Cong Li, Yang Feng, Min Xu

Faculty and Student Publications

© The Author(s) 2020. Pepper is one of the most popular spices over the world and is called the King of Spices. Its essential oils (EOs) could alleviate neuronal ailments due to the inhibitory effect against acetylcholinesterase (AChE). In this study, the chemical compositions of 26 EOs prepared from white and black pepper collecting from 6 different cultivars were analyzed by gas chromatography-mass spectrometry (GC-MS). A total of 133 compounds were identified in the white and black pepper EOs. Monoterpenes and sesquiterpenes were found to be riched in these EOs, of which α-pinene, β-pinene, sabinene, 3-carene, limonene, and (E)-β-caryophyllene were …

Primary Healthcare Policy And Vision For Community Pharmacy And Pharmacists In The United States, Teresa M. Salgado, Meagen M. Rosenthal, Antoinette B. Coe, Tana N. Kaefer, Dave L. Dixon, Karen B. Farris

Faculty and Student Publications

© 2020, Grupo de Investigacion en Atencion Farmaceutica. All rights reserved. The United States (US) has a complex healthcare system with a mix of public, private, nonprofit, and for-profit insurers, healthcare institutions and organizations, and providers. Unlike other developed countries, there is not a single payer healthcare system or a national pharmaceutical benefits scheme/plan. Despite spending over USD 10,000 per capita in healthcare, the US is among the worst performers compared to other developed countries in outcomes including life expectancy at birth, infant mortality, safety during childbirth, and unmanaged chronic conditions (e.g., asthma, diabetes). Primary care is delivered by physicians …

The Impact Of Mind-Body Exercises On Motor Function, Depressive Symptoms, And Quality Of Life In Parkinson’S Disease: A Systematic Review And Meta-Analysis, Xiaohu Jin, Lin Wang, Shijie Liu, Lin Zhu, Paul Dinneen Loprinzi, Xin Fan

Faculty and Student Publications

© 2019 by the authors. Licensee MDPI, Basel, Switzerland. Purpose: To systematically evaluate the effects of mind-body exercises (Tai Chi, Yoga, and Health Qigong) on motor function (UPDRS, Timed-Up-and-Go, Balance), depressive symptoms, and quality of life (QoL) of Parkinson’s patients (PD). Methods: Through computer system search and manual retrieval, PubMed, Web of Science, The Cochrane Library, CNKI, Wanfang Database, and CQVIP were used. Articles were retrieved up to the published date of June 30, 2019. Following the Cochrane Collaboration System Evaluation Manual (version 5.1.0), two researchers independently evaluated the quality and bias risk of each article, including 22 evaluated articles. …

The Perceived Tightness Scale Does Not Provide Reliable Estimates Of Blood Flow Restriction Pressure, Zachary W. Bell, Scott J. Dankel, Robert W. Spitz, Raksha N. Chatakondi, Takashi Abe, Jeremy P. Loenneke

Faculty and Student Publications

© 2020 Human Kinetics, Inc. Context: The perceived tightness scale is suggested to be an effective method for setting subocclusive pressures with practical blood flow restriction. However, the reliability of this scale is unknown and is important as the reliability will ultimately dictate the usefulness of this method. Objective: To determine the reliability of the perceived tightness scale and investigate if the reliability differs by sex. Design: Within-participant, repeated-measures. Setting: University laboratory. Participants: Twenty-four participants (12 men and 12 women) were tested over 3 days. Main Outcome Measures: Arterial occlusion pressure (AOP) and the pressure at which the participants rated …

The Relationship Between Youth Inactivity And Health, Alexis Michelle Dress-Moran

2020 Symposium Posters

As technology advances, youth engage in the sedentary lifestyle of playing computer games, leaving no time for physical activities. The purpose of this study is to prove the relationship between youth inactivity and health. The inactive behavior of adolescents has contributed to increased health issues. Among them are cardiovascular diseases, obesity, depression, type 2 diabetes, and hypertension. The research data was collected in the form of secondary data from a literature review, where credible peer reviewed articles published between 2013 to 2020, and government websites were used for the study. By studying the connection of physical inactivity and the health …

Age And Functional Outcomes Post-Neurologic Insult In Patients Attending Inpatient Rehabilitation, Jonathan Bowman Spt, Elena Crooks Pt, Dpt, Phd, Doug Weeks Phd, Kimberly Honn Phd

2020 Symposium Posters

Introduction

Neurologic insults such as strokes and traumatic brain injuries (TBI) affect over 1 million Americans every year. The lack of current knowledge informing accurate prognoses causes victims and their loved ones distress, and is a focus of much research. The purpose of this study was to determine whether patient age at time of insult could predict change in functional outcomes during inpatient rehabilitation.

Methods

Subjects were patients of an inpatient rehabilitation facility (IRF) post-stroke or TBI. The Functional Independence Measure (FIM) assessed functional independence and cognitive status at admission and discharge from the IRF. The Montebello Rehabilitation Factor Score …

Effect Of Sleep Deprivation And Sleep Recovery On Heart Rate And Heart Rate Variability In Males Versus Females, Abrianna Lochner Spt, Elena Crooks Pt, Dpt, Phd, Myles Gordon Finlay Ba, Julie A. Erwin Ms, Kimberly Honn Phd

2020 Symposium Posters

Introduction

Elevated heart rate (HR) and low HR variability (HRV) are indicators of increased sympathetic tone and cardiovascular risk. Here, we assess the effect of one night of sleep deprivation and a subsequent night of recovery sleep on HR and HRV in healthy males versus females.

Methods

Fifty-nine subjects (29.5±8.5y, n=35 female) completed a 4-day/3-night laboratory study. Subjects had a baseline sleep opportunity (22:00–08:00), followed by 38h of sleep deprivation, and a recovery sleep opportunity (22:00–08:00). EKG was monitored via Holter monitors to measure HR and the pNN50 and rMMSD variables of HRV. Time points used for analyses included 09:00–09:20 …

Literature Review Of Covid-19 Biochemistry, Alexandra Allen

2020 Symposium Posters

SARS-CoV-2 is the virus responsible for the current pandemic. SARS-CoV-2 is a betacoronavirus with a genome that is 79.5% identical to SARS-CoV. The virus enters T lymphocytes using its spike protein with the human angiotension-converting enzyme 2 as its receptor. SARS-CoV-2 was found to have a unique peptide sequence that could contribute to the proteolytic cleavage of the spike protein, therefore potentially impacting host range and transmissibility. COVID-19 is diagnosed through a nasal swab SARS-CoV-2 RT-PCR assay and the most common symptoms appear to be fever, cough, and fatigue. The median amount of time an individual will be contagious with …

Implementation Of An Educational “Boot Camp” To Increase Nurses’ Confidence, Knowledge And Use Of Evidence-Based Practice In A Veterans Affairs Medical Center, Anita S. Dahl

Doctor of Nursing Practice Projects

Evidence-based practice (EBP) can be used to promote quality patient care, improve population health, decrease healthcare costs, improve work-life balance of health care professionals, increase job satisfaction, and decrease staff turnover. Barriers to implementing EBP include perceived lack of autonomy and authority to change patient care processes; and knowledge deficits related to EBP implementation. Limited access to research materials and inadequate leadership support also stifles implementation of EBP. The purpose of this project was to increase confidence, knowledge, and use of EBP by nurses through implementation of an intense, structured educational “Boot Camp”. A convenience sample of 27 nurses participated …

An Organizational Readiness Assessment And Patient Survey For Adoption Of An Opioid De-Escalation Protocol In Curative Oncology Patients, Adria Myers

Doctor of Nursing Practice Projects

Since 2012, statistics illustrate an explosion in the number of Americans admittedly misusing prescription opioids which increase the risk of long-term adverse effects. By 2016, individuals admitting to taking opioids for non medical reasons exceeded eleven million and 1.9 million of these individuals met the mental health guidelines for opioid abuse. Oncology patients represent a target population with an unmet met need for opioid reduction. Goals for de-escalation or tapering opioids for non-cancer pain have gained increasing attention across healthcare. Evidence-based opioid de-escalation guidelines specific for curative oncology patients are lacking in the literature. The aim of this DNP project …

Effectiveness Of De-Escalation Training To Medical-Surgical Nurses, Tammy L. Sullivan

Doctor of Nursing Practice Projects

Nurses are the most common victims of workplace violence and typically are not equipped deliver appropriate prevention interventions. Although most violent episodes occur in the emergency department and mental health units, violence towards nurses on the medicalsurgical units is on the rise. Patient perpetrated aggression and violence is positively correlated with poor patient outcomes and length of stay. In addition to the physical effects on the nurse, there are psychological effects that can impact their career and personal life. The direct and indirect cost for an organization includes decreased productivity, increased absenteeism, and turnover. In potentially violent situations, nurses must …

Simulation Based Learning To Increase Competency And Self-Confidence In Novice Nurses, Veronica Eubank

Doctor of Nursing Practice Projects

New nursing graduates lack competency and confidence in failure to rescue situations could result in failure to rescue (FTR). High-fidelity simulation (HFS) is a potential solution to ensure a controlled environment in which new graduates can practice safely and gain the knowledge they need to develop critical thinking skills. Utilizing simulation education to improve an individual’s ability to recognize deterioration early, communicate, prioritize, delegate, and provide role clarity can foster confidence and competence in new graduate nurses. The project evaluated the effectiveness of using HFS for novice nurses to increase knowledge, competency, and confidence when a patient status deteriorates. The …