Medicine and Health Sciences Commons^™

Teaching Pediatric Procedural Pain And Anxiety Management To Residents: Early Outcomes Of A Newly Developed Curriculum, Jennifer J. Dilts, Brian R. Lee, Shobhit Jain, Ross Newman, Sarah Fouquet, Michael Brancato, Kadriye O. Lewis

Posters

Background: Poorly managed pediatric pain has negative long-term outcomes, including needle phobia, increased pain and anxiety with subsequent procedures, and healthcare avoidance in adulthood. Evidence-based interventions to reduce procedural pain and anxiety are vastly underutilized, and a literature search revealed no specific curriculum to teach residents optimal skills for pain and anxiety management in minor procedures (e.g. venipuncture, laceration repair). Thus, we developed a multimedia-based lecture with PowerPoint, utilizing results from a focus group interview (conducted with 7 pediatric residents, to determine educational content and identify residents’ needs and learning preferences).


Objective: To measure residents’ learning outcomes (knowledge, attitudes, perceived …

Covid-19 Vaccine Hesitancy Among Medical And Dental Students, Arati Kelekar, Neila Afonso, Victoria Lucia, Ana Karina Mascarenhas

Conference Presentation Abstracts

No abstract provided.

Effects Of Pediatric Fever Education On Caregivers In The Emergency Department, Micah Brooke Thompson

Doctoral Projects

Fever in children is a common concern for parents and one of the most frequent presenting complaints seen in the emergency department (ED). Fever can be defined as a temperature above 100.4 degrees Fahrenheit. Fever is considered a normal response to many conditions, with the most common one being infection (Ward, 2019). The biggest issue seems to be a lack of understanding by the caregivers on how to measure temperature, treat fever, and when to be concerned about temperature reading. Educating caregivers may enhance their self-management and sense of control, reduce healthcare-seeking behavior, and lower antibiotic prescriptions.

The purpose of …

Balancing Social Impact And Business Outcomes In Turbulent Times, Jaime Augusto Zobel De Ayala, Chin Tiong Tan

Asian Management Insights

Jaime Augusto Zobel de Ayala, Chairman of Ayala Corporation, talks about learning and recovering from Covid-19’s impact with Tan Chin Tiong.

Chipatala Cha Pa Foni, Malawi's 'Health Center By Phone,' Improving Information Given About Pregnancy-Related Symptoms, Breakthrough Research, Villagereach

Reproductive Health

The Health Center by Phone, or "Chipatala cha pa Foni" (CCPF), was developed by Malawi’s Ministry of Health and VillageReach as a community-based hotline in the Balaka district of Malawi. CCPF was identified as an existing national health strategy with potential for providing Malawi’s women and their families important postpartum hemorrhage information. Because CCPF archives de-identified audio recordings of all calls, 28 telephone transcripts were qualitatively examined to assess whether women experiencing pregnancy-related complications such as postpartum bleeding call CCPF, and how hotline workers respond to them.

Compounded Gabapentin For Felines: Associated Metabolic Processes And Analysis Of Potency, Johnny Altwal

Student Scholar Symposium Abstracts and Posters

Pharmaceutical compounding provides pharmacists and clinicians the opportunity to create unique drug formulations that are better suited to a specific patient’s needs. This is especially prevalent in veterinary medicine where clinicians treat a variety of maladies in a large number of species, thereby requiring unique formulations to more easily deliver drugs to animals. Several examples of compounded veterinary formulations with sub-therapeutic potencies have been published, but none examine compounded gabapentin. Gabapentin is frequently compounded into an oral suspension for veterinary use from tablets or capsules for the purpose of pain management in felines and other small animals. The project’s goals …

The Communal Integration Of Nutrition-Related Cultural Assets Of The Latinx Population In The Greater Dayton Area, Hannah G. Waters

Honors Theses

Due to a series of social determinants, the Latinx population currently living in the United States is suffering from a multitude of health disparities. Many of these disparities are nutrition-related, as the health issues that most disproportionately affect the Latinx population are obesity and diabetes. In order to treat these dietary-related health disparities, one must examine the complex aggregation of factors that work to influence specific dietary habits. Dietary habits are impacted by a series of individual, social and environmental factors. Moreover, in the case of Latinx nutrition, the level of acculturation, or cultural adjustment, plays a crucial role in …

The Effects Of Telehealth On Patient Satisfaction And Information Recall For Breast Cancer Survivors During Covid-19, Stacey Teicher

Doctoral Projects

The coronavirus (COVID-19) pandemic has changed how cancer survivorship care is delivered. (Al‐Shamsi, 2020). To protect vulnerable breast cancer patients, health care providers are moving towards telecommunication such as telephone, video, and secure messaging (electronic mail) versus in-person visits to connect with their patients (Segelov et al., 2020) during this pandemic. Breast cancer survivorship visits can be safely deferred from in-person visits to telehealth visits (Dietz et al., 2020). This doctoral project examines the impact of transitioning from in-person to telehealth (telephone or video) visits on patient satisfaction and recall of information for breast cancer survivors reviewing their Survivorship …

Treatment Of Erythrodermic Psoriasis With Apremilast, Olivia A. Gioe, Caroline Savoie, Elizabeth B. Grieshaber, Deborah C. Hilton

School of Medicine Faculty Publications

No abstract provided.

Investigation Of Alpl Variant States And Clinical Outcomes: An Analysis Of Adults And Adolescents With Hypophosphatasia Treated With Asfotase Alfa., Priya S. Kishnani, Guillermo Del Angel, Shanggen Zhou, Eric T. Rush

Manuscripts, Articles, Book Chapters and Other Papers

Background: Hypophosphatasia (HPP), a rare metabolic disease, can be inherited in an autosomal recessive (biallelic) or an autosomal dominant (monoallelic) manner. Most of the severe, early-onset, frequently lethal HPP in infants is acquired through recessive inheritance; less severe, later-onset, typically nonlethal HPP phenotypes are acquired through either dominant or recessive inheritance. HPP's variable clinical presentation arises from >400 identified ALPL pathogenic variants with likely variable penetrance, especially with autosomal dominant inheritance. This post hoc analysis investigated the relationship between ALPL variant state (biallelic and monoallelic) and clinical outcomes with asfotase alfa in HPP.

Methods: Data were pooled from two phase …

Himmelfarb Library Liaison Letter - May 2021, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Library Liaison Letters

No abstract provided.

Diabetes Distress Assessment As An Intervention, Rachel Hewitt, Karin A. Emery

Honors Capstone Projects

Diabetes Distress (DD) is a major concern in the diabetes community due to the negative associated outcomes. This study aimed to determine the effectiveness of consistent DD screening (PAID scale and supplemental questions), as an intervention to reduce DD in diabetic patients. This study uses a single blind experimental design at a Midwest U.S. Endocrine clinic. The sample size for study will be 100, with roughly 50 samples for each group. Individuals that will be included are: 18 years or older, diagnosed with T2DM, and able to speak and read English. Data collection will occur at already scheduled provider appointments …

Diabetes Distress Assessment As An Intervention (Poster), Rachel Hewitt, Karin A. Emery

Honors Capstone Projects

The aim of this study was to:

• Determine the effectiveness of consistent DD screening by administering the PAID scale along with supplemental questions, as an intervention to reduce DD in diabetic patients in the clinical setting.

A Systematic Review Of The Literature On The Assessments Used For Social Communication In The Diagnosis Of Autism Spectrum Disorder, Rachel E. Kim

Masters Theses

This review of the literature aims to analyze the current assessments available for clinicians, parents, and other professionals to use during the diagnosis of Autism Spectrum Disorder (ASD) that specifically addresses social communication. Although ASD can be diagnosed as early as the age of 2, children are often not diagnosed until the age of 4-5 years old. Especially for children who would be diagnosed with ASD and require Level 2 and/or Level 3 supports, early diagnosis can lead to early intervention which can help to provide the necessary support for both the child and family. Early intervention can help to …

The Role Of Music In The Trauma Narrative And “Storytelling”: Perspectives Of Clinicians, Taylorlyn N. Mehnert

Masters Theses

There is a lack of detailed literature describing how music is used for expressing and processing the trauma narrative. This study used a constructivist grounded theory approach through an anti-oppressive lens to explore the ways in which music therapists use music in exploring clients’ stories. The term “story” is used as opposed to “narrative” or “memory” to incorporate a broader definition of expression including non-verbal, musical, metaphorical, or any other method the client chooses. Eight board-certified music therapists (MT-BC) were interviewed regarding their use of music in the context of clients’ stories. Braun and Clarke’s reflexive thematic analysis was used …

A Hindbrain Dopaminergic Neural Circuit Prevents Weight Gain By Reinforcing Food Satiation, Yong Han, Guobin Xia, Yanlin He, Yang He, Monica Farias, Yong Xu, Qi Wu

Children’s Nutrition Research Center Staff Publications

The neural circuitry mechanism that underlies dopaminergic (DA) control of innate feeding behavior is largely uncharacterized. Here, we identified a subpopulation of DA neurons situated in the caudal ventral tegmental area (cVTA) directly innervating DRD1-expressing neurons within the lateral parabrachial nucleus (LPBN). This neural circuit potently suppresses food intake via enhanced satiation response. Notably, this cohort of DAcVTA neurons is activated immediately before the cessation of each feeding bout. Acute inhibition of these DA neurons before bout termination substantially suppresses satiety and prolongs the consummatory feeding. Activation of postsynaptic DRD1LPBN neurons inhibits feeding, whereas genetic deletion of Drd1 within the …

N-3 Fatty Acid Biomarkers And Incident Type 2 Diabetes: An Individual Participant-Level Pooling Project Of 20 Prospective Cohort Studies, Frank Qian, Andres V Ardisson Korat, Fumiaki Imamura, Matti Marklund, Nathan Tintle, Jyrki K Virtanen, Xia Zhou, Julie K Bassett, Heidi Lai, Yoichiro Hirakawa, Kuo-Liong Chien, Alexis C Wood, Maria Lankinen, Rachel A Murphy, Cecilia Samieri, Kamalita Pertiwi, Vanessa D De Mello, Weihua Guan, Nita G Forouhi, Nick Wareham, Interact Consortium Frank B Hu, Ulf Riserus, Lars Lind, William S Harris, Aladdin H Shadyab, Jennifer G Robinson, Lyn M Steffen, Allison Hodge, Graham G Giles, Toshiharu Ninomiya, Matti Uusitupa, Jaakko Tuomilehto, Jaana Lindström, Markku Laakso, David S Siscovick, Catherine Helmer, Johanna M Geleijnse, Jason H Y Wu, Amanda Fretts, Rozenn N Lemaitre, Renata Micha, Dariush Mozaffarian, Qi Sun

Children’s Nutrition Research Center Staff Publications

Objective: Prospective associations between n-3 fatty acid biomarkers and type 2 diabetes (T2D) risk are not consistent in individual studies. We aimed to summarize the prospective associations of biomarkers of α-linolenic acid (ALA), eicosapentaenoic acid (EPA), docosapentaenoic acid (DPA), and docosahexaenoic acid (DHA) with T2D risk through an individual participant-level pooled analysis.

Research design and methods: For our analysis we incorporated data from a global consortium of 20 prospective studies from 14 countries. We included 65,147 participants who had blood measurements of ALA, EPA, DPA, or DHA and were free of diabetes at baseline. De novo harmonized analyses were performed …

Effects Of Phototherapy In Patients With Atopic Dermatitis, Stephanie Krogen

Physician Assistant Scholarly Project Papers

Atopic dermatitis (AD) is a chronic remitting problem faced by many people in our communities of all ages. Atopic dermatitis presents as an erythematous and pruritic rash. There is no cure, only treatments that help alleviate symptoms. The purpose of this literature review is to help determine the best course of action for treatment for patients who suffer from AD. Phototherapy has been growing in popularity and research as an alternate treatment to systemic and pharmacologic therapies. This review was done using PubMed, Clinical Key, DynaMed, and Cochrane. Studies were included that reviewed the side effects and efficacy of each …

P.M. Dosing Outcomes Of Ace Inhibitors Or Angiotensin Ii Receptor Blockers In Hypertension Versus P.M. Dosing In Hypertension With Comorbidities, Savanna Kramer

Physician Assistant Scholarly Project Papers

No abstract provided.

A Comparison Of Sglt2 Inhibitors To Current Guideline Directed Medical Therapy For The Treatment Of Heart Failure In Non-Diabetic Patients, Rebecca R. Beyer

Physician Assistant Scholarly Project Papers

Heart failure remains a complex disease that affects a continually increasing number of patients annually. For heart failure, most of the research has focused on the hemodynamic changes of the heart chambers and the medication interventions that slow the progression of heart failure. Recent studies have investigated treatment options that may disrupt the neuro-hormonal and pathophysiologic cell changes that lead to further progression of heart failure. Although the mechanisms by which the sodium-glucose cotransporter 2 (SGLT2) inhibitors are not entirely understood, they are believed to directly affect the cardiac electrolyte imbalances that trigger the cellular changes which contribute to the …

Integration Of Palliative Care For Improving Quality Of Life In Patients With Chronic Obstructive Pulmonary Disease, Christina Davis Rasanen

Physician Assistant Scholarly Project Papers

The purpose of this scholarly project is to determine if the integration of palliative care into COPD management provides an improvement in symptom burden associated with quality of life and end of life care when compared to the standard of care. A review of the literature was performed using the following electronic databases, and the use of keywords and mesh terms were used to define the set of literature that would be critically analyzed. A total of 16 articles achieved the necessary criteria for review and critical assessment. The literature reviewed various aspects related to symptom burden and symptom management …

Efficacy Of Pharmacologic Treatment For Orthostatic Hypotension In The Elderly Population, Abigail Moeller

Physician Assistant Scholarly Project Papers

The purpose of this literature review is to determine the efficacy and safety of pharmacologic treatments for orthostatic hypotension (OH), with an emphasis on researching the elderly population. In this review, three electronic search databases were utilized including PubMed, Google Scholar, and Dynamed from the years 1997 to 2019. Several keywords were used during the search. Criteria for chosen articles included that the article must be peer-reviewed, the studied population must have a median age of at least 50 years-old, at least 20 subjects must be involved, and the study must be published after the year 1995. The specific pharmacologic …

Comparing Outcomes Of Online Application Therapy Versus Standard Psychotherapy In Patients Suffering From Mental Illness, Jenna Zwiers

Physician Assistant Scholarly Project Papers

The purpose of this research was to determine the effectiveness of internet-delivered cognitive behavioral therapy (iCBT) in comparison to standard cognitive behavioral therapy in the treatment of depression and anxiety. The quality, safety, therapist-response, and cost of internet-delivered cognitive behavioral therapy was also studied. This review utilized multiple databases including PubMed, CINAHL, Clinical Key, Cochrane Library, and PsychINFO from 2015 to 2020. The literature reviewed consisted of peer-reviewed studies, randomized controlled trials, and systematic review. Sources that were excluded from the study included those prior to 2015, studies with small sample sizes, and those that involved children. Thirteen resources were …

Buprenorphine Versus Methadone For Treatment Of Opioid Use Disorder, Ben Devries

Physician Assistant Scholarly Project Papers

The purpose of this literature review is to analyze the use of buprenorphine and methadone for the treatment of opioid use disorder. Comparison of overall safety, efficacy, morbidity and mortality between the two treatment options is accomplished throughout this literature review. The literature review was performed using databases: PubMed, Clinical Key, Cochrane and Upto- date. Results were limited to studies completed within the past seven years. Methadone has been the treatment mainstay of opioid use disorder for decades. buprenorphine has increased in popularity and prevalence for treatment of opioid use disorder, especially after receiving FDA approval for such use in …

Decreasing Suicidal Risks Among Military Veterans With Posttraumatic Stress Disorder Or Major Depression, Manpreet K. Sheabat

Physician Assistant Scholarly Project Papers

Suicide is a major cause of death in the United States. Some populations, such as the veterans and active duty military personnel are at a higher risk of committing suicide compared to the general population. The risk is exacerbated by mental health conditions such as Posttraumatic Stress Disorder (PTSD) and major depression. Few reviews have explored the effects of the recommended psychotherapeutic interventions on suicidal ideations and suicide rates for these two disorders, focusing on the veteran population. To address this, a literature search was performed using a comprehensive search through electronic databases, applying the search criteria and keywords aimed …

Effect Of Cftr Modulators On Respiratory Function In Adults With Cystic Fibrosis, Melissa Severson

Physician Assistant Scholarly Project Papers

Cystic Fibrosis (CF) is an autosomal recessive disorder that shortens one’s life due to its effect on the cystic fibrosis transmembrane regulator (CFTR) gene. CFTR modulator medications can correct the CFTR gene and consist of a potentiator (ivacaftor), and corrector (lumacaftor, tezacaftor and elexacaftor). This research and literature review sought to evaluate if lung function improved in an individual with genetically confirmed CF after being started on CFTR modulator medications. To complete the review, six databases were searched which included: CINAHL, PubMed, Clinical Key, Cochrane Library, Embase and Dynamed Plus. Both keyword and mesh terms were used to define a …

Effectiveness Of Diet/Exercise In Prevention Of Gestational Diabetes Mellitus And Associated Cesarean Section Delivery, Jonathyn Andrew Marx

Physician Assistant Scholarly Project Papers

Gestational diabetes mellitus (GDM) is becoming a more common diagnosis during pregnancy. GDM is defined as glucose intolerance diagnosed during pregnancy. Women diagnosed with GDM during pregnancy are at an increased risk for emergent or planned cesarean section delivery and the development of overt diabetes mellitus post pregnancy. Complications related to GDM include eclampsia, macrosomia, shoulder dystocia, stillbirth, and cesarean section delivery. Initial treatment consists of diet and exercise and if glucose can not be controlled then pharmacotherapy is introduced. A literature review was performed utilizing scientific databases, mesh terms, and keywords to gather statistically relevant research to analyze the …

Effects Of The Covid-19 Pandemic On The Health Of American Indians, Heather Bates

Physician Assistant Scholarly Project Papers

COVID-19 has been most devastating to the elderly and those living in dense communities, which disproportionately affects American Indians as they are medically underserved. American Indians tend to live in multigenerational housing which puts them at higher risk for transmission of COVID-19. To determine other risk factors and the long-term physical and mental health impacts of COVID-19 on American Indians, a literature review was completed using metaanalyses and case studies. The results of this study confirm that age is the most substantial risk factor for severe COVID-19 illness, complication, and mortality, regardless of race or ethnicity. However, American Indians are …

Treatment Of Male Obesity-Related Secondary Hypogonadism And The Effects On Fertility, Julie E'Lane Harmon

Physician Assistant Scholarly Project Papers

The link between obesity and testosterone deficiency has often been a topic of research. Male obesity-related secondary hypogonadism (MOSH) is often underdiagnosed in the young male population. The current standard of care for hypogonadism in the older male population typically includes testosterone replacement therapy (TRT). The purpose of this study is to highlight available treatment options for MOSH in the younger population and the various effects on fertility. The method utilized was a systematic review of the current literature that targeted obese males below the age of 65 treated for secondary hypogonadism. The review excluded articles published longer than ten …

Comparison Of Cardiomems And Traditional Medical Management In Reducing Readmissions In Heart Failure Patients, Quinn Jacobs

Physician Assistant Scholarly Project Papers

No abstract provided.