Medicine and Health Sciences Commons^™

Student Voices From A Student- And Faculty-Led Diversity, Equity, And Inclusion Committee, Mary C. Wofford, Thales De Nardo, Amy Rose, Yelena Carlisle, Nicholas Fasanello, Emma Himelein-Wachowiak, Karis Kerr, Helen Whiteside

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists and audiologists have recognized an increased need for discussions surrounding diversity, equity, and inclusion (DEI) in the profession. The purpose of this work is to describe one evidence-informed approach to forming a departmental student- and faculty-led committee at a university and to highlight participant student voices from the committee. The committee’s formation, organization, and activities are discussed from the perspectives of its members.

Self-Care With Self-Compassion (Sc2): A Program To Foster Well-Being In Graduate Speech-Language Pathology Students, Laura R. Chapman, Karalee Cole

Teaching and Learning in Communication Sciences & Disorders

This article describes elements of Self-Care with Self-Compassion (SC²), a novel program designed to foster well-being in graduate speech-language-pathology (SLP) students. Graduate SLP students experience elevated levels of perceived stress, which can ultimately impact their professional competence. University programs, faculty, and staff are uniquely positioned to help students learn to cope with stress. Self-care and self-compassion may buffer some of the effects of stress, and at the same time foster qualities in students that facilitate learning and promote healthy clinical practice. Twenty-five incoming SLP graduate students participated in SC², a required, two-part workshop. Levels of perceived …

Speech-Language Pathology Graduate Student Clinicians’ Self-Perceived Competency In Dysphagia Management, R. Jordan Hazelwood, Erin D. Bouldin, Indigo R. Burford, Emily A. Steffen

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists (SLPs) are the preferred healthcare providers for managing the direct clinical care of patients with dysphagia. By assessing self-perceived competency during academic training, SLP graduate student clinicians may increase their understanding of their skills in dysphagia management. We modified the Dysphagia Competency Verification Tool (DCVT) to use a 5-point ordinal scale to explore how SLP graduate student clinicians’ self-perception of competency in dysphagia management changes over time and to determine the impact of clinical practicum experiences. Seventy-two SLP graduate student clinicians rated their self-perceived competency for four DCVT domains. We used Generalized Estimating Equations (GEE) models to analyze …

The Development And Implementation Of Align: A Multidimensional Program Designed To Enhance The Success Of Black, Indigenous, And People Of Color (Bipoc) Graduate Students In Communication Sciences And Disorders, Soren Y. Lowell, Stephanie Mcmillen, Anita L. Lightburn, Jamie L. Desjardins, Ellyn A. Riley

Teaching and Learning in Communication Sciences & Disorders

The critical lack of racially and ethnically diverse healthcare professionals in the field of Communication Sciences & Disorders (CSD) in contrast to the increasing diversity of the U.S. population may contribute to healthcare disparities and negatively impact healthcare outcomes. It is therefore imperative for transformational programs and practices to be enacted to substantially increase the number of CSD professionals representing Black, Indigenous, and People of Color (BIPOC). As training institutions that graduate and contribute to the certification of CSD professionals, universities are fundamental for contributing to this change. Numerous barriers have been identified that limit the number of underrepresented minority …

The Cranial Nerve Exam: Effectiveness Of Peer-To-Peer Teaching And Experiential Learning In Speech-Language Pathology Graduate Students, Angela Burda, Sydney Brotherton, Addieana Duitscher, Emily Hart, Morgan Kellogg, Kacie Schreck, Courtney Sutton, Paige Van Dyk

Teaching and Learning in Communication Sciences & Disorders

This study sought to determine if speech-language pathology graduate students found peer-to-peer teaching and experiential learning beneficial in learning how to assess the cranial nerves. Graduate students in a motor speech disorders course completed an in-class cranial nerve examination in which they either portrayed clinicians or patients. Student groups utilized a reflective practice approach by teaching their peers how to assess the cranial nerves. Intensive practice sessions were offered almost daily for two weeks prior to the exam. Thirty-seven students completed an online survey about their knowledge and confidence in assessing cranial nerves and identifying diagnoses before starting the training …

Problem-Based Learning As A Tool To Facilitate Graduate Students’ Understanding Of Terminology And Evidence-Based Practice In Child Language Disorders, Nicole Magaldi, Kristen Victorino

Teaching and Learning in Communication Sciences & Disorders

There have historically been a variety of diagnostic terms used to describe children with unexplained language disorders. Recently there has been some consensus around the use of the term developmental language disorder (DLD) however, students, in particular graduate students, need to be aware of the various terms that have historically been used so that they are able to successfully employ evidence-based practice (EBP). The current study used a Problem Based Learning (PBL) approach, based on a teaching module recently published by the authors (see Victorino & Magaldi, 2019), to teach students enrolled in a graduate program in Communication Sciences and …

Outcome And Mortality Of Hospitalized Children With Severe Acute Malnutrition At Aden, Yemen, Mazin A. Jawass, Randa N. Alwaal

Hadhramout University Journal of Natural & Applied Sciences

Severe acute malnutrition (SAM) is considered a common cause of morbidity and mortality among children in low- and middle-income countries, being responsible for 45% of deaths among under-five children. The aim of the study was to determine the outcome and mortality of severe acute malnutrition among hospitalized children in Aden, Yemen. This is a descriptive, retrospective study. The studied population includes hospitalized children of both sexes with SAM admitted to the nutritional unit of Al-Sadaka General Teaching Hospital/Aden during the period from January 1st to December 31st 2021. Of a total of 537 under 5 years, males constitute 53.4% over …

Determinants And Knowledge Of Iron Deficiency Anemia And Its Impact Among Pregnant Women Attending University Hospital In Mukalla, Yemen, Asrar Saleh Sayad, Maher Khaled Alsakkaf, Muneer Khamis Aljaaide, Lotfi Saeed Bin Dahman

Hadhramout University Journal of Natural & Applied Sciences

The prevalence of anemia among pregnant women, according to the World Health Organization (WHO), is still higher than 51% in developing countries, and the most common cause is iron deficiency, which has adverse effects on maternal and child health. The purpose of this study is to determine the knowledge and attitude of pregnant women attending the University Hospital in Mukalla regarding iron deficiency anemia and its impact. A cross sectional descriptive study was conducted on 320 Yemeni pregnant women from January 1, 2021, to June 30, 2021. Data was collected by a predesigned self-administered questionnaire in the antenatal clinic at …

Assessment Of Knowledge Of Pharmacies And Drug Stores Workers Toward Dengue And Its Management At Al-Mukalla District – Hadhramout-Yemen, Haddad Salim Alhebshi, Noman Ahmed Al-Hatemi, Omar Abdullah Bamaga

Hadhramout University Journal of Natural & Applied Sciences

Dengue fever (DF) is a mosquito borne disease that has spread rapidly in Al-Mukalla city in the last ten years, so a necessary requirement is to analyze the knowledge of healthcare providers, including pharmacists, toward dengue management and control in the country. This paper aims to assess the knowledge of pharmacies and drug store workers toward dengue management at Al-Mukalla district. A descriptive cross-sectional study was conducted among 384 pharmacies and drug store workers in Al-Mukalla district in 2020. A random sampling method was used to select the pharmacies and drug stores and data was collected by using pretest questionnaires. …

2022-10-03_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.

Trauma- And Violence-Informed Care: Orienting Intimate Partner Violence Interventions To Equity., C Nadine Wathen, Tara Mantler

Nursing Publications

Purpose of Review: Intimate partner violence (IPV) is a complex traumatic experience that often co-occurs, or is causally linked, with other forms of structural violence and oppression. However, few IPV interventions integrate this social-ecological perspective. We examine trauma- and violence-informed care (TVIC) in the context of existing IPV interventions as an explicitly equity-oriented approach to IPV prevention and response.

Recent Findings: Systematic reviews of IPV interventions along the public health prevention spectrum show mixed findings, with those with a theoretically grounded, structural approach that integrates a trauma lens more likely to show benefit.

Summary: TVIC, embedded in survivor-centered protocols with …

Tunable Action Potential Repolarization Governed By Kv3.4 Channels In Dorsal Root Ganglion Neurons., Tyler D. Alexander, Tanziyah Muqeem, Lianteng Zhi, Stephen R. Tymanskyj, Manuel Covarrubias

Department of Neuroscience Faculty Papers

The Kv3.4 channel regulates action potential (AP) repolarization in nociceptors and excitatory synaptic transmission in the spinal cord. We hypothesize that this is a tunable role governed by protein kinase-C-dependent phosphorylation of the Kv3.4 cytoplasmic N-terminal inactivation domain (NTID) at four nonequivalent sites. However, there is a paucity of causation evidence linking the phosphorylation status of Kv3.4 to the properties of the AP. To establish this link, we used adeno-associated viral vectors to specifically manipulate the expression and the effective phosphorylation status of Kv3.4 in cultured dorsal root ganglion (DRG) neurons from mixed-sex rat embryos at embryonic day 18. These …

2022-10-03_Michiganoverview_Covidoutbreak, Michigan Department Of Health & Human Services

Michigan COVID-19 Outbreak Reports

The Outbreak Data page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/stats/outbreak-reporting.

This report is created by the Michigan Department of Health & Human Services from data self-reported by local health departments. Data is updated every week.

COVID-19 outbreaks are generally defined as two or more cases with a link by place and time indicating a shared exposure outside of a household. Local health departments report the number of new and ongoing outbreaks they are investigating by the setting of the outbreak. New outbreaks are those outbreaks that were first identified during the current reporting week. Ongoing outbreaks are …

The Value Of High-Resolution Imaging In An Occult Peroneal Intraneural Ganglion Cyst: Illustrative Case., Karina A Lenartowicz, Kimberly K Amrami, Jeffrey A Strakowski, B Matthew Howe, Robert J Spinner

Ambulatory and Primary Care Articles

BACKGROUND: Foot drop is a common complaint with a broad differential diagnosis making imaging a key part of the diagnostic workup. The authors present a patient with an occult peroneal intraneural ganglion cyst who underwent imaging with high-frequency ultrasound (US) and high-resolution magnetic resonance imaging (MRI) to highlight the role of such techniques in cases of peroneal neuropathy.

OBSERVATIONS: Intraneural ganglion cysts are emerging as a common cause of common peroneal neuropathy. Imaging with US and MRI is a valuable tool used to illustrate the pertinent anatomy and identify the articular branch joint connection and cyst as part of the …

Communicating The Value Contributions Of Pathology And Laboratory Medicine (Palm) To Healthcare Administrators, Evidence Of Value From A Multiple Cases Study, Susan K. Edralin

Doctoral Dissertations and Projects

Hospital administrators were interviewed to explore their perceptions of the strategic alignment of PaLM value-based activities (VBAs). Hospital based PaLM leaders were interviewed to explore their communication of the VBAs. This study identified a misalignment between the assessments utilized by healthcare administrators for PaLM services and the value contributions of laboratorians. PaLM leaders offered insight into the laboratory’s value chain. Three themes emerged from the data: PaLM VBAs, PaLM communication efforts, and PaLM VBA strategic alignment. Together these findings suggest that hospital laboratorians offer untapped value in healthcare, and hospital administrators failing to recognize this value miss opportunities to improve …

Certified Nursing Assistant Turnover In The Long-Term Care Facility Industry, Michael Leroy Gregory

Doctoral Dissertations and Projects

Employee turnover in long-term care facilities results in increased operational costs and a reduction in the quality of care delivered. The purpose of this correlational study was to investigate the relationships between employee turnover intention of certified nursing assistants working in long-term care facilities and employee compensation, engagement, job satisfaction, motivation, perceived work stress during the COVID-19 pandemic, and work environment. The population of interest consisted of CNAs over the age of 17, with at least two years of experience working in the central Texas long-term care industry. Herzberg’s motivation-hygiene theory served as the theoretical framework underpinning this study. Multiple …

Best Practices For Implementing Critical Care Orientation Programs For Newly Graduated Nurses After Reduced Hands-On Clinical Experience Due To The Covid-19 Pandemic: An Integrative Review, Anne-Marie Hinish

Doctoral Dissertations and Projects

The academic-practice gap has been described in the literature for years. Poorly implemented transition to practice can negatively impact patient outcomes, newly graduated nurses, and the nursing profession. Abbreviated prelicensure clinical experiences due to the COVID-19 pandemic have exacerbated the academic-practice gap’s impact on new nurse confidence, competence, safety, and retention. This integrative literature review aimed to identify best practices for developing and implementing a standardized new graduate nurse orientation program in the critical care setting that addresses and supports the transition from student to practitioner in an era of reduced hands-on clinical experiences due to the COVID-19 pandemic. Evidence …

Pilot Study Of Minimally Adherent Silver Dressings For Acute Surgical Wounds, Meredyth B. Berard, Frank H. Lau

School of Medicine Faculty Publications

Background and Aims: Minimally adherent silver dressings (SILVER MASD) are antimicrobial, nonirritating, provide a moist wound healing environment, and low cost. The purpose of this pilot, single-center, non-blinded randomized controlled trial was to quantify the outcomes of acute surgical wounds treated with MASD versus standard of care (SoC) dressings. Methods: Thirty-two patients with acute wounds were randomized 1:1 to be treated with MASD once weekly or SoC following surgical excision of skin and/or subcutaneous tissue between September 13, 2016 and November 28, 2017. The outcome variables included clinical infection, time to wound closure, and pain scores at dressing changes. Two …

The Transcription Factor Bach2 Negatively Regulates Murine Natural Killer Cell Maturation And Function, Shasha Li, Michael D Bern, Benpeng Miao, Changxu Fan, Xiaoyun Xing, Takeshi Inoue, Sytse J Piersma, Ting Wang, Marco Colonna, Tomohiro Kurosaki, Wayne M Yokoyama

2020-Current year OA Pubs

BTB domain And CNC Homolog 2 (Bach2) is a transcription repressor that actively participates in T and B lymphocyte development, but it is unknown if Bach2 is also involved in the development of innate immune cells, such as natural killer (NK) cells. Here, we followed the expression of Bach2 during murine NK cell development, finding that it peaked in immature CD27

Current Communication Practices Between Obstetrics And Gynecology Residency Applicants And Program Directors, Helen Kang Morgan, Abigail Ford Winkel, Karen George, Eric Strand, Erika Banks, Fiona Byrne, David Marzano, Maya M Hammoud

2020-Current year OA Pubs

Importance: In order to equitably improve the residency application process, it is essential to understand the problems we need to address.

Objective: To determine how obstetrics and gynecology (OBGYN) applicants and faculty communicate applicants' interest to residency programs, and how program directors report being influenced by these communications.

Design, Setting, and Participants: This survey study was conducted with email surveys of OBGYN application stakeholders in 2022. Included participants were OBGYN applicants, clerkship directors, and residency program directors in medical education associations' email listservs.

Exposures: Surveys sent by the American Association of Medical Colleges, Association of Professors of Gynecology and Obstetrics, …

Entrectinib In Children And Young Adults With Solid Or Primary Cns Tumors Harboring Ntrk, Ros1, Or Alk Aberrations (Startrk-Ng), Ami V Desai, Karen Gauvain, Amy E Armstrong, Et Al.

2020-Current year OA Pubs

BACKGROUND: Entrectinib is a TRKA/B/C, ROS1, ALK tyrosine kinase inhibitor approved for the treatment of adults and children aged ≥12 years with NTRK fusion-positive solid tumors and adults with ROS1 fusion-positive non-small-cell lung cancer. We report an analysis of the STARTRK-NG trial, investigating the recommended phase 2 dose (RP2D) and activity of entrectinib in pediatric patients with solid tumors including primary central nervous system tumors.

METHODS: STARTRK-NG (NCT02650401) is a phase 1/2 trial. Phase 1, dose-escalation of oral, once-daily entrectinib, enrolled patients aged <22 years with solid tumors with/without target NTRK1/2/3, ROS1, or ALK fusions. Phase 2, basket trial at the RP2D, enrolled patients with intracranial or extracranial solid tumors harboring target fusions or neuroblastoma. Primary endpoints: phase 1, RP2D based on toxicity; phase 2, objective response rate (ORR) in patients harboring target fusions. Safety-evaluable patients: ≥1 dose of entrectinib; response-evaluable patients: measurable/evaluable baseline disease and ≥1 dose at RP2D.

RESULTS: At data cutoff, 43 patients, median age of 7 years, were response-evaluable. In phase 1, 4 …

External Iliac Vein Aneurysm Treated Via Balloon-Assisted Aneurysmorrhaphy With A Contemporary Review Of The Literature, Kyle W. Prochno, Michael Qaqish, Dawn M. Salvatore, Babak Abai, Paul J. Dimuzio, Michael J. Nooromid

Department of Surgery Faculty Papers

Isolated external iliac vein aneurysm is exceedingly rare, not well-described in the literature, and presents several potential surgical approaches. Herein, we describe the case of a 72-year-old woman who presented with incidentally found 4.3 cm x 3.4 cm x 5.6 cm right external iliac vein aneurysm after undergoing magnetic resonance imaging for orthopedic work-up. She was treated via parallel supra- and infra-inguinal incisions and novel combination of primary aneurysmorrhaphy with intraluminal balloon mandrel-assisted closure. The patient was discharged on postoperative day two, and 6-month follow-up ultrasound showed a normal caliber vessel with normal compressibility, suggesting this technique is safe and …

Intouch October 3, 2022, New York Medical College

InTouch

• Phillip Capozzi, M.D., Library Hosts 29th Annual Faculty Author Recognition
• Pollinator Garden Named For Mary Ann Latona Nadler For Her Instrumental Contributions
• 24th Annual Race for Rehab Raises More Than $6,200 for Achilles International
• NYMC and TCDM Host Town Hall
• Luncheon Caps Celebration of Women in Medicine Month at NYMC
• Transformative Education Leadership Program Launched This Summer with Positive Results
• The Office of eLearning Ensures Seamless Online Learning

Association Of Prediagnosis Obesity And Postdiagnosis Aspirin With Survival From Stage Iv Colorectal Cancer, Jennifer S Davis, Janelle C Chavez, Melissa Kok, Yazmin San Miguel, Hwa Young Lee, Henry Henderson, Michael J Overman, Van Morris, Bryan Kee, David Fogelman, Shailesh M Advani, Benny Johnson, Christine Parseghian, John Paul Shen, Arvind Dasari, Kenna R Shaw, Eduardo Vilar, Kanwal P Raghav, Imad Shureiqi, Robert A Wolff, Funda Meric-Bernstam, Dipen Maru, David G Menter, Scott Kopetz, Shine Chang

Faculty, Staff and Student Publications

IMPORTANCE: The potential relationship between obesity and colorectal cancer (CRC) outcome is poorly understood in patients with late-stage disease. Increased body mass index may negate aspirin use for cancer prevention, but its role as a factor on the effectiveness of postdiagnosis aspirin use is unclear.

OBJECTIVE: To evaluate how prediagnosis obesity and postdiagnosis aspirin use may be associated with overall survival in patients with late-stage colorectal cancer.

DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study used self-reported data from patients with metastatic or treatment-refractory disease who consented to a clinical protocol at MD Anderson Cancer Center, a large US cancer treatment …

Racial And Ethnic Differences In The Association Of Low-Carbohydrate Diet With Mortality In The Multi-Ethnic Study Of Atherosclerosis, Seung-Won Oh, Alexis C Wood, Seung-Sik Hwang, Matthew Allison

Children’s Nutrition Research Center Staff Publications

Importance: Evidence linking low-carbohydrate diets (LCDs) to mortality is limited among multiethnic populations.

Objective: To evaluate the association between LCDs and mortality by race and ethnicity.

Design, setting, and participants: The Multi-Ethnic Study of Atherosclerosis is a large, population-based prospective cohort study of adults aged 45 to 84 years recruited from 6 US communities. A total of 6109 participants without baseline cardiovascular disease were included in this analysis. Baseline data were collected from July 2000 to August 2002, with follow-up completed by December 2017. The data were analyzed between May 2021 and April 2022.

Exposures: Food frequency questionnaires were used …

What Screening Schedule Or Algorithm Has Shown To Be Beneficial In Early Identification Of Perinatal Depression: An Integrative Review, Olivia Grace Hull

Doctoral Dissertations and Projects

Within the health care industry, mental illness has become a growing national concern, especially within the realm of obstetric care. As a vulnerable population, pregnant and postpartum women require appropriate screening and treatment for depression as warranted. Within the United States, there is an increasing concern around undiagnosed and untreated perinatal depression because of the lack of adequate screening and treatment plans. Perinatal depression that remains unrecognized contributes not only to long-lasting effects on the women, but also to adverse developmental effects in infants and an overall burden on the family unit. In addition, perinatal depression is associated with various …

Egfr Suppresses P53 Function By Promoting P53 Binding To Dna-Pkcs: A Noncanonical Regulatory Axis Between Egfr And Wild-Type P53 In Glioblastoma, Jie Ding, Xiaolong Li, Sabbir Khan, Chen Zhang, Feng Gao, Shayak Sen, Amanda R Wasylishen, Yang Zhao, Guillermina Lozano, Dimpy Koul, W K Alfred Yung

Faculty, Staff and Student Publications

Background: Epidermal growth factor receptor (EGFR) amplification and TP53 mutation are the two most common genetic alterations in glioblastoma multiforme (GBM). A comprehensive analysis of the TCGA GBM database revealed a subgroup with near mutual exclusivity of EGFR amplification and TP53 mutations indicative of a role of EGFR in regulating wild-type-p53 (wt-p53) function. The relationship between EGFR amplification and wt-p53 function remains undefined and this study describes the biological significance of this interaction in GBM.

Methods: Mass spectrometry was used to identify EGFR-dependent p53-interacting proteins. The p53 and DNA-dependent protein kinase catalytic subunit (DNA-PKcs) interaction was detected by co-immunoprecipitation. We …

Inequity In National Institutes Of Health Predoctoral Fellowships, 2001-2020, Mytien Nguyen, Nghia D Nguyen, Sarwat I Chaudhry, Mayur M Desai, Jose E Cavazos, Dowin Boatright

Faculty, Staff and Student Publications

This cross-sectional study examines trends in number of awards and funding of general and diversity F31 predoctoral fellowships from 2001 to 2020.

Allostatic Load Predicts Racial Disparities In Intracerebral Hemorrhage Cognitive Outcomes, Jennifer Harris, Amelia Boehme, Luisa Chan, Harmon Moats, Rachelle Dugue, Chigozirim Izeogu, Marykay A Pavol, Imama A Naqvi, Olajide Williams, Randolph S Marshall

Faculty, Staff and Student Publications

A large portion of stroke disparities remains unexplained, even after adjusting for demographic, comorbidity, and health care access variables. There is a critical need to close this knowledge gap by investigating novel factors that may contribute to stroke disparities. Allostatic load (AL) is the lifetime adverse physiologic impact of needing to adjust to socially structured stressors such as racism. AL has been shown to increase health vulnerability and worsen outcomes in marginalized populations. We sought to assess the differential impact of AL on cognitive outcomes post intracerebral hemorrhage (ICH) across race-ethnicity. The Intracerebral Hemorrhage Outcomes Project (ICHOP) prospectively collected data …

Family Planning, Fertility, And Career Decisions Among Female Oncologists, Anna Lee, Aleksandra Kuczmarska-Haas, Shraddha M Dalwadi, Erin F Gillespie, Michelle S Ludwig, Emma B Holliday, Fumiko Chino

Faculty, Staff and Student Publications

Importance: Female oncologists often spend their childbearing years in training and establishing careers, with many later experiencing fertility issues when starting a family. Physician fertility and family planning are rarely discussed during training. Attitudes among female oncologists regarding family planning are unknown.

Objectives: To understand barriers to family planning as well as the association of fertility treatment with career decisions and to assess experiences of pregnancy-based discrimination among female oncologists.

Design, setting, and participants: In this survey study, a novel 39-item questionnaire was distributed to US female oncologists from May 7 to June 30, 2020, via email and social media …