Medicine and Health Sciences Commons^™

University Of New Mexico Health Sciences Center Discovery Research Annual Report 2023, Michael Haederle, Claire Hannon, Elizabeth Dwyer Sandlin, Nicole San Roman, Chris Ramirez, Brianna Wilson, Jett Loe, Sara Mota, Sarah Head

Research Annual Reports

Research annual report from the University of New Mexico Health Sciences Center.

Chief Executive Officer: Lehigh Valley Hospital Center, Lehigh Valley Health Network

Historical Archives

No abstract provided.

Sexually Transmitted Infection (Sti), Children's Mercy Kansas City

Clinical Pathways (Formally Known As Clinical Practice Guidelines)

No abstract provided.

Graduate Medical Education Annual Report 2022-2023, Children's Mercy Kansas City

GME Annual Reports

Annual report of the Children's Mercy Hospital Graduate Medical Education department, including pediatric residency, internal medicine/pediatrics residency, fellowship programs, medical students, continuing medical education, and library services.

Contraception And Healthcare Utilization By Reproductive-Age Women Who Use Drugs In Rural Communities: A Cross-Sectional Survey., Ximena A. Levander, Canyon A. Foot, Sara L. Magnusson, Ryan R. Cook, Jerel M. Ezell, Judith Feinberg, Vivian F. Go, Kathryn E. Lancaster, Elizabeth Salisbury-Afshar, Gordon S. Smith, Ryan P. Westergaard, April M. Young, Judith I. Tsui, P. Todd Korthuis

Epidemiology and Environmental Health Faculty Publications

BACKGROUND: Women who use drugs (WWUD) have low rates of contraceptive use and high rates of unintended pregnancy. Drug use is common among women in rural U.S. communities, with limited data on how they utilize reproductive, substance use disorder (SUD), and healthcare services.

OBJECTIVE: We determined contraceptive use prevalence among WWUD in rural communities then compared estimates to women from similar rural areas. We investigated characteristics of those using contraceptives, and associations between contraceptive use and SUD treatment, healthcare utilization, and substance use.

DESIGN: Rural Opioids Initiative (ROI) - cross-sectional survey using respondent-driven sampling (RDS) involving eight rural U.S. regions …

Telecontraception – A Way To Address A Health Care Disparity A Preliminary Literature Review, Pamela D. Parker

MedEd Teaching Certificate Program

Unintended pregnancy continues to be a significant personal and public health concern in all countries. In 2015-2019 there were 121 million unintended pregnancies annually, corresponding to a global rate of 64 unintended pregnancies per 1000 women aged 15-49 years. While there are multiple contraception options available in general, access to them can be limited by a myriad of factors. Over the past two decades there has been an increase in mail order services for contraception that bypasses the traditional clinician office visit-examination-pharmacy model, thus increasing access for many women (and men). These companies have been proven to provide safe, convenient …

Environmental Transmission Of Influenza A Virus In Mallards, Kim M. Pepin, Clinton B. Leach, Nicole L. Barrett, Jeremy W. Ellis, Kaci K. Vandalen, Colleen T. Webb, Susan A. Shriner

United States Department of Agriculture Wildlife Services: Staff Publications

Abstract

Influenza A viruses present a major challenge for animal and human health. They circulate widely in wild waterfowl and frequently spillover into poultry, emphasizing the need for risk-based surveillance in wild birds and an understanding of the relative importance of different transmission mechanisms. We addressed this objective with a replicated (N = 6) experimental infection study in which we serially exposed eight cohorts of four naïve contact mallards to an experimentally infected mallard and a shared water pool. Viral concentration in the water was a better predictor of transmission than several direct measures of viral shedding in the …

Changes In Wild Pig (Sus Scrofa) Relative Abundance, Crop Damage, And Environmental Impacts In Response To Control Efforts, Joseph W. Treichler, Kurt C. Vercauteren, Charles R. Taylor, James C. Beasley

United States Department of Agriculture Wildlife Services: Staff Publications

Background

As the population and range of wild pigs (Sus scrofa) continue to grow across North America, there has been an increase in environmental and economic damages caused by this invasive species, and control efforts to reduce damages have increased concomitantly. Despite the expanding impacts and costs associated with population control of wild pigs, the extent to which wild pig control reduces populations and diminishes environmental and agricultural damages are rarely quantified.The goal of this study is to quantify changes in wild pig relative abundance and subsequent changes in damages caused by invasive wild pigs in response to …

Individual‑Level Patterns Of Resource Selection Do Not Predict Hotspots Of Contact, Anni Yang, Raoul Boughton, Ryan S. Miller, Nathan P. Snow, Kurt C. Vercauteren, Kim C. Pepin, George Wittemyer

United States Department of Agriculture Wildlife Services: Staff Publications

Contact among animals is crucial for various ecological processes, including social behaviors, disease transmission, and predator–prey interactions. However, the distribution of contact events across time and space is heterogeneous, influenced by environmental factors and biological purposes. Previous studies have assumed that areas with abundant resources and preferred habitats attract more individuals and, therefore, lead to more contact. To examine the accuracy of this assumption, we used a use-available framework to compare landscape factors influencing the location of contacts between wild pigs (Sus scrofa) in two study areas in Florida and Texas (USA) from those influencing non-contact space use. …

Echinococcus Species Infections Among Wild Canids In Pennsylvania, Usa, Kayla Garrett, Justin Brown, Ryan K. A. Grunert, Jonathan Hunte, Mark G. Ruder, Kyle Van Why, Michael J. Yabsley, Christopher A. Cleveland

United States Department of Agriculture Wildlife Services: Staff Publications

Echinococcus species are zoonotic tapeworms that can impact the health of wildlife, domestic animals, livestock, and humans. Two species of interest in North America are Echinococcus multilocularis and Echinococcus canadensis (Echinococcus granulosus sensu lato). The primary wildlife definitive hosts for E. multilocularis and E. canadensis are similar, including red foxes (Vulpes vulpes), gray foxes (Urocyon cinereoargenteus), coyotes (Canis latrans), and wolves (Canis lupus). These two Echinococcus spp. use different intermediate hosts, including small mammals for E. multilocularis and artiodactylids for E. canadensis. Although historically absent from …

Understory Arthropod Diversity In A Mixed Dryland Ecosystem, Hawai‘I, Matthew J. Madeiros, William P. Haines, Clare E. Aslan, Aaron B. Shiels, Asa Aue, Christina T. Liang

United States Department of Agriculture Wildlife Services: Staff Publications

Tropical drylands are among the most threatened ecosystems worldwide, and fewer than 10% of tropical dry forests in Hawai‘i remain intact. Terrestrial arthropods comprise most of the endemic fauna on many islands, including Hawai‘i, where they provide ecosystem services such as pollination, decomposition, and a reliable prey base for predators. The objective of our study was to measure understory arthropod diversity and relative abundances in two common habitat types within dryland Hawai‘i—a non-native grassland, dominated by Cenchrus setaceus (fountain grass) with few native shrubs, and a native woodland, dominated by Metrosideros polymorpha (‘ōhi‘a). We used generalized additive models to examine …

Evaluation Of Roost Culling As A Management Strategy For Reducing Invasive Rose‑Ringed Parakeet (Psittacula Krameri) Populations, C. Janes Anderson, Leonard A. Brennan, William P. Bukoski, Steven C. Hess, Clayton D. Hilton, Aaron B. Shiels, Shane Siers, Bryan M. Kluever, Page E. Klug

United States Department of Agriculture Wildlife Services: Staff Publications

Rose-ringed parakeets (Psittacula krameri) are one of the most widespread invasive avian species worldwide. This species was introduced to the island of Kaua‘i, Hawai‘i, USA, in the 1960s. The rapidly increasing population has caused substantial economic losses in the agricultural and tourism industries. We evaluated the efficacy of a roost culling program conducted by an independent contractor from March 2020 to March 2021. We estimated island-wide minimum abundance was 10,512 parakeets in January 2020 and 7,372 in April 2021. Over 30 nights of culling at four roost sites, approximately 6,030 parakeets were removed via air rifles with 4,415 …

Social Network Analysis Of White-Tailed Deer Scraping Behavior: Implications For Disease Transmission, Michael E. Egan, Kim M. Pepin, Justin Fischer, Scott R. Hygnstrom, Kurt C. Vercauteren, Guillaume Bastille-Rousseau

United States Department of Agriculture Wildlife Services: Staff Publications

Host contact structure affects pathogen transmission in host populations, but many measures of host contact do not distinguish contacts that are relevant to pathogen transmission from those that are not. Scrapes are sites for chemical communication by white-tailed deer (Odocoileus virginianus) during the breeding season and potential sites of transmission of prions, the causative agent of chronic wasting disease (CWD). Scrape-related behaviors vary in their probability of transmitting prions to or from the environment, suggesting that behavior be combined with contact structure to better reflect potential heterogeneity in prion transmission at scrapes. We recorded visits and behaviors by …

Disease Progression And Serological Assay Performance In Heritage Breed Pigs Following Brucella Suis Experimental Challenge As A Model For Naturally Infected Feral Swine, Vienna R. Brown, Ryan S. Miller, Courtney F. Bowden, Timothy J. Smyser, Nicholas A. Ledesma, Aim E. Hartwig, Paul Gordy, Aaron M. Anderson, Stephanie M. Porter, Kate Alexander, Zane Gouker, Tom Gidlewski, Richard A. Bowen, Angela M. Bosco-Lauth

United States Department of Agriculture Wildlife Services: Staff Publications

Invasive feral swine (Sus scrofa) are one of the most important wildlife species for disease surveillance in the United States, serving as a reservoir for various diseases of concern for the health of humans and domestic animals. Brucella suis, the causative agent of swine brucellosis, is one such pathogen carried and transmitted by feral swine. Serology assays are the preferred field diagnostic for B. suis infection, as whole blood can be readily collected and antibodies are highly stable. However, serological assays frequently have lower sensitivity and specificity, and few studies have validated serological assays for B. suis in feral swine. …

Evaluation Of The Effect Of Hydrated Lime On The Scavenging Of Feral Swine (Sus Scrofa) Carcasses And Implications For Managing Carcass-Based Transmission Of African Swine Fever Virus, Courtney F. Bowden, James Grinolds, Gregory Franckowiak, Loma Mccallister, Joe M. Halseth, Matthew Cleland, Travis Guerrant, Michael J. Bodenchuk, Robert Miknis, Michael C. Marlow, Vienna R. Brown

United States Department of Agriculture Wildlife Services: Staff Publications

African swine fever (ASF) is a devastating hemorrhagic disease marked by extensive morbidity and mortality in infected swine. The recent global movement of African swine fever virus (ASFV) in domestic and wild swine (Sus scrofa) populations has initiated preparedness and response planning activities within many ASF-free countries. Within the US, feral swine are of utmost concern because they are susceptible to infection, are wide-spread, and are known to interact with domestic swine populations. African swine fever virus is particularly hardy and can remain viable in contaminated carcasses for weeks to months; therefore, carcass-based transmission plays an important role in the …

Perturbations Highlight Importance Of Social History In Parakeet Rank Dynamics, Annemarie Van Der Marel, Xavier Francis, Claire L. O'Connell, Cesar O. Estien, Chelsea Carminito, Virginia Darby Moore, Nickolas Lormand, Bryan M. Kluever, Elizabeth A. Hobson

United States Department of Agriculture Wildlife Services: Staff Publications

Dominance hierarchies can provide many benefits to individuals, such as access to resources or mates, depending on their ranks. In some species, rank can emerge as a product of a group’s history of social interactions. However, it can be difficult to determine whether social history is critical to rank in observation-based studies. Here, we investigated rank dynamics in three captive groups of monk parakeets (Myiopsitta monachus). We used experimental social perturbations to test whether social history shapes rank emergence in these groups. Using targeted removals and reintroductions, we tested whether differently ranked individuals could re-take their ranks in hierarchies after …

Distribution Of The Misfolded Isoform Of The Prion Protein In Peripheral Tissues And Spinal Cord Of Rocky Mountain Elk (Cervus Elaphus Nelsoni) With Naturally Occurring Chronic Wasting Disease, Terry R. Spraker, Thomas Gidlewski, J. G. Powers, T. A. Nichols, M. A. Wild

United States Department of Agriculture Wildlife Services: Staff Publications

Chronic wasting disease (CWD) is an infectious transmissible spongiform encephalopathy of cervids associated with the presence of a misfolded prion protein (PrPCWD). Progression of PrPCWD distribution has been described using immunohistochemistry and histologic changes in a single section of brain stem at the level of the obex resulting in scores from 0 (early) to 10 (terminal) in elk with naturally occurring CWD. Here we describe the spread and distribution of PrPCWD in peripheral tissues and spinal cord in 16 wild and 17 farmed Rocky Mountain elk (Cervus elaphus nelsoni) with naturally occurring CWD and correlate these findings with obex scores. …

Predator Telemetry Informs Temporal And Spatial Overlap With Stocked Salmonids In Lake Huron, David G. Fielder, Todd A. Hayden, Thomas R. Binder, Brian S. Dorr, Heidi A. Currier

United States Department of Agriculture Wildlife Services: Staff Publications

Double-Crested Cormorants (Phalacrocorax auratus), Walleyes (Sander vitreus), and Lake Trout (Salvelinus namaycush) are migratory predators that undergo extensive movements in Lake Huron. Stocking of juvenile salmonid fish (Oncorhynchus and Salmo sp.) is an important component of fishery management in Lake Huron and assessing the spatial and temporal extent of predator movements is a useful consideration for determining when and where to stock juvenile fish to reduce predation and maximize survival. Previous investigation indicated that some Walleyes migrate to the main basin of Lake Huron in spring from Saginaw Bay. Similarly, telemetry studies of Lake Trout movement in Lake Huron have …

Role Of Social Structure In Establishment Of An Invasive Large Mammal After Translocation, Lindsay M. Clontz, Anni Yang, Sarah M. Chinn, Kim M. Pepin, Kurt C. Vercauterten, George Wittemyer, Ryan S. Miller, James C. Beasley

United States Department of Agriculture Wildlife Services: Staff Publications

Background

Data on the movement behavior of translocated wild pigs is needed to develop appropriate response strategies for containing and eliminating new source populations following translocation events. We conducted experimental trials to compare the home range establishment and space-use metrics, including the number of days and distance traveled before becoming range residents, for wild pigs translocated with their social group and individually.

Results

We found wild pigs translocated with their social group made less extensive movements away from the release location and established a stable home range ~5 days faster than those translocated individually. We also examined how habitat quality …

Examination Of The Role Of Adrenergic Receptor Stimulation In The Sensitization Of Neuroinflammatory-Based Depressive-Like Behavior In Isolated Guinea Pig Pups, Rachel R. Kessler, Patricia A. Schiml, Sean M. Mcgraw, Erin N. Tomlin, Mikayla J. Hoeferlin, Terrence Deak, Michael B. Hennessy

Psychology Faculty Publications

Early-life attachment disruption appears to sensitize neuroinflammatory signaling to increase later vulnerability for stress-related mental disorders, including depression. How stress initiates this process is unknown, but studies with adult rats and mice suggest sympathetic nervous system activation and/or cortisol elevations during the early stress are key. Guinea pig pups isolated from their mothers exhibit an initial active behavioral phase characterized by anxiety-like vocalizing. This is followed by inflammatory-dependent depressive-like behavior and fever that sensitize on repeated isolation. Using strategies that have been successful in adult studies, we assessed whether sympathetic nervous system activity and cortisol contributed to the sensitization process …

The Impact Thinking Framework: A Process For Adbancing Research-To-Ractice Initiatives In Neuroaesthetics, Susan Magsamen, Tasha L. Golden, Catriona A. Towriss, Joy Allen

Faculty Works

Neuroaesthetics research explores brain, body and behavioral responses to engagement with the arts and other aesthetic sensory experiences. Evidence indicates that such experiences can help address various psychological, neurological and physiological disorders, and that they can support mental and physical well-being and learning in the general population. The interdisciplinary nature of this work contributes to its impact and promise; however, it also creates challenges as various disciplines approach and define research and practice in varied ways. Recent field-wide reports have noted that a consensus translational framework is needed to support further neuroaesthetics research that can deliver meaningful knowledge and interventions. …

Personalizing A Librarian: Support For A Problem-Based Learning Medical Campus, Mercedes Byrd, Charles J. Greenberg

Libraries Scholarship

Background

The Rowan-Virtua University School of Osteopathic Medicine opened a second campus in Sewell, New Jersey, to serve a planned increase of Problem-Based Learning (PBL) students and integrate them with clinical care at the new campus. In order to better serve the students and faculty, the new librarian researched how to best engage a cohort of 72 new PBL medical students, as well as 1^st and 2^nd year PBL students on the main campus as well.

Objectives

The main objective of ensuring the students, faculty, and staff on campus viewed the library as an integrated resource with their …

Is Playtime Over? Exploring Socio-Cultural Barriers And Enablers To Adult Playtime, Karen Mccarthy, Sabrina Solis, Leticia Monelli, Catherine Solomon, Rosalind Nolde

Occupational Therapy | Faculty Conference Presentations

No abstract provided.

Measuring Outcomes Of Occupational Therapy Facilitated In Natural Settings With Young Children, Amie Smith, Zoe Peters, Brinda Saini, Deepak Dale, Amanda Laccone

Occupational Therapy | Graduate Student Research Posters

To date, there is limited evidence to support the effectiveness of Occupational Therapy (OT) services delivered outside in nature. This study explored the benefits of OT intervention in Natural Settings (NS) for children by examining development in the areas of self-regulation, social skills, sensory processing, confidence, and motor skills. A quantitative, quasi-experimental pre-test/post-test design was used in this study. Researchers partnered with a local outpatient OT clinic that offers an 8-week outdoor program. Seven children and their parents were recruited and participated in the study. A modified version of the COPM and two BOT-2 subtests, along with a novel log …

Fair Domestic Allocation Of Monkeypox Virus Countermeasures, Govind C. Persad, R. J. Leland, Trygve Ottersen, Henry S. Richardson, Carla Saenz, G. Owen Schaefer, Ezekiel J. Emanuel

Sturm College of Law: Faculty Scholarship

Countermeasures for mpox (formerly known as monkeypox), primarily vaccines, have been in limited supply in many countries during outbreaks. Equitable allocation of scarce resources during public health emergencies is a complex challenge. Identifying the objectives and core values for the allocation of mpox countermeasures, using those values to provide guidance for priority groups and prioritisation tiers, and optimising allocation implementation are important. The fundamental values for the allocation of mpox countermeasures are: preventing death and illness; reducing the association between death or illness and unjust disparities; prioritising those who prevent harm or mitigate disparities; recognising contributions to combating an outbreak; …

Mpox (Formally Known As Monkeypox), Molly O'Neill, Tricia Lepage, Vanessa Bester, Henry Yoon, Frederick Browne, Eric C. Nemec

Physician Assistant Studies Student Publications

Mpox originates from the Mpox virus, which belongs to the Orthopoxvirus genus of the Poxviridae family.1, 2, 3 Other Orthopoxvirus species include the variola virus (the now eradicated smallpox virus), vaccinia virus (a virus used in the creation of the smallpox vaccine), and cowpox virus.1, 2, 3 The identified clades consist of the West African clade and the Congo Basin clade, each with varying fatality rates of 1% and 10%, respectively.1, 2, 3, 4 Since the eradication of smallpox in 1980, the Mpox virus has emerged as the most relevant Orthopoxvirus infection in humans.

Examining The Efficacy Of Yoga Nidra On Sleep Quality With Persons With Parkinson’S Disease (Pwpd), Kimberly Morrow, Karen Aranha, Angela Blackwell

Fall 2023 Virtual OTD Capstone Symposium

A pilot mixed methods study utilizing quantitative and qualitative phenomenological study methods to understand the overall the benefits of using Yoga Nidra on sleep quality and sleep management, and more precisely the dosage of Yoga Nidra.

Bundle Up To Improve Cauti, Jennifer Anderson, Valorie Dearmon

DNP Manuscripts

Catheter Associated Urinary Tract Infections (CAUTIs) are a leading cause of healthcare acquired infections. Strong evidence for CAUTI best practices exists, however, the struggle to translate best practice evidence into everyday practice remains a challenge. Catheter associated urinary tract infection rates continue to be a problem despite organizational efforts to implement best practice guidelines; the challenge is to effectively translate and embed best practices into everyday practice. The Centers for Medicare and Medicaid Services (CMS) will no longer reimburse hospitals for expenses associated with hospital acquired CAUTI; moreover, hospitals are subject to penalties for high rates of hospital acquired CAUTIs. …

Teaching The Teachers: Development And Evaluation Of A Racial Health Equity Curriculum For Faculty., Olanrewaju Falusi, Lin Chun-Seeley, Desiree De La Torre, Danielle G Dooley, Melissa Baiyewu, Theiline T Gborkorquellie, Chaya T Merrill, Elizabeth Davis, Maranda C Ward

Health Sciences Education Research

INTRODUCTION: Faculty are increasingly expected to teach about the impact of racism on health and to model the principles of health equity. However, they often feel ill-equipped to do so, and there is limited literature on faculty development on these topics. We developed a curriculum for faculty education on racism and actions to advance racial health equity.

METHODS: The curriculum design was based on a literature review and needs assessments. Implementation consisted of four live virtual 1-hour sessions incorporating interactive didactics, cases, reflection, goal setting, and discussion offered to a multidisciplinary group of pediatric faculty at a children's hospital. Topics …

Who’S Hangry?: Food Insecurity And Psychosocial Adjustment In D.C. Teens, Robert Price, Andrea Murillo, David Whittington, Jelani Garrett, Jordan Ray

DC Health and Academic Prep Program (DC HAPP)

About 19,430 children in Washington D.C. experience food insecurity every day (Oliver, 2022). This is equivalent to 1 in 7 children in the area. According to WUSA, a news channel; food insecurity has been proven to lead to grave behavioral and emotional issues that can impair mental health and make it difficult for students to adjust to social situations (WUSA, 2017).We are excited to announce a new program that will help tackle food insecurity in public high schools in wards 7 & 8. The program’s name is DC Creating Overall Optimism in Kids (DC COOKs). The goal is to provide …