Medicine and Health Sciences Commons^™

Librarian Advocates For Open Educational Resources (Oer) As A Catalyst For Innovation In Health Sciences Education, Christine Andresen

MUSC Conference Presentations

Purpose: Data shows that at least 81% of medical students and 75% of health professional doctoral students graduate and enter the profession with student loans. Access to textbooks and ancillary instructional materials is essential, yet data shows that textbook prices have increased over 1000% between 1977-2015, exacerbating the systematic barriers to student access, affordability, and success in higher education. Open Educational Resources (OER) can reduce student textbook costs while also giving faculty the flexibility to adapt course materials to meet specific course needs. Librarians have experience leveraging subscription resources to reduce student costs and are well positioned to promote the …

Blockchain In Healthcare: A Cure For Administrative Costs And Innovation Barriers, Rahul Nadendla, Jack Buckanavage

URGENT Matters

No abstract provided.

Revolutionizing Healthcare Documentation: Abridge's Innovative Solution To Physician Burnout And Efficiency Challenges, Jack Buckanavage, Randall W. Lee

URGENT Matters

No abstract provided.

Implementation Of A Comprehensive Diabetic Foot Care Protocol In A Primary Care Clinic, Kakecha Taylor

Doctor of Nursing Practice Projects

Diabetes-related complications are significant in the diabetic patient population in the United States. Appropriate measures must be implemented to ensure that diabetic foot disease is prevented. One suggested approach to stopping the progression of complications is to ensure comprehensive diabetic foot exams and foot care education are performed and documented by providers, as recommended by the American Diabetes Association (ADA) annually. Diabetes poses a public health challenge requiring the implementation of evidence-based guidelines in primary care. This quality improvement project aimed to implement a comprehensive diabetic foot care protocol to impact providers' documentation and performance of foot exams in diabetic …

Simultaneous Family Planning Counseling During Visits For Chronic Conditions That Increase Preeclampsia Risk, Jessica Cotton

Doctor of Nursing Practice Projects

Treatment plans are incomplete until providers address a condition’s impact on a potential pregnancy. Primary care providers (PCPs) routinely treat hypertension (HTN), diabetes (DM), chronic kidney disease (CKD), lupus (LP), and antiphospholipid syndrome (APL), which all increase preeclampsia in pregnancy. PCPs may be more prone to overlook pregnancy potential in the context of diseases than those specializing in obstetrics. This quality improvement (QI) project aimed to see if this was true in a small nurse practitioner-owned and run family practice clinic in Oklahoma. A 2022 retrospective chart review for non-pregnant reproductive-age adult females confirmed that no ICD-10 codes for HTN, …

Increasing Provider Confidence With Expedited Partner Therapy In Rural Health, Keisha Fox

Doctor of Nursing Practice Projects

The amount of gonorrhea and chlamydia cases reported in the state of Arkansas over the past four years has gradually increased. Expedited partner therapy (EPT) offers secure, reliable treatment for heterosexual individuals exposed to gonorrhea or chlamydia by their sexual partner without a physical exam but is not commonly offered by providers at Lee County Cooperative Clinic. This quality improvement used CDC guidelines and Arkansas legal statutes to implement EPT education for the providers in a rural health clinic in Arkansas. The goal was to increase provider knowledge and comfort in prescribing EPT. Recruitment of four providers involved discussion of …

Electronic Health Record Data Quality Assessment And Tools: A Systematic Review, Abigail E Lewis, Nicole Weiskopf, Zachary B Abrams, Randi Foraker, Albert M Lai, Philip R O Payne, Aditi Gupta

2020-Current year OA Pubs

OBJECTIVE: We extended a 2013 literature review on electronic health record (EHR) data quality assessment approaches and tools to determine recent improvements or changes in EHR data quality assessment methodologies.

MATERIALS AND METHODS: We completed a systematic review of PubMed articles from 2013 to April 2023 that discussed the quality assessment of EHR data. We screened and reviewed papers for the dimensions and methods defined in the original 2013 manuscript. We categorized papers as data quality outcomes of interest, tools, or opinion pieces. We abstracted and defined additional themes and methods though an iterative review process.

RESULTS: We included 103 …

Using Artificial Intelligence To Learn Optimal Regimen Plan For Alzheimer’S Disease, Kritib Bhattarai, Sivaraman Rajaganapathy, Trisha Das, Yejin Kim, Yongbin Chen, Alzheimer’S Disease Neuroimaging Initiative, Australian Imaging Biomarkers And Lifestyle Flagship Study Of Ageing, Qiying Dai, Xiaoyang Li, Xiaoqian Jiang, Nansu Zong

Faculty, Staff and Student Publications

BACKGROUND: Alzheimer's disease (AD) is a progressive neurological disorder with no specific curative medications. Sophisticated clinical skills are crucial to optimize treatment regimens given the multiple coexisting comorbidities in the patient population.

OBJECTIVE: Here, we propose a study to leverage reinforcement learning (RL) to learn the clinicians' decisions for AD patients based on the longitude data from electronic health records.

METHODS: In this study, we selected 1736 patients from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database. We focused on the two most frequent concomitant diseases-depression, and hypertension, thus creating 5 data cohorts (ie, Whole Data, AD, AD-Hypertension, AD-Depression, and AD-Depression-Hypertension). …

Mapping The Delineation Of Practice To The Amia Foundational Domains For Applied Health Informatics, Todd R Johnson, Eta S Berner, Sue S Feldman, Josette Jones, Annette L Valenta, Damian Borbolla, Gloria Deckard, Laverne Manos

Faculty, Staff and Student Publications

OBJECTIVE: This article reports on the alignment between the foundational domains and the delineation of practice (DoP) for health informatics, both developed by the American Medical Informatics Association (AMIA). Whereas the foundational domains guide graduate-level curriculum development and accreditation assessment, providing an educational pathway to the minimum competencies needed as a health informatician, the DoP defines the domains, tasks, knowledge, and skills that a professional needs to competently perform in the discipline of health informatics. The purpose of this article is to determine whether the foundational domains need modification to better reflect applied practice.

MATERIALS AND METHODS: Using an iterative …

Transgenic Mice Expressing Functional Tcrs Specific To Cardiac Myhc-Α 334–352 On Both Cd4 And Cd8 T Cells Are Resistant To The Development Of Myocarditis On C57bl/6 Genetic Background, Meghna Sur, Mahima T. Rasquinha, Rajkumar Arumugam, Chandirasegaran Massilamany, Arunkumar Gangaplara, Kiruthiga Mone, Ninaad Lasrado, Bharathi Yalaka, Aakash Doiphode, Channabasavaiah Gurumurthy, David J. Steffen, Jay Reddy

School of Veterinary and Biomedical Sciences: Faculty Publications

Myocarditis is a predominant cause of congestive heart failure and sudden death in children and young adolescents that can lead to dilated cardiomyopathy. Lymphocytic myocarditis mediated by T cells can result from the recognition of cardiac antigens that may involve CD4 or CD8 T cells or both. In this report, we describe the generation of T cell receptor (TCR) transgenic mice on a C57BL/6 genetic background specific to cardiac myosin heavy chain (Myhc)-α 334–352 and make the following observations: First, we verified that Myhc-α 334–352 was immunogenic in wild-type C57BL/6 mice and induced antigen-specific CD4 T cell responses despite being …

Icvd Polymer Thin Film Bio-Interface-Performance For Fibroblasts, Cancer-Cells, And Viruses Connected To Their Functional Groups And In Silico Studies, Torge Hartig, Asmaa T. Mohamed, Nasra F. Abdel Fattah, Aydin Gülses, Tim Tjardts, Esther Afiba Kangah, Kwing Pak Gabriel Chan, Salih Salih Veziroglu, Yahya Acil, Oral Cenk Aktas, Jörg Jörg Wiltfang, Samah A. Loutfy, Thomas Strunskus, Franz Faupel, Amal Amin, Stefan Schröder

Nanotechnology Research Centre

Thin polymer coatings are used to improve the interface between biological species and functional materials. Their interaction is significantly influenced by the functional groups and roughness of the polymer film and prediction of the interaction is thus of great interest. However, for conventional polymer films, this cannot be examined independently because of the interplay of defects, residual solvent molecules, roughness, and functional groups. Solvent-free polymer films prepared by initiated chemical vapor deposition (iCVD) exhibit conformal, defect-free characteristics and enable precise tailoring of the functional groups. This facilitates to isolate the contribution of functional groups on the bio-interface performance. Consequently, in …

Intouch Week Of September 25, 2023, New York Medical College

InTouch

• Clinical Skills and Simulation Center Looks Forward to Expansion
• Nicholas Webb, M.S.I.S., Preserves New York Medical College’s Medical History One Item at a Time
• NYMC Celebrated at Doctors of Distinction 2023
• Founder's Dinner 2023
• GSBMS Office of Admissions Paves the Path to Successful Biomedical Science Careers for Students

Dispensing With Reductionism And Dualism: Biological Anthropological Perspectives Towards Understanding Disease, Epidemics, And Pandemics, Anne Grauer

Anthropology: Faculty Publications and Other Works

At no time in recent history has the topic of disease, epidemics and pandemics been more at the forefront of public conversation than it is now. Previously, the threat of epidemics such as Ebola, the 1918 influenza epidemic, and the plague, were commonly framed as “back then” or “over there.” Perhaps COVID ended the public's delusion. For biological anthropologists, however, the perspective has differed appreciably. Pandemics and epidemics are viewed as integral and repeated aspects of human existence, and the kindling to start an outbreak of gargantuan proportion has been delicately stacked for centuries (if not millennia). If the public …

Fabrication And Characterization Of Nylon 6 Fiber Via Wet Spinning Method For Application As A Reinforcing Material For A Direct Dental Bridge, Dissa Kirana Wijaya, Nina Djustiana, Yanwar Faza, Arief Cahyanto, Andri Hardiansyah

Makara Journal of Science

Nylon is a biocompatible thermoplastic polymer that is well known for its excellent fracture resistance, making it suitable for fabricating fiber-reinforced composite (FRC)-based dental bridges. FRC is widely used in dentistry. This study aimed to investigate the structural and morphological characteristics of the nylon 6 fiber prepared using five different weights of nylon 6 dissolved in formic acid. The nylon 6 fiber was successfully fabricated via a simple wet spinning method using water as a coagulant. The fiber was then characterized using Fourier transform infrared (FTIR) spectroscopy, optical microscopy, and scanning electron microscopy. FTIR spectroscopy confirmed the presence of nylon …

Effect Of Calorie Restriction On The Expression Of Sirtuin1 As An Antiaging Biomarker, Raya Makarim Penantian, Radiana Dhewayani Antarianto, Novi Silvia Hardiany

Makara Journal of Science

Calorie restriction (CR) is the most effective method for delaying aging and preventing the onset of age-related diseases. Sirtuins constitute a family of nicotinamide adenine dinucleotide (NAD)-dependent histone deacetylases. Their activity can be regulated by NAD⁺/NADH levels, which are influenced by nutrient intake, a variable acted upon by CR. This review elaborates on the link between CR and sirtuin1 (SIRT1). It retrieved articles from several sources, such as ClinicalKey, PubMed, and ScienceDirect. It discusses the up-to-date knowledge of how SIRT1 acts as a nutrient sensor and regulator of molecular mechanisms. These mechanisms include the control of the cell …

In-Silico Approach For Predicting The Inhibitory Effect Of Home Remedies On Severe Acute Respiratory Syndrome Coronavirus-2, Shankar Thapa, Mahalakshmi Suresha Biradar, Janmajoy Banerjee, Dipanjan Karati

Makara Journal of Science

Severe Acute Respiratory Syndrome Coronavirus-2 is an infectious disease caused by coronavirus and spreads through infected droplets inhalation. For the past 3 years, COVID-19 has become a global threat. Vaccinations are currently available and have FDA approval. During the recent pandemic, people adopted a psychological belief that home remedies (turmeric, ginger, garlic, and coriander) can prevent COVID-19. This research aimed to predict the covid-19 inhibitory activities by home remedies through an in-silico approach. The 24 bioactive constituents of four home remedies plants were downloaded from PubChem and subjected to molecular docking with the three important proteins responsible for COVID-19 pathogenesis. …

Synthesis Of Copper (Ii) Oxide Nanoparticles Using Vitis Vinifera L. Leaf Ex-Tract And Its Application As A Catalyst In Doebner Reaction, Felie Virgayani Kurniawan, Antonius Herry Cahyana, Rika Tri Yunarti

Makara Journal of Science

Plant extracts can be used to synthesize nanoparticle because it is efficient, economical, and friendly to the environment. Copper oxide nanoparticles (CuO NPs) were synthesized using an aqueous fraction of Vitis vinifera L leaf extract and Cu(NO₃)₂ solution as a precursor. This fraction contains secondary metabolites as a reduction agent and stabilizing agents to formed CuO NPs. CuO NPs can be used as a catalyst in a chemical reaction, one of which is the Doebner reaction, which is a simple and efficient reaction of aniline, aromatic aldehydes, and pyruvic acid under reflux conditions to produce derivatives quinoline-4-carboxylic …

Chicken Immune Responses To Vaccination By The Avian Influenza Subtype H5n1 Against Avian Influenza, Ramlah Ramlah, Sri Murtini, Retno Damayanti Soejoedono, Ketut Karuni Nyanakumari Natih, Siti Gusti Ningrum

Makara Journal of Science

Avian Influenza (AI) is one of the strategic animal diseases still considered a priority for control by the Indonesian government. This study aimed to examine the immune response of chickens to various types of H5N1 subtype AI vaccines in Indonesia and to determine the correlation of factors influencing the post-vaccination AI antibody response. Serum samples were tested using the hemagglutination inhibition (HI) test with the standard AI antigen subtype H5N1 strain A/Chicken/Barru/BBVM/41-13/2013 (Clade 2.1.3) and strain A/Chicken/Semarang/04141225-07/2014 (Clade 2.3.2). Antibody titer was calculated using the Geometric Mean Titer (GMT). The correlation analyses were performed to assess the correlation of antibody …

Novel Genetic And Phenotypic Expansion In Gosr2-Related Progressive Myoclonus Epilepsy, Lea Hentrich, Mered Parnes, Timothy Edward Lotze, Rohini Coorg, Tom J De Koning, Kha M Nguyen, Calvin K Yip, Heinz Jungbluth, Anne Koy, Hormos Salimi Dafsari

Faculty, Staff and Students Publications

Biallelic variants in the Golgi SNAP receptor complex member 2 gene (GOSR2) have been reported in progressive myoclonus epilepsy with neurodegeneration. Typical clinical features include ataxia and areflexia during early childhood, followed by seizures, scoliosis, dysarthria, and myoclonus. Here, we report two novel patients from unrelated families with a GOSR2-related disorder and novel genetic and clinical findings. The first patient, a male compound heterozygous for the GOSR2 splice site variant c.336+1G>A and the novel c.364G>A,p.Glu122Lys missense variant showed global developmental delay and seizures at the age of 2 years, followed by myoclonus at the age …

Blockade Of Interferon Signaling Decreases Gut Barrier Integrity And Promotes Severe West Nile Virus Disease, Shih-Ching Lin, Fang R Zhao, Hana Janova, Adrian Gervais, Summer Rucknagel, Kristy O Murray, Jean-Laurent Casanova, Michael S Diamond

Faculty, Staff and Students Publications

The determinants of severe disease caused by West Nile virus (WNV) and why only ~1% of individuals progress to encephalitis remain poorly understood. Here, we use human and mouse enteroids, and a mouse model of pathogenesis, to explore the capacity of WNV to directly infect gastrointestinal (GI) tract cells and contribute to disease severity. At baseline, WNV poorly infects human and mouse enteroid cultures and enterocytes in mice. However, when STAT1 or type I interferon (IFN) responses are absent, GI tract cells become infected, and this is associated with augmented GI tract and blood-brain barrier (BBB) permeability, accumulation of gut-derived …

Dopamine Signaling From Ganglion Cells Directs Layer-Specific Angiogenesis In The Retina, Justine H Liang, Viktor Akhanov, Anthony Ho, Mohamed Tawfik, Shane P D'Souza, Morven A Cameron, Richard A Lang, Melanie A Samuel

Faculty, Staff and Students Publications

During central nervous system (CNS) development, a precisely patterned vasculature emerges to support CNS function. How neurons control angiogenesis is not well understood. Here, we show that the neuromodulator dopamine restricts vascular development in the retina via temporally limited production by an unexpected neuron subset. Our genetic and pharmacological experiments demonstrate that elevating dopamine levels inhibits tip-cell sprouting and vessel growth, whereas reducing dopamine production by all retina neurons increases growth. Dopamine production by canonical dopaminergic amacrine interneurons is dispensable for these events. Instead, we found that temporally restricted dopamine production by retinal ganglion cells (RGCs) modulates vascular development. RGCs …

Association Between Perioperative Prophylaxis With Cefuroxime Plus Metronidazole Or Amoxicillin/Clavulanic Acid And Surgical Site Infections In Paediatric Uncomplicated Appendectomy: A Swiss Retrospective Cohort Study, Isabella Bielicki, Hanna Schmid, Andrew Atkinson, Christian R Kahlert, Christoph Berger, Nicolas Troillet, Jonas Marschall, Julia A Bielicki, Swissnoso

2020-Current year OA Pubs

OBJECTIVE: We aimed to evaluate the association between post-appendectomy SSI rates and the two most commonly used regimens for perioperative antimicrobial prophylaxis in Swiss children.

METHODS: We conducted a retrospective cohort study, analysing data from the Swiss national SSI surveillance database with a study period from 2014 to 2018. All hospitals undertaking paediatric appendectomies in Switzerland participate in the surveillance. We compared the cumulative incidence and odds of post-appendectomy SSI within 30 days of surgery in children ≤ 16 years of age undergoing appendectomy for uncomplicated appendicitis and receiving perioperative antimicrobial prophylaxis with cefuroxime plus metronidazole or with amoxicillin/clavulanic acid …

Blockade Of Interferon Signaling Decreases Gut Barrier Integrity And Promotes Severe West Nile Virus Disease, Shih-Ching Lin, Fang R Zhao, Hana Janova, Adrian Gervais, Summer Rucknagel, Kristy O Murray, Jean-Laurent Casanova, Michael S Diamond

2020-Current year OA Pubs

The determinants of severe disease caused by West Nile virus (WNV) and why only ~1% of individuals progress to encephalitis remain poorly understood. Here, we use human and mouse enteroids, and a mouse model of pathogenesis, to explore the capacity of WNV to directly infect gastrointestinal (GI) tract cells and contribute to disease severity. At baseline, WNV poorly infects human and mouse enteroid cultures and enterocytes in mice. However, when STAT1 or type I interferon (IFN) responses are absent, GI tract cells become infected, and this is associated with augmented GI tract and blood-brain barrier (BBB) permeability, accumulation of gut-derived …

Implementation Of High-Fidelity Simulation: Raising The Stakes For Registered Nursing Students, Brittany T. Allen-Marshall

Doctor of Nursing Practice Projects

Critical thinking is a necessary skill for a nurse to possess to be safe and competent. The problem identified for this Doctor of Nursing Practice (DNP) project is the lack of utilization of high-fidelity simulation (HFS) at the University of Arkansas Community College at Morrilton (UACCM)—the DNP project aimed to implement HFS and reduce the critical thinking gap between RN students and practice. The DNP student evaluated student critical thinking with pre-and post-tests. The pre-and post-test results containing Next Generation (NGN) test items showed no statistical significance (p=0.25). The Nursing Anxiety and Self-Confidence with Clinical Decision Making© (NASC-CDM©) scale pre- …

Differences In Symptom Severity And Quality Of Life Among Patients With Cancer Using Conventional Therapies With/Without Herbal Medicines In Uganda: A Cross-Sectional Study, John Baptist Asiimwe, Prakash B. Nagendrappa, Alfred Jatho, Maud M. Kamatenesi, Esther C. Atukunda

School of Nursing & Midwifery, East Africa

Objective:

Patients with cancer experience numerous symptoms related to cancer and treatment side effects that reduce their quality of life (QOL). Although herbal medicine (HM) is used to manage such symptoms by patients in sub-Saharan Africa, data on patients perceived clinical outcomes are limited. We compared differences in QOL and symptom severity between patients with cancer using HM plus conventional therapies (i.e., chemotherapy, hormonal therapy, radiotherapy, surgery) and those using conventional therapies alone.

Methods:

This cross-sectional study included patients with cancer aged >18 years who were consecutively sampled and completed a researcher-administered questionnaire between December 2022 and January 2023. Specifically, …

Prevalence Of Post-Liver Transplant Complications And Nash-Related Cirrhosis In Postmenopausal Women, Natalia Salinas Parra, Michelle Schafer, Heather M. Ross, John Bruckbauer, Brian Yan, Sarah L. Chen, Adnan Khan Do, Danielle M. Tholey, Dina Halegoua-De Marzio

Student Papers, Posters & Projects

INTRODUCTION AND OBJECTIVES: Compared to premenopausal women, postmenopausal women are at greater risk of developing NAFLD and NASH, two common indications for liver transplantation (LT). We aim to determine the prevalence of NASH-related cirrhosis in postmenopausal women from a cohort of LT patients and investigate their post-LT complications.

MATERIALS AND METHODS: Chart review of 1200 LT patients from 2002-2020 was performed. Postmenopausal women were defined as women over 51 and compared to a control group of men over 51. Prevalence of LT indications was determined. Subgroup analysis assessed cardiovascular disease risk. BMI and ASCVD risk scores were calculated at the …

Social Determinants Of Health Impacting Access To Renal Dialysis For Racial/Ethnic Minorities, Joseph L. Mercen, Kiely Curran, Markeeta T. Belmar, Jaron Sanchez, Ibrahim Hasan, Sahib Kalra, Parth M. Raina, Sahil Patel, Dania Arrechavaleta, Vincent Lee, Paula Anderson

HPD Articles

Although widespread, the burden of disease presented by chronic kidney disease (CKD) is not equally distributed among all demographics. Examining the social determinants of health (SDOH) that relate to barriers to renal dialysis care in CKD can help to prevent future disparities. There has not been a study addressing the social factors that create barriers to care for ethnic minority patients with CKD. The aim of this scoping review is to address the SDOH that affects access to renal dialysis for ethnic minority patients in the United States. This study was based on the protocol published by the Joanna Briggs …

Atherosclerosis Preventive Effects Of Marrubiin Against (Tnf-Α)-Induced Oxidative Stress And Apoptosis, Ailar Nakhlband, Alireza Garjani, Nazli Saeedi, Yadollah Omidi, Samad Ghaffari, Jaleh Barar, Morteza Eskandani

HPD Articles

Introduction: Atherosclerosis is a complicated cascade of inflammatory processes, oxidative stress, and apoptosis, making it the most prevalent cardiovascular disease. The onset and progression of cardiovascular diseases are greatly influenced by oxidative stress. Targeting oxidative stress is an effective strategy for treating such diseases. Marrubiin is a bioactive furan labdane diterpenoid acts as a strong antioxidant to protect against oxidative damage. This study aimed to investigate the protective effects of marrubiin against oxidative stress and apoptosis in a cellular model of the vascular system. Methods: Human umbilical vein endothelial cells were treated with varying concentration of marrubiin and its IC50 …

Anticoagulant Drug-Drug Interactions With Cannabinoids: A Systematic Review, Maureen A. Smythe, Wendy Wu, Candice L. Garwood

Department of Pharmacy Practice

Introduction

This systematic review evaluates the extent to which the effect of anticoagulants may be altered in the presence of cannabinoids.

Methods

The following databases were searched: EMBASE, PubMed, Web of Science, Scopus, PscycINFO, and CINAHL from database inception through May 2023. Search terms included cannabis AND anticoagulant AND drug interactions, and related key words. The major outcome was hemorrhage or thrombosis and if available, the relative change in quantitative intensity of anticoagulation after cannabinoid exposure.

Results

The search generated 959 citations. After removal of 440 duplicates, 519 citations were screened. Overall, with the exception of warfarin, evidence supporting an …

Non-Uniform Temporal Scaling Of Developmental Processes In The Mammalian Cortex, Annalisa Paolino, Elizabeth H Haines, Evan J Bailey, Dylan A Black, Ching Moey, Fernando García-Moreno, Linda J Richards, Rodrigo Suárez, Laura R Fenlon

2020-Current year OA Pubs

The time that it takes the brain to develop is highly variable across animals. Although staging systems equate major developmental milestones between mammalian species, it remains unclear how distinct processes of cortical development scale within these timeframes. Here, we compare the timing of cortical development in two mammals of similar size but different developmental pace: eutherian mice and marsupial fat-tailed dunnarts. Our results reveal that the temporal relationship between cell birth and laminar specification aligns to equivalent stages between these species, but that migration and axon extension do not scale uniformly according to the developmental stages, and are relatively more …