Medicine and Health Sciences Commons^™

Epithelial And Mesenchymal Olfactory Stem Cells Gathered With Minimally-Invasive Micro-Brush, Tyler Petersen

Medical Student Research Symposium

Spinal cord injury (SCI) causes devastating lifestyle and financial consequences for the patient. Treatment strategies emphasize neuroprotection, but not regeneration. In this regard, stem cells are an innovative field of study that has the potential to regenerate neural tissue, thereby increasing a person’s ability to regain function. The purpose of this project is two-fold: to attain olfactory stem cells located in the nasal canal in a minimally-invasive way and to gather neural cells from the epithelium and mesenchymal cells in the lamina propria. Cells were gathered with sterile nasal micro-brushes, stored, and grown in flasks. After cells reached confluency, they …

The Celebrity Effect: How Social Media Changed Ozempic Utilization By Medicaid Patients, Sara L. Ma Ms, Mihaela-Elena Rapolti Md

Medical Student Research Symposium

Background: Recently, glucagon-like peptide-1 receptor agonists (GLP-1 agonists), a drug class used to treat Type 2 Diabetes, has gained popularity on social media for cosmetic weight loss. Celebrity endorsement of Ozempic, brand name of GLP-1 agonist semaglutide, has increased public demand and caused supply shortages. However, effects on Medicaid patients, who use Ozempic for diabetes, have yet to be investigated.

Methods: We sourced publicly available drug utilization datasets from Medicaid.gov. Nationwide Medicaid reimbursement data for Ozempic, Wegovy (another brand name of semaglutide), and Jardiance (different diabetes medication drug class) were extracted for 2021, 2022, and 2023. Rates of change per …

Maximizing Value In Total Knee Arthroplasty: Ambulatory Surgical Center Or Hospital Outpatient Department?, Megan Carulla, Meet Patel, Emily Mazier, Alex Lindahl, Trae Hill, Charles S. Day

Medical Student Research Symposium

Introduction:

In the United States, healthcare costs have consistently ranked the highest among developed countries, leading to an urgent push towards decreasing spending. This study compared the cost of robot-assisted total knee arthroplasty (TKA) performed in a hospital outpatient department (HOPD) to an Ambulatory Surgical Center (ASC).

Methods and Materials:

Costs were determined using Time-Driven Activity-Based Costing (TDABC) methodology. All steps of a patient care pathway for robotic TKA performed in ASC and HOPD were organized into one process map. All personnel involved in patient care were included and the average time each allocated to patients was multiplied by their …

The Extent Of Medical Student Stigma In Healthcare Delivery To Populations Experiencing Homelessness Or With Substance Use Disorders, Adam Chaban, Maria Tjilos, Neil Garg, Saachi Mittal, Noor Sulaiman, Nedda Elewa, Nicole Ashley Hao, Roxanne A. Ilagan, Abhijay Kumar, Stephen Venable, Richard Bryce

Medical Student Research Symposium

Evaluating the significance of medical student bias towards people experiencing homelessness (PEH) and people who use drugs (PWUD) in Detroit, Michigan.

Of the estimated 30,000 Michiganders experiencing homelessness, 5,000+ of PEH in Michigan reside in Detroit1,2. PEH suffered from a quadrupled rate of hospital readmission demonstrating the stark disparity in health outcomes among this population3. Additionally, 6% of the PEH in the state of Michigan engage in substance use1. PWUD have been historically stigmatized and subject to bias both within the healthcare system and otherwise, contributing to adverse health outcomes. Based on current literature, PWUD experiencing stigma and discrimination in …

Assessment Of Breastfeeding Education In Medical Training, Saranya Madan, Abigail Kuplicki

Medical Student Research Symposium

In 2019, the Academy of Breastfeeding Medicine issued a revised set of educational objectives for medical trainees at various stages of education. In this statement, objectives for medical school were broken down into preclinical and clinical training objectives. In this project, our goal is to assess the degree to which medical training at Wayne State University School of Medicine is addressing these aims.

The assessment of breastfeeding education is accomplished by surveying medical students at various stages of training (M1-M4) and eliciting their level of confidence in and understanding of the topics outlined in the objectives by the Academy of …

Racial Disparities In Palliative Care Utilization In The Covid-19 Pandemic, Margaret S. Bove, Benjamin Huber, Myles Hardeman, Daniel Harris, Areeba Jawed, Amber Comer

Medical Student Research Symposium

BACKGROUND

Palliative care is a vital resource for the critically or terminally ill. It has myriad benefits such as improved quality of life, reduced depressive symptoms, and decreased scarce resource utilization. Self-identified Black/African patients, however, are less likely to utilize advanced care directives or engage in hospice/comfort care measures and are more likely to prefer intensive treatment at the end of life. There is no research, however, on how the COVID-19 pandemic may have affected these trends.

METHODS

A retrospective cohort study of patients who experienced in hospital mortality or in hospital hospice due to COVID-19 between March 2020 – …

Interplay Between Biliary Cyst And Sarcoidosis To Sinusoidal Dilatation With Venous Outflow Impairment, Arifbillah Sarowar, Karthik Babu Kolisetty

Medical Student Research Symposium

Introduction: Sinusoidal dilatation in liver biopsy has been found to be associated with venous outflow impairment, however, may be caused by different factors. Such observations may be related to systemic issues such as biliary cyst and sarcoidosis. Case Presentation: Lobulated shrunken hepatic morphology may indicate hepatic cirrhosis. Sinusoidal We present a case 65-year-old African American female with a history of elevated liver enzymes, elevated liver enzymes, sarcoidosis, and portal hypertension. Patient has had a past surgical history of cholecystectomy, esophagogastroduodenoscopy, and mastectomy. Liver biopsy was performed showing venous outflow obstruction and sinusoidal dilation with no fibrosis. MRI done showed question …

A Review Of The Efficacy Of Popular Eye Cream Ingredients, Hanin Hamie, Reem Yassine, Rajaa Shoukfeh, Dilara Turk, Farhan Huq, Meena Moossavi

Medical Student Research Symposium

Every year, there are new products on the market advertised to preserve a youthful appearance and reduce the signs of aging. One classic example is eye cream. Due to the periorbital region’s high susceptibility to damage from external factors, along with its tendency to demonstrate early signs of aging, periorbital skin is a common target for anti-aging therapy. While some of these ingredients have proven efficacious in clinical trials, others have not shown to be clinically significant. Various products contain different combinations, formulations, and doses of these ingredients. This review evaluates the efficacy of popular topical ingredients found in common …

A Systematic Review Of Digital Technology Use For The Treatment And Management Of Ptsd, Liam Browning, Arash Javanbakht, Imran Rashid

Medical Student Research Symposium

The COVID-19 pandemic led to rapid growth in telemental health services and investment in digital mental health technologies. Digital mental health technologies could expand access to mental health care in a time of increasing provider deficit by providing tools for expedited psychiatric symptom assessment and management. This systematic review explores the current evidence for the use of scalable digital treatment modalities, including virtual reality (VR), machine learning, wearables, mobile apps, and neurofeedback training in the diagnosis and treatment of PTSD. Our findings support the current literature suggesting VR interventions are efficacious for combat-related PTSD treatment and that conclusions of studies …

Assessing Post-Operative Complications In Pediatric Cochlear Implant Surgery, Nina Brahmbhatt, Andrew Stefan Md, Bianca Siegel Md

Medical Student Research Symposium

Cochlear implantation (CI) surgery is the standard of care treatment for pediatric patients diagnosed with severe-to-profound sensorineural hearing loss. There is compelling evidence that supports the use of CIs to improve hearing, language comprehension, and speech development significantly in children of all ages. While the operation is considered relatively safe, invasive procedures involving the skull can put patients at risk of adverse events.

This study aims to help pediatric otolaryngologists identify high risk patients and take preventative measures to ensure minimal complications.

The specific objectives include the following:

1) To determine the incidence of postoperative complications in pediatric patients undergoing …

Patient-Reported Outcome Measures Should Guide Need For Specialty Referral In Atraumatic Shoulder And Knee Pain, Christopher Jacob Rittle

Medical Student Research Symposium

Patient-reported outcome measures should guide need for specialty referral in atraumatic shoulder and knee pain

Introduction:

Patient-Reported Outcome Measurement Information System (PROMIS) questionnaires have proven utility as an augment to monitoring clinical outcomes in an orthopedic setting. However, there is minimal information regarding the use of PROMIS questionnaires as a screening tool for referrals to specialty providers. The purpose of this study was to evaluate the relationship between PROMIS scores and the level of care and treatment provided by all providers across an orthopedic sports medicine department.

Methods:

500 randomized charts were reviewed between January 1, 2023 and May 31, …

Clinical Pathway Using Arabic Written Medical Information To Improve Incontinence Healthcare Utilization, John F. Knapp, Codrut Radoiu, Emma Ross, Jack Vercnocke Md, Aron Liaw Md, Nivedita Dhar

Medical Student Research Symposium

Introduction and Objective: Metro Detroit holds ~13% of all Arabic speakers in the U.S.A. and 91% of those in Michigan. Evidence supports that patients who do not speak the local language have poor access to healthcare. This study describes our preliminary experience of managing Arabic only speaking women with bothersome stress urinary incontinence (SUI) from May 2022 to October 2023. These women routinely request same-sex interpreters, which is not always possible, leading to a lack of detailed translation. A potential solution is to use Arabic written medical information (AWMI). The purpose of the study was to retrospectively look at the …

Role Of Intraflagellar Transport Protein Ift20 In The Formation And Function Of Motile Cilia In Mammals, Mohammad Z. Abdulghani, Wei Li, Tao Li, Michael J. Holtzman, Gregory J. Pazour, Zhibing Zhang

Medical Student Research Symposium

Cilia are microtubular structures present on most mammalian cells, which can be categorized into motile cilia and primary cilia (non-motile cilia). The axoneme of both cilia types possess intraflagellar transport (IFT) machinery, composed of unique protein complexes that travel in opposite directions along the microtubules. Although the role of IFT in primary cilia formation has been well studied, little is known about its role in mammalian motile cilia assembly. IFT20 is a component of IFT-B complex. We generated conditional Ift20 knockout mice by crossing floxed Ift20 mice with the Foxj1-Cre transgenic mouse line to specifically delete Ift20 from motile cilia. …

An Educational Intervention Differentiating Pressure Injuries From End-Of-Life Wounds, Alicia Perez Varela, Annette Callis

Providence Nursing Research Conference 2023 – Present

Background

End-of-life (EOL) wounds are identified in the literature as Kennedy Terminal Ulcers (KTU), Skin Failure (SF), Trombley-Brennan Terminal Tissue Injury (TB-TTI), and SCALE (Skin Changes at Life’s End). EOL wounds have a similar appearance to pressure injuries (PIs) with a fundamentally different etiology. The misclassification of EOL wounds as PIs results in increased Hospital Acquired Pressure Injuries (HAPI), hospital fines, and less-than-optimal EOL wound management.

Purpose

To examine the effectiveness of an educational intervention on EOL wounds in increasing nurse confidence in providing End-of-Life Care (EOLC) and differentiating PIs from EOL wounds.

Methods

This quasi-experimental study used the 28-item …

Management Of Sepsis With The Quick Sequential Organ Failure Assessment, Jeanna Adams

Providence Nursing Research Conference 2023 – Present

Abstract

Background:

Sepsis can be a source of morbidity and mortality particularly when there are delays in treatment. Early identification may improve time to antimicrobial administration. The quick Sequential Organ Failure Assessment (qSOFA) is an evidence-based practice screening tool that, when in used in conjunction with the Systemic Inflammatory Response Syndrome (SIRS) criteria can enhance recognition and treatment of sepsis. On a suburban Southern California hospital Neurological/Telemetry Unit the qSOFA is automatically calculated in the electronic medical record (EMR) but the bedside nurses were unaware of its availability and value. In addition, sepsis was not being identified in a timely …

Fall Prevention Quality Initiative: Implementation Of Fall Ambassador Safety Team (Fast), Jerome Codilla, Joanna Arraiza

Providence Nursing Research Conference 2023 – Present

Background

Patient falls are the most common adverse events reported in hospitals and represent a persistent patient safety issue. Annually, roughly 700,000 to 1 million patient falls occur in United States hospitals, resulting in around 250,000 injuries and up to 11,000 deaths (LeLaurin et al., 2019). Nurses are responsible for the identification of high fall risk patients and development of a plan of care to minimize risk. Multifactorial strategies have been shown to reduce falls, but evidence of a sustainability team (fall champions) is lacking. Review of the National Database of Nursing Quality Indicators (NDNQI) data on a 33-bed progressive …

A Quality Improvement Project To Decrease New Or Worsening Pressure Ulcers In A Skilled Nursing Facility (D-Pus Snf), Shaune Mattsson

Providence Nursing Research Conference 2023 – Present

Background:

Pressure ulcers (PU) are a "localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or shear/friction". PU are an urgent problem in the United States (U.S.). Residents in skilled nursing facilities (SNF) are disproportionately affected, with 9.2% of residents estimated to suffer a PU nationally. The Braden Scale is gold standard for identifying individuals at risk for PU in healthcare settings across the continuum and grades PU risk in 6 categories: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. To protect against PU, a Braden Scale must be documented on …

A Quality Improvement Project To Reduce Hospital Acquired Pressure Injuries In Patients With Darker Pigmented Skin, Ma Fe Chase, Travis Scott, Renee Hoeskel, Yolanda Rodriquez

Providence Nursing Research Conference 2023 – Present

Purpose: This quality improvement (QI) project aims to improve the accuracy and effectiveness of skin assessments for patients with darker skin tones in preventing hospital-acquired pressure injuries (HAPIs) by implementing an evidence-based, standardized skin assessment protocol and training program.

Background: Nursing staff play a vital role in preventing HAPIs. Nearly 2.5 million patients develop HAPIs annually in the United States increasing their risk of prolonged hospitalization, increased readmission, infections, and severe pain. Preventing HAPIs continues to be top priority in acute care facilities. Recent audits at a large urban Pacific Northwest hospital revealed high HAPI rates with a staff …

An Evidence-Based Skin Management Improvement Project In The Intensive Care Unit, Chelsea Lannoo

Providence Nursing Research Conference 2023 – Present

Background:

Pressure injuries have detrimental effects on patients healing and outcomes and are costly to organizations due to payment programs. Pressure injuries are largely preventable if appropriate interventions are implemented early. In our ICU, post-pandemic monitoring showed increases in hospital-acquired pressure injuries (HAPIs) and consults for medical device HAPIs were increasing. Rounds with wound care department indicated lack of staff compliance with recommended preventive practices. Some issues reported were the use of diapers and excessive linens, failure to use scheduled turning for patients, lack of prevention related to medical devices

Purpose:

The goal of this skin-care management project is …

Characteristics Of Nursing Professional Identity Survey Completers, Teresa Rangel, Crystal Billings, Rose Timmerman, Tulla Landis

Providence Nursing Research Conference 2023 – Present

Background: Magnet and Pathways to Excellence (PTE) designations through the American Nurses Credentialing Center (ANCC) publicly recognize hospitals achieving outstanding nursing excellence. An issue of special interest to clinical nurses working in Magnet/PTE facilities is the professional identity of nurses, which is hypothesized to positively correlate to nursing satisfaction and delivery of high-quality patient care. A valid and reliable survey tool, called Professional Identity in Nursing Scale (PINS), is a low-cost and low-burden strategy for nurses to measure professional identity in nursing. However, survey attrition rate is a significant barrier to collecting robust and representative data. Little is published …

Going Beyond The Pronouns: Caring Well For Lgbtq+ People, Tobias Johnson

Providence Nursing Research Conference 2023 – Present

No abstract provided.

In-Depth Perspectives Of Faith Community Nurses Serving In A Western U.S. State: Findings From A Healthcare-Academic Collaboration, Nathan West, Lauren Kiker (Doctoral Student), Beverly Bateman

Providence Nursing Research Conference 2023 – Present

Background: Faith community nurses (FCNs) implement congregational health programs, address health-related needs, and deliver wholistic care within the faith communities they serve. FCNs have reported certain challenges impacting their ability to deliver care within faith-based settings (e.g., training, funding, resources). Literature, however, documenting the lived experience of FCNs is limited, particularly in (U.S. State blinded for review [i.e., a Western state)]. The ministry’s Faith Community Nurse Resource Center (FCNRC) at a Providence Medical Center supports 150 non-paid professionals by providing: Support (e.g., community-building), Training (e.g., FCN Foundations Course), Continuing education credits, Consulting (e.g., ministry effectiveness), and Resources (e.g., research, …

Triage Re-Education: Impact On Accuracy Of Acuity And Care Provision, Alexandra Rowen

Providence Nursing Research Conference 2023 – Present

Background:

Triage is the process of sorting and prioritizing patients requiring medical treatment. A primary goal is to identify high-risk or life-threatening situations. Emergency Severity Index (ESI) is a validated method to assign an acuity level from Level 1 (emergent) to Level 5 (non-urgent). ESI handbook states competency is vital to the success and accuracy of the ESI tool & requires periodic assessment of RNs participating in triage. The Emergency Nurses Association (ENA) reports only 60% accuracy in assigning acuity.

Aim:

The aim of this evidence-based practice project was to determine compliance with triage standards and provision of initial …

Effective Non-Pharmacological Pain Relief Interventions Among Neonates: An Integrative Research Review, Staci Shaw

Providence Nursing Research Conference 2023 – Present

Background:

Newborns encounter many painful events, including heel sticks, venous blood sampling, peripheral intravenous insertions, and more. Newborns cannot verbally express pain, and caregivers rely on changes in vital signs (increased heart rate, decreased oxygen saturations) behavior (long periods of inconsolable crying), and facial expressions to grade newborn pain. Pain management in neonates is critical to preserve neurodevelopment. Due to adverse effects of pharmacological pain management interventions in neonatal populations, non-pharmacological pain management interventions are often utilized in newborns, such as swaddling, non-nutritive sucking, kangaroo care, oral sucrose, holding, touching, music, and breastfeeding. However, the most effective pain management intervention, …

Prevalence And Characteristics Of On-Shift Napping Among Hospital-Based Nurses, Rachel Carlson, Teresa Rangel

Providence Nursing Research Conference 2023 – Present

No abstract provided.

Comparison Of Data On Preterm Neonatal Growth Measures In The Neonatal Intensive Care Unit, Madison Baty, Emily Faerber, Cayenne Sirois

Providence Nursing Research Conference 2023 – Present

Background:

Extrauterine Growth Restriction (EUGR) has been defined as infant weight-for-age z-score (WAZ) of less than -1.28 standard deviations (SD), at discharge or 36–40 weeks (about 9 months) postmenstrual age. In 2018, the Academy of Nutrition and Dietetics and the American Society for Parenteral and Enteral Nutrition published indicators of neonatal malnutrition, including a decline in WAZ over time. Mild, moderate, and severe neonatal malnutrition is defined as a WAZ decline of 0.8-1.2 SD; >1.2-2 SD; >2 SD, respectively, and it is unclear how widely revised neonatal malnutrition indicators are being used.

Purpose/aim:

To investigate the sensitivity and specificity …

Adherence To Sb5195 Naloxone Distribution Requirements At Discharge From The Emergency Department, E Stewart, J Delfeld, J Mckay, J Corhei, Kailyn Elliot

Providence Nursing Research Conference 2023 – Present

Background: Washington State, mirroring a national crisis, experienced a surge in opioid-related deaths, with 17,502 fatalities from 2007 to 2021. This trend aligns with the U.S.'s broader opioid epidemic, marked by 70,000 drug overdose deaths in 2017, data show overdose deaths involving opioids increased from an estimated 70,029 in 2020 to 80,816 in 2021. Overdose deaths were from synthetic opioids, primarily fentanyl. In response, empowering registered nurses (RNs) in emergency departments (EDs) to issue Nurse-Initiated Orders (NIO) for patients to discharge from the hospital with physical naloxone pre-pack kits to be used in the community, an opioid antagonist, has …

Sepsis 5 Rights Round (S5rr), William Lim, Bilma Pellissery, Jenny Carrillo

Providence Nursing Research Conference 2023 – Present

Background. Sepsis-related hospitalizations with prolonged length of stay (LOS) are rising in the US. Likewise in our setting, sepsis is the #1 diagnosis-related group (DRG). Moreover, our sepsis patient outcomes for DRG-related LOS, timely discharge, readmission rates, and observed/expected (O/E) mortality did not meet our healthcare system’s regional goals. Thus, because evidence suggests that interprofessional rounds may improve those outcomes among non-sepsis patients, we decided to add afternoon interprofessional rounds to existing morning rounds. Those Sepsis 5 Rights Rounds (S5RR) would focus on the right patient, place, time, level of care, and plan of care.

Purpose.The purpose of this …

A Better Tool For Ed Fall Risk Assessments: The Monego-Barra Ed Fall Risk Assessment Tool (Moba), Roxanne Barra, Mary Waldo, Angela Graves, Jessica Monego

Providence Nursing Research Conference 2023 – Present

Background

The incidence of falls has been increasing in emergency departments (EDs), with some resulting in harm. In a large health care system in the Western United States, the Morse Fall Risk Assessment Tool (Morse) is used across care settings, despite not being validated in the ED. Other ED tools in the literature are the Memorial ED Fall Risk Assessment Tool (Memorial) and Kinder 1 Fall Risk Assessment Tool (Kinder). These three tools contain risk factors that may not be specific to EDs or are missing relevant factors. This led the researchers to create the Monego-Barra ED Fall Risk Assessment …

Utilization Of Catheter Calendars For Cauti Reduction, Katie Whitehead

Providence Nursing Research Conference 2023 – Present

Background:

Hospital acquired infections are a nursing sensitive quality indicator used by the public, governmental agencies, and regulatory bodies to determine the caliber of care offered by nursing staff in acute care hospitals. Lower incidences of hospital acquired infections are linked to improved safety and patient outcomes. Historically, a 356-bed community hospital had very low rates of catheter associated urinary tract infections (CAUTIs) prior to 2021, however in the first two quarters of the year, the medical-surgical units saw this number jump from four total in 2020 and 2021 to five in six months.

Purpose:

To reduce the incidence of …