Medicine and Health Sciences Commons^™

Intraoperative Hypotension And Acute Kidney Injury In Non-Cardiac Surgery At Providence Sacred Heart Medical Center, Elizabeth Davison, Amanda Affleck, Kenn B Daratha

Books, Presentations, Posters, Etc.

Background Acute kidney injury (AKI) is a serious postoperative complication that increases a patient’s risk for both long and short-term morbidity and mortality.¹ Intraoperative hypotension (IOH) is an independent risk factor for AKI,^2-5 which can be readily modified by anesthesia providers. This project aims to describe the risk factors and rates of AKI following IOH at various absolute mean arterial blood pressure (MAP) thresholds for specified durations of time among adults undergoing non-cardiac surgery at Providence Sacred Heart Medical Center (PSHMC).

Methods PSHMC approved this retrospective, observational evidence-based project and deemed the project exempt by the Institutional Review …

Structural Magnetic Resonance Imaging As A Diagnostic Biomarker Of Hiv-Associated Neurocognitive Disorders (Hand), Mikki Schantell

Capstone Experience: Master of Public Health

Objective: The goal of this study was to do an exploratory analysis to determine if gray matter brain volumes and cortical thickness measures obtained from structural magnetic resonance imaging (sMRI) can discriminate people with HIV-associated neurocognitive disorders (HAND), neurocognitively unimpaired people with HIV (NU PWH), and HIV-negative controls (HIV- controls) using linear discriminant analyses.

Methods: A total of 231 participants, including 110 PWH and 121 HIV- controls, completed a neuropsychological (NP) battery and an sMRI protocol. The bilateral gray matter volumes and cortical thickness brain regions were analyzed using 18 linear discriminant models to assess the discriminability of gray matter …

What's My Age Again? Dementia And The Impact On An Aging Population, Joanna Vest

Nursing Student Class Projects (Formerly MSN)

A literature review of the Cumulative Index of Nursing and Allied Health Literature (CINAHL) database was performed to investigate the risk factors and pathophysiology of dementia in adults. Results were screened for English language and date of publication, with inclusion criteria of years 2015-2020. The search revealed several sub-types of dementia, as well as research into modifiable risk factors. Dementia arises mainly from accumulation of proteins in neurons, dysfunction of the blood brain barrier, vascular degeneration and hypoperfusion of tissues in the brain, and atrophy of brain tissue. Risk factors associated with cognitive decline include hypertension, obesity, insulin resistance, high …

Biomarker Application For Precision Medicine In Stroke, Alexis N. Simpkins, Miroslaw Janowski, Helieh S. Oz, Jill Roberts, Gregory Bix, Sylvain Doré, Ann M. Stowe

Neurosurgery Faculty Publications

Stroke remains one of the leading causes of long-term disability and mortality despite recent advances in acute thrombolytic therapies. In fact, the global lifetime risk of stroke in adults over the age of 25 is approximately 25%, with 24.9 million cases of ischemic stroke and 18.7 million cases of hemorrhagic stroke reported in 2015. One of the main challenges in developing effective new acute therapeutics and enhanced long-term interventions for stroke recovery is the heterogeneity of stroke, including etiology, comorbidities, and lifestyle factors that uniquely affect each individual stroke survivor. In this comprehensive review, we propose that future biomarker studies …

Nursing Burnout, Clare Flynn Bsn, Rn, Brianna Rowe Bsn, Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Piloting Relaxation Techniques As Part Of Occupational Therapy Programme In An In-Patient Psychiatric Setting, Humera Saeed, M. Shameel Khan, Natasha Farid

Department of Psychiatry

No abstract provided.

Mapping Geographical Inequalities In Oral Rehydration Therapy Coverage In Low-Income And Middle-Income Countries, 2000–17, Kirsten E. Wiens, Robert C. Reiner Jr, Arianna Maever L. Amit, Veincent Christian F. Pepito, Local Burden Of Disease Diarrhoea Collaborators, 702 Co-Authors

Ateneo School of Medicine and Public Health Publications

Background

Oral rehydration solution (ORS) is a form of oral rehydration therapy (ORT) for diarrhoea that has the potential to drastically reduce child mortality; yet, according to UNICEF estimates, less than half of children younger than 5 years with diarrhoea in low-income and middle-income countries (LMICs) received ORS in 2016. A variety of recommended home fluids (RHF) exist as alternative forms of ORT; however, it is unclear whether RHF prevent child mortality. Previous studies have shown considerable variation between countries in ORS and RHF use, but subnational variation is unknown. This study aims to produce high-resolution geospatial estimates of relative …

A Gender-Sensitised Weight-Loss And Healthy Living Program For Men With Overweight And Obesity In Australian Football League Settings (Aussie-Fit): A Pilot Randomised Controlled Trial, Dominika Kwasnicka, Nikos Ntoumanis, Kate Hunt, Cindy M. Gray, Robert U. Newton, Daniel F. Gucciardi, Cecilie Thøgersen-Ntoumani, Jenny L. Olson, Joanne Mcveigh, Deborah Kerr, Sally Wyke, Philip Morgan, Suzanne Robinson, Marshall Makate, Eleanor Quested

Research outputs 2014 to 2021

BACKGROUND: Recent evidence shows that sport settings can act as a powerful draw to engage men in weight loss. The primary objective of this pilot study was to test the feasibility of delivering and to evaluate preliminary efficacy of Aussie-FIT, a weight-loss program for men with overweight/obesity delivered in Australian Football League (AFL) settings, in preparation for a future definitive trial. METHODS AND FINDINGS: This 6-month pilot trial took place in Perth, Australia. Participants were overweight/obese (Body Mass Index [BMI] ≥ 28 kg/m2), middle-aged (35-65 years old) men. Participants were recruited in May 2018, and the intervention took place between …

Respiratory Failure Due To A Large Mediastinal Mass In A 4-Year-Old Female With Blast Cell Crisis: A Case Report., Christian I Wade, Cody J Couperus-Mashewske, Mia E Geurts, Nicholas Derfler, John Ngo, Kyle S Couperus

Articles, Abstracts, and Reports

INTRODUCTION: Symptomatic leukostasis is an exceptionally atypical presentation of blast crisis; and when coupled with an enlarged neoplastic mediastinal mass in a four-year-old female, an extremely rare and challenging pediatric emergency arises.

CASE REPORT: We present a unique case of a four-year-old female who arrived via emergency medical services in cardiopulmonary arrest with clinical and radiographic evidence suggestive of bilateral pneumothoraces, prompting bilateral chest tube placement. Further evaluation revealed a large mediastinal mass and a concurrent white blood cell count of 428,400 per milliliter (/mL) (4,400-12,900/mL), with a 96% blast differential, consistent with complications of T-cell acute lymphoblastic leukemia.

CONCLUSION: …

Reproductive Health In The Philippines: Poverty, Religiosity, And Navigating Reproductive Choices, Allison Goncena

International Studies (MA) Theses

This dissertation centers the Philippines as a case study in which quantitative and qualitative data from empirical studies, science journal articles, social science texts, and interviews are cross-examined to ascertain two main areas of interest. The first incentive is to identify and analyze the Catholic Church’s resources in perpetuating moral male-dominant rhetoric that have delayed efforts supporting reproductive health intended to aid low-income women concerning their sexual and reproductive health. The second incentive is to detect how low-income women’s thoughts and behaviors in making reproductive decisions are resonant or not of the Church’s moral rectitude over SRH through their demonstrations …

Use Of Pericranial Flaps With Dermal Substitute For Scalp Reconstruction: A Case Series, Kongkrit Chaiyasate Md, Facs, Lauren N. Oliver Do, Scott A. Kreitzberg Do, Mitchell Lyons Md, Joshua Goldman Md, Stephen M. Lu Md, Tracey Bastiaans Do, Christopher Lumley Do, Neil S. Sachanandani Md

School of Medicine Faculty Research

Background: Skin cancer incidence has been rapidly increasing over the past 2 decades, and the resulting defects from excision have significant aesthetic and functional implications. In particular, wound coverage for large scalp and forehead defects with calvarial exposure can lead to hairline distortion, contour irregularities, and alopecia. We describe a 2-stage technique for scalp reconstruction, which preserves the normal hairline, covers exposed bone with vascularized tissue, and restores an aesthetic soft-tissue contour. Methods: This is a retrospective case series of 13 adults with ages ranging from 50 to 89 years. All patients underwent Mohs surgery on the forehead or scalp …

Risk And Protective Factors For Psychological Distress Following A Morally Injurious Event In Combat Veterans, Aaron Keating

Dissertations

Morally injurious events have been shown to increase the likelihood of experiencing anxiety, depressive, and posttraumatic stress symptoms of combat veterans. Research has found that guilt and shame are associated with higher levels of symptomology following morally injurious events. Similarly, individuals who are high in trait proneness to guilt and shame may be at higher risk for developing symptoms following a morally injurious event; however, no research to date has examined this possibility. In addition, acts that go against what one considers morally right bring about cognitive dissonance which then leads to anxiety. In order to reduce anxiety caused by …

Out-Patient Neurological Disorders In Tanzania: Experience From A Private Institution In Dar Es Salaam, Philip Adebayo, Omar Aziz, Rose E. Mwakabatika, Mandela Makakala, Mugisha Clement, Shabbir Adamjee, Noureen Mushi, Ahmed Jusabani, Eric Aris

Internal Medicine, East Africa

Background and introduction: Low and middle-income countries (LMIC) have a considerable burden of neurological disorders. Available profile of neurological disorders in our environment is biased towards neurological admissions. There is a paucity of data on out-patient neurological conditions in sub-Saharan Africa.

Objective: To determine the frequency and demographic data of neurological illnesses being managed at the adult out-patient neurology clinic of the Aga Khan Hospital, Dar es Salaam (AKHD).

Materials and methods: The electronic medical records of all cases with neurological diseases who presented to the adult neurology clinic of the AKHD between January 2018, and December 2019 were retrospectively …

Writing A Research Protocol For A Prospective Clinical Trial In The Treatment Of Hypertrophic Scars, Christine Reichard, Sigrid A. Blome-Eberwein Md

Research Scholars Poster Presentation

No abstract provided.

Heterotopic Ossification Or Dystrophic Calcinosis Cutis In Burn Scars?: A Case Series, Cassandra Pinataro, Sigrid A. Blome-Eberwein Md

Research Scholars Poster Presentation

No abstract provided.

A Needs Assessment Of Telemedicine Implementation In Skilled Nursing Facilities, Benjamin Antill, Robert Kruklitis Md, Mindy Brosious Bsn, Rn

Research Scholars Poster Presentation

No abstract provided.

Correlation Of Relative Value Unit Reimbursement In Trauma Surgery With Hospital Length Of Stay, Collin Duff, Jade Vanderpool, Joseph J. Stirparo Md

Research Scholars Poster Presentation

No abstract provided.

Outcomes Of Septal Myectomy On Patients With Hypertrophic Cardiomyopathy, Caitlin Hoeing, Kaitlyn Kelly, Thomas Perillo, James K. Wu Md

Research Scholars Poster Presentation

No abstract provided.

A Retrospective Review Of Outcomes Associated With Treatment Modalities Utilized In The Management Of Diffuse Large B Cell Non-Hodgkin's Lymphoma, Benjamin Fry, Donna Colabroy Rn, Msn, Ocn, Ccm, Melissa Kratz Rn, Msn, Aocn, Dennis Sopka Md, Savitri Skandan Md

Research Scholars Poster Presentation

No abstract provided.

Identifying Baseline Characteristics For Consideration Of Prophylactic Feeding Tube Placement In Persons Undergoing Chemoradiotherapy For Head And Neck Cancer: A Retrospective Chart Review, Kenna Kita, Janine Gilboy Rd, Cso, Ldn, Erin Levine Rd, Cso, Ldn, Brian J. Patson Md, Jennifer Brennan Ms, Rd, Cso

Research Scholars Poster Presentation

No abstract provided.

Five-Year Analysis On The Outcomes Of Thoracic Aneurysm Surgery, Kaitlin Kelly, Thomas Perillo, Caitlin Hoeing, James K. Wu Md

Research Scholars Poster Presentation

No abstract provided.

Developing A Questionnaire And Data Analysis Process: Identification Of Practice And Provider Stigma Score In Order To Improve And Measure Training Efforts, Jessica Deemer, Angela Colistra Lpc, Phd, Ms

Research Scholars Poster Presentation

No abstract provided.

Correlation Of Relative Value Unit Reimbursement In Trauma Surgery With Academic Productivity, Jade Vanderpool, Collin Duff, Joseph J. Stirparo Md

Research Scholars Poster Presentation

No abstract provided.

Strategies For Optimizing The Wellness Of Physicians During The Covid-19 Pandemic: At Surge And Beyond, Hannah Langkamer-Smith, Joseph E. Patruno Md

Research Scholars Poster Presentation

No abstract provided.

Comparing Bilirubin Measurements Of Sternum And Lower Abdomen: A Pilot Study For Using Transcutaneous Bilirubin Measurements During Phototherapy, Willow Goff, Michael Schwartz Md

Research Scholars Poster Presentation

No abstract provided.

Type A Aortic Dissection, 5-Year Operative Outcome Study, Thomas Perillo, Kaitlin Kelly, Caitlin Hoeing, James K. Wu Md

Research Scholars Poster Presentation

No abstract provided.

Evaluation Of Concurrent Esr And Crp Testing In Native Vertebral Osteomyelitis (Nvo): Is More Really Better?, Noah Kriner, Amy Slenker Md

Research Scholars Poster Presentation

No abstract provided.

Preconception Care: Identifying Indicators To Reduce Pre-Term Birthskama, Maria Macaluso, Ashwini Kamath Mulki, Melanie B. Johnson Mpa, Elaine Banerjee Md, Mph, Beth Careyva M.D., Katarzyna Jabbour Pharmd, Bcps, Kyle Shaak Bs, Nicole M. Burgess Bs

Research Scholars Poster Presentation

No abstract provided.

Novosorbtm Biodegradable Temporizing Matrix (Btm) In The Complex Wound: A Retrospective Three-Year Review, Lydia Bothwell, Sigrid A. Blome-Eberwein Md

Research Scholars Poster Presentation

No abstract provided.

The Correlation Between Burnout And Engagement Metrics And Strategies For Improvement At Lvhn, Leah Pasch, Joseph E. Patruno Md

Research Scholars Poster Presentation

No abstract provided.