Medicine and Health Sciences Commons^™

Diaper Destiny, Delilah Graffam Bsn Rn, Liz Yeaton Bsn Rn

Nurse Residency

PICOT Question: In the infant population, how does the use of different diapering techniques –such as textured/highly absorbent diapers and pH buffered wipes– impact skin integrity and the occurrence and/or severity of diaper dermatitis?

Restorative Materials And Maintenance Protocols, Renata Budny, Khrystyna Vyprynyuk

Publications and Research

No abstract provided.

Simple Sars-Cov-2 Concentration Methods For Wastewater Surveillance In Low Resource Settings, Mohammad Dehghan Banadaki, Soroosh Torabi, Alexus Lori Rockward, William Strike, Ann Noble, James W. Keck, Scott M. Berry

UK CARES Faculty Publications

Wastewater-based epidemiology (WBE) measures pathogens in wastewater to monitor infectious disease prevalence in communities. Due to the high dilution of pathogens in sewage, a concentration method is often required to achieve reliable biomarker signals. However, most of the current concentration methods rely on expensive equipment and labor-intensive processes, which limits the application of WBE in low-resource settings. Here, we compared the performance of four inexpensive and simple concentration methods to detect SARS-CoV-2 in wastewater samples: Solid Fraction, Porcine Gastric Mucin-conjugated Magnetic Beads, Calcium Flocculation- Citrate Dissolution (CFCD), and Nanotrap® Magnetic Beads (NMBs). The NMBs and CFCD methods yielded the highest …

Nursing News & Views - February 2024, Joanne Miller Rn

Nursing Newsletters

No abstract provided.

Successful Hepatectomy, Anhepatic State, And Liver Transplant On Ecmo, Jenna Miller, Kari L. Davidson, Bhargava Mullapudi, Richard J. Hendrickson, Ryan T. Fischer, Lisa Conley, Wes Ware, Michelle Mckain, Tara Benton

Presentations

We discuss the case of a 13-month-old previously healthy male who presented with acute liver failure (ALF) of unknown etiology. He progressed to fulminant cardiopulmonary failure requiring mechanical ventilation and high dose inotropes with persistent lactate >20. He was cannulated to VA ECMO and tandem continuous renal replacement therapy (CRRT) with single pass albumin dialysis (SPAD) and plasma exchange (PLEX) therapies. He required high dose inotropes on ECMO and had persistently elevated lactate despite maximal medical therapy. Limited imaging studies suggested cirrhotic liver and possible intestinal pneumatosis. Due to evidence of fulminant ALF and potential for a reversible process, he …

Inpatient General Cardiology Curriculum, Charoo Iyer, Syed Faiz Abbas, Mallory A. Balmer-Swain

Rochester Regional Health authored publications and proceedings

This curriculum serves as a concise primer for interns starting out on an inpatient general cardiology rotation. Following topics have been included:

• Pre and Post Cardiac Catheterization workflow, including obtaining consent and evaluation of suspected post cardiac catheterization bleeding
• Acute Coronary Syndromes
• Guideline Directed Medical Therapy (GDMT) for Heart Failure
• Introduction to Cardiac Stress Testing

Screen-Printed Sensors Modified With Nafion And Mesoporous Carbon For Electrochemical Detection Of Lead In Blood, Elena Boselli, Zhizhen Wu, Erin N. Haynes, Ian Papautsky

UK CARES Faculty Publications

Lead (Pb) has long been acknowledged as a systemic toxicant, with pronounced health impacts observed even at low exposure levels, particularly in children. Adverse effects include diminished cognitive function, altered behavior, and developmental delays. Consequently, it is imperative to conduct regular monitoring of Blood Lead Levels (BLLs). In this work, we report on an electrochemical sensor based on screen-printed carbon electrode (SPCE) coated with Nafion and mesoporous carbon (MC). The sensor system uses simple sample preparation (acidification and dilution of whole blood), minimal sample volume (a few blood drops, 200 μl), and swift time-to-results (1 h). A limit of quantitation …

A Social Media–Delivered Melanoma Prevention Program For Young Women Engaged In Frequent Uv Tanning: Protocol For A Randomized Controlled Trial, Jerod L. Stapleton, Sharon L. Manne, Sherry L. Pagoto, Allison Leip, Kathryn Greene, Joel Hillhouse, Allison S. Merritt, Brent J. Shelton

UK CARES Faculty Publications

Background: Rates of melanoma have increased dramatically in the United States over the past 25 years, and it has become among the most prevalent cancers for young adult women. Intentional skin tanning leads to a pattern of intense and intermittent UV radiation exposure that is associated with increased risk of melanoma. Frequent tanning is most common among young women and is linked to a variety of sociocultural pressures that negatively impact body image and drive appearance control behaviors. Unfortunately, there are no established interventions designed for frequent tanners. This intervention addresses this gap with unique content informed by body image …

Firefighter Health: A Narrative Review Of Occupational Threats And Countermeasures, Drew E. Gonzalez, Sarah N. Lanham, Steven E. Martin, Richard E. Cleveland, Thad E. Wilson, Emily L. Langford, Mark G. Abel

UK CARES Faculty Publications

Structural firefighters are responsible for protecting properties and saving lives during emergency operations. Despite efforts to prepare firefighters for these hazardous occupational demands, the unfortunate reality is that the incidence of health morbidities is increasing within the fire service. Specifically, cardiovascular disease, cancer, and mental health disorders are among the most documented morbidities in firefighters. Pubmed and Google Scholar search engines were used to identify peer-reviewed English language manuscripts that evaluated firefighters’ occupational health threats, allostatic factors associated with their occurrence, and evidence-based strategies to mitigate their impact. This narrative review provides fire departments, practitioners, and researchers with evidence-based practices …

Undiagnosed Cancer Cases In The Us During The First 10 Months Of The Covid-19 Pandemic, Todd Burus, Feitong Lei, Bin Huang, W. Jay Christian, Pamela C. Hull, Amanda R. Ellis, Svetla Slavova, Thomas Tucker, Krystle A. Lang Kuhs

UK CARES Faculty Publications

IMPORTANCE The COVID-19 pandemic disrupted the normal course of cancer screening and detection in the US. A nationwide analysis of the extent of this disruption using cancer registry data has not been conducted.

OBJECTIVE To assess the observed and expected cancer rate trends for March through December 2020 using data from all 50 US states and the District of Columbia.

DESIGN, SETTINGS, AND PARTICIPANTS This was a population-based cross-sectional analysis of cancer incidence trends using data on cases of invasive cancer diagnosis reported to the US Cancer Statistics from January 1, 2018, through December 31, 2020. Data analyses were performed …

Higher Glycemic Index And Glycemic Load Diet Is Associated With Slower Disease Progression In Amyotrophic Lateral Sclerosis, Ikjae Lee, Hiroshi Mitsumoto, Seonjoo Lee, Edward J. Kasarskis, Michael Rosenbaum, Pam Factor-Litvak, Jeri W. Nieves

Neurology Faculty Publications

Objective: High-caloric diets may slow the progression of amyotrophic lateral sclerosis; however, key macronutrients have not been identified. We examined whether dietary macronutrients are associated with the rate of progression and length of survival among the prospective cohort study participants.

Methods: Participants with a confirmed diagnosis of sporadic amyotrophic lateral sclerosis enrolled in the Multicenter Cohort Study of Oxidative Stress were included (n = 304). We evaluated baseline macronutrient intake assessed by food frequency questionnaire in relation to change in revised amyotrophic lateral sclerosis functional rating scale total- score, and tracheostomy-free survival using linear regression and Cox proportional hazard models. …

Age-Related Changes In The Neural Gating Of Respiratory Sensations In Humans, Wen-Pin Chang, Kai-Jie Liang, Chia-Hsiung Cheng, Chia-Yih Liu, Andreas Von Leupoldt, Pei-Ying S. Chan

Occupational Therapy Faculty Publications

Background: Neural gating of respiratory sensations (NGRS) characterises the brain's ability to filter out repetitive respiratory sensory stimuli. This mechanism plays a crucial role in the neural processing of respiratory stimuli. However, whether ageing affects NGRS in healthy adults is still unclear. Therefore, we aimed to measure the effect of age on NGRS as well as the corresponding S1 and S2 components of the respiratory-related evoked potentials (RREPs).

Methods: Three age groups of healthy adults participated in this study: a young group (YG; age 20-39 years), a middle-aged group (MG; age 40-59 years) and an old group (OG; age ≥60 …

Birds, Bats And Minds. Tales Of A Revolutionary Scientist: Donald R. Griffin. Volume Three, Carolyn A. Ristau

eBooks

In this three-volume biography, we revisit the life and accomplishments of the revolutionary scientist, Donald R. Griffin. He encountered a lifetime of initial hostile resistance to his ideas and studies; now they are largely accepted. He and a colleague discovered the phenomenon of echolocation used by bats to navigate and capture insects, proposed that birds navigate guided by such cues as the sun and stars, and suggested that animals are likely aware, thinking and feeling beings. Forty interviews with his colleagues and friends help us understand the young emerging scientist and the mature researcher. We learn about his and others’ …

Utility Of The 3di Short Version In The Identification And Diagnosis Of Autism In Children At The Kenyan Coast., Patricia Kipkemoi, Symon Kariuki, Joseph Gona, Felicita Wangeci Mwangi, Martha Kombe, Collins Kipkoech, Paul Mwangi, William Mandy, Amina Abubakar, Charles Newton

Institute for Human Development, East Africa

Introduction: The precise epidemiological burden of autism is unknown because of the limited capacity to identify and diagnose the disorder in resource-constrained settings, related in part to a lack of appropriate standardised assessment tools and health care experts. We assessed the reliability, validity, and diagnostic accuracy of the Developmental Diagnostic Dimensional Interview (3Di) in a rural setting on the Kenyan coast.

Methods: Using a large community survey of neurodevelopmental disorders (NDDs), we administered the 3Di to 2,110 children aged between 6 years and 9 years who screened positive or negative for any NDD and selected 242 who had specific symptoms …

Double Aortic Arch With Atresia Of The Left Aortic Arch Proximal To The Left Common Carotid Artery In A Patient With Phace Syndrome – A Management Conundrum, Mohamed Aashiq Abdul Ghayum, Anmol Goyal, Aliessa P. Barnes, Sanket Shah

Posters

Background Cardiac anomalies in PHACE syndrome (P: posterior fossa anomalies, H: hemangiomas, A: arterial lesions, C: cardiac abnormalities, E: abnormalities of the eye) often consists of complex aortic arch anomalies with double aortic arch (DAA) being an uncommon association. Atresia of the proximal segment of the left arch in DAA is extremely rare and can pose a diagnostic and management conundrum due to formation of a loose vascular ring and asymptomatic nature as seen in our case. Case Description A 5-year-old male, diagnosed with PHACE syndrome, at a different center was noted to have an incidental finding on head imaging …

Impact Of Point-Of-Care Ultrasound Use On Patient Referral Decisions In Rural Kenya: A Mixed Methods Study., Grace Wanjiku, Gregory Bell, Sonja Kapadia, Benjamin Wachira

Emergency Medicine, East Africa

Background: Point-of-care ultrasound (POCUS) is recognized as a key imaging modality to bridge the diagnostic imaging gap in Low- and Middle-Income Countries (LMICs). POCUS use has been shown to impact patient management decisions including referral for specialist care. This study explored the impact of POCUS use on referral decisions among trained healthcare providers working in primary rural and peri-urban health facilities in Kenya.

Methods: A concurrent mixed methods approach was used, including a locally developed survey (N=38) and semistructured interviews of POCUS trained healthcare providers (N=12). Data from the survey was descriptively analyzed and interviews were evaluated through the framework …

Becoming A Smoke Free Or: The Benefits Of Proper Smoke Evacuation., Christopher Brown, Leslie Manzanarez, Schennel Naidoo, Shaquala Thomas, Kayleigh Wheeler, Harli Wilbanks

2023

No abstract provided.

How Picu/Ticu Nurses Can Innovate Piv Act Barriers, Samrah Jankowiak, Temitayo Ahmed, Mckenzie Bentley, Johnathan Flippo, Hannah Arendt, Gianna Cervantes, Haley Cheshier

2023

No abstract provided.

Peripheral Iv Infiltration, Madison Goldman, Betty Nguyen, Jessica Davault, Ashleigh Moore, Bayland Moore

2023

No abstract provided.

Striking Your Inner Warrior Pose: How Yoga Affects Coping Skills In Hem/Onc Patients, Caroline Anderson, Megan Dale, Megan Keasler, Sofia Marquez, Vershundra Mcwilliams, Ritu Thapa, Tori Vanover

2023

No abstract provided.

Identifying Distractions During Medication Preparation And Administration Process, Hannah Artcher, Mariah Carlin, Victoria Daigle, Hannah Gentry, Courtney Hammit, Alexandria Hodges, Asia Wilson, Caroline Wilson

2023

No abstract provided.

Content And Readability Of Us Procedure Consent Forms, George T. Lin, Margaret B. Mitchell, Catherine Hammack-Aviran, Yue Gao, Dandan Liu, Alexander Langerman

Law Faculty Scholarship

Informed consent documents for procedures have received little attention compared to their research consent counterparts. Although there are minimum standards for these forms set by federal agencies and some states, hospitals have wide latitude to tailor content and wording. Which disclosure clauses US hospitals currently include in their procedure consent forms is unknown.This qualitative study assesses the content and readability of US procedure consent forms as a foundation for improving procedural consent.

Association Between Community Social Vulnerability And Preventable Hospitalizations, Rachel Hogg-Graham, Joseph A. Benitez, Mary E. Lacy, Joshua Bush, Juan Lang, Haritomane Nikolaou, Emily R. Clear, J. M. Mccullough, Teresa M. Waters

Public and Population Health Faculty Publications and Presentations

Preventable hospitalizations are common and costly events that burden patients and our health care system. While research suggests that these events are strongly linked to ambulatory care access, emerging evidence suggests they may also be sensitive to a patient’s social, environmental, and economic conditions. This study examines the association between variations in social vulnerability and preventable hospitalization rates. We conducted a cross-sectional analysis of county-level preventable hospitalization rates for 33 states linked with data from the 2020 Social Vulnerability Index (SVI). Preventable hospitalizations were 40% higher in the most vulnerable counties compared with the least vulnerable. Adjusted regression results confirm …

Sarin-Induced Neuroinflammation In Mouse Brain Is Attenuated By The Caspase Inhibitor Q-Vd-Oph, Ekta J. Shah, William C. Grunwald Jr., Teresa L. Garrett, Thomas L. Brown, David R. Cool

Neuroscience, Cell Biology & Physiology Faculty Publications

Organophosphates cause hyperstimulation of the central nervous system, leading to extended seizures, convulsions, and brain damage. Sarin is a highly toxic organophosphate nerve agent that has been employed in several terrorist attacks. The prolonged toxicity of sarin may be enhanced by the neuroinflammatory response initiated by the inflammasome, caspase involvement, and generation/release of proinflammatory cytokines. Since neurodegeneration and neuroinflammation are prevalent in sarin-exposed animals, we were interested in evaluating the capacity of quinolyl-valyl-O-methylaspartyl-[-2,6-difluorophenoxy]-methyl ketone (Q-VD-OPh), a pan caspase inhibitor to attenuate neuroinflammation following sarin exposure. To test this hypothesis, sarin-exposed C57BL/6 mice were treated with Q-VD-OPh or negative control quinolyl-valyl-O-methylglutamyl-[-2,6-difluorophenoxy]-methyl …

Sepsis, Children's Mercy Kansas City

Clinical Pathways

No abstract provided.

Knowledge, Attitudes And Beliefs Toward Polypharmacy Among Older People Attending Family Medicine Clinic, Nairobi, Kenya, Maureen Kamau, Njeri Nyanja, Adelaide Lusambili, Jacob Shabani, Gulnaz Mohamoud

Family Medicine, East Africa

Background Life expectancy has increased over the last century among older people, particularly those aged over 60 years. Aging is associated with increased disability, multiple chronic conditions, and increased use of health services managed with polypharmacy. There are few studies on polypharmacy and aging in sub-Saharan Africa, and it is unclear what older people know and their attitudes toward polypharmacy. This paper presents findings from a study that aimed to understand older people’s knowledge, attitudes and beliefs about polypharmacy.

Methods A qualitative study using in-depth interviews of 15 patients aged 60 years and older who were taking more than five …

Staff Education: Ventilator Alarm Fatigue And Management For Nurses In The Adult Medical/Surgical Icu, Joanie Cheng Adn, Rn, Nicholas Price Absn, Rn, Jiwoong Yoo Msn, Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

The Scoop, Vol. 10 Issue 11, February 2024, Health Sciences Library

Volume 10

Latest news and updates from the Health Sciences Library in our monthly newsletter for February 2024.

Partnering Up To Prevent Pivies, Arzu Dhanani, Brianah Lopez, Daisy Orona, Elyse Neff, Isabella Franco, Lindsey Blevins, Nikita Adarkwah, Tame’Ya Cordova

2023

No abstract provided.

Prevalence And Factors Associated With Frailty Among Older Adults Living With Hiv Compared To Their Uninfected Peers From The Kenyan Coast, Patrick Nzivo Mwangala, Carophine Nasambu, Ryan G. Wagner, Charles R. Newton, Amina Abubakar

Institute for Human Development, East Africa

Objectives: a) To document the prevalence and correlates of frailty among older adults living with HIV (OALWH) and their uninfected peers, and b) Investigate HIV status as an independent predictor of frailty.

Methods: This cross-sectional study was conducted between 2020 and 2021 at the Kenyan coast among 440 older adults aged ≥50 years (257 OALWH). Frailty was assessed using the Reported Edmonton Frail Scale. Logistic regression was used to examine the correlates of frailty.

Results: The prevalence of frailty was significantly higher among OALWH (24%) than their uninfected peers (13%). HIV seropositivity was not independently associated with frailty. Sleeping difficulties, …