Medical Education Commons^™

Associations Between Sleep Quality And Phase Angle: A Sex-Specific Analysis In College Students, J Ryan, D Giovinetti, C Hawkins, M Mcfadden, S Kim

International Journal of Exercise Science: Conference Proceedings

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Menstrual Cycle Snycing Exercise In Recreationally Active College-Aged Females, C Saker, L Parker, S Davis, M Miltenberger

International Journal of Exercise Science: Conference Proceedings

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Opencap May Reliably And Accurately Measure Knee Flexion Angle During Running, S Sargent, K Mendoza, E Bell

International Journal of Exercise Science: Conference Proceedings

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Perceived Exertion Levels Of Varying Exercise Intensities In Adults Greater Than 65 Years Old, N Schober Spt, S Rhoda Spt, E Fleming Spt, A Clark Spt, B Larouere Phd, R Joyce Pt, Dpt, Ncs, M Boman Pt, Dpt, Phd(C), S Love Pt, Dpt, Dhsc, Mpt

International Journal of Exercise Science: Conference Proceedings

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The Impact Of Sodium Phosphate Supplementation In Trained Vs Untrained Females: A Pilot Study, E Shaw, M Reed, M Whidden, S Metz, A Piombino, M Ramick

International Journal of Exercise Science: Conference Proceedings

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Alterations In Skeletal Muscle Metabolic Rate Following Various Exercise Intensities Are Evident Using Near-Infrared Spectroscopy, T Silva, K Merriman, R Landers-Ramos

International Journal of Exercise Science: Conference Proceedings

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The Essential Role Of Healthcare Professionals In Encouraging Physical Activity For Childhood Cancer Survivors, L Six, M Caru, B Gordon, S Dandekar, D Mckeone, P Rao, C Toepke, M Hayes, L Mcgregor, K Schmitz

International Journal of Exercise Science: Conference Proceedings

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Circulating Multi-Omics Predictors Of Cognitive And Motor Function In Sedentary And Habitually Active Adults, M Smith, M Colvin, T Larocca

International Journal of Exercise Science: Conference Proceedings

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Gut Microbiota Is Different Between Gender Affirming Hormone Therapy Compared To Gender Affirming Surgery, K Synder, A Yasrebi, D Desio, G Wu, S Ghosh, A Zheng, S Gao, A Donlon, L Joseph, T Roepke, S Campbell Facsm

International Journal of Exercise Science: Conference Proceedings

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Critical Illness Myopathy And Peripheral Neuropathy In A Patient With Miliary Tuberculosis: A Multidisciplinary Approach To Recovery, M Soliman, A Voelckers

International Journal of Exercise Science: Conference Proceedings

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Learning Under Stress: The Effects Of Chronic Anxiety On Motor Sequence Learning Ability, Y Sunchen, K Jaquess

International Journal of Exercise Science: Conference Proceedings

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Relationship Of Pitching Mechanics And Fastball Velocity In Collegiate Baseball Pitchers, Z Sylvester, R Boergers

International Journal of Exercise Science: Conference Proceedings

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The Effects Of Short-Term Fasting On Performance And Cognitive Function In Soccer Athletes, A Versis, M Stokes, C Goble, J Boyda, T Reeside, R Snyder, R Eshleman, J Sanders, W Braun Facsm

International Journal of Exercise Science: Conference Proceedings

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Blood Lactate And Heart Rate Response Post-Preseason Training In Collegiate Male Soccer Players: A Pilot Study, D Walter, C Racich Pt, Dpt, Ocs

International Journal of Exercise Science: Conference Proceedings

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Epidemiology Of Subjective Sleep Disturbance After Pediatric And Adolescent Concussion, J Wilkes, D Fedonni, J Cottone, C Master, K Arbogast

International Journal of Exercise Science: Conference Proceedings

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The Effect Of Long Distance Running On Perceived Stress In Ncaa Division Ii Male Collegiate Athletes., J Williams, C Saker, B Snyder, S Davis Facsm

International Journal of Exercise Science: Conference Proceedings

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Skeletal Characteristics Differ Between Division I Male Basketball And Cross-Country Athletes, L Wunderlich, J Goulart, K Mroz, N Sekel, A Sterczala, E Feigel, J Cauley, P Fazeli, T O'Leary, J Greeves, K Koltun, B Nindl Facsm

International Journal of Exercise Science: Conference Proceedings

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Analyzing Heart Rate Differences And Positional Factors On A Division Ii Men’S Soccer Team, J Zembower, Dr. B Larouere, Dr. J Burns

International Journal of Exercise Science: Conference Proceedings

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Cardiovascular Responses To Single- Vs. Multi-Chambered Blood Flow Restriction Cuffs, S Zupnik, N Rolnick, V De Queiros, M Moghaddam, E Peikon, S Brown, S Watson, C Ruffhead, T Werner Facsm

International Journal of Exercise Science: Conference Proceedings

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Diagnostic And Clinical Utility Of Oncoscan Microarray And Ngs-Based Sequencing In Pediatric Solid Tumors: Children’S Mercy Hospital’S Experience, Aravindh Nagarajan, Lisa Lansdon, Midhat Farooqi, Lei Zhang, Elena Repnikova

Research Days

This papers attempts to evaluate the diagnostic and clinical utility of microarray-based OS+ in detecting clinically relevant genetic alterations in FFPE solid tumor samples and to compare the yield of somatic mutation detection by WGS/WES in pediatric solid tumors at Children’s Mercy Hospital - Kansas City.

A Novel Surgical Technique For The Management Of Recurrent Thyroglossal Duct Cysts Using Dakins Solution Packing, Jay Szekely, Meghan Tracy, Janelle R. Noel-Macdonnell, Elie Khalifee

Research Days

Background: Thyroglossal duct cyst (TGDC) is the most common congenital midline neck anomaly occurring in 7% of the population more commonly in infants or adolescents with no predilection to sex. [1] This anomaly consists of epithelial remnants due to failure of obliteration of the thyroglossal duct, a structure that forms as the thyroid gland originates at the foramen cecum of the tongue and is displaced caudally, anterior to or through the hyoid bone, towards its final position in the lower neck. Successful surgical management of TGDCs requires complete removal of the cyst and the duct. Initial surgery for these lesions …

Decreasing Time To Antibiotics In Febrile Oncology Patients With Central Line In The Pediatric Emergency Department; A Quality Improvement Initiative, Abbigayle Carlson, Leslie Hueschen, Stephanie Clark, Christopher Kaberline, Joel Thompson

Research Days

Background: Oncology patients are at a high risk for sepsis, due to chemotherapy-induced immunosuppression and neutropenia as well as presence of a central venous catheter. Due to the high risk of sepsis, these patients require antibiotics within 60 minutes of Emergency Department (ED) arrival. During our baseline period, Sept 2022-May 2023, we only achieved this 38% of the time at Children’s Mercy ED.

Aim: By April 30th, 2024, we will increase the percentage of ED febrile oncology patients receiving antibiotics < 60 min of arrival from 36.6% to 80%, stratifying by race and ethnicity, to monitor for inequities.

Methods: Our outcome measures were the percentage of ED febrile oncology patients with antibiotics given < 60 min of arrival and the median time to antibiotic administration. Our process measures were the percentage of standard order-set usage and percentage of patients with critical information notes. Our balance measure was time from arrival to ED triage. We created a process map and fishbone diagram and identified several delays in antibiotics administration. We performed interventions with Plan-Do-Study-Act methodology. First, we implemented standing nursing orders to decrease the time spent waiting for a provider to order antibiotics (June 2024). Next, the outpatient oncology providers created a Critical Information Note, which directed prompt antibiotic administration prior to labs or consultation (August 2024). To engage physicians, we made this a Maintenance of Certification (MOC) project, with monthly review of run charts (Oct 2024). Next, we prioritized timely access of the patients’ central line, with a nursing script to communicate with families the importance of accessing their child’s central line as soon as possible (Oct 2024). We created a Central Line Note, identifying the type of central line and needle size required to access the line (March 2024).

Results: With the implementation of …

Examining Learner Preferences Of Teaching Techniques By Phm Attendings And Fellows On Multilevel Teaching Rounds, Sian Best, Jacqueline M. Walker

Research Days

This study describes the teaching techniques used on morning rounds by pediatric hospital medicine faculty and fellows at an academic institution, and describes reported effectiveness by learners of the various teaching strategies.

Time From Triage To Imaging In Stroke Activations At Children’S Mercy Hospital, Annie Altschul, Marcie Files, Jennifer Flint, Brooke Fridley Phd

Research Days

Background: Stroke affects 2-3 per 100,000 children annually. Timely diagnosis is vital to provide the highest quality care to pediatric stroke patients. Features that contribute to delays in diagnosis of pediatric stroke include complex or subtle signs and symptoms, limited exams in young children, broad differential and frequent stroke mimics, low awareness in the community, and sedating or paralytic medication use in critically ill children. The establishment of stroke activation protocols for children has led to improvements in care for pediatric stroke across numerous centers, expediting time to imaging and treatment.

Objective: We aimed to quantify the time …

But, It's Just A Uti, Gillian Long

Research Days

A case report of a 12 year old female presenting to the emergency room with rash, hematuria and shortness of breath, ultimately found to have a life changing diagnosis.

What Happens After They Leave The Ed? Following Up Acute Asthma Exacerbations After Changes In Clinical Practice Guidelines For Treatment, Phillip S. Wozniak, Jade B. Tam-Williams

Research Days

In 2022, Children’s Mercy Hospital (CMH) implemented a new clinical practice guideline (CPG) recommending single-dose dexamethasone as the first line oral steroid for treatment of mild to moderate acute asthma exacerbations. We assessed the impact of this CPG change on readmission rates after discharge from emergency department/urgent care (ED/UC). We hypothesized that single-dose dexamethasone would be non-inferior to a 5-day course of prednisone/prednisolone with respect to 7-day and 30-day acute care readmission rates and need for additional outpatient steroid courses.

Bilateral Buccal Myomucosal Flap Palatoplasty For The Management Of Velopharyngeal Dysfunction In Children, Jay Szekely, Meghan Tracy, Janelle R. Noel-Macdonnell, Jill M. Arganbright

Research Days

Background: The use of bilateral myomucosal buccal flap palatoplasty (BMBFP) for velopharyngeal insufficiency (VPI) has increased in popularity. Despite the increasing popularity, there is a paucity in research examining their outcomes, especially in reference to the pediatric population.

Objectives/Goal: The objective of this paper was to investigate the utility of BMBFP for the correction of VPI in children.

Methods/Design: Retrospective chart review was performed using CPT codes to locate patients with BMBFP performed at our pediatric institution between July 2020 to July 2024. Data collected included demographics, associated syndromes, complications, pre-operative and post-operative resonance outcomes, and the need for revision …

Posterior Pharyngeal Flap For The Management Of Velopharyngeal Dysfunction: Comparing Outcomes For Children With 22q11.2 Deletion Syndrome To Those Without, Jay Szekely, Meghan Tracy, Janelle R. Noel-Macdonnell, Jill M. Arganbright

Research Days

Introduction (including objectives): Velopharyngeal dysfunction (VPD) is one of the most common clinical features of 22q11.2 deletion syndrome (22q11.2DS) and often requires surgical intervention; due to the multifactorial nature of VPD, these patients present unique and often complex surgical challenges. Prior studies have generally demonstrated poorer speech outcomes postoperatively in children with 22q11.2DS. The posterior pharyngeal flap (PPF) is often considered first-line surgical choice for correction of VPD in children with 22q11.2DS. The aim of this study is to compare PPF outcomes for children with 22q11.2DS to those without.

Methods: Retrospective review for pediatric patients diagnosed with VPI who underwent …

Novel Rpl30 Variant In Diamond Blackfan Anemia Demonstrates Early Impact On Erythroid Differentiation With Downregulated Gata1-Hsp70, Alexandra Prosser-Dombrowski, Irina Pushel, Jacqelyn Nemechek, Priyanka Kumar, Jay L. Vivian, Jennifer Gerton, John M. Perry

Research Days

Background: Diamond Blackfan anemia (DBA) is an inherited bone marrow failure syndrome caused by ribosomal protein gene mutations leading to apoptosis of erythroid progenitors. We identified a novel heterozygous variant (c.167+769C>T) in the noncoding region of RPL30 in a patient diagnosed with DBA.

Objectives/Goal: We hypothesized that this variant stunts erythroid differentiation at the proerythroblast stage and is pathogenic for DBA.

Methods/Design: We developed an induced pluripotent stem cell (iPSC) model with a wild type (WT) and three CRISPR-Cas9 edited RPL30 mutant clones. iPSCs were differentiated into hematopoietic stem cells, which were assessed by flow cytometry and single cell …

Duration Of Labor And Umbilical Artery Acidosis In Critical Congenital Heart Disease, Sarah Gwazdacz Md, Teresa Nguyen Bs, Mary Donofrio Md, Faap, Facc, Fase, Timothy Bennett Md, Amanda Mcintosh Md, Faap, Facc.

Research Days

Standard delivery protocols for most prenatally diagnosed CCHD is induction of labor at 39 weeks with aims of a vaginal delivery (VD) near a tertiary care center. There is no benefit to planned Cesarean delivery (CD) over VD for most infants with CCHD. However, longer durations of labor (DOL) in CCHD have been described as a risk factor for umbilical artery (UA) acidosis. We aim to describe the relationship between DOL and UA pH and neonatal outcomes in those with prenatally diagnosed CCHD.

Retrospective chart review of prenatally diagnosed with CCHD born at Children’s Mercy from 2012 – 2023. Inclusion …