Medical Specialties Commons^™

Podium Presentation: Spontaneous Intraventricular Empyema In A Patient With Bacterial Sinusitis, Rachel Freedberg, Brian J. Carlson, Cynthia Murphy, Teresa Bigand

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Sleep-Associated Impairment In Hospital Nurses Working 12-Hour Day Or Night Shifts During The Covid-19 Pandemic: A Large Health System Multisite Pilot Study, Jamie Roney, Teresa Bigand, Ross Bindler, Trisha Saul, Rebecca Penders, Douglas L Weeks, Lois James, Marian Wilson

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Registered Nurses' Diet Quality And Overall Health During The Sars-Cov-2 Pandemic, Teresa Bigand, Ross Bindler, Lois James, Rachel Faulkner, Rebecca Penders, Trisha Saul, Marietta Sperry, Marian Wilson

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Covid And Antidepressants: Ongoing Use Of Ssris And The Hospital Course Of Covid-19 Patients: A Retrospective Outcome Analysis, Sherri Mendelson

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Nursing And Emotional Health Before And During The Covid-19 Hospital Surges, Marietta Sperry, Ellen Romesburg, Teresa Bigand, Marian Wilson, Lois James

2022 Providence Nurse Research Conference

Background:

Occupational burnout, a symptom of chronic work-related stress, can lead to negative health outcomes such as anxiety, depression, diabetes, insomnia, and increased risk for cardiovascular disease. Burnout also augments negative occupational risks such as increased sick days, decreased productivity, disability claims, and turnover. Nurses working in the hospital setting report high levels of work-related stress and burnout related to patient acuity levels and short staffing, and rates have further worsened in the context of the COVID-19 pandemic. The emergence of the virus brought multiple hospital surges, greatly increasing nursing workload as patient acuity climbed and simultaneously, national nurse …

Podium Presentation: Relationships Between Nursing Stress And Perceived Importance Of Access To Chaplains During The Covid-19 Pandemic, Teresa Bigand, Adam Gaines, Sheila Doucette, Danell Stengem, Rachel Freedberg, Jamie Roney, Rosemary Timmerman

2022 Providence Nurse Research Conference

Background:

Hospital chaplains are trained to provide spiritual support to inpatients, family members, and support persons across the continuum of care. Patients receiving a chaplain visit during their hospital stay report higher satisfaction, quality of life, and spiritual well-being. Chaplain consultation during hospitalization is related to higher rates of hospice enrollment and lower rates of in-hospital deaths. Additionally, evidence suggests nurses who are employed in hospitals with staff chaplains report lower stress and compassion fatigue based on frequency of interactions with chaplains during worked shifts. Since the COVID-19 pandemic, hospital nurses providing front-line care report higher stress levels compared to …

Podium Presentation: Or Nurses Psychological Well-Being And Redeployment During The Covid-19 Pandemic, Joy Lanfranchi, Trisha Saul, Ross Bindler

2022 Providence Nurse Research Conference

Background: Throughout the COVID-19 pandemic, Operating Room (OR) nurses were redeployed to patient care units during times of maximal surge capacity in hospitals caring for patients with the novel coronavirus. Hospital bed and staffing needs caused hospitals to cancel elective surgeries, allowing for conservation of bed space and nurses to accommodate the patient influx. Despite the highly specialized nature and skill set of OR nursing, OR nurses were expected to function in traditional patient care roles, where levels of self-assessed competence vary based on experience and training. There is a paucity of literature on the psychological impact of redeployment of …

Oral Care To Prevent Non-Ventilator Hospital Acquired Pneumonia, Rosemary Timmerman, Bonnie Barnard, Emily Anderson

2022 Providence Nurse Research Conference

No abstract provided.

Utilizing The Nurse's Voice To Improve Engagement During The Covid-19 Pandemic, Kathryn Webster, Sheila Linehan, Luzbel Diaz, Wendy Lu

2022 Providence Nurse Research Conference

No abstract provided.

Differences In Nutritional Profile Of 12-Hour Registered Nurses Who Do And Do Not Take At Least 60 Minutes Of Scheduled Breaks, Rachel Faulkner, Teresa Bigand, Marian Wilson, Lois James, Ross Bindler, Charis Williams

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Differences In Exercise Patterns Among Day And Night Shift Nurses During Covid-19 Surges, Randy Sanoff, Teresa Bigand, Elena Crooks, Katie Carroll, Mary Halabi

2022 Providence Nurse Research Conference

Background: Registered nurses (RN) working in acute-care hospitals during the Covid-19 pandemic reported unprecedented stress. Walking between 7000-10,000 steps each day offers positive benefits such as improved mood, reduced stress, and reduction in overall mortality risk. Additionally, the American College of Sports Medicine’s (ACSM) Physical Activity Guidelines recommends adults should engage in 75 -150 minutes per week of moderate to intense activity for health benefits. Yet, some research suggests that number of steps taken per week decreased and time spent sedentary increased during the first year of the onset of COVID-19 compared to the year prior. Among nurses working full-time …

Podium Presentation: Using An Existing Clinical Practice Guideline To Develop And Implement An Adult Ecmo Program During A Global Pandemic, Brandy Pitts, Midge Vaughan, Jamie Roney

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Millennial Hospital Nurses Experiencing High Burnout And Turnover Risk During A Pandemic, Dana N Rutledge, Elizabeth Winokur, Sarah Douville

2022 Providence Nurse Research Conference

No abstract provided.

Podium Presentation: Exploring The Lived Experiences Of New Graduate Nurses During The Covid-19 Pandemic, Julie Youn

2022 Providence Nurse Research Conference

No abstract provided.

Treating Cytokine Storm In Patients With Covid-19, Ahmed Abdelhaleem, Deekshitha Turaka, Shameera Shaik Masthan, Steven B Lippmann

The University of Louisville Journal of Respiratory Infections

No abstract provided.

Covid-19 Newsletter (Vol. 124), Center For Disaster Medicine, New York Medical College

COVID-19 Newsletter

No abstract provided.

Covid-19 Newsletter (Vol. 123), Center For Disaster Medicine, New York Medical College

COVID-19 Newsletter

No abstract provided.

Meta-Analysis Of 175 Patients With Covid-19 And Seizures, Status Epilepticus, Or Cortical Myoclonus: An Individual Patient Data Analysis, Aditi Kappagantu Bs, Helena A. Brantz Ms, Amman Bhasin Ba, Cristina Jageka Bs, Rooqash Ali Md, Izzy Saef Md, Brittany M. Stopa Mph, Ayaz Khawaja Md

Medical Student Research Symposium

Objective

To characterize management and outcomes of seizures, status epilepticus, and cortical myoclonus in COVID-19, with individual patient data analysis of published literature.

Methods

Systematic literature review was conducted in accordance with PRISMA guidelines. Criteria included new-onset seizures, status epilepticus, and/or cortical myoclonus with concomitant COVID-19. COVID-19 severity was dichotomized into mild and severe cases. Good outcome was defined as discharge without severe deficits, and/or return to baseline.

Results

A total of 105 studies reporting 176 patients (male 56.3%;mean age 47.8,SD 25.6) were included. Status epilepticus occurred in 47 patients (26.7%) and myoclonus in 41 (23.3%). Severe COVID-19 occurred in …

False-Positive Serum Igm/Igg To Sars-Cov-2 In A Rare Pulmonary Neuroendocrine Carcinoma With Ocular Metastasis: A Case Report, Irandi P. Pratomo, Gatut Priyonugroho, Aris Ramdhani, Dian Zamroni, Thariqah Salamah, Yayi D.B Susanto, Ramdinal A. Zairinal, Annisa N. Witjaksono, Dita Aditianingsih, Jamal Zaini

The New Ropanasuri Journal of Surgery

The Coronavirus disease 2019 (COVID-19) pandemic impacts pulmonary cancer management since it shares similar clinical features and creates fear among patients to visit hospitals due to possible in-hospital disease transmission. We report a patient who presented with a rare case of a pulmonary neuroendocrine tumor with an ocular involvement, which, unfortunately, experienced a delay in diagnostics. The first hospitalization was due to superior vena cava syndrome, pleural and pericardial effusions, and swollen left eye. The patient was diagnosed with pulmonary cancer, released after the symptoms were relieved, and expected to visit a referral hospital for further diagnostics and treatments. The …

Covid-19 Newsletter (Vol. 122), Center For Disaster Medicine, New York Medical College

COVID-19 Newsletter

No abstract provided.

The Global Implementation Of Dolutegravir For Hiv Treatment, Matthew L. Romo

Dissertations and Theses

Background
Dolutegravir, an integrase strand transfer inhibitor, is now recommended by international guidelines as part of preferred antiretroviral therapy (ART) regimens for people living with HIV. In low- and middle-income countries (LMICs), HIV treatment programs are transitioning from non-nucleoside reverse transcriptase inhibitors (NNRTIs) to dolutegravir because of its superior efficacy and tolerability, and high genetic barrier to HIV drug resistance. Along with the optimism surrounding widespread dolutegravir use, key questions regarding its implementation have emerged. In this dissertation, I sought to achieve the following specific aims: Aim 1: Characterize dolutegravir uptake in LMICs and identify potential disparities related to sex …

Detection Of Enterotoxin Gene Cluster In Staphylococcus Epidermidis Recovered From Neonatal Liver Abscess, Bishara J. Freij, Barbara E. Robinson-Dunn, Patrick M. Schlievert

Posters

• Neonatal pyogenic liver abscesses are rare • Potential routes of hepatic infection include: portal vein, biliary ducts, hepatic artery during sepsis, or direct spread from infected contiguous structures • Risk factors may include bloodstream infection, abdominal surgery, umbilical vein catheterization, total parenteral nutrition, necrotizing enterocolitis, and/or immune deficiencies • More common in premature infants at present • Variety of etiologic agents for neonatal liver abscess: Staphylococcus aureus (methicillin-susceptible and resistant), coagulase-negative staphylococci (CONS), streptococci, Escherichia coli, Klebsiella, Pseudomonas, Enterobacter, Serratia, and Candida • Umbilical stump and catheter exit site hub often colonized with CONS • CONS colonize nearly all …

Vampirism For The Microbiologist, Joudeh B. Freij, Bishara J. Freij

Posters

Vampirism has been a means to explain the cause of communicable diseases throughout the centuries.

A Case Report Of Pulmonary Actinomycosis: A Diagnostic Quagmire, Sarah Akbani, Aderinsola O. Ademiluyi, Jonathan Dean, Vinita Mathur

Advances in Clinical Medical Research and Healthcare Delivery

The implications of misdiagnosis can be drastic, especially when the correct diagnosis is treatable. Pulmonary actinomycosis is one of the complications of infection with actinomyces, an anaerobic gram-positive organism that is usually found as a part of the normal flora in the human body infection. It is a very rare disease and is frequently mistaken with other diagnoses owing to its nonspecific presentation. In this report, we present a 67-year-old male with a mass like lesion on a CT scan of his chest that was done due to progressively worsening productive cough, weight loss and fatigue. These symptoms could have …

Hemoglobin As A Predictor For Covid-19 Disease Severity, Nicholas Sarcia, Dan Thai, Andrea M. Bodine Md

Advances in Clinical Medical Research and Healthcare Delivery

Background: The dilemma of who is at highest risk for COVID-19 severe disease and death persists. Hemoglobin levels may be an indicator of COVID-19 disease severity. There is inconsistent data on Emergency Department (ED) hemoglobin levels and severity of disease. Our objective was to examine if COVID-19 patients presenting with abnormal hemoglobin levels have an increased risk of severe disease and in-hospital mortality.

Methods: We conducted a retrospective cohort study at Berkshire Medical Center in Pittsfield, MA to investigate the relationship of COVID-19 disease severity with hemoglobin level. Inclusion criteria consisted of ED patients over 18 years with …

Disease Severity In Covid-19 Breakthrough Cases, Dan Thai, Nicholas Sarcia, Andrea M. Bodine Md

Advances in Clinical Medical Research and Healthcare Delivery

Background

Vaccine breakthrough is a phenomenon wherein vaccinated individuals become infected with disease despite adequate protection. During this study period, the Centers for Disease Control (CDC) reported 66.6% of US people have been fully vaccinated. Any measures to improve trust would increase vaccination rates. This study aims to understand vaccine breakthrough cases in COVID-19 by comparing their severity to unvaccinated cases. Our objective is to compare disease severity based on the worst initial vital signs (temperature, respiratory rate, oxygen saturation), length of stay (LOS), and age between vaccinated and unvaccinated COVID-19 cases.

Methods

We conducted a retrospective cohort study at …

Covid-19 Newsletter (Vol. 121), Center For Disaster Medicine, New York Medical College

COVID-19 Newsletter

No abstract provided.

Salivary Immunity Of Elite Collegiate American Football Players Infected With Sars-Cov-2 Normalizes Following Isolation, Joshua Granger, Eunhan Cho, Kevin Lindsey, Nathan Lemoine, Derek Calvert, Jack Marucci, Shelly Mullenix, Hollis O’Neal, Brian A. Irving, Neil Johannsen, Guillaume Spielmann

School of Medicine Faculty Publications

The impact of COVID-19 on systemic immunity in the general population has been well characterized, however the short-term effects of COVID-19 infection on innate salivary immunity in elite-level athletes are unknown. Therefore, this study aimed to determine whether elite college football athletes had altered salivary immunity following the CDC-recommended isolation post-SARS-CoV-2 infection. Salivary samples were obtained from fourteen elite football players who tested positive for SARS-CoV-2 (n = 14), immediately after CDC-recommended isolation (average days = 14 ± 2 days) and fifteen controls who remained uninfected with SARS-CoV-2. Biomarkers of innate salivary immunity (sIgA and alpha-amylase), antimicrobial proteins (AMPs, i.e., …

Cardiology Implications Of Ed Covid-19 Patients In An Underserved Rural Health Care Environment, Pedro Colio

Dissertations

Background/Purpose: Positive COVID-19 patients with chronic comorbidities have been associated with severe cardiac complications (e.g., STEMI, NSTEMI, myocarditis, pericarditis, AF) specifically among underserved communities. Acute STEMI and NSTEMI are cardiac conditions associated with ruptured atherosclerotic plaque leading to significant myocardial injury. AF, the most common arrhythmia leading to cerebrovascular accidents, is also common in hospitalized patients with severe illnesses. Myocarditis and pericarditis are inflammatory heart conditions associated with acute viral infections. According to the literature, these cardiac issues have been linked as complications of COVID-19. COVID 19 is an emerging, complex, and costly public health challenge globally with potential lifelong …

Cross-Reactive Immunity Against The Sars-Cov-2 Omicron Variant Is Low In Pediatric Patients With Prior Covid-19 Or Mis-C., Juanjie Tang, Tanya Novak, Julian Hecker, Gabrielle Grubbs, Fatema Tuz Zahra, Lorenza Bellusci, Sara Pourhashemi, Janet Chou, Kristin Moffitt, Natasha B. Halasa, Stephanie P. Schwartz, Tracie C. Walker, Keiko M. Tarquinio, Matt S. Zinter, Mary A. Staat, Shira J. Gertz, Natalie Z. Cvijanovich, Jennifer E. Schuster, Laura L. Loftis, Bria M. Coates, Elizabeth H. Mack, Katherine Irby, Julie C. Fitzgerald, Courtney M. Rowan, Michele Kong, Heidi R. Flori, Aline B. Maddux, Steven L. Shein, Hillary Crandall, Janet R. Hume, Charlotte V. Hobbs, Adriana H. Tremoulet, Chisato Shimizu, Jane C. Burns, Sabrina R. Chen, Hye Kyung Moon, Christoph Lange, Adrienne G. Randolph, Surender Khurana

Manuscripts, Articles, Book Chapters and Other Papers

Neutralization capacity of antibodies against Omicron after a prior SARS-CoV-2 infection in children and adolescents is not well studied. Therefore, we evaluated virus-neutralizing capacity against SARS-CoV-2 Alpha, Beta, Gamma, Delta and Omicron variants by age-stratified analyses (5 years of age. As expected, convalescent pediatric COVID-19 and MIS-C cohorts demonstrate higher neutralization titers than hospitalized acute COVID-19 patients. Overall, children and adolescents show some loss of cross-neutralization against all variants, with the most pronounced loss against Omicron. In contrast to SARS-CoV-2 infection, children vaccinated twice demonstrated higher titers against Alpha, Beta, Gamma, Delta and Omicron. These findings can influence transmission, re-infection …