Medical Specialties Commons^™

Can Non-Pharmacological Interventions Effectively Reduce Anxiety And Pain In Chronic Pediatric Patients?, Kiara Harvey

Symposium of Student Scholars

Abstract

Pediatric anxiety and pain have been historically poorly managed. The failure of providers to adequately address medically-induced anxiety and pain in pediatric patients has been shown to prevent them from proactively seeking medical care in the future and has been linked with both altered brain development and increased risk of opioid abuse. Furthermore, poorly managed pain leads to sustained levels of cortisol and exposes patients to several long-term health risks like hypertension. Because non-pharmacological interventions are often preferred by providers, patients, and their caregivers, this research question poses an exploration of the efficacy of non-traditional methods in alleviating procedure-related …

Protocols For Postpartum Hemorrhage, Jackleen Chambers

Symposium of Student Scholars

The occurrence of postpartum hemorrhages (PH) within the healthcare system are on the rise. The detrimental effects that can occur are extremely serious and require an intervention of education and proper training. Labor and delivery units experience traumatic PHs due to lack of proper training regarding early warning signs and correct technical interventions needed for a quick turnaround. This project will use research from scholarly articles to take a closer look at statistical evidence based on the outcomes of being prepared versus underprepared. The project will discuss various methods on how to better prepare nurses to care for hemorrhagic situations. …

Postpartum Depression For Mothers With Early Fetal Death Or Stillbirths, Callie Goldman

Symposium of Student Scholars

Background: Many times, prevention of early fetus death and stillbirths is possible; however, some mortality events are spontaneous or unavoidable. While existing research reveals the likelihood of postpartum depression for mothers following birth, few studies address the potential for postpartum depression of mothers of stillbirth or demised fetuses. The purpose of this study is to determine how mothers can be better prepared for the hardship of losing a baby during childbirth, while going through common difficulties, such as postpartum depression, following birth. Methods: A mixed method approach will be conducted to gather qualitative (interview) and quantitative (Edinburgh Postnatal Depression Scale …

Reducing The Risk Of Chemotherapy Exposure, Miranda Susman

Symposium of Student Scholars

Concerns about antineoplastic drugs (ANPDs), also known as chemotherapy, began in the early 1970s by the National Institute for Occupational Safety and Health. Although ANPDs are used as a standard treatment for cancer, these drugs are considered hazardous due to their adverse health effects. About eight million healthcare workers are exposed to ANPDs and therefore essential that we continue to educate on ways to reduce the risk of exposure to occupational and home health hazards. The overall purpose of this study is to determine if additional education and use of surface wipe samplings reduce the risk of exposure. A literature …

Alternative Precautionary Measures Yielding Lower C. Diff Infection Rates In Healthcare Facilities, Matthew Kramer

Symposium of Student Scholars

Background: An international healthcare concern is the persistent spread of Clostridium difficile, a Gram-positive spore forming bacterium that is responsible for the most common hospital-acquired infection, amongst patients.

Objective: A systematic review was performed to summarize evidence that the interventions utilized in healthcare facilities which indicate a patient’s precautionary status are insufficient, outdated, and commonly lead to infection in neighboring patient rooms. Databases such as PubMed, NCBI, Google Scholar, and APHA’s Medical Care were searched, covering the period from 2017-2022. Studies were included if their focus concentrated on C. diff and the precautionary measures taken by employees at healthcare …

Effectiveness Of Distraction Techniques In Reducing Pain And Anxiety During Pediatric Venipuncture, Gina Hernandez

Symposium of Student Scholars

Abstract

Venipuncture is consistently identified as one of the most painful and feared experiences of hospitalized children, often resulting in traumatic memories and resistance to future procedures. Currently, standard practice for pediatric venipuncture involves physical restraint, either by another person or by utilizing a restrictive tool. This proposal will explore the efficacy of various distraction techniques in mitigating pain and anxiety experienced by pediatric patients undergoing venipuncture. Current research shows that procedural pain and anxiety can be significantly reduced by implementing distraction techniques such as bubble-blowing, deep breathing, audiovisual distraction, and immersive virtual reality. Effectiveness of each technique varies based …

Psychiatric Medications: Does Education Affect Medication Prescriptions?, Surina M. Narine, Mary D. Ramos, Sarah Chu

Symposium of Student Scholars

Background: There is a lack of research on racial challenges among underrepresented adolescents regarding prescription drug use for mental illnesses. Purpose: This study addressed the following question: In adolescent minorities, how does education about racial disparity and culture affect the stigma and number of prescriptions written for psychiatric medications? This evidence-based practice project aimed to identify if racial awareness directly impacts the amount of psychiatric medication prescribed for adolescent minorities. Methods: Literature reviews analyzed qualitative and quantitative data to provide correlating information on racial disparities and psychotropic medications. This study examined the following possible factors for decreased prescribed drugs within …

Neuromyelitis Optica Spectrum Disorder: Performance On Language And Cognitive Testing, Hallee Mingus

Three Minute Thesis (3MT®) at UNI

Neuromyelitis Optica Spectrum Disorder (NMOSD) Is a rare and widely unknown disease, often resulting in misdiagnosis and nonproductive therapy. It is a relapsing inflammatory demyelinating disease that affects the central nervous system and attacks the brain, resulting in severe physical &/or visual disability (Pfeuffer et al., 2017). What little knowledge we have about NMOSD, we hold an even smaller amount about its effects on speech and communication; which is what this case history study aims to answer. Due to the lack of information regarding NMOSD’s effects on an individual’s speech and communication abilities, assessments were performed in order to start …

Prevent Vascular Access Complications By Adopting A Vascular Access Assessment Improvement Process In The Adultdialysis Unit, Ana Lopez Franco

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Oncology Referral To Chemotherapy Initiation: Improving Timely Access To Care In Infusion Clinic, Kathy A. Keener

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Music Reduces Procedural Anxiety, Marijoyce Dimatulac

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Contrast Induced Nephropathy, Tessa Cicchella

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Patient Satisfaction & Usgpiv, Joey Nguyen

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Use Of Agitation Scale Decision Scoring Grid To Improve Care Of Agitated/Anxious Patients In Dsu, Angelica Taneca, Carmyle Seville

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Patient Outcomes: Stemi Diagnosis In The Emergency Care Center (Ecc) Resulting In Subsequent Pci Procedures, Laura Derr

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Quality Outcomes Of Alternative Therapies For Treating Depression, Makenna Tsao

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

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

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Radiance1: Reducing Delays In Endometrial Cancer Care Symptoms Through Gynecologic Oncology Referral, Rebecca Maitski, Jessica Anderson, Hannah Sibley, Nicole Catalano, Kyla Maupin, Navya Nair, Tara Castellano, Andrew G. Chapple, Amelia Jernigan

Medical Student Research Poster Symposium

Objective: In this cohort of women seeking care at a university practice in the Gulf South, we aimed to identify specific delays from patient experience of abnormal uterine bleeding (AUB) to referral to gynecologic oncology (GON) with a diagnosis of endometrial cancer (EC). Methods: A multicenter, IRB-approved retrospective chart review was performed. Women diagnosed with Stage I-IV endometrial cancer from 2013 to 2022 were included. Demographic, pathologic and treatment data were collected. Symptom duration and key appointment, procedure, or result dates were recorded. Time frames between key events were calculated. Timed events were censored if there was insufficient data to …

Does Vehicle Intrusion Alone Still Predict Injury: A Retrospective Analysis Of Mechanism As Trauma Activation Criteria, Harrison Travis, Sarah Muramoto, Alison Smith, John Hunt, Lance Stuke, Patrick Greiffenstein, Jonathan Schoen, Alan Marr

Medical Student Research Poster Symposium

Background: Current Centers for Disease Control (CDC) Guidelines for ‘Field Triage of Injured’ recommend patients involved in automobile collisions with greater than 12 inches of intrusion on the driver side or 18 inches on the passenger compartment should meet criteria for trauma activations. However, previous studies suggest that mechanism-of-injury (MOI) criteria only is a moderate predictor for patients who require trauma center resources given the introduction of “crumple zones” to cars. Crumple zones have been incorporated into modern vehicle design as a safety feature. The objective of this study was to determine if vehicle intrusion alone as MOI criteria necessitates …

Predictors Of Equitable Receipt Of Next Generation Sequencing In Endometrial Cancerpatients Receiving Cancer Care In The Deep South, Amber R. Bardarson, Madison A. Keller, Afryea L. Dunbar, Yaseen Khan, Amelia M. Jernigan, Navya Nair, Andrew Chapple, Tara Castellano

Medical Student Research Poster Symposium

Socioeconomic status remains a predictor of endometrial cancer prognosis and is correlated with advanced disease in patients. Next Generation Sequencing (NGS) provides the ability to prescribe targeted cancer therapies and increases patient survival. Race, ethnicity, and insurance status impact the use of NGS analysis, though the degree of impact remains unclear. An IRB-Approved retrospective research study was performed using data collected of gynecologic cancer patients in a southern healthcare system through use of the electronic medical record (EMR). Baseline clinicopathologic and demographic factors were collected for all endometrial cancer patients. These factors were then tested for significant association on whether …

Removal Of Permanent Ivc Filter, Sarah Aleman, Hector Ferral

Medical Student Research Poster Symposium

A 53-year-old woman with history of Crohn’s disease was referred to interventional radiology for inferior vena cava (IVC) filter removal with the diagnosis of a fractured IVC filter. At the time of evaluation, in early 2022, the patient reported back pain. No imaging was available when the patient was first seen. The IVC filter was originally placed in 2011. The indication for filter placement was the presence of deep vein thrombosis (DVT) shortly after small bowel resection. At the time, anticoagulation was contraindicated. Upon spectral CT imaging, several legs of the IVC filter were found to be protruding outside the …

Radiance2: Reducing Delays In Endometrial Cancer Care Gynecologic Oncology Care, Jessica Anderson, Kyla Maupin, Hannah Sibley, Nicole Catalano, Rebecca Maitski, Navya Nair, Tara Castellano, Andrew Chapple, Amelia Jernigan

Medical Student Research Poster Symposium

We aimed to identify actionable delays in care that for women with endometrial cancer (EC) from the time of gynecologic oncology (GON) referral through adjuvant therapy. A multicenter, IRB-approved retrospective chart review was performed. Women diagnosed with Stage I-IV endometrial cancer from 2013 to 2022 were included. Demographic, pathologic, treatment, and survival data were collected. Time frames between key events were calculated. Timed events were censored if there was insufficient data to make a calculation. Categorical covariates were summarized with counts and percentages; continuous variables were summarized via means and standard deviations. Categorical covariates were compared across groups using a …

Evaluation Of Medial Branch Blocks For Lumbar Facet Joint Radiofrequency Ablation: What Is The Role Of The Second Diagnostic Block?, Alexandra Bartholomew, Noah Hoffman, David Provenzano, Todd Sitzman

Medical Student Research Poster Symposium

Lumbar medial branch (LMB) radiofrequency ablation (RFA) is a commonly performed procedure to treat facet joint-mediated pain. One of the challenges associated with LMB RFA is appropriately selecting patients for the procedure. Currently, patient history, physical examination, and diagnostic studies inadequately select patients for RFA. Therefore, diagnostic local anesthetic blocks are often recommended, yet the type and number of blocks needed to appropriately select patients for LMB RFA are debated. Success rates have been shown to be higher when dual blocks are employed; however, there are additional costs, humanistic factors, and risks of excluding individuals that may benefit from RFA. …

Multi-Dermatomal Herpes Zoster Infection As The Presenting Symptom Of Underlyingductal Carcinoma, Kaylin Beiter, Carrie Pham, Vince Cataldo, Jessica Lacombe

Medical Student Research Poster Symposium

Herpes zoster infection has been associated with a significantly increased risk of future all-cause cancer incidence. In addition, zoster infections, when involving the breast, may mimic breast malignancy, and this similar phenotype may present a diagnostic challenge for clinicians. Few cases of concurrent infection and any malignancy have been reported. We present the case of a herpes zoster infection that was associated with concurrent breast malignancy. A 62-year-old woman with a history of coronary artery disease, hypertension, and reduced ejection heart failure presented to the emergency department for a four-week history of rash of her left upper back and breast. …

Chronic High Salt Diets Contribute To Neurogenic Hypertension By Increasing B1r Expressionand B1r-Mediated Ace2 Internalization And Degradation, Jagnoor Benipal, Navya Lakkapa, Anna Nuzzo, Mona Elgazzaz, Eric Lazartigues

Medical Student Research Poster Symposium

The Centers for Disease Control and Prevention estimates that hypertension affects nearly 50% of Americans1 . Previous studies have shown that chronically elevated dietary salt intake contributes to developing neurogenic hypertension2 . Additionally, increased expression of the bradykinin B1 receptor (B1R) in neurons in the hypothalamic paraventricular nucleus (PVN) is seen in neurogenic hypertension which leads to neuroinflammation and oxidative stress3 . Angiotensin-converting enzyme 2 (ACE2) is a key enzyme in the renin-angiotensin system (RAS) pathway that mitigates the vasoconstrictive effects of Angiotensin (Ang) II by cleaving it to Ang-(1-7)4 . We previously observed that the binding of Ang-II to …

Radiance1: Reducing Delays In Endometrial Cancer Care Symptomsthrough Gynecologic Oncology Referral, Nicole Catalano, Jessica Anderson, Kyla Maupin, Hannah Sibley, Rebecca Maitski, Navaya Nair, Tara Castellano, Andrew Chapple, Amelia Jernigan

Medical Student Research Poster Symposium

Objective: In this cohort of women seeking care at a university practice in the Gulf South, we aimed to identify specific delays from patient experience of abnormal uterine bleeding (AUB) to referral to gynecologic oncology (GON) with a diagnosis of endometrial cancer (EC). Methods: A multicenter, IRB-approved retrospective chart review was performed. Women diagnosed with Stage I-IV endometrial cancer from 2013 to 2022 were included. Demographic, pathologic and treatment data were collected. Symptom duration and key appointment, procedure, or result dates were recorded. Time frames between key events were calculated. Timed events were censored if there was insufficient data to …

Nk Cells In Uterine Cancers, Schumann Chang, Vijay Kumar, Caitlin Bauer, John Stewart

Medical Student Research Poster Symposium

Uterine cancer, which includes endometrial cancer (EC) and cervical cancer (CC), is one of the most prevalent gynecologic malignancies amongst women. It is the fourth most common cancer for women in the United States, with more than 90% of uterine cancers occurring in the endometrium. The uterus is a mucosal immune organ that supports embryonic and fetal development. However, its immune microenvironment is continuously altered depending on female sex hormones status, which varies with menstrual cycle and pregnancy. While pregnancy is considered a controlled stage of inflammation, this is not the case in carcinogenesis. This review paper focuses on NK …

An Algorithm To Prevent Missed Bowel Injuries In Blunt And Penetrating Abdominal Trauma Patients, Ashley Clement, Logan Gold, Lance Stuke, Patrick Greiffenstein, Jonathan Schoen, John Hunt, Alan Marr, Monique St. Romain, Alison Smith

Medical Student Research Poster Symposium

Background: Bowel injuries from trauma require immediate recognition and operative intervention. Missed bowel result in significant morbidity and mortality such as infection, enterocutaneous fistulas, additional surgeries, prolonged hospitalization, and mortality. Clinical and diagnostic expertise are limited as significant blunt bowel and/or mesenteric injuries can be evasive to detect with current imaging modalities, and physical exam findings can be unreliable. Current guidelines for the management of patients with a possible bowel injury do not offer clear direction. Objective: The objective of this study was to develop decision-making algorithms to identify patients at high risk for missed bowel injuries. Methods: A retrospective …

Neurosyphilis, Lymphogranuloma Venereum, And N. Gonorrhea Reveal Importance Of Appropriate Sti Testing And Follow-Up, Sarah Corley, Caila Knighton, Hope Oddo Moise

Medical Student Research Poster Symposium

A 38-year-old male presented to the emergency department with complaints of a painful penile ulcer for four weeks. Six months prior to presentation, the patient was diagnosed with secondary syphilis and clinically treated with Bicillin; however, RPR titers posttreatment were not ordered, as is standard of care. One week before presentation, the patient visited his primary care physician and had a urine PCR screening for sexually transmitted infection, which provided the diagnosis of Chlamydia. This infection was treated with azithromycin. Following no improvement from treatment, the patient presented to the ED with the complaint of painful penile lesion x days, …

Barriers That Contribute To Disparities Seen In The Prenatal Diagnosis Of Congenital Heart Disease In Patients With Government-Funded Health Insurance, Olivia Crapanzano, Lauren Haddad, Kathleen Crapanzano

Medical Student Research Poster Symposium

BACKGROUND: Multiple national studies have established an inverse relationship between surgical center volume and surgical outcomes in pediatric cardiac surgery. The aim of the initial study was to determine whether surgical outcomes for a private, outpatient pediatric cardiology practice that was not associated with a surgical center, differed based on the surgical center volume to which the patient was referred. While we did not find significant differences in clinical outcomes related to surgical center volume, race or insurance status during the initial study, important disparities to care were identified. Children with private insurance were more likely to be diagnosed prenatally …