2017 Health Sciences Research Day (MU)

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https://hdl.handle.net/10355/62133

Each year, the University of Missouri provides a forum to highlight original research and educational innovations by undergraduate, medical, nursing and health professions students, as well as predoctoral and postdoctoral trainees working with faculty in the schools of medicine, nursing, and health professions. The 2017 Health Sciences Research Day was held Thursday, Nov. 9. Organized and sponsored by the MU School of Medicine Research Council, Health Sciences Research Day also partners with the MU School of Medicine, MU Sinclair School of Nursing and MU School of Health Professions. This day-long symposium—filled with poster presentations—awards prizes to the three best presentations in each of several student categories. Special Deans’ Awards recognize the most outstanding research conducted by trainees from the schools of nursing, health professions and medicine. Academic title holders serve only in mentoring roles. Source: Health Sciences Research Day website (viewed November 16, 2017)

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Now showing 1 - 5 of 15

Examining rates of appointment compliance in different patient populations at a student-run free clinic
(2017) Laks, Kane; Long, Natalie; Health Sciences Research Day (2017 : University of Missouri)
INTRODUCTION: The Case Management (CM) and Diabetes Case Management (DCM) programs at MedZou assign complex patients to medical students who call with appointment reminders and attend clinic appointments with them. Although these programs are designed to improve continuity of care, rates of appointment compliance have not previously been evaluated. OBJECTIVE: The primary objective of this study was to compare rates of appointment compliance between general clinic (GC), CM, and DCM patients at MedZou. METHODS: This was a retrospective chart review in which appointment compliance was examined for every appointment record from January 2014 to December 2016 in the SharePoint scheduling system and physical charts. The primary outcome measured was percent appointment compliance, with compliance defined as keeping, rescheduling, or canceling an appointment as long as notice was given. RESULTS: 3,801 appointment records were included. Rates of appointment compliance were lowest for GC, highest for CM, and intermediate for DCM appointments (62.6% vs. 84.3% vs. 73.8%, respectively, p<.0001). Rates of appointment reminders were intermediate for GC, highest for CM, and lowest for DCM appointments (83.2% vs. 87.1% vs. 71.0%, respectively, p<.0001). CONCLUSION: Although appointment compliance was higher for the CM and DCM populations compared to the GC population, DCM appointments received the fewest reminders of these groups. Thus, steps should be implemented to improve the percentage of reminders for DCM appointments.
Ankle fracture complications in the elderly
(2017) Polk, Andrew J.; Buck, Brian W.; Robertson, Michael W.; Cook, James L.; Felton, Courtney L.; Health Sciences Research Day (2017 : University of Missouri)
Objectives: To determine whether the rate of complications is higher in geriatric patients who undergo operative fixation at our institution for unstable ankle fractures or fracture dislocations ; To determine if geriatric patients require a prolonged time for the ankle fracture personality to declare itself amenable to definitive fixation. Conclusions: Complication rates following operative fixation of fractures and fracture dislocations at our institution are not significantly increased in the geriatric patient population relative to the non-geriatric population ; The geriatric patient population does not require a prolonged period of time for the fracture personality to declare itself amenable to definitive surgical fixation.
Characterization of the dorsal ulnar corner in distal radius fractures : implication for surgical decision making
(2017) Zimmer, Joe; Bridgeman, Jay T.; Pfeiffer, Ferris M.; Brogan, David M.; Health Sciences Research Day (2017 : University of Missouri)
Conclusions: 3D segmentation software is effective in producing 3D distal radius fracture models that can be used for analysis. The study demonstrated a pattern in dorsal ulnar corner fragment shape, though the study population size should be increased to improve the power of the results. The data will improve understanding of the morphology and size of the dorsal ulnar corner fracture fragment, which is critical to understanding the optimal method of operative fixation. This information will also lead to development of more accurate intra-articularfracture models for biomechanical studies.
Differences in glucose control, insulin sensitivity, and body composition between metabolically healthy and unhealthy people with obesity
(2017) An, Melissa L; Smith, Gordon I.; Klein, Samuel; Health Sciences Research Day (2017 : University of Missouri)
Obesity is a significant risk factor for cardiometabolic complications, including type 2 diabetes and cardiovascular disease. However, approximately 25% of individuals with obesity are seemingly protected from these complications (Wildman et al. Arch Intern Med, 168, 1617-24, 2008). The purpose of this study was to provide a careful characterization of body composition and metabolic function in people who are: (i) lean and metabolically normal (MNL); (ii) obese and metabolically-normal (MN)); and (iii) obese and metabolically-abnormal (MAO). (Introduction & study aims) Although the glycemic responses of MNL individuals demonstrate a "metabolically healthy" state, more rigorous measures of insulin sensitivity show insulin resistance in this population, demonstrating people with MNO are insulin-resistant with respect to glucose metabolism but are able to maintain normal glycemic control by increased insulin secretion. Adipose tissue distribution is a marker of metabolic health in people with obesity, as greater intra-abdominal adipose tissue volume and intrahepatic triglyceride content are associated with metabolic dysfunction.
Dermatology ECHO : a case report demonstrating benefits of specialty telementoring in primary care
(2017) Ladd, Ryan; Becevic, Mirna; Health Sciences Research Day (2017 : University of Missouri)
Conclusion: Timely access to quality care may not be possible for patients living in rural and underserved areas. However, a telementoring platform such as Dermatology ECHO increases self-efficacy, knowledge, and capacity of PCPs to provide diagnosis and immediate treatment that may reduce patient suffering and improve health outcomes.

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