Parkview Health Research Repository
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Synchronized diaphragmatic stimulation: a case report of a novel extra-cardiac intervention for chronic heart failure.
Get PDFSynchronized diaphragmatic stimulation (SDS) is a novel extra-cardiac device-based therapy for symptomatic heart failure with reduced ejection fraction. SDS provides imperceptible chronic stimulation of the diaphragm through a laparoscopically implanted system consisting of an implantable pulse generator and two sensing/stimulating leads affixed to the inferior surface of the diaphragm delivering imperceptible R-wave gaited pulses that alter intrathoracic pressure improving ventricular filling and cardiac output. We describe, in a man with a history of myocardial infarctions resulting in heart failure and persistent New York Heart Association Class III symptoms despite standard therapies, the successful implantation of SDS resulting in improved quality of life, N-terminal pro brain natriuretic peptide, cardiac function, and exercise tolerance through 12 months of follow-up. Randomized trials are now required to validate these findings
18th Annual Parkview Research Symposium
No full textClinical Genomics and Genetics: Using Molecular Diagnostics for Personalized Treatment Decisions
Introduction:
Michael J Mirro, MD FACC, FHRS, FAHA
Chief Academic-Research Officer, Parkview Mirro Center for Research and Innovation
Andrea Masionneuve, BSPharm, RPh, MBA, ACRP-CP
Director of Clinical Research, Parkview Mirro Center for Research and Innovation
Clinical Application of Hereditary Genomic Sequencing throughout the Lifespan: Melissa Dempsey, MS
Staff Market Development Manager Genetic Disease Testing and Research, illumina, Inc
Molecular Testing for Tumor Genomics and Precision Medicine:
Emily Powell, PhD
Manager of Genomic Medicine and Cancer Research, Parkview Mirro Center for Research and Innovation
Genetic Identification of Pathogens: Infectious Disease:
Scott Steinecker, MD, FACP, FSHEA, CIC
Medical Director for Infection Prevention, Medical Director for Antimicrobial Stewardship, Parkview Health
Utilizing Genetic Testing to Rationally Prescribe Psychiatric Medicine:
Jay Fawver, MD
Medical Director, Parkview Physicians Group Mind-Body Health, Epic Physician Builder
Closing Remarks
Andrea Masionneuve, BSPharm, RPh, MBA, ACRP-CP
Director of Clinical Research, Parkview Mirro Center for Research and Innovatio
Crypto Syphilis Cryptogenic Stroke as the Presentation of Neurosyphilis in Young Adults
Get PDFPoster Presented at the ACP Indiana Chapter 2022 Annual Scientific Meeting, October 2022.
Case Presentation: A young adult man in his 30s with a history of tobacco and methamphetamine use presented to the emergency department with a three day history fo aphasia, right sided facial droop and confusion
Postoperative Vital Signs: Traditional Versus Evidence Based
Get PDFPoster Presented at the Nursing Research Symposium 2022.
Problem: Post operative vital signs Did not guide the nurse to identify postoperative complications. Purpose: The purpose of the study is to compare the current standard post-operative nursing vital signs and assessment routine to an evidence based algorithm(TRAX) drive routine. The Trax algorithm is initiated by nursing assessments which then determine the frequency and tye of postoperative vital sign
Weighted Blanket Versus Traditional Perioperative Practices on Anxiety and Pain in Elective Surgery Patients: A Randomized Controlled Trial
Get PDFPoster presented at Nursing Research Symposium 2022.
Introduction: Perioperative anxiety is common in surgical patients and has been linked to poor patient outcomes. A weighted blanket may offer an alternative to or enhancement of anti-anxiety medications by activating a physiological response through the vagal system. This response successfully decreases anxiety and agitation in other patient populations but had not been studied in this population. This randomized study assessed the effectiveness of a weighted blanket for the reduction of presurgical anxiety and pain as well as post-surgical restlessness and nausea
Outcomes of a COVID Mobility Team
Get PDFThe detrimental effects of immobility are well documented in the literature, yet immobility still plagues the hospitalized adult. As the influx of COVID-19 patients began, patient mobility was further compromised. The purpose of this quality improvement project was to assess the impact of COVID mobility teams, composed of deployed coworkers, on COVID-19–positive and person under investigation patient outcomes. Using mobility teams improved mobility in COVID-positive and person under investigation patients. Increasing patient mobility results in improved patient outcomes by preventing hospital-acquired functional decline, preventing intensive care unit transfers, and decreasing length of stay
Is chatting with a sophisticated chatbot as good as chatting online or FTF with a stranger
No full textEmotionally-responsive chatbots are marketed as agents with which one can form emotional connections. They can also become weak ties in the outer layers of one\u27s acquaintance network and available for social support. In this experiment, which was designed to study the acquaintance process, we randomly assigned 417 participants into three conditions: face-to-face (FTF) chat with a human, online chat with a human, and online chat with a commercially-available, emotionally-responsive chatbot, Replika. After a 20-min getting-acquainted chat, participants reported their affective state and relational evaluations of the chat. Additionally, all chats were recorded and text analyzed using the Linguistic Inquiry and Word Count (LIWC) program. In all conditions, participants reported moderate levels of positive emotions and low levels of negative emotions. Those who chatted FTF with a human reported significantly more negative emotions than those who chatted with a bot. However, those who chatted with a human also reported more homophily with and liking of their chat partner and that their partner was more responsive. Meanwhile, participants had fewest conversational concerns with the chatbot. These findings have implications for future computer-mediated interaction studies: conversations with chatbots appear to have different affordances and effects on chatter enjoyment and conversational concerns in getting-acquainted contexts. These results may help designers improve reception and marketability for chatbots in consumer markets
Perceptions and behaviors of learner engagement with virtual educational platforms.
Get PDFBACKGROUND: The COVID-19 pandemic has increased utilization of educational technology for surgical education. Our aim was to determine attitudes and behaviors of surgical education champions towards virtual educational platforms and learner engagement.
METHODS: An electronic survey was distributed to all Association of Surgical Education members addressing i) methods of engagement in virtual learning ii) ways to improve engagement and iii) what influences engagement. Stratified analysis was used to evaluate differences in responses by age, gender, level of training and specialty.
RESULTS: 154 ASE members completed the survey (13% response rate). 88% respondents accessed virtual learning events at home. Most (87%) had joined a virtual learning event and then participated in another activity. 1 in 5 who did this did so always or often . Female respondents were more likely than males to join audio and then participate in another activity (62.3% v 37.7%, p = 0.04).
CONCLUSIONS: Virtual platforms do not automatically translate into increased learner engagement. Careful design of educational strategies is essential to increase and maintain learner engagement when utilizing virtual surgical education
Development of a Tool to Assess Hypoglycemia Risk in Patients with Type 2 Diabetes
Get PDFPresented at the 36th Great Lakes Pharmacy Residency Conference
Characterization of Vancomycin Use at a Community Hospital
Get PDFPoster presentation completed at ASHP Midyear Clinical Conference & Exhibition.
Objective: To characterize the use of vancomycin medication therapy at a non-profit community hospital (Parkview Regional Medical Center) in preparation for a potential change to AUC:MIC dosing and monitoring