Interdisciplinary – Page 17 – UROP Spring Symposium 2021

Interdisciplinary

Whole Health Evaluation for Veterans and VA Staff

Whole Health is a care model developed by VA clinics and hospitals in an effort to integrate complementary medicine, prevention, and the uniqueness of each patient to provide healthcare that ultimately focuses on what matters to the patient, rather than what is the matter with them. Such a care model is crucial in the U.S where healthcare often focuses merely on treatment, rather than prevention, and preventable deaths are estimated to make up 20-40% of total deaths caused by the top five causes of mortality. This study aims to expand on the current body of research that evaluates the efficacy of Whole Health, by garnering feedback about various aspects of health and how the program has come about addressing them. The research is conducted through a questionnaire created on the Qualtrics platform, which will be electronically and potentially physically distributed to veterans, caregivers, and staff. Data from the questionnaire will be inputted into an Excel spreadsheet to be later processed and analyzed using SPSS, a quantitative and qualitative statistical analysis software. Previous studies on Whole Health have indicated an improvement in social engagement, physical wellbeing, and perceived stress for patients enrolled in the program. So while results are currently pending, we expect our data to also suggest Whole Health’s adequate provision of care at least within the aspects of wellbeing mentioned above. Analysis of pending results will provide valuable insight for evaluating and potentially informing future changes to the program to better reflect its mission.

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Evaluating how anesthesia trainees identify and treat malignant hyperthermia in the team-based simulation training with Epistemic Network Analysis

Technological advances in society have given the opportunity to modify and refine the education and experiences that occur within medical schools and the training provided to healthcare professionals. Clinical simulations provide team-based training to students and healthcare providers in ways that they otherwise may not receive through lectures and real-life settings. This study aims to analyze team communication during team-based training simulations on malignant hyperthermia (MH). The simulations were made available for analysis and evaluation through about 25 video recordings that were collected by the Clinical Simulation Center at the University of Michigan. MH is a rare but severe reaction to certain anesthetic drugs which requires the teams to work together to identify the symptoms (increasing end-tidal carbon dioxide, heart rate muscle rigidity, and temperature), properly treat the patient, and recognize the patient’s response to appropriate and inappropriate management interventions. The videos consist of different teams doing the same training on MH which may give insight as to why some teams are more successful than others. The analysis will also focus on how trainees allocate tasks efficiently within a group and develop individual/team skills in treating MH. The ability to automate computer assessments will also be evaluated to identify technical and nontechnical skills in team-based simulation training while treating MH. With improved training in a simulation environment, healthcare professionals will be able to improve their ability to work together in real environments where patient lives may be at risk.

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Whole Health Evaluation for Veterans and VA Staff

Whole Health is a system of patient-centered care in the Veterans Affairs healthcare administration focusing on non-traditional integrative modalities such as nutrition, mindfulness, spirituality, etc. Background research has been limited to certain areas of Whole Health. Other areas need to be further studied. Spirituality and telehealth are two areas that need further research. Our research group has designed a 25 question Qualtrics survey to explore these two areas as well as other areas such as mental health and nutrition further. With this survey, we seek to better understand perceptions of spirituality/faith-based support, telehealth, and other areas (such as nutrition). At the time of publication of this abstract, the data has been collected and preliminary analysis is in process. Specific, detailed, and final results will be available at the time of the Symposium presentation.

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Whole Health Educational Resource Development and Evaluation for Veterans and VA Staff

Research is being conducted at the Ann Arbor VA hospital in order to assess their Whole Health approach to prevention and treatment, and the use of different resources among patient and staff populations. Whole Health is a system of care that focuses on what matters most to each Veteran. This approach is evidence-informed by medical literature, yet holistic and patient-driven. Multiple teams of undergraduate students began by independently researching relevant practices and modalities commonly available for Veterans and staff members by examining both material provided by the U.S. Department of Veterans Affairs, as well as other recent literature in academic journals. Using the information collected from these sources, student teams developed multiple surveys to assess the use of some of the most prominent resources available, and to gain valuable insight from users’ perspectives about how these resources have impacted their health outcomes and quality of life as a whole. At the time of publication of this abstract, the data has been collected and preliminary analysis is in process. Specific, detailed, and final results will be available at the time of the Symposium presentation. It is intended that the information gathered from these surveys will indicate what the healthcare system is doing well and what areas need improvement to optimize patient and staff well-being.

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Dysfunction of insulin producing pancreatic beta cells – The Central Problem in Diabetes

Syed Mustafa Pronouns: He/Him Research Mentor(s): Mehboob Hussain, Professor Research Mentor School/College/Department: Internal Medicine, Metabolism, Endocrinology, Diabetes, Michigan Medicine Presentation Date: Thursday, April 22, 2021 Session: Session 5 (3pm-3:50pm) Breakout Room: Room 12 Presenter: 2 Event Link Abstract Authors: Syed Mustafa Research Method: Laboratory Research with Animals

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Scoping review on the impact of type 2 diabetes self management programs in Asian-Americans

Type 2 diabetes (T2D) is among the top reasons for deaths in Asian-Americans (AA). Although AA consists of people from more than 20 countries, existing T2D research often masks the differences. According to the Office of Minority Health (2019), about 11.5% of AA adults have T2D, compared to 8% of White Americans. The data also suggests that the rate of T2D in AA adults increased from 8.7% in 2017 to 11.5% in 2018. As Asian-Americans face challenges in healthcare, including linguistic, cultural, and literacy barriers, it is essential to research existing diabetes self-management programs (DSMPs), as many studies aggregate Asian Americans as a monolith group and disregard Asian-American subgroups’ heterogeneity. A scoping review is vital to establish foundational knowledge for DSMPs focused on AA. This scoping review defines DSMPs as managing an individual’s condition through self-care, problem-solving & decision making, resource utilization, and symptom, family, medical, or emotional management. We searched six different databases for relevant articles with no date range. The initial citation lists from all databases by keyword search yielded 2581 results. After screening for titles and abstracts, 311 articles were included in the full-text screening. Articles were excluded if they were non-primary research studies, did not focus on T2D or AA adults, and did not include DSMPs. After screening the full-text articles, 31 articles were included in the final analysis. DistillerSR was used to screen and extract data, including method, intervention duration, participant setting and demographics, theoretical framework, number and details of DSMP intervention groups, and results. We hypothesized that there is a higher need to focus on minority subgroup research. There is a need to tailor DSMPs to address the barriers that AA face in healthcare so that distinct cultural, linguistic, ethnic needs and preferences are met. Improved understanding of existing research may enhance future development of DSMPs for Asian-Americans and its subgroups.

Scoping review on the impact of type 2 diabetes self management programs in Asian-Americans Read More »

Scoping review on the impact of type 2 diabetes self management programs in Asian-Americans

Type 2 diabetes (T2D) is among the top reasons for deaths in Asian-Americans (AA). Although AA consists of people from more than 20 countries, existing T2D research often masks the differences. According to the Office of Minority Health (2019), about 11.5% of AA adults have T2D, compared to 8% of White Americans. The data also suggests that the rate of T2D in AA adults increased from 8.7% in 2017 to 11.5% in 2018. As Asian-Americans face challenges in healthcare, including linguistic, cultural, and literacy barriers, it is essential to research existing diabetes self-management programs (DSMPs), as many studies aggregate Asian Americans as a monolith group and disregard Asian-American subgroups’ heterogeneity. A scoping review is vital to establish foundational knowledge for DSMPs focused on AA. This scoping review defines DSMPs as managing an individual’s condition through self-care, problem-solving & decision making, resource utilization, and symptom, family, medical, or emotional management. We searched six different databases for relevant articles with no date range. The initial citation lists from all databases by keyword search yielded 2581 results. After screening for titles and abstracts, 311 articles were included in the full-text screening. Articles were excluded if they were non-primary research studies, did not focus on T2D or AA adults, and did not include DSMPs. After screening the full-text articles, 31 articles were included in the final analysis. DistillerSR was used to screen and extract data, including method, intervention duration, participant setting and demographics, theoretical framework, number and details of DSMP intervention groups, and results. We hypothesized that there is a higher need to focus on minority subgroup research. There is a need to tailor DSMPs to address the barriers that AA face in healthcare so that distinct cultural, linguistic, ethnic needs and preferences are met. Improved understanding of existing research may enhance future development of DSMPs for Asian-Americans and its subgroups.

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Brain Networks for Fear Learning in Infant Rats

In this lab, we are conducting experiments to seek a better understanding about the correlation between behavior and the brain structure. More specifically, we are using fear conditioning and analyzing certain areas of the brain to see this correlation. This study is able to give insight by using infant rats and looking into how the brain network works when they are encountered by a “threatening stimuli.” Through the process of immunohistochemistry, we are able to examine slices of the brain and use specific proteins to highlight neurons that are associated with the behavior that occurs during the fear learning process. The desired section of the brain that is known to be associated with learning is called the amygdala, which is heavily analyzed in our study. This is important for us to understand how fear impacts our brain networks and can possibly reveal limitations that can be further explored (White).

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Brain Networks for Fear Learning in Infant Rats

In this lab, we are conducting experiments to seek a better understanding about the correlation between behavior and the brain structure. More specifically, we are using fear conditioning and analyzing certain areas of the brain to see this correlation. This study is able to give insight by using infant rats and looking into how the brain network works when they are encountered by a “threatening stimuli.” Through the process of immunohistochemistry, we are able to examine slices of the brain and use specific proteins to highlight neurons that are associated with the behavior that occurs during the fear learning process. The desired section of the brain that is known to be associated with learning is called the amygdala, which is heavily analyzed in our study. This is important for us to understand how fear impacts our brain networks and can possibly reveal limitations that can be further explored (White).

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Multimodal Retinal Imaging of Usher Syndrome Animal Model of Photoreceptor Degeneration

Ashley Brown Pronouns: she/her/hers Research Mentor(s): Yannis Paulus, Assistant Professor, Tenure Track Research Mentor School/College/Department: Ophthalmology and Visual Sciences, Michigan Medicine Presentation Date: Thursday, April 22, 2021 Session: Session 5 (3pm-3:50pm) Breakout Room: Room 12 Presenter: 5 Event Link Abstract For privacy concerns this abstract cannot be published at this time. Authors: Ashley Brown, Emilie

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