CONCURRENT AND CONCORDANT ORAL AND GENITAL HIGH RISK HUMAN PAPILLOMAVIRUS INFECTIONS IN THE UNITED STATES POPULATION; RESULTS FROM NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY (NHANES)

Human papillomavirus (HPV) is a common sexually transmitted disease which infects various sites in the body including the genitals, oral cavity, and anal regions. Very little research has assessed the prevalence of concurrent and concordant high risk (HR) HPV oral and genital infections in the general United States population despite the fact that HR HPV oral pharyngeal cancers are on the rise in the US, particularly in men. To further our understanding of HR HPV concurrent and concordant infections we aim to estimate the prevalence of HR HPV concurrent and concordant infections in the U.S. population, and for men and women separately. The next aim is to determine via Monte Carlo simulations, whether HR HPV concurrent and concordant infections happen more than expected by chance, given the population marginal rates of oral and genital infections. Lastly, we characterize predictors of HR HPV concurrent and concordant infections. We use the cross-sectional National Health and Nutrition Examination Survey (NHANES). Participants included women from NHANES 2009-2014 and men from NHANES 2013-2014 who had valid HPV test results. Concurrent infections were identified in 116 (2.5%) individuals in the combined population (65 (4.0%) men and 51 (.76%) women). Simulations showed that the observed prevalence of concurrent infections exceeded the expected prevalence for the combined population, men, and women (1.13%, 4.0%, and .76%, respectively). Similarly, we identified concordant infections in 59 (.99%) of individuals (29 (1.5%) men and 30 (.47%) women). Simulations showed that the observed prevalence of concordant infections exceeded the expected prevalence for the combined population, men, and women (.15%, .26%, and .05% respectively). Our multivariable analysis for men showed marital status, lifetime number of sexual partners, lifetime number of oral sex partners, recent number of oral sex partners, marijuana use, and sexual orientation were all positively associated with HR HPV concurrent infection, and lifetime number of sex partners, recent number of sex partners, and sexual orientation were positively associated with HR concordant infections. Our multivariable analysis for womenshowednopredictorswereassociatedwithHRHPVconcurrentinfections, and cigarette use was positively associated with HR HPV concordant infections. Importantly, our analyses show that HR HPV infections between the oral and genital sites are not independent of one another. We further highlight several factors that are important predictors of HR HPV concurrent and concordant infections. These analyses show the importance of the HPV vaccine and suggest its continued recommendation, perhaps more adamantly in boys and men than previously suggested

Development of writing through journaling with senior educable mentally handicapped

Recognizing that many senior high school students who are labeled Educable Mentally Handicapped (the term used in Nebraska) have had few opportunities to have fulfilling experiences in school, a rich literature-based language arts program was developed for a class. This group had many opportunities to respond with their ideas and feelings, one of which was journaling. As the school year progressed, I, as their teacher, found that I was modifying and changing my daily instructional plans because their reading and writing generated ideas and instructional needs. In their journals, they began to write more freely with more skill and creativity. Their journal responses indicated a more accurate assessment of their abilities

Learning styles of extension agents responsible for pesticide re-certification training programs in West Virginia

As a condition of license renewal necessary for restricted-use pesticides, private pesticide applicators are required to accumulate five hours or 10 continuing education units (CEUs) every three years. These programs provide valuable experiential learning opportunities to adult learners. As a result, adult learning is a topic of research. Kolb\u27s Learning Style Inventory (LSI) has been used in research for many years to determine learning style preferences of adults. The purpose of the study was to categorize each agent according to their learning style and to determine if relationships exist between learning style preferences and the agents\u27 major program area, Extension experience, gender, age, and area of study of their Bachelors and Master\u27s degree. Forty-eight Extension agents were mailed Kolb\u27s LSI and a demographic survey. Thirty-two agents responded. Converger was the dominant learning style preference. No significant associations were found to exist between the demographic factors and the agents\u27 learning style preferences

Imaging the Transgender Patient

Within the health care system, lesbian, gay, bisexual, and transgender (LGBT) persons face many obstacles that lead to health disparities. These disparities include social stigma, lack of provider knowledge and training, lack of sufficient health insurance coverage, and layout of physician practice. As noted by the Joint Commission, federal law prohibits the discrimination of individuals based on race, color, national origin, age, disability, and sex within the health care system.1 It is essential for all health care providers to be educated on the best practices in regard to caring for the LGBT patient. The focus of this exhibit is to define and explain terminology important in the care of the LGBT patient, identify health disparities faced by the LGBT patient, describe the health care needs of the LGBT patient and to list the best practices in regard to creating a welcoming and safe environment for the LGBT patient.https://digitalcommons.unmc.edu/cahp_mits_pres/1000/thumbnail.jp

The Interprofessional Academy of Educators: Inclusive, Collaborative, Innovative

Issue to be addressed: To elevate the educational mission of the institution, UNMC established the Interprofessional Academy of Educators in 2016. Designed by educators for educators, this interprofessional community strives to improve health professions education by encouraging curricular innovation, supporting educational scholarship & offering mentorship for early career and seasoned educators. Method: The inaugural class included a unique blend of medical scholars from 8 Colleges, 2 Institutes, Academic Affairs, IT Services, and Library Sciences. Members span a 500-mile wide campus. Eight SIGs foster interprofessional collaboration & scholarship. An academically diverse leadership team of five oversees the Academy.https://digitalcommons.unmc.edu/cahp_mits_pres/1003/thumbnail.jp

The Utilization of the Anatomage Virtual Dissection Table in the Education of Imaging Science Students

Objectives: The purpose of this research was to investigate the use of the Anatomage Virtual Dissection Table in the education of imaging science students and to assess the beliefs and perceptions of the students in regard to using the Table for teaching imaging-based anatomy & pathology. Subjects & Methods: Study participants included 17 medical imaging students to include 9 Diagnostic Medical Sonography students, 2 Magnetic Resonance Imaging students, 2 Nuclear Medicine Technology students, 2 Radiation Therapy students and 2 Cardiovascular Interventional Technology students. Data was collected through focus groups and course/instructor evaluations. The researchers followed Creswell’s procedure for data analysis and representation. Results: Assessment of students’ perceptions showed that 96% of students felt that the Table was a positive/beneficial tool in terms of their learning. Students also noted several advantages to using the Table in the education of imaging science students. Conclusion: The use of virtual dissection technology seems to have a promising role in future educational training although more research is needed to better understand the efficacy of using this technology in the classroom. The results of this study show that students appreciate learning with this technology and believe that it is a beneficial and effective tool in preparing them to enter a health care profession.https://digitalcommons.unmc.edu/cahp_mits_pres/1005/thumbnail.jp

Open Book Testing in Health Science Education: Student Perceptions and Outcomes in Ultrasound Physics

Objectives: The purpose of this study was to investigate the use of open book exams (OBE) in the education of imaging students and to assess the beliefs and perceptions of the students in regard to the use of open book testing. Subjects & Methods: Study participants included twenty-seven sonography students enrolled in an academic health sciences center. OBE was implemented in two ultrasound physics courses. Data was collected through focus groups & exam outcomes. Creswell’s procedure for data analysis & representation was followed. Results: Overall outcomes showed no statistically significant difference between exam grades for the different cohorts with the exception of one exam. A 100% pass rate on the American Registry for Diagnostic Medical Sonography’s (ARDMS) Sonographic Principles and Instrumentation (SPI) exam was noted for all groups. For the majority of students, exam tension & stress was not reduced on the first exam, but was reduced for the remainder of the exams. Overall, students had a positive perception of OBE. Conclusion: Study findings support open book testing data reported in the literature. Although there was no effect on exam grades, the reduction in anxiety and stress supports the continued use of open book testing in the sonography curriculum.https://digitalcommons.unmc.edu/cahp_mits_pres/1006/thumbnail.jp

The Utilization of the Anatomage Virtual Dissection Table in the Education of Imaging Science Students

Study Background: The purpose of this research was to investigate the use of the Anatomage Virtual Dissection Table in the education of imaging science students and to assess the beliefs and perceptions of the students in regard to using the Table for teaching imaging-based anatomy and pathology. Subjects and Methods: Seventeen medical imaging students participated in the study including nine Diagnostic Medical Sonography students, two Magnetic Resonance Imaging students, two Nuclear Medicine Technology students, two Radiation Therapy students and two Cardiovascular Interventional Technology students. Data was collected through focus groups and course/instructor evaluations. The researchers followed Creswell’s procedure for data analysis and representation. Results: Assessment of students’ perceptions showed that 96% of students felt that the Table was a positive/beneficial tool in terms of their learning. Students also noted several advantages to using the Table in the education of imaging science students. Conclusion: The use of virtual dissection technology seems to have a promising role in future educational training although more research is needed to better understand the efficacy of using this technology in the classroom. The results of this study show that students appreciate learning with this technology and believe that it is a beneficial and effective tool in preparing them to enter a health care profession

Mindful Meditation Practice for Imaging Professionals

Although a career in medical imaging is very fulfilling and rewarding, research shows that health care professionals are becoming more prone to burnout. The healthcare environment can be face-paced, stressful and demanding. Burnout syndrome results from emotional exhaustion that causes depersonalization and decreased professional accomplishment.1-3 Burnout can have a negative impact not only on the individual, but the environment as well. Decreased patient satisfaction and increased errors are both associated with burnout in the healthcare setting.2 Mindfulness can be defined as the awareness that emerges through paying attention on purpose, in the present moment, and non-judgmentally to the unfolding of experiences moment by moment.4 Mindfulness training has been scientifically shown as a method to decrease burnout, improve satisfaction and enhance patient care. Mindful interventions have shown to improve mental, emotional and physical well-being.2-8 This poster will outline signs of burnout and stress along with information on how to incorporate mindful practice for health care professionals.https://digitalcommons.unmc.edu/cahp_mits_pres/1001/thumbnail.jp

Bezoar: Imaging Findings & Case Study of a Rare Pathology

A bezoar is a hard, indigestible mass of material that forms within the alimentary canal, most commonly the stomach.1 Bezoars are classified according to composition. The most common type of bezoar is a phytobezoar composed of indigestible food fibers that occur in fruits & vegetables, including celery, pumpkin, prunes, raisins, & sunflower-seed shells. Other common types of bezoars include trichobezoars, composed of hair, & pharmacobezoars, made of undissolved medications. A number of risk factors have been associated with bezoar development. Patients who have undergone gastric surgery, such as partial gastrectomy, are at an increased risk of developing a bezoar due to delayed gastric emptying, decreased stomach size, or reduced stomach acid production. Other risk factors include diabetes mellitus, end-stage kidney disease, cystic fibrosis, intrahepatic cholestasis, & psychiatric illness.2,3 This poster will present the rare finding of a large duodenal bezoar.https://digitalcommons.unmc.edu/cahp_mits_pres/1002/thumbnail.jp