• Stewarding Indigenous Data: Resolving Tensions between Open Data and Indigenous Data Sovereignty

      Rainie, Stephanie Carroll; University of Arizona; Native Nations Institute; Mel and Enid Zuckerman College of Public Health, Center for Indigenous Environmental Health Research (University of Arizona, 2018-10-31)
    • Voices Unheard: Access to Oral History Interview about Hazardous Contamination

      Moreno Ramírez, Denise; University of Arizona; Department of Soil, Water and Environmental Science; School of Anthropology (University of Arizona, 2018-10-31)
    • Reconfiguring Access When Open is the Default

      Knott, Cheryl; University of Arizona; School of Information (University of Arizona, 2018-10-31)
    • Case Studies of Flood Impacts to Development on Active Alluvial Fans in Central Arizona

      Fuller, J.E.; Meyer, D.P.; JE Fuller Hydrology & Geomorphology (Arizona Geological Survey (Tucson, AZ), 2018-09)
    • Geologic Map of the Lewis Springs 7 1/2’ Quadrangle, Cochise County, Arizona

      Pearthree, P.A.; Ferguson, C.A.; Demsey, K.A.; Haddad, D.E.; Cook, J.P.; Arizona Geological Survey (Arizona Geological Survey (Tucson, AZ), 2018-09)
    • Outcomes for the Hybrid Approach to First State Treatment of Hypoplastic Left Heart Syndrome

      Crawford, Daniel; The University of Arizona College of Medicine - Phoenix; Graziano, Joseph, MD (The University of Arizona., 2018-06-05)
      BACKGROUND & SIGNIFICANCE Hypoplastic left heart syndrome (HLHS) is a congenital condition that involves hypoplasia or atresia of left heart structures. Treatment requires three separate interventions, and the “hybrid” procedure is a less invasive alternative to the initial open-heart operation. This approach has become favorable for certain patients in recent years, but there is a need to better understand the outcomes and the factors that influence the outcomes for hybrid Stage 1 palliation of HLHS.
    • Geologic Map of the McDowell Mountains, Maricopa County, Arizona

      Skotnicki, S.J. (Arizona Geological Survey (Tucson, AZ), 2018-05-23)
    • Faculty Senate Minutes April 2, 2018

      Unknown author (University of Arizona Faculty Senate (Tucson, AZ), 2018-05-08)

      O'Connor, Devin; The University of Arizona College of Medicine - Phoenix; Brady, Michael, MD (The University of Arizona., 2018-04-10)
      Background This systematic review focuses on discussing the critical shortage of surgeons and access to surgical services in many low income African nations and the difficulties encountered by non-physician clinicians who are trained to increase the surgical workforce by carrying out less severe surgeries and peri-operative care. By critically assessing the literature this review seeks to present the benefits to surgical task shifting and the most commonly encountered problem with this type of healthcare intervention
    • An Unusual Complication of Gastrografin®: Gastric Precipitation

      Bergin, Edward; The University of Arizona College of Medicine - Phoenix.; VanSonnenberg, Eric, MD (The University of Arizona., 2018-04-10)
      Gastrografin®, an oral contrast agent, is important for non-operative management of small bowel obstruction and post-operative ileus. However, Gastrografin® can cause complications with its propensity to precipitate in an acidic environment. We describe a case of Gastrografin® precipitation in the stomach that resulted from delayed gastric emptying and increased gastric acid secretion in an elderly woman.
    • Survey Determining Involvement of Certified Athletic Trainers in Return to Activity/Play Decisions and Concussion Education

      Olla, Danielle; The University of Arizona College of Medicine - Phoenix; Hirsch, Handmaker, MD (The University of Arizona., 2018-04-10)
      In the some states a Certified Athletic Trainer (AT) has the ability to determine if a player can return to activity or play (RTP) following a mild Traumatic Brain Injury (mTBI), also known as a concussion. Premature return to activity or RTP and sustaining another concussion can result in further axonal damage, prolonged complications and rarely, death. There currently is no standardized education and certification for ATs regarding concussion management, and no data exists determining how often ATs are involved in return to activity or RTP decisions. The aim of this study was to survey ATs and establish a baseline of their involvement in return to activity and RTP decisions and determine what type and amount concussion education ATs are completing at the present time. A twenty (20) question electronic survey was sent to 2084 randomly selected ATs registered with the National Athletic Trainer Association (NATA). 382 responses were collected in a 38‐day period. The survey was successfully completed by a total of 356 ATs from across the United States.
    • Predicting Postpartum Hemorrhage: A Retrospective Study

      Amaya, Stephanie; The University of Arizona College of Medicine - Phoenix.; Gerkin, Richard, MD; Mattox, John, MD (The University of Arizona., 2018-04-10)
    • Epidemiology of Post-Traumatic Brain Injury-Induced Hypothalamic Pituitary Dysfunction in Arizona AHCCCS Patients

      Sukhina, Alona; The University of Arizona College of Medicine - Phoenix; Lifshitz, Jonathan, PhD (The University of Arizona., 2018-04-09)
      Introduction: Traumatic brain injury (TBI) in children can result in cognitive, emotional and somatic neurological impairments. In adults, post-traumatic hypopituitarism can extend or exacerbate these impairments, likely due to mechanical damage to the pituitary and hypothalamus. The pituitary in the pediatric brain likely suffers similar mechanical damage, inducing endocrinopathies as in adults, but injury-induced endocrinopathies are infrequently reported in children. Unrecognized hypopituitarism may lead to elevated risks of metabolic syndrome, diabetes, delayed or absent puberty, short stature, and other endocrinopathies. However, screening for endocrine deficiencies in susceptible patients and initiating appropriate hormone replacement therapy may prevent these sequelae and improve the prospects for recovery. Results: We determined that TBI victims were 3.18-times higher risk of developing a central endocrinopathy compared with the general population (CI=0.264), pediatric AHCCCS patients with a central endocrinopathy had a 3.2-fold higher odds of a history with TBI than those without a central endocrinopathy (CI=0.266), of the central endocrinopathy in TBI victims is attributable to the TBI, and the number of patients who need to be exposed to a TBI for 1 patient to develop an endocrinopathy was 154.2 (CI=7.11). We also determined that more males than females presented with central endocrinopathies after TBI compared with the general population of TBI victims.
    • Geographic correlation between nonmedical exemption rates in Arizona kindergarten classes and rates of community pertussis infection

      Sun, Sophie; The University of Arizona College of Medicine - Phoenix; Villarroel, Lisa, MD (The University of Arizona., 2018-04-09)
      Background: Every state in the US mandates specific vaccinations for all children prior to school entry. However, many states, such as Arizona, are permit nonmedical exemptions (NMEs), and thus, communities with high levels of NMEs are potentially more vulnerable to outbreaks of vaccine preventable diseases. Objective: The objective of this study was to detect spatial clusters of pertussis cases and kindergarten NMEs of DTaP vaccine in Arizona. Methods: Data detailing kindergarten NMEs for each AZ school in the 2012-13 and 2013-14 school years and pertussis cases with report dates during those time periods were obtained from the Arizona Department of Health Services databases. Addresses for each school and pertussis case were geocoded, and the coordinates were obtained for each corresponding census tract. Using a purely spatial analysis with Poisson probability model, areas with high rates of pertussis or NMEs were identified with SaTScan. Clusters for both the number of NMEs and pertussis cases were detected and presented in maps. Extremely large (>50km radius) clusters extending beyond state boundaries were considered irrelevant and removed. Results: Multiple clusters of NMEs and pertussis cases were identified in two school years. While the clusters were generally in highly populated regions, they were not located at the same region in both years. The NME clusters and case clusters did not always overlap. Conclusions: The current analysis does not support an association between kindergarten NME frequency and pertussis outbreaks within these time periods. Clusters of both NMEs and pertussis cases were located in different regions each year. Since kindergarten NMEs vary from year to year, it is possible that these NME rates are not reflective of those in the community. Further studies with larger datasets will be important in elucidating the spatial distribution of pertussis cases and NMEs.
    • Novel Approach to Determine the Effect of Sub-Optimal Semen Analysis Parameters on Obtaining Euploid Blastocysts after Intracytoplasmic Sperm Injection

      Savage, Narry; The University of Arizona College of Medicine - Phoenix; Lipskind, Shane, MD (The University of Arizona., 2018-04-09)
      Preimplantation genetic screening (PGS) is a method of screening a blastocyst for chromosomal abnormalities during in vitro fertilization (IVF) by performing a karyotype on a single cell from the blastocyst. PGS was previously offered to couples with advanced maternal age, recurrent pregnancy loss, repeated implantation failure, or severe male factor infertility. Now PGS is common practice for all IVF cycles to improve outcomes by selecting chromosomally normal (euploid) embryos for transfer. This investigation aims to study the effect of male semen parameters on the likelihood of obtaining chromosomally normal embryos using ICSI. A unique approach was taken by comparing the outcomes between multiple “paired couples” who have utilized donor eggs obtained from the same donor in the same cycle. This model was adopted to minimize oocyte variation as a confounding variable. Using retrospective record review and data analysis, the relationship between optimal vs suboptimal sperm parameters and the resultant percentage of euploid embryos obtained after ICSI was evaluated.
    • "El viaje al otro lado: Relationship between Depression Onset in Latinas and Immigration Experience Coming to the United States”

      Rubin, Arielle; The University of Arizona College of Medicine - Phoenix.; Moreno, Francisco, MD (The University of Arizona., 2018-04-06)
      Background: Few studies investigate unique psychosocial hardships and trauma during immigration by mode of travel. This retrospective pilot study explores the trauma and hardship during different types of immigration travel among Latina women and explores its relationship to psychiatric diagnosis in Latina immigrant women with and without psychiatric diagnosis history. Conclusion: In this small pilot study, “coyote” travel significantly correlated with trauma exposure. There was a numerical suggestion that coyote travel is more often associated with depression than non-coyote travel. With only 14 individuals this pilot study had limited power to detect effects. The lack of difference in depressive symptomatology one year after arrival between the group of people previously diagnosed and community volunteers suggest a multifactorial high-risk adjustment period warranting a high-degree of clinical suspicion and screening in all newly immigrated patients.