This research explores race related issues within Sherman Alexie's novel The Absolutely True Diary of a Part-Time Indian to generalize how race and racism is portrayed between different races within America, in this case Native Americans and white Americans. From there, the research presents the need to present these racial aspects through high school classroom instructions in order to raise awareness of race in secondary education. This research was presented at University of Cincinnati's 2018 Scholarly Showcase and was awarded in Top 25 poster presentation at the showcase.
The diagnosis of sarcoidosis is made by the combination of clinical features and biopsy results. The clinical features of sarcoidosis can be quite variable. We developed a Sarcoidosis Diagnostic Score (SDS) to summarize the clinical features of possible sarcoidosis patients. Biopsy confirmed sarcoidosis patients seen during a seven-month time period at the University of Cincinnati Sarcoidosis clinic were prospectively identified. Non-sarcoidosis patients seen at the same clinic were used as controls. Using a modified WASOG organ assessment instrument, we scored all patients for presence of biopsy, one or more highly probable symptom, and one or more at least probable symptom for each area. Two sarcoidosis scores were generated: SDS biopsy (with biopsy) and SDS clinical (without biopsy).The 980 evaluable patients were divided into two cohorts: an initial 600 patients (450 biopsy confirmed sarcoidosis, 150 controls) to establish cut-off values for SDS biopsy and SDS clinical and a validation cohort of 380 patients (103 biopsy confirmed sarcoidosis patients and 277 controls). The best cutoff value for SDS biopsy was > 6 (sensitivity =99.3%; specificity=100%). For the total the 980 patients, an SDS clinical > 3 had a sensitivity of 94.2%, specificity of 88.8%, and a likelihood ratio of 7.9. An SDS clinical score > 4 had a lower sensitivity of (76.9%) but higher specificity (98.6%). For sarcoidosis, the presence of specific clinical features, especially multi-organ involvement, can enhance the diagnostic certainty. The SDS scoring system quantitated the clinical features consistent with sarcoidosis.
Published in CHEST Journal 2018
Oral presentation at the 2018 American Thoracic Society Conference
This was a project presented at the 2018 UC Scholarly Showcase that placed within "Top 25" out of 405.
Supporting Latino Families in Northern Kentucky partnered with students in Jenny Zhen-Duan’s Community Psychology class to assess work engagement and cultural competence among service providers as well as to examine the barriers that service providers face when serving the Latino population in Northern Kentucky. A mixed method approach was used to assess barriers that service providers face and how cultural competency and work engagement may be improved to better serve the Latino community in Northern Kentucky. Surveys containing three parts were distributed to the participating service providers. The academic partner administered the survey around Northern Kentucky and obtained 99 responses from community members. The mean age of the participants was 29 years with almost seventy percent being female. For cultural competence the subscale of service delivery was significantly higher than knowledge of community and reaching out. On work engagement the subscale of dedication was significantly higher than both vigor and absorption. Other findings were service providers have issues with lack of translators, interpretors, cultural knowledge and funding. Additional issues were not enough english as a second language resources, familial differences, attitudes towards education, mistrust towards institutions and high amounts of community level poverty. Several recommendations were made:
● The Supporting Latino Families in Northern Kentucky (SLFNK) could research where Latinos that are receiving services have immigrated from, which could help in finding an impact of origin on barriers when they are receiving the services.
● The SLFNK could have the Latino population, who receive the services from the providers, answer the survey. Then, the organization could look at and compare the two surveys to see what the similarities and differences are with the barriers.
● The SLFNK could provide lessons in cultural competence to its workers to enhance their understanding of the Latino culture.
● The SLFNK could apply for grants pertaining to gaining resources they need.
There was a lack of standardization of care for patients on venoarterial extracorporeal membrane oxygenation (VA ECMO) at Kettering Medical Center. This project discusses the creation and implementation of a standardized VA ECMO physician order set, VA ECMO anticoagulation embedded physician order set, nursing policy and guideline, and standardized electronic health record (EHR) documentation within an ECMO-specific Epic flowsheet.
Human iPSCs (TkDA cell-line) were differentiated on laminin coated plates into endoderm by treatment of Activin and BMP, then treated with FGF4 and CHIR to further differentiate into posterior foregut. The cells were embedded into Matrigel droplets and cultured in Advanced DMEM. Droplet media was collected for ELISA to measure Albumin concentrations. The droplets were collected for histology and RNA isolation to test for AFP, ALB, and HBG1 genes. These methods resulted in the creation of a novel culture system containing both hepatic and hematopoietic lineage cells to model developing fetal liver.
UC SCHOOL OF ART MFA GRADUATING SHOW 2015 — TEXTS AND PROJECTS
This collection of texts and images brings together the work of graduate students and faculty in art history, art education, and fine arts at the University of Cincinnati in the spring of 2015. We invited students in art education and art history to write accompanying texts for the final projects of their peers in the fine arts graduate program – projects encompassing everything from multimedia installation, abstract painting, video animation, fiber-based sculptural assemblages, photography, and drawing. The students’ projects were presented at the Contemporary Arts Center, Cincinnati, as part of the School of Art’s MFA Thesis Exhibition, which ran from April 1 and April 25, 2015. A process of looking, talking, looking again, writing, reading, and re-writing unfolded. Shorter versions of the texts were shown at the CAC alongside the artworks at the CAC. The process created a working space for artists and writers in dialogue, giving rise to new ideas and projects in turn.
Design: Sso-Rha Kang
Improving Accuracy and Saving Time: Electronic Vitals Documentation
Vitals signs are perhaps the most fundamental component of patient evaluation. Although there
is overwhelming agreement that vital signs are crucial to both detecting and responding to patient
status, the methods in which vital signs are documented in electronic health records (EHR) has
received limited attention in the research literature. Current practice is to document vital signs on
a piece of paper as they are being taken and then later transcribed to the EHR. This practice utilizes
poor use of clinical time, increases the chance of errors and causes a delay in clinical decision
making possibly leading to escalation of care.
This project intends to use evidence based technology methods to electronically document vital
signs in real time. This method of adopting an informatics based solution in a general medical
surgical unit will demonstrate quality improvement, improved safety and cost containment.
Many challenges arise when trying to appropriately measure a patients INR and titirate their medications. Additionally, many complications arise when this is not done correctly. The microINR provides a possible informatics solution to many of these problems.