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  Studying Emotions in Tele-Palliative Care, a Small Formative Study

  Eric Anderson, Rebecca Hutchinson, Mollie Ruben, Noah Manning, Kathleen Walsh, Robert Gramling, and Paul Han

  Can emotional connection be formed in virtual consults?

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  Leveraging Spiritual Care Resources to Reduce the Number of Behavioral Events on an Acute and Intermediate Medical-Surgical Unit

  Natasha Bartlett, Tia Jamir, Sally Langerak, and Heather Weidemann

  In 2018, R4/AVU an acute and intermediate care medical unit at Maine Medical Center (MMC), had a high level of distressing behavioral events (Code Grays) and staff stress.

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  Exploration of telemedicine for the delivery of Substance Use Disorder treatment during the COVID-19 Pandemic

  Rebecca Bell, Hannah Loeb, Michael Kohut, Eric Anderson, Kinna Thakarar, and Rebecca Hutchinson

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  The MMC BioBank is a Resource that Supports Biomedical Research

  Anne C. Breggia, Sue LaPierre, Christopher Keister, Dawn Charnetzky, Hannah Brown, Joseph Nano, Sydney Robinson, Howard Feller, Susan Nester, Elizabeth Hamir, Heidi Ingersoll, Anthony Sellner, Trevor Jorgensen, and Mike Jones

  Mission: To provide normal and diseased annotated human biospecimens to the research community that supports discoveries leading to improved patient therapies and advances in personalized medicine.

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  The NCI/NIH Cancer Moonshot BioBank (CMB) and the Maine Cancer Genetics/Genomics Education Core (ME-CGEC) Collaborate to Improve Cancer Care in Maine

  Anne C. Breggia, Sue Miesfeldt, Neil Korsen, Jill Prescott, Lisa Lemire, Meghan Searight, Jamie Saunders, and Scot Remick

  Goal: To better understand drug resistance and sensitivity in patients with late stage (Stage III & IV) cancers that are receiving standard of care molecularly targeted therapies through next generation sequencing (NGS) of biopsy and blood samples collected longitudinally (diagnosis-- treatment--progression).

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  Perceptions of Self-Efficacy and Experiences of Mindfulness on Pain and Anxiety in Patients Undergoing a Colorectal Surgery: A Prospective Mixed Methods Study

  Rebecca Brown, Julie Fitzgibbons, and Rachel Farrington

  Introduction

  • Pain and anxiety have a physiological response on the body.

  • Increased heart rate, respiratory rate and blood pressure can lead to complications, and thus longer hospitalization along with decreased patient satisfaction.

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  Ketamine Infusions For Post-Cesarean Pain In Patients with Opioid Use Disorder

  Talitha Budi, Johanna Cobb, Wendy Craig, Heather Turcotte, Janelle Richard, and Aurora Quaye

  Discussion:

  • Opioid consumption may be reduced during ketamine infusion without significant side effects

  • Further investigation planned with a prospective, randomized, double-blind, placebo-controlled trial.

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  The Introduction of a Multimodal Clinical Pathway for Outpatient Total Knee Arthroplasty in the Era of COVID-19

  D Bunch, R Mountjoy, G Korsunsky, A Rana, and C Sturgeon

  The combination of a short acting spinal and muscle-sparing regional blocks, including adductor canal and iPACK blocks, can allow for successful outpatient total knee arthroplasty.

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  Determinants of private well water testing in Maine

  Jenny Carwile, Shravanthi M. Seshasayee, Kritika Anand, and Abby F. Fleisch

  Objectives: Describe sociodemographic characteristics associated with ever testing well water using data from the 2014-2017 Maine Behavioral Risk Factor Surveillance System (BRFSS) (n= 12,152).

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  Improving safety using HFMEA and insitu simulation prior to initiating contrast MRI studies in an ambulatory setting

  Micheline Chipman, Todd Dadaleares, Heather Beaulieu, and Leah Mallory

  The objective of this event was to test a new system for emergency response to MRI contrast reactions by ensuring staff familiarity with emergency equipment and a newly drafted emergency response protocols, and to mitigate any LST identified.

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  Telemedicine Consultation to Assess Neonatal Encephalopathy in Rural Community Hospitals

  Rachel Coffey, Misty Melendi, Anya J. Cutler, and Alexa K. Craig

  We studied the feasibility of tele consults in community hospitals for neonatal encephalopathy evaluation.

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  Boot Camp Translation: Community Engaged Research Process Evaluation

  Emma DayBranch, Kerri Barton, Brendan Schauffler, Lisbeth Wierda, and Neil Korsen

  The BCT process was first developed by the High Plains Research Network and its Community Advisory Council in rural Colorado. Between 2004 and 2015 the BCT process was used 31 times across the U.S. on a broad range of topics.

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  Would Surgeons Opt for Polypropylene Mesh if They Hypothetically Had Stress Urinary Incontinence or Pelvic Organ Prolapse?

  William J. Devan, Sanchita Bose, Dayron Rodriguez, Ricardo Munarriz, and Linda Ng

  Introduction

  • Controversy surrounding vaginal mesh kits

  • Many patients have negative connotations regarding mesh

  • If patients were shown that their surgeons would opt for mesh –maybe this would help lessen the negativity?

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  Examining the Relationship Between Markers of Emergency Department Crowding and Physician Wellbeing

  Jessica DiBiase, Tania D. Strout, Samir Haydar, Karla Hyde, Elizabeth Hamilton, and Christine Hein

  Objectives-

  Explore changes to EP wellbeing over time.

  Evaluate the relationships between markers of ED crowding and boarding and EP wellbeing

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  An Evaluation of the Rollout of Aunt Bertha, a Community-Centered Directory, Across the MaineHealth Network

  Samantha Dinsdale, Lisbeth Wierda, Kerri Barton, and Ellen Freedman

  Remote interviews were conducted with community-based organizations across Maine to gain insight to their perspective of Aunt Bertha’s use and potential.

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  Standardized EKG curriculum

  Michael Ellerman, Jon Nichols, and Sanjeev Francis

  Goal: To study the effect of a standardized EKG curriculum on competency of interpreting common EKGs among internal medicine residents

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  A New Project ECHO focused on Clinical Research in development by the NNE-CTR

  Ivette Emery, Kerri Barton, Meredith Oestreicher, Neil Korsen, and Irwin Brodsky

  I diagram presented for the project by the NNE-CTR

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  Investigation of the relationship between obesity, weight cycling, and tumor progression in murine myeloma models

  Heather Fairfield, Catherine R. Marinac, Mariah Farrell, Brenda M. Birmann, and Michaela R. Reagan

  We investigated this relationship in two murine myeloma models with a high fat diet (HFD) to induce obesity, and a diet cycling (DC) regimen to model weight cycling.

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  Inhibiting Fatty Acid Binding Protein Family Members Decreases Multiple Myeloma Cell Proliferation Through Effecting the myc Pathway

  Mariah Farrell, Heather Fairfield, Anastasia D'Amico, Carolyne Falank, Connor Murphy, and Michaela Reagan

  FABP inhibition leads to increased survival of myeloma bearing mice and decreased cell growth by inhibiting MYC signaling.

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  Impact of a Primary Care Clinical Pharmacist on the Management of Hepatitis C Viral Infection

  Sierra Ferreiira, Adam Normandin, Linh Gagnon, and Corinn Martineau

  Interprofessional care including a pharmacist demonstrates a positive trend towards increasing access to care and improving adherence to Hepatitis C management in a primary care setting.

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  PHQ 9 Utilization in Maine Health

  Steven Gerrish, Kerri Barton, and Neil Korsen

  The PHQ is a brief patient survey for diagnosing depression and monitoring response to treatment.

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  Improving the Care of Patients with Cirrhosis at MMC

  Lesley B. Gordon, Elizabeth Herrle, Matt Buttarazzi, Monica Thim, Jenna S. Ptaschinski, Victoria Molina, and Natalie Channell

  Purpose: Improve the rate and timeliness of paracenteses for patients with decompensated cirrhosis.

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  Thyroid Hormone-Clearing Deiodinase 3 Protects from Cranio- Encephalic and Cardiac Congenital Abnormalities

  Arturo Hernandez, M Elena Martinez, Ilka Pinz, Marilena Preda, and Thomas Gridley

  Implications: Transient overexposure to TH during development may contribute to idiopathic congenital syndromes in humans (cleft palate, hydrocephalus, cardiac and Chiari malformations, others)

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  Spiritual/Religious Orientation and Moral Distress in Pulmonary Care Nurses: An Exploration of Ethical Norms, Moral Agency and Moral Resilience

  Kristiina Hyrkas and Myrna Koonce

  Introduction

  • Nurses who provide care which they perceive as increasing suffering often experience moral distress (MD).

  • Response to MD is a key factor in nurse wellbeing and retention, and is widely studied in nurses.

  • Less research exists on foundations of moral belief and practice among nurses.

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  Plasma concentrations of per- and polyfluoroalkyl substances and body composition from mid-childhood to early adolescence

  Jaclyn Janis, Sheryl Rifas-Shiman, Shravanthi M. Seshasayee, Clifford J Rosen, Abby F Fleisch, Sharon Sagiv, and Emily Oken

  BACKGROUND

  • Per- and polyfluoroalkyl substances (PFAS) may alter body composition by lowering anabolic hormones and increasing inflammation.

  Prior studies have found positive, inverse, and null associations of PFAS concentrations with adiposity among children and adolescents.

  Few studies have examined associations of PFAS concentrations with changes in body composition longitudinally.

  No study has examined the association of PFAS plasma concentrations with lean mass.