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Article ; Online: Massed cognitive processing therapy for posttraumatic stress disorder in women survivors of intimate partner violence.

Galovski, Tara E / Werner, Kimberly B / Weaver, Terri L / Morris, Kris L / Dondanville, Katherine A / Nanney, John / Wamser-Nanney, Rachel / McGlinchey, Gina / Fortier, Catherine B / Iverson, Katherine M

Psychological trauma : theory, research, practice and policy

2021 Volume 14, Issue 5, Page(s) 769–779

Abstract: Objective: Survivors of intimate partner violence (IPV) report significant trauma histories, high rates of posttraumatic stress disorder (PTSD), head injuries and comorbid disorders, and multiple barriers to treatment that often preclude the regular ... ...

Abstract	Objective: Survivors of intimate partner violence (IPV) report significant trauma histories, high rates of posttraumatic stress disorder (PTSD), head injuries and comorbid disorders, and multiple barriers to treatment that often preclude the regular attendance and engagement required in typical therapy protocols. The significant challenges faced by IPV survivors needing treatment may be ameliorated by condensing effective treatments for PTSD, such as cognitive processing therapy (CPT), in an accelerated delivery timeline. Method: Using a multiple subject, single case design of six matched pairs of 12 female IPV survivors, we preliminarily tested the relative effectiveness of individual massed CPT delivered over 5 days (mCPT) as compared with standard CPT (sCPT) delivery in women IPV survivors. Assessments included full psychiatric diagnostic interviews, clinical interviews assessing trauma history and head injury prior to treatment, symptom monitoring during treatment, and full repeat assessments at 1 month and 3 months following treatment. Results: No treatment group effect was found for PTSD severity between mCPT and sCPT among intention-to-treat, Conclusion: Overall, findings indicate mCPT appears effective in reducing psychological symptoms for women IPV survivors and suggest that condensed treatment is both palatable and feasible. Accelerated treatment delivery in this population may provide a necessary lifeline for women with IPV-related PTSD. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
MeSH term(s)	Cognitive Behavioral Therapy ; Female ; Humans ; Intimate Partner Violence/psychology ; Mental Processes ; Stress Disorders, Post-Traumatic/epidemiology ; Survivors/psychology
Language	English
Publishing date	2021-09-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	2497028-1
ISSN	1942-969X ; 1942-9681
ISSN (online)	1942-969X
ISSN	1942-9681
DOI	10.1037/tra0001100
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Article ; Online: Integrating Specialty-Specific Clinical Anatomy Education into the Post-Clerkship Curriculum.

Wong, Rochelle E / Quach, Henry T / Wong, Joseph S / Laxton, William H / Nanney, Lillian B / Motuzas, Cari L / Pearson, A Scott

Medical science educator

2019 Volume 30, Issue 1, Page(s) 487–497

Abstract: Anatomy is a foundational science mainstay of undergraduate medical school education, particularly in the pre-clerkship curriculum. During the post-clerkship curriculum, students closer to graduate medical education may benefit from a focused ... ...

Abstract	Anatomy is a foundational science mainstay of undergraduate medical school education, particularly in the pre-clerkship curriculum. During the post-clerkship curriculum, students closer to graduate medical education may benefit from a focused concentration on human anatomy related to their specific clinical interests. Here, we describe a course for post-clerkship students that uniquely incorporates a multimodal approach of dissection, didactics, and clinical correlation to radiologic imaging, with the opportunity to personalize student learning on a specialty-specific anatomic region. The course increased students' confidence of anatomical knowledge and its clinical relevance. Other institutions may benefit from establishing a similar multimodal integrated post-clerkship anatomy curriculum.
Language	English
Publishing date	2019-10-28
Publishing country	United States
Document type	Journal Article
ISSN	2156-8650
ISSN (online)	2156-8650
DOI	10.1007/s40670-019-00833-y
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Article ; Online: Burn wounds in the young versus the aged patient display differential immunological responses.

Farinas, Angel F / Bamba, Ravinder / Pollins, Alonda C / Cardwell, Nancy L / Nanney, Lillian B / Thayer, Wesley P

Burns : journal of the International Society for Burn Injuries

2018 Volume 44, Issue 6, Page(s) 1475–1481

Abstract: Background: Individuals in the geriatric age range are more prone than younger individuals to convert their partial thickness thermal burns into full thickness injuries. We hypothesized that this often observed clinical phenomenon is strongly related to ...

Abstract	Background: Individuals in the geriatric age range are more prone than younger individuals to convert their partial thickness thermal burns into full thickness injuries. We hypothesized that this often observed clinical phenomenon is strongly related to differential local injury responses mediated by the immune system. Materials & methods: Skin samples from areas with partial thickness thermal burns were obtained during routine excision and grafting procedures between post burn days 2-6. Tissue samples were grouped by age ranges with young patients defined as <30 years of age or aged patients defined as >65. Formalin fixed samples were used to confirm depth of burn injury and companion sections were homogenized for multiplex analysis using a Luminex platform. Immunohistochemical staining was used to quantify total macrophage numbers as well as the M1 and M2 subpopulations. Results: Our analysis includes samples derived from 11 young subjects (mean age=23) and 3 aged subjects (mean age=79.2). Our initial survey of analytes examined 31 cytokines/chemokines. Twelve were excluded from consideration as they were present in concentrations either above or below the optimal detection range. Two analytes emerged as candidate molecules with significant differences between the young and the aged patient responses to burn injury. EGF levels were on average 21.69pg/ml in young vs 14.87pg/ml in aged (p=0.032). RANTES/CCL5 levels were on average 14.86pg/ml in young vs 4.26pg/ml in aged (p=0.026). Elevated macrophage numbers were present within wounds of younger patients compared to the old (p<0.01), with a higher concentration of the M1 type in the elderly (p>0.05). Conclusion: Our study has identified at least 2 well known cytokines, CCL5 (RANTES) and EGF, which are differentially regulated in response to burn injury by young versus aged burn victims. Evidence suggests that a proinflammatory environment can explain the high conversion rate from partial to full thickness burns. Our data suggest the need for future studies at the point of injury (cutaneous targets) that may be modulated by post burn release of cytokines/chemokines.
MeSH term(s)	Age Factors ; Aged ; Burns/immunology ; Burns/metabolism ; Chemokine CCL5/metabolism ; Cytokines/metabolism ; Epidermal Growth Factor/metabolism ; Female ; Humans ; Macrophages/immunology ; Male ; Young Adult
Chemical Substances	CCL5 protein, human ; Chemokine CCL5 ; Cytokines ; Epidermal Growth Factor (62229-50-9)
Language	English
Publishing date	2018-06-09
Publishing country	Netherlands
Document type	Comparative Study ; Journal Article
ZDB-ID	197308-3
ISSN	1879-1409 ; 0305-4179
ISSN (online)	1879-1409
ISSN	0305-4179
DOI	10.1016/j.burns.2018.05.012
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Article: Integrating Foundational Sciences in a Clinical Context in the Post-Clerkship Curriculum.

Dahlman, Kimberly Brown / Weinger, Matthew B / Lomis, Kimberly D / Nanney, Lillian / Osheroff, Neil / Moore, Donald E / Estrada, Lourdes / Cutrer, William B

Medical science educator

2018 Volume 28, Issue 1, Page(s) 145–154

Abstract: Purpose: To design, implement, and launch courses that integrate foundational science learning and clinical application in a post-clerkship undergraduate medical school curriculum.: Method: In Academic Year (AY) 15-16, as part of a comprehensive ... ...

Abstract	Purpose: To design, implement, and launch courses that integrate foundational science learning and clinical application in a post-clerkship undergraduate medical school curriculum. Method: In Academic Year (AY) 15-16, as part of a comprehensive curricular revision, Vanderbilt University School of Medicine (VUSM) formally implemented "Integrated Science Courses" (ISCs) that combined rigorous training in the foundational sciences with meaningful clinical experiences. These courses integrated foundational sciences that could be leveraged in the clinical environment, utilized a variety of instructional modalities, and included quantitative and qualitative (competency-based milestones) student assessments. Each ISC underwent a rigorous quality improvement process that required input on foundational science content, student experience, and student performance assessment. Results: Eleven ISCs were delivered to 173 students in AY15-16, with some students taking more than one ISC. Immediately after completing each course, 93% (n=222) of ISC enrollees completed a course evaluation. Students (91%; n=201) 'agreed' or 'strongly agreed' that foundational science learning informed and enriched the clinical experiences. Furthermore, 94% (n=209) of students thought that the clinical experiences informed and enriched the foundational science learning. Ninety-four percent of the students anticipated using the foundational science knowledge acquired in future clinical training and practice. Conclusion: The teaching of foundational sciences in the clinical workplace in the post-clerkship medical curriculum is challenging and resource-intensive, yet feasible. Additional experience with the model will inform the mix of courses as well as the breadth and depth of foundational science instruction that is necessary to foster scientifically-based clinical reasoning skills in each student.
Language	English
Publishing date	2018-01-02
Publishing country	United States
Document type	Journal Article
ISSN	2156-8650
ISSN	2156-8650
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Article ; Online: Identifying Bereavement-Related Markers of Mental and Behavioral Health Problems Among Clinic-Referred Adolescents.

Kaplow, Julie B / Wamser-Nanney, Rachel / Layne, Christopher M / Burnside, Amanda / King, Cheryl / Liang, Li-Jung / Steinberg, Alan / Briggs, Ernestine / Suarez, Liza / Pynoos, Robert

Psychiatric research and clinical practice

2020 Volume 3, Issue 2, Page(s) 88–96

Abstract: Objective: This study examined bereavement-related risk markers (number of deaths, cause of death, and relationship to deceased) of mental and behavioral health problems (suicidal thoughts or behaviors, self-injury, depression, posttraumatic stress, and ...

Abstract	Objective: This study examined bereavement-related risk markers (number of deaths, cause of death, and relationship to deceased) of mental and behavioral health problems (suicidal thoughts or behaviors, self-injury, depression, posttraumatic stress, and substance use) in a national sample of clinic-referred bereaved adolescents. Method: Participants included 1281 bereaved youth aged 12-21 years (M=15, SD=1.8; 62.1% female), from the National Child Traumatic Stress Network Core Data Set. Results: Generalized linear mixed-effects regression models controlling for demographics and other traumas revealed that youth bereaved by multiple deaths had higher posttraumatic stress scores than youth bereaved by a single death (Estimated difference ±SE=3.36 ± 1.11 Conclusion: These bereavement-related contextual factors can serve as early markers of mental and behavioral health problems among bereaved youth.
Language	English
Publishing date	2020-12-16
Publishing country	United States
Document type	Journal Article
ISSN	2575-5609
ISSN (online)	2575-5609
DOI	10.1176/appi.prcp.20190021
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Article ; Online: Pregnancy and estrogen receptor beta expression in a large congenital nevus.

Nading, Mary Alice / Nanney, Lillian B / Ellis, Darrel L

Archives of dermatology

2009 Volume 145, Issue 6, Page(s) 691–694

Abstract: Background: Large congenital nevi carry a slightly increased risk of melanoma. Pregnancy poses an additional challenge in the monitoring of these patients because little is known regarding the effects of increased estrogen levels on congenital nevi.: ... ...

Abstract	Background: Large congenital nevi carry a slightly increased risk of melanoma. Pregnancy poses an additional challenge in the monitoring of these patients because little is known regarding the effects of increased estrogen levels on congenital nevi. Observations: A young woman was observed to have clinical lightening of her garment nevus and satellite nevi during 2 sequential pregnancies. Postpartum, the patient experienced darkening and repigmentation in her large garment nevus, with continued lightening of nearby satellite lesions. In addition to photographic documentation of these changes, biopsy samples taken during pregnant and nonpregnant periods underwent immunohistochemical evaluation for estrogen receptor beta (ERbeta), the predominant estrogen receptor in nevi and melanomas. Biopsy samples collected during pregnancy showed a decrease in nuclear staining for ERbeta compared with samples collected after pregnancy. These changes in ERbeta expression were not associated with histologic atypia during pregnancy or after delivery. Conclusions: Congenital nevi may be unique in their response to altered estrogen levels. Given the slightly increased risk of melanoma in giant congenital nevi and the dearth of information available regarding the effects of pregnancy on congenital nevi, this case illustrates the need for further study of these pigmented lesions.
MeSH term(s)	Biomarkers/blood ; Biopsy, Needle ; Estrogen Receptor beta/blood ; Estrogen Receptor beta/metabolism ; Female ; Follow-Up Studies ; Gestational Age ; Humans ; Immunohistochemistry ; Nevus, Pigmented/congenital ; Nevus, Pigmented/metabolism ; Nevus, Pigmented/pathology ; Parity ; Pregnancy ; Pregnancy Complications, Neoplastic/metabolism ; Pregnancy Complications, Neoplastic/pathology ; Pregnancy Outcome ; Risk Assessment ; Skin Neoplasms/congenital ; Skin Neoplasms/metabolism ; Skin Neoplasms/pathology ; Young Adult
Chemical Substances	Biomarkers ; Estrogen Receptor beta
Language	English
Publishing date	2009-06-11
Publishing country	United States
Document type	Case Reports ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	212139-6
ISSN	1538-3652 ; 0003-987X
ISSN (online)	1538-3652
ISSN	0003-987X
DOI	10.1001/archdermatol.2009.72
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Article: Comparative evaluation of topical antiseptic/antimicrobial treatment on aspects of wound repair in the porcine model.

Nanney, Lillian B / Bennett, Laura L

Ostomy/wound management

2002 Volume Suppl, Page(s) 14–19

MeSH term(s)	Acetic Acid/pharmacology ; Animals ; Anti-Infective Agents, Local/pharmacology ; Hydrogen Peroxide/pharmacology ; Mafenide/pharmacology ; Povidone-Iodine/pharmacology ; Random Allocation ; Sodium Hypochlorite/pharmacology ; Swine ; Wound Healing/drug effects
Chemical Substances	Anti-Infective Agents, Local ; Mafenide (58447S8P4L) ; Povidone-Iodine (85H0HZU99M) ; Hydrogen Peroxide (BBX060AN9V) ; Sodium Hypochlorite (DY38VHM5OD) ; Acetic Acid (Q40Q9N063P)
Language	English
Publishing date	2002-09
Publishing country	United States
Document type	Comparative Study ; Evaluation Studies ; Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	1089112-2
ISSN	1943-2720 ; 0889-5899
ISSN (online)	1943-2720
ISSN	0889-5899
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Article ; Online: Porcine Ischemic Wound-Healing Model for Preclinical Testing of Degradable Biomaterials.

Patil, Prarthana / Martin, John R / Sarett, Samantha M / Pollins, Alonda C / Cardwell, Nancy L / Davidson, Jeffrey M / Guelcher, Scott A / Nanney, Lillian B / Duvall, Craig L

Tissue engineering. Part C, Methods

2017 Volume 23, Issue 11, Page(s) 754–762

Abstract: Impaired wound healing that mimics chronic human skin pathologies is difficult to achieve in current animal models, hindering testing and development of new therapeutic biomaterials that promote wound healing. In this article, we describe a refinement ... ...

Abstract	Impaired wound healing that mimics chronic human skin pathologies is difficult to achieve in current animal models, hindering testing and development of new therapeutic biomaterials that promote wound healing. In this article, we describe a refinement and simplification of the porcine ischemic wound model that increases the size and number of experimental sites per animal. By comparing three flap geometries, we adopted a superior configuration (15 × 10 cm) that enabled testing of twenty 1 cm
MeSH term(s)	Animals ; Biocompatible Materials/pharmacology ; Blood Vessels/drug effects ; Disease Models, Animal ; Ischemia/pathology ; Macrophages/drug effects ; Macrophages/metabolism ; Materials Testing ; Skin/blood supply ; Surgical Flaps ; Sus scrofa ; Tissue Scaffolds/chemistry ; Wound Healing/drug effects
Chemical Substances	Biocompatible Materials
Language	English
Publishing date	2017-09-29
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, N.I.H., Extramural
ZDB-ID	2420585-0
ISSN	1937-3392 ; 1937-3384
ISSN (online)	1937-3392
ISSN	1937-3384
DOI	10.1089/ten.TEC.2017.0202
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Article: Epidermal and dermal effects of epidermal growth factor during wound repair.

Nanney, L B

The Journal of investigative dermatology

1990 Volume 94, Issue 5, Page(s) 624–629

Abstract: Epidermal growth factor (EGF), a well-characterized peptide that stimulates in vitro cell proliferation, has now been shown to enhance in vivo resurfacing of porcine wounds. Topical formulations containing either recombinant EGF or placebo were applied ... ...

Abstract	Epidermal growth factor (EGF), a well-characterized peptide that stimulates in vitro cell proliferation, has now been shown to enhance in vivo resurfacing of porcine wounds. Topical formulations containing either recombinant EGF or placebo were applied daily to partial-thickness wounds along the dorsal surface of pigs. Following full-thickness removal of these wounds, tissues were sectioned and stained, and histologic sections were subjected to computerized morphometric analysis. A significant acceleration of epithelialization across the wound surface was noted following daily EGF treatments. EGF delivered in a variety of topical formulations also produced a marked increase in the cellularity and thickness in the neodermis. A dose-responsive increase in the thickness of the granulation tissue was also observed. In conclusion, topical application of EGF stimulates epithelialization of partial-thickness wounds and produces a positive impact on the underlying dermis during the early phases of wound repair.
MeSH term(s)	Animals ; Disease Models, Animal ; Dose-Response Relationship, Drug ; Epidermal Growth Factor/pharmacology ; Female ; Granulation Tissue/drug effects ; Granulation Tissue/physiology ; Male ; Recombinant Proteins/pharmacology ; Skin/drug effects ; Swine ; Wound Healing/drug effects
Chemical Substances	Recombinant Proteins ; Epidermal Growth Factor (62229-50-9)
Language	English
Publishing date	1990-05
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	80136-7
ISSN	1523-1747 ; 0022-202X
ISSN (online)	1523-1747
ISSN	0022-202X
DOI	10.1111/1523-1747.ep12876204
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Article ; Online: Biodegradable lysine-derived polyurethane scaffolds promote healing in a porcine full-thickness excisional wound model.

Adolph, Elizabeth J / Pollins, Alonda C / Cardwell, Nancy L / Davidson, Jeffrey M / Guelcher, Scott A / Nanney, Lillian B

Journal of biomaterials science. Polymer edition

2014 Volume 25, Issue 17, Page(s) 1973–1985

Abstract: Lysine-derived polyurethane scaffolds (LTI-PUR) support cutaneous wound healing in loose-skinned small animal models. Due to the physiological and anatomical similarities of human and pig skin, we investigated the capacity of LTI-PUR scaffolds to support ...

Abstract	Lysine-derived polyurethane scaffolds (LTI-PUR) support cutaneous wound healing in loose-skinned small animal models. Due to the physiological and anatomical similarities of human and pig skin, we investigated the capacity of LTI-PUR scaffolds to support wound healing in a porcine excisional wound model. Modifications to scaffold design included the addition of carboxymethylcellulose (CMC) as a porogen to increase interconnectivity and an additional plasma treatment (Plasma) to decrease surface hydrophobicity. All LTI-PUR scaffold and formulations supported cellular infiltration and were biodegradable. At 15 days, CMC and plasma scaffolds simulated increased macrophages more so than LTI PUR or no treatment. This response was consistent with macrophage-mediated oxidative degradation of the lysine component of the scaffolds. Cell proliferation was similar in control and scaffold-treated wounds at 8 and 15 days. Neither apoptosis nor blood vessel area density showed significant differences in the presence of any of the scaffold variations compared with untreated wounds, providing further evidence that these synthetic biomaterials had no adverse effects on those pivotal wound healing processes. During the critical phase of granulation tissue formation in full thickness porcine excisional wounds, LTI-PUR scaffolds supported tissue infiltration, while undergoing biodegradation. Modifications to scaffold fabrication modify the reparative process. This study emphasizes the biocompatibility and favorable cellular responses of PUR scaffolding formulations in a clinically relevant animal model.
MeSH term(s)	Animals ; Apoptosis/drug effects ; Biocompatible Materials/chemistry ; Biocompatible Materials/pharmacology ; Cell Proliferation/drug effects ; Humans ; Lysine/chemistry ; Macrophages/drug effects ; Macrophages/immunology ; Mechanical Phenomena ; Neovascularization, Physiologic/drug effects ; Polyurethanes/chemistry ; Skin/cytology ; Skin/drug effects ; Structure-Activity Relationship ; Swine ; Tissue Scaffolds/chemistry ; Wound Healing/drug effects
Chemical Substances	Biocompatible Materials ; Polyurethanes ; Lysine (K3Z4F929H6)
Language	English
Publishing date	2014-10-07
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	1014190-x
ISSN	1568-5624 ; 1568-5616 ; 0920-5063
ISSN (online)	1568-5624 ; 1568-5616
ISSN	0920-5063
DOI	10.1080/09205063.2014.965997
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