Browsing by Author "White, Shannon"

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    Comparison of Vancomycin Pharmacokinetics in Cystic Fibrosis Patients Pre and Post-lung Transplant:
    (Sage, 2020-06-15) White, Shannon; Sakon, Colleen; Fitzgerald, Linda; Kam, Charissa; McDade, Erin; Wong, Alanna; School of Education
    Background: Vancomycin is commonly used to treat acute cystic fibrosis (CF) exacerbations associated with methicillin-resistant Staphylococcus aureus (MRSA). Multiple studies have demonstrated pharmacokinetic differences of antimicrobials in the CF population. Very little data exist regarding pharmacokinetics postlung transplant, but 2 studies have noted changes in tobramycin pharmacokinetics. No such studies exist evaluating vancomycin in CF patients postlung transplant. Methods: A retrospective cohort review of CF patients who underwent lung transplantation and received vancomycin pre- and posttransplant was conducted. CF patients who underwent transplant between 2007 and 2016 at 4 medical centers throughout the United States were included. The primary endpoint was the change in elimination rate constant. The secondary endpoints were subgroup analyses of patients grouped by age, time posttransplant, and number of nephrotoxic medications. Results: A total of 25 patients were included, of which just under half were pediatric. Patients were significantly older and heavier posttransplant and had higher serum creatinine and number of nephrotoxic medications. The change in elimination rate constant from pre- to posttransplant was −0.50 hr−1 which was statistically significant (P < .001). This significant decrease was consistent among all subgroups of patients evaluated with the exception of pediatric patients. Conclusion: Vancomycin pharmacokinetics are significantly altered in CF patients in the posttransplant setting as evidenced by a decrease in elimination rate constant. This decrease may be related to a decrease in renal clearance and higher numbers of nephrotoxic medications posttransplant. Regardless, pretransplant vancomycin regimens may not predict appropriate posttransplant regimens.
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    Social Studies Educational Resources for Use with Conner Prairie Historic Clothing Collection - Study of Culture and Cultural Diversity
    (2009-11-09T16:20:35Z) White, Shannon
    As an alternate approach to creating full lesson plans to accompany this collection, I have created activities that you, as an educator, can fit into your curriculum and lesson plans no matter what state or school district you may live in. It would be nearly impossible for me to create complete lesson plans for teachers without knowing their students, classrooms, resources, curricula, etc. My hope is that by suggesting one way to use this collection as a class project or as an anticipatory set, that you will get creative ideas of your own, which will lead to innovative, multi-disciplinary ways to incorporate this collection into your classroom. This collection includes the following items: overview; learning activity; class project; anticipatory set; and bibliography.