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18
Aug
2010
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New dean recognizes health career chances
By DAN CARTER
MSU Billings News Services

Like the students who take the various classes in her college, Diane Duin knows that healthcare occupations come in all shapes, sizes and acceptable levels of blood-letting.

Not everyone has the personal affinity for helping stitch up kid’s hand or setting a broken bone, Duin says. And that’s perfectly OK with the new dean of the College of Allied Health Professions at Montana State University Billings.

“We’re the non-blood-and-guts college,” she’s fond of telling prospective students and community members.

Duin, who had served as director of the CAHP’s health administration program since 2008, was recently named the academic of the college. She replaces Dr. David Garloff, who retired a year ago.

Duin came to Billings from South Dakota where she worked at the University of South Dakota, but also worked for the Presentation Health System in Sioux Falls.

She co-chaired  the Center for Rural Health and Economic Development where she helped communities make planning decisions based on their unique healthcare needs.

“I understand how difficult it is to get physicians into rural areas,” she said.

Eventually, she fell in love with the academic area of healthcare, especially the management setting. She joined MSU Billings to advance the university’s graduate level health administration program.

The College of Allied Health Professions is the youngest of the five academic colleges at MSU Billings and provides undergraduate and graduate education in a variety of healthcare fields, some of them the fastest-growing fields in a continually growing industry. Roughly 600 students are declared majors in the college preparing for careers in health promotions, athletic training, health administration, physical education as well as rehabilitation and mental health counseling.

In a city with three major medical facilities, many long-term care facilities and scores of specialty offices, those educational offerings have real impacts for Billings.

“When it comes to healthcare education, everyone thinks about nurses and doctors until they get to the heavy chemistry and biology part of it,” she said. “That may not be for everyone.”

Allied health professions programs at MSU Billings take healthcare education to different levels, Duin said.

There is a healthy dose of science, to be sure, but it is combined with the application of service that many students find intriguing.

“The cool thing is when students discover something that they didn’t know they liked,” she said.

And there is plenty to like.

According to the U.S. Bureau of Labor Statistics, 10 of the 20 fastest growing occupations in the United States are healthcare related and the industry is expected to generate 3.2 million new wage and salary jobs by 2018, more than any other industry, largely in response to rapid growth in the elderly population.

In the Billings area — where the healthcare workforce is estimated to be about 10,000 people strong and growing — the careers go beyond physicians, nurses and specialists. One of the greatest areas of need lies in management areas. And with a growing elderly population, more training will be needed in long-term care management.

To help meet that need, Duin developed a 12-credit Long-Term Care Management Certificate program that starts this fall. The program is designed for individuals who are currently working in nursing homes or other long-term care facilities who want to step into management positions. Nurses, social workers and others who want to move into management  might also be interested, Duin said.

“What typically happens is that people get into the role as manager by accident,” she said. “They are great at their job, but then they start to ask ‘What do I know about hiring, firing and managing people?’ They need that management background combined with their clinical knowledge to be successful.”

The program takes students through upper-level classes on health law and ethics; the exploration of aging in America; financial management and budgeting; management of healthcare organizations; and managing the continuum of long-term care services.

All of the courses are available online, which allows potential students the ability work while they are upgrading their education.

Grant funds from the Montana Office of Commissioner of Higher Education helped develop the program  and registration is now open for the class.

A fan of collaboration and partnerships, Duin is also starting a new program this fall with Rocky Mountain College that will allow students at Rocky to earn both a bachelor’s degree in exercise science and a master’s degree in athletic training at MSU Billings in just five years.

The 3-2 Athletic Training Articulation Agreement allows students who are successfully completing their first three years toward a bachelor degree at Rocky to apply to the master degree in athletic training at MSU Billings.

Upon acceptance by the AT program, the student will begin at MSUB in the fall of his/her fourth year of college. After matriculation and successful completion of the first summer, fall and spring semesters in the AT program, the student will earn a bachelor of science degree in exercise science from Rocky.

Following successful completion of all courses and requirements for the Masters in Athletic Training degree (generally at the end of the fifth year of college), the student will graduate from MSU Billings with a master’s degree in Athletic Training. The student will then be eligible to sit for the Board of Certification exam.

“These will need to be self-motivated and disciplined students,” Duin said because of the workload and academic rigor.

But identifying undergraduate students who can handle the program and be successful in their careers helps them get through their college programs quicker and serves the workforce needs of Montana.

In the coming years, Duin said she hopes to develop similar partnerships and collaborations with tribal colleges. Online delivery of most of the classes helps working adults and can open new doors for American Indian students who want to transition into graduate-level programs in areas such as rehabilitation and mental health counseling.

She also wants to develop stronger associations with alumni and build a student advisory group that will help guide planning and development for the college.

“The college has only been around since 2005, so it’s important to stay connected – with the community and with students,” she said.

To find out more about the new Long-Term Care Management Certificate or other programs at the College of Allied Health Professions, go to www.msubillings.edu/cahp or call 896-5833.

 

 

 

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18
Aug
2010
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Billings Clinic honored for care of stroke cases

Billings Clinic has been recognized for achievement in using evidence-based guidelines to provide the best possible care to patients through The American Heart Association/ American Stroke Association’s Get With The Guidelines® program.

Billings Clinic and 814 other hospitals are featured in a special advertisement in the “America’s Best Hospitals” issue of U.S. News & World Report (August issue) to commemorate their receipt of Get with the Guidelines Stroke Plus Performance Achievement Award. A total of 961 awards were given for achievement in coronary artery disease, stroke and/or heart failure treatment.

Hospitals recognized in each category achieve at least 85 percent compliance to Get With The Guidelines measures. Those achieving 85 percent compliance for 24 consecutive months receive the Gold Performance Achievement Award, with the Silver Performance Achievement Award going to those with 85 percent compliance for 12 consecutive months. Special recognition is also given for those hospitals achieving 85 percent compliance in two or all three categories and/or for being in 75 percent compliance with heart failure and/or stroke measures.

Get With The Guidelines is a hospital-based quality-improvement program designed to ensure that hospitals consistently care for cardiac and stroke patients following the most up-to-date guidelines and recommendations. The program addresses coronary artery disease, heart failure and stroke. Currently more than 1,400 hospitals participate in the program.

The American Heart Association/American Stroke Association’s advertisement recognizes Billings Clinic’s success in performance achievement.

“The American Heart Association is pleased to recognize its top Get With The Guidelines participants,” said. Lee Schwamm, M.D., national chairman of the Get With The Guidelines steering committee, associate professor of neurology at Harvard Medical School and Vice Chairman of Neurology at Massachusetts General Hospital. “Healthcare providers who use Get With The Guidelines are armed with the latest evidence-based guidelines and immediate access to clinical decision support, using a set of tools that have been shown to improve delivery of evidence-based care. The goal of this initiative is to improve the quality of life and help reduce deaths and disability among patients with heart disease and stroke.”

“Published scientific studies are providing us with more and more evidence that Get With The Guidelines works. Patients are getting the right care they need when they need it.

That’s resulting in improved survival.” said Mary Gaddy, MD, department chairman of neurology at Billings Clinic. “Get With The Guidelines gives our professionals the tools and reports they need to effectively treat our coronary stroke patients.”

 

 

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18
Aug
2010
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Project finds water problems on reservation
By MELYNDA HARRISON
MSU News Service

crowwater_2colFULBOZEMAN – Two Montana State University graduate students have confirmed contamination of surface and groundwater used as a source for drinking water on the Crow Reservation, something that residents had suspected.

Mari Eggers and Crystal Richards found evidence of bacteria in some sources of drinking water that can cause stomach problems, diarrhea, ulcers, pulmonary disease, pneumonia and Legionnaire’s disease. They also found evidence of coliform bacteria in the surface water source for municipal water.

Their data is being used by the tribe in grant applications to fund water system improvements.

The project started while Eggers was teaching environmental science at Little Bighorn College. As her class was looking at local issues facing the Crow Tribe, she noticed that many of the issues were environmental health problems.

Eggers, who is married to a tribal member, was told by community members that water quality was a high priority concern. She teamed up with IDeA Networks of Biomedical Research Excellence (INBRE) to create a hands-on water monitoring program for her students.

At the urging of community members, Eggers expanded her work on the project and is now doing so as a doctoral student in microbiology at MSU. She also has a master’s degree from MSU and bachelor’s and master’s degrees from Stanford University.

Crystal Richards was an MSU undergraduate who collected water samples from taps and springs with LBHC students as part of the LBHC/INBRE project. She and another MSU student took the water samples back to a lab at MSU and tested them for Helicobacter pylori, which is associated with stomach ulcers.

Richards decided to “get serious” about the project and is now working on a doctorate in microbiology at MSU.

Eggers’ and Richard’s independent work morphed into a joint community-based risk assessment of chemical and microbial contamination in Crow water supplies.

They asked two basic questions: What is the risk of exposure to microbial and chemical contaminants from domestic and other water sources on the reservation? And how do you effectively conduct a community-based risk assessment as a collaborative effort of community stakeholders and university researchers?

To answer those questions, the project had to involve more than just Eggers and Richards; it involved the whole community. A 12-person steering committee composed of tribal members has been guiding the project since its inception. Steve Hamner and Sue Broadaway, members of  Camper’s lab group, as well as LBHC and MSU undergraduate students also contributed to the research.

“It takes a lot of self-direction and motivation to be involved in a project like this,” said Anne Camper, Eggers’ and Richards’ adviser and associate dean of the College of Engineering at MSU. “They have to be very cognizant of the needs and wants of the community. It’s more complicated and more rewarding.”

Camper and Tim Ford, former head of the department of microbiology at MSU, were principal investigators on the project.

With Eggers focusing on the chemical aspects and Richards on the microbial, they confirmed what the tribe already suspected: some sources of water on the reservation suffer from contamination.

Most water used in reservation homes comes from wells and isn’t under the jurisdiction of a municipal water department, or any state or federal laws. There is no oversight or monitoring of water quality in these wells. The community also uses local springs and rivers for drinking water and bathing.

On her end, Eggers and her LBHC colleague, Crescentia Cummins, analyze domestic water sources, springs and rivers for chemical contamination and tested local fish for mercury. They survey community members on how much water they are using and the sources of their water.

Eggers and Cummins found that levels of dissolved solids were too high in almost all the wells they tested. Total Dissolved Solids (TDS) is a measure of the combined content of all inorganic and organic substances contained in the water. The TDS concentration is a secondary drinking water standard and it is more of an aesthetic rather than a health hazard.

“High TDS is not a serious health risk,” said Eggers. “But, it doesn’t taste good and it can cause diarrhea and stomach problems.”

Many of the wells also tested positive for coliform bacteria, causing the researchers to suspect fecal contamination. In addition, some wells are high in manganese or arsenic.

Richards also found something that could pose a serious health risk. Richards started looking for Helicobacter pylori as an MSU undergraduate in cell biology and neuroscience and expanded her research as part of her doctoral program. She found that H. pylori wasn’t prevalent in the tribe’s drinking water unless there was other contamination (like from runoff after a storm).

Two other organisms — Mycobacterium avium and Legionella pneumophila — were present in drinking water in a minority of homes. The former can cause pulmonary disease and pneumonia while the latter is responsible for Legionnaires’ disease — a severe form of pneumonia.

Eggers, Richards and Cummins provided homeowners with the results of their water tests, and options for water treatment. After collecting water samples, Richards had to develop a way to grow H. pylori in a culture. The usual method of culturing microorganisms doesn’t work with H. Pylori. Although detecting DNA can show that the microorganism was present, the inability to culture it — grow it in a lab — means that there is no way to tell if it was alive and capable of infection.

“As soon as the pathogen leaves the human host and enters the environment, it becomes non-culturable due to stress,” said Richards. “If you can’t grow it, you can’t prove it is infectious.”

Richards is currently working on a culturing system that “seems to be working.” H. pylori may be more prevalent than originally thought.

“Her success in culturing H. pylori would be a significant advancement around the world,” Camper said.

In this collaborative project, analyzing the water is only part of the plan.

A tribal water and wastewater committee is raising money to upgrade their water and sewer system. The data from Eggers’ and Richards’ analysis are providing necessary information for their grant applications.

“It’s been very educational seeing how the pieces fit together — tribal concerns, science, writing a journal article — the whole collaborative project,” said Richards.

Eggers agrees, “It’s a really wonderful, rich process to be involved in. You can’t control the process as much as you do in traditional research, you can grow the project and the result is much better science.”

The results of the committee’s work were published in the July/September 2010 issue of the journal, “Family & Community Health.”

“We hope that what we learned through this process will not only be of direct benefit to the Crow Reservation community, but will also provide a community-based risk assessment model for any rural community concerned with environmental health issues,” Eggers said.

When Eggers graduates from MSU she plans to continue working on environmental health problems on the Crow Reservation. Richards is applying for postdoctoral fellowships.

This project was funded by the Center for Native Health Partnerships with additional funding from INBRE and the Environmental Protection Agency.

 

 

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18
Aug
2010
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MDA honors local man

TUCSON, Ariz. – The Muscular Dystrophy Association has named Dwight Hodges of Billings the recipient of its 2010 Robert Ross Personal Achievement Award for Montana.

Hodges, 59, was selected for MDA’s highest achievement award in Montana for his work on behalf of others with disabilities and his determination to excel despite daunting physical challenges.

Hodges has Charcot-Marie-Tooth disease, which causes damage to the peripheral nerves, resulting in muscle weakness and atrophy, and loss of sensation in the extremities. He can walk with the help of leg braces, and uses a power wheelchair for mobility.

Although he didn’t know the cause, Hodges experienced symptoms of CMT beginning when he was very young. A rancher and farmer for many years, he dramatically changed vocations when a shoulder injury meant he could no longer do manual labor.

In spite of suggestions that he was “too old and stupid” to get a college degree in computer technology at age 50, he did so, earning a four-year degree in two years with a 3.91 GPA. Today he is an information technologist for the U.S. Bureau of Reclamation. He also volunteers many hours to supporting fund-raising efforts for MDA.

“I’m very pleased to recognize Dwight Hodges as Montana’s Robert Ross MDA Personal Achievement Award recipient for 2010,” said MDA President and CEO Gerald C. Weinberg. “His work and accomplishments are a real asset to the Billings community, and an example of the kind of leadership MDA is proud to support.”

Hodges was selected as Montana’s state recipient after having been selected for a local achievement award by MDA’s Montana State Chapter.

One person will be selected from among all the state honorees around the country and named MDA’s national 2011 Robert Ross Personal Achievement Award recipient. The national award recipient will be announced on the Jerry Lewis MDA Telethon, broadcast Sept. 5-6.

The award is named in memory of Robert Ross, MDA’s longtime chief executive who died in 2006. Ross created the Personal Achievement Award program in 1992 to recognize the exemplary accomplishments and community service of people who have any of the more than 40 neuromuscular diseases for which MDA seeks treatments and cures.

John Quinlan, a medical doctor from Lakeside Park, Ky., is MDA’s 2010 national award recipient. Quinlan, who has facioscapulohumeral muscular dystrophy, also is director of the MDA clinic at the University of Cincinnati.

MDA is the nonprofit health agency dedicated to curing muscular dystrophy, ALS (Lou Gehrig’s disease) and related diseases by funding worldwide research. The Association also provides comprehensive health care and support services, advocacy and education.

Serving residents in the Billings area, MDA maintains clinics at Billings Clinic, Community Medical Center in Missoula, and Benefis Therapy Center in Great Falls.

 

 

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19
May
2010
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Treatment gives daughter new way of seeing

By RENETTE STEELE

Dancing, swirling, waving … why don’t these words hold still?

Just lay your hands along the edge of the book. Don’t let the words run away! Closer … closer … even closer - that’s better. Only a little light – aw, not so much dancing now!

She was 7, petite, and very inquisitive, very social, and energetic. Her teacher requested a meeting.

“She’s a good student, smart, a little more interested in visiting than learning, I think,” the teacher says. “She might need her eyes tested. She seems to be having trouble looking at the board.”

At the eye doctor’s office her eyes tested 20/20 but with trouble tracking. Some exercises should help. Following a dot on a spinning wheel would make anyone dizzy, I thought. She spent six months in intensive exercise and then came a move to another state.

Read more...
 

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