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The Rehabilitation Of A 75-Year-Old Male Presenting With A Right Hip Flexor Strain Concomitant With Numerous Psychosocial Factors: A Case Report, Jillian Battista, Megan Chapski, Suma Varanasi, Jillian Witwicki

Case Report Papers

Background: Musculoskeletal disorders, often well understood, are a leading cause of disability worldwide. Concomitant psychosocial factors add a layer of complexity to the treatment of musculoskeletal disorders. The purpose of this case report is to highlight the potential impact psychological factors have in the rehabilitation of musculoskeletal disorders, specifically the rehabilitation of a right hip flexor strain.
Case Description: The patient was a 75-year-old male referred to outpatient physical therapy for the assessment of a right hip flexor strain, presenting with psychosocial factors including anxiety and kinesiophobia. Procedural interventions included patient education, neuromuscular re-education, therapeutic exercise, and manual therapy, but …

Utilizing An Evidence-Based Practice Framework In Non-Operative Acl Rehabilitation - A Case Report, Eric Norman, Michael Madore, Kathryn Magee, Tyler Calimer, Parker Nally

Case Report Papers

Study Design: Case Report. Background: The patient was a 51-year-old female who tore her left anterior cruciate ligament (ACL) playing pickleball and opted for non-operative treatment. The clinicians involved treated the patient using the three pillars of practice: relevant scientific evidence, clinician experience, and patient perspective.
Treatment: The patient’s treatment consisted of therapeutic exercises, neuromuscular re-education, soft tissue massage, and motivational interviewing. Therapeutic exercises were designed to strengthen the muscles surrounding her hip and knee. Neuromuscular re-education helped to improve the patient’s knee stability and balance, while soft tissue massage was used to decrease swelling. Motivational interviewing helped her better …

A Preliminary Abundance Estimate Of An Atlantic Sturgeon (Acipenser Oxyrinchus Oxyrinchus) Contingent Within An Open Riverine System, Austin J. Flanigan, Noah G. Perlut, James A. Sulikowski

Environmental Studies Faculty Publications

Abundance estimates are essential for fisheries management, but estimating the abundance of open populations with low recapture rates has historically been unreliable. However, by using mark-recapture data modulated with survivability parameters obtained from analysis of acoustic telemetry data, more accurate abundance estimates can be made for species that exhibit these characteristics. One such species is the Atlantic sturgeon, for which abundance estimates were designated a research priority following precipitous population declines throughout the 20th century. We addressed this research need in the Saco River Estuary (SRE), a system where the Atlantic sturgeon has been extensively studied using mark-recapture and acoustic …

Effectiveness Of A Multidisciplinary Chronic Pain Management Program In A Local Pain Center, Charlotte L. Barker, Danielle A. Sultan, Woon Yuen Koh, Stephen Z. Hull, Ling Cao

Osteopathic Medicine Student Publications

Objectives: There has been increased recognition of multidisciplinary approach for managing chronic pain. There is a high incidence of co-morbid depression and anxiety as well as functional disability impacting activities of daily living with chronic pain diagnoses. In the current study, we assessed the effectiveness of an affordable Living Life Well Pain Rehabilitation Program (LLWPRP), developed in a local outpatient chronic pain clinic. Methods: Retrospective data analysis using data collected from May 2012 - May 2015 with total of 86 patients was performed. The LLWPRP is a 12-week program with biweekly meetings. It involves a combination of education about pain, …

Micro-Computed Tomographic Evaluation Of Single-Cone Obturation With Three Sealers, Sahar Zare, Ivy Shen, Qiang Zhu, Chul Ahn, Carolyn Primus, Takashi Komabayashi

Dental Medicine Faculty Publications

Objectives
This study used micro-computed tomography (µCT) to compare voids and interfaces in single-cone obturation among AH Plus, EndoSequence BC, and prototype surface pre-reacted glass ionomer (S-PRG) sealers and to determine the percentage of sealer contact at the dentin and gutta-percha (GP) interfaces. Materials and Methods
Fifteen single-rooted human teeth were shaped using ProTaper NEXT size X5 rotary files using 2.5% NaOCl irrigation. Roots were obturated with a single-cone ProTaper NEXT GP point X5 with AH Plus, EndoSequence BC, or prototype S-PRG sealer (n = 5/group). Results
The volumes of GP, sealer, and voids were measured in the region …

The Role Of Awake Fiberoptic Intubation In The Difficult Airway, Robert Montague

Nurse Anesthesia Student Capstones

Awake fiberoptic intubation (AFOI) is a specialized technique used by anesthesia providers to decrease the risk of airway management during tracheal intubation of a predicted difficult airway. The rate of AFOI has decreased, and the advent of the video laryngoscope may be a contributing factor. However, there is still a need for AFOI. This case study reviews the relevance of, current indications for, and best practices for performing AFOI. Is AFOI still relevant in current anesthesia practice when managing airway difficulties such as limited mouth opening, obstructive sleep apnea, limited neck extension, head and neck pathology, morbid obesity, and progressive …

Une Ufa Aac Library Subcommittee Resource Highlight: New For Spring, Une Library Services

UFA AAC Library Sub-Committee Library Resource Highlights

April 2021 library resources highlight compiled for the University Faculty Assembly Academic Affairs Committee's Library Sub-committee at the University of New England. Focus on: Dean Dyer, incoming UFA representative, Research Help pages, and latest issue of Akesis.

Agriculture Is Adapting To Phenological Shifts Caused By Climate Change, But Grassland Songbirds Are Not, Maeve M. Mcgowan, Noah G. Perlut, Allan M. Strong

Environmental Studies Faculty Publications

Migratory birds time their migration based on cues that signal resource availability for reproduction. However, with climate change, the timing of seasonal events may shift, potentially inhibiting the ability of some species to use them as accurate cues for migration. We studied the relationship between phenological shifts and reproduction by long- and short-distance migratory songbirds—Bobolinks (Dolichonyx oryzivorus) and Savannah Sparrows (Passerculus sandwichensis). Our study population breeds in hayfields and pastures in Vermont, USA, where farmers are also changing management activities in response to climate change. From 2002 to 2019, we monitored nest initiation dates to quantify …

Dexmedetomidine As An Adjunct To Regional And Neuraxial Anesthesia, Tobin Tollett

Nurse Anesthesia Student Capstones

Regional and neuraxial anesthetic techniques are ever-expanding, and an understanding of the tools, medications, and adjuncts associated with these techniques is prudent for anesthesia providers. One goal of these techniques is to extend pain management beyond the initial surgical phase by using long-acting local anesthetics with or without adjunct medications. The purpose of this review is to detail the clinical utility, benefits, and risks of dexmedetomidine as an adjunct to regional and neuraxial anesthetic techniques. This review includes an analysis of literature of over 20 randomized controlled trials comparing the use of dexmedetomidine to other adjuncts in common regional and …

A Mobile App For Delirium Screening, Brett Armstrong, Daniel Habtemariam, Erica Husser, Douglas L. Leslie, Marie Boltz, Yoojin Jun, Donna M. Fick, Sharon K. Inouye, Edward R. Marcantonio, Long H. Ngo

Osteopathic Medicine Student Publications

Objective: The objective of this study is to describe the algorithm and technical implementation of a mobile app that uses adaptive testing to assess an efficient mobile app for the diagnosis of delirium.

Materials and Methods: The app was used as part of a NIH-funded project to assess the feasibility, effectiveness, administration time, and costs of the 2-step delirium identification protocol when performed by physicians and nurses, and certified nursing assistants (CNA). The cohort included 535 hospitalized patients aged 79.7 (SD¼6.6) years enrolled at 2 different sites. Each patient was assessed on 2 consecutive days by the research associate who …

Une Ufa Aac Library Subcommittee Resource Highlight: You, Our Authors, Une Library Services

UFA AAC Library Sub-Committee Library Resource Highlights

March 2021 library resources highlight compiled for the University Faculty Assembly Academic Affairs Committee's Library Sub-committee at the University of New England. Focus on: Resources for sharing faculty work with the UNE community and the world.

Une Ufa Aac Library Subcommittee Resource Highlight: New And Notable, Une Library Services

UFA AAC Library Sub-Committee Library Resource Highlights

February 2021 library resources highlight compiled for the University Faculty Assembly Academic Affairs Committee's Library Sub-committee at the University of New England. Focus on: Community Equity and Diversity resources and research guides.

The Development Of A Multiple Errands Test For Pre/Post Concussive Testing On A College Campus: The University Multiple Errands Test - Lessons Learned, Regula H. Robnett, Kathleen Hahn, Tetee Roland

Occupational Therapy Faculty Publications

The Multiple Errands Test (MET) is an occupation-based assessment tool, used to determine if someone who has sustained an acquired brain injury can successfully complete everyday errands, such as purchasing items at a gift shop, mailing a letter, and determining what hours a store is open. The MET has been used successfully in a hospital setting. Due to the MET’s ecological validity, we sought to determine if an adapted MET (revised for a college campus setting) would be an appropriate alternative to the ImPACT, an often-required, on-line pre and post-concussion neuropsychological assessment for high school and college athletes. Students may …

Micro Ct Pilot Evaluation Of Removability Of Two Endodontic Sealers, David Colmenar, Tenzin Tamula, Qiang Zhu, Chul Ahn, Carolyn Primus, Takashi Komabayashi

Dental Medicine Faculty Publications

Purpose: This study compared the removability of AH Plus and EndoSequence BC sealers using in vitro micro-computed tomography. Methods: Ten single-canal, extracted human teeth were cleaned and shaped with ProTaper NEXT rotary files to size X5 (50/0.06) (DentsplySirona). Canals were obturated with a single cone gutta-percha and either AH Plus (Dentsply-Sirona) (Group A) or EndoSequence BC (Brasseler) (Group B). ProTaper Universal Retreatment files (Dentsply-Sirona) were used to remove obturation materials after 90 days at 37o C/100% humidity. Each tooth was scanned using micro-computed tomography (SkyScan 1272; Bruker) at an isotropic resolution of 6 μm from which the percent of material …

Lower Extremity Strengthening, Neuromuscular Re-Education And Graded Activity For A Runner With Distal Hamstring Tendinopathy: A Case Report, Tara Oyasato

Case Report Papers

Background and Purpose: Hamstring injuries are common injuries athletes face with high recurrence rates. Many hamstring injuries, including hamstring tendinopathy are caused by non-contact mechanisms like running due to its role in eccentrically controlling rapid knee extension and hip flexion. Despite its prevalence, there is controversy surrounding the optimal treatment of a hamstring strain. The purpose of this case study was to document the physical therapy (PT) interventions for a runner with an acute distal hamstring injury and tendinopathy. Case Description: The patient was a 23-year-old active male referred to outpatient PT with a diagnosis of patellar tendinitis. The procedural …

Diverse Demographic Factors Influence Apparent Juvenile Survival In A Migratory Songbird, Emma M. White, Noah G. Perlut, Steven E. Travis, Allan Strong

Environmental Studies Faculty Publications

To better understand the dynamics of avian populations and their role in population trends, we require an in-depth understanding of the factors influencing the survival of adults and juveniles. How-ever, assessing survival in juveniles is often challenging, especially in small, migratory species where individuals typically disperse from the study area and are not available for recapture in subsequent years. Bobolinks (Dolichonyx oryzivorus) are a long-distance migrant that exhibits natal philopatry in at least one population, allowing for more comprehensive juvenile survival analyses than in many other long-distance avian migrants. Using a 17-yr dataset from two sites representing a …

Management Schemes, Not Philopatry Or Breeding Experience, Affect Nest Success Of Two Songbirds In Vermont Hayfields, Kylie Denny, Noah G. Perlut, Allan Strong

Environmental Studies Faculty Publications

Songbirds can benefit from natal philopatry through prior knowledge about site‐specific resources and local adaptation to environmental conditions. Likewise, breeding experience may also play a role in reproductive success. However, for birds that breed in managed habitats, management activities may overwhelm any potential benefits of philopatry or breeding experience. We examined the effect of site fidelity on reproductive success in 1,823 bobolink and Savannah sparrow nests in agricultural grasslands in Vermont, USA. From 2003–2019 we monitored the nests of 51 female Savannah sparrows and 72 female bobolinks that returned to breed on or near fields in which they hatched between …

Soft Tissue Techniques For Upper Quadrant Range Of Motion And Pain In A Breast Cancer Survivor Following Mastectomy: A Case Report, Marissa Paquette

Case Report Papers

Background and Purpose: Breast cancer treatments may cause late effects of pain, range of motion loss, and activity limitation in the upper extremity (UE). The purpose of this case report was to describe the utilization of soft tissue techniques with instrument assisted soft tissue mobilization (IASTM) in outpatient physical therapy to address decreased UE function and pain for a patient post-surgery, chemotherapy, endocrine therapy and radiation.
Case Description: The patient was a 61-year-old female referred to physical therapy (PT) for restricted mobility and pain in her right UE post-oncologic treatments preventing her from vocation and participating in daily activities. The …