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Articles 1 - 30 of 45
Full-Text Articles in Life Sciences
Research Day 2024 Program, Western Michigan University Homer Stryker M.D. School Of Medicine
Research Day 2024 Program, Western Michigan University Homer Stryker M.D. School Of Medicine
Research Day
No abstract provided.
Research Day 2023 Program, Western Michigan University Homer Stryker M.D. School Of Medicine
Research Day 2023 Program, Western Michigan University Homer Stryker M.D. School Of Medicine
Research Day
No abstract provided.
Research Day 2022 Program, Western Michigan University Homer Stryker M.D. School Of Medicine
Research Day 2022 Program, Western Michigan University Homer Stryker M.D. School Of Medicine
Research Day
No abstract provided.
Patella Resection In Total Knee Arthroplasty: An Analytical Comparison Of Three Techniques, Kelsey Cushway
Patella Resection In Total Knee Arthroplasty: An Analytical Comparison Of Three Techniques, Kelsey Cushway
Research Day
Patella resection, as a routine component of TKA, can be both difficult to plan and difficult to execute. The primary purpose of this study was to evaluate the repeatability of three unique patellar resection techniques used in total knee arthroplasty. The secondary purpose of this study was to establish whether different surgical techniques were able to reproduce preoperative plans made by each surgeon. We used radiographic measurements to evaluate patellar thickness and patellar cut angle preoperatively and postoperatively. Three techniques (45 cases in total) were evaluated, revealing qualitative differences between surgical techniques and significant quantitative differences between average patellar thickness …
Research Day 2021 Program, Western Michigan University Homer Stryker M.D. School Of Medicine
Research Day 2021 Program, Western Michigan University Homer Stryker M.D. School Of Medicine
Research Day
No abstract provided.
First 100 Cases Of Bls First Responder A Dministered Naloxone In A Statewide Ems System, Joshua Mastenbrook, James Markman, Tyler Koedam, William Fales
First 100 Cases Of Bls First Responder A Dministered Naloxone In A Statewide Ems System, Joshua Mastenbrook, James Markman, Tyler Koedam, William Fales
Research Day
Abstract Title: FIRST 100 CASES OF BLS FIRST RESPONDER ADMINISTERED NALOXONE IN A STATEWIDE EMS SYSTEM Abstract ID: 240 Abstract Category: Clinical Research BACKGROUND: In October 2015, a midwestern state law mandated that all BLS first responder (FR) agencies be trained and equipped to administer naloxone to suspected opioid-overdose patients. Although well intentioned, several questions have arisen: does naloxone use displace emphasis on early positive pressure ventilation (PPV), is naloxone being appropriately administered, and does the mandate affect patient outcome. The purpose of this study is to evaluate the first 100 cases of FR administered naloxone (FR-naloxone) for administration appropriateness …
A Case Of Difficult-To-Treat Asthma Due To Uncontrolled Atypical Gastroesophageal Reflux, Alissa Welsh, Andrey Leonov
A Case Of Difficult-To-Treat Asthma Due To Uncontrolled Atypical Gastroesophageal Reflux, Alissa Welsh, Andrey Leonov
Research Day
Introduction: In uncontrolled asthma, comorbid conditions should be treated in order to achieve better asthma control. The contribution of gastro-esophageal reflux (GER) may be overlooked when its presentation is atypical. Case Report: 11 year-old male with moderate persistent asthma and allergic rhinitis presented with persistent barky cough, diagnosed as spasmodic croup after bronchoscopy, esophagram, swallow study and magnified airway x-ray failed to show anatomical abnormality. Empiric proton pump inhibitor (PPI) treatment was started with improvement in cough. Patient was referred to Gastroenterology for evaluation of GER, despite lack of heartburn or vomiting. Endoscopy revealed esophageal candida infection which was treated. …
Traumatic Laceration Of The Posterior Tibial Tendon Treated With Novel Technique, Nicholas Miladore, Robert Gorman
Traumatic Laceration Of The Posterior Tibial Tendon Treated With Novel Technique, Nicholas Miladore, Robert Gorman
Research Day
Abstract Title: TRAUMATIC LACERATION OF THE POSTERIOR TIBIAL TENDON TREATED WITH NOVEL TECHNIQUE Abstract ID: 249 Abstract Category: Clinical Research INTRODUCTION: Posterior tibial tendon (PTT) insufficiency is a common entity, and can result in chronic tendon disruption. Acute disruption is a rare occurrence, but has been described in the literature. Most reported cases are associated with ipsilateral ankle fractures. Laceration of the posterior tibial tendon has also been described, typically in the operative setting as a result of iatrogenic injury. CASE REPORT: A 15 year old male presented to the clinic with complaints of right ankle pain and weakness. 2.5 …
A Highly Unusual Case Of Metastatic Pancreatic Adenocarcinoma, Zachary Koehn, Lauren Piper
A Highly Unusual Case Of Metastatic Pancreatic Adenocarcinoma, Zachary Koehn, Lauren Piper
Research Day
Introduction: Pancreatic cancer is a rare malignancy, with nearly a 100% mortality rate. The strongest risk factor for pancreatic cancer is advanced age; the median age of diagnosis is 70. Here we discuss a case of pancreatic cancer in a 32 year-old woman. Case Description: S.R. is a 32 year-old female presenting with new-onset jaundice. Two months prior to presentation, she reported vomiting and LUQ pain, and was treated for H. pylori. Her symptoms improved, but she developed anorexia, RUQ pain, 35 lb weight loss and clay-colored diarrhea. Her medical history is negative except for 10-pack-year smoking history. Exam revealed …
Rare Presentation Of High Grade Retroperitoneal Angiosarcoma In A Patient Status Post Endovascular Aortic Repair (Evar), Jairo Espinosa M.D., Alan Hifko, Julia Miladore M.D., John T. Collins
Rare Presentation Of High Grade Retroperitoneal Angiosarcoma In A Patient Status Post Endovascular Aortic Repair (Evar), Jairo Espinosa M.D., Alan Hifko, Julia Miladore M.D., John T. Collins
Research Day
INTRODUCTION: Primary angiosarcoma of the aorta is a rare malignancy arising from the aorta’s endothelial lining. The most common presentation is claudication, however in the presence of an endograft a tumor originating in the aneurysmal sac may remain undetected and mimic common graft pathology. Diagnosis is typically delayed due to vague clinical presentation and imaging being indistinguishable from common complications of endografts such as leaks, infections or hematomas. We report a case of primary angiosarcoma of the aorta after endovascular repair of an abdominal aortic aneurysm. This case report describes the sixth case in the literature of primary angiosarcoma arising …
A Case Of Successful Treatment Of Skin Excoriation Disorder With N-Acetyl Cysteine, Nauman Khan M.D., Priya Mahajan M.D., Sadia Shaukat M.D., Matthew Lacasse D.O., Mark Kanzawa D.O.
A Case Of Successful Treatment Of Skin Excoriation Disorder With N-Acetyl Cysteine, Nauman Khan M.D., Priya Mahajan M.D., Sadia Shaukat M.D., Matthew Lacasse D.O., Mark Kanzawa D.O.
Research Day
Introduction: We present a case of a middle age patient with skin excoriation disorder since age 15 who experienced significant improvement with augmentation of her treatment regimen with N-acetyl cysteine. This improvement occurred despite a recurrence of her depression, alcohol use disorder, and stimulant use disorder. Case Presentation: A 59 year-old-female with 44 years of unsuccessful treatment of self-excoriation disorder presented with symptoms of unspecified depression, OCD and stimulant use disorder. She was referred by her surgeon who had to postpone a revision of her hip replacement as she was self-excoriating the right axillary lymphadenectomy site. Initial administration of PHQ-9 …
Paired Samples Analysis Of Isolated Gastrocnemius Contracture In Patients With Foot And Ankle Pathology, Adam Green, James Jastifer M.D.
Paired Samples Analysis Of Isolated Gastrocnemius Contracture In Patients With Foot And Ankle Pathology, Adam Green, James Jastifer M.D.
Research Day
INTRODUCTION: Prior studies have demonstrated that patients with foot and ankle pain have an associated isolated gastrocnemius contracture (decrease in ankle dorsiflexion). It remains unclear if this is a casual, or a causal relationship. The purpose of the current study is to report validated ankle dorsiflexion in both legs of patients with unilateral foot and ankle pain to provide some insight into the relationship between an isolated gastrocnemius contracture and foot and ankle pain. Our hypothesis was that patients presenting with foot and ankle pain would have similar measured ankle range of motion in both ankles despite having unilateral foot …
Acute Hypoxic Respiratory Failure As A Complication Of A Urinary Tract Infection During Pregnancy: A Case Presentation, Manpreet S. Narwal, Susan Jevert-Eichorn, Narinder Nina Clair
Acute Hypoxic Respiratory Failure As A Complication Of A Urinary Tract Infection During Pregnancy: A Case Presentation, Manpreet S. Narwal, Susan Jevert-Eichorn, Narinder Nina Clair
Research Day
Urinary tract infections (UTI), as well as asymptomatic bacteriuria, have the potential to cause serious morbidity during pregnancy making it imperative to identify and treat them promptly. If left untreated, a UTI can lead to pyelonephritis and sepsis. More importantly, UTIs are independently associated with intrauterine growth restriction (IUGR), premature rupture of membranes (PROM), preterm delivery, pulmonary edema, acute respiratory distress syndrome (ARDS), preeclampsia, and cesarean delivery. We report the case of NC, a 19 year old G1P0 at 36 weeks and 3 days GA who presented to the hospital with concern for rupture of membranes with associated back and …
Widening The Differential: A Case Of Hemophagocytic Lymphohistiocytosis Disguised As A Fever Of Unknown Origin, Emily Cordes
Widening The Differential: A Case Of Hemophagocytic Lymphohistiocytosis Disguised As A Fever Of Unknown Origin, Emily Cordes
Research Day
Introduction: Hemophagocytic lymphohistiocytosis (HLH) is an under recognized, aggressive inflammatory disease characterized by excessive activity of histiocytes and lymphocytes. According to the HLH-2004 guidelines, five of the following eight criteria must be met to diagnose HLH: fever >38.5¡ã C, splenomegaly; cytopenias affecting ¡Ý two cell lines; hypertriglyceridemia/hypofibrinogenemia; evidence of hemophagocytosis in the bone marrow, spleen or lymph nodes; hyperferritinemia; low NK cell activity; or high levels of soluble CD25. Once a diagnosis of HLH is established, investigations for infectious, malignant or autoimmune etiologies must be pursued. We report a case of fever of unknown origin (FUO) that presented multiple times …
A Case Of Native Valve Staphylococcus Epidermidis Endocarditis With Cardiac Abscess Formation, Emily Cordes, Chris Jacob, Mark Loehrke
A Case Of Native Valve Staphylococcus Epidermidis Endocarditis With Cardiac Abscess Formation, Emily Cordes, Chris Jacob, Mark Loehrke
Research Day
Introduction: Staphylococcus epidermidis is the most common commensal bacteria of the skin; however it can be pathogenic and is the most frequent cause of medical device associated endocarditis. It is also a well-known cause of endocarditis in IV drug abuse (IVDA). However, in individuals without obvious disruption of the skin barrier, it is a relatively rare, but emerging entity of native valve endocarditis. Coagulase negative staphylococci account for only 1-5% of community acquired native valve infective endocarditis and most resolve with treatment. We report a case of a 56 year old male with an aggressive strain of community acquired Staphylococcus …
Enhancing Childrens Social-Emotional Learning Skills Through Mindfulness Practices, Shun Yi Wan, Stephanie Chang, Jordan Fenlon, Amrith Shettigar, Mckenzie Johnson, Sam Lealofi
Enhancing Childrens Social-Emotional Learning Skills Through Mindfulness Practices, Shun Yi Wan, Stephanie Chang, Jordan Fenlon, Amrith Shettigar, Mckenzie Johnson, Sam Lealofi
Research Day
Background: The Kalamazoo Eastside neighborhood has been subject to a great deal of economic and functional instability, particularly impacting the youth. Local demographic studies indicate that 90% of children are eligible for free or reduced lunch due to low income, 58% of households are single-female households, and 29% of parents do not have a high school diploma. Eastside Youth Strong (EYS) is a local organization focused on improving the lives of these children. This study will be investigating the EYS afterschool program’s mindfulness initiative. Purpose: Social and emotional learning were chosen to be studied because these skills are critical for …
Death Related To Fistulas Involving The Gastrointestinal And Cardiovascular Systems, Allan Joseph Medwick Edd, Joseph Prahlow
Death Related To Fistulas Involving The Gastrointestinal And Cardiovascular Systems, Allan Joseph Medwick Edd, Joseph Prahlow
Research Day
BACKGROUND/INTRODUCTION: Gastrointestinal tract fistulas are relatively uncommon and can be congenital or acquired. Fistulas may communicate with a variety of anatomic locations, including body cavities, the skin, and other organ systems. Acquired fistulas which communicate with the cardiovascular system are of particular concern, as they may be associated with significant morbidity and mortality. This study reports on three cases of acquired, post-surgical fistula formation involving the gastrointestinal and cardiovascular systems. CASE REPORTS: Case 1 - A 57-year-old man experienced sudden cardiac death shortly after having a permanent pacemaker placed for atrial fibrillation. Approximately two years earlier, he underwent surgical resection …
Benefit Of Ultrasound Curriculum Development For Family Medicine Residents, Nithin Natwa, Uzair Munshey, Duncan Vos, Robert Baker
Benefit Of Ultrasound Curriculum Development For Family Medicine Residents, Nithin Natwa, Uzair Munshey, Duncan Vos, Robert Baker
Research Day
Introduction/Purpose: Musculoskeletal problems comprise some of the most common reasons for ambulatory care encounters in the United States, accounting for 8.3% of the 1.2 billion visits per year according to the CDC. Musculoskeletal Ultrasound use has become more common in primary care for diagnosis and therapeutics. In Family Medicine Residency (FMR) Programs there is a deficiency of a structured, competency-based musculoskeletal ultrasound (MSK US) training despite its growing popularity. Currently, there is no formalized requirement for Ultrasound education as in other residency programs in spite of its benefit. Methods: We received a positive response on our needs analysis survey for …
Childhood Idiopathic Pulmonary Hypertension: A Case Report, Nathaniel Balmert, Joseph Prahlow
Childhood Idiopathic Pulmonary Hypertension: A Case Report, Nathaniel Balmert, Joseph Prahlow
Research Day
Introduction: Pulmonary arterial hypertension (PAH) is characterized as average pulmonary artery pressure of greater than 25mm Hg at rest. Childhood idiopathic pulmonary hypertensions (CIPH) is distinguishable from PAH by the absence of family history or underlying disease. Symptoms of CIPH include dyspnea, exercise limitation, and syncope. Common organ-specific changes include right ventricular hypertrophy and right ventricular strain. We present the case of a 6-year-old girl presenting with idiopathic pulmonary arterial hypertension aggravated by esophageal intubation. Methods: This case is from the files of one of the authors, a forensic pathologist. Case Report and Discussion: Diagnosed with pulmonary arterial hypertension when …
Utility Of Fern Test To Determine Rupture Of Membranes, Wesley Eichorn, Susan Jevert-Eichorn
Utility Of Fern Test To Determine Rupture Of Membranes, Wesley Eichorn, Susan Jevert-Eichorn
Research Day
Introduction: The fern test was first described by Kardos and Tamasi in 1955 as a test used to determine rupture of amniotic membranes. The test is done by collection of fluid from the vagina which is then allowed to dry for 10 minutes on a slide. The slide is then inspected with microscopy for evidence of ferning. Accurate determination of rupture of membranes is important due to its significant implications on the management of obstetrical patients. Case: EC is a 23 year old G1P0 at 40 and 3/7 weeks gestation who presented to an outpatient facility with a chief complaint …
Priapism After Epidural Or Spinal Anesthesia, Sarah Khalil, Kelly Quesnelle, Jeffrey Friedman, Audrey Jensen, Duncan Polot, Sydney Spitler
Priapism After Epidural Or Spinal Anesthesia, Sarah Khalil, Kelly Quesnelle, Jeffrey Friedman, Audrey Jensen, Duncan Polot, Sydney Spitler
Research Day
Introduction: Preoperative epidural and spinal anesthesia improves patient outcomes by reducing potential side effects due to prolonged treatment with general anesthesia as well as mitigating postoperative pain. Rarely, patients receiving epidural and spinal anesthesia develop priapism secondary to administration of the anesthetic agent. Little is known about the development of this complication and its management following onset. Rationale: A case of priapism following administration of epidural anesthesia in Kalamazoo, MI, at Bronson Methodist Hospital, prompted a search of the literature into the etiology, pathophysiology, and management of such cases. Review of Literature: A search of two databases was conducted, including …
Feasibility Study To Assess Medical Student Visits To Developmentally Disabled Adults, Maria Mason, Brittany Chow, Xavier Jean, Sarah Khalil, Megan Cibulas
Feasibility Study To Assess Medical Student Visits To Developmentally Disabled Adults, Maria Mason, Brittany Chow, Xavier Jean, Sarah Khalil, Megan Cibulas
Research Day
Introduction The Probate Court of Kalamazoo appoints guardians to minors removed from the custody of their parents and to legally incapacitated or disabled adults. The state mandates that any child under age six placed into a guardianship be visited at least once a year to ensure proper care of the child, but there is no such mandate for the approximately 300 developmentally disabled (DD) adults under the care of the Probate Court. The purpose of this ongoing study is to determine the feasibility of annual visits to DD individuals conducted by volunteer medical students. Methods In this feasibility study, the …
The Impact Of Wmed Family Medicine Obesity Clinic On Weight Loss And Patient's Overall Health In The Family Health Center, Kalamazoo, Mi, Latifa Pacheco Do, Abigail Annan Md
The Impact Of Wmed Family Medicine Obesity Clinic On Weight Loss And Patient's Overall Health In The Family Health Center, Kalamazoo, Mi, Latifa Pacheco Do, Abigail Annan Md
Research Day
No abstract provided.
A Review Of Transcatheter Ablation For The Treatment Of Avnrt In Children, Keegan Colletier, Sulin Wu, Stephanie Van Alsten, Brittany Chow
A Review Of Transcatheter Ablation For The Treatment Of Avnrt In Children, Keegan Colletier, Sulin Wu, Stephanie Van Alsten, Brittany Chow
Research Day
Background: Atrioventricular nodal reentrant tachycardia (AVNRT) is an arrhythmia due to re-entrant rhythm within the region of the atrioventricular (AV) node, which accounts for most supraventricular tachycardia (SVT) cases in children. There are two main pathways involved for the re-entrant rhythm, slow and fast pathways, with different anatomic locations and involvement in the circuit associated with AVNRT. AVNRT is rare in newborns, but an increase of prevalence throughout childhood was previously reported.Study Objective/Purpose: Currently, Radiofrequency (RF) ablation is the primary method for the treatment of AVNRT in pediatrics. However, multiple modalities with varying efficacies can also be utilized. In this …
Traumatic Stab Wound To The Chest: A Rare Cause Of Pituitary Apoplexy, Jairo Espinosa M.D., Tim Wysozan, Chris Sloffer
Traumatic Stab Wound To The Chest: A Rare Cause Of Pituitary Apoplexy, Jairo Espinosa M.D., Tim Wysozan, Chris Sloffer
Research Day
INTRODUCTION: Pituitary apoplexy is an uncommon condition that results from infarction and hemorrhage of an established pituitary adenoma. Based on our review of the literature, this is the first description of pituitary apoplexy presenting after a knife stab wound to the deltopectoral region. CASE PRESENTATION: A 44 year-old male presented to the trauma bay as a tier 1 trauma activation status post stabbing to the left deltopectoral groove. The patient was found to be hypotensive, tachycardic and actively exsanguinating from the stab wound. He was taken to the operating room where the wound was explored and the left cephalic vein …
16 Year Old Baseball Pitcher Presenting With Gradual Worsening Of Posterolateral Right Elbow Pain And Negative Mri Findings, Nithin Natwa, Reema Sheth, Nisha Sheth
16 Year Old Baseball Pitcher Presenting With Gradual Worsening Of Posterolateral Right Elbow Pain And Negative Mri Findings, Nithin Natwa, Reema Sheth, Nisha Sheth
Research Day
Background: Elbow pain is a common presenting symptom in repetitive motion performing athletes. Due to the popular use of prolonged conservative therapy in elbow pain, and the importance of early surgical intervention in Elbow Synovial Fold Syndrome, proper and prompt diagnosis is essential. In our case report, a 16 year old male right hand-dominant baseball pitcher presents with gradual onset of posterolateral right elbow pain over 4 months. Purpose: This study helps reflect the correct timeline in imaging along with the appropriate duration of conservative management. After reviewing this study the reader will be better able to differentiate between Lateral …
Pheochromocytoma With Ivc Invasion: Case Report & Systematic Review Of Literature, Jennifer Kim Bs, Ms2, Gitonga Munene M.D., David Schutter Md, Pgy3
Pheochromocytoma With Ivc Invasion: Case Report & Systematic Review Of Literature, Jennifer Kim Bs, Ms2, Gitonga Munene M.D., David Schutter Md, Pgy3
Research Day
Surgical management and outcome of pheochromocytoma with invasion of the inferior vena cava (IVC) has not been thoroughly reported or widely available in the literature. As determining the malignancy of pheochromocytoma has yet to be clearly defined and the experience of surgical resection of this condition is underrepresented, we include a case report and a systematic literature review on this condition. A literature search in PubMed was performed based on a recent review article by Kassahun et al. (2016). The search yielded 13 case reports between 1988 and 2014 from which data was extracted based on the following variables: patient’s …
Gallbladder Duplication: Case Report Of A Rare Congenital Anomaly Treated By Single-Incision Laparoscopic Cholecystectomy In A Pediatric Patient, Jairo Espinosa M.D., Peter White, Michael Leinwand M.D.
Gallbladder Duplication: Case Report Of A Rare Congenital Anomaly Treated By Single-Incision Laparoscopic Cholecystectomy In A Pediatric Patient, Jairo Espinosa M.D., Peter White, Michael Leinwand M.D.
Research Day
Introduction: Gallbladder duplication is a rare congenital anomaly. Preoperative diagnosis is essential for prevention of intra operative complications. Based on our review of the literature, this is the first description of gallbladder duplication treated with single-incision laparoscopic surgery (SILS) in a pediatric patient. Case Presentation: A 14 year-old girl presented to the pediatric surgery clinic with a 4-month history of right upper quadrant abdominal pain, nausea, and low- grade fevers. Preoperative imaging revealed gallbladder duplication. The single incision laparoscopic technique was employed. Intra operative ndings included two gallbladders that appeared to share a common wall. There were two parallel cystic …
Acquired Craniosynostosis In A Patient With Iatrogenic Vitamin D Intoxication, Wesley Eichorn, Kristi Vanderkolk Md
Acquired Craniosynostosis In A Patient With Iatrogenic Vitamin D Intoxication, Wesley Eichorn, Kristi Vanderkolk Md
Research Day
Introduction: Craniosynostosis, which refers to premature fusion of cranial sutures, is an uncommon diagnosis in the pediatric patient, occurring with an incidence of approximately 1 in 2,000 individuals. It is most often associated with X-Linked hypophosphatemic rickets. The implications of craniosynostosis, especially with a delayed diagnosis, are severe. Case Report: MJ is an African American male born at term via cesarean section with an unremarkable immediate postnatal period. He was diagnosed with rickets at the age of 7 months but treatment was not immediately initiated. He presented again at age 9 months with an upper respiratory infection and failure to …
Infection-Associated Mycobacterium Fortuitum Infection, Dennis T. Huang, Larry Lutwick
Infection-Associated Mycobacterium Fortuitum Infection, Dennis T. Huang, Larry Lutwick
Research Day
Introduction: Mycobacterial species are unusual causes of skin and soft tissue infections and can be difficult to diagnose in the absence of consideration as they often require specific culture media and longer incubation times. We report a Mycobacterium fortuitum subcutaneous abscess in a diabetic related to medication injection that was initially diagnosed without specialized media or prolonged incubation times. Case Report: A 48 year old diabetic female developed a progressive subcutaneous swelling in the tissues of the right lower abdominal wall where she had been injecting liraglutide. Because of continued enlargement "to almost egg size" with pain, she was empirically …