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Articles 1 - 30 of 1917

Full-Text Articles in Medicine and Health Sciences

Dual Trigger Protocol Is An Effective Ivf Strategy In Both Normal And High Responders Without Compromising Pregnancy Outcomes, Rebecca K. Chung, Abigail Mancuso, Karen Summers, Amy E.T. Sparks, E. Hakan Duran, Rachel A. Mejia May 2020

Dual Trigger Protocol Is An Effective Ivf Strategy In Both Normal And High Responders Without Compromising Pregnancy Outcomes, Rebecca K. Chung, Abigail Mancuso, Karen Summers, Amy E.T. Sparks, E. Hakan Duran, Rachel A. Mejia

Proceedings in Obstetrics and Gynecology

To compare pregnancy outcomes between normal versus high responders after dual trigger of final oocyte maturation with gonadotropin-releasing hormone (GnRH) agonist and human chorionic gonadotropin (hCG) in fresh in-vitro fertilization (IVF) cycles, where ovarian stimulation was achieved by a flexible GnRH antagonist protocol.


Successful Non-Surgical Management Of Acute, Uncomplicated Appendicitis In Pregnancy: A Case Report, Avanthi Ajjarapu, Nina N. Moreira May 2020

Successful Non-Surgical Management Of Acute, Uncomplicated Appendicitis In Pregnancy: A Case Report, Avanthi Ajjarapu, Nina N. Moreira

Proceedings in Obstetrics and Gynecology

Acute appendicitis during pregnancy is one of the most common non-obstetric indications for surgery during pregnancy. Prompt surgical intervention for appendicitis is considered the standard of care. However, data on the utility of surgical management of uncomplicated cases of appendicitis is inconclusive and effectiveness of non-surgical management is currently understudied. We present a case that provides evidence for successful, antibiotic management of uncomplicated appendicitis as a means to reduce the burden of surgical complications on the pregnant population. This article also offers a critical analysis of current standard of care and assesses feasibility of nonsurgical management of acute, uncomplicated appendicitis ...


The Effect Of Gonadotropin-Releasing Hormone Analogues On The Preservation Of Ovarian Function Against Cyclophosphamide-Induced Damage In Adult Mice, Eman Kishk, Wael Hassan, Mohammed Shaaban, Ahmed Mohamed Abbas May 2020

The Effect Of Gonadotropin-Releasing Hormone Analogues On The Preservation Of Ovarian Function Against Cyclophosphamide-Induced Damage In Adult Mice, Eman Kishk, Wael Hassan, Mohammed Shaaban, Ahmed Mohamed Abbas

Proceedings in Obstetrics and Gynecology

Objective:

To assess the effect of gonadotropin-releasing hormone analogue (GnRHa) on the preservation of ovarian function against cyclophosphamide-induced gonadal toxicity.

Materials and Methods:

In a controlled, experimental study, 64 female mice were divided into four groups: control (C), triptorelin acetate (T), cyclophosphamide (CY), and triptorelin plus cyclophosphamide (T+CY) groups. Mice in the group (T) were subcutaneously injected with GnRHa (triptorelin acetate) in a dose of 0.5 mg/kg daily for 21 days. In contrast, mice in the (CY) group and (T+CY) group were injected intraperitoneally with 75 mg/kg of CY on day 15. After 21 days ...


Obstetric Care Among Refugee Populations: Reinforcing Cultural Humility In Residency Training—Preliminary Report, Avanthi Ajjarapu, Michael L. Haugsdal, William T. Story May 2020

Obstetric Care Among Refugee Populations: Reinforcing Cultural Humility In Residency Training—Preliminary Report, Avanthi Ajjarapu, Michael L. Haugsdal, William T. Story

Proceedings in Obstetrics and Gynecology

The burden of increasing obstetric morbidity and mortality in the United States disproportionately impacts certain populations more than others, one such group being refugees. Poor obstetric outcomes among refugee communities historically have been attributed to delayed initiation of prenatal care, failure to detect co-morbidities, as well as higher rates of Cesarean sections (C-sections), stillbirths, pre-term births, and low birth weight infants in comparison to host-country mothers. Therefore, understanding the contextual nuances that play a role in these poor outcomes among refugee populations is very important.


A Case Of Rheumatic Heart Disease Diagnosed In The Third Trimester, Amanda Manorot, Nina N. Moreira May 2020

A Case Of Rheumatic Heart Disease Diagnosed In The Third Trimester, Amanda Manorot, Nina N. Moreira

Proceedings in Obstetrics and Gynecology

Migration from areas with a high incidence of rheumatic heart disease has led to an increase in pregnancy complicated by rheumatic heart disease in high-income countries. We present a case of rheumatic heart disease diagnosed in a 33-year-old G2P0010 French-speaking Congolese woman at 32 weeks gestation. She was initially hospitalized with respiratory syncytial virus (RSV) bronchiolitis at 24 weeks gestation and established care in our clinic. Mitral valve stenosis was identified at 32 weeks gestation after she presented with severe edema and was hospitalized for acute on chronic heart failure complicated by urosepsis and cellulitis. She was managed in the ...


Multimodal Perioperative Pain Protocol For Gynecologic Oncology Laparotomy Is Associated With Reduced Hospital Length Of Stay And Improved Patient Pain Scores, Jordan Mattson, Mackenzie Mackenzie, Sarah L. Mott, Yasmin A. Lyons, Abbey J. Hardy-Fairbanks, Emily K. Hill May 2020

Multimodal Perioperative Pain Protocol For Gynecologic Oncology Laparotomy Is Associated With Reduced Hospital Length Of Stay And Improved Patient Pain Scores, Jordan Mattson, Mackenzie Mackenzie, Sarah L. Mott, Yasmin A. Lyons, Abbey J. Hardy-Fairbanks, Emily K. Hill

Proceedings in Obstetrics and Gynecology

The primary objective was to evaluate the impact of a multimodal perioperative pain regimen on length of hospital stay for patients undergoing laparotomy with a gynecologic oncologist.


Primary Radiation As Initial Management In Endometrial Cancer: Investigating Ebrt, Imrt And Hdr Brachytherapy, Vincent M. Wagner, Erin A. Salinas, Sarah L. Mott, Wenqing Sun, Michael J. Goodheart May 2020

Primary Radiation As Initial Management In Endometrial Cancer: Investigating Ebrt, Imrt And Hdr Brachytherapy, Vincent M. Wagner, Erin A. Salinas, Sarah L. Mott, Wenqing Sun, Michael J. Goodheart

Proceedings in Obstetrics and Gynecology

For patients with endometrial cancer at increased risk of perioperative morbidity, primary radiation therapy is an effective alternative treatment option. However, there has been no consensus on radiation technique and little data on outcomes. Our aim was to identify factors which determine patient selection for primary radiation, investigate treatment efficacy of radiation compared to surgical management of endometrial cancer and to evaluate different radiation modalities including external beam radiation therapy alone or with a boost of either high dose rate brachytherapy or intensity-modulated radiation therapy for differences in toxicities, recurrence-free interval, cancer-specific survival and overall survival.


Factors Associated With Long-Term Pessary Use, Heather M. Winn, Irene Morcuende, Rene R. Genadry, Joseph T. Kowalski, Catherine S. Bradley May 2020

Factors Associated With Long-Term Pessary Use, Heather M. Winn, Irene Morcuende, Rene R. Genadry, Joseph T. Kowalski, Catherine S. Bradley

Proceedings in Obstetrics and Gynecology

Vaginal pessary is a well-established pelvic organ prolapse (POP) treatment, but little evidence about long-term use is available. Our aim was to report the duration of use and investigate predictors of long-term pessary use for POP. We hypothesized that younger, healthier women and women who experienced complications would have shorter duration of use.


Health Care Disparities: Moving The Needle, Marygrace Elson May 2020

Health Care Disparities: Moving The Needle, Marygrace Elson

Proceedings in Obstetrics and Gynecology

As an obstetrician, I am acutely aware of the United States maternal mortality rate, which is frighteningly worse than any other developed country. Even more alarming is the fact that the rate for black and native women in the USA is 3-4 times higher, regardless of socioeconomic status and education level. In Iowa, our maternal mortality figures are no better than the rest of the nation overall and may be slightly worse for black and native women. How can this be, when Iowa enjoys a reputation for quality health care?


Investigation Of The Relationship Between Gestational Week And Sexuality, Yusuf Seyhan, Özer Birge, Aliye Nigar Serin, İlkan Kayar May 2020

Investigation Of The Relationship Between Gestational Week And Sexuality, Yusuf Seyhan, Özer Birge, Aliye Nigar Serin, İlkan Kayar

Proceedings in Obstetrics and Gynecology

Background: The aim of the study was to twofold: to provide sociological data comparing sexuality both before and during pregnancy for women in developing countries as well as to look for differences in correlation between elements of sexuality and gestational age. Its intention is to help improve communication between physicians and patients in and from countries where social mores and traditions make such conversations difficult and uncommon.

Methods: Participants in the study included 1026 pregnant women at different gestational ages that presented to an Antenatal Outpatient Clinic in Istanbul, Turkey between April 2017 and November 2017. The participants were given ...


Efficacy Of Oral Celecoxib And Hyoscine Butyl-Bromide Versus Placebo During Copper Intrauterine Device Placement In Women Delivered Only By Elective Cesarean Section: A Randomized Controlled Study, Fatma F. Darweesh, Ahmed Samy, Ahmed M. Abbas, Mohamed Hamza, Ahmed Said Ali, Mohamed Hussein May 2020

Efficacy Of Oral Celecoxib And Hyoscine Butyl-Bromide Versus Placebo During Copper Intrauterine Device Placement In Women Delivered Only By Elective Cesarean Section: A Randomized Controlled Study, Fatma F. Darweesh, Ahmed Samy, Ahmed M. Abbas, Mohamed Hamza, Ahmed Said Ali, Mohamed Hussein

Proceedings in Obstetrics and Gynecology

Objective: To compare the efficacy and tolerability of celecoxib to hyoscine butyl bromide (HBB) and placebo in reducing pain scores during placement of copper intrauterine devices (IUD) in parous women who have undergone elective cesarean section and who have had no previous vaginal deliveries.

Methods: We conducted a randomized, double-blind, placebo-controlled trial at a tertiary University hospital from April 2018 to September 2018. The study included women who had never delivered vaginally and who desired copper IUD insertion. We randomized the study participants in a 1:1:1 ratio to celecoxib, HBB or placebo groups. They took the tablets orally ...


Placental Pouch Closure: A Novel, Safe And Effective Surgical Procedure For Conservative Management Of Placenta Accreta, Kamal M. Zahran, Mostafa M. Elsonbaty, Ahmed M. Abbas, Abdel Ghaffar M. Ahmed, Mohamed F. Mostafa, Mansour A. Khalifa, Ahmed Nasr, Ahmed F. Abdel-Kawi, Alaa Eldin A. Youssef May 2020

Placental Pouch Closure: A Novel, Safe And Effective Surgical Procedure For Conservative Management Of Placenta Accreta, Kamal M. Zahran, Mostafa M. Elsonbaty, Ahmed M. Abbas, Abdel Ghaffar M. Ahmed, Mohamed F. Mostafa, Mansour A. Khalifa, Ahmed Nasr, Ahmed F. Abdel-Kawi, Alaa Eldin A. Youssef

Proceedings in Obstetrics and Gynecology

Background: Placenta accreta spectrum (PAS) has become a global problem secondary to the high rate of cesarean delivery (CD). The current study presents an effective surgical procedure (placental pouch closure) for uterine preservation in patients with PAS.

Methods: We applied this procedure in sixty cases at a tertiary university hospital between September 2017 and January 2019. We included women who were diagnosed as PAS based on preoperative ultrasound and Doppler evaluation, and who had the desire for uterine preservation.

Results: The procedure was successful in almost all cases; the uterus was conserved 98.33 % of participants, with no associated severe ...


Disparities In Healthcare: A Focus On Native American Women’S Health And The System That Is Failing Them, Keely K. Ulmer May 2020

Disparities In Healthcare: A Focus On Native American Women’S Health And The System That Is Failing Them, Keely K. Ulmer

Proceedings in Obstetrics and Gynecology

Women’s health care has always been a hotbed for public attention. The upcoming presidential election and new state-level laws targeting reproductive rights have only brought these issues into greater prominence. While reproductive rights are an important topic on their own, we also need to talk about a subset of the greater issue that is often swept under the rug, to talk about women’s healthcare disparities on Native American reservations. Unless you live close to a reservation, you may have never thought to consider that a disparity even exists. Yet, as a female tribal member who has lived on ...


Scurvy Presenting As Vulvar Folliculitis, A Case Report And Review Of The Literature, Emily A. Weig, Diane Elas, Colleen K. Stockdale May 2020

Scurvy Presenting As Vulvar Folliculitis, A Case Report And Review Of The Literature, Emily A. Weig, Diane Elas, Colleen K. Stockdale

Proceedings in Obstetrics and Gynecology

This case examines clinical features and care of a patient with scurvy presenting with vulvar folliculitis.


Unique Health Needs And Characteristics Of Homeless Women In Iowa City, Iowa, Marielle E. Meurice, Christine Todd, Patrick B. Barlow, Anne H. Gaglioti, Lindsay Goad, Abbey Hardy-Fairbanks, Colleen K. Stockdale May 2020

Unique Health Needs And Characteristics Of Homeless Women In Iowa City, Iowa, Marielle E. Meurice, Christine Todd, Patrick B. Barlow, Anne H. Gaglioti, Lindsay Goad, Abbey Hardy-Fairbanks, Colleen K. Stockdale

Proceedings in Obstetrics and Gynecology

Context: Homeless individuals have comparatively poorer health, however few gender specific assessments exist.

Purpose: This cross-sectional survey of homeless individuals assesses gender-specific health needs.

Procedure: 68 Homeless adults were surveyed at a shelter from March to April, 2015 in Iowa City, IA. Descriptive statistics were computed to compare gender-subgroup responses.

Main Findings: The study population was predominately male (45, 67.2%), white (37, 54.4%), and averaged 42.35 years old (range 21-74). Males were more likely to be veterans (13, 28.9% vs. 1, 4.5%, p=0.025). Women were more likely to have dependents (9, 47.4 ...


Discovery And Analysis Of New Cocrystal Solid Forms Of The Anti-Hiv Drug: Emtricitabine, Elizabeth Keene Jan 2020

Discovery And Analysis Of New Cocrystal Solid Forms Of The Anti-Hiv Drug: Emtricitabine, Elizabeth Keene

Honors Theses at the University of Iowa

Emtricitabine (trade name: Emtriva) is an anti-HIV prevention and treatment drug. Emtricitabine (EMT) is used along with Tenofovir to form the combination-drug, Truvada, which is extremely effective in the prevention and treatment of HIV. Emtricitabine works by inhibiting reverse transcriptase and is conventionally administered orally in a tablet. Only one solid form corresponding to the pure drug is currently known. Cocrystallization is a method of creating novel solid forms by combining two or more components. In this context, cocrystallization is a good strategy to generate new and enhanced solid forms of Emtricitabine. Through our work with Emtricitabine, we generated new ...


Disrupting The Narrative Of Global South To Global North Immigration: Media Portrayals And The Immigrant Experience, Isabelle Breitfelder Jan 2020

Disrupting The Narrative Of Global South To Global North Immigration: Media Portrayals And The Immigrant Experience, Isabelle Breitfelder

Honors Theses at the University of Iowa

Immigration studies often focus on immigration from the Global South to the Global North and fail to recognize other patterns of immigration. The purpose of this study is to fill this lacuna of knowledge by quantitatively and qualitatively exploring immigrants’ perceptions and health experiences in their country of immigration—namely, Latin American immigration to the United States mainland, Dominican immigration to Puerto Rico, and Indian immigration to the United Arab Emirates. The primary research question is: What perceptions and health experiences do immigrants have en route to and upon arrival in their destination countries? A sub-question of the broader topic ...


Therapeutic Recreation As An Alternative Mental Health Treatment In Local And Global Corrections, Emily Brekke Jan 2020

Therapeutic Recreation As An Alternative Mental Health Treatment In Local And Global Corrections, Emily Brekke

Honors Theses at the University of Iowa

Around the world, nations are incarcerating individuals at alarmingly high rates. The over-incarceration of individuals for drugs and nonviolent crimes in recent history has led to an epidemic of incarceration, hindering the overall wellbeing of millions of individuals in every corner of the globe. Overcrowding, limited staffing, and underfunding represent just a few of the health and human rights challenges of international prison systems. As strategies of reformative justice through inmate rehabilitation and reintegration have gained prominence, prison systems are starting to focus on the high rates of mental illness in incarcerated populations which are further exasperated by internal prison ...


Effects Of Speaker-Identity Cueing On Listening Effort During Speech-In-Noise, Meghan Wickham, Jason Geller, Inyong Choi Jan 2020

Effects Of Speaker-Identity Cueing On Listening Effort During Speech-In-Noise, Meghan Wickham, Jason Geller, Inyong Choi

Honors Theses at the University of Iowa

The brain is an organ that performs a variety of intricate functions. Specifically, the brain has an amazing ability to recover the complexities of a speech signal within a mixture of sounds. The process of extracting the speech signal from background noise, however, is not necessarily straightforward or easy. Previous studies have developed the concept of “listening effort” as an umbrella term to include all cognitive demand listeners confront to understand speech. From a clinical standpoint, this term suggests that accuracy measurements alone are not sufficient, and a supplementary assessment of how hard a client must try in order to ...


Effects Of Inorganic Nitrate Supplementation On Heart Rate And Ventilatory Responsiveness To Acute Hypoxia And Blood Pressure In Patients With Obstructive Sleep Apnea, Thomas F. Asama, Joshua M. Bock, Darren P. Casey Jan 2020

Effects Of Inorganic Nitrate Supplementation On Heart Rate And Ventilatory Responsiveness To Acute Hypoxia And Blood Pressure In Patients With Obstructive Sleep Apnea, Thomas F. Asama, Joshua M. Bock, Darren P. Casey

Honors Theses at the University of Iowa

When individuals encounter periods of low oxygen, hypoxia, the peripheral chemoreflex works to restore saturation to normal levels. The peripheral chemoreceptors are responsible for sensing such decreases in oxygen and signaling consequent increases in ventilation and sympathetic-mediated cardiovascular (CV) responses. Aside from oxygen, other molecules like glucose, insulin, leptin, carbon dioxide, and nitric oxide (NO) have been shown to affect this reflex. NO, specifically, exhibits a reflex blunting effect demonstrated by various animal studies. Obstructive sleep apnea (OSA), a disease characterized by repeated mechanical occlusions of the upper airway during sleep, demonstrates both a pathophysiological sensitization of the peripheral chemoreflex ...


Lexical-Semantic Access And Organization In Children Who Are Hard Of Hearing: Evidence From Verbal Fluency Tasks, Mary Wille Jan 2020

Lexical-Semantic Access And Organization In Children Who Are Hard Of Hearing: Evidence From Verbal Fluency Tasks, Mary Wille

Honors Theses at the University of Iowa

Language acquisition is complex. Auditory access supports spoken language acquisition. Children with hearing loss have limited auditory access and therefore are at risk for poorer language outcomes compared to typical hearing peers. Because children who are hard of hearing (HH) develop language via degraded auditory input, they have reduced access to the fine-grained phonological information that comprises words. Their limited auditory access can also cause children who are HH to hear words in fewer semantic contexts than children with typical hearing (TH). These differences in phonological sensitivity and semantic knowledge may lead to weaker lexical-semantic representations in children who are ...


The Structure Of Semantic Memory In School-Age Children: An Erp Study, Hailey Verdick Jan 2020

The Structure Of Semantic Memory In School-Age Children: An Erp Study, Hailey Verdick

Honors Theses at the University of Iowa

The current study uses event-related potentials (ERPs) to examine how school-age children (5-8- years-old) organize lexical-semantic information in long-term memory. N400 amplitudes were examined as participants saw a picture and heard a word that either matched the picture (match), shared a majority of features with the picture (near violation), shared fewer features with the picture (far violation), or shared no features with the picture (between-category violation). Featural similarity modulated the amplitude of the N400 response, such that words sharing more features with the picture elicited smaller N400 amplitudes and words sharing fewer features with the picture elicited larger N400 amplitudes ...


Investigating The Roles Of Phonology And Orthography In Visual Word Recognition, Lindsey Meyer Jan 2020

Investigating The Roles Of Phonology And Orthography In Visual Word Recognition, Lindsey Meyer

Honors Theses at the University of Iowa

The nature of visual word recognition, the process of identifying written words, involves a relatively unknown importance of the letters (orthography) vs. the sounds that those letters represent (phonology). Anadromes are a pair of words that have either the same phonemes or letters in reverse order, and they offer a unique way to study the nature of visual word recognition by allowing the transpositions of letters and sounds and measuring the resulting activation trends. The relative influences of phonology and orthography in visual recognition can be studied by using three types of anadromes: orthographic (flow, wolf), phonological (tube, boot), and ...


Investigating The Nucleophosmin (Npm1) Protein In The Context Of Protein Aggregation In The Budding Yeast S. Cerevisiae, Tyler Atagozli Jan 2020

Investigating The Nucleophosmin (Npm1) Protein In The Context Of Protein Aggregation In The Budding Yeast S. Cerevisiae, Tyler Atagozli

Honors Theses at the University of Iowa

The Nucleophosmin (Npm1) protein is a nucleolar protein found in jawed vertebrates. It is primarily involved in ribosome biogenesis. Recent studies have proposed a new role for this protein as a protective agent colocalizing with cellular aggregates like firefly luciferase and the mutant huntingtin protein during stress conditions. In this study, the behavior of Npm1 was investigated in the budding yeast S. cerevisiae by fluorescence microscopy to see if Npm1 colocalizes or otherwise interacts with aggregates. I found that Npm1 redistributes to a subnuclear location after heat shock where it may colocalize with luciferase aggregates. HTTQ103, a mutant huntingtin protein ...


Primitive Reflex Integration In Intensive Physical Therapy And Gross Motor Function In Children With Cerebral Palsy: A Case Report, Alicia Bowden Dec 2019

Primitive Reflex Integration In Intensive Physical Therapy And Gross Motor Function In Children With Cerebral Palsy: A Case Report, Alicia Bowden

Doctor of Physical Therapy Program Case Reports

Background: The diagnosis of Cerebral Palsy (CP) is often very complicated with earlier diagnoses becoming possible. Primitive Reflexes are automatic, stereotyped movements, directed from the brain stem and executed without cortical involvement. CP can cause primitive reflexes to persist and interfere with the development of normal motor skills. Case Description: The patient is a 7-year-old girl who was diagnosed with Dystonic CP at 6 months of age. Intervention: An intensive physical therapy bout of 4 days a week for 4 weeks, 3 sessions/week in the clinic for 2 hours each and 1 session/week in the pool for aquatic ...


Vestibular Rehabilitation In A Pediatric Patient With Sensory Dysfunction Of The Vestibular System: A Case Report, Riley Bradley Dec 2019

Vestibular Rehabilitation In A Pediatric Patient With Sensory Dysfunction Of The Vestibular System: A Case Report, Riley Bradley

Doctor of Physical Therapy Program Case Reports

Background: Descriptions of children with sensory dysfunction of the vestibular system are sparsely cited in the literature. Notable improvements in vestibular dysfunction have been seen in adults with physical therapy interventions. Case Description: The patient was a 2-year-old child with notable vestibular dysfunction, a history of recurrent ear infections and child neglect. Examination procedures were limited by lack of vestibular outcomes specifically in this young population. Interventions consisted of balance activities, improving tolerance to multidirectional perturbations and gross motor skills. Outcomes: Vestibular outcome measures were unable to be used due to the child’s speech delay. Objective observations and tolerance ...


Modified Lsvt Big Treatment For A Patient With Progressive Supranuclear Palsy: A Case Report, Elise Brown Dec 2019

Modified Lsvt Big Treatment For A Patient With Progressive Supranuclear Palsy: A Case Report, Elise Brown

Doctor of Physical Therapy Program Case Reports

Background: Frequent falls, progressive postural instability, and gait abnormalities are common functional impairments in patients with Progressive Supranuclear Palsy (PSP). PSP can initially present like Parkinson’s Disease (PD), but these patients will show signs of progressing symptoms and poor response to dopaminergic therapy. Physical therapy treatment for patients with PSP is largely understudied and there is no known effective pharmacotherapy. Thus, the purpose of this case study is to describe the short-term outcomes of a modified LSVT BIG program for a patient with PSP. Case Description: A 69-year old male, with a recent diagnosis of PSP, was treated in ...


The Implementation Of Musculoskeletal Principles In A Clivus Chordoma Survivor With Neck Pain, Alyssa M. Gantz Dec 2019

The Implementation Of Musculoskeletal Principles In A Clivus Chordoma Survivor With Neck Pain, Alyssa M. Gantz

Doctor of Physical Therapy Program Case Reports

Background: Long term side effects of cancer treatments can have a significant effect on functional mobility. Radiation therapy can have significant effects on all body tissue, including muscle and connective tissue. Surgical resection of malignant tumors also carries post-operative side effects that can influence function. The purpose of this case study is to highlight the successful treatment of neck pain despite limited treatment options from a complex past medical history. Case Description: This case study details the treatment of a 56-year-old female with a history of a clivus chordoma. Adverse effects following surgical resection, cervical fusion, and radiation therapy compelled ...


Difficulty In Obtaining Functional Mobility Gains With Physical And Occupational Therapy In A Malnourished Patient: A Case Report, Marissa Gleeman Dec 2019

Difficulty In Obtaining Functional Mobility Gains With Physical And Occupational Therapy In A Malnourished Patient: A Case Report, Marissa Gleeman

Doctor of Physical Therapy Program Case Reports

Background: Nutritional anemia is due to deficiency of one or more nutrients required for hematopoiesis. It can be reversed by increasing the amount of deficit nutrients consumed. The role that nutritional anemia can play in physical therapy is not well studied. Purpose: The purpose of this case report is to describe poor functional mobility progression observed in one patient that had several co-morbidities, including nutritional anemia in an inpatient rehabilitation setting. Patient History: The patient is a 37-year-old female reporting to an inpatient rehabilitation facility after an acute hospital stay following her diagnosis of hypokalemia, severe protein malnutrition, and hypovolemic ...


Using A Symptom-Based Approach To Gait Progression In A Patient With Lateral Medullary Syndrome: A Case Report, Katie Hackert Dec 2019

Using A Symptom-Based Approach To Gait Progression In A Patient With Lateral Medullary Syndrome: A Case Report, Katie Hackert

Doctor of Physical Therapy Program Case Reports

Background: Descriptions of treatments are sparsely cited in the literature when using a symptom-based approach to physical therapy after a lateral medullary stroke. However, there are many treatment options available for gait progression in the inpatient rehabilitation setting whether the patient is having a good or bad day (referring to symptoms). Case Description: The patient was a 53-year old male who suffered posterior circulation strokes (later named Lateral Medullary Syndrome) and had a 30-day stay on an inpatient rehabilitation unit. Outcome Measures: FIM scores were used to evaluate progress from initial evaluation to discharge. Daily subjective reports were also used ...