Digital Commons Network^™

Alternating Muscle Activation Patterns Across The Deltoid Muscles During Sustained Fatiguing Contractions, Ningzhen Zhao, Xin Yu, Lisa Griffin

International Journal of Exercise Science: Conference Proceedings

Alternating muscle activation (AMA) across synergists has been identified in lower-extremity muscles that may function to prolong force output during sustained contractions; however, this has not yet been identified in upper extremity muscles. AMA consists of two periods: co-activation (Co-A), in which a pair of synergists are simultaneously increasing or decreasing EMG amplitude, and trade-off (TO), in which the EMG amplitude of one muscle is increasing while the EMG amplitude of a synergist is decreasing. We hypothesized that TO duration would increase and Co-A duration would decrease during fatigue. PURPOSE: To investigate AMA patterns during sustained submaximal isometric fatiguing …

De Novo Microdeletion Spanning Ywhae And Crk In An Individual With Intellectual Disability And Stunted Growth, Eden E. Pope, John A. Kriak, Kyle B. Bills, David W. Sant

Annual Research Symposium

In this report, we present a case of a 20-year-old female with congenital intellectual disability, stunted growth, and hypothyroidism. Competitive genetic hybridization (CHG) revealed a loss of a portion of 17p13.3 at least 195 Kb in size, not present in either parent. This area of chromosome 17 is associated with Miller-Dieker Syndrome (MDS) and Isolated Lissencephaly Sequence (ILS), but these conditions are related predominantly to PAFAH1B1, which is not included in the patient’s deletion.

Investigating The Interplay Between Glucose Regulation, Neural Activity, And Motivation: A Novel Approach Utilizing Vibration Stimulation, Blake D. Harris, Patrick Tanner Brain, Alessandra Maisie Rivera, Tiffany Nguyen, James Barber, Amar Paul, John Dougherty Jr., Matthew Jennings, Bridger Gunter, David W. Sant, Christina A. Small, Scott Steffenson, Kyle B. Bills

Annual Research Symposium

This research explores the intricate relationship between glucose regulation, neural activity, and motivation in key brain regions, including the hypothalamus, basal ganglia, ventral tegmental area (VTA), and nucleus accumbens (NA). We aim to unravel the potential relationship of these factors on dopamine (DA) release and the broader implications for mental health, glucose regulation, well-being, and overall health. Our innovative approach involves using a chair that causes heterodyned whole-body vibration designed to stimulate DA release from the VTA and NA, areas associated with motivation and rewards.

Shed Stem Cells: Antibacterial And Immunomodulatory Insights, Manju R Prof

Annual Research Symposium

SHED- Stem cells extracted from exfoliated teeth - resource for Stem Cell based regenerative therapy; multipotent in nature

We examined explored how SHED affects the growth of common oral bacteria, Streptococcus mutans and Enterococcus faecalis, and their role in regulating immune response.

Trichomonas Vaginalis Infection In Emergency Department Patients, Owen Christian Schubert

Annual Research Symposium

Trichomonas vaginalis (TV) is a common sexually transmitted infection (STI) that affects around 2.3 million women and 1.4 million men in the United States. TV infection in females can cause vaginal discharge, dysuria and abdominal pain and can be complicated by pelvic inflammatory disease, infertility, cervical neoplasia and increased transmission rates of other STIs. In males, TV can cause urethral discharge and dysuria, but is often asymptomatic and therefore not often studied. We seek to determine the rates of TV infection among male and female patients presenting to EDs for STI evaluation in the Las Vegas metropolitan area, and compare …

Exploring The Interconnected Role Of The Oral Microbiome And Periodontal Disease In The Development And Progression Of Oral Squamous Cell Carcinoma, Malak Al-Regib, Claudia M. Tellez Freitas

Annual Research Symposium

This comprehensive review explores the complex linkage among the oral microbiome, periodontal disease, and the onset and progression of oral squamous cell carcinoma (OSCC).

Establishing Optimal Tools For An Anatomy Laboratory On The Six-Point Mastery Learning Model, Alice Akunyili, Kanee Lerwill, Dietrich Lorke

Annual Research Symposium

Roseman University of Health Sciences (RU) is establishing a new College of Medicine in Southern Nevada with the goal of transforming Medical Education and Healthcare delivery. To this end, facilities and resources for an integrated anatomy education need to be established, considering best practices for anatomy education. At Roseman University the six-point learning mastery model is at the center of the process of delivering the study materials. This combination of anatomy lab design and educational resources, i.e., plastinated human organs, anatomical models, simulators and virtual anatomy tools, within our block curriculum, will allow for an innovative and inclusive competency-based anatomy …

The Warren N. Barr Tower, Advocate Health - Midwest

Historical Documents - Combined

The Warren N. Barr Tower, Chicago, IL: Advertisement for the Warren N. Barr Tower, a 20-story apartment building located at 836 West Nelson Street, across from Illinois Masonic Medical Center. It was built in 1973 to meet the housing needs of IMMC residents and students. Advertisement is stamped Mar 12, 1981.

Family Tourism: Understanding The Concept And Improving The Parents - Children Relationship, Anukrati Sharma Anu, Shruti Arora Dr.

Journal of Sustainability and Resilience

Family tourism is driven by the increasing importance placed on promoting family togetherness, keeping family bonds alive and creating family memories. It not only builds life long memories, but also gives break away from the usual routine, opening the minds to new cultures, foods and experiences and even good for health. According to the researchers, positive relationships between parents and children are important for children’s overall development and builds trust. Various articles on family tourism from 2010 to 2023 were gathered from the Web of Sciences, UGC Journals, Scopus indexed journals, books, websites and was reviewed by the researchers.

Examining Crises Resilience In Tourism : A Systematic Review Of Literature, Kanyamwa Lunanga Félix, George Ariya, Priscillah Omagwa

Journal of Sustainability and Resilience

This study is the systematic review of literature on the resilience of tourism businesses. Following the various crises and disasters that shook the World between 2000 and 2020, the interest of researchers in tourism resilience has increased significantly. Despite the interest felt by these scientists, the notion of resilience has remained fragmented in terms of its definition and dimensions. This review presents an overview of the literature on the resilience of tourism businesses from 2013 to June 2023. The study revealed that there is a lack of cohesion in the literature on resilience from the definition to its influencing factors. …

Biological Stimulants Increase Fertilizer Efficiency And Pasture Legume Content, P. R. Espie, S. Haswell, A. Barton

IGC Proceedings (1977-2023)

The effects of a soil biological stimulant (SS) and biologically activated reactive phosphate rock (BAP) on pasture yield and botanical composition were examined in a field trial in low-fertility New Zealand rangeland. BAP application significantly increased pasture yield by 60% and BAP plus biostimulant increased yield by 120%. BAP significantly increased resident legume cover by 75% and BAP with biostimulants by 85%. Alfalfa, direct drilled as an indicator test species, increased in establishment from 0 to 3.8 plants m-2 with BAP and to 4.2 plants m-2 with BAP plus biostimulant. Biostimulant applied alone increased yield by 17%, legume cover by …

Preparing Grasslands Scientists For Careers In International Agriculture, M. Eilittä

IGC Proceedings (1977-2023)

Livelihoods of a billion poor people depend on grasslands. Dedicated and trained experts are needed to support grasslands’ sustainable development under increasing pressures in the future. For some grasslands scientists, a career in international agriculture is the principal focus from the start of their education. For others, interest in international agriculture emerges during their careers. All require international opportunities to ensure that their efforts are focused on important priorities, that they understand the environment they work in, and that their professional networks are up to date. This paper reflects on ways for grassland scientists to be engaged in international agriculture …

How ‘Pasture For Life (Championing 100% Pasture-Fed Ruminant Products) Has Taken Off In The Uk – From The Bottom Up!, S. J. Gregson

IGC Proceedings (1977-2023)

Ten years ago Pasture for Life (PfL) was a collection of around 50 UK farmers who were producing high quality ruminant food products wholly from pasture. They were regenerative farming pioneers and PfL was run by volunteers and funded through various grants. In the past two to three years, membership has increased significantly, nearing 1,000 with almost 150 certified Pasture for Life (100% grass-fed). The organisation is now run by a paid executive and is bursting with energy, conversation, and learning. Members are mainly farmers, but also include butchers, chefs, vets, academics and consumers – all keen to champion the …

What Did We Learn About Vads In 2023?, Maya Guglin

The VAD Journal

This is our 10^th annual literature review on mechanical circulatory support (MCS) devices. All of our previous reports were well received by the readers.^1-9

In this paper, we summarized the most interesting and important, from our standpoint, publications from 2023. There may be some slight overlap with the end of 2022, because some papers were published online first, and the year of publication changed when they became available in print.

For the seventh time this year, we wrote a section on extracorporeal membrane oxygenation (ECMO), which primarily addresses new developments in veno-arterial ECMO.

Readers who wish to supplement …

Teamworks, South Edition, 1999 March 9, Advocate Health - Midwest

Historical Documents - Combined

Aurora Health Care, Milwaukee, WI: March 9, 1999 South Edition of Teamworks, a newsletter for Aurora Health Care South Region employees and volunteers. Article topics include the opening of Aurora Medical Center in Kenosha and the new leadership team at Kenosha.

Non-Hodgkin's Lymphoma Of The Oral Cavity - A Rare Entity, Anita J. Florence Dr, Karpagaselvi Sanjai Prof & Dr

Annual Research Symposium

Non-Hodgkin’s lymphoma (NHL) is a subtype of lymphoma with two-thirds of the cases presenting as lymph node enlargement. The remaining one third of NHL cases has been reported in the extra nodal sites, including the gastro-intestinal tract, Waldeyer’s ring, bone, skin and brain. Intraoral NHL is uncommon and may affect either the jaw bones or occur within the soft tissues of the oral cavity. Here we report an unusual case of non-Hodgkin’s lymphoma in a 54-year-old male patient who presented with a growth from the right lower molar extraction socket with pus discharge.

Assessment Of Position Of Mental Foramen, Intermental Foramen Distance And Its Correlation With Age And Gender Among Pediatric Patients, Arshia Raviraj Raviraj

Annual Research Symposium

The aim of this study was to assess the position of mental foramen, inter-mental foramen distance, and its correlation with age and gender between 9 to 12 years of age.

Modified Zero-Gravity Chair In The Management Of Pain And Anxiety With Emphasis On Pre And Post Anesthesia For Surgical Procedures, Alexander Tisdale, Kinsley Batson, Zachary Jamous, Isabella Termini, Kyle Mooday, Matt Cohn, Jackson Justice

Annual Research Symposium

The purpose of this research is the integration of a zero-gravity chair with planar vibration as a non-pharmaceutical approach to preoperative anxiety and postoperative pain management. The treatment plan involves preoperative familiarization with the chair's vibrational patterns and postoperative use for pain relief. Integration of this approach holds promise in reshaping postoperative care paradigms, advocating for personalized, holistic interventions to enhance patient well-being and mitigate opioid-related risks.

Ocular Syphilis: A Case Report And Public Health Discussion, Andrew L. Fine, Hope V. Daskalakis, Rutwik Pradeep Sharma M.D., Mirna Ogeilat M.D.

Advances in Clinical Medical Research and Healthcare Delivery

Ocular Syphilis describes a localized manifestation of a systemic treponema pallidum infection. It most commonly presents with decreased visual acuity due to uveitis and can occur at any time throughout the disease course. This report describes a case of undiagnosed syphilis that was serendipitously diagnosed with blood product screening. This case highlights the need for better public education and outreach pertaining to sexually transmitted infections. This report will detail this patient's clinical course and discuss how healthcare providers can aid in early disease detection to improve both patient outcomes and overall public health.

New Onset Positive Autoantibodies Following Covid-19 Infection, David Hernandez, Adnaan Sheikh, Shakira Laing, Mariana Adieb, Omar Siddiqui, Rohail Baig, Annabel Antonini, James Vienneau, Camden Burns

Advances in Clinical Medical Research and Healthcare Delivery

The World Health Organization (WHO) declared the novel coronavirus (COVID-19) outbreak a global pandemic on March 11, 2020. Since the original outbreak in December 2019, over 100 million people have been confirmed to have been infected by COVID-19 and over two million people have died. The presentation seen in patients may vary widely based on multiple factors. Fever has been reported in up to 99% of patients, while other common symptoms seen are dyspnea, fatigue, anosmia, and myalgia. Around 80% of COVID-19 patients present with a mild respiratory illness that can be managed at home, while around 15% need basic …

Uncommon Presentation Of Kaposi Sarcoma In An Hiv-Negative Patient: A Case Report And Review Of The Literature, Hope Daskalakis, Nina M. Ventura, Joy Anne Lowry, Mara Weinstein Velez

Advances in Clinical Medical Research and Healthcare Delivery

Kaposi Sarcoma (KS) is a multifocal systemic disease first identified in 1872. It most commonly involves the skin, mucous membranes, lymph nodes, and gastrointestinal tract. There are four clinically distinct subtypes of KS that have been identified: Chronic or classic KS, African endemic KS, KS due to iatrogenic immunosuppression, and AIDS-related epidemic KS. The human herpesvirus 8 (HHV-8) has been implicated in all subtypes of KS. We present a unique case of KS in a 79-year-old male with a widespread distribution of skin lesions on his palms, soles, chest, and back. This case report highlights a novel presentation of classical …

A Case Of Streptococcus Constellatus Bacteremia Secondary To Respiratory Syncytial Virus Bronchiolitis In A Neonate, Ronald G. Lott Iii, Samantha M. Lavertue, Xavier Zonna, Samuel Wlasowicz, Roland Zhang, Ravi Kavuda

Advances in Clinical Medical Research and Healthcare Delivery

Common causes of bacteremia in the neonatal period include group B streptococcus, listeria, and E. coli. We report a rare case of neonatal bacteremia with culture-positive Streptococcus constellatus. Streptococcus constellatus is part of the normal flora of the orogenital regions of the body; when found elsewhere, it causes pyogenic abscesses in the brain and digestive tract. In this case, the Streptococcus constellatus bacteremia was secondary to prolonged hospitalization in a patient with respiratory syncytial virus (RSV) bronchiolitis. This report serves to make physicians aware of and to define treatment options for Streptococcus constellatus as a rarely isolated organism that …

Primary Adrenal Insufficiency In Autoimmune Polyglandular Syndrome Type 1 - A Case Report And Literature Review, Hafiza A. Qadeer Md, Reshma Samkutty, Caitlyn Moss

Advances in Clinical Medical Research and Healthcare Delivery

Autoimmune Polyglandular Syndrome (APS) type 1 is a rare autosomal recessive disorder secondary to AIRE gene mutation, that is classically characterized by autoimmune hypoparathyroidism, chronic mucocutaneous candidiasis and Addison’s disease. A review of the literature shows that these disease manifestations may present in any order in different age groups. Patients with APS type 1 are also at risk for other endocrinopathies. We present the case of a female patient with a history of APS type 1 and type 1 diabetes who presented with new onset hypoglycemia and decreased insulin requirement and was diagnosed with new onset adrenal insufficiency due to …

A Rare Appendiceal Mucocele Of The Appendix Captured On The Ultrasound: Case Report, Vera Shulgina, Meghan Single, Joel Thompson

Advances in Clinical Medical Research and Healthcare Delivery

Appendiceal mucocele is a rare disease which results from an accumulation of mucus in the lumen of the appendix, leading to distension and obstruction of the lumen. Clinical diagnosis is often delayed, as the presenting symptoms are usually non-specific. Even with the use of imaging, preoperative diagnosis is difficult. The treatment is surgical, with the extent determined by the surgical specimen. Definitive diagnosis is by histopathology. Our case report presents a rare case of appendiceal mucocele originally captured by ultrasound. The aim of this paper is to further understand the clinical presentation, discuss key ultrasound findings, and examine the proper …

Radio-Histopathological Presentation And Multidisciplinary Treatment Of Adolescent Paratesticular Rhabdomyosarcoma: A Case Report, Troy Nguyen, Joseph Hatem, Abhijit Datir, Joel Thompson

Advances in Clinical Medical Research and Healthcare Delivery

Paratesticular rhabdomyosarcoma (PRMS) is a rare condition predominantly affecting the pediatric and adolescent population. In this case report, we discuss a 17-year-old male with a slow-growing, painless scrotal mass, ultimately diagnosed as embryonal PRMS — the most common and favorable rhabdomyosarcoma subtype. The report underscores the typical clinico-radiological presentation of PRMS and the pivotal part of histopathological evaluation in establishing a definitive diagnosis. Multidisciplinary intervention including surgery and chemoradiotherapy resulted in total remission. Therefore, this report underlines the significance of prompt diagnosis and comprehensive management in ensuring a favorable prognosis of PRMS.

Covid-19-Associated Myocarditis: Screening For Early Diagnosis, Yousuf Khan, Salmman Ahmed, Samuel John Wlasowicz, Ronald G. Lott Iii, Xavier C. Zonna

Advances in Clinical Medical Research and Healthcare Delivery

The SARS-CoV-2 virus (causing COVID-19), has infected about 770 million people, and caused the death of about 6.9 million people worldwide in the span of three years (John Hopkins Resource Center). Common symptoms of a patient infected with the virus include shortness of breath, fever, chills, fatigue, loss of taste or smell, and muscle aches. However, recent studies have also shown a prevalence of patients presenting with cardiac inflammation (endocarditis, myocarditis or pericarditis) as a potential comorbidity, both during the infectious stage as well as after the infection has subsided. A pattern of specific clinical markers may be indicative of …

Intracystic Hemorrhage In A Simple Liver Cyst Due To Dual Anti-Platelet Therapy After Percutaneous Coronary Intervention, Nauman Naeem, Andrew Takla, Saarwaani Vallabhajosyula, Nagesh R. Jadhav

Advances in Clinical Medical Research and Healthcare Delivery

Hemorrhage into a simple hepatic cyst often results in development of a complex cystic lesion, which makes this identical to a cystic tumor. We present a striking example of this decision-making in a patient with suspected intracystic hemorrhage from recent anti-platelet medication use post-percutaneous coronary intervention (PCI). 83-year-old male presented to the hospital with acute right upper quadrant (RUQ) abdominal pain, severe and constant. This was associated with nausea and constipation. Medical history was significant for recent PCI and initiation of dual anti-platelet therapy (DAPT) ten days ago, and chronic thrombocytopenia. Ultrasound and CT confirmed complex 12.8 x 11.4 x …

Advances In 2023: Update And Honoring Our Peer Reviewers, Richard Alweis, Elizabeth Mamo, Christina Goodermote

Advances in Clinical Medical Research and Healthcare Delivery

The Editors review the performance of the journal and thank the peer reviewers for 2023.

Successful Orthodontic Treatment Of Bimaxillary Protrusion Case With An Ankylosed Incisor—A Case Report And Decision-Making Process, Shu-Cheng Lin, Szu-Ching Lee, Yi-Ching Ho, Kai-Hsiang Chuang, Tzu-Ying Wu

Taiwanese Journal of Orthodontics

The treatment of ankylosed incisor is challenging for orthodontists, necessitating accurate diagnosis, well-considered treatment planning, and close collaboration among interdisciplinary teams to achieve favorable esthetic and periodontal outcomes. For ankylosed cases, accurate diagnosis depends on detailed clinical examination and 3D radiographic images. This case report described the treatment of a bimaxillary protrusive female with an ankylosed maxillary left central incisor. The decision regarding treatment was based on the severity of dental ankylosis and replacement root resorption. Each treatment plan comes with its own set of advantages and disadvantages. In this case, the decoronation treatment plan and prosthesis was implemented, resulting …

Orthodontic And Surgical Treatment Of A Patient With Cleidocranial Dysplasia Syndrome: Introducing A New Appliance For Traction Of Multiple Impacted Teeth, Sanaz Soheilifar, Sepideh Soheilifar, Sara Soheilifar, Navid Naghdi

Taiwanese Journal of Orthodontics

Cleidocranial Dysplasia (CCD) is a syndrome that causes skeletal growth disturbances. The impaction of many permanent teeth and several supernumerary teeth are among the dental problems of patients with this syndrome. This patient was a 14 y/o girl with CCD syndrome. She was skeletal Cl III with reverse overjet; many impacted teeth, and several supernumerary teeth. Orthodontic treatment was done in two stages. In the first stage, supernumerary anterior teeth were extracted, and the impacted teeth were exposed for traction. In the second stage, posterior supernumerary teeth were removed, and upper canines and posterior impacted teeth were exposed for forced …