Digital Commons Network^™

Diaphragmatic Adjacencies: Pulmonary Embolism Presenting As Abdominal Pain, Joseph Piraneo, Christopher Schwartz, Russell Mordecai

Rowan-Virtua Research Day

Pulmonary embolism is a common yet potentially life-threatening diagnosis that should not be missed in the Emergency Department. Common presenting symptoms include dyspnea, pleuritic chest pain, cough, hemoptysis, syncope or pre-syncope. Less often, however, presenting symptoms can include abdominal pain. A clinician should recognize that pain adjacent to the diaphragm (including the lower chest and upper abdomen), can be secondary to underlying pathology either above or below the diaphragm. Here we describe an unusual case of pleuritic, post-prandial, right upper quadrant abdominal pain that was a result of pulmonary embolism.

Case Report: The Heart Breaking Tale Of Takotsubo In The Ed, Richard Baluyot, James Espinosa, Alan Lucerna, Sergey Medlenov, Joseph Pagano, Bhumi Shah

Rowan-Virtua Research Day

Chest pain is one of the most common chief complaints that emergency room physicians deal with on a daily basis. Here we present a rare cause of chest pain on a patient diagnosed with takotsubo cardiomyopathy. This is a condition that has been on the rise since its initial discovery and therefore clinicians should consider this on their differential when assessing patients with chest pain, especially postmenopausal women.

Effect Of Osteopathic Manipulative Treatment In Patients With Postural Orthostatic Tachycardia Syndrome (Pots): A Literature Review, Sidharth Sahni, Harrison Jordan, Binoy Desai, Danielle Cooley, Alexander King

Rowan-Virtua Research Day

Postural Orthostatic Tachycardia Syndrome (POTS) is characterized by autonomic dysregulation resulting in diminished blood flow and excessive tachycardia.

POTS has been scarcely studied in the clinical setting. A review of literature generated only four articles, only one of which met the established criteria.

A follow up study to evaluate the effect of OMT on the quality of life for patients with POTS is planned. The hypothesis is that osteopathic manipulation plays a role in the management of POTS, as patients should experience improvement in their symptoms and their overall quality of life.

Digoxin Toxicity And Acute Renal Failure In A 75 Year-Old Female, Daniel Zaayenga, Andrew Caravello, Nicholas Tomasello

Rowan-Virtua Research Day

Digoxin toxicity can present with varying manifestations. While pathognomonic symptoms such as xanthopsia (object appearing yellow) are a board favorite it is not a required finding and is in fact not seen with most patients. Rather digoxin toxicity presents with more non-specific symptoms such as GI distress (anorexia, N/V) neurological distress (lethargy, fatigue, delirium, confusion, disorientation, weakness. EKG findings are varied and include premature ventricular contractions, bradycardia, atrial tachyarrhythmias with AV block, ventricular bigeminy, junctional rhythms, various degrees of AV nodal blockade, ventricular tachycardia, and ventricular fibrillation. Although rarely seen, digoxin is one of the only causes of bidirectional ventricular …

Comparing The Relapse Rate Between Medication Assisted-Only Treatment And Medication-Assisted Treatment With An Osteopathic Manipulative Treatment Regimen In Patients With Musculoskeletal Pain, Karen Huang, Danielle Cooley

Rowan-Virtua Research Day

Since the opioid crisis first began in 1991, opioid-related overdoses in the United States have continued to increase dramatically, killing nearly 47,000 people in 2018, and making it one of the most pressing issues in healthcare. The most reported reason for misuse of pain relievers was to relieve physical pain. The increase in opioid abuse has also led to an increase in patients seeking medication-assisted treatment (MAT).

Osteopathic manipulative treatment (OMT) has been shown to have efficacy in relieving both chronic and acute pain. No current studies have investigated the use of OMT as an adjunct treatment to MAT for …

Charles Bonnet Syndrome: A Case Report, Christian Scouarnec, Martin M. Forsberg

Rowan-Virtua Research Day

Charles Bonnet syndrome (CBS) involves nonthreatening hallucinations in patients who have no neurological and no psychological abnormalities but with significant visual impairment secondary to ocular disease, such as macular degeneration, cataracts and diabetic retinopathy. When a patient loses vision, their visual system doesn’t process new images. Without data coming through the eyes, the brain fills the void and makes up images or recalls stored images for you to see and this is what causes the hallucinations in CBS.

Many physicians are unaware of CBS and its prevalence, and with proper detection, physicians can help treat their patients with a frequently …

Examining The Relationship Between Adolescent Obesity Rates And School Health Programs In Grades 9-12 In The United States, Joseph Melillo, Alison Mancuso

Rowan-Virtua Research Day

- In the United States, it was found that the prevalence of obese adolescents ages 12-19 was 21.2%.1

- According to a study by Ward et. al published in the New England Journal of Health (NEJH), the researchers estimated 88.2% of obese 19-year-olds would still be obese by the age of 35.2

- The purpose of this study was to evaluate school provided health programs and their impact on BMI values of students within these schools.

- This study aimed to compare health outcomes between different schools across the United States and identify aspects of school programming that can be …

Extragonadal Perirectal Mature Cystic Teratoma In The Adult Male, Pranamaya Mahankali, Liam Trimble, Diana Panciera, Hui Li, Thaer Obaid

Rowan-Virtua Research Day

A teratoma is a mass that originates from the germ cells of the three primitive embryonic layers and commonly arises from the ovaries or testicles, thereby characterized as gonadal in origin. These masses comprise different types of tissues such as fat, hair, muscle, and bone. Extragonadal teratomas are uncommon and arise from anatomical locations other than the gonads, such as the pineal gland, anterior mediastinum, retroperitoneum, and sacrococcygeal regions. The most common is the presacral region, as it contains tissue derived from all germ layers. Tumors in this specific location are far more common in neonates, infants, and children rather …

Investigation Of Emergency Department Visits And Hospitalization Rates Of Child Physical Abuse At Cooper University Hospital Prior To And During The Covid-19 Pandemic, Afeerah Ahmad, Rachel Silliman Cohen, Laura Brennan

Rowan-Virtua Research Day

The COVID-19 pandemic has been detrimental for children. Many families have experienced stressors, including unemployment, financial hardship, and familial illness. These factors all pose increased risk for child physical abuse. Limitations in child welfare services affected investigations and provision of services to high-risk families. The extent to which the rates of physical abuse in NJ have been affected is unknown. We sought to answer the question of whether the COVID-19 pandemic affected the severity of physical abuse and the incidence of physical abuse presenting to Cooper University Hospital.

We hypothesized that there would be a higher proportion of severe child …

Improving Health Literacy In Underserved Youth, Paul Lee, Stephanie Parks, Sydney Wiredu, Dhaval Shah, Archana Salek

Rowan-Virtua Research Day

Health literacy is an individual’s capacity to obtain, process and understand basic health information needed to make appropriate health decisions. There are disparities in health literacy across age, gender, ethnicity, location and socioeconomic status. Children aged 12-17 are an important target group regarding health literacy research because of the fundamental cognitive, physical and emotional development processes occurring that affect health related skills and behaviors.

The objectives of this project were to:

• Identify the disparities of health literacy in varying demographics with regards to age, gender, location and socioeconomic areas
• Determine barriers affecting health literacy comprehension and knowledge in the target …

Migratory Dermatographic Urticaria Following Covid-19 Vaccine Booster In Young Adult Male, Richard A. Maiella, Kelly Staples, Ashok Veldanda

Rowan-Virtua Research Day

With the recent approval of booster vaccinations in the United States for adults who already received their primary vaccinations, millions of adults have been administered the Pfizer-BioNTech or Moderna booster vaccines.

Adverse events related to these vaccines continue to be reported and are majority self-limited. In this case report, we present a young male who acquired chronic, migratory dermatographic urticaria two weeks after administration of the Moderna mRNA-1273 COVID-19 vaccine booster.

Omm As A Complementary Therapy For Chronic Shoulder Overuse Injury In A Division Iii Softball Pitcher, Drew Saltzman, Ruchir Nanavati, Taylor Parsons, Seungkyu Park, David Abend

Rowan-Virtua Research Day

At the height of the season, baseball and softball pitchers are playing 4-5 games a week and practicing on days without games. As a result, they put tremendous additive stress on their throwing shoulder and elbow joint.

This case utilized a novel, non-invasive osteopathic approach to improving shoulder mobility in a Division III athlete. If used on a regular basis, the shoulder mobility technique shows utility for athletes suffering from overuse injury. Our patient showed mild qualitative improvement, however they continue to use OMM as complementary treatment and describe a moderate qualitative improvement.

Effect Of Mycorrhizae Inoculation On The Growth And Success Of Three Taxodium Distichum Hybrids In Saline - Impacted Coastal Soils, Elif Ilhan

Electronic Theses and Dissertations

In 2008, Galveston Island was severely impacted by Hurricane Ike, resulting in high salt deposition in the soil and groundwater. This caused a loss of many native plant species. A study was initiated to determine effective ways to promote the growth conditions of three bald cypress genotypes (Taxodium distichum var distichum and Taxodium distichum var mexicanum crosses) in salt-affected soils. The treatments applied were mycorrhizae inoculation, fertilizer application, and a combination of mycorrhizae inoculation and fertilizer application. A total of sixty (60) trees planted in plots of three rows and divided into five randomized replication blocks of four treatments …

Tetracapsuloides Bryosalmonae Ecology In Southwest Montana, Paul Helfrich

Graduate Theses & Non-Theses

Tetracapsuloides bryosalmonae is a microscopic myxozoan parasite of freshwater bryozoans and salmonid fish. Infection by T. bryosalmonae under certain environmental conditions causes a deadly immune response in salmonid hosts known as proliferative kidney disease (PKD). Although T. bryosalmonae is present in rivers in western Montana, its distribution, as well as that of its bryozoan hosts, is poorly understood. Environmental chemistry, environmental DNA (eDNA), and bryozoan surveys were conducted at 10 study sites on the Big Hole River and Madison River to assess the presence of the parasite and bryozoans in these areas. T. bryosalmonae DNA was detectable across a wide …

Electromechanical Fatigue Properties Of Dielectric Elastomer Stretch Sensors Under Orthopaedic Loading Conditions, Andrea Karen Persons

Theses and Dissertations

Fatigue testing of stretch sensors often focuses on high amplitude, low-cycle fatigue (LCF) behavior; however, when used for orthopaedic, athletic, or ergonomic assessments, stretch sensors are subjected to low amplitude, high-cycle fatigue (HCF) conditions. As an added layer of complexity, the fatigue testing of stretch sensors is not only focused on the life of the material comprising the sensor, but also on the reliability of the signal produced during the extension and relaxation of the sensor. Research into the development of a smart sock that can be used to measure the range of motion (ROM) of the ankle joint during …

Data-Driven Decision-Making: Using Counterfactual Predictions To Allocate Scarce Homeless Services Fairly And Efficiently, Amanda Rose Kube

Arts & Sciences Graduate Student Theses and Dissertations

Artificial intelligence, machine learning, and algorithmic techniques in general, provide two crucial abilities with the potential to improve decision-making in the context of allocation of scarce societal resources. They can flexibly and accurately model treatment response at the individual level, potentially allowing us to better match available resources to individuals. In addition, they can reason simultaneously about the effects of matching sets of scarce resources to populations of individuals. This thesis leverages these abilities to study algorithmic allocation of scarce societal resources in the context of homelessness. In communities throughout the United States, there is constant demand for an array …

Effects Of Victimization And Community Characteristics On Health Outcomes, Katie Meyer

Department of Sociology: Dissertations, Theses, and Student Research

Drawing on the neighborhood disorder model, the environmental stress model, and general strain theory, this study examined the effects of victimization experiences, anticipated victimization, and perceived community characteristics on overall physical health and mental health outcomes. This study used cross-sectional survey data from the 2014-2015 Nebraska Annual Social Indicator Survey (NASIS). Linear regression was used to examine how victimization experiences, worry about victimization, community context, and perceptions of crime and policing were associated with the health outcomes, controlling for demographic characteristics. The findings show that more worry about crime, less positive community perceptions, and less perceived police protection were associated …

Statutory Provisions Governing Special Education: A Guide For Beginning Special Education Teachers, Hannah Sagvold

Dissertations, Theses, and Projects

Special education law is complex and ever-changing. Despite receiving a formal education, beginning special education teachers often lack the knowledge of these policies and procedures, as well as any updated provisions relating to these laws (Brookshire & Klotz, 2002). In order to provide a legally compliant education to all students, teachers must be held accountable for the proper implementation of these laws (Sanders, 2011). Current research suggests that a large majority of teachers overestimate their knowledge of special education law, when in reality, a significant knowledge gap exists (Sanders, 2011 & Horner, Mrachko, O’Connor & Yasik, 2020). It is imperative …

Biometal Distribution And Diffusion: Contrast Resolution By Low Energy Mammography Versus High Spatial Resolution By Computed Tomography, Guito Charles, Robert O’Brien, Areeba Masroor

Publications and Research

Low energy X-rays from a Mammography system were used to capture small differences in inherent tissue contrast in two-dimensional images of cut samples of select fruit and vegetable models avoiding excessive volume averaging. High spatial resolution CT images were also acquired of whole fruits to avoid volume averaging to help detect low tissue contrast. A limitation of CT imaging is the high kVp unavoidable in CT that lowers tissue contrast while the advantages are that of non-invasive 3D visualization. Using these two approaches that are very different in physical principles it is not known if either one could display possible …

The Living Breakwaters Pdr Efforts: Conceptual Scheduling, Calvin O. Walters Jr.

Publications and Research

On October 29, 2012, Superstorm Sandy caused nearly $19 billion in damages in New York City including 69,000 residential units across the five boroughs. This disaster precipitated a post-disaster-rebuilding (PDR) project including roughly $4.2 billion in a Community Development Block Grant allocated towards PDR projects. A portion of the grant was used to construct a living breakwater in Tottenville, Staten Island, consisting of a resiliency approach to risk reduction through erosion prevention, wave energy attenuation, and enhancement of ecosystems and social resiliency to improve resistance to storms for the community of Tottenville. The ridges of each breakwater are designed with …

Exploring Solidworks Simulation And Structural Analysis Tools To Predict Real-World Physical Behaviors, Itay Rubin

Publications and Research

Computer Aided Design (CAD) Software can optimize the product design process prior to manufacturing. This project examines engineering solutions using CAD software called SolidWorks. It simulates how the product will behave under a variety of engineering constraints. These simulations allow designers to optimize performance, cost, and speed efficiencies. The project uses simulations and finite element analysis to replicate real world behavior. It presents high-level capabilities in the design process, exposing new engineers to simulation tools that are available and relevant in mechanical engineering design. This project required independent research to obtain an advanced understanding of the software interface and capabilities.

Lake Satellite Temperature Data Validation, Mamadou Balde, Pascal Kouogang

Publications and Research

In environmental remote sensing, satellite data isn't absolutely conclusive, for that reason, there is a natural need to verify the data acquired from the satellite. The most suitable tool to achieve such verification is on ground sensors that have the advantage of proximity. Addressing any possible discrepancies between the satellite data and the ground sensor data is sure to yield ways to come up with improvements of satellite band calibration and sensing capabilities. This research focused on correlating temperature data from the MODIS satellite with the data obtained from the In Situ sensor located in Lake Sunapee. Doing the latter …

Calkas’S Daughter: Paternal Authority And Feminine Virtue In Troilus And Criseyde, Jennifer Alberghini

Medieval Feminist Forum: A Journal of Gender and Sexuality

The heroine of Geoffrey Chaucer’s Troilus and Criseyde has been of considerable interest to medieval feminist scholars as a woman who is depicted as both virtuous and an adulteress. Yet critical discussions do not often view Criseyde’s virtue in light of her role as daughter. This article explores that role, focusing on how her father Calkas is described by the characters as having authority over his daughter’s body in the marriage market. This will later enable them to use him as an excuse for Criseyde’s failure to return to Troy and thus preserve her status as virtuous. However, the characters …

Medieval Feminist Forum: A Journal Of Gender And Sexuality 57.2 (2022)

Medieval Feminist Forum: A Journal of Gender and Sexuality

No abstract provided.

Affect And The Tomb In Robert Henryson's Testament Of Cresseid, Elizabeth Elliott

Medieval Feminist Forum: A Journal of Gender and Sexuality

The penultimate verse of Henryson’s Testament of Cresseid suggests the possibility that Troilus raised a monument in memory of his former love, Cresseid: “Sum said he maid ane tomb of merbell gray” (l. 603). Examining the political implications of this uncertain act of memorialisation, this article considers how Henryson's poem mobilises the reader's emotional response to constitute Cresseid as a mourned subject, whose subjectivity is recognised only insofar as it is limited to suffering and death. In doing so, the Testament also establishes a subjectivity for women that offers conditional tolerance predicated on respectable behaviour, contributing to the historical production …

John Crophill: A Trustworthy Man In Fifteenth-Century Rural England (Gms Essay Prize Article), Rehan Shah

Medieval Feminist Forum: A Journal of Gender and Sexuality

This paper explores the role of trust and trustworthiness in the masculine gender identity of the fifteenth-century bailiff and medical practitioner John Crophill (d. c. 1485) who resided in Wix, Essex. Drawing on evidence from his personal notebook, the work argues that Crophill was aware of the need to construct his trustworthy reputation, a requirement enacted via his own interaction with other individuals. A consideration of three separate elements of his persona (party host, craft master, and probable involvement with childbirth) provide a structure for the paper, as Crophill seemingly negotiates his own relationships with both male and female individuals, …

Whose Middle Ages? Teachable Moments For An Ill-Used Past, Ana C. Núñez

Medieval Feminist Forum: A Journal of Gender and Sexuality

No abstract provided.

This Is My Body: Eucharistic Theology And Anthropology In The Writings Of Gertrude The Great Of Helfta, Jessica Barr

Medieval Feminist Forum: A Journal of Gender and Sexuality

No abstract provided.

Assessing The Influences On Rural Women's Reproductive Life Plans: A Cross-Sectional Descriptive Study, Lori M. Jagoda

Theses

Rural women's unique personal, social, cultural, and economic characteristics influence their health care decision-making processes. To assess the influences on rural women and their Reproductive Life Plans, a cross-sectional descriptive study, based on the Health Promotion Model (HPM), was used.

Racial Disparity In Health Insurance Acquisition In The State Of California, Florence Jill Polina

Theses

Racial disparity continues to be a struggle in America. The main purpose of this project was to determine whether there is a relationship between race and the acquisition of health insurance in adult residents of California who are younger than 65 years old. Through secondary data gathering, analysis of an existing racial disparity in health care insurance acquisition was accomplished. The results of the project indicate that a relationship exists between race and health insurance acquisition, thereby promoting an opportunity to determine hindering factors and discuss recommendations that can help to alleviate them.