Medicine and Health Sciences Commons^™

Acute Simultaneous Medial And Lateral Ankle Sprain In A Collegiate Football Player: A Case Report, Ian Matlack

UNO Student Research and Creative Activity Fair

The purpose of this case report is to present a twenty-year-old African American male with a complex ankle injury. During a collegiate football game, the athlete injured his left ankle, damaging his deltoid ligament complex, and lateral ankle complex, causing several bone bruises and tearing his peroneal retinaculum. With surgery being declined, standard rehabilitation protocols of POLICE for initial management of inflammation, strengthening, and ROM exercises were conducted. Manual therapies consisting of milking massage, scraping, and joint mobilizations were added to aid in pain and edema control. Comparative case studies suggest that the athlete may have experienced a subluxation of …

Subacute To Chronic Subdural Hematoma In An 18-Year-Old Male Football Player, Peyton Bodemann

UNO Student Research and Creative Activity Fair

The purpose of the report is to present the case of a high school football player who survived two brain surgeries to treat a subacute subdural hematoma that turned chronic (cSDH). This case proves to be unique due to the lack of mechanism, the age of the patient, the complications from surgery, and the recovery.^9,12,16 The patient underwent an MMA (middle meningeal artery) embolization to treat the subacute hematoma, followed by a double burr hole craniotomy with drainage of chronic subdural hematoma. It is important for athletic trainers along with other members of the health care system to work …

Assessing The Reliability, Internal Consistency, And Sensitivity Of A Nutrition Knowledge Questionnaire For Four-Year-Old Pre-K Children, Lin Wang, Karla Cortez, Brenda Rodriguez, Joseph Reyes, Moises Cisneros, Elizabeth Alanis, Zasha Romero, Lisa Michelle Belzer Salinas, Juan López Alvarenga, Roberto Treviño-Peña

Research Symposium

Introduction: Assessing nutrition knowledge in four-year-olds, a developmental stage marked by limited attention spans and varying comprehension abilities, is challenging with traditional methods. A reliable test is pivotal for establishing a foundation for future health interventions. We evaluated a 13-question nutrition and healthy habits test in Pre-K4 children to assess reliability and sensitivity to detect differences.

Methods: Calculations included Cronbach's alpha, kappa coefficient, McNemar analysis by item, and Bland-Altman plots for test-retest differences. Mixed model regression assessed the questionnaire's sensitivity by sex and association with age. Item response theory (IRT) models were employed, generating latent abilities for students and individual …

Distraction Culture: The Origin Story Of Notification Stress, Benedicte Kalonda

Symposium of Student Scholars

Long gone are the days when procrastination was the sole culprit of poor productivity through the chronic delay of task completion, which has also been linked to a range of stress-related health problems (e.g., headaches, digestive issues, and insomnia). Today’s culture has given rise to the phenomenon of pre-crastination, whereby a technological notification demands and receives immediate attention despite its level of urgency. This propensity to abandon flow and groove is becoming normalized, and the public health impact is currently unknown.

These notifications, a seemingly benign cost of technological advances, are setting the stage for a new level of stressor …

Chromatin Pattern Quantification For The Differentiation Of White Blood Cells, Paul Young, Ryan Cordner, Abigail Gordhamer

Annual Research Symposium

Nuclear chromatin patterns have been used historically to distinguish between different developmental stages and lineages of white blood cells. While it is common to characterize cells based on arbitrary ‘open’ or ‘closed’ chromatin patterns, quantification of chromatin data is lacking. By extracting nuclei from a database of white blood cells and running fractal analyses using TWOMBLI, we were able to produce meaningful data quantifying chromatin patterns. Our data were put through a random forest algorithm which grouped each point based on relationship probability. The algorithm compared immature and mature cell types as well as cells of similar maturity and differing …

Multimode Point Spectroscopy For Food Authentication, Sayed Asaduzzaman, Nicholas Mackinnon, Hossein Kashani Zadeh

SDSU Data Science Symposium

Enhancing food quality measurement is a necessity to guarantee food safety and adherence to health regulations. Current methods involve lab testing which are time-consuming, costly, destructive and require skilled workers. Spectroscopy has the potential to overcome these challenges. This study employs a multi-mode point spectroscopy method to distinguish food products according to their spectral characteristics,. The system records fluorescence, excited at 365 and 405 nm, visible-near infrared (Vis-NIR) and short-wave infrared (SWIR) spectra. The three main subjects of the study are olive oil, milk, and honey. Samples were kept in a transparent cell culture pot, and Gray and White Spectralon …

Using Network Analysis To Personalize Care For Binge Eating Disorder, Legacy S. Carter, Dr. Anna Marie Ortiz

Posters-at-the-Capitol

Legacy Carter, KCTCS; Dr. Anna Marie Ortiz, University of Louisville, Psychology and Brain Sciences Department

Title:Using network analysis to personalize care for Binge Eating Disorder

Binge Eating Disorder is the compulsive behavior to overeat food, usually within a brief time frame. Symptoms such as anxiety, fear of being fat and perfectionism could trigger a person to binge eat. Network analysis is a statistical approach in health psychology that uses graphical representations of relationships among variables, and could be useful in identifying the symptoms that cause Binge Eating Disorder. The information collected could come from surveys, interviews or clinical studies. Network …

Early Onset Colorectal Cancer: Research, Trends & Challenges, Sarah E. Smith

Capstone Showcase

Early onset colorectal cancer (EOCRC) incidence and mortality are rising in a global trend, contrasting with improvements seen in late-onset colorectal cancer (LOCRC). EOCRC appears to differ in presentation, histology, and pathology from LOCRC painting concerns of a more aggressive tumor profile. With incidence steadily climbing, there is still lacking awareness and guidance on screening for EOCRC. This article aims to provide background on EOCRC including epidemiology, risk factors, and traits, as well as to explore methods for adjusting provider screening criteria to combat this concerning trend.

Evaluating Causes Of Sinus Tachycardia In The Pediatrics Population And Managing In A Primary Care Setting, Guillemette Calderwood

Capstone Showcase

This article’s goal is to fill a gap in research that compares causes of tachycardia in children by appropriately addressing epidemiology, what is physiologically happening with tachycardia, symptoms that may be associated with it, as well as a differential diagnosis. This review specifically discusses positional orthostatic tachycardia syndrome, anxiety, hyperthyroidism, as well as infection. This is important and needed in order to help providers in diagnosing the cause for this common arrhythmia.

Impact Of Sleep Deprivation On Stress And Performance In Students: Best Interventions, Brianna Crowley

Capstone Showcase

Sleep is an essential part of physical and mental well-being, yet, many individuals underestimate its importance.^1,2,4 Sleep deprivation can lead to a variety of detriments including memory loss, disorganized thinking, and mood changes.^3,6,7 Because of this, academic performance can be directly impaired as well, which further perpetuates a vicious cycle of sleep deprivation and increasing stress.⁸ Interventions to help improve sleep include adequate sleep hygiene, appropriate physical exercise, lifestyle changes, practicing mindfulness, and using pharmaceutical aids. Providers must continue to address this common issue among patients as it truly impacts various aspects of life and follow good …

Emerging Unconventional Therapies For Glioblastoma Multiforme, Danielle Morang

Capstone Showcase

Glioblastoma multiforme (GBM) is the most prevalent and aggressive primary malignant brain tumor occurring in adults with a median survival of less than two years. It is a highly invasive tumor characterized by genetic heterogeneity, angiogenesis, and rapid proliferation. Patients undergo a multimodal treatment regimen consisting of surgical resection and chemoradiation therapy, yet GBM tumors almost always recur with a worsening prognosis. The molecular and genetic complexities of GBM pose a significant challenge for developing effective therapeutics. Thus, it is imperative to identify new therapeutic targets and explore novel treatment strategies to improve patients’ overall survival time and quality of …

Migraine Treatment In Primary Care, Vivian Tran

Capstone Showcase

Migraines are a common problem that medical providers encounter, especially in primary care, neurology, and the emergency department. Given that 15% of the population suffers from migraines annually, it is important for providers to know how to diagnose migraines. Migraines may also present as a symptom of another disorder, so being able to recognize whether symptoms are alarming is crucial to start the correct workup. The mainstay abortive therapy for migraines is ibuprofen, and for prophylactic therapy is topiramate. However, CGRP targeted medications like gepants and CGRP mAbs may be the new treatment of choice for abortive and prophylactic treatment …

Examining The Efficacy Of Treatments For Complex Regional Pain Syndrome, Michael Podcasy

Capstone Showcase

Complex Regional Pain Syndrome (CRPS) is a disease that affects the sensory, motor, sudomotor, vasomotor and trophic systems of patients. The pathophysiology is currently unknown and the diagnostic criteria that is used, the Budapest criteria, has its own shortcomings. This had led to hurdles in the research of the disease and well as a lack of high-quality studies on the efficacy of the many treatments currently being used to treat CRPS today. This poster explores those concepts.

Cme: Pcos Diagnostic Criteria, Lindsay R. Phillips

Capstone Showcase

Polycystic Ovarian Syndrome, or PCOS, is a hormonal imbalance that can affect females of reproductive ages and is described as women having high androgen levels, irregular menstrual cycles, and small cysts on one or both ovaries. PCOS is difficult to accurately diagnose since the diagnostic criteria are vague and the disease falls on a wide spectrum of symptoms, leaving women underdiagnosed. Previous research has shown marked improvement in the diagnostic criteria for PCOS over the years. However, due to the vagueness in symptoms, most of the criteria has been created through expert opinion based on subjective data vs objective data. …

Herniated Nucleus Pulposus Radiculopathy In Athletes, Elizabeth G. Massel

Capstone Showcase

Herniated nucleus pulposus (HNP), commonly referred to as intervertebral disc (IVD) herniation, is the second most common cause of neck and back pain, and most common cause of radiculopathy. The purpose of this CME article is to provide guidance on the medical management and secondary prevention of HNP in athletic populations, and highlight the pathophysiological process of mechanical overload putting athletes at a proportionately higher risk of the disease. It will address the unique pathophysiology of overuse-related HNP, as opposed to underuse, with the mechanical overload on vertebral discs associated with many sports. It will also review, with more emphasis …

A Thoughtful Approach To Weight Loss Management, Zachary Brock

Capstone Showcase

As a student preparing to graduate PA school, one of the areas I hope to improve upon is my ability to educate patients in a comfortable, caring, encouraging, and effective manner. In my experience, the topic of weight-loss is often handled in ways that are insensitive, making patients feel shameful about their condition and less inspired to change. The goal of this article will be to address the current literature on how to medically manage obesity in patients and combine resources that offer more effective, encouraging, and subtle approaches that will help lead to a more effective, shame-free treatment of …

Data Quality Checks: Implementation With Popular Data Collection Crowdsourcing Platforms, James Down, Gregory Balkcom, Kristine Duncan, Ngan (An) Truong, Andrew Lewis

Symposium of Student Scholars

The utilization of online crowdsourcing platforms for data collection has increased over the past two decades in the field of public health due to the ease of use, the cost-saving benefits, the speed of the data collection process, and the accessibility of a potentially true representative population. Although these platforms offer many advantages to researchers, significant drawbacks exist, such as poor data quality, that threaten the reliability and validity of the study. Previous studies have examined data quality concerns, but differences in results arise due to variations in study designs, disciplinary contexts, and the platforms being investigated. Therefore, this study …

Preventing Pressure Injuries In Critical Care Settings, Chassidy Eddlemon, Cassady Coomes

Scholars Week

2.5 million people develop a hospital-acquired pressure injury each year, and 60,000 of these result in death as an outcome. Nationwide, hospitals have policies in place to prevent HAPIs, but that does not always stop them from occurring. For this project, we looked at one hospitals policy regarding prevention of pressure injuries. In this powerpoint, we outlined the products we found throughout our research to aide in prevention, as well as our recommendations for practice.

Risks Vs. Benefits Of Animal-Assisted Interventions For Icu Induced Psychosis, Cecily Christie, Hadley Mayes

Scholars Week

For our senior Nursing Evidence-based practice project, we conducted our own research to evaluate the risks and benefits of animal-assisted intervention (AAI's) being used in intensive care units, in the hopes to encourage nurses and healthcare staff to implement these in patient care facilities.

Safer Staffing Ratios For High-Quality Patient Care, Elizabeth Boyles, Jacob Mills

Scholars Week

Every hospital has their own staffing policy which varies based on the department. Research suggests that higher nurse-to-patient staffing ratios are directly related to staff burnout and negative patient outcomes. On medical surgical floors, there is an abundance of different diagnoses that require a vast number of nursing skills. Therefore, when nurses have more than four patients, this can be a safety risk for the nurses and patients. By adding these into a stricter policy, rather than keeping it as a simple recommendation, better patient outcomes would increase and nurse burnout would decrease as proven by research.

The Benefits Of Therapeutic Hypothermia Post-Cardiac Arrest, Jarrod Mathis, Anthony Burrows

Scholars Week

During cardiac arrest, the body is susceptible to ischemic injuries to the brain and/or other vital organs. Initiating therapeutic hypothermia post-resuscitation has been shown to provide neuroprotection and improve patient outcomes in different facilities. Education regarding this intervention is important as there is a lot of conflicting research. Therapeutic hypothermia is still being tested in many facilities worldwide.

Effects And Treatments Of Depression Affecting Patient Outcomes, Parker Gerard

Scholars Week

No abstract provided.

Benefits Of Bedside Report, Konner Spalding, Hannah Mattingly

Scholars Week

No abstract provided.

The Benefits Of Telehealth For Rural Communities, Cade Alberson, Taylor Alberson

Scholars Week

No abstract provided.

Determining The Ideal Concentrations Of Ethanol And Propylene Glycol In Ethosomes For Transdermal Delivery Of Vitamin D3, Rebecca Conner

Harrisburg University Research Symposium: Highlighting Research, Innovation, & Creativity

Vitamin D₃ is an important chemical in the human body, however, many Americans have low levels of this vitamin. There are plenty of oral supplementations for Vitamin D₃ deficiency, but those of older age and busy schedules may struggle to meet the minimum requirement. A recently developed ethosomal transmembrane delivery system (Touitou, 2000), similar to liposomes but also containing ethanol, allows users to apply a gel dermally and have the desired drug or active ingredient reach the bloodstream faster. However, there is considerable variation in the concentration of ethanol and permeation enhancers used. Using an affordable method to …

Development And Validation Of A Simple Clinical Construct For Prediction Of New Type 2 Diabetes Mellitus, Xavier Rios, Blanca I. Restrepo, Juan Carlos Lopez-Alvarenga

Research Symposium

Background: Early diagnosis of type 2 diabetes (T2D) can delay its vascular complications, but the active search for T2D results in inefficient use of resources. Simple methods like anthropometry or clinical history could help prioritize laboratory testing in individuals with risk of T2D. We evaluated non-invasive clinical measurements to pre-screen for new T2D patients.

Methods: We used the 2017-2018 NHANES database as the discovery cohort, and identified age, sex, BMI, waist circumference, and family history of T2D (FHD) as predictor variables. Risk of new T2D was analyzed using odds ratios with logistic regression. The diagnostic accuracy was calculated using ROC …

Can Psilocybin Assisted Therapy Help People With Gambling Disorder?, Pedro Romero

International Conference on Gambling & Risk Taking

Gambling disorder (GD) is a behavioural addiction that affects millions of people worldwide. Although various treatment approaches have been developed to manage this condition, many individuals still struggle to overcome their addiction. Recent studies have suggested that psilocybin-assisted therapy may be a promising treatment option for gambling disorder. This study aims to investigate the safety and efficacy of psilocybin-assisted therapy for individuals with gambling disorder.

I intend to conduct an open-label trial as part of my PhD with approximately 12 participants with a diagnosis of gambling disorder. The participants will undergo psilocybin-assisted therapy sessions, with a trained therapist. The primary …

Living Separate Lives: How To Nurture A Work-Life Balance, Amanda Bullington

OVGTSL 2023: Ongoing Challenges, Creative Solutions

Librarians faced many challenges during the COVID-19 pandemic. Many of us quite literally brought our work home with us as we learned to interact with our colleagues virtually and adapted to performing our job duties from home. During this time, I was handed an additional personal challenge. I was diagnosed with a chronic health condition requiring multiple surgeries. I was now not only struggling to work from home as a cataloger but struggling to work from home as a cataloger while managing my daily pain. As someone who does not enjoy working from home, this seemed like an impossible challenge. …

Please Romaine Calm! A Multi-Disciplinary Investigation Of A Cyclospora Outbreak Among Hospital Employees, Jocelyn Love Mph, Amber Erickson Drph, Mph, Hope Dishman Mph, Carla Coley Bs, Rehs

Georgia Public Health Association Annual Meeting and Conference

Background

On July 8, 2022, North Central Health District (NCHD) was notified by a local hospital of a possible Cyclospora outbreak among hospital employees. The hospital noted the employees had eaten at the hospital’s cafeteria, particularly the salad bar. An investigation was conducted to test this hypothesis and determine which salad bar ingredients were the cause of illness.

Methods

An electronic survey was shared with all hospital employees through their email distribution system. Employees were asked to complete the survey regardless of illness or exposure history. Lab- confirmed cases were interviewed using the Cyclosporiasis National Hypothesis Generating Questionnaire. Environmental health …

Eucalyptus Essential Oil: A Safety Assessment And Causality Evaluation Of Published Case Reports, Cecile Bascoul

Oxford ICSB

Eucalyptus essential oil (EO) and preparations containing eucalyptus EO have been used in traditional medicine for centuries for the treatment of respiratory illnesses such as cold, influenza and sinus congestion. Research, including clinical trials, has been carried out to evaluate the efficacy of eucalyptus alleviating symptoms of such conditions. However, eucalyptus EO and preparations with eucalyptus EO have also been associated with rare cases of CNS depression and seizures. The case reports reviewed showed evidence of CNS depression and/or seizure in patients from all ages (<1 to 74 year-old) with different doses of eucalyptus EO (0.18 mL to 1000 mL). Most of the adverse events were in children; some of them reacting to small doses (4 drops of EO or about 0.24 mL), ingested, inhaled or after topical application. Most children who developed seizures did not have a history of seizures before the event. The main constituent of eucalyptus EO is 1,8-cineole (about 65% to 84% 1,8 cineole for eucalyptus globulus EO, one of the most commonly used eucalyptus species in commercially available …