Medicine and Health Sciences Commons^™

Music To Move You: Comparing Effects Of Music Genre On Subjective Performance Of Football Players In A Practice Setting, Devin Deturk, David Rubenstein, Robert A. Ditomasso, Bruce Zahn

Research Day

Introduction

Optimizing athletic performance has increasingly expanded beyond traditional physical conditioning to include psychological, health-related, and environmental interventions aimed at improving both mental and physical readiness. However, many advanced performance enhancement strategies, such as specialized recovery technologies, individualized sport psychology services, and sophisticated monitoring systems, are not accessible to all athletic programs due to cost, infrastructure, or staffing limitations. As a result, there is a growing need for practical, low-cost, and ethically sound methods that can be implemented easily within everyday training environments. Music represents a potentially valuable yet underutilized tool in applied sport settings. Prior research suggests that music …

Virtual Reality-Assisted Perioperative Planning For Surgical Stabilization Of Flail Rib Fractures: Case Report, Abdul Hadi Ghouri, Ehyal Shweiki, Sriharsha Gummadi

Research Day

Introduction: Flail chest from multiple rib fractures manifests with significant pulmonary decline, including respiratory failure, prolonged mechanical ventilation, and subsequent mortality. Recommended treatment for flail chest is Open-Reduction and Internal Fixation (ORIF) to stabilize the ribs. For severe comminuted and displaced fractures, traditional imaging fails to fully capture the complex spatial displacement of the bony injuries. Virtual Reality (VR)-based 3D modeling facilitates perioperative planning by improving anatomic precision during surgical fixation in patients with flail-rib type fractures.

Case presentation: 34-year-old male who sustained a high-energy train collision resulting in a left-sided flail segment (ribs 4–10). Given the severity of his …

Hypertensive Scotomas In The Setting Of Thrombotic Microangiopathy, Vincent Bulzoni, Isabel Eaddy, Kiersten Dawson, Michael Dellavecchia

Research Day

Introduction: Hypertensive retinopathy is a relatively common pathological finding in individuals with elevated blood pressure. Acute spikes in blood pressure may cause pathophysiologic changes that may trigger rapid changes in the posterior pole of the eye. On the other hand, thrombotic microangiopathy (TMA) is rare with a multitude of causes ranging from complement-mediated thrombotic microangiopathy TMA, also known as atypical hemolytic uremic syndrome (aHUS), to severe hypertension. This case exemplifies an episode of malignant hypertension with acute-on-chronic TMA causing retinal ischemia. Initial visual assessment noted scotomas nasally and temporally on central visual field testing, along with uniocular reduced color vision …

Addressing The Opioid Epidemic In Primary Care Using A Collaborative Pharmacy Practice Model, Julia Lees, Darren Mensch, Haley Johnson, Tori Whatley, Chantal St. Simon

Research Day

INTRODUCTION: High-risk prescribing of opioids and benzodiazepines (BZDs) in primary care contributes significantly to poor patient outcomes and mortality. There is a critical need for effective, scalable strategies to support clinicians in deprescribing these medications safely.  Pharmacist-led collaboration has shown benefit; however, the data is limited.

OBJECTIVE: The primary objective of this study was to evaluate the impact of a pharmacist-led, collaborative quality improvement program on opioid-related prescribing in primary care practice.

METHODS: This retrospective program evaluation was conducted from July 1, 2018 to June 30, 2020 in a large healthcare system with approximately 56 primary care offices and ~297,000 …

Examining Patient Experiences And Interactions With Healthcare Providers In The Context Of A Polycystic Ovary Syndrome (Pcos) Diagnosis, Ashlyn George, Marina Melero, Sydni Yadin, Alexa Bonacquisti

Research Day

Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting 15-20% of individuals of reproductive age, yet its impact extends far beyond the boundaries of reproductive health1. PCOS is characterized by a hallmark feature of hyperandrogenism, which manifests through a variety of clinical presentations including acne, hirsutism, anovulation, and irregular menstrual cycles2. The excessive production of androgens can lead to lifelong challenges such as insulin resistance, infertility, and difficulties with weight management3. Although the reproductive and metabolic features of PCOS are well-researched, the psychosocial burden and patient experiences surrounding diagnosis and treatment are less understood. Many individuals with PCOS report …

A Case Of Extensive Suprasellar Meningioma Presenting With Insidious Visual Impairment, Vincent Bulzoni, Benedict Uzorka, Peter Maduka Jr

Research Day

Introduction: Meningiomas are generally benign CNS tumors with a propensity to occur in individuals with predisposing risk factors, such as, neurofibromatosis type II. These tumors can arise via de novo mutations, or through inheritance via NF2, and SMARCB1 mutations. They can also arise idiopathically. In this case, A 33-year-old female presented to the ophthalmology clinic for a routine diabetic fundus exam. She also complained of worsening left eye (OS) vision, which had historically been her weaker eye. She had been a type II diabetic for 2.5 years with a most recent HbA1c of 13.6. The patient reported poor OS vision …

Persistent Low Back Pain In A 12-Year-Old Gymnast Treated With Osteopathic Manipulative Treatment, Grace H. Amaden, Emily G. Andrews, Meghna Patel

Research Day

A 12-year-old female gymnast presented with eight months of persistent bilateral low back pain without an inciting traumatic event. Extensive diagnostic evaluation and therapeutic interventions, including radiography, MRI, ultrasound, multiple rounds of physical therapy, shockwave therapy, and prolotherapy, failed to improve symptoms. She then consulted with an osteopathic physician specializing in pediatrics and osteopathic manipulative treatment (OMT). Examination revealed significant somatic dysfunction of the lumbar region, pelvic region, sacroiliac joints, and lower extremities. OMT was administered over four visits over 10-weeks. By the last visit, the patient demonstrated improvement in pain, functionality, quality of life, and somatic dysfunction findings, ultimately …

A Hard Case To Pass: Small Bowel Obstruction From An Enterolith In Meckel’S Diverticulum, Alston Gremillion, Eriq Krugman, Michaela Abraham, Farris Obaid, Marc Neff, Linda Szczurek

Research Day

Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. It is usually asymptomatic and often discovered incidentally. Complications include gastrointestinal bleeding, diverticulitis, and most commonly, obstruction. We report a rare case of small bowel obstruction (SBO) caused by an enterolith originating from an inflamed MD.

A 77-year-old male presenting with approximately 3 days of diffuse abdominal cramping with associated emesis and new onset diarrhea. CT imaging showed a dilated small bowel with a transition point in the right pelvis with a large calcified mass (4.2x2.9cm) in the associated small bowel, suspected to be the distal ileum. …

Chronic Trichophyton Indotineae Infections Mimicking Adult-Onset Atopic Dermatitis, Kathleen Ward, Valerie Foy, Haowei Han, Graham H. Litchman, Sourab Choudhury

Research Day

Background: Tricophyton indotineae is a dermatophyte endemic to South Asia that has been increasingly prevalent in the United States. Its atypical appearance and resemblance to atopic dermatitis (AD), clinically and histologically, has resulted in misdiagnosis and mismanagement. It is associated with multidrug resistance which complicates treatment when mismanaged. It is associated with multidrug resistance which complicates treatment when mismanaged. Unlike classic tinea with annular lesions and central clearing, T. indotineae often presents as chronic, diffuse, pruritic, scaly, erythematous plaques involving the groin, buttocks, trunk, and face.

Case Presentation: We were presented with two cases of chronic T. indotineae infections that …

Racial/Ethnic Disparities In Medication Adherence Among Children With Special Healthcare Needs, Joy Nish, Daesung Choi, Rajat Sharma, Lauren Callaway, Phuongloan Hoang, Jeffrey Mccanless, Seana-Pierre Williams, Jihui Diaz, Xinyu Wang, Yujin Kim

Research Day

Introduction: Medication adherence is a fundamental driver of health outcomes among children with special healthcare needs (CSHN), as consistent medication use is essential for managing chronic and complex conditions. Disparities in medication adherence persist, particularly among children from different racial and ethnic groups, and are influenced by caregiver factors such as socioeconomic status, access to healthcare, and structural barriers. Large national surveys enable the tracking of medication adherence over time and help uncover ongoing disparities across populations. However, limited long-term evidence has examined whether racial and ethnic disparities in medication adherence among CSHN have narrowed. Therefore, this study aimed to: …

The Relationship Between Social Media Use And Motivation For Psychological Services, Nicki Nazarski, Richard Allen, Sophia Pham

Research Day

Prior research has linked social media use to psychological distress and shifts in help-seeking attitudes. However, the literature is limited on how social media engagement relates to motivation to seek formal psychological assessment. The current study will examine the relationships between social media use, in regard to time spent on social media, with attitudes, intentions, and motivation to seek psychological assessment among individuals aged 18 to 29. It is hypothesized that greater social media use and increased exposure to mental health-related content will be associated with more positive attitudes towards psychological support, increased intention to seek help, and higher motivation …

The Trauma-Informed Gynecological Visit, Samantha Stolker, Alexa Neiderer, Vittoria Tarquini, Alex Finkel, Alexa Bonacquisti

Research Day

Trauma-informed care (TIC) has emerged in recent years as a patient-centered culture of care delivery that emphasizes physical and psychological safety for all in the healthcare setting. Utilizing a TIC framework could be especially impactful in reproductive healthcare settings due to the invasiveness of certain examinations and the way trauma presents itself in these settings. Best practices in these settings include intentional and continuous confirmation of consent, appropriate and sensitive screening as a part of the gynecological visit, and prioritizing the patient’s autonomy through shared decision making. Principles can be integrated into all parts of internal and external pelvic examinations, …

Catatonia Masquerading As Decompensated Psychosis: A Case Report And Review Of Diagnostic Approach, Sindy P. Hernandez, Abdul Hadi Ghouri, Adam K. Adelsberg, Mohammed Ali

Research Day

Introduction

Catatonia is a psychomotor syndrome involving disturbances in behavior, motor tone, and volition. However, distinguishing catatonia from the negative symptoms or disorganized behavior in schizophrenia spectrum disorders can prove to be quite difficult, leading to potential misattribution.

Methods

We conducted a retrospective chart review of a single patient case at LVHN Pocono Behavioral Health Unit (BHU). Standardized assessments such as the Dynamic Appraisal of Situational Aggression (DASA) and Bush-Francis Catatonia Rating Scale were reviewed to assess the patient’s status during hospitalization.

Case

We report the case of a 43-year-old male with chronic schizoaffective disorder presenting to the ED from …

Barriers And Facilitators To Seeking Clinical Care For Period-Related Pain In North Carolina, Esther E. Mathew, Elisabeth Reed

Research Day

INTRODUCTION: Many school-aged menstruators across the United States are not required to learn how to maintain their periods. As a result, adolescents may struggle to obtain reliable healthcare information, maintain their periods safely, and access healthcare services if they recognize abnormalities.

OBJECTIVES: The primary objective of this study was to assess the barriers and facilitators to seeking clinical care for period-related concerns among young adults in North Carolina.

METHODS: 19 female participants between the ages of 18 and 25 were interviewed for this qualitative study using a convenience sampling approach. Participants attended North Carolina Public Schools from 4th to 12th …

Serving To Learn, Learning To Serve: Integrating Volunteerism Into Interprofessional Healthcare Education, Stephanie H. Felgoise, Ashley Poole, Natalie Zychlinski, Elizabeth R. Felgoise, Marissa L. Ferrito, Anastasia Skliros, Leanne Purcell, Florastine Byrams, Larry Finkelstein

Research Day

Research on volunteerism has been shown to increase happiness in medical students; improve self-esteem, self-efficacy, and social connectedness; lead to better well-being; improve physical well-being, decrease stress, and improve overall quality of life in general adult populations. Volunteerism also creates fellowship and fosters community connections. Thus, volunteerism helps to address the wellness of the healthcare team (quadruple aim of healthcare), and bring future healthcare professionals closer to the populations they aim to serve. An IPE module focused on volunteerism, including PCOM’s Community Wellness Initiative Office, the Make-A-Wish Foundation, and a Wish recipient. Interprofessionally facilitated small-group activities with learners from 3 …

Herbal Medicine Interference With Continuous Glucose Monitoring System In Diabetes Management: A Case Report, Julia Lees, Haley Johnson, Atefeh Bagherpanah, Timbreia Brown, Deniz Karaca, Tamaya Merrell

Research Day

Continuous glucose monitoring (CGM) systems have transformed diabetes management through improved glycemic control, leading to decreased adverse events such as cardiovascular disease, neuropathy, retinopathy and nephropathy. However, there are documented, known interactions with several commonly used substances that are available over the counter, such as acetaminophen, aspirin, and Vitamin C, that affect the accuracy of CGM glucose readings. The Food and Drug Administration (FDA) released an alert November 2025 regarding incorrect low glucose readings associated with the Freestyle Libre CGM system after the manufacturer received 736 severe adverse events and seven deaths related to this issue. The FDA warns that …

A Multiple Baseline Evaluation Of Training Medical Residents In Indirect Functional Behavior Assessment Procedures: A Proposed Study, Samantha Murphy, Amanda Fisher

Research Day

INTRODUCTION: Pediatric primary care is a critical access point for children’s behavioral and developmental health needs. Families commonly turn to pediatricians for guidance when behaviors interfere with learning or family well being. Behavioral concerns are frequent in these settings; however, many pediatricians report feeling unprepared to give direct and effective behavioral advice. Pediatricians have the opportunity to identify and intervene early for children with behavioral concerns. Training in residency has historically emphasized biomedical explanations that can overlook the environmental factors influencing behavior. Without the practical tools for understanding why behavior occurs, preventative intervention may be missed. There is a continued …

Development And Validation Of The Liebelt Attitudes, Knowledge, And Engagement Scale (Lakes) Among Rural Adults, Anna Morrison, Robert A. Ditomasso

Research Day

INTRODUCTION: Adults living in rural regions experience mental illness at rates comparable to those in urban areas yet utilize mental health services significantly less often. Underutilization of psychotherapy in rural populations has been attributed to structural barriers (e.g., geographic inaccessibility, limited provider availability, reduced anonymity) and sociocultural factors such as stigma. However, rural adults may also remain reluctant to initiate treatment due to attitudes toward psychotherapy, limited help-seeking engagement, or inaccurate knowledge about psychotherapy services. The present study developed and examined the psychometric properties of the Liebelt Attitudes, Knowledge, and Engagement Scale (LAKES), a self-report measure designed to assess psychotherapy-related …

Free-Floating Thrombus Of Carotid Artery In The Setting Of Bilateral Embolic Strokes, Xilin Chen, Ioannis Tsouknidas, Tyler Fox, Henry Hirsch

Research Day

Carotid free-floating thrombus is a rare entity. Most patients present with acute neurological symptoms, warranting urgent operative intervention. We describe a case of an 80-year-old male who presented with an embolic stroke and was found to have a mobile carotid thrombus, after the administration of thrombolysis. He underwent carotid endarterectomy, and further neurological injury was prevented.

Appendiceal Intussusception Due To Endometriosis: A Case Report, Camryn Butera, Taylor Bronson, Justin Spatar, Christine Holloway

Research Day

The rate of implantation of endometrial tissue onto the appendix varies greatly within the literature with appendiceal intussusception being a rare clinical presentation in this small subset of patients. Here we discuss a case of appendiceal endometriosis with robotic partial cecectomy and appendectomy. This report describes our experience with appendiceal cecal intussusception. We report a case of appendiceal endometriosis causing intussusception. It is important to consider endometriosis as a cause of appendiceal intussusception in the differential diagnosis of females presenting with the common chief complaint of abdominal pain, especially in the setting of prior gynecological surgeries.

Medical Student Advocate–Community Health Worker Collaboration To Improve Colorectal Cancer Screening Rates, Christopher J. Antoniello, Juliana N. Heppard, Vanessa I. Saylor

Research Day

INTRODUCTION:

Lankenau Medical Center launched the Medical Student Health Advocates (MSA) Program in 2012 to address the impact of socioeconomic status and social determinants on health outcomes. Data shows that publicly insured patients are generally more disadvantaged in these areas compared to commercially insured patients. The Colorectal Cancer Screening Initiative (CCSI), a partnership between MSAs and the Department of Health Equity’s Community Health Worker (CHW) team, aims to improve colorectal cancer (CRC) screening rates among Medicaid and dual Medicare/Medicaid patients, narrowing the gap between commercially insured and publicly insured patient populations.

METHODS:

Through weekly calls, CHWs and MSAs provide patients …

How Long Does It Last? Do The Benefits Of Neurodiversity Training Persist?, Levi Moyer, Cynthia P. May

Research Day

Introduction

Even when perceived as highly qualified, job candidates with autism spectrum disorder (ASD) are less likely to be hired after a job interview than their neurotypical (NT) counterparts. However, when NT individuals receive training about neurodiversity and are aware of an ASD diagnosis, preliminary evidence suggests hiring outcomes for candidates with ASD are significantly more positive, at least when training occurs immediately before evaluation. This study examined whether the benefits of neurodiversity training coupled with diagnostic disclosure extend to the general population and persist over time.

Methods

Participants included undergraduate students and individuals from the general U.S. population recruited …

Effects Of Meditation On Blood Pressure, Ian T. Mcdonald, Chanelle Zorrilla Arias, Kristen Berry

Research Day

Introduction:

Hypertension is a major cardiovascular risk factor in the United States and is associated with serious complications, including myocardial infarction, stroke, and kidney failure, and other outcomes resulting from destroyed vessels. Although antihypertensive medications are widely used to manage hypertension, treatment is often limited by medication cost, polypharmacy, and poor adherence. Medication nonadherence remains a significant barrier to effective blood pressure control and is associated with adverse health outcomes, including increased mortality. Meditation, a stress-reduction intervention, may represent a feasible adjunctive therapy for the management of hypertension. We hypothesize that introducing people to meditation and encouraging them to continue …

Efficacy Of Phone Call Intervention For Vaccine Participation - A Retrospective Chart Review, Jenna Taha, Paige Schlechter, Autumn Dye

Research Day

Vaccine hesitancy is on the rise in the United States due to multiple factors. Causes of vaccine hesitancy in pediatric patient populations include fear of harmful side effects due to misinformation and social media (Lafnitzegger, A) as well as questioning the necessity of vaccination (Cataldi, J). Previous efforts to increase rates of pediatric vaccination include community efforts such as partnering with faith-based organizations in an attempt to campaign for increased vaccination rates (Crosby, L), as well as acknowledging the need to tackle the pain and fear of needles associated with vaccinations in pediatric populations (Taddio, A).

In the city of …

Implementing Firearm Safe Storage And Screening Handouts For Older Individuals Into Primary Care Practice, Rebecca Delp, Erik E. Langenau, Ilene Warner-Maron

Research Day

Introduction

Older adults have the highest rates of firearm-related suicide in the United States, with firearms accounting for approximately 70% of suicides in this population (Price et al). Risk is particularly elevated among older men and veterans (Mcintosh et al). Despite this, firearm safety counseling remains uncommon; only 3.7% of older adults report discussing firearm safety with a healthcare provider (Carter et al). This exposes an important opportunity to address firearm safety, mental health, and suicide prevention in the primary care setting, while providing resources for access to firearm safe storage devices.

This project’s aim was to develop and implement …

A Literature Review Of The Correlation Between Faun Tail Nevus Presentation And Spinal Dysraphisms, Zahraa Ibrahem, Feryal Hilmi, Yuna Huh, Mindy Hill

Research Day

Faun tail nevus (FTN) is a rare congenital cutaneous finding characterized by a localized tuft of hair over the lower lumbar vertebrae, typically in a midline distribution. Although faun tail nevus can be present without underlying spinal abnormality, it is frequently seen in the presence of underlying occult spinal dysraphism, most commonly spina bifida occulta. The presence and severity of accompanying cutaneous features, such as dense hypertrichosis, midline dimpling, dermal sinus tracts, or visible subcutaneous tracking, may correlate with the extent of underlying spinal pathology. Given this association, spinal imaging with ultrasound in infants or magnetic resonance imaging in older …

Neutralization Of Interferon-Beta Promotes Hivspecific Car T Cell Engraftment And Proliferation, Tyler H. Yang, Sophia Mohammed, Matt Fair, Colby Maldini, Zhe Yuan, Luis Montaner, Daniel Claiborne

Research Day

Introduction: Even in antiretroviral therapy-treated people with HIV (PWH) exhibiting controlled viremia, infection is characterized by a sustained activation of type I interferon (IFN) pathways. Indeed, IFNβ is persistently expressed in the tissues of PWH, and the anti-proliferative effect of IFNβ represents an unappreciated hurdle to immunotherapies aimed at achieving an HIV functional cure.

Objectives: The primary objectives are to i) characterize the anti-proliferative effects of IFNβ on HIV-specific CAR T cells, ii) describe the mechanism(s) underlying IFNβ-mediated attenuation of CAR T cell function, and iii) devise base-editing strategies to ameliorate the negative effects of IFNβ on HIV-specific CAR T …

The Effects Of Bone Health And Variation On Saw Mark Signatures, Lily A. Ambrose, Richard A. Gonzalez

Research Day

Introduction

Bone health and structural variation are multifactorial. Population, environment, age, diet, and health influence the overall functional morphology of bone and its response to stressors. Reduced cortical porosity, trabecular thinning, and low bone mass are common indicators of age-related and pathological changes, affecting a significant portion of the population. Because of this, bones encountered in medicolegal investigations often differ from what is considered “normal.” The structural integrity of bone needs to be considered because density influences mechanical strength and response to external forces.

In criminal dismemberment cases, forensic scientists analyze saw marks to identify tool class and reconstruct events. …

The Use Of Tracheal Traction Exercises To Prevent Post-Operative Dysphagia Following Anterior Cervical Discectomy And Fusion, Emily Schmeiser, Elizabeth Gammer, Yasmine Eichbaum, Mitchell K. Ng, Gregorio Baek, Joshua Mathews, Morgan Hitchner, Yulia Lee, William A. Green, Thomas Cha, Mark Kurd, Ian D. Kaye, Jose A. Canseco, Alexander R. Vaccaro, Christopher K. Kepler, Gregory D. Schroeder

Research Day

Introduction: Dysphagia is a commonly reported complication following anterior cervical disc fusion (ACDF). Some of the risk factors that increase dysphagia incidence include elevated BMI, smoking, female gender, and diabetes mellitus type 2. Treatment with methylprednisone administration and manipulation of endotracheal cuff pressures has been correlated with milder dysphagia in the intraoperative and early post-operative period; however, long-term differences between the control and treatment groups have not been statistically significant. Tracheal traction exercises are of emerging interest for treating ACDF patients with dysphagia. The purpose of this systematic review is to explore the outcome of the use of pre-operative tracheal …

Delayed Presentation Of Cervical Myelopathy Diagnosed In A Pain Management Clinic, Clayton Mohler, Ron Lincow, Sarah Kizun

Research Day

Background: Cervical spondylotic myelopathy (CSM) is a progressive condition that occurs due to degenerative changes of the spine that compress the spinal cord, leading to potential permanent neurological damage. It generally occurs in people over the age of 50 and has a wide range of clinical presentations with varying neurological symptoms. Because of its varied presentation, diagnosis is often delayed, resulting in increased morbidity.

Case Presentation: We present the case of a 69-year-old male referred to a pain management clinic by his primary care physician for evaluation of his significant neurological symptoms, including pain, weakness, gait disturbance, and reduced sensation. …