Medicine and Health Sciences Commons^™

Does The Possibility Of No Surgery In Watch And Wait For Rectal Cancer Affect Patient Decision-Making?, Joanna F. Wasvary, Ga-Ram Han, Jacob A. Applegarth, Matthew A. Ziegler

Posters

INTRODUCTION & OBJECTIVE

Prior studies have established that the watch and wait protocol for rectal cancer is a reasonable approach in patients with excellent response to total neoadjuvant therapy (TNT). Current guidelines stipulate that patients eligible for this protocol have no residual tumor on re-staging imaging and endoscopy. Patients who have evidence of residual disease are referred for surgery. This study assessed all patients in our institution who underwent TNT for rectal cancer and the subsequent recommendations for treatment. Primary aim: assess patient compliance with surgeon recommendations for residual disease after TNT.

Secondary aim: assessment of oncologic outcomes and the …

Implementation Of An Opioid Free Pediatric Hernia Repair Protocol, Corey Shafer, Antonela Muca, Randy Hilleary, Kristin Lemarbe, Diane Studzinsk, Kaveh Aslani, Nathan Novotny, Pavan Brahmamdam, Begum Akay

Posters

Surgery most often provides children with their first exposure to opioids which may lead to misuse and overuse. Protocolizing pain management perioperatively can reduce opioid exposure in children while still providing adequate pain management.

Surgical Site Infection Bundle For Babies: Preliminary Data, Cullen Woodley, John Nida, Alexis Lonjin, Katelyn Ward, Diane Studzinski, Begum Akay

Posters

Surgical Site Infections (SSIs) are infections that occur in or around the area where a surgery was recently performed. They are estimated to account for 20% of all healthcare associated infection, and lead to an increase in morbidity and mortality. Perioperative care bundles show promise in reducing SSIs in adults but are not often used in neonatal surgery. Infections in babies after surgery are less common than adults but carry significant morbidity in a fragile patient.

Enhancing Reproductive Anatomy Education: A Comprehensive Approach Integrating Near-Peer And Reciprocal Peer Tutoring, Hope Hefferan, Emelie-Jo Scheffler, Erin Mueller, Varna Taranikanti

Posters

• Near-peer tutoring (NPT): Tutors are more advanced than tutees, typically offering support in understanding complex concepts.1

• Reciprocal peer tutoring (RPT): Students with similar levels of training alternate between tutor and tutee roles, facilitating collaborative learning.1

• Peer tutoring fosters professional development and improves long-term retention of complex medical concepts.3,4,5

• Reproductive anatomy is a challenging area for many medical students; Innovative peer tutoring methods may help improve understanding and retention of anatomical structures.

• We hypothesize that integrating NPT and RPT within the laboratory setting in the reproductive organ system course will enhance student motivation, self-efficacy, and long-term …

Stroke Risk After Lowering Elevated Blood Pressure In Transient Ischemic Attack, Alexsandra Biel, Jacob Keeley, Brett Todd

Posters

• There is a relationship between the diagnosis of TIA and the subsequent development of a stroke1–4.
• The risk of developing a stroke within 90 days of a TIA is approximately 10.5% with about half of these occurring in the first 1-2 days of the TIA3.

Risk factors that may increase the likelihood of developing a stroke following a TIA include:

• Having age over 60
• A blood pressure of 140/90 or greater
• Diabetes
• Increased TIA duration
• Increased symptomatology at the time of presentation5–8.

Manual Versus Mechanical Cardiopulmonary Resuscitation Complications After Successful Resuscitation For Out-Of-Hospital Cardiac Arrest, Connie Chen, Jacob Keeley, Julian Sit, Robert Swor

Posters

Over 300,000 people in the United States annually suffer from an out of hospital cardiac arrest (OHCA); 90% of cases are fatal.1

EMS-treated OHCA approximately has a 30% rate of Return of Spontaneous Circulation (ROSC), but not all survive to hospital admission or discharge.2

Quality cardiopulmonary resuscitation (CPR) provides vital organ reperfusion until cardiac activity can be restored.

Mechanical CPR is increasingly being used for field OHCA care. It is most often performed by the Lund University Cardiopulmonary Assist System (LUCAS) device, a piston chest compressor which incorporates a mechanism for active chest recoil.

Benefits of mechanical CPR:

• Uninterrupted …

Examining Health Disparities: An Observational Study On Peripheral Vascular Access Outcomes Among Hospitalized Patients, Charlotte O’Sullivan, Nicholas Mielke, Yuying Xing, Amit Bahl

Posters

Peripheral intravenous catheter (PIVC) placement is the most common invasive procedure performed in healthcare, with an estimated 90% of hospitalized patients requiring PIVC access during their stay. This equates to around two billion PIVCs used annually.1–3 Studies report 36% to 63% of catheters fail due to a variety of complications, including infiltration, occlusion, phlebitis, dislodgment, and infection. 2–6 These failures not only cause immediate patient discomfort and increased clinical workload but also have wider implications such as prolonged hospital stays and delays in critical treatments.2 The factors contributing to PIVC failure are multifaceted, involving clinical presentation, patient anatomy, provider skill …

Pr Novel Hematoma Prevention Device, Nolan Shoukri, Steven Pearl, Nishaki Mehta

Posters

• Hematomas are a common complication in cardiac internal electronic device (CIED) placement procedures, they occur in up to 20-25% of CIED implants.

• Previous RCT tested a novel hematoma compression device (PR) and showed good tolerability, decreased hematoma formation from 15% to 6%, and wound improvement.

• Based on feedback collected from the nurses, physicians, allied health professionals during the randomized control trial, iteration of the PR was done (Gen 2 PR).

• This study evaluated 1) bench testing of the Gen 2 PR device and 2) healthy volunteer testing of Gen 2 PR device.

Beyond The Epi-Pen: Prehospital Use Of Epinephrine In Anaphylaxis, Randy Hilleary, Corey Shafer, Margaret Menoch

Posters

• Prehospital epinephrine administration has been historically low by the individuals having the reaction, their caregivers, or emergency medical service (EMS) personnel
• With rising anaphylaxis cases, it becomes more imperative that there is appropriate administration of epinephrine to improve outcomes in both pediatric and adult populations

Assessing The Impact Of Street Medicine Oakland On Medical Student Perceptions Of Clinical Preparedness, Michael Marchiori, Laura Ortiz

Posters

• Medical students spend the first two years of medical school focusing on didactic learning supplemented with clinical skills training as they prepare for their hospital rotations

• Opportunities for in-field practice of clinical skills are typically sparse for medical students during their M1 and M2 didactic years

• Research suggests clinical supervisors rank professionalism and willingness as the two most important characteristics in students that promote clinical preparedness, but there is limited research on interventions that promote students’ self-perceptions of clinical preparedness1

• Medical students at Oakland University William Beaumont (OUWB) have the opportunity to volunteer with Street Medicine …

Pain Registry For Me 2 Participant Flyer, Ling Cao

Maine Pain Registry

Flyer calling for participation in UNE project Pain Registry for ME 2.

Pain Registry For Me 2 Participant Information Sheet, Ling Cao

Maine Pain Registry

Information sheet for potential participants in UNE project Pain Registry for ME 2. Including: "Chronic pain is a serious public health problem but little is known about how pain affects Mainers. We plan to establish a pain registry through this study. This registry will collect information from Maine adults who experience recurrent and frequent pain. It is estimated that one in three Mainers experience chronic pain. We would like to hear from as many Mainers as possible. The information we obtain could inform public health approaches to improve pain care across Maine in the future."

Safety And Efficacy Of Combined Glucosamine And Chondroitin Supplementation In Osteoarthritis, Klayton Johnson

Physician Assistant Scholarly Project Posters

• Over 30 million U.S. adults have osteoarthritis, often experiencing pain, stiffness, and swelling that impacts daily activities. • Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used but carry risks like gastrointestinal, renal, and cardiovascular complications. • This literature review evaluates the efficacy and safety of glucosamine and chondroitin supplementation as an alternative treatment. • The combination of glucosamine and chondroitin supplementation is considered safe. • The current research shows mixed results regarding pain reduced or improved physical function in osteoarthritis patients. • A literature review was conducted using PubMed, Embase, and Google Scholar. • Keywords and MeSH terms identified studies …

D-Mannose Efficacy In Preventing Recurrent Urinary Tract Infections In Women, Miah Lee

Physician Assistant Scholarly Project Posters

• Evaluate the efficacy, safety, and mechanisms of D-mannose, a natural sugar, in preventing and treating UTIs. Evidence from various studies, including randomized controlled trials and pilot research, indicates that D-mannose may reduce UTI recurrence rates and alleviate acute symptoms with comparable efficacy to standard antibiotics. • Recurrent urinary tract infections (rUTIs) are a significant health concern for women, affecting their quality of life and requiring effective and safe prophylactic and therapeutic interventions. • Daily D-mannose demonstrated a significant reduction in recurrence rates for prophylaxis compared to placebo and nitrofurantoin, with fewer adverse effects. • In acute UTI management, D-mannose-based …

Efficacy Of Turmeric In The Treatment Of Osteoarthritis, Mckenna Taylor

Physician Assistant Scholarly Project Posters

Osteoarthritis is one of the most common types of arthritis that affects millions of people worldwide. This is a progressive disease, one that comes from persistent use of one’s joints. Currently, treatment of this disease includes oral NSAIDs, acetaminophen, corticosteroids, corticosteroid injections, oral and topical analgesics. These medications do have some long-term effects impacting the cardiovascular, gastrointestinal, and hepatic systems. A literature review was completed using randomized controlled, placebo controlled, and double-blind studies that emphasized the addition of turmeric to the treatment of osteoarthritis and its effects on pain, serum inflammatory markers, and physical functionality. Nine articles were found from …

Primary Molar Loss And Resulting Space Outcomes: A Systematic Review, Kaitlin Carlson, Meredith Clark, Richard Nguyen, Brenda S Bohaty, Amy Burleson, Robin Onikul, Neena Patel, Jenna Sparks

Posters

Premature loss of a primary molar can occur due to a multitude of reasons, including caries, infection, and trauma. When this occurs and restoration of the affected primary tooth is not possible, the AAPD recognizes space maintenance as a “Best Practice” to prevent loss of arch length, width, and perimeter after extraction. However, reports suggest that with proper intercuspation of first permanent molars, space loss from premature loss of a primary molar is minimal and a space maintainer in that area may not be needed. The clinical management for such cases has been controversial across pediatric dental providers, with factors …

Increasing Incentive Spirometry Use In Patients With Sickle Cell Disease Admitted To Cmh, Juan Nario Ramirez, Alexandra Prosser-Dombrowski, Thomas R. Cochran, Joel Thompson

Posters

Acute chest syndrome is one of the leading causes of morbidity and mortality in patients with sickle cell disease. The National Heart, Lung, and Blood Institute (NHLBI) recommends that patients with sickle cell disease perform ten breaths of incentive spirometry (IS) every two hours while awake to prevent development of acute chest syndrome. By not meeting these guidelines, patients are more likely to develop this potentially life-threatening acute complication. To increase the use of IS in patients with sickle cell disease admitted to the hospital for vaso-occlusive pain. Patients were identified and IS occurrences were measured via review of electronic …

Oral Surgical Needs In A Pediatric Hospital Dental Clinic, Meredith Clark, Richard Nguyen, Kaitlin Carlson, Brenda S Bohaty, Amy Burleson, Robin Onikul, Neena Patel, Jenna Sparks

Posters

Purpose: The aim of this study is to evaluate and assess the oral surgery needs in a pediatric hospital dental clinic at Children’s Mercy Hospital in Kansas City. Methods: Following IRB approval, appointments over a 6-month time-period were reviewed and recorded when a referral was placed to an oral surgeon. The reason for referral, patient age and medical history were recorded and analyzed. Results: Half of the patients needing oral and maxillofacial procedures were between the ages of 8-10 years old. There was an equal number of patients needing extractions due to carious/non-restorable teeth with and without special health care …

Differential Diagnosis Of Oral Ulcerations: A Case Report, Richard Nguyen, Kaitlin Carlson, Meredith Clark, Amy Burleson, Brenda S Bohaty, Robin Onikul, Neena Patel, Jenna Sparks

Posters

The diagnosis of oral lesions in children can be challenging as it can be an unspecified symptom of several diseases. Differential diagnoses can range from infectious diseases of childhood, inflammations, nutritional deficiencies, and chronic diseases. Because of this, children with oral ulcers may be treated by different specialists such as pediatric dentists and pediatricians. The purpose of this poster is to report the case of a twenty-one-month-old female patient who presented to Children’s Mercy Hospital Kansas City Emergency Department with chief concern for acute onset of intraoral oral ulcers, extraoral blisters near the lower lip, and fetid oral odor. Patient …

May 2025, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

May is Skin Cancer Awareness Month

REMINDER - SWOSU Swimming Pool OPEN TO ALL SWOSU EMPLOYEES and their FAMILY! (see hours p.2)

May Day Crossword Puzzle

Newsletter brought to you by the Bulldog Wellness Committee

Vol6iss2, Hca Healthcare

HCA Healthcare Journal of Medicine Covers

Cover for Volume 6 Issue 2 of the HCA Healthcare Journal of Medicine.

The Pernicious Right Should Pain, Julie Hwang, Md, Weiya Wysham, Md, Qian Leng, Md

Providence Portland Medical Center Internal Medicine 2025

Case Presentation: •Background: Non-traumatic diaphragmatic rupture is a rare condition, only 28 cases previously reported •73 year old female presented to PCP via virtual visit with 6 weeks of gradually worsening shoulder pain despite recent steroid injection. During the virtual visit, patient was found with dyspnea on exertion •PMHx: Recurrent ovarian cancer (granulosa cell type) •Surgical Hx: Hysterectomy with BSO, Lap partial hepatectomy with cauterization of right diaphragm metastasis 7 years prior to presentation •Vitals: normal, on RA •Exam: No R shoulder focal tenderness or limited movement •Labs: CBC - WBC 13.7 with absolute neutrophil count 11.2. CMP - normal. …

Raíces Y Recuerdos: Plantas Ornamentales Para Entornos Saludables, Adriana Hernández Bustos, María Janeth Camargo Garzón, María Victoria Rojas Martínez, Segundo Leonardo Cortes López

Ciencias de la Salud

El reino vegetal es un universo lleno de vida, colores, texturas, aromas y beneficios que trascienden a través del tiempo. Es un aliado perfecto para el trabajo conjunto e intergeneracional; para este caso, las plantas no solo embellecen los paisajes y espacios, sino que tienen además el poder de mejorar nuestra calidad de vida, especialmente cuando se integran en actividades terapéuticas y sociales con personas mayores.

A Deadly Case Of Encephalopathy, Brenna Ostertag, Md, Gita D Gelfer, Andrea Roast

Providence Portland Medical Center Internal Medicine 2025

Introduction: Human prion disease are heterogenous groups of neurodegenerative disorders characterized by spongiform degeneration, astrogliosis, and neuronal loss in the central nervous system from misfolding and subsequent spread of the prion protein. This disease manifests rapidly and is often accompanied by visual and speech abnormalities, gait changes, and progressive encephalopathy. It is always fatal. Around 400 people are diagnosed with prion disease in the United States annually. Recent innovations in diagnostics using Real-Time Quaking Induced Conversion (RT-QuIC) has allowed for antemortem diagnosis of prion disease. Case Presentation: A 66-year-old male with a history of alcohol use disorder in remission and …

Myth Of The Pentad: Approaching Thrombotic Thrombocytopenic Purpura, Nidhi Patel, Md, Meera Jain, Natasha Edwin, Md

Providence Pharmacy PGY2 Program at Providence Medical Group 2025

Introduction: •Thrombotic Thrombocytopenic Purpura (TTP) is a thrombotic microangiopathy that leads to microthrombi formation. •Immune thrombocytopenic purpura (ITP) is an acquired autoimmune disorder characterized by a low platelet count due to both increased platelet destruction and impaired platelet production. •Though both involving thrombocytopenia, prompt recognition of TTP is critical, as it has a high mortality rate if left untreated Case Presentation: •42-year-old female with rheumatoid arthritis (RA) who was started on tocilizumab three months prior to presentation •Platelet counts dropped to 30,000 (Figure 1). Her rheumatologist presumed that it was ITP and treated her with steroids •Presented to outside emergency …

Endocarditis Prophylaxis In Vulnerable Valve; Antibiotic Stewardship Or Suboptimal Care?, Zachary Taylor, Andrea Roast, Michael Layoun

Providence Portland Medical Center Internal Medicine 2025

Introduction Infective endocarditis (IE) is a relatively uncommon disease with an annual incidence of 5 per 100,000 people in the U.S.. Dental procedures are an exceptionally rare cause of IE. Amidst a global emphasis on antibiotic stewardship, U.S. and European guidelines only recommend antibiotic prophylaxis for dental procedures in high-risk groups. Having a bicuspid aortic valve (BAV) confers an 11-fold risk of endocarditis compared to the general public, and yet, is not classified as high-risk per AHA/IDSA guidelines. We present a patient with BAV who developed IE following a noninvasive dental procedure and review whether patients with BAV are under-classified …

Eye Dissection Video Guide: An Innovative Approach To Anatomy Education Of The Orbit, Eye, And Intraocular Lens, Jack Dryden, Malli Barremkala

Posters

No abstract provided.

Prevalence Of Eating Disorder Risk Among Medical Students In A United States Medical School, Jessica Cummings, Madison Mcclune

Posters

No abstract provided.

Nbme Synthesis Exam Study, Riya Chhabra, Shivapriya Chandu, Lindsay Gallagher, David Thomas

Posters

No abstract provided.

Bridging The Gap: Overcoming Medical Arabic Language Challenges In The Healthcare Setting, Deena Sukhon, Maya Jaradi, Abdullah Jalal, Marwa Saad, Joud Obri, Wesam Almasri, Matthew Helou, Mazen Zamzam, Inaya Hajj Hussein

Posters

No abstract provided.