Medicine and Health Sciences Commons^™

Beyond The Bruise/Swelling And Ear-Resistible Issues: Exploring The Etiology, Management, And Complications Of Auricular Hematoma, Jenny Tran, Annette Santiago

East Florida Division GME Research Day 2024

No abstract provided.

Adrenal Burnout: Unpacking Glucocorticoid-Induced Adrenal Insufficiency, Dana Kajan, Dolly Tailor, Uppal Navpreet, Jenna Thomas, Mohamad Saad

East Florida Division GME Research Day 2024

No abstract provided.

A Case Of Gastric Pneumatosis In A Trauma Patient With Gerd, Cyprien Jungels, Tyler Crawley, Michael Fisher, Glenda Quan

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Cardiac Neuroendocrine Function: A New Opportunity For Targeted Chronic Therapies, Jacob Keesee, Rami Khouzam

South Atlantic Division GME Research Day 2024

No abstract provided.

A Case Of Bullet Embolization And Its Management, Emily Clifton, William Clifton, Chase Tenewitz, David Kupshik, Michael Jones

South Atlantic Division GME Research Day 2024

No abstract provided.

A Pediatric Patient With Severe Malaria Successfully Treated With Artesunate, Aoife Schanche, Annabel Ward, Ricardo Zegarra-Linares

South Atlantic Division GME Research Day 2024

No abstract provided.

Prevalence, Predictors And Outcomes Of Prolonged Length Of Stay Among Patients Admitted Under Internal Medicine In Hca Florida West Hospital: A Retrospective Cross-Sectional Study, Sushil Rayamajhi, Anil Harrison, Jun Yoo

North Florida Division GME Research Day 2024

No abstract provided.

Never Admit Or Release Without Considering A Narcan Script (Narcan), Farid Mughni, Mustafa Ibrahim, Dante Janolo, Samuel Ramos, Emma Rivas, Olga Karasik

North Florida Division GME Research Day 2024

No abstract provided.

Case Study: Calcific Tendinitis Disguised As Retropharyngeal Abscess In 34-Year-Old Female, Brandon Nielsen, Oluyemi Omotoso

South Atlantic Division GME Research Day 2024

No abstract provided.

Heartsmart: App-Based Implementation For Women With Cardiovascular Diseases, Briana Alfaro-Funes, Camilo Peña, Chelsea Vasquez, Folasade Jackson, Nicholas Williams

DC Health and Academic Prep Program (DC HAPP)

Cardiovascular disease is the leading cause of death for women in the United States, at a rate of 1 in every 5 female deaths. In the United States about 35% of women have an illness related to CVD like hypertension, lack of physical , and high blood cholesterol level. Since 1984, the number of deaths of women caused by CVD has surpassed the number of deaths in men as women makeup 52.6% of the total number of deaths caused by CVD in the United States (Zhang, 2010). There are many factors like oral contraceptives and menopause that can put women …

Melanosome Maturation Defects In Tyrosinase Deficient Human Retinal Pigment Epithelium, Charles Deyoung, Aman George, Brian P. Brooks

Alpha Omega Alpha Research Symposium Posters

Purpose

• Oculocutaneous albinism type 1A (OCA1A) = recessive genetic condition caused by mutations in TYROSINASE
• Created in vitro disease model for OCA1A using human induced pluripotent stem cell (iPSC) derived retinal pigment epithelium (RPE)
• Role of autophagy (Fig. 2) in melanosome degradation and melanosomal trafficking
• Aim to investigate whether loss of melanosomes in OCA1A-iRPE might impact autophagy

The Effectiveness Of Jeffwlp For Weight Loss And General Nutritional Knowledge In Obese Patients, Scott Kozarsky, Ba, Olivia Ackley, Bs, Cynthia Cheng, Md, Phd

Alpha Omega Alpha Research Symposium Posters

PURPOSE: The increasing prevalence of obesity urgently requires effective management strategies. This study evaluates the effectiveness of Jefferson Weight Loss Program (JeffWLP), a trained medical student-delivered health education program in a predominantly African-American patient cohort.

METHODS: A randomized controlled trial was performed enrolling 30 patients with an average socioeconomic status of 5.8 (10 maximum). The intervention group (n=18) completed JeffWLP, a low-cost, 12-week health coaching program combining education sessions with graded step exercises. The control group (n=12) received usual care. Mean baseline age, BMI, and General Nutritional Knowledge Questionnaire (GNKQ) scores were: 46±13 years, 38±5, and 14.7±1.9 (maximum score=17) respectively. …

Emotional Stressors Faced By Medical Students Expressed Using Cartoons: A Qualitative Study, Casey Fishman, Ba, Justin Do, Bs, Fred W. Markham Jr., Md

Alpha Omega Alpha Research Symposium Posters

Purpose: Empathy, a fundamental pillar of medicine, has been shown to decrease in medical school. Increased stress is linked to decreased empathy, but specific stressors remain unclear. The goal of this study was to qualitatively explore specific stressors among third year medical students.

Methods: Third year medical students (n=248) participated in Reflection Rounds with a clinician and a member of pastoral care at Thomas Jefferson University and in their final sessions created a cartoon to express sentiments surrounding medicine. Qualitative analysis of the cartoons was conducted on both the images and text. Common themes were identified from the students’ …

Llu Dentistry - Volume 33, Number 1, Loma Linda University School Of Dentistry

Articulator (Dentistry)

In this Issue

6 | Dean's Message
8 | Service Learning - Caring for those in Cuba
12 | Homecoming Recap
20 | Dean's Circle Breakfast | Mission Inn
21 | Mission Emphasis Breakfast
22 | Honoring Class Gathering
24 | Alumnus of the Year - Dr. John Kershner
25 | Institute for Health Policy and Leadership
26 | $4M National Cancer Institute Grant Awarded to Dr. Chi Viet
28 | Dental Hygiene class graduates in China
30 | DDS Class of 2024 Profile
32 | LLUSD Continuing Education
34 | CDA Reception
40 | President's Award
41 | Prince …

Racial Disparities In Hpv Vaccine Uptake Among Adult Black And White Latinx Cisgender Men In The United States: Behavioral Risk Factors Surveillance System 2014-2022, Nixon R. Arauz, M.A., Dina T. Garcia, Ph.D., M.P.H., M.Ed.

Graduate Research Posters

Background: Latinx men are more likely to get human papillomavirus (HPV) and cancers caused by HPV compared non-Latinx whites. Despite a national vaccination rate of 59%, only 25% of adult Latinx men are vaccinated. Notably, Latinx individuals can belong to any race. Existing research often overlooks nuances like experiences with structural racism in healthcare settings when examining HPV vaccine uptake among Latinx individuals. This study addresses this gap by investigating HPV vaccination factors among Latinx adults, with a focus on racial disparities.

Methods: Using data from the 2014-2022 Behavioral Risk Factors Surveillance System, this study examined HPV vaccine uptake among …

Exploring Factors That Influence Prosthetic Attention In Upper And Lower Limb Prosthesis Users, Tanu Bhargava, Cody L. Mcdonald, Elizabeth G. Halsne, Brian J. Hafner, Benjamin J. Darter

Graduate Research Posters

Background: Prosthetic limbs often lack the innate control and sensory feedback capabilities of natural limbs, requiring more cognitive effort or attention during motor tasks. While a conceptual model of prosthetic attention exists for lower limb (LL) users, its applicability to upper limb (UL) remains unclear. This study aimed to explore how LL and UL users experience prosthetic attention, and explore factors that influence the existing model.

Methods: Twenty five UL users and thirty LL users with at or above wrist or ankle-level limb loss participated. Focus groups (FG), guided by open-ended questions, delved into user’s lived experiences with prosthetic attention. …

Retrospective Review Of Phenobarbital Versus Lorazepam For Alcohol Withdrawal Syndrome In The Emergency Department, Spencer Hayashi, Savita Bathija, Pharmd, Bcemp, Paul Vanemmerik, Nishat Mujeeb, Chris De Las Alas

Books, Presentations, Posters, Etc.

Abstract: According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), in the US, alcohol use contributes to up to five million emergency department (ED) visits annually. Alcohol withdrawal syndrome (AWS) is a serious and potentially life-threatening condition that can lead to complications such as hallucinations, seizures, and delirium tremens. For many years, the standard treatment for AWS has been symptom-triggered benzodiazepines, often dosed based on symptom scoring tools such as the Clinical Institute Withdrawal Assessment for Alcohol-Revised (CIWA-Ar) Score. In recent years, the use of phenobarbital for AWS management has gained popularity, and studies investigating its safety and …

Clinical Outcomes Associated With Mrsa Naat Utilization., Shannon B. Leighton, Pharmd, Emily Fox, Greg Tallman

Books, Presentations, Posters, Etc.

Abstract: A recent analysis by the Oregon Regional Antimicrobial Stewardship Program demonstrated that across the Oregon region, MRSA NAAT from the nares have a high negative predictive value (NPV) of 99.4%. These findings were consistent when stratified by culture site. The high NPV suggests that MRSA NAAT nasal swabs can be useful in promoting de-escalation (e.g., discontinuation) of anti-MRSA treatment. Few studies have evaluated if use of the MRSA NAAT influences anti-MRSA treatment de-escalation, and even fewer have assessed important clinical outcomes related to MRSA NAAT utilization and de-escalation. The goal of this study is to evaluate the frequency of …

A Clot To Worry About: Venous Thromboembolism In Severe Ulcerative Colitis, Jin Yun, Do, Donald Lum

Books, Presentations, Posters, Etc.

Introduction: Patients with inflammatory bowel disease (IBD) have an estimated three-fold higher risk of venous thromboembolism (VTE) compared to the general population. We present a case of a 19-year-old female with phlegmasia curelea dolens and massive pulmonary embolism in the setting of severe ulcerative colitis. Case Presentation : • 19-year-old female with iron deficiency anemia and three-month history of hematochezia, recently started on oral contraceptive pills. • Presented with acute left lower extremity pain, swelling, and cyanosis concerning for phlegmasia curulea dolens and compartment syndrome. • Underwent emergent thrombectomy, venoplasty, and fasciotomies. • Post-operatively, course complicated by obstructive shock and …

The Protective And Pathological Role Of The Spleen In Malaria, Julie Hwang, Md, Amy Dechet

Books, Presentations, Posters, Etc.

Case Presentation: • Background: There were 241 million cases of malaria globally. Compared to 2,000 cases in the U.S. Splenomegaly has previously been used to determine the severity of malaria. This is a rare case of hyper reactive malarial splenomegaly (HMS) due to chronic plasmodium ovale • 23 year-old female with gradually worsening left upper quadrant abdominal pain of 1 month. Pain sharp and stabbing in quality, no alleviating or aggravating factors. Associated with subjective early satiety and 10 Ibs weight loss, generalized weakness, shortness of breath • PMH: Schistosomiasis 2008,unclear if treated • Soc: Born in Congo and immigrated …

Not Just A Biblical Disease: Hansen’S Disease (Leprosy) Oregon’S Unique Differential, Zach Taylor, Justin Jin, Andrea Roast, Amy Dechet

Books, Presentations, Posters, Etc.

Background: Hansen’s disease (leprosy) is caused by a gram-positive, acid-fast bacilli called Mycobacterium leprae. It is very slow growing and has an indolent disease process. The disease is more prevalent in underdeveloped countries with poor access to care including Brazil, India, sub-Saharan Africa, and the Pacific Islands including Micronesia and the Philippines. However, it is becoming in creasingly common in the United States, specifically in areas with high levels of immigration from Micronesia. Case: Our patient was a 35-year-old Micronesian man who presented with 7 days of non-traumatic right hand pain with progressive swelling. He migrated to US from Micronesia …

Impact Of Pharmacist Concierge Service For Patient With Denied Prior Authorization, Ben Song, Jenifer Smith

Books, Presentations, Posters, Etc.

Abstract: Prior authorization (PA) is an evidence-based utilization management process used by managed care organizations to ensure prescribed products or services are safe, effective, and medically necessary for coverage.2 While PA is important for assessing clinically appropriate medication utilization, however, denials can lead to patient dissatisfaction, administrative burden for providers, and delays in patient care.1,2,3 Recent studies on the effect of PA received mixed results. One study illustrated that in an American Medical Association survey about PA, 91% of physicians reported that patients requiring care experienced care delays, and 75% of patients abandoned their treatments because of obstacles associated with …

Acute Pain Management Of Hospitalized Patients On Medication-Assisted Therapies (Mat) For Opioid Use Disorder (Oud), Ryan Bower, Roland Mikkaeil, Emily H. Hsu, Tracee Mock

Books, Presentations, Posters, Etc.

Abstract: Buprenorphine has been an instrumental tool in Medication Assisted Therapies (MAT) for opioid use disorder (OUD). For hospitalized patients on MAT, the management of acute pain presents a unique challenge to health care providers. A previous study examining buprenorphine discontinuation patterns on medical/surgical floors found that 11.8% of patients had their buprenorphine discontinued due to inadequate analgesia. Furthermore, none of these patients had their buprenorphine restarted prior to discharge. Discontinuation of buprenorphine in hospitalized patients has the potential for wide-reaching implications ranging from risk of withdrawal to relapse secondary to patient loss during the transition from inpatient to outpatient …

Don’T Poke The Bear: Pheochromocytoma Unmasked By Covid-10, Taylor Virtue, Andrea Roast

Books, Presentations, Posters, Etc.

Introduction: Pheochromocytomas are tumors of the adrenal gland which produce excess catecholamines. The classic clinical triad is paroxysmal headache, diaphoresis, and tachycardia. The rare incidence makes this a challenging diagnosis which is even more challenging in the environment of the COVID-19 pandemic. Case Presentation: Setting: Establishing care visit at a primary care office Demographic: 42 year old male Medical history: Previously well-controlled hypertension, prediabetes HPI: • Weeks of profound, persistent fatigue and lightheadedness after the resolution of acute symptoms (fever, chills) from COVID-19 infection. Denies any headaches or palpitations. • Meticulously measuring vital signs at home. He has noticed that …

Tobacco Cessation Email Outreach In A Primary Care Setting, Katie Berry, Md, Meera Jain

Books, Presentations, Posters, Etc.

Background: . • Tobacco use remains the #1 cause of preventable death in the United States • Providence Health and Patient Education Program offers resources for tobacco cessation (eg. Virtual classes), but few patients access these services • Xealth® is a digital healthcare technology company contracted with Providence that aims to provide digital content to improve patient care and resources to analyze data • Study purpose: Assess if digital outreach to patients helps engagement in tobacco cessation services • Our clinic was a pilot clinic to develop the intervention and assess efficacy prior to roll out to all Providence Medical …

Addressing Burden In Caregivers Of Older Adults With Cancer, Lora Rhodes, Lcsw, Kristine Swartz, Md, Caroline Glavin, Lsw, Charlotte Zuber, Kuang-Yi Wen, Phd

Department of Medical Oncology Posters

Background

Forty-two million adults in the United States are providing unpaid care for a family member or friend over the age of 50. For approximately 2.5 million of these caregivers, cancer is the primary illness or disability of their care recipient (National Alliance for Caregiving and AARP, 2020). As baby boomers continue to age, and the number of cancer survivors continues to increase, the need for informal caregivers will expand exponentially.

While Comprehensive Geriatric Assessment (CGA) is recommended for older patients with cancer and distress screening is recommended for all cancer patients, there are currently no recommendations regarding screening for …

The Effects Of Neuromuscular Training On Injury Prevention In Youth Athletes: A Systematic Review, Eric Jeffries, Brianna Mcpeak, Andrea Carlson, Kaylee Strauns, Jacqueline Stack

Student Research Poster Presentations 2024

No abstract provided.

The Role Of Computed Tomography In Diagnosis Of A Stroke, Gabriella Gaglia

Student Research Poster Presentations 2024

A stroke can be defined as a neurological deficit attributed to an acute focal injury of the central nervous system (CNS). There are two types of strokes, and these include ischemic and hemorrhagic. An ischemic stroke is caused by a lack of blood flow to the brain. A hemorrhagic stroke is due to a burst or rupture of a blood vessel within the brain. Computed tomography (CT) is the ideal imaging study done when diagnosing strokes in patients. The importance of quickly diagnosing a stroke and determining which type the person has experienced is one reason why CT scans are …

The Impact Of Robotic-Assisted Ambulation On The Cardiopulmonary System: A Systematic Review, Alexandrea Steele

Student Research Poster Presentations 2024

No abstract provided.

The Prevalence Of Cardiac Risk Factors In College-Aged Students, Katelyn Butczynski, Brianna Fox, Kristen Mccloskey, Katrina Redline

Student Research Poster Presentations 2024

Background: The impact of Cardiovascular disease (CVD) is typically associated with adulthood. However, its roots can be traced back to childhood. The transition from high school to college includes many lifestyle and environmental changes, which can lead to the creation of new lifelong habits. The college experience can contribute to the development of CVD risk factors with these new lifestyle changes. These risk factors lead to the development of CVD in adulthood.

Aims: This study was conducted to determine the prevalence of CVD in college-aged students and identify their risk for developing CVD in adulthood.

Methods: The study was a …