Medicine and Health Sciences Commons^™

Treatment Of Post-Operative Pain In Children With Severe Neurological Impairment, Jordan Keys

Presentations

Background: The assessment of pain in children with severe neurologic impairment (SNI) can be more challenging than in neurotypical children.

Objective: To describe the type, number of classes, and duration of post-operative pain medications for procedures common among children with SNI. Secondarily, to describe the variability in pain management strategies across children’s hospitals, specifically for opioid administration.

Design/Methods: This retrospective cohort study of the Pediatric Health Information System included children hospitalized with SNI aged 0-21 years old who underwent common procedures during 2019. We defined SNI using previously described high-intensity neurologic impairment (HINI) diagnosis codes and identified six common ( …

Perspectives, Spring 2022, Volume 10, Number 1, Nova Southeastern University

Perspectives

"Perspectives" was the College of Health Care Sciences' official magazine that connects students, faculty and staff from CHCS’s academic programs all over the state of Florida.

Pharmacy Newsletter : April 2023, Pharmacy Department

Department of Pharmacy Archives

• Changes in Global Initiative for Chronic Obstructive Lung Disease (GOLD) Report
• TOX-TOK: Sulfonylurea Overdose
• Difference Between Parenteral Iron Products
• Drug-Drug Interactions Impacting the Treatment of HIV-TB Co-Infection
• Conversion Between Different Corticosteroid Preparations
• Use of Analgesics in Adult Patients with Cirrhosis

Efficacy Of Transcutaneous Electrical Nerve Stimulation Vs. Calcitonin Gene Related Peptide Antagonists In The Application Of Migraine Prophylaxis, Matthew Davis

Physician Assistant Scholarly Project Posters

Worldwide migraines affect millions of people everyday causing significant impact on their lives. • Often times, patients have failed several first-line therapies for migraine prophylaxis. • The purpose of this systematic literature review is to evaluate the effectiveness and tolerability of TENS devices vs. CGRP antagonists in the application of migraine prophylaxis. • PubMed and ClinicalKey were searched with key terms, 17 sources were selected that were published after 2016. • Sources included meta-analysis, literature review, and randomized control trials. • Data shows that TENS devices as well as CGRP antagonists were effective and safe therapy options for migraine prophylaxis. …

Alternative Treatment Modalities For Plantar Fasciitis, Chelsey Clark

Physician Assistant Scholarly Project Posters

Introduction: Plantar Fasciitis is a common condition in adult patients. The purpose of this literature review is to determine if there is any evidence for alternative treatments in the regimen of plantar fasciitis that has not been resolved with the standard treatment. Methods: The review was done using Pubmed, CINAHL and SportDiscus. Research was included on the following alternative treatments of PF: corticosteroid(CS) injections, extracorporeal shockwave(ESWT), dry needling, platelet-rich plasma (PRP), autologous blood injection (ABI), cupping, custom insoles, and ultrasound therapy (US). Twelve research articles are included. Results: The alternative treatments within this literature review had some promising statistically significant …

Liraglutide Versus Semaglutide: Long Term Weight Loss Management In Obese Individuals, Mckenzie Burke

Physician Assistant Scholarly Project Posters

Obesity has been a source of complications affecting multiple aspects from a physiological and psychological standpoint which has been steadily growing. There are a multitude of weight loss programs and medications with the idea of sustaining consistent weight loss to include use of the pharmaceuticals discussed within this review. The purpose of this literature review is to compare the efficacy and safety with use of liraglutide versus semaglutide (GLP-1 receptor agonists) in respect to long term weight loss management while in conjunction to lifestyle modifications within the obese population. Thorough research has been done with the aid of health science …

A Comparison Of Anti-Calcitonin Gene-Related Peptide Monoclonal Antibodies And Standard Migraine Prophylaxis In Those With Episodic Migraines, Alexie Harms

Physician Assistant Scholarly Project Posters

Migraines are debilitating and a frequent reason for primary care visits. Migraines interfere with an individual’s work, school, and daily life. Standard of care treatment options for migraine prophylaxis include Propranolol, Amitriptyline, and Topiramate which were all developed for other medical conditions. These conventional medications can lead to unwanted side effects decreasing treatment adherence. Calcitonin Gene-Related Peptide monoclonal antibodies (CGRP mAbs) have been under study for the treatment and prevention of migraines. The purpose of this research project is to explore the effectiveness and tolerability of CGRP mAbs in reducing the number of migraine days in comparison to conventional migraine …

Food Intolerance In Patients With Depression, Victoria Gingrey

Physician Assistant Scholarly Project Posters

Medication is commonly prescribed for the treatment of depression, but some patients have difficulty finding a medication that is both effective and tolerable while others prefer to avoid medications all together. It has been suggested that dietary modification may reduce the depressive symptoms. As lifestyle changes may be difficult to maintain long term, determining specific foods to avoid for individual patients may improve adherence. A meta-analysis of 10 articles was performed. Articles were found using the electronic search databases PubMed and PsychInfo. Many studies found correlations between biomarkers and the prediction, diagnosis, or treatment of depression, though no study suggested …

Ketamine For Active-Duty Military And Veterans With Ptsd, Kristopher Flynt

Physician Assistant Scholarly Project Posters

The purpose of this research and systematic literature review is to compare the drug ketamine’s efficacy at treating post-traumatic stress disorder for veterans and active-duty military compared to approved Food and Drug Administration (FDA) options and combination medication/psychotherapy. In this review, three databases were searched including Pubmed, ClinicalKey, and PsycInfo from October 3 to January 9, 2023. Additionally, the Veterans Affairs (VA)/Department of Defense (DOD) Clinical Practice Guidelines was utilized. A variety of key and mesh terms were utilized when database searching. Chosen works for review included randomized control trials, systematic reviews, meta-analysis, and retro-perspective studies. Sources that were excluded …

Is Natural Family Planning An Effective Alternative To Hormonal Contraception, Melanie Loehrer

Physician Assistant Scholarly Project Posters

Natural family planning methods provide women with an opportunity to use natural methods to plan pregnancy. This is done through daily monitoring of symptoms and biomarker fluctuation in accordance with hormonal changes throughout the menstrual cycle to identify the fertile window. Through the identification of the fertile window and ovulation, one can determine appropriate days for sexual intercourse. This format allows participants to develop a greater understanding and in-depth knowledge of reproductive health to avoid or achieve pregnancy. The use of natural family planning has greatly increased over the last two decades, growing the demand for clinical practice in applicability …

Benzimidazole Adjuvant Therapy: A Review Of Efficacy And Safety In Patients With Cancer, Jared Mouw

Physician Assistant Scholarly Project Posters

• The safety and toxicity profile of benzimidazoles will be assessed within a population of patients currently diagnosed with various types of cancer to determine if this class of medications could be implemented along with current cancer treatment regimens to increase efficacy and tolerance. • Databases of CINAHL, ClinicalKey, and PubMed were searched with the keywords mentioned below. Studies include those after the year 2000, and those focusing on the use of benzimidazoles on human cancer cells and tissue, case studies, or all phases of clinical trials. Excluded were those using non-human study subjects, those before the year 2000, and …

Blood-Based Versus Stool-Based Biomarker Accuracy In Detection Of Colorectal Cancer And Impact Of Non-Invasive Tests On Patient Participation, Allison Obritsch

Physician Assistant Scholarly Project Posters

Colorectal cancer is a very treatable cancer when detected early, therefore patient adherence and colorectal cancer screening is key to decrease mortality. The purpose of this research and systematic literature review was to determine how the accuracy of blood-based and stool-based biomarkers compared in the detection of colorectal cancer and how noninvasive testing modalities influence patient participation in colorectal cancer screening. PubMed and Clinical Key were used as search engines. In terms of patient compliance and adherence, the studies comprehensively agree that non-invasive testing modality availability can increase patient participation in screening for colorectal cancer. While there was not significant …

Corticosteroid Injection Vs Therapy Vs Combination For Rotator Cuff Injuries, Rodney Guy Palmer Jr.

Physician Assistant Scholarly Project Posters

Rotator cuff pathologies seen in a primary care setting ranks third for musculoskeletal complaints seen by primary care providers. Rotator cuff pathologies can cause significant dysfunction in activities of daily living (ADLs), work tasks, and daily life. Some current treatment recommendations are intra-articular steroid injections, therapy only rehabilitation, or the combination of the two. This literature review researched articles comparing the effectiveness of steroid only treatments, therapy only and the combination of the two. There was conflicting evidence regarding which treatment was the most effective. Significant side effects for steroid injections were discovered which included rotator cuff rupture. Therapy demonstrated …

Effectiveness Of Knee Joint Injury Treatments In The Prevention Of Post-Traumatic Osteoarthritis, Jenna Zaeske

Physician Assistant Scholarly Project Posters

The purpose of this research and systematic literature review is to determine the effectiveness of conservative versus surgical intervention following anterior cruciate ligament (ACL) or meniscus injuries. Short and long term studies were evaluated to compare the prevalence and progression of osteoarthritis after joint injury. Sources included for review had research on ACL or meniscus injuries specifically. Other knee injuries, non-knee injuries and non-human subjects were excluded. After inclusion and exclusion criteria were implemented, 11 articles remained. Patients with ACL and meniscus injuries have a high prevalence of post-traumatic osteoarthritis (PTOA). Studies have shown that trialing physical therapy, specifically neuromuscular …

Platelet-Rich Plasma Vs Corticosteroids In Oa, Joshua Zetocha

Physician Assistant Scholarly Project Posters

- Millions of people around the world suffer from degenerative joint changes due to osteoarthritis (OA). - Traditional treatment includes corticosteroid intra-articular injections. - Platelet-rich plasma (PRP) is an alternative option for OA. - In all studies evaluated, PRP had no major side effects. - Patients saw a reduction in pain and improvement of functionality with both PRP and Corticosteroids. - PRP patients reported improvement that lasted longer than corticosteroid therapy. - More studies are needed on specific concentrations of PRP. - Results may vary depending on the joint being treated. - Price is a barrier for many as insurance …

Healthcare Disparities Among Incarcerated Populations: A Quality Improvement Project, Mariam Bradley, Morgan Callihan, Sandra Frederick, Riley Hall, Marty Helms, Aaliyah Manson, Katelyn Martha, Madison Mason, Suzi White

2023 Celebration of Student Scholarship - Poster Presentations

A population that has been consistently subject to unequal treatment when receiving medical attention is the population of prisoners or jail inmates. It is essential to explore the discrepancies prisoners face and the effects it has on their health. The objective of this research was to bring to light the disparities incarcerated patients experience, and how to eliminate these. In order to develop a better understanding of the prejudiced actions incarcerated patients face in the healthcare spectrum, numerous studies have been analyzed.

Are Gender And Social Disparities Associated With Stem Persistence In Kentucky Colleges?, Riley E. Hicks, Wilson Gonzalez-Espada

2023 Celebration of Student Scholarship - Poster Presentations

Children have the right to receive a quality education, but concerns about county disparities in school funding, facilities, and resources exist. This is known as the "zip code effect". Because high school STEM classes require lab space, materials, equipment, and specialized teachers, disparities in school funding can impact students who want STEM careers.

Visual Pollution Classification Using Convolutional Neural Networks, Jacob Vogelpohl, Heba Elgazzar

2023 Celebration of Student Scholarship - Poster Presentations

Visual pollution is an impairment on an individual's ability to enjoy their surroundings. It usually takes the form of a messy and chaotic environment that can cause overstimulation of the visual senses. This includes trash, advertisements, construction, electric cables, and similar objects. Convolutional Neural Networks (CNNs) are a form of artificial intelligence that use supervised learning to process and classify images. In this research, a CNN processed images of city streets and classified them as polluted or not polluted based on the visual characteristics that it learned from during its training period. The CNN achieved a training accuracy of 98% …

Predicting The Mechanism And Products Of Cs2 Capture By Nh3 - An Exemplar Benchmark Study, Shelbie A. Black, David A. Dixon, Zachary R. Lee

2023 Celebration of Student Scholarship - Poster Presentations

Carbon disulfide is a toxic gas emitted from industrial plants and a common greenhouse gas. Acute poisonings from carbon disulfide are rare, but recurring exposure to low doses can have long term health effects. Currently, there are two approaches being considered for the removal of acid gas pollutants: (1) sequester these gases from the atmosphere or (2) remove these gases directly upon combustion (post-combustion). Potential energy surfaces (PES) for a series of CS2 capture reactions by NH3 in the presence H2O were calculated at the MP2/a(D+d) evel in the gas phase. G3(MP2) and FPD calculations are in progress. Extensive thermodynamic …

Kangaroo Care Education For Low Socioeconomic Status Families In The Neonatal Care Unit, Joara Peterson

Nursing | Student Research Posters

The early contact between mother and baby is known as skin-to-skin, also referred to as “kangaroo care” (KC). It involves placing the baby on the mother’s chest as soon as it is appropriate (Thompson, 1979). This interaction was primarily for bonding but many researchers have discovered additional benefits. There is significant correlation between kangaroo care and weight gain (especially for low birth weight infants), as well as body temperature and heart rate regulation, which reduces the risk of medical complications. It also decreases levels of stress in mothers and babies by lowering the release of cortisol hormone (Mohammadi et al. …

Sharksrx Newsletter Spring 2023, Nova Southeastern University

NSU Sharks Rx

No abstract provided.

Growing South Dakota (Spring 2023), College Of Agriculture, Food And Environmental Sciences

Growing South Dakota (Publication of the College of Agriculture, Food and Environmental Sciences)

[Page] 3 Developing Climate-Smart Beef and Bison Commodities
[Page] 5 Joseph Cassady Leads CAFES as New Dean
[Page] 7 Inaugural Class of Klingbeil Scholars
[Page] 9 Jackrabbits to Future Veterinarians
[Page] 11 Protecting South Dakota’s Grasslands
[Page] 13 Growing Youth Programs
[Page] 15 Partnerships for Positive Growth
[Page] 17 Building Highly Effective Boards
[Page] 19 SDSU Extension Podcasts
[Page] 21 Providing Good Food for All
[Page] 23 Improving Seed Varieties
[Page] 25 CAFES Endowed Positions
[Page] 29 Jackrabbits Now and Then

Understanding The Efficacy And Safety Of Stem Cell Therapy And Car T-Cell Therapy In Leukemia Patients, Amita Panda, Wendy Perla, Betelhem Negash, Johnny Duong, Cong Nguyen

Research Methods Poster Session 2023

CAR T-cell therapy and Stem cell therapy are effective treatments with varying benefits, efficacy, and safety for patients with recurrent leukemia. CAR T-cell therapy and Stem cell therapy are both effective immunotherapies that use engineered cells to combat cancers. The implications of this study allow patients to understand the benefits and disadvantages of both therapies and paves the way for future advancement within immunotherapy. This review selected studies from reputable medical journals, clinical trials and peer-reviewed research published within the last five years obtained from multiple databases including PubMed, Wiley Online Library, and Google Scholar. We compared the efficacy and …

Leaving Home With Broken Bones: A Case Reflection, Aniqa Rahman, Sarah Kohl, Kyra Smith, Haley Gagne

CECE Spring Showcase 2023

An inter-professional team approach to a case of chronic illness in the backdrop of housing instability in rural Maine. This case was designed with the collaborative efforts of students from the Undergraduate, Osteopathic Medicine, and Physical Therapy schools.

Weight Loss For Bariatric Patients: Arterial Embolization Versus Gastric Bypass, Morgan Bernhardt

Physician Assistant Scholarly Project Posters

 The primary aim of this review is to determine the safety and efficacy of left gastric artery embolization (LGAE) in comparison to Roux-en-Y gastric bypass (RYGB) in bariatric patients for the treatment of obesity.  RYGB, an invasive surgical operation, has been proven to result in long-term efficacy of weight loss but can be associated with a higher risk of early and long-term complications to include a gastrojejunal anastomosis leak, surgical site infection, iron deficiency anemia, bowel obstructions, and hernias. RYGB may require reoperation and does have a risk of mortality. Bariatric surgery is now focusing on the appetite-stimulating …

Innovative Management Of Posterior Upper Thigh Pain In Two Adolescent Athletes, Thomas Munro, Brian Harvey

Posters

Case history: Two 16-year-old males with posterior upper leg pain. Athlete A reports he had been exploding up to dunk a basketball when he felt a pop with immediate pain in his posterior LLE. He was treated conservatively with activity modification and PT resulting in improvement of symptoms and return to full activity. He returned 15-months after the initial injury due to recurrence of pain. Athlete B stated he had tweaked his hamstring multiple times over the summer and had been working with a physical therapist for rehabilitation. He had attempted full rest for a couple weeks with graded return …

A Metabolic, Mechanical, Multi-Organ Masterpiece: Dural Device Support Bridge To En-Bloc Heart-Liver Transplantation In Propionic Acidemia, Rebecca Juhl, Brian Birnbaum, Aliessa P. Barnes, William Gibson, Bhargava Mullapudi, Beth Lang, Megan Faseler, Daniel E. Heble, Victoria Urban, Ryan T. Fischer, Jennifer L. Gannon, David Sutcliffe

Posters

Introduction: Propionic Acidemia (PA) is a disorder related to abnormal protein and lipid metabolism resulting in progressive neurological injury and dilated cardiomyopathy (DCM). Interventions for PA and secondary disease manifestations can require multi-organ transplantation. Herein we report the case of a child with PA and end-stage DCM requiring left ventricular assist device (LVAD) support with eventual heart-liver transplant. Case Report: A 17 year old male diagnosed in childhood with PA developed chronically progressive DCM culminating in end stage heart failure with acute decompensations. In a recurrent admission, he progressed to require dual inotropic support and systemic anticoagulation for new LV …

An Occupational Therapist Role In Mental Health: Focus In Schizophrenia And Eating Disorders, Stephany Tourtillott, Lakeisa Boykin, Inti Marizita

Spring 2023 Virtual OTD Capstone Symposium

Occupational therapy is a field that aims to help a population gain as much independence as possible within all areas of occupation. In many cases and populations, this tends to fall within the physical limitations domain and does not often consider populations where mental health is the main domain affected. In this capstone project, the writer dove into how an occupational therapist can help those with schizophrenia and eating disorders, specifically within the adolescent population. This capstone project began with a literature review in which five significant themes arose: background on mental health, the current treatment of schizophrenia and eating …

Advocacy For Accessible Air Travel, Alexandra Bruce, Lydia Kite, Zeida Gutierrez

Spring 2023 Virtual OTD Capstone Symposium

Problem: Passengers with disabilities decreased participation in air travel due to anxiety fear of injury, and damage to their assistive technology devices limits their ability to participate in occupations where air travel is used.

Purpose To highlight a need for occupational therapy (OT) collaboration with airlines and related stakeholders; and to advocate for more accessible air travel within the airline industry that can lead to a more safe experience for air travelers with disabilities.

Easydig, Austin Strzelczyk, Ots, Zachary Quain, Ots, Payton Cole, Ots, Elijah Jones, Ids

Program of Industrial Design Posters

Poster is of the "EasyDig" that assists those with difficulty bending and kneeling for long periods of time when gardening.