Medicine and Health Sciences Commons^™

Implementation Of A Training Module On Alcohol Prevention For Promotoras On A Border Community In The Rio Grande Valley., Noe Garza, J Escareno, Alvaro Diaz-Badillo, Ihsan Salloum

Research Symposium

Background: Complications due to unhealthy alcohol use are widely spread, and there is a significant unmet need for prevention and treatment in the community. The South Texas-Mexico border region consists of over ninety percent of Hispanics and suffers from a significant shortage of physicians. Alcohol-related problems are highly unrecognized and untreated in this large Hispanic population due to the shortage of healthcare providers, low education levels, and limited trust in the health care system. Prevention efforts should be designed to prevent or reduce the risk of developing alcohol addiction.

Methods: The proposed module focuses on enhancing the Promotoras or Community …

Critical Reflection In Practice: Generating Knowledge From The Interactions With Promotores For Engagement In Neurocognitive Disorders, Noe Garza, Ney Alliey-Rodriguez, Rosa V. Pirela, Gladys E. Maestre

Research Symposium

Background: Colonias are underserved areas along the Texas-Mexico border, with high incidences of neurocognitive disorders, dementia, and Alzheimer's disease (AD). Our goal is to build capacity to reduce risk, facilitate treatment for affected individuals, and provide caregiver support. Our aim was to construct an approach that was reflective and would reveal the rich and diverse ways in which people make meaning of their experiences and interactions with scientists, faculty, staff and students.

Methods: We examined our work with local community health workers. (CHWs), promotores in Spanish, to establish contact with, engage, mobilize, and educate the Hispanic communities of the Lower …

Frequency Of Icu Specific Interventions After Middle Meningeal Artery, Niti Dharwadkar, Sohum Desai, Ameer E. Hassan, Wondwossen G. Tekle

Research Symposium

Background: Middle meningeal artery embolization (MMAE) is increasingly performed for the treatment of chronic subdural hematomas. Some authors have described managing minimally symptomatic patients with MMAE in the outpatient setting. Our practice, however, has been to routinely admit patients after MMAE to the neuro-intensive care setting. Objective of this research is to analyze the frequency of ICU level interventions after MMAE in the neuro-intensive care unit.

Methods: A consecutive series of MMA embolizations for cSDH were retrospectively reviewed from 2020 to 2022 at Valley Baptist Medical Center in Harlingen, TX, USA. Frequency of ICU specific interventions such as need for …

Taking The Load Off: Device Lead-Induced Severe Tricuspid Regurgitation And Right-Sided Heart Failure Treated With Transcatheter Aortic Valve Implantation (Tavi), Nina Shyama Appareddy, Michaela Iglesia, Ayman Khaddam, Henry Kwang, Eduardo Flores

Research Symposium

Background: Interference of device leads with closure of the tricuspid leaflets can cause severe tricuspid regurgitation (TR) and right-sided heart failure, as can heart failure with reduced ejection fraction (HFrEF) and left sided valve disease. We report a case treated with transcatheter aortic valve implantation (TAVI) with improved TR.

Case: A 78-year-old male with coronary artery disease status post remote myocardial infarction and coronary bypass, HFrEF with left ventricular ejection fraction 35-40%, and inducible ventricular tachycardia status post AICD placement presented with worsening dyspnea on exertion, easy fatigue, lower extremity edema, anasarca and abdominal bloating. Transthoracic echocardiography demonstrated severe aortic …

Subtotal Iliac Vein Occlusion Secondary To May-Thurner Syndrome, Nina Shyama Appareddy, Jose Ramos, Usman Sheriff

Research Symposium

Background: May Thurner Syndrome (MTS), an anatomical variant present in over 20% of the population, can present with iliofemoral deep venous thrombosis (DVT) caused by compression of the common iliac vein by the adjacent iliac artery.

Case: An 86 year old male with coronary artery disease presented with left lower extremity swelling. Ultrasound revealed acute iliofemoral region DVT. This clot, extending from the groin to the ankle, placed him at high risk for pulmonary embolism and post-thrombotic syndrome.

Decision-making: Patient was placed on heparin drip. Venogram performed at 48 hours showed extensive clot in the superficial femoral, common femoral and …

Socio-Contextual Factors Predicting Pericardial Effusion And Mortality In Patients With Confirmed Sars-Cov2 In A South Texas Hospital. A Preliminary Analysis, Nina Shyama Appareddy, Cesar Peralta, Juan Carlos Alvarenga, Charles Mild

Research Symposium

Introduction: Few pericardial effusion (PEf) cases have been reported in the literature amongst adult hospitalized patients with SARS-CoV2. The goal of our study is to determine the frequency and risk factors of PEf amongst adult hospitalized patients with SARS-CoV2 and its effect on mortality.

Methods: This preliminary analysis included 48 consecutive patients with confirmed SARS-CoV2 admitted from 08/01-08/31/2021. Socio-demographic data and risk factors for coronary artery disease were recorded. Echocardiography was reviewed for evidence of PEf. A comparison of patients with effusion, no effusion, and no echo was performed with chi-square, t-test, ANOVA, and probability of death using logistic regression …

Development And Validation By Rp-Hplc Method For The Estimation Of Piperine Coenzyme Q10 In Bulk And Pharmaceutical Dosage Form, Nikita Sharma, Mrinmoy Sarkar, Pooja Chawla

Research Symposium

Safety is the fundamental principle in the provision of pharmaceutical products for health care of human being. Nutritional supplements used in medical practice are gaining considerable momentum in the world during the past decades. But this supplement is needed to be analysed before releasing in market to avoid any complications. A combination of piperine and coenzyme Q10 is used as nutritional supplement. As no analytical method has been developed for their simultaneous estimation a simple, specific, sensitive, precise and accurate RP-HPLC method was developed for the determination of CoQ10 and piperine in bulk or pharmaceutical dosage form. Coenzyme is very …

Alzheimer’S Disease Studies In The Tex-Mex Border: Dissecting A Complex Multifactorial Problem, Ney Alliey-Rodriguez, Rosa V. Pirela, Alvaro Diaz-Badillo, Karla Lopez Lorenzo, Noe Garza, Frank Gilliam, Eron G. Manusov, Gladys E. Maestre

Research Symposium

Purpose: Alzheimer’s Disease (ALZ) is the leading cause of dementia in the aging population, and Latinos have >3 times higher risk to develop dementia than the overall US population. Although several studies have examined for possible causes of this increased risk, lack of comprehensive information plus a reduced number of Latino samples available in each study have hindered the answers.

Description: The University of Texas Rio Grande Valley has joined two large studies looking for multiple biomarkers associated with ALZ: The South Texas Alzheimer’s Center Clinical Data Repository and Biobank (STAC) and the Texas Alzheimer’s Research and Care Consortium (TARCC). …

Development Of Surgery Guided Nir Fluorescent Probe Nanoparticles For Cancer Imaging, Neeraj Chauhan, Pallabita Chowdhury, Prashanth Kumar Bhusetty Nagesh, Elham Hatami, Meena Jaggi, Subhash C. Chauhan, Murali M. Yallapu

Research Symposium

Background: Early-stage detection is crucial for successful breast cancer treatment and can significantly reduce breast cancer associated death rates. There are several diagnostic approaches available for early breast cancer diagnosis but lack tumor specificity and expose patients with radiation. Therefore, there is a crucial need to develop newer and safer imaging modalities. Indocyanine green (ICG), an FDA approved Near InfraRed (NIR) fluorescent probe-based imaging for early cancer detection and image guided surgery, has gained noticeable attention for the clinical applications as it has high sensitivity, low cost, and real-time visualization/imaging capabilities without ionizing radiation. However, ICG has several limitations associated …

Trusted Sources Of Health Information During The Covid-19 Pandemic, Michael Machiorlatti, Candace Robledo, Cliff Clark

Research Symposium

Background: As the role of media has evolved with display and consumption of health information, the need to decipher the quality of the information has become exceedingly important. This became more important during the covid-19 pandemic, when information was being formulated and released nearly real-time. Prior to the pandemic, government agencies, health professionals and authorities were generally trusted sources of information. Additionally, information passed more casually through family and acquaintances was also something people tended to rely upon. This paper explores the self-reported trustworthiness of different health information sources during the pandemic and also seeks to rank the importance from …

Optimization Of A Protocol For Temporary Deafferentation And Proof-Of-Concept Of Effectiveness For Upper Limb Rehabilitation, Monica Lozano Garcia, Kelsey A. Potter-Baker, Chelsea Erazo Macias, Victoria Cuello

Research Symposium

Background: Temporary deafferentation (TD) is a technique that uses short-term anesthesia, to inactivate sensation pathways from stronger muscles so that the brain releases inhibition that was placed on weaker muscles, thereby strengthening them. Unfortunately, there are many methods to do TD, and an optimized protocol for TD has yet to be fully developed. Here, we sought to optimize a protocol for TD using 5% lidocaine cream. Then, as a proof-of-concept, we evaluated hand dexterity and muscle strength was improved after a single session of TD. We hypothesized that triceps would show a gain in strength, with minimal changes in hand …

Generalized Lymphadenopathy As The Initial Presentation Of A Young Woman With Systemic Lupus Erythematous, Mery Bartl, Christine E. Loftis, Jose Gomez, Daniela Hernandez, Emilia C. Dulgheru

Research Symposium

Background: Generalized lymphadenopathy (LAP) refers to abnormal enlargement of more than two non-contiguous lymph node regions. There are various causes of LAP, including malignancy, infection, autoimmune disorders, medications, and iatrogenic causes. Obtaining a thorough history and physical examination is paramount in identifying the underlying etiology. Most of the time further investigation with laboratory and radiographic studies should be performed to identify the cause. Patients with high-risk features should undergo a biopsy for the diagnosis of malignancy.

Case presentation: A 36-year-old lady with a remote history of COVID-19 presented with complaints of orthopnea, cough, arthralgia, and left-sided abdominal pain for the …

A Whole Clotta Pain: A Case Of Ivc Thrombosis Presenting As Severe Abdominal Pain In A Patient With Anti-Phospholipid Syndrome, Mery Bartl, Christine E. Loftis, Josenny Rodriguez-Paez, Emilia C. Dulgheru

Research Symposium

Background: Anti-phospholipid syndrome (APS) is an immune-mediated condition characterized by the presence of antiphospholipid antibodies in the setting of venous and arterial thrombosis and or pregnancy loss [1]. APS can be a primary syndrome or can be associated with connective tissue diseases such as systemic lupus erythematosus. The goal of treatment in patients with APS is to decrease the risk of thromboembolic events and the standard of care is warfarin therapy. We describe a case of a 42-year-old gentleman with a history of APS on anticoagulation with apixaban who presented to the hospital with severe abdominal pain secondary to infrarenal …

Eating Patterns Of Patients With Type 2 Diabetes Mellitus And Their Houshold First Degree Relatives. A Cross Sectional Study From Cediamet, Mariana M. Mendez, Juan C. Lopez-Alvarenga, Claudia Munguia-Cisneros

Research Symposium

During the first quarter of 2022, the hospital admissions in Mexico registered 6,575 patients with Type 2 Diabetes Mellitus (T2D), more than 61% had not received nutritional care, and in addition, 55% of the cases suffered from hypertension blood pressure and more than 14% had obesity. Clinical complications associated to a poor control of T2D were visual disability, and motor disability. It has been recognized the appearance and development of diabetes and its complications have genetic components. However, this genetic factor interacts by the presence of other environmental risk factors, such as eating habits and sedentary lifestyle. Household members can …

Necrotizing Fasciitis In A Patient With Type Ii Diabetes Mellitus - A Case Report, Mays F. Abdulazeez, Miguel Tamayo, Juan Garcia, Lester Rios, Andreina Prado, Alain Velazquez, Jose Cano, Heidi Pareja, Sunand Kallumadanda

Research Symposium

Background: Necrotizing fasciitis (NF) is a rare necrotizing soft tissue infection (NSTI) of high mortality; clinically characterized by fulminant tissue destruction and systemic signs of toxicity. Clinical manifestations include erythema (72%), extended edema (75%), severe pain (72%), fever (60%), crepitus (50%), skin bullae, necrosis, or ecchymosis (38%). Worldwide, 1:3 of patients with NF die from this rapidly progressive infection.

Case presentation: A 44-year-old female patient with a past medical history of DM type II attended ER with pain in the right inguinal area. Vital signs on admission were heart rate 113bpm, blood pressure 124/82mmHg, and temperature 38.1℃. A physical exam …

Interdisciplinary Integrated Primary And Behavioral Healthcare (I2pbh) Initiative, John Ronnau, Deepu George, Maria Hernandez, Evan Garcia, Myrna Ruiz

Research Symposium

Purpose: The Interdisciplinary Integrated Primary and Behavioral Healthcare (I²PBH) initiative will train University of Texas Rio Grande Valley (UTRGV) mental health graduates to deliver high quality, evidence-based Integrated Behavioral Health (IBH) services in the Rio Grande Valley (RGV) – a high-need, high-demand, medically underserved Hispanic region along the US-Mexico border. Specifically, the I²PBH initiative will train 24 UTRGV mental health graduates annually to deliver high-quality Integrated Behavioral Health (IBH) clinical services through the evidence based Primary Care Behavioral Health (PCBH) model. With a training emphasis on basic/advanced theory and clinical skills in the PCBH model, students …

Clinical Characteristics And Risk Factors For Mortality During The 'First Wave' Of Covid-19 In Reynosa, Tamaulipas, Luis G. Vargas Garcia, Francisco E. Díaz Cisneros, Antonio Gutiérrez Sierra, Juan Rosales Martínez, Manlio F. Lara Duck, Netzahualcoyotl Mayek Pérez

Research Symposium

Background: The COVID-19 pandemic has impacted public health in Mexico. As of February 2020, there have been at least four "waves" of contagion that resulted in 5.82 million positive cases and more than 325 thousand deaths. At the beginning of the COVID-19 pandemic, hospital and population-based information was available, frequently with non-specific symptoms. Little was known about the risk factors for mortality in specific conditions. We described the clinical characteristics of patients with COVID-19 in Reynosa, Tamaulipas during 2020 and identified the risk factors for mortality.

Methods: The COVID-19 cases registered from March to November 2020 in Reynosa were divided …

Complex Gynecology Clinic, Saul D. Rivas, Elissa Serapio, Tony Ogburn, John Ronnau, Alejandra Vega, Angela Tanguma, Andrea K. Contreras

Research Symposium

Purpose: The Area Health Education Center (AHEC) Complex Gynecology Clinic aims to reduce the shortage of women’s primary care providers in rural and medically underserved communities. The Complex Gynecologic clinic provides high quality- evidence based care to women at low or no cost regardless of immigration status, socioeconomic status, educational attainment, and age who might otherwise be unable to receive much needed care in other sites in the RGV.

Description: Some of the services offered, via grant funding, include preventive services such as well women exams, cervical cancer screening, and family planning. As well as work up and treatment for …

Disparities And Microbiome Affecting Liver Disease Progression, Ana I. Martinez Bulnes, Poornima Devi Shaji, Subhash C. Chauhan, Sheema Khan

Research Symposium

Non-alcoholic fatty liver disease (NAFLD) is a metabolic illness that encompasses a wide range of pathological states, from simple steatosis to steatohepatitis (NASH) to cirrhosis and hepatocellular carcinoma. NAFLD is the most prevalent liver disease in the world, accounting for 25% of all liver diseases cases. A high-fat diet, smoking, and alcohol consumption have all been proven to disrupt the balance of beneficial and possibly pathogenic bacterial species, resulting in intestinal dysbiosis. The prevalence of liver cancer (LC) among Latinos in South Texas remains greater than elsewhere in the United States, necessitating further research on population-specific risk factors and aggressive …

Novel Therapy Targeting Mutant-Krasg12d And Galectin-1 In Pancreatic Cancer, Ana I. Martinez Bulnes, Sheema Khan, Dan Ninroy, Poornima Devi Shaji, Swathi Holla, Murali M. Yallapu, Subhash C. Chauhan

Research Symposium

Introduction: Although, surgical resection and chemotherapy are the gold standard for treating Pancreatic Ductal Adenocarcinoma (PDAC), low patient survival rate remains the problem. The activating point mutation of the KRAS on codon-12 is present in 70–95% of PDAC cases and so far, no success has been achieved to inhibit KRAS. KRASG12D regulates cell proliferation, differentiation, apoptosis. Recent preliminary and published studies show high Galectin-1 (Gal-1) levels in both pancreatic cancer and stromal cells, which modulate tumor microenvironment and metastasis. Additionally, genetic deletion of gal1 inhibits metastasis and improves survival in KRAS mouse model of PDAC (1). Therefore, our objective is …

Unusual Inflammatory Presentation For Locally Advanced Papillary Thyroid Carcinoma, Ana I. Vargas, Samuel K. Snyder

Research Symposium

Background: Thyroid cancer usually presents as a thyroid nodule. If the history implies rapid growth of the nodule, new onset hoarseness or presence of ipsilateral cervical lymphadenopathy then it should raise concern for malignancy. Deep neck infection/inflammation has rarely been reported as initial presentation and these patients are potentially misdiagnosed.

Case Presentation: We present a 56-year-old male who comes to clinic for evaluation of left neck nodule. He started two weeks prior with sudden neck swelling associated with erythema and pain in his lower neck that caused choking sensation and swallowing discomfort, he was prescribed Bactrim and prednisone with improvement …

In Silico Evaluation Of Phenothiazine Derivatives As Trypanothione Reductase Inhibitors, Alonzo Gonzalez-Gonzalez, Alfredo Juarez-Saldivar, Domingo Mendez-Alvarez, Lenci K. Vazquez-Jimenez, Alma D. Paz-Gonzalez, Eyra L. Ortiz-Perez, Gildardo Rivera-Sanchez

Research Symposium

Background: American trypanosomiasis is caused by parasite Trypanosoma cruzi, and it is considered a worldwide health problem. Current treatment consists of benznidazole and nifurtimox, which are not fully effective against both disease stages and have adverse effects. There is thus a need to find parasite-specific alternative treatments. Search of specific inhibitors of parasite-exclusive crucial enzymes is a known strategy. Trypanothione reductase (TR) enzyme is central in parasite’s redox system both for detoxification of reactive oxygen and nitrogen species as well as amino acid and nucleotide biosynthesis. Phenothiazine scaffold is known by pharmacologists as a very versatile structure and …

Modulation Of Pote-2 Expression By Ncrnas In Hepatocellular Carcinoma, Adithya Anilkumar, S. Lopez, Kyle Doxtater, Neeraj Chauhan, Sudhir Kotnala, Murali M. Yallapu, Vijian Dhevan, Subhash C. Chauhan, Manish Tripathi

Research Symposium

Background: Hepatocellular carcinoma (HCC) has one of the highest incidents and mortality rates within the Hispanic population of South Texas. The Surveillance, Epidemiology, and End Results (SEER) cancer registry reports a 20.3% 5-year relative survival rate upon HCC diagnoses, which decreases in advanced stage cancers. The disproportionate impact on the Hispanic community and poor prognostics makes the search for better diagnostic measures imperative. A major step in bridging the disparity in HCC occurrence is the identification of potential biomarkers aiding in HCC diagnosis, surveillance, and treatment. POTE ankyrin domain members have been recognized as key promotors of tumorigenesis. POTE-2, a …

Identification Of Tectorigenin As A Natural Pro-Hypoxia Compound: Implications In Modulation Of Cellular Differentiation And Senescence, Mallika Khurana, Renu Wadhwa, Sunil Kaul

Research Symposium

Background: Hypoxia, a suboptimal level of oxygen, evokes stress response in cells and activated hypoxia signaling has been largely established as a pro-metastasis and pro-angiogenic factor for tumor cells. On the other hand, age-related neurodegenerative disorders are characterized by hypoxic environment, accumulation of molecular garbage and induction of premature senescence. Several recent studies have reported anti-stress impact of the intermittent induction of hypoxia signaling in these cells.

Methods: Screening of a phytochemical library using Hypoxia Responsive Element (HRE) driven luciferase as a reporter was carried out to identify hypoxia-modulating phytochemicals. Activation of HIF-1a (master regulator of hypoxia signaling) was validated …

Developing A Tool Used For Assessing Sunscreen Utilization And Sun Exposure, Lois C. Akpati, Jose Lopez Alvarenga

Research Symposium

Introduction: Skin cancer incidence has increased within the last 40 years. It accounts for 1 in 3 cancer diagnoses worldwide. (1) Sunscreen serves as a protective barrier against the harmful effects of sun exposure such as skin cancer. (2) Despite the advantages of using sunscreen, studies suggest that it is being under-utilized. (3) The preliminary goal of this research is to develop, validate and standardize a questionnaire to assess the sunscreen utilization of adolescents and adults in both Mexico and the United States along the Rio Grande Valley

Methods: A questionnaire in both English and Spanish has been developed to …

Molecular Event In Hrp Apoptosis, Laura Valdez

Research Symposium

Background: Human retinal pericytes (HRP) are contractile cells adjacent to and provide support for endothelial cells (EC) of capillaries, which are essential in the regulation of retinal vasculature. Early stages of DR are characterized by the loss of HRP, which leads to the development of advanced-stage pathology including angiogenesis. Although much is known about the etiology of DR, the apoptotic pathway that incites HRP loss remains unclear. Our preliminary studies reveal that monocyte-derived macrophages secrete TGF-β1, which induces the expression and secretion of a TGF-β1-Induced, pro-apoptotic BIGH3 protein (TGF-β–Induced Gene Human Clone 3) leading to apoptosis of HRP Eye, 30(12), …

A Case Of Osteogenesis Imperfecta In A Patient Diagnosed In Adulthood, Khalid Sheikh, M. Lastovica, N. S. Appareddy, R. Wagner, E. Luna

Research Symposium

Background: Osteogenesis imperfecta (OI) is an extremely rare inherited connective tissue disorder, with an incidence of 1 in 20,000 births in the United States. Our aim is to assist other providers in diagnosing and managing patients with OI and concurrent medical morbidities.

Case Presentation: A 21 year old male with a BMI of 34 and a lifetime history of over 10 fractures presented to the Emergency department after a complex seizure at home. The seizure was witnessed by his mother and lasted less than one minute. He had another seizure two weeks prior to presentation. In the ED, the patient …

Synthesis, Biological Evaluation And Docking Studies Of Substituted 4-Thiazolidinone Derivatives As Antioxidant, Anti-Inflammatory And Anticancer Agents, Keshav Taruneshwar Jha, Pooja Chawla

Research Symposium

No abstract provided.

Exploration Of Factors In Faith And Their Association With Depression And Anxiety During The Covid-19 Pandemic, Keren Kahsai, Michael Machiorlatti, Candace Robledo, Loren Clark, Deepu George

Research Symposium

Background: Depression and anxiety are two of the most common mental health conditions afflicting a wide range of populations. They have been found to cause not only mental distress but also lead to poorer health outcomes. Research has sought to find the causes and risk factors regarding these conditions to better prevent their development and treat them adequately. Religions and faith, measured in various forms have been shown to both attenuate or exaggerate these effects. This research seeks to identify how self-reported faith was shown to be associated with the development and severity of depression and anxiety during the early …

Navigating The Healthcare System To Increase Quality Of Life In The Geriatric Population: Case Of An 80-Year Old Male With Blindness, Kelsey Endari, Jessica Flores, Daniel Aragon, Chelsea Chang

Research Symposium

Bilateral retinal artery occlusion (BRAO) is defined as the blockage of blood to the retina in both eyes and can lead to partial or permanent loss of eyesight. This uncommon diagnosis can necessitate lifestyle changes that require supplemental assistance to help with activities of daily living. Navigating the healthcare system in general is formidable. However, doing so as a geriatric patient with limited eyesight and no social support escalates the challenge.

This is the case for an 80-year-old male with history of vision impairment due to BRAO, coronary artery disease, heart failure, atrial fibrillation, chronic kidney disease, basal cell carcinoma …