Medicine and Health Sciences Commons^™

Body Weight Supported Treadmill Training And Overground Gait Training In The In-Patient Setting For An Individual With Chronic Stroke: A Case Report, Stephanie Bordignon

Case Report Papers

Background and Purpose: The use of body weight supported treadmill training (BWSTT) and overground gait training (GT) has been shown to improve bilateral coordination and gait symmetry for patients experiencing chronic stroke. Evidence to support BWSTT rather than overground GT for use following chronic stroke is mixed and does not include representation for the young stroke population. The purpose of this case report is to describe the outcomes of gait speed, efficiency of gait, and fall risk in an individual following a chronic stroke managed with intense BWSTT and overground GT. Description: 43 year old male was managed with BWSTT …

Treatment Of A Patient With Thoracolumbar Scoliosis Utilizing A Regional Interdependence Approach Including Components Of The Schroth Method: A Case Report, Samantha Fisk

Case Report Papers

Background and Purpose: Spinal deformity is a challenging spinal disorder in adults. A scoliotic curve of >10 degrees exists in up to 12% of the population and while surgery is the definitive measure, there is limited evidence to guide non-surgical treatment. This case investigated traditional physical therapy (PT) treatment utilizing a Regional Interdependence Approach (RIA) and components of the Schroth method for a patient with chronic low back pain (CLBP). Case Description: A 66 year old male presented with CLBP, worst upon rising in the AM with (6/10 NPRS). Imaging demonstrated thoracolumbar dextroscoliosis, bilateral foraminal narrowing and associated spondylolisthesis of …

Implementing A One-To-One Technology Initiative In Higher Education, Daryl Fridley, Diana Rogers-Adkinson

Administrative Issues Journal

This paper describes the process of conceptualizing and implementing a one-to-one technology initiative at a regional comprehensive university. Organized around the principle that sustainable change requires attention to clear, justifiable goals, attention to key decisions, the development of stakeholder investment, adequate training, building appropriate infrastructure, and a concern for sustainability, the authors provide specific examples detailing how the change initiative in which they participated addressed each of those areas.

Neuromuscular Strengthening Exercises Following Acl And Meniscal Repair In A 15 Year Old Female Athlete With Generalized Knee Laxity: A Case Report, Alyssa Gardner

Case Report Papers

Background and Purpose: Adolescent females are 4-6 times more likely to sustain a non-contact anterior cruciate ligament (ACL) injury compared to their male counterparts. Generalized knee laxity decreases dynamic knee stability and further increases injury risk. In patients with a history of bilateral knee hyperextension who have sustained an ACL injury, it’s vital to recover function after surgery, as well as prevent injury in the contralateral knee. A lack of information exists that addresses simultaneous rehabilitation protocols. The purpose of this case report was to investigate the use of a neuromuscular strengthening program in both the ACL injured and un-injured …

Application Of A Short-Term Aquatic Physical Therapy Program For A Patient With Chronic Low Back Pain And Radiculopathy: A Case Report, Marc Asta

Case Report Papers

Background and Purpose: Within the confines of approved Physical Therapy (PT) visits from independent and national insurance companies, PTs are often challenged to improve a patient’s impairments and Quality Of Life (QOL) in a limited number of approved visits. The purpose of this case report is to document if six PT visits with aquatic intervention for a patient with chronic low back pain (CLBP) and radiculopathy improves a patient’s subjective and objective impairments in relation to his QOL. Case Description: The patient was a sixty-two year old male who presented to PT with CLBP for the previous forty years secondary …

Strength And Balance Exercises To Improve Functional Outcomes And Mobility For A Patient With Parkinson’S Disease And Co-Morbidities: A Case Report, Nicholas Lasarso

Case Report Papers

Background and Purpose: Parkinson’s disease (PD) is a movement disorder that can lead to declines in function and falls. As a common age-related neurological diagnosis, PD is most often accompanied by other co-morbidities. The purpose of this case report is to document the physical therapy management of a patient presenting with PD and other co-morbidities. This case report looks at the outcomes of strength and balance exercises on the patient’s impairments, mobility and overall function. Case Description: The 69 year-old male patient presented with a history of PD, Lyme disease, osteoarthritis, peripheral neuropathy (PN) and exposure to Agent Orange. He …

Stevens Johnson Syndrome: How Diagnosis Impacts Disease Course, Sharon K. Hart, Dawn Frerichs

Graduate Research Projects

No abstract provided.

The Effects Of Long-Term Use Of Stimulant Medication For Attention Deficit Hyperactivity Disorder, Melissa M. Jones

Graduate Research Projects

No abstract provided.

Electronic Health Record (Ehr) Reform, Ali Al Ukaby

Walden Faculty and Staff Publications

Organizational Diagnosis

Electronic Health Record (EHR) Reform

Services For People With Intellectual And/Or Developmental Disabilities In The U.S. Territories, John Butterworth, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The following report represents an expansion of the data collection activities mandated by a 2012 Administration of Intellectual and Developmental Disabilities (AIDD) Funding Opportunity Announcement (FOA). Prior to 2012, the AIDD funded data projects, Access to Integrated Employment, Family and Individual Information Systems project (FISP), Residential Information Systems Project (RISP) and the State of the States in Developmental Disabilities only collected data from the 50 states and the District of Columbia. The 2012 FOA requested that three of the AIDD data projects work together to include the five U.S. Territories (American Samoa and the Commonwealth of the Northern Marianas Islands, …

Quality And Cost Of Diabetes Mellitus Care In Community Health Centers In The United States, Patrick Richard, Peter Shin, Tishra Beeson, Laura S. Burke, Susan F. Wood, Sara Rosenbaum

All Faculty Scholarship for the College of the Sciences

Objective

To examine variations in the quality and cost of care provided to patients with diabetes mellitus by Community Health Centers (CHCs) compared to other primary care settings.

Research Design and Methods

We used data from the 2005–2008 Medical Expenditure Panel Survey (N = 2,108). We used two dependent variables: quality of care and ambulatory care expenditures. Our primary independent variable was whether the respondent received care in a Community Health Centers (CHCs) or not. We estimated logistic regression models to determine the probability of quality of care, and used generalized linear models with log link and gamma distribution to …

Minutes Of 12/04/2015 Hsc Board Of Directors Mtg, Patrice Martin

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Comparison Of Pediatric Outpatient Antibiotic Prescribing Patterns For Specified Indications In Primary Care Practices, Samantha Spishock Pharmd, Kristen Held Wheatley Pharmd, Bcop, Tibisay Villalobos Md, Faap

Department of Pharmacy

No abstract provided.

Agenda Of 12/04/2015 Hsc Board Of Directors Mtg, Patrice Martin

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Notice Of 12/04/2015 Hsc Board Of Directors Mtg, Patrice Martin

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Asenapine For Bipolar Disorder, Thomas Scheidemantel, Irina Korobkova, Martha Sajatovic

Faculty Scholarship

Asenapine (Saphris®) is an atypical antipsychotic drug which has been approved by the US Food and Drug Administration for the treatment of schizophrenia in adults, as well as the treatment of acute manic or mixed episodes of bipolar I in both adult and pediatric populations. Asenapine is a tetracyclic drug with antidopaminergic and antiserotonergic activity with a unique sublingual route of administration. In this review, we examine and summarize the available literature on the safety, efficacy, and tolerability of asenapine in the treatment of bipolar disorder (BD). Data from randomized, double-blind trials comparing asenapine to placebo or olanzapine in the …

Acute Hospital-Based Services Used By Adults During The Last Year Of Life In New South Wales, Australia: A Population-Based Retrospective Cohort Study, David E. Goldsbury, Dianne L. O’Connell, Afaf Girgis, Anne Wilkinson, Jane L. Phillips, Patricia M. Davidson, Jane M. Ingham

Research outputs 2014 to 2021

Background: There is limited information about health care utilisation at the end of life for people in Australia. We describe acute hospital-based services utilisation during the last year of life for all adults (aged 18+ years) who died in a 12-month period in Australia’s most populous state, New South Wales (NSW). Methods: Linked administrative health data were analysed for all adults who died in NSW in 2007 (the most recent year for which cause of death information was available for linkage for this study). The data comprised linked death records (2007), hospital admissions and emergency department (ED) presentations (2006–2007) and …

The Effects Of Specific Training On Balance And Ambulation In A Patient With Stage Iv Glioblastoma: A Case Report, Matt Denning

Case Report Posters

Glioblastoma is a malignant brain tumor, often found in the cerebellum. From 2005-2009 there were 109,605 incidences of malignant brain tumors reported in the united states. Specific incidence rates for malignant brain tumors ranged from 5.8 to 11.70 per 100,000 adults 20 years or older. Stage IV is the most rapidly growing and invasive glioblastoma and most common adult neoplasm usually affecting people in the 5th or 6th decade of life. Treatment of glioblastoma frequently involves surgery to excise the tumor followed by radiation therapy. Similar to the growing malignancy these treatments often cause further progressive and even rapid neurological …

The Use Of Aquatic Therapy In Rehabilitation For A Patient Following Complicated Reverse Total Shoulder Arthroplasty: A Case Report, Alyssa Grigware

Case Report Posters

According to the Aquatic Physical Therapy Section of the American Physical Therapy Association, aquatic physical therapy is the evidence-based and skilled practice of physical therapy in an aquatic environment by a physical therapist, and includes interventions designed to improve or maintain: function, aerobic capacity/endurance conditioning, balance, coordination and agility, body mechanics and postural stabilization, flexibility, gait and locomotion, relaxation, muscle strength, power, and endurance. Reverse Total Shoulder Arthroplasty (rTSA) is designed specifically for the treatment of glenohumeral (GH) arthritis when it is associated with irreparable rotator cuff damage, among other complex circumstances. A typical protocol will progress from joint protection, …

Use Of The Lower Extremity Functional Scale (Lefs) In A Patient After A First Metatarsophalangeal Joint Implant: A Case Report, Courtney Brinckman

Case Report Posters

First metatarsolphalangeal (MTP) total joint implants are uncommon; however, hemi implants have increased in popularity. The. HemiCAP® (Franklin, MA) implant resurfaces the metatarsal head while leaving the distal phalanx intact. While early results of the HemiCAP(®) implant surgery have been promising, physical therapy outcome measures such as the LEFS have not been extensively studied in this population. The Lower Extremity Functional Scale (LEFS) is a sensitive and reliable outcome measure that has commonly been used in patients with hip and knee dysfunction. While the LEFS has been used for a broad spectrum of lower-extremity pathologies, there is a paucity of …

Restoring Functional Mobility In A Patient With Delayed Onset Of Physical Rehabilitation Following A Hemorrhagic Stroke: A Case Report, Bettie Kruger, G. Noel Squires

Case Report Posters

Typical rehabilitation post-stroke is initiated as soon as the patient is medically stable. The most dramatic neurological recovery occurs within the first three to six months following medical stabilization. It has been suggested in the literature that early and frequent out of bed activity within the first 24 hours following stroke onset will enhance motor recovery. The patient in this case report was sedentary for three months following the onset of stroke and was non-ambulatory at the time of admission to sub-acute physical therapy. The purpose of this case report is to describe the rehabilitative course, motor recovery, and functional …

The Clinical Decision Making And Outcomes Of A Patient With C7, C8 Radiculopathy And Contralateral Upper Quarter Lateral Epicondylitis: A Case Report, Courtney Naimi

Case Report Posters

Preliminary diagnosis and management strategies exist for both cervical radiculopathy (CR) and lateral epicondylis, however little literature exists describing the clinical decision making and management in the presence of both conditons simultaneously. Management of (CR) (right side) can include neural mobilizations, manual therapy, and exercises. Management of lateral epicondylis (left side) can include eccentric tendinopathy management and manual therapy. The purpose of this case report is to discuss the diagnosis and management for a patient presenting simultaneously with right C7, C8 cervical radiculopathy and contralateral lateral epicondylis.

Despite Best Intentions: A Critical Analysis Of Social Justice Leadership And Decision Making, David E. Dematthews, Angus Shiva Mungal, Paul A. Carrola

Administrative Issues Journal

The purpose of this article is to explore the relationship between social justice leadership and organizational decision making in order to make recommendations for how principals can make more socially just decisions in difficult school contexts. This article begins with a discussion of social justice leadership, facets and theories associated with social justice, and how facets can be contradictory and problematic in practice. Then, rational choice theory is presented to detail key assumptions and criticisms that are associated with decision-making in complex organizations. Next, rational choice theory is utilized as a straw man for analyzing principal decision-making in complex organizations …

Hypertension Patient Compliance, Taylor Myers

University Honors Program

Hypertension is a prevalent condition in the United States that often has many comorbidities. It is usually asymptomatic, so patients are less likely to comply with treatment if they feel healthy. This is a growing concern due to the complications that can arise from hypertension. Hypertension can be associated with a lower quality of life in patients that have symptoms. However, in patients that do not show symptoms they may feel that they have a higher quality of life by not changing their preexisting habits. The reasons for patient noncompliance will be studied as well as interventions to increase compliance, …

Benefits Of Air Transportation Vs Ground Transportation In The Medical Field, Mackenzie Carpenter

University Honors Program

opic: Benefits of air transportation vs ground transportation in the medical field Research questions: 1. Is there a greater outcome for patients transported by air? 2. Is there a difference in access to equipment for ground and air runs? 3. Since the collaboration of Lifeline, has there been a better survival rate and patient satisfaction?

Functional Skill Training And Group Therapy Treatment Following A Total Hip Arthroplasty In The Acute Care Setting: A Case Report, Heidi Johnson

Case Report Posters

Osteoarthritis (OA) is a very common degenerative condition, often developed during middle and older ages, especially in those with more active lifestyles. Although OA can occur in any joint throughout the body, it most often develops in weight-bearing joints, such as the hip. In 2011 more than 28 million people in the United States were estimated to have OA. OA can lead to pain, stiffness, decreased range of motion, decreased strength, and in turn an overall decline in functional ability. Total hip arthroplasty (THA) is becoming more widely utilized as a means for gaining mobility and independence when a person’s …

Racial Attitude (Dis)Similarity And Liking In Same-Race Minority Interactions, Randi L. Garcia, Hilary B. Bergsieker, J. Nicole Shelton

Psychology: Faculty Publications

Two studies investigate the relationship between racial attitude (dis)similarity and interpersonal liking for racial minorities and Whites in same-race and cross-race pairs. In nationally representative and local samples, minorities report personally caring about racial issues more than Whites do (Pilot Study), which we theorize makes racial attitude divergence with ingroup members especially disruptive. Both established friendships (Study 1) and face-to-face interactions among strangers (Study 2) provided evidence for the dissimilarity-repulsion hypothesis in same-race interactions for minorities but not Whites. For minorities, disagreeing with a minority partner or friend about racial attitudes decreased their positivity toward that person. Because minorities typically …

Mary Woltemate Stec, Mary Woltemate Stec, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Dr. Stec began her nursing career in 1973 as a graduate of Jefferson’s Nursing Diploma School. She would go on to receive her BS in Nursing from the University of Pennsylvania, her MSN from Gwynedd Mercy College, and her PhD in Nursing from Widener University. Dr. Stec has spent the majority of her career as a nursing educator, including as an instructor at Thomas Jefferson University Hospital School of Nursing, Gwynedd Mercy College, and Abington Memorial Hospital Dixon School of Nursing. She is now an Assistant Professor at Temple University. She is also a Certified Nurse Educator, an Evaluator for …

18f-Fdg Pet/Ct Imaging Of Extranodal Rosai-Dorfman Disease With Hepatopancreatic Involvement - A Pictorial And Literature Review., Faiq A. Shaikh Md, Omer Awan Md, Mph, Sohaib A. Mohiuddin Md, Saleem Farooqui, Salman A. Khan, William Mccartney

Department of Radiology & Diagnostic Medical Imaging

We share our experience with serial PET/CT imaging on a patient with extranodal Rosai-Dorfman disease (RDD) with hepatopancreatic involvement. RDD is a benign proliferative disorder of histiocytes mainly involving the lymph nodes. It typically presents with fever and painless cervical lymphadenopathy in young adults and less than half of RDS cases demonstrate extranodal involvement. RDD involvement of the liver and pancreas is extremely rare, and this case highlights the role of PET/CT in its management.

Nursing Bedside Swallow Screen: How It Affects Outcome Of Stroke Patients, Honoree Ceballos

All Publications

The assessment of a stroke patient’s ability to swallow plays an important role in the management, recovery and patient outcome in stroke. Nurses in the Neuroscience unit encounter this situation daily in caring for stroke patients. This nursing assessment is integral in providing adequate nursing care to prevent complications such as aspiration pneumonia.