Medicine and Health Sciences Commons^™

Marfan Syndrome, It Doesn’T Have To Be A Pain In The Back, Carolyn Sims, Jim Viti

St. Augustine, Summer 2018

The purpose of this study is to describe a rehabilitation program for low back pain in an individual with Marfan syndrome and surgical history of aortic root repair with mechanical aortic valve replacement (AVR) and Harrington rod placement to correct spinal scoliosis.

Complicated Rehabilitation Status Post Total Knee Arthroplasty For A 26 Year Old Female Presenting With Psychosocial Dysfunction: A Case Report, Lindsey Atkins, David Kempfert

St. Augustine, Summer 2018

The purpose of this case report is to look at the post-TKA surgical outcomes of a 26-year-old patient who had multiple variables that increases the risk for poor outcomes.

Joint Mobilizations And Paraplegia: A Curious Pairing, Preston Tam, Matthew L. Daugherty

St. Augustine, Summer 2018

The purpose of this case report is to explore the effectiveness of joint mobilizations at the knee on gait and pain in a patient with ambulatory paraplegia.

It’S Not Supposed To Hurt: Pelvic Floor Soft Tissue Massage And Vaginal Dilator Implementation, Kaila Klibert, Lisa Chase

St. Augustine, Summer 2018

The purpose of this case report is to show the effectiveness of pelvic floor manual therapy implemented via the use of internal and external soft tissue massage as well as the use of vaginal dilators.

Elbow Joint Manipulation And Exercise For Post-Operative Medial Epicondylectomy: A Case Report, Kelsey Newman, Eric Chaconas

St. Augustine, Summer 2018

The purpose of this case report is to describe joint manipulation and exercise progressions post-medial epicondylectomy.

Application Of Forced Use In A Traditional Acute Hospital Setting With A 77-Year-Old Female Post Left Cva, Jimmie Parten, Anne H. Boddy

St. Augustine, Summer 2018

The purpose of this case report is to look at the positive outcomes following the application of forced use physical therapy techniques in the traditional acute hospital setting with a 77-year-old female post left CVA.

Post-Surgical Resection Of T7-10 Av Malformation Mimics Brown-Sequard: A Case Report, Lindsey Pauley, Lisa Chase

St. Augustine, Summer 2018

The purpose of this case study is to describe the methods of treatment and outcomes for a patient with a thoracic AVM presenting with spinal cord symptoms mimicking Brown-Sequard syndrome, by focusing on the primary impairments and improving functional mobility.

Shock And Awe: Functional Strength Training To Improve Balance And Function In A Patient Post Electrocution, Amanda K. Boone, Anne H. Boddy

St. Augustine, Summer 2018

The purpose of this case study is to study the effects of functional strength training rehabilitation in a patient post electrocution suffering from a concurrent stroke.

Ehlers-Danlos Syndrome-Hypermobility Type: Can We Use Physical Therapy Manipulation?, Greg Kareis, Lindsay Perry

St. Augustine, Summer 2018

The purpose of this case is to describe the clinical treatment plan for a patient diagnosed with Ehlers-Danlos Syndrome hypermobility type and determine the benefits of low grade physical therapy manipulation as an intervention.

Effect Of Comprehensive Physical Therapy On A 25-Year-Old Pregnant Female With Ehlers Danlos Syndrome: A Case Report, Maryann Tadros, Amanda Grant

St. Augustine, Summer 2018

The purpose of this case report is to examine the benefits of multifaceted physical therapy interventions in a pregnant adult female with EDS.

Therapeutic Exercise And Vibration Training For A Military Veteran Mimicking Relapse-Remitting Multiple Sclerosis, Lauren Elizabeth Miller, Laurie Shimko

St. Augustine, Summer 2018

The purpose of this case report is to describe the combination of therapeutic exercise and vibration training to improve stair navigation for a patient with mimicking RRMS.

Effects Of Lsvt Big Concepts On Patients With Low Back Pain And A Concomitant Diagnosis Of Parkinson's Disease, Alana Mckinney, Erica Kiernan

St. Augustine, Summer 2018

The purpose of this case report is to identify the effects of LSVT Big concepts on low back pain in individuals with Parkinson's Disease classified as stage I on the Hoehnand Yahrscale.

Scapulothoracic Stabilization To Reduce Cervical Pain And Headaches: A Case Report, Bethany June Law, Shannon Logan

St. Augustine, Summer 2018

The purpose of this case report was to describe the outcomes of a scapular stabilization program in an adult female with cervical neck pain and headaches.

Canalith-Repositioning Maneuvers And Balance Interventions On A Patient With Multiple-Canal Bppv: A Case Study, Nicole Knights, Kerry C. Mallini

St. Augustine, Summer 2018

The purpose of this case report is to demonstrate using canalith-repositioning maneuvers and balance training as interventions to reduce vertigo and improve balance and gait in a patient with multiple-canal BPPV.

Effects Of Dry Cupping Therapy On A 56-Year-Old Female Patient Post Haglund’S Deformity Surgery: A Case Report, Jordan Gaillard, David Kempfert

St. Augustine, Summer 2018

The purpose of this case report was to determine the effects of dry cupping therapy on a 56-year-old female patient who had Haglund’s deformity surgery.

Hip, Pop, Oa: Successful Treatment Of Hip Osteoarthritis With Sustained Stretches And Thrust Manipulation, Leah Fifelski, John Layne

St. Augustine, Summer 2018

The purpose of this poster is to show the effects of manual therapy, in the form of grade IV sustained stretches and thrust manipulations, on a patient with hip OA.

Testing The Relationship Between Dialect Density And Social Interaction, Madeline Marita

Mahurin Honors College Capstone Experience/Thesis Projects

With over 1300 international students from more than 70 countries, Western Kentucky University prides itself on being a diverse, welcoming community. However, many international students have a tendency to associate with other international students with similar dialects rather than with English-speaking students from the United States. This research explores the relationship between dialect density (how strongly a dialect or accent is expressed) and social interaction of individuals from the international student population on Western Kentucky University’s campus. Results revealed that the international students who had the mildest self-perceived dialect density had high self-perceived social interaction scores. Results also indicated that …

Exploring Standardized Patients’ Perspectives On Working With Medical Students, Samantha Starr, Margaret M. Plack, Karen Lewis, Benjamin Blatt

GW Research Days 2016 - 2020

Little is known about how working with emerging medical professionals affects Standardized Patients’ (SPs’) professional identities, yet understanding the SP-medical student interaction could be useful for screening SPs, supporting SP professional identity formation, and bridging the SP and medical student cultures. This project provides the unique perspective of SPs involved in the growth of medical students into physicians.

Qualitative methods were used to understand the SPs’ perspectives. Two researchers, without evaluative relationships with the SPs, conducted 2 one-hour focus group interviews (n=3; n=9) using a semi-structured interview protocol. Interviews were audio-recorded and transcribed verbatim. Three researchers independently analyzed the transcripts …

Is It Coincidence Or Consequence For A Case With Antiphospholipid Antibody Syndrome Overlapping Sle To Develop An Immune Complex Nephropathy Followed By A Nonimmune Complex Podocytopathy?, Jinil Yoo, Hugo Villanueva, Manimaran Kaliamurthy, John Kang, Lin Lwin

NYMC Residents/Fellows Publications

Antiphospholipid antibody syndrome (APS) may occur in a primary form or in association with SLE and seldom presents with nephrotic syndrome (NS). We present a case with APS who developed recurrent NS 6 years apart. The first episode of NS occurred with biopsy findings consistent with lupus nephritis (LN) class V (membranous) with no clear evidence of SLE, and responded to a remission with steroids and MMF. On the 2(nd) episode, the biopsy revealed negative immunofluorescent (IF) study for immune complexes and EM findings of complete effacement of foot processes and acellular debris in thickened capillary walls, compatible with healed …

The Path Report Volume 2 Issue 1, Pathology Department, New York Medical College

The Path Report

No abstract provided.

Sinus Of Valsalva Aneurysm Rupturing Into Main Pulmonary Artery: A Rare Paediatric Cardiac Emergency, Faiz Rasool, Muhammad Asim Khan, Muneer Amanullah

Section of Paediatric Surgery

Congenital Sinus of Valsalva aneurysm is a rare congenital cardiac disease. Most common site of origin is the right sinus. It ruptures into right ventricle or right atrium most of the times. Only in less than 2% of the cases it ruptures into the pulmonary artery. We report a rare case of right sinus of valsalva aneurysm rupturing into pulmonary artery.

Reducing The Donor Site Morbidity In Radial Forearm Free Flaps By Utilizing A Narrow Radial Forearm Free Flap, Safdar Ali Shaikh, Amber Bawa, Noman Shahzad, Zara Yousufzai, Muhammad Shahab Ghan

Section of General Surgery

Background: The radial forearm free flap (RFFF) has remained a leading choice of many plastic surgeons as a fasciocutaneous flap due to its versatility, pedicle length, and simple elevation technique. However, donor site morbidity has led many reconstructive surgeons to limit their use of the RFFF and to use other flaps instead. We propose that using a narrow RFFF (nRFFF) decreases the aesthetic and functional morbidity of the donor site.
Methods: We report our experiences with the nRFFF from April 2012 through May 2015 at the Department of Plastic, Reconstructive, and Hand Surgery at Liaquat National Hospital, Karachi. The donor …

Role Of Radiosurgery In Arteriovenous Malformations, Syed Ijlal Ahmed, Gohar Javed, Syed Naseeb Uneeb, Syeda Benish Bareeqa, Manaal Haider, Syeda Sana Samar, Armighan Haider Ans, Muhammad Tayyab Shera

Section of Neurosurgery

Background: Intracranial arteriovenous malformations (AVMs) consist of an abnormal nidus of blood vessels that shunt blood directly from an artery to a vein and thereby bypass an intervening capillary bed. AVMs may be found as an incidental finding. They may be associated with intracranial haemorrhage, seizures, headaches or neurological deficits. There are different treatment options for AVM. These include observation, microsurgery, Stereotactic radio surgery (SRS), endovascular embolization and intensity modulated radiotherapy (IMRT).
Methods: Data was collected using searching engines like Pubmed, Google scholar, Embase, Cinahl and Medline. MeSH and Non-MeSH terms were used like Arterio-venous malformations, microsurgery, endovascular embolization.
Results: …

Dose-Response Of Cotton Dust Exposure With Lung Function Among Textile Workers: Multitex Study In Karachi, Pakistan, Naureen Akber Ali, Asaad Ahmed Nafees, Zafar Fatmi, Iqbal Azam Syed

School of Nursing & Midwifery

Background: Cotton dust exposure among textile mill workers lead to impaired lung function. However, only few studies have investigated the dose-response relationship between cotton dust and lung function.
Objective: To determine the dose-response relationship between cotton dust exposure and lung function among textile workers.
Methods: This cross-sectional survey was conducted from January to March 2016 and included 303 adult male textile workers from spinning and weaving sections of 5 mills in Karachi, Pakistan. We collected data through a translated version of the American Thoracic Society respiratory questionnaire (ATS-DLD-78A) and using spirometry. Mill-level airborne cotton dust was measured …

Health Care Provider Personal Religious Preferences And Their Perspective On Advance Care Planning With Patients, Marjorie A. Bowman, Sarah St. Cyr, Adrienne Stolfi

Population and Public Health Sciences Faculty Publications

Objective:

To understand how health-care providers’ (HCPs) religious preferences influence their willingness to undertake advance care planning (ACP) with patients and their acceptance of other HCP’s involvement.

Methods:

Online anonymous survey distributed to HCPs in hospital, ambulatory offices, and hospice settings in Dayton, Ohio. We evaluated the associations of HCP religion with their personal ACP, willingness to facilitate ACP, and acceptance of other HCPs’ ACP participation.

Results:

704 respondents: nurses (66.2%), physicians (18.8%), other HCPs (15.0%), white (88.9%), and primarily Catholic (23.3%) or Protestant (32.0%). “No religion” was marked by 13.9%. Respondents were favorable to ACP with patients. Religious respondents …

Antidromic Atrioventricular Reentrant Tachycardia Dependent On A Unidirectional Left Anterior Accessory Pathway Mimicking Peri-Mitral Ventricular Tachycardia: Successful Ablation Via A Transseptal Approach, Aamir Hameed, Maryam H. Khan, Hunaina Shahab, , Qamaruddin Roziman

Section of Diabetes, Endocrinology and Metabolism

Antidromic atrioventricular reentrant tachycardia (aAVRT) is rare compared to orthodromic atrioventricular reentrant tachycardia (oAVRT). An aAVRT that is dependent on a unidirectional, decremental accessory pathway (AP) is even rarer. Idiopathic ventricular tachycardias (iVT) that have benign prognoses and respond well to medical therapy can be confused with aAVRTs dependent on APs having ventricular insertion sites close to the iVT focus and have a real risk of sudden death. The preferred approach of ablation for such tachycardias with anterograde conduction only is a retrograde aortic approach, which facilitates the mapping of the earliest ventricular activation during atrial pacing or tachycardia from …

Medical Simulator, An Innovative Tool For Experiential Learning, Application And Reflection Of Knowledge, Malik Hassan Mehmood, Salman Siddiqi, Rehana Rehman

Department of Biological & Biomedical Sciences

No abstract provided.

Managing Adult Obesity With Provider Education, Krystal August

Doctor of Nursing Practice Scholarly Project

The purpose of this study was to determine the significance of providing education over evidence-based clinical practice guidelines on managing adult obesity. This study also evaluated self-reported provider bias towards adults with overweight and obesity. This study was conducted at the 4-State Advance Practice Nurses (APN) conference in March 2018 that was held at Pittsburg State University. The participants of the study included nurse practitioners who attended the conference and volunteered their participation. The participants completed a pre-test. After the pre-test a PowerPoint presentation was given over the evidence-based clinical practice guidelines on managing adult obesity and provider obesity bias. …

A Cyber-Physical System Framework For Early Detection Of Paroxysmal Diseases, Zuxing Gu, Yu Jiang, Min Zhou, Xiaoyu Song, Lui Sha

Computer Science Faculty Publications and Presentations

Paroxysmal diseases of inpatients are globally recognized as one of the top challenges in medicine. Poor clinical outcomes are primarily caused by delayed recognition, especially due to diverse clinical diagnostic criteria with complex manifestations, irregular episodes, and already overloaded clinical activities. With the proliferation of measuring devices and increased computational capabilities, cyber-physical characterization plays an increasingly important role in many domains to provide enabling technologies. This paper presents a cyber-physical system (CPS) framework to assist physicians in making earlier diagnoses of paroxysmal sympathetic hyperactivity based on existing medical knowledge. We propose a configurable diagnostic knowledge model to characterize clinical criteria …

An Interprofessional Education Initiative For Allied Health Students Preparing To Serve Individuals With Autism Spectrum Disorders, Brenda L. Beverly, Donna Wooster

University Faculty and Staff Publications

The need for effective services for persons with autism spectrum disorders (ASD) is driving efforts to better prepare teams of allied health professionals. To address this need, an interprofessional graduate course was piloted with students from three allied health professions: physical therapy, occupational therapy, and speech-language pathology. The course aims were to address knowledge and competency in the field of ASD and to promote interprofessional abilities during entry-level preparation. Nine graduate students participated in weekly on-line education and attended a day-long autism conference with local practitioners from seven different professions. Attitude changes toward interprofessional practice were assessed with two pre- …