Past Abstracts - Oral Presentations from CAMS 2019 Scientific Conference
MULTIFOCAL SCHWANNOMAS IN PAROTID GLAND AND ABDOMINAL WALL IN A PEDIATRIC PATIENT Haocheng Cai Ph.D. *1, Gregory Emmanuel M.D. *2, Daniel Klein M.D. *2 *1 Touro College of Osteopathic Medicine, 230 W 125th St, New York, NY 10027. *2 Staten Island University Hospital, 475 Seaview Ave, Staten Island, NY 10305. BACKGROUND: Schwannoma is a benign and encapsulated tumor that derives from the nerve sheath of Schwann cells. The onset is predominantly after the 4th decade of life in adults. By comparison, the incidence is extremely rare in pediatric population. This tumor can compress the nerve of origin and cause symptoms, such as hearing loss in the vestibular schwannoma associated with inherited neurofibromatosis. Sporadic schwannomas have been identified in multiple loci, such as head and neck, retroperitoneum, and gastrointestinal tract. However, they are generally solitary and rarely multifocal.
MENTAL HEALTH TREATMENTS FOR THE ASIAN-AMERICAN ELDERLY: A MARRIAGE BETWEEN ASIAN AND GERIATRIC INPATIENT SERVICES Nadine A. Chang, Ph.D. and Fong Liu, M.D. BACKGROUND: Asian Americans are the fastest growing population in the US, with 72% growth in 20 years, and the fastest growing segment of the elderly in NYC. As the number of Asian American elderly increases, so do their mental health needs, with up to 50% reporting depression. It is well-documented that this group demonstrates significant underutilization of behavioral healthcare services, with Asian-American senior women having the highest suicide rate of any racial or age group. While already managing divergent family and cultural values and changes in social supports, they face additional obstacles to effective mental healthcare, including cultural and generational stigma, language barriers limiting access to culturally competent services and social/family isolation.
A COMPARISON OF MANAGEMENT FOR HEPATITIS B PATIENTS BETWEEN THE US AND CHINESE HEALTHCARE SYSTEMS Thomas Chen, MD Candidate, Thomas Jefferson University, Philadelphia, PA BACKGROUND: China is considered an endemic Hepatitis B (HBV) region, with about 100- 150 million chronically infected, compared to 550,000-2 million in the US. With such high volumes of HBV cases, it is important to learn how the Chinese healthcare system is addressing this public health issue. The purpose of this study is to compare how the US and Chinese healthcare systems manage HBV.
A YOGA PROGRAM FOR BREAST CANCER PATIENTS UNDERGOING CHEMOTHERAPY: EFFECTS ON QUALITY OF LIFE AND CHEMOTHERAPY- ASSOCIATED SYMPTOMS Tiffany Chen, MD *1, Paula Klein, MD *2, Tiffany Xing *2, Theresa Shao, MD *2. *1 Mount Sinai Beth Israel Hospital; 2811st Avenue, New York, NY 10003. *2 Mount Sinai Hospital; 1 Gustave L. Levy Place, New York, NY 10029. BACKGROUND: Patients undergoing chemotherapy for breast cancer (BC) report side effects such as fatigue and sleep disturbance that are exacerbated by the stresses associated with the diagnosis and treatment of BC. With yoga as an increasingly popular mind-body practice, we conducted a pilot randomized controlled study to evaluate the feasibility and efficacy of yoga on chemotherapy-related symptoms and quality of life (QOL) in BC patients receiving neoadjuvantand adjuvant chemotherapy.
ACCURACY OF STRUCTURED PHYSICAL EXAM AND ULTRASOUND IN EMERGENCY DEPARTMENT PATIENTS WITH DYSPNEA Yu Wen Cheng BA, Michael Secko MD, Sonika Raj MD, Eshani Goradia BA, Henry C. Thode Jr. PhD, Lindsay Reardon MD, Matthew Lohse MD, Adam Singer MD. Stony Brook University, Stony Brook, NY 11794 BACKGROUND: Debate exists around the relative diagnostic accuracy of the structured comprehensive physical exam (PE) versus bedside thoracic ultrasound (US) in patients with dyspnea. We compared the accuracy of PE and US in ED patients with dyspnea.
ASIAN-ORIGIN COMPLEMENTARY AND ALTERNATIVE MEDICINE PERCEPTIONS AMONG MEDICAL STUDENTS Justin Chin1*, Alexandra Over2, Ana Christina Reyes2, Connie Chen2, Elise Hsu2, Christine Lomiguen MD3 1. OMS-IV, Touro College of Osteopathic Medicine *Corresponding Author: Justin Chin, OMS-IV BACKGROUND: Complementary and alternative medicine (CAM) is an important feature of patient medical history. This study sought to investigate the perceptions of medical students at Touro College of Osteopathic Medicine in Harlem, New York (TouroCOM-NY) regarding Asian origin CAM practices.
METABOLOMIC FOOTPRINT OF BARIATRIC SURGERY Jiun-Ruey Hu, MD, MPH1, Priya Umapathi, MD2, Gary Gerstenblith, MD2, Josef Coresh, MD, PhD3, Chiadi Ndumele, MD, PhD2,3 Author Affiliations:
BACKGROUND: Morbid obesity, defined as body mass index (BMI) > 40 kg/m2, now affects 6.6% of Americans, and carries high cardiovascular risk. Bariatric surgery not only achieves significant weight loss but also induces metabolic changes that reduce cardiovascular risk, sometimes as profound as resolution of insulin resistance. The purpose of this study was to identify patterns in serum metabolites level alterations with bariatric surgery, to uncover metabolic pathways perturbed by bariatric surgery.
THE EFFECTS OF SLEEP AND EXERCISE ON MENTAL HEALTH Lorraine Lee, Michelle Lee, Biona Hui, Stuart Fong M.D., Stephen Lee M.D. Chinese Community Healthcare Association BACKGROUND: Sleep deprivation among adolescents has been a long recognized problem. It is well known that sleep and exercise affect one’s mental health. However, knowing and doing are two different things, especially for teenagers. Through this study, we wanted to observe if having an activity tracker (Fitbit) would encourage students to change their behaviour by sleeping and exercising more to improve their overall mental health; and instill a lasting lifestyle change.
DIABETIC RETINOPATHY IN THE BRONX AND MYANMAR: A MATCHED COHORT STUDY Lin, Kira *1; Schlesinger, Max *1; Shrivastava, Anurag *1; Rubaltelli, David *1; Klein, Richard *1. *1 Montefiore Medical Center, Bronx, NY, 10461, United States. BACKGROUND: Diabetic eye disease is a leading cause of preventable blindness, both domestically and abroad. Our population in the Bronx, New York is particularly vulnerable to diabetic complications, largely attributable to the high prevalence of poorly controlled disease, despite relatively easy access to primary care. Developing nations such as Myanmar have relatively poor access to primary care, and should have higher rates of related complications. We aim in this study to compare the prevalence and severity of diabetic retinopathy (DR) in the Bronx and Myanmar, with additional analysis of systemic and ocular comorbidities in these populations.
IDENTIFICATION OF POTENTIAL ENDOGENOUS LIGANDS FOR CD14. G. Rosa Acosta, D. Sagamore, S.S Metkar, C. Nam, J. Silver and S.M. Goyert. City University of New York School of Medicine, New York, NY 10031 BACKGROUND: CD14, a myeloid cell differentiation antigen expressed predominantly on the surface of monocytes and macrophages, plays a prominent role in innate immunity, particularly as a receptor for LPS and a component of the TLR4-MD2 receptor complex. Interestingly, mice lacking CD14 are highly resistant to the lethal effects of LPS as well as to infection with Gram- negative bacteria. We hypothesize that CD14 may have additional functions and thus we screened a human brain cDNA library to identify potential endogenous ligands using the yeast- two hybrid (Y2H) system. Rosa Acosta, Gabrielle (Poster 8).docx
PRICE TRANSPARENCY IN HEALTHCARE: A NARRATIVE REVIEW Kevin S. Tang1, Eli Y. Adashi1 BACKGROUND: Price transparency has become a mascot for popular health policy agendas in recent years. The efficacy of increased price transparency in reducing consumer spending, however, remains in question. The purpose of this review is to explore price transparency initiatives’ shortcomings and discuss alternative strategies for lowering national healthcare spending.
IMPORTANCE OF CULTURAL SENSITIVITY AND GLOBAL HEALTH EXPERIENCES ABROAD IN UNDERGRADUATE OSTEOPATHIC MEDICAL EDUCATION Ka Yuk Wong1* OMS-III, YaQun Zhou1 OMS-III, Peter Wan1 OMS-III, Tipsuda Junsanto- Bahri1 MD, Christine M Lomiguen2 MD *Corresponding Author: Ka Yuk Wong, OMS-III BACKGROUND: Medical students, residents, and physicians are encouraged and often required to continue their medical education to possess up-to-date skills and knowledge to best serve their patients. Changes in medicine are not limited to guidelines and therapeutics but also patient populations, with an ever-increasing need for improved cultural competency. Clinical experiences abroad are valuable in prompting reflection and discussion regarding cultural values, perspectives on traditional medicine, patient impressions of osteopathic manipulative therapy, and community education.
UTILITY OF TUMOR GENOMIC PROFILING USING NEXT GENERATION SEQUENCING (NGS) IN METASTATIC LUNG CANCER MANAGEMENT Authors: Jiang Yio, MD, MBA *1; Amber Yang *1; Ashrei Bayewitz, MD *2; and Yiqing Xu, MD, PhD *1 *1 Division of Hematology and Oncology, Department of Internal Medicine, Maimonides Medical Center, 6300 8th Avenue, Brooklyn, NY 11220 *2 Division of Hematology and Oncology, Department of Internal Medicine, Coney Island Medical Center, 2601 Ocean Parkway, Brooklyn, NY 11235 BACKGROUND: Next-generation sequencing (NGS) performs genomic profiling on tumor tissue and provides information on mutations on 300+ selected genes, with only a small percentage have targeted therapy options. This study examines the characteristics of mutations from lung cancer patients treated in a Brooklyn community hospital serving the local Chinese and other immigrant community. We evaluated the prevalence of driver mutations, their association with smoking, as well as the clinical usage of the information.
A NEW SCREENING ALGORITHM FOR SJOGREN'S SYNDROME IN A RHEUMATOLOGY SETTING (SSQR) Kimberley Yu *1, Gui-Shuang Ying *2, Vatinee Y. Bunya *2 *1 Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania *2 Department of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104 BACKGROUND: Sjogren’s syndrome (SS) is an autoimmune disease characterized by dry eye and dry mouth, with potentially serious systemic complications. Primary SS patients of Chinese descent may have more severe disease and a higher frequency of major organ involvement. Diagnosis of SS is often delayed due to nonspecific symptoms, calling for better screening tools.
A TEN-YEAR LONGITUDINAL STUDY ASSESSING WEIGHT STATUS CHANGES IN CHINESE AMERICAN CHILDREN FROM CHILDHOOD TO ADOLESCENCE/YOUNG ADULTHOOD Olivia Zhong *1, Raymond Tse, MPH *2, Jia Lu Lilian Lin, MPH *3, Jennifer D. Lau, MPH *2, Chihang Yu *2, Eda Chao, MD *2, Loretta Au, MD, MPH *2 *1 CUNY School of Medicine/Sophie Davis School of Biomedical Education, New York, NY, 10031 *2 Charles B. Wang Community Health Center, 125 Walker St, New York, NY 10013 *3 Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada BACKGROUND: Obesity is a major risk factor for hypertension, diabetes, and cardiovascular disease in adults. One major predictor of adult obesity is being obese as a child. This association has not been investigated for the Chinese American population.
THE PREVALENCE OF THYROID IMA ARTERY AND ITS SIGNIFICANCE IN SURGERY YaQun Zhou1* OMS-III, Peter Wan1 OMS-III, Justin Chin1 OMS-IV, Christine Lomiguen2 MD 1 Touro College of Osteopathic Medicine - Harlem, New York *Corresponding Author: YaQun Zhou, OMS-III BACKGROUND: The thyroid ima artery (TIA) is an anatomical anomaly that commonly functions as an accessory blood supply for the isthmus and inferior aspect of the thyroid. Limited research has been performed to investigate the relative prevalence and clinical implications of the TIA in present literature.
EVIDENCE FOR DISPARITY IN CHINESE PATIENTS PRESENTING WITH NON- SMALL CELL LUNG CANCER Roger C Zhu MD, Takuya Ogami MD, Dana Ferrari DO, Benjamin Lee MD Division of Cardiothoracic Surgery and Department of Surgery New York-Presbyterian/Queens BACKGROUND: Chinese Americans (CA) represent one of the fastest-growing populations in the United States and are distinguished by socioeconomic status, health behavior and outcomes. Even though Asian Americans have been studied as a conglomerate group in lung cancer, there is evidence that lung cancer profiles may vary amongst the different Asian ethnicities. The purpose of this study was to compare the presentation, demographics, and treatment outcomes of non-small cell lung cancer (NSCLC)in Chinese patients vs their Non-Hispanic Caucasian (NHC) counterparts at an institution serving a high volume of Chinese American patients.
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