Past Abstracts - Oral Presentations from CAMS 2020 Scientific Conference
INHIBITING THE MUSCULOSKELETAL PATHOLOGICAL PROCESSES POST-KNEE REPLACEMENT SURGERY WITH OSTEOPATHIC MANIPULATIVE TREATMENT: A LITERATURE REVIEW YaQun Zhou OMS-IV1, Justin Chin DO2, Abigail Evangelista OMS –III 1, Blake Podger OMS-II3, Peter J. Wan OMS-IV1, Christine Lomiguen MD3 2 Lifelong Medical Care, 150 Harbour Way, Richmond, CA, 94803 3 Lake Erie College of Osteopathic Medicine, 1858 W Grandview Blvd, Erie, PA 16509 Corresponding Author: Arlene YaQun Zhou, OMS-IV BACKGROUND: Osteoarthritis or severe degenerative joint disorder of the knee is the most common cause of chronic disability among the elderly population in the United States. Total Knee Arthroplasty (TKA) has become the standard approach to relieve pain, restore function, and impart stability for individuals that present with severe degenerative joint disorder of the knee. Osteopathic Manipulative Medicine (OMM) functions on a deeply rooted philosophy that the anatomical body affects the physiology of the body. With one entity affect the other and health is reached when balance between the two is achieved. An imbalance between the two system is known as a somatic dysfunction. Osteopathic Manipulative Therapy (OMT) is a series of techniques to diagnose and treat these somatic dysfunctions to restore balance. Incorporation of OMT into the recovery course in theory should improve outcome.
UNMASKING DERMATOFIBROSARCOMA PROTUBERANS: CLINICAL CONSIDERATIONS POST-SURGICAL EXCISIONS YaQun Zhou OMS-IV *1,2, Justin Chin DO *4 , Millard D. Strutin MD *2, Christine Lomiguen MD *3 *2 Saint Clare's Denville Hospital, 25 Pocono Rd, Denville, NJ 07834 *3 Lake Erie College of Osteopathic Medicine, 1858 W Grandview Blvd, Erie, PA 16509 *4 Lifelong Medical Care, 150 Harbour Way, Richmond, CA, 94803 Corresponding Author: Arlene YaQun Zhou, OMS-IV BACKGROUND: Dermatofibrosarcoma protuberans (DFSP) is a rare malignant tumor of cutaneous soft tissue. Typical clinical presentation involves an asymptomatic, slowly enlarging indurated plaque, involving the dermis and soft tissues, usually on the trunk. Overlying skin can show telangiectasias, sclerodermiform changes, and reddish-brown discoloration. DFSP is invasive; irregular, tentacle-like projections lends to difficulty in border delineation, and consequently, surgical excision margins. DFSP is histologically described as spindle- cells in whorled or storiform pattern, with uniform, small elongated cells, which stain CD34+.
COVID-19 RESTAURANRT CLOSURES IN NYC CHINATOWNS: EXAMINING CHAIN VS. NON-CHAIN VENDORS Ashley Radee *1, BA; Victoria Foster *1, MPH; Rienna Russo *1, MHS; Shahmir Ali *2, BA; Stella Yi *1, PhD *1. NYU Grossman School of Medicine - Department of Population Health *2. NYU School of Global Public Health BACKGROUND: It has been speculated that the COVID-19 pandemic will result in a survival of chain restaurants and closures of non-chain vendors, possibly due to lack of infrastructure for loan application and smaller cash reserves. This analysis sought to examine whether chain and non-chain restaurants were differentially affected by COVID-19 with respect to open/closed status in two Chinese ethnic neighborhoods in New York City (NYC).
RAPID CREATION OF NINE OPEN SOURCE 3D PRINTED PERSONAL PROTECTIVE EQUIPMENT SPECIFIC TO MEDICAL DEVICES Lemanski BCP *1,2, Lemanski N *1, and Cheng M *1 *1) Mabel MP Cheng MD PLLC, 3140 Troy Schenectady Road, Niskayuna, NY 12309 *2) AlbanyNYPPE, a NYS not-for-profit, 3140 Troy Schenectady Road, Niskayuna, NY 2309 BACKGROUND: Medical devices utilized by health professionals often require close proximity to patients (e.g. ophthalmoscopy, otoscopy, etc.). Due to Coronavirus pandemic, this presents a challenge as patient infection status may be unknown. Personal protective equipment (PPE) exists for use on one’s person, but few exist for medical devices. Here we rapidly created and produced inexpensive medical device specific PPE (mdsPPE), released open source for free use.
PULMONARY HISTOPLASMOSIS WITH CUTANEOUS MANIFESTATION IN IMMUNOCOMPETENT PATIENT Cho Thet Zin, MD2, Myat Kyaw Ko, MD2, Yone Mee Mee Lwin, MD2, May Hnin Pwint Soe, MD2, Ngu War San, MD2, Zeyar Thet, MD1,2. INTRODUCTION: Histoplasmosis, an endemic fungal infection, is usually asymptomatic but can progress to severe illness. In the US, histoplasmosis is caused by Histoplasma capsulatum and is endemic in the Ohio and Mississippi River Valleys. It is transmitted via inhalation of spores found in soil contaminated with bird or bat droppings.1
SIMULTANEOUS CRYPTOCOCCAL AND TOXOPLASMA INFECTIONS IN NEWLY DIAGNOSED AIDS PATIENT Cho Thet Zin, MD2, Yone Mee Mee Lwin, MD2, Ngu War San, MD2, Myat Kyaw Ko, MD2, May Hnin Pwint Soe, MD2, Zeyar Thet, MD1.2. INTRODUCTION: Opportunistic CNS infections are common in AIDS but being infected with cryptococcal and toxoplasmosis simultaneously is rare. According to a case report in 2018, there had only been 3 cases of dual infection reported in literature so far.1 Poster 6 - ABSTRACT 20 Zin, Cho Thet SIMULTANEOUS CRYPTOCOCCAL AND TOXOPLASMA INFECTIONS.docx
CHEMOTHERAPY TREATMENT MODIFICATIONS DURING THE COVID-19 OUTBREAK AT A COMMUNITY CANCER CENTER IN NEW YORK CITY Dong D. Lin BS; Trishala Meghal MD, MBBS; Pooja Murthy MD; Lan Mo MD, PhD; Ashley D’Silva MD2; Yiwu Huang MD, PhD2; and Yiqing Xu MD, PhD2 Division of Hematology/Oncology, Department of Medicine at Maimonides Medical Center, 6300 8th Avenue, Brooklyn, NY, 11220. BACKGROUND: As a result of their immunocompromised status associated with disease and treatment, cancer patients face a profound threat for higher rates of complications and mortality if they contract the coronavirus disease 2019 infection. Medical oncology communities have developed treatment modifications to balance the risk of contracting the virus with the benefit of improving cancer-related outcomes. In our New York City community cancer center, we wanted to know how often chemotherapy schedules were modified and key factors that influenced the decision-making process.
CLINICAL DETERMINANTS DIFFERENTIATING SEVERITY OF CANCER PATIENTS WITH COVID-19 INFECTION: HOSPITAL CARE OR HOME RECOVERY Dong D Lin *1 BS, Yunhong Wu *2 MS, Niki Sheth *3 MD, Kevin Becker *1 MD, Susan Burdette- Radoux *1 MD, James D’Silva *1 MD, Yiwu Huang *1 MD, PhD, Jay Lipshitz *1 MD, Trishala Meghal *1 MD, Lan Mo *1 MD, PhD, Pooja Murthy *1 MD, Bernadine Donahue *1 MD, and Yiqing Xu *1 MD, PhD *1 Maimonides Medical Center 6300 8th Avenue Brooklyn, NY 11220 *2 Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA *3 Department of Radiation Oncology, James J. Peters Veterans Affairs Medical Center, Bronx, NY BACKGROUND: Cancer patients may carry a worse prognosis with Coronavirus disease 2019 (COVID-19) infection. We aimed to study the clinical factors differentiating patients requiring hospital care to those who do not, particularly therapies with negative impact to the immune system.
NEW YORK FEMALE ASIAN NONSMOKER SCREENING STUDY (FANSS): EXPLORING LUNG CANCER SCREENING IN A HIGH RISK POPULATION ELAINE SHUM, MD; NYU PERLMUTTER CANCER CENTER, 160 EAST 34TH STREET, NEW YORK, NY 10016 BACKGROUND: Lung cancer is the leading cause of cancer death in Asian Americans and unfortunately the majority are diagnosed at advanced or late stage lung cancers. It has been reported that about 32% of Asians who have lung cancer do not smoke. In Asia, approximately 60 to 80% of female lung cancer patients are never smokers. In Taiwan, 55% of lung cancers are in never smokers and over 90% of the female lung cancer patients are never smokers. In comparison to patients diagnosed with locally advanced or metastatic lung cancer, patients with stage I lung cancers have higher cure and survival rates, supporting the premise of lung cancer screening programs. However, lung cancer screening has been focused on high risk populations that include current smokers or former smokers with an at least 30 pack year smoking history. As a result, the use of lung cancer screening in nonsmokers have only been explored in limited studies. NYFANSS is a study to develop a database and biorepository of Asian female never smokers residing in New York who undergo a low-dose CT (LDCT) scan for lung cancer screening. Enrollment into this database will also include a blood-based assay with the capability for early detection of cancer. Clinical, demographic and exposure history such as possible WTC exposure will also be collected. Poster 9 - ABSTRACT 23 Shum, Elaine NEW YORK FEMALE ASIAN NONSMOKER SCREENING STUDY.docx
ELUCIDATING A SILENT ILLNESS: HEPATITIS B KNOWLEDGE IN NORTHEAST OHIO Heidi Huang, BA *1; Anna Wu, BS *1; Henry Li, MS *1; David Hu, BA *1; Suet Kam Lam, MD, MPH, MS *2 BACKGROUND: In the United States, Asian Americans (AA) make up less than 6% of the population but make up more than half of the nation’s two million cases of chronic hepatitis B virus (HBV). The purpose of this investigation is to identify risk factors for low HBV knowledge.
EVALUATING THE RISK OF HYDROCHLOROTHIAZIDE AND ACE INHIBITOR EXPOSURE AND CUTANEOUS MALIGNANT NEOPLASM Jason Shao MDc *1, Amalia Ardeljan MD *2, Kishan Shingala MDc *1, Stephanie Shimon MDc *1, Lexi Frankel MDc *1, Omar Rashid MD JD FACS *2 *1 Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Ft. Lauderdale, FL *2 Michael and Dianne Bienes Comprehensive Cancer Center Holy Cross Health, Ft. Lauderdale, FL. Address: 2640 S. University Dr. Apt 209, Davie, FL 33328. BACKGROUND: The purpose of this study is to assess the effects of using hydrochlorothiazide (HCTZ) and angiotensin-converting enzyme inhibitors (ACEIs), alone and in combination, and the risk of developing cutaneous malignant neoplasm (CMN).
CULTURALLY ADAPTING THE KAER TOOLKIT TO SUPPORT DEMENTIA CARE FOR ASIAN AMERICANS Jennifer Zanowiak, MA1, Janet Pan, MPH1, Stella Yi, PhD1, Tina Sadarangani, PhD, RN, ANP- BC, GNP-BC2, Simona Kwon, DrPH, MPH1 BACKGROUND: Early symptoms of dementia are often unreported to medical professionals by Asian Americans (AA), leading to under-detection of cognitive impairment and diagnosis in advanced disease stages. This can become increasingly problematic as the AA older adult population is projected to double from 5.7% to 9.1% between 2016-2060. Community-based organizations (CBOs) often provide informal care and services to AA communities and can play a significant role in supporting early detection and preparing patients and families for changes with disease progression. However, challenges to providing support often include difficulty in accessing services and finding culturally and linguistically appropriate materials and programs.
CONSIDERING DELAY OF CHOLECYSTECTOMY IN THE THIRD TRIMESTER OF PREGNANCY Julie Hong MD, Jie Yang PhD, Xioyue Zhang MS, Jared Su MD, Abhinay Tumati MD, David Garry DO, Salvatore Docimo DO, Andrew T Bates MD, Konstantinos Spaniolas MD, Mark A Talamini MD, Aurora D Pryor MD BACKGROUND: Current guidelines support laparoscopic cholecystectomy as the treatment of choice for pregnant women with symptomatic gallbladder disease, regardless of the trimester. Early intervention has remained the standard of care, but recent evidence has challenged this practice in pregnant women. We sought to compare surgical and maternal–fetal outcomes of antepartum versus postpartum cholecystectomy in New York State.
FORGING PARTNERSHIPS FOR RAPID RESPONSE TO COVID-19 TO SUPPORT ASIAN AMERICAN, NATIVE HAWAIIAN AND PACIFIC ISLANDER COMMUNITIES Lan N. Ðoàn, Kathy Ko Chin, Jennifer A. Wong, Rienna Russo, Laura Wyatt, Chau Trinh-Shevrin, Simona Kwon, Stella Yi Affiliation: Department of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, 8th floor, New York, NY 10016 Background: The COVID-19 pandemic has revealed deep disparities related to structural racism and social determinants of health for minority and underserved populations, including the Asian American, Native Hawaiian and Pacific Islander (AANHPI) population. However, the lack of race/ethnicity data collected and reporting by disaggregated AANHPI subgroup has contributed to a poor understanding of the burden COVID-19 for this group. This study’s objective is to describe theexperience of the NYU Center for the Study of Asian American Health (CSAAH), working in partnership with the Asian Pacific Islander Health Forum and a network of partners, in leveraging new and existing data to identify high-risk AANHPI subgroups. Poster 14 - ABSTRACT 22 Doan, Lan FORGING PARTNERSHIPS FOR RAPID RESPONSE TO COVID 19.docx
THE ROLE OF CALCITONIN GENE-RELATED PEPTIDE IN DISCOGENIC BACK PAIN Michael Chang BA, Jose A. Canseco MD PhD, Dessislava Z. Markova PhD, Christopher Kepler MD MBA; Thomas Jefferson University Department of Orthopaedic Surgery and Rothman Orthopaedic Institute; 1015 Walnut Street, Philadelphia, Pennsylvania 19107 BACKGROUND: The prevalence of low back pain secondary to degenerative disc disease cannot be overstated. Recently introduced anti calcitonin gene-related peptide (CGRP) monoclonal antibodies represent an avenue for addressing discogenic back pain by non-operative means.
ABDOMINAL TUBERCULOSIS IN PATIENT PRESENTING WITH GASTRIC MASS Myat Kyaw Ko, MD2, Cho Thet Zin, MD2, May Hnin Pwint Soe, MD2, Yone Mee Mee Lwin, MD2, Ngu War San, MD2, Zeyar Thet, MD1,2. INTRODUCTION: Gastrointestinal tuberculosis is a rare presentation of TB, accounting for only 3.5 percent of extrapulmonary tuberculosis in the United States.1 Due to low prevalence, it can be underestimated, and it is challenging to get the diagnosis. There are only a few reported cases of stomach TB and mostly found in the immigrant population in the US.
TUBERCULOUS PERITONITIS MIMICKING CARCINOMA Myat Kyaw Ko, MD2, Yone Mee Mee Lwin, MD2, Ngu War San, MD2, Cho Thet Zin, MD2, May Hnin Pwint Soe, MD2, Zeyar Thet, MD1,2. INTRODUCTION: Tuberculosis is uncommon in the US and peritoneal tuberculosis was accounted for only 5.8% of the total extrapulmonary TB reported to CDC in 20171. Poster 17 - ABSTRACT 17 Ko, Myat Kyaw TUBERCULOUS PERITONITIS MIMICKING CARCINOMA.docx
DEVELOPING AND IMPLEMENTING ELECTRONIC HEALTH RECORDS-BASED INTERVENTION TOOLS IN A LARGE NYC HEALTHCARE SYSTEM TO FACILITATE H. PYLORI ERADICATION STRATEGIES FOR GASTRIC CANCER PREVENTION Simona Kwon, NYU Grossman School of Medicine. 180 Madison Ave, New York, NY 10016. Email: simona.kwon@nyulangone.org. Phone: 347-922-8524. Janet Pan, NYU Grossman School of Medicine. 180 Madison Ave, New York, NY 10016. Devin Mann, NYU Grossman School of Medicine. 180 Madison Ave, New York, NY 10016. Sara Chokshi, NYU Grossman School of Medicine. 180 Madison Ave, New York, NY 10016. Renee Williams, NYU Grossman School of Medicine. 180 Madison Ave, New York, NY 10016. Qiuqu Zhao, NYU Langone - Seventh Avenue Family Health Center, 5008 7th Ave, Brooklyn, NY 11220 Anju Malieckal, NYU Langone – Brooklyn, 8714 Fifth Avenue, Brooklyn, NY 11209 Benyam Hailu, National Institute on Minority Health and Health Disparities, 6707 Democracy Boulevard, Suite 800 Chau Trinh-Shevrin, NYU Grossman School of Medicine. 180 Madison Ave, New York, NY 10016. BACKGROUND: Stomach cancer is the most common infection-related cancer worldwide. In the United States, Chinese Americans experience a disproportionate burden of stomach cancer mortality. The bacterium Helicobacter pylori (H. pylori) is the strongest risk factor for stomach cancer, with eradication of H. pylori the most effective prevention method for stomach cancer. However, clinician adherence to H. pylori treatment guidelines is not high. Additionally, medication adherence to the complex H. pylori treatment regimen is challenging.
MECHANICS & ECONOMICS OF A NEGATIVE PRESSURE PRIVATE PRACTICE OUTPATIENT PULMONARY FUNCTION TESTING ROOM IN THE COVID-19 ERA Siu Lam Koo, DO *1, Anthony Ming Szema, MD, FCCP, FACAAI, FAAAAI, FACP, ATSF *1,2. Internal Medicine Residency Program, Mather Hospital, Northwell Health, Port Jefferson, NY 11776 *1 *2 Three Village Allergy & Asthma, PLLC, South Setauket, NY 11720 *2 Donald & Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549 BACKGROUND: COVID-19 necessitates respiratory precautions. Aerosol-generating procedures such as pulmonary function testing (PFTS) have had a hiatus. Reopening guidelines are sparse. We now describe a practical primer on creating a negative pressure room for conducting PFTS in a private practice outpatient setting. We calculated projected return on investment vs. cost, separate from beneficial effects of diagnosing/treating patients with modalities on hold.
CHANGES TO THE FOOD RETAIL ENVIRONMENT DUE TO COVID-19 IN NEW YORK CITY, MAY TO JULY 2020 Stella S. Yi, PhD *1, Shahmir H. Ali, BA *2, Rienna G. Russo, MHS *1, Victoria Foster, MPH *1, Ashley Radee, BA *3, Stella Chong, BA *1, Felice Tsui, BA *4, Julie Kranick, MPH *1, David Lee, MD *1,5, Valerie Imbruce, PhD *6, Tamar Adjoian Mezzacca, MPH *7 *1 Department of Population Health, NYU Grossman School of Medicine, 180 Madison Ave, 8th floor, New York, NY 10016 *2 Department of Social and Behavioral Sciences, New York University School of Global Public Health, 665 Broadway, 11th floor, New York, NY 10012 *3 NYU Grossman School of Medicine, 550 First Ave, New York, NY 10016 *4 Columbia Mailman School of Public Health, 722 W 168th St, New York, NY 10032 *5 Department of Emergency Medicine, NYU Grossman School of Medicine, 550 First Ave, New York, NY 10016 *6 Environmental Studies Program, State University of New York at Binghamton, 4400 Vestal Pkwy E, Binghamton, NY 13902 *7 No current affiliation BACKGROUND: Numerous media reports have revealed the troubling effect that COVID-19 has had on restaurants, food retail stores, and other small businesses, particularly in ethnic neighborhoods such as Manhattan’s Chinatown. The objective of this project was to assess the impact of COVID-19 on the food retail environment in 6 neighborhoods in New York City (NYC). We hypothesized that closures would be differential across higher vs. lower resourced neighborhoods, and given COVID-related stigma and discrimination, that Chinese ethnic neighborhoods would be particularly affected.
EFFECTIVE MANAGEMENT OF HBV IN COMMUNITY PRIMARY CARE PRACTICES Thomas Woo, B.A., MBA (Director of Operations – Jade Health Care Medical Group); Kamryn Sung (Candidate - B.S. Public Health – 2021 – U.C. Berkeley); Stuart Fong, MD (Chair – SF Hep B Free); Edward Chow, MD (CEO and President – Jade Health Care Medical Group) BACKGROUND:Hepatitis B has been a significant health disparity for Chinese in America, particularly for those who are of immigrant status, and had no opportunity for immunity by vaccines. This continues to represent a major health issue in San Francisco. In 2020, SFHP made available a quality improvement grant to study whether members of SFHP in the Jade HCMG were being appropriately followed for their disease.
DESIGNING A TELETHERAPY PLATFORM TO CONNECT ELDERLY WITH FAMILY CAREGIVERS William Ge1,2. 1Harvard Medical School, Boston, MA 02115. 2Harvard-MIT Health Sciences and Technology Program, Cambridge, MA 02139. BACKGROUND: One of the most profound challenges that people face in old age is social isolation. Nearly half of elderly currently live alone or with just a spouse, and elderly who live alone are at increased risk for a number of serious behavioral and health problems including cognitive decline, depressive symptoms, reduced physical activity, and increased chronic disease morbidity. Family members often play an inimitably important role in supporting their elderly, especially in filial-tending East Asian households, but their ability to do so is frequently limited by time and distance. This ability has been constrained further by the current pandemic, particularly for cross-continental families with elderly living abroad and families with elderly in nursing homes that have been under perpetual lockdown.
THE IMPACT OF LONG-TERM CONSTRUCTION ON THE HEALTH OF OLDER ADULTS IN NEW YORK CITY’S CHINATOWN Jennifer Wong, NYU Grossman School of Medicine. 180 Madison Ave, New York, NY 10016 Janet Pan, NYU Grossman School of Medicine. 180 Madison Ave, New York, NY 10016. Simona Kwon, NYU Grossman School of Medicine. 180 Madison Ave, New York, NY 10016. BACKGROUND: There has been a recent increase in major construction projects in New York City’s Chinatown. Since these construction projects are large-scale, the construction period typically lasts multiple years. Little is known about the health impact of construction on vulnerable populations such as older adults. In Chinatown, where approximately 20% of its residents are older adults, many live below the poverty level (34%), have a disability (47%), and experience ambulatory difficulties (37%). Approximately half speak Asian languages at home. We seek to describe possible health and psychosocial outcomes of construction on older adults in Chinatown. We seek to describe possible health and psychosocial outcomes of construction on older adults in Chinatown.
CHRONIC PULMONARY ASPERGILLOSIS IN A PATIENT WITH PPI INDUCED NEUTROPENIA Yone Mee Mee Lwin, MD2, May Hnin Pwint Soe, MD2, Ngu War San, MD2, Myat Kyaw Ko, MD2, Cho Thet Zin, MD2, Zeyar Thet, MD1,2 1Associate Program Director, Department of Medicine, Coney Island Hospital, Brooklyn, NY 11235 INTRODUCTION: More than 3 million people are diagnosed with chronic pulmonary aspergillosis worldwide and it is common in patients with underlying lung diseases such as asthma, tuberculosis, or immunocompromised patients.1 The diagnosis of CPA requires a combination of characteristics: one or more cavities with/without a fungal ball or nodules on imaging, evidence of Aspergillus infection and respiratory symptoms, for at least 3 months.2
|
|
|
|
|
|
