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STUDENT DIGITAL NEWSLETTER ALAGAPPA INSTITUTIONS

Kul Aggarwal, MD, MRCP(UK), FACC

Ceftriaxone and acyclovir were given as empiric treatment for possible meningoencephalitis untreated prehypertension lisinopril 2.5mg for sale. No lumbar puncture or computed tomography of the brain were performed because the patient was clinically unstable pulmonary hypertension xray purchase lisinopril 5 mg free shipping. These tests showed the following levels: alanine aminotransferase 67 U/L blood pressure medication nifedipine cheap lisinopril 2.5 mg without a prescription, aspartate aminotransferase 109 U/L hypertension classification discount 10 mg lisinopril fast delivery, direct bilirubin 0 blood pressure medication young age lisinopril 10 mg with amex. On day 2 of hospitalization arteria iliaca comun order 2.5 mg lisinopril mastercard, the patient still had a severe hemodynamically unstable condition that required constant adjustments in amine doses (noraderenalin 2 g/kg/min and dobutamin 8 g/kg/min), but she showed spontaneous opening of the eyes and nonspecific thoracic movements. No major metabolic or hydroelectrolytic disturbances were detected in the time since her hospitalization. Despite the therapeutic measures, on the third day of hospitalization, the child showed a severe worsening of her condition, which included fixed mydriasis, absence of corneopalpebral and oculocephalic reflexes, and no reflex of coughing during aspiration of the orotracheal tube. Congruent with these findings, computed tomography of the brain showed diffuse cerebral edema with erasure of basement cisterns and imminent signs of herniation. Even after institution of neuroprotection measures (3% saline solution and mannitol), the patient showed a worsening of her condition, which included multiple organ dysfunction, refractory shock to the use of vasoactive drugs, diabetes 1 these authors contributed equally to this article. Louis encephalitis virus, West Nile virus, and yellow fever virus), and chikungunya virus. We aligned the sequence and used it to construct a phylogenetic tree by using the maximum-likelihood method (Figure 1, panel B). Phylogenetic analysis showed that sequence grouped with other wild-type yellow fever virus sequences from Brazil in a clade separate from vaccine virus samples, and the alignment confirmed a sequence difference of 25 nt (Figure 2). Sequences were compared with sequences in GenBank; black dot indicates sequence isolated in this study. Sequences were obtained from GenBank and aligned by using standard parameters of ClustalW. Shaded boxes indicate major variations among wild-type virus sequences and vaccine virus sequences. Neurologic involvement in wild-type yellow fever virus infection was described in a study conducted in Nigeria during a 1969 epidemic in which 103 patients were given a diagnosis of yellow fever, including 14 children and adolescents <19 years of age (5). In a study in Darfur, Sudan, during a 2012 yellow fever epidemic, 844 cases of suspected yellow fever were reported (8). In the same study, 8% of case-patients were reported to have been vaccinated, suggesting that the immunity caused by the vaccine might be affected by other factors that influence the effectiveness and duration of the vaccine (8). Meningoencephalitis caused by yellow fever virus vaccineΡssociated neurotropic disease has been frequently reported in infants and adults (1,9,10). However, in our case report, the child had received 1 dose of 17D yellow fever vaccine at 10 months of age, which was 29 months before onset of signs and symptoms of encephalitis. The reported seroconversion rate of the 17D vaccine in this age group is only 72% (11). It is possible that this child was within the small percentage of vaccine failures because she had no history of previous hospitalizations or concurrent conditions that indicated immunosuppression. Neurologic manifestations after infections with other flaviviruses are also often not accompanied by classic signs or symptoms of infection (12,13). Because signs and symptoms of encephalitis preceded cardiac arrest in our patient, it is unlikely that the virus infection occurred because of hemodynamic instability and cardiac arrest, which might 1569 Emerging Infectious Diseases נ Despite scarce description of neurologic diseases in humans caused by wild-type yellow fever virus, a study with animal models confirmed that yellow fever virus is neurotropic and leads to fatal encephalitis (14). The nucleotide sequence of the virus from the patient in our study was also identical to that of the virus that circulated during an outbreak of yellow fever in Belo Horizonte, Brazil (15). Although yellow fever encephalitis is rare, it was the primary neurologic manifestation in our patient. Acknowledgments We thank our colleagues at the Laborat󲩯 de Vs, Universidade Federal de Minas Gerais, for providing excellent technical support. The study was supported by the Conselho Nacional de Desenvolvimento Cientco e Tecnol󧩣o, the Departamento de Ci믣ia e Tecnologia do Minist곩o da Sa򤥠do Brasil, the Coordena褯 de Aperfei谡mento de Pessoal de Nl Superior (finance code 001), and Funda褯 de Amparo ࡐesquisa do Estado de Minas Gerais. Marinho is a PhD student at the Laborat󲩯 de Vs, Departamento de Microbiologia, Instituto de Ci믣ias Biol󧩣as, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. Advanced yellow fever virus genome detection in point-of-care facilities and reference laboratories. Clinical features of yellow fever cases at Vom Christian Hospital during the 1969 epidemic on the Jos Plateau, Nigeria. Epidemic yellow fever in Borno State of Nigeria: characterization of hospitalized patients. Epidemiological, clinical and entomological characteristics of yellow fever outbreak in Darfur 2012. Etiological agents of viral meningitis in children from a dengue-endemic area, Southeast region of Brazil. Genomic and epidemiological monitoring of yellow fever virus transmission potential. Kroon, Laborat󲩯 de Vs, Departamento de Microbiologia, Instituto de Ci믣ias Biol󧩣as, Universidade Federal de Minas Gerais, Av. Ant𮩯 Carlos 6627 Caixa Postal 486, 31270-901 Belo Horizonte, Minais Gerais, Brazil; email: ernagkroon@gmail. Prasad,1 Suman Dahal,1 Barsha Saikia, Bobita Bordoloi, Veena Tandon, Sudeep Ghatani Eating raw or insufficiently cooked mollusks is a known risk factor for human echinostomiasis. We confirmed identification of Artyfechinostomum sufrartyfex trematodes as the causative agent of disease among 170 children in northern Bihar, India. We also identified the snail Pila globosa as a potential source of infections in the study area. Approximately 24 echinostome species cause human echinostomiasis and are highly endemic to Southeast Asia and the Far East; major foci are located in China, India, Indonesia, South Korea, Malaysia, the Philippines, and Thailand (1). Previously, only 2 deaths attributed to the echinostomid fluke Artyfechinostomum sufrartyfex were reported from the states of Assam and Tamil Nadu in India (2,3). During 2004Ͳ017, several cases of echinostome infection were reported in children at Shri Shubh Lal Hospital and Research Centre in Bihar, India. The children lived in the districts of Sitamarhi and Sheohar in the state of Bihar. Signs and symptoms were diarrhea (persistent/chronic and acute) with watery or mucus-bound stool, vomiting, loss of appetite, weakness, passage of red worms in stool or vomit, swelling of the feet and the entire body, fever, cough, breathlessness, night blindness, and urticarial rashes (Table 1). Clinical laboratory investigations showed Author affiliations: Shri Shubh Lal Hospital and Research Centre, Sitamarhi, India (Y. However, systemic examination showed no adverse effects of the cardiovascular, abdominal, and central nervous systems (Table 2). Levels of serum alanine aminotransferase, bilirubin, blood urea, creatinine, electrolytes, sodium, potassium, and chloride were within reference limits. These children were immediately hospitalized and kept under careful observation with routine monitoring of stool and vomit for worms. Once worms were observed in samples, the patients were given praziquantel (75 mg/ kg in 3 divided doses orally for 2 days) and monitored. The infection subsided after the standard dose of praziquantel, and most patients recovered from the infection. However, we observed 11 deaths: 2 patients each during 2004, 2007, 2008, 2012, and 2013 and 1 patient during 2009. Severe acute malnutrition with or without edema and large numbers of worms were major clinical conditions observed for these deaths. Nine children had persistent diarrhea with severe dehydration and shock, and 2 of them had acute diarrhea, severe dehydration, and shock. The most prevalent snail species in the study areas was Pila globosa, which the children collected from the banks of ponds/ditches and waterlogged paddy fields grossly contaminated with human and animal excreta (168/170 cases, 99%). Therefore, we surveyed as many as 8 sites in 2 districts (Sitamarhi and Sheohar) for snail samples from their natural habitats (Figure 1). To establish the source of infection, we attempted to identify the clinical parasite samples and the metacercariae. We morphologically identified representative parasite samples isolated from the patients (2,4,5). However, we could not identify metacercaria by only morphologic characteristics 1 these authors contributed equally to this article. Therefore, we used a molecular approach to confirm the identity of the life cycle stages. For specific identification of the parasites, we performed a blastn search blast. On the basis of these findings, we concluded that clinical specimens and metacercariae isolated from P. This search showed that our sequences were highly species specific; the closest match with other species was with Nephrostomum limai worms (83. Conclusions Our findings conclusively establish that these children were infected with A. Overall, we detected 170 infected case-patients and 11 deaths from these infections. Because of lack of proper diagnostic tools available to medical practitioners in the affected parts, several other infection cases might have remained undefined. This trematode species poses a serious threat to public health in this part of India and, if not contained early, might spread to other and nonendemic areas of the region. This study was supported by the Science and Engineering Research Board, Department of Science and Technology, Government of India, through the Young Scientist Scheme (Sanction no. Prasad is director, consultant pediatrician, and neonatologist at Shri Shubh Lal Hospital and Research Centre, Sitamarhi, Bihar, India. Dahal is a PhD student in the Department of Zoology, School of Life Sciences, Sikkim University, Gangtok, Sikkim, India. His research interests include helminth parasitology and transcriptomic studies of human parasitic infections with a focus on identifying diagnostic markers and drug targets. Artyfechinostomum sufrartyfex trematodes isolated from infected patients in Bihar, India. Therefore, we expect these barcodes to act as references for easy and accurate diagnosis of the disease in the future. We observed that some high-risk practices, such as open defecation in the infected areas, are still rampant, which is a cause of concern because this practice helps maintain the parasite cycle in the environment. However, a cleanliness program, such as the Swachh Bharat Mission started by the Government of India sbm. Development of primers for the mitochondrial cytochrome c oxidase I gene in digenetic trematodes (Platyhelminthes) illustrates the challenge of barcoding parasitic helminths. Patients had microfilaremia <20,000/mL and were treated with high-dose albendazole for 28 days and a single dose of ivermectin. This combination might be an effective treatment option in nonendemic areas, when diethylcarbamazine, the drug of choice, is not available. We describe the outcomes of 16 cases of imported loiasis in Italy with high-dose albendazole for 28 days and a single dose of ivermectin. The Study the reference Ethics Committee (Comitato Etico per la Sperimentazione Clinica delle Province di Verona e Rovigo) approved this study in July 2016 (study protocol no. For study purposes, we defined a case of loiasis by having previously stayed in an endemic country plus meeting >1 of 3 criteria: 1) eyeworm observed in the eye conjunctiva within the previous 2 months; 2) detection of L. We included the remaining 16 patients (6 migrants and 10 expatriates) in the analysis (Table). Of note, all 6 migrants had eosinophil counts of 500ͱ,500/֌, whereas all expatriates had eosinophil counts >1,500/֌, in line with previous observations (10). We also evaluated serologic results retrospectively for patients diagnosed before 2014. Liver function (alanine transaminase and aspartate transaminase levels) had been checked after 2 weeks from the onset of treatment with albendazole; no changes were observed in any patient. We recommended that blood tests be repeated every 2 months until patients were free of microfilaremia L oa loa is a filarial nematode transmitted by tabanid flies of the genus Chrysops, which inhabits forested areas of West and Central Africa (1). Adult worms move under the skin or in the intermuscular fascia and can produce microfilariae. Loiasis can cause a wide range of symptoms, most frequently migrant edemas (Calabar swellings). A retrospective study showed increased mortality rates in patients with high microfilaremia (3), indicating that this infection is not a benign condition, as previously thought. Three drugs are currently used to treat loiasis: diethylcarbamazine, ivermectin, and albendazole (4). Diethylcarbamazine is preferred but is usually unavailable outside of specific World Health Organization mass drug administration programs. In addition, multiple courses of diethylcarbamazine are often required to achieve a clinical and parasitological cure (5), and the drug should not be used in patients with high microfilaremia levels because of the risk of encephalopathy (4). Trials in loiasisendemic countries showed that short courses of albendazole had little effect on L. One patient received a further course of ivermectin due to the persistence of low-level microfilaremia 4 months after treatment; testing at subsequent follow-up visits showed no microfilaremia. The remaining patient reported presence of Calabar swelling and microfilaremia 1 month after treatment, so he received a single course of diethylcarbamazine, after which symptoms disappeared within 2 months. Conclusions Our retrospective study indicates that using the combination of albendazole and ivermectin resulted in a high rate of recovery (15/16, 93. Three of these symptomatic patients, unresponsive to diethylcarbamazine, were administered albendazole (200 mg 2ׯd for 21 d) and then recovered (8). Within 6 months, albendazole treatment reduced microfilaremia substantially, although not completely. After 6 months, microfilarial density was at 20% of pretreatment level in the albendazole treatment group compared with 84. Ivermectin has been administered alone only to substantially reduce microfilaremia levels, not as a cure, because macrofilaricidal action was not demonstrated (12,13). It was on the basis of these earlier reports, and because of the unavailability of diethylcarbamazine in Italy, that in 2004 we decided to treat our loiasis patients with a regimen of albendazole at a higher dosage (400 mg 2ׯd) for a longer period (28 d), followed by a single dose of ivermectin (200 ֧/kg) (14). The main limitations of this study are the retrospective design and the low number of patients included.

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Greer (University of Nebraska Medical Center) arrhythmia quotes purchase lisinopril 10 mg amex, Patrick Romani (The University of Iowa) blood pressure medication reactions lisinopril 2.5mg fast delivery, and Todd M heart attack demi lovato sam tsui chrissy costanza of atc buy lisinopril 10 mg lowest price. Automatically Reinforced Problem Behavior: Current Intervention Trends and Refinements Chair: Eileen M blood pressure 7843 generic 10 mg lisinopril otc. Roscoe (New England Center for Children; Western New England University) and Jeffrey S blood pressure chart hong kong generic lisinopril 5 mg. Moore (Western New England University); and Jonathan Priehs pulse pressure pda buy cheap lisinopril 2.5mg line, Lauren Fish, and William H. Cook (University of Mississippi Medical Center), Bradford Fischer (Cooper Medical School of Rowan University), and James K. Examining Treatment Outcomes for Pediatric Feeding Disorders: Progressing From Small-N to Larger-Scale Analyses Chair: Henry S. Behavioral Economics to Promote Healthy Behavior: Effects of Individual and Group Incentives Chair: Bethany R. Basic and Applied Research on Behavior in Transitions Between Rich and Lean Schedules of Reinforcement Chair: Forrest Toegel (West Virginia University) Discussant: Dean C. Macaskill (Victoria University of Wellington) Do Prior Investments or Future Payoffs Drive the Sunk-Time Effect? McIlvane (University of Massachusetts Medical School) Can Stimulus Relations Established Only Through Exclusion Yield Equivalence? Improving the Implementation of Function-Based Interventions in Schools Chair: Sarah E. Pinkelman (George Mason University) Discussant: Ronnie Detrich (The Wing Institute) Building School District Capacity to Conduct Functional Behavioral Assessment M. Davis (University of Maryland, Baltimore County; Little Leaves Behavioral Services), Amber E. Waltz (Eastern Michigan University) Precision Teaching for Accuracy-Based Instruction: Not Just the Science of "Go Fast! Newsome (Fit Learning) the Overemphasis on Decelerative Goals in Schools and Consultative Settings: More Than Just the Science of "Make the Behaviors Go Away! Recorded Session Treatment Integrity in Child Behavior Therapy and Educational Intervention Chair: Mark D. Noell is a professor of psychology at Louisiana State University and director of the doctoral program in school psychology. His research has focused on improving the quality and implementation of treatment plans for children in need of behavior therapy and academic intervention. Noell has been engaged in educational policy work that has sought to develop data analytic systems for time-sensitive and long-term policy-making. He has been engaged with partners in Louisiana and nationally examining methods for assessing the quality of teacher preparation. Abstract: the existing scientific literature strongly suggests that the most effective interventions for children and youth typically require active implementation of treatment in their natural environments by in-vivo care providers. Research over the last two decades in particular has demonstrated that simply providing care providers verbal directions is frequently 280 insufficient to ensure treatment implementation. This session will focus on findings relevant to ensuring implementation of intervention plans in the natural environment with a particular focus on teachers as the treatment agents. The session will describe conceptual issues surrounding the assessment and assurance of treatment integrity in applied settings. Additionally, the session will review findings regarding procedures that have been found to be effective across studies in supporting intervention implementation as well as often repeated hypotheses about factors mediating treatment implementation that have not been supported by data. The session will conclude with a focus on future directions and the application of a behavior analytic science of treatment implementation across contexts. Special Ethical Issues in Intrusive Programming Chair: Bruce Linder (Pryor, Linder and Associates; Safe Management Group Inc. He received his undergraduate degree in psychology at the University of New Hampshire, where he worked with John A. After a two-year postdoctoral stint with Anthony (Tony) Wright at the University of Texas Health Sciences Center at Houston, Peter joined the Purdue University faculty in 1981. His most recent, groundbreaking work on stimulus-class formation in pigeons has revealed a wide range of rarely and never before seen categorization effects in nonhuman animals. In addition, Peter has proposed an innovative theory of stimulus-class formation that explains and predicts these effects from basic assumptions about stimulus control and reinforcement processes. Abstract: the ability to categorize physically dissimilar stimuli such as objects, words, etc. Categorization is evident in the emergence of "untrained" behavior and novel stimulus control relations after explicit training on other relations. After highlighting the longrecognized importance of categorization and equivalence in behavior theory, the presentation will describe how sets of interchangeable stimuli (viz. The presenter will also describe his theory of stimulus class formation (Urcuioli, 2008) which emphasizes the reinforcement contingencies of training, proper identification of the functional stimuli, and the combinatorial effect of the same functional stimuli in different trained relations. The theory successfully explains the conditions under which emergent relations have, and have not, been observed and accurately predicts a variety of novel equivalence-like relations. Recorded Session Preparing Teachers and Practitioners to Meet the Needs of All Students in Early Care and Education Settings: How Do We Do It? Her programming expertise focused on children with significant disabilities, including challenging behaviors, in inclusive classrooms. These classrooms provided sites for student observations and student teachers from teacher preparation programs. She has taught undergraduate courses at the University of Delaware since 2009 and supervised student teachers as faculty in the Department of Human Development and Family Studies. She is part of the Delaware Institute for Excellence in Early Childhood and provided professional development on supporting social-emotional growth and addressing challenging behaviors. Abstract: How do we prepare teachers for supporting the social-emotional growth of young children while giving them the tools to address challenging behaviors in school and childcare settings? Preservice teachers, as well as those who have been in the field for a long time, often struggle with how to balance instructional practice and requirements to address the social-emotional needs of their students. In tandem with setting up the environment to foster appropriate behavior, a variety of strategies for addressing challenging behaviors will be discussed. Key components for laying this groundwork include family-teacher partnerships, developmentally appropriate curriculum and assessment, guidance, and behavior supports. Radical Behavioral Conceptual Analyses of Complex and Private Behaviors: Spirituality and Mindfulness Chair: Elizabeth Meshes (Chicago School for Professional Psychology, Los Angeles) Discussant: William F. He is professor emeritus of psychology at Georgia Tech, where he has taught courses in the experimental analysis of behavior, physiology and behavior, behavioral pharmacology, and probability and statistics. He is currently review editor for the Journal of the Experimental Analysis of Behavior and has been editor of Behavior and Philosophy, 287 Tuesday, May 31 Presidential Address: the Future of Behavior Analysis: Foxes and Hedgehogs Revisited (Theory) Chair: Martha H𢮥r (Universidade de S䯠Paulo) co-editor of Revista Mexicana de An⭩sis de la Conducta, and associate editor of the Journal of the Experimental Analysis of Behavior and the Behavior Analyst. He has been active in the international support and development of behavior analysis in Europe, Mexico, China, and the Middle East. He was a research fellow in pharmacology at Harvard Medical School, a visiting professor at the Universidad Nacional Aut󮯭a de M깩co, and an Eminent Scholar at Jacksonville State University. He was a Navy contractor for Project Sanguine in a study of possible behavioral effects of extremely low frequency electromagnetic fields. His primary research interests have included: the development of instructional systems for teaching engineering physics, behavior dynamics, mathematics as verbal behavior, comparative behavior analysis, complex skill acquisition, problem solving, assessment methods for engineering and science education, and theoretical/ conceptual issues in behavioral analysis. Abstract: Some 25 years ago the Behavior Analyst published a paper by David Rider titled "The Speciation of Behavior Analysis. Marr pointed out that scientists and engineers are interdependent, especially at the frontiers of application. He was sanguine about a continuing analogous relationship between basic and applied behavior analysis. However, especially in the last decade, indications are that basic and applied behavior analysis may indeed be emerging as distinct species. Marr calls the "literature of survival," he discusses several themes addressing the evolving complex relations between basic and applied behavior analysis, including constraints on training leading to a narrow spectrum of applications, our often self-imposed isolation from those with whom we could productively collaborate, and the difficulties of obtaining sufficient support for our science. All these challenges reflect a briar patch of interlocking contingencies; each one depends crucially on the others and we cannot effectively address any in isolation. Thus solutions will not be easy, but our long-term survival as a coherent discipline depends on finding some. Holtyn (Johns Hopkins University School of Medicine); Anthony DeFulio (Western Michigan University); and Annie Umbricht, Michael Fingerhood, George Bigelow, and Kenneth Silverman (Johns Hopkins University) 4. Pinkston (University of North Texas) Discussant: James Rowlett (University of Mississippi Medical Center; Tulane National Primate Research Center) 11. Schlund (University of North Texas), Adam Thornton Brewer (Florida Institute of Technology), David M. Wayne Mitchell (Missouri State University) 289 Tuesday, May 31 Discussant: Kathryn Kestner (West Virginia University) 21. Falcomata, Hollie Wingate, and Samantha Brooke Swinnea (University of Texas at Austin) 26. Karsina (New England Center for Children) Discussant: Paula Chan (The Ohio State University) 47. Zarcone, and Alyssa Fisher (Kennedy Krieger Institute); Andrew Bonner (Arcus Community Resources); and Chloe J. Miller (Marcus Autism Center; Emory University School of Medicine); and Joanna Lomas Mevers, Mindy Christine Scheithauer, and Nathan Call (Marcus Autism Center; Emory Healthcare) 69. On the Relation Between Treatment Efficacy and Patient Preference for Behavioral Interventions (Theory) Catherine K. Bullock (Kennedy Krieger Institute), Iser Guillermo DeLeon (University of Florida), and Michael F. Phillips (Kennedy Krieger Institute; Johns Hopkins University School of Medicine) 95. Cunningham (Marcus Autism Center), Peyton Groff (Georgia Neurobehavioral Associates), Dana Zavatkay (Marcus Autism Center; Emory University), William Walton (Marcus Autism Center), Andrea Zawoyski (University of Georgia; Marcus Autism Center), and Courtney Sievers (Marcus Autism Center) 101. LeBlanc (Trumpet Behavioral Health) and Amber Valentino (Trumpet Behavioral Health-Monterey Bay) 105. Landa (Western New England University), Sarah Frampton and Heidi Morgan (Marcus Autism Center), and M. Alice Shillingsburg (Marcus Autism Center; Emory University School of Medicine) 138. Schlichenmeyer (The Autism Community Therapists) Discussant: Jessica Thomason-Sassi (New England Center for Children) 141. Zwahlen Supporting Members Gazala Zafar Ali Christine O Altizer Ann Apitz Betty K. Fisher Grant Gautreaux Celia Wolk Gershenson Normand Giroux YiHui Gong Genae Annette Hall Shawn E. Kelley Karen Kate Kellum Julie Koudys Jeff Kupfer Gerald Lachter Kennon Andy Lattal Darnell Lattal T. Robbins Zuilma Gabriela Sigurdardottir Celso Socorro Oliveira Renee Suss Brenda J. Townsend Patricia Turner Lorri Shealy Unumb Kevin Van Horn Antonios Varelas Robert G. Barker Alan Baron Lauren Beaulieu Behavior Development Solutions Silver Level Michael Ben-Zvi ($20,000ͤ49,999) Samantha Bergman-Morgerg Aubrey Daniels International Diane Berth Darnell and Andy Lattal Allison R. Bolton Andy Bondy Aubrey Daniels Michael Bordieri Sigrid Glenn Gordon Bourland Martha H𢮥r Matthew T. Cruz-Torres Greg Stikeleather Anne Cummings New England Center for Children Emily Curiel-Levy Jesse Dallery Under $1,000 John R. Dittrich Moran Amit Dahan Elizabeth Diviney Mark Ammer Robert Dlouhy Angelika Anderson Corrine Donley Cynthia M. 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Your generous contributions have supported the registration of the following 31 student presenters in Chicago! Pedro 541(7) Arriete, Gisselle 476(86) Arroyo, Rosalinda 352(15), 352(19), 471(19), 473(37), 542(38) Asaoka, Hiroshi 65(115) Ascetta, Kate 188 Asfahani, Sultana 548(128) Ashe, Sarah 62(67) Ashour, Nadia 61(65) Asikhia, Bosede 234 Asikhia, Usifo 234 Assemi, Kian 187, 209 Aston-Jones, Gary 261a Atcheson, Katy 476(83), 476(84) Athman, Sara 256(138) Attanasio, Vivian W27, 27, 391, 482 Aum, SangWeon 477(119) Austin, Jennifer 36, 143(46), 230, 251, 384, 543(40), 543(41), 543(42), 543(43), 543(44), 543(45), 543(46), 543(47), 543(48), 543(49), 543(50), 543(51), 543(52), 543(53) Austin, Jillian 477(134) Austin, John 333 Austin, Kira 143(72), 410 Auzenne, Jessica 227, 330, 389 Avila, Raul 185 Awasthi, Smita 32, 143(45), 145(123), 253(54), 253(55), 358(142), 371 Axe, Judah 63, 79, 140, 146(157), 163, 273, 353(21), 353(22), 353(23), 353(24), 353(25), 353(26), 353(27), 353(28), 353(29), 353(30), 353(31), 353(32) Axelrod, Michael 58(25) Axelrod, Saul 61(59), 143(66), 504 Ayazi, Maryam 254(73) Ayres, Kevin 65(109), 196, 543(45), 548(134) Ayvazo, Shiri 543(50) Ayyad-Alharsha, Lila 97, 145(105) Azevedo de Andrade, Fabiana 266 Azimova, Marina 458 Azzato, Ariana 548(113) B Baade, Duane 42 Baba, Chitose 57(14) Babakhanian, Vagik (Vahe) 65(149) Babin, Hailey 547(92) Babino, Misti 543(48) Bachmeyer, Melanie 83, 113, 145(110) Badgett, Natalie 64(95), 143(39) Baez, Evangelina 246 Bagwell, Ashley 471(6) Bai, John 471, 500 Baia, Rogerio 541(2) Bailey, Jon W55, 76, 142(11), 302, 377 Bailey, Nathara 65(99) Baires, Natalia 354(59) Bak, M. Savana 35, 237, 353(22) Bakalyar, Kourtney 358(105) Baker, Ashley 63(75), 295, 358(109) Baker, Carrie 64(87) Baker, Hazel W40, 244 Baker, Jonathan 178, 249 Baker, Timothy 429 Balba, Nadir 256(120) Balint Langel, Orsolya 512 Ball, Katherine 542(28) Ball, Sydney 83 Bamond, Meredith 327, 358(95), 492 Bancroft, Stacie 277 Bandeira, Maria Tha354(61) Bandy, Darren 231 Bank, Nicole 246 Banzhof, Donna Marie W14, W36 Bao, Shimin 320 Baowaidan, Lamis 117 Barasa, Shinta 115 Barboza, Adriano 65(128), 313 Barkaia, Ana 65(146) Barlow, Annie 332 Barlow, Molly 253(56) Barnes, Aaron W58 Barnes, Karen 61(64) Barnes, Laura 256(128) Barnes, Sheila 145(79), 350 Barnes-Holmes, Dermot 29, 69, 426, 530 Barnes-Holmes, Yvonne 29, 69, 426, 505, 530 Barretto, Anjali 547(87) Barron, Eunice 548(103) Barron, Rebecca 223 Barros, Romariz 65(128), 313 Barry, Leasha 65(124) Barry, Shannon 332, 475(67) Bartelmay, Danielle 275, 357(84) Barthold, Christine 9, 90, 146(155), 432 Bartlemay, Danielle 33 Bartlett, Brittany 63(75), 63(79), 454, 508 Barton, David 65(132) Barton, Erin 357(84) Baruni, Rasha 147(165), 256(122) Bass, Jennifer 145(114) Bass, Roger 11, 145(127) Bassette, Laura 189, 438 Bassingthwaite, Brenda W53, 65(98) Basso, Taylor 179 Bateman, Katherine 386 Batson, Kara W60, 308 Battles, Jennifer 19 Bauer, Erica 278 Bauer, Nicole 256(144) Bauer, Sara 213 Baum, William 127, 146(156), 207 Bautista, Mar542(38) Bautista, Maria 352(15), 352(19), 471(19) Bayles, Makenzie 142(14), 354(55) Bazdar, Alexandra 353(39), 479 Beals, Monica 65(110) Beard, Lisa 38, 85 Beaulieu, Lauren 82, 143(61) Beaver, Brittany 165 Beavers, Gracie 448, 524 Bebko, James 256(110) Becerra, Lorraine 275 Bechtel, D. Reed 43, 65(124) Becirevic, Amel 264 Beck, Amanda W16 Becker, April 353(35) Beckett, Scott 201, 251 Beckman, Alexandra 33, 200 Becraft, Jessica 37, 353(28), 511 Bedell, Steven 64(93) Bednar, Molly 255(76), 477(118) Beers, Jennifer 143(67) Beeson, Thomas 513 Beighley, Mykayla 58(25) 305 Bekesi, Edina 322 Bekisz, Hester 388 Belfiore, Phillip 472(23), 512 Belisle, Jordan 65(145), 65(147), 101, 145(92), 181, 223, 254(64), 358(140), 548(148) Bell, Brittany 65(126) Bell, Marlesha 481 Bell-Garrison, Daniel 250(11) Benavides, Christian W22 Benedickt, Elizabeth 353(37) Benhart, Kelly 447 Beninsig, Melissa 62(71) Benishek, Lois 498 Benitez, Brittany 180, 254(73) Benjamin, Kimberly 358(127) Bennawy, Aidan 471(17) Bennett, Ashley 143(34), 398 Bennett, J. Adam 146(141), 349, 531 Bennett, Marissa 405 Bennett, Natalie 527, 545(69) Benson, Molly 77 Benson, Stephanie 476(76) Benvenuti, Marcelo 266 Berends, Valori 61(64), 64(95), 255(78) Berens, Kimberly 254(69), 329, 358, 396 Berens, Nicholas 254(69), 396 Berg, Mary 251(24) Berg, Wendy 65(121), 71, 80, 253(58), 256(119) Bergmann, Samantha 44, 64(85), 180, 254(73), 492 Bermudez, Amanda 65(110) Bernfeld, Gary 256(139), 357(90) Bernstein, Alec 83 Berry Malmberg, Debra 143(56), 251(28) Berry, Meredith 228 Bettencourt, Katrina 355(69), 355(71) Bettencourt, Stephanie 65(141), 477(132) Betz, Alison 86, 113, 142(20), 241, 254(62), 312, 444, 477, 478, 495, 508 Bhambhani, Yash 227 Biagi, Shannon 187 Bialaszek, Wojciech 57(4), 471(1), 517 Bible, Kalie 354(56) Bickel, Warren 228, 484, 541(11) Biddle, Emily 548(114) Bieniek, Eric 354(45) Bigelow, George 541(3) Biglan, Anthony W46, 84, 331, 429, 505 Bihler, Allison 529 Binder, Katherine 355(66) Bird, Zachary 234 Biscontini, Gia 202 Bishop, Michele 145(88) Bishop, Nathan 65(151a), 145(112) Bistricer, Ayellet 60(52) Bizo, Lewis 51 Blacklock, Ksusha 477(101) Blackman, Edward 290 Blair, Bryan 468, 504 Blair, Kwang-Sun 399 Blakely, Elbert 541(16) Blampied, Neville 477(113) Blanco, Sam 205, 468 Bland, Vikki 186 Blejewski, Ryan 143(64) Blenkush, Nathan 271, 338 Blevins, Travis 145(88), 175 Bloom, Sarah 86, 241, 423 Bloomer, Helen 210 Blumberg, Sarah 65(104) Blumenthal, Judy 338 306 Bodeker, Rebecca 186 Boelter, Eric 64, 163, 439 Boga, Verena 437 Bogard, Kevin 233 Boglio, Alexis 387 Bogoev, Bistra 86 Bohuez, Mar98 Bohnen, Bryon 282 Bohr, Brendan 103, 503 Boisvert, Alexandria 65(136) Boles, Margot 219, 358(106) Bolivar, Hypatia 82 Bollinger, Lara 146(143) Bolt, Sara 192 Bond, Gemma 444 Bondy, Andy W74 Bonner, Andrew 240, 255(85), 476(85), 496, 545(65), 548(102) Boomhower, Steven 110a, 250(1) Booth, Cathy 145(107) Borba Vasconcelos Neto, Aecio 70 Bordelon, Ashley 251(34) Borden, Emily 65(99) Bordieri, Michael 227, 330, 352(16), 389 Borg塊ohansen, Espen 57(1) Borgen, John 477(109), 547(89) Borges Henriques, Marcelo 266 Boris, Ashley 145(99), 256(90) Borlase, Megan 277, 278 Borrero, Carrie 353(32), 476(79), 542(21), 542(22), 546(83) Borrero, John 37, 142(24), 265, 353(28), 511, 542(21), 542(22), 547(93) Boshkoff, Emily 434 Bottini, Summer 544(62) Boudloche, Lloyd 256(112) Boudreau, Jordan 406 Boullion, Gina 389, 409 Bourland, Gordon 2, 144(77), 384 Bourret, Jason 31, 38, 41, 296a, 358(130), 447 Boussom, Teresa 413 Bouton, Mark 279 Boutot, E.

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Posttraumatic piriformis syndrome diag nosis and resu lt s of op erat iv e t reat ment hypertension nos safe 2.5 mg lisinopril. Treatment duration of dev elop ment al dysp lasia of the h ip: ag e and sonog rap h y hypertension pulmonary lisinopril 5 mg low cost. Prospective ev alu at ion of new b orn soft - t issu e h ip " clicks" w it h u lt rasou nd blood pressure doctor cheap lisinopril 5mg amex. Diagnostic accuracy of clinical assessment heart attack krokus album buy lisinopril 5mg lowest price, mag net ic resonance imag ing blood pressure levels women lisinopril 10mg generic, mag net ic resonance art h rog rap h y blood pressure home monitors discount lisinopril 2.5mg without prescription, and int ra- art icu lar inj ect ion in h ip art h roscop y patients. Comparison of hip reduction u sing mag net ic resonance imag ing or comp u t ed t omog rap h y in hip dysplasia. Periacet ab u lar ost eot omy for the t reat ment of sev ere acet ab u lar dysp lasia. Clinical examination v ersu s u lt rasonog rap h y in det ect ing dev elop ment al dysp lasia of the hip. Sonographic hip screening and early manag ement of dev elop ment al dysp lasia of the h ip. Current practice in use of p reredu ct ion t ract ion for cong enit al dislocat ion of the h ip. Th e su ccess of closed redu ct ion in the t reat ment of comp lex developmental dislocation of the hip. I ncidence of av ascu lar necrosis of the femoral h ead in cong enit al h ip dislocat ion relat ed t o the deg ree of ab du ct ion du ring p reliminary t ract ion. Th e diag nosis of cong enit al h ip - j oint dislocat ion b y the ultrasonic Combound treatment. Correlation of femoral head cov erag e and G raf alp h a ang le in infant s b eing screened for developmental dysplasia of the hip. Combined h ip - dysp lasia and femu roacet ab u lar imp ing ement: diag nosis and simultaneous surgical treatment erman. Th e role of u lt rasou nd in the diag nosis and manag ement of cong enit al dislocat ion and dysp lasia of the h ip. Osteoarthritis of the hip and ot h er j oint s in sou t h ern C h inese in H ong K ong. Prospective randomized study of 2 different t ech niq u es for endoscop ic iliop soas t endon release in the t reat ment of int ernal snap p ing h ip syndrome. Indications and results of correct iv e p elv ic ost eot omies in dev elop ment al dysp lasia of the hip erman. The appearance of the p iriformis mu scle syndrome in comp u t ed t omog rap h y and mag net ic resonance imag ing. Triple pelvic ost eot omy as t reat ment for ost eoart h rit is secondary to developmental dysplasia of the hip. The snapping hip clinical and imaging findings in transient su b lu x at ion of the iliop soas t endon. Treatment of iliopsoas syndrome w it h a h ip rot at ion st reng t h ening p rog ram: a retrospective case series. A C R A p p rop riat eness C rit eria on dev elop ment al dysp lasia of the h ip - - ch ild. Predictive factors for u nsu ccessfu l t reat ment of dev elop ment al dysp lasia of the h ip by the Pavlik harness. Congenital dislocat ion of the h ip and it s relat ion t o sw addling u sed in Turkey. A cu t e slip p ed cap it al femoral ep ip h ysis: the imp ort ance of physeal stability. To screen or not to screen A decision analysis of the u t ilit y of screening for dev elop ment al dysp lasia of the hip. Obturator h ernia- - a condit ion seldom t h ou g h t of and h ence seldom sou g h t. Morphology of untreated bilateral congenital dislocat ion of the h ip s in a sev ent y- fou r- year- old man. Pitfalls in the u se of the Pav lik h arness for t reat ment of cong enit al dysp lasia, su b lu x at ion, and dislocat ion of the h ip. The effectiveness of clonidine- b u p iv acaine rep eat ed nerv e st imu lat or- g u ided inj ect ion in piriformis syndrome. Piriformis syndrome resulting from an anomalou s relat ionsh ip b et w een the sciat ic nerv e and p iriformis muscle. Th e fu nct ional met h od of t reat ment u sing a h arness w it h st irru p s as the p rimary met h od of conserv at iv e t h erap y for infant s with congenital dislocation of the hip. Surgical evaluation of magnetic resonance imaging findings in piriformis muscle syndrome. Acute slipped capital femoral ep ip h ysis: the v alu e and safet y of u rg ent manip u lat iv e reduction. Surgical Technique Endoscopic luteus Maximus Tendon Release for External Snapping Hip Syndrome. The surgical treatment of external coxa saltans (the snapping hip) by Z-plasty of the iliotibial band. U nt reat ed cong enit al h ip disease: a st u dy of the ep idemiolog y, nat u ral h ist ory, and social asp ect s of the disease in a N av aj o p op u lat ion. Changes in shape of the human hip oint du ring it s dev elop ment and t h eir relat ion t o it s st ab ilit y. Trip le p elv ic ost eot omy in comp lex h ip dysp lasia seen in neuromuscular and teratologic conditions. Piriformis syndrome v ersu s radicu lop at h y following lumbar artificial disc replacement. A n incomp let e p eriacet ab u lar ost eot omy for treatment of neuromuscular hip dysplasia. E t iolog y, p at h og enesis and p ossib le p rev ent ion of congenital dislocation of the hip. L at eral meniscu s Knee superior view 2 7 5 6 6 5 8 1 (knee in exion, lateral condyle removed) lateral view 234 Orthopedic Conditions Su rg ical manag ement of ost eoch ondrit is dissecans of the knee in the p aediat ric p op u lat ion: a systematic review addressing surgical techniques. F u nct ional and radiog rap h ic ou t come of st ab le uvenile osteochondritis dissecans of the knee treated with retroarticular drilling without bone grafting. Torn discoid lat eral meniscu s t reat ed u sing p art ial cent ral meniscect omy and su t u re of the p erip h eral t ear. A rt h roscop ic femoral t ensioning and p ost erior cru ciat e lig ament reconst ru ct ion in ch ronic p ost erior cru ciat e lig ament in ury. Posterior cruciate ligament reconstruction double-loop hamstring tendon autograft versus A ch illes t endon allog raft - - clinical resu lt s of a minimu m 2 - year follow-up. Anatomy of the p ost erior cru ciat e lig ament and the meniscofemoral lig ament s. Acute combined p ost erior cru ciat e and p ost erolat eral inst ab ilit y of the knee. E ffect of G raft Select ion on the I ncidence of Postoperative Infection in Anterior Cruciate Ligament Reconstruction. Accuracy of routine mag net ic resonance imag ing in meniscal and lig ament ou s in uries of the knee comparison with arthroscopy. A prospective, randomised comparison of autologous chondrocyte implantation versus mosaicplasty for ost eoch ondral defect s in the knee. Th e effect s of tibial rotation on posterior translation in knees in which the p ost erior cru ciat e lig ament h as b een cu t. Long-term complications after total knee arthroplasty with or without resurfacing of the patella. B rit t b erg M, L indah l A, N ilsson A, O h lsson C, I saksson O, Pet erson L. Treat ment of deep cart ilag e defect s in the knee with autologous chondrocyte transplantation. E ffect of ant erior cru ciat e lig ament reconst ru ct ion and meniscect omy on leng t h of career in N at ional F oot b all League athletes a case control study. Association Between Previous Meniscal Su rg ery and the I ncidence of C h ondral L esions at Revision Anterior Cruciate Ligament Reconstruction. B ioab sorb ab le lag screw fixation of knee osteochondritis dissecans in the skelet ally immat u re. A re meniscu s and cart ilag e inj u ries relat ed t o time to anterior cruciate ligament reconstruction. Comparison of arthroscopic medial meniscal suture repair techniques inside-out versus allinside repair. Treat ment of knee j oint inst ab ilit y secondary t o ru p t u re of the p ost erior cruciate ligament. Prevention of arthrofibrosis after anterior cruciate ligament reconstruction u sing the cent ral t h ird p at ellar t endon au t og raft. Long-term followup of posterior cruciate lig ament ru p t u re: a st u dy of 1 1 6 cases. Can patellar tape reduce the patellar malalignment and pain associated with patellofemoral osteoarthritis. Risk factors for art icu lar cart ilag e lesions in symp t omat ic discoid lat eral meniscus. Th e accu racy of j oint line t enderness b y p h ysical examination in the diagnosis of meniscal tears. Pat ellect omy and ost eoart h rit is: arthroscopic findings following previous patellectomy. Differences in p at ellofemoral j oint cart ilag e mat erial p rop ert ies and t h eir significance to the etiology of cartilage surface fibrillation. A nt erior cru ciat e lig ament reconst ru ct ion u sing q u adricep s t endon au t og raft: int ermediat e- t erm ou t come. Fresh ost eoch ondral allog raft s for p ost - t rau mat ic ost eoch ondral defects of the knee. Healing of experimentally produced lesions in articular cartilage following chondrocyte transplantation. Autologous osteochondral mosaicplasty for the treatment of full-thickness defects of weight-bearing oints ten years of experimental and clinical experience. In situ measurement of articular cartilage deformat ion in int act femorop at ellar j oint s u nder st at ic loading. Long-term results of isolated ant erolat eral b u ndle reconst ru ct ions of the p ost erior cru ciat e ligament a - to 12-year follow-up study. Mat erial and fu nct ional p rop ert ies of art icu lar cart ilag e and patellofemoral contact mechanics in an experimental model of osteoarthritis. Correlation of magnetic resonance imaging to arthroscopic findings of stability in uvenile osteochondritis dissecans. C omp arison of p at ellar resurfacing versus nonresurfacing in total knee arthroplasty. Retrospective case evaluation of gender differences in sports in uries in a Japanese sports medicine clinic. The incidence of patellofemoral osteoarthritis and associated findings years after anterior cruciate ligament reconstruction with a b one- p at ellar t endon- b one au t og raft. How good are clinical investigative procedures for diagnosing meniscus lesions erman. Tensioning of remnant p ost erior cru ciat e lig ament and reconst ru ct ion of ant erolat eral b u ndle in ch ronic p ost erior cru ciat e lig ament inj u ry. Radiographic changes in the patella after total knee arthroplasty without resu rfacing the p at ella. Chondral in ury and synovitis after art h roscop ic meniscal rep air u sing an ou t side- in mu lb erry knot suture technique. Medial meniscus root tear refixation comparison of clinical, radiologic, and arthroscopic findings with medial meniscectomy. C omp arison of the clinical resu lt s of t h ree p ost erior cru ciat e lig ament reconst ru ct ion t ech niq u es. A Randomized Trial of A rt h roscop ic Su rg ery for O st eoart h rit is of the K nee. Mechanical in ury of explants from the articulating surface of the inner meniscus. Clinical results and risk factors for rein ury 1 years after anterior cruciate ligament reconstruction a prospective study of h amst ring and p at ellar t endon g raft s. Th e h ard, t h ick skin is called a corn if it is on your toe and it is called a callous if it is somewhere else on your foot. It is most commonly located between the toes or on the bottom of the feet Club foot (congenital talipes equinovarus) congenital defect that affects oints of the foot occu r in 3 reg ions 1. Lateral: fibularis longus & brevis, common & superficial fibular nerve, fibular artery erficial o terior cont ains g ast rocnemiu s, soleus & plantaris, lesser saphenous vein 4. Deep posterior: contains exor digitorum longus, exor hallucis longus, popliteus, & tib. A t h let ic sh oes · Orthotics/padding - to redistribute weight · Plant ar p ad · I ce ­ 2 0 minu t es, 2 x / day Massage Therapy · Careful stretching/massage of tight muscles in legs & foot · Focus on increasing metatarsal head exibility & sp acing Leg, Ankle & Foot Prevention/Patient Education · Avoid high-heeled, narrow, non-padded shoes · Try to maintain normal activity level, modify if symptoms are aggravated Prognosis · Conservative care usually offers a good prognosis · In difficult cases surgery may be required, some Osseous Mobes/Manipulation patients following surgery may have a recurrence · Ensure there is proper alignment & spacing of the rate of 1 met at arsal h eads Vizniak The effectiveness of extracorporeal shock wave therapy on chronic achilles tendinopathy a systematic review. Heavyload eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Stress in uries to bone in college athletes a retrospective review of experience at a single institution.

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