Strabismus “squint eyes” is a common disorder presenting in about 2% of children born each year. While there are several causes to this presentation, we demonstrated presentation caused by Peripheral nerve neuropathies, especially the ones originating from Oculomotor (CN III) and Abducens Nerve (CN VI). The goal of this project is to create explicit 3D videos and models to be used for student and patient education. Additionally, the pathology and visual defect manifestations of the disorder were also discussed.
3D visualization software is a useful tool in
patient education because it allows patients to
put an image to what a physician is describing
to them. With an emphasis on education of
young athletes on the potential injuries, 3D
images can create a more complete
understanding of their risks. The software
used in this study provides young athletes with
insight on joint structure, joint movement,
mechanism of injury, inherent risks of sport,
and tips to help prevent injury in a way that is
easier to visualize. This gives these patients
the ability to make an informed decision on
their participation in sports.
Multiple sclerosis (MS), one of the most
prevalent immune-mediated neurological
disorders, is a chronic demyelinating disease
of the central nervous system that affects both
white and grey matter (Avasarala et. al.).
According to the National Multiple Sclerosis
Society, more than two million individuals are
affected worldwide, with current estimates
suggesting more than 400,000 affected
patients in the United States (Reynolds et. al.).
Primary demyelinating diseases, i.e., those
with an idiopathic etiology, affect not only the
myelin sheath, but also have the tendency to
affect axons and neuronal cell bodies as well
(Smith et. al.)
6-MERCAPTOPURINE FOR SEVERE ATOPIC DERMATITIS IN A LACTOSE-ALLERGIC CHILD Pediatric atopic dermatitis (AD) is encountered routinely in the gen- eral dermatology clinic, and most children with AD have readily- manageable mild to moderate disease. For severe AD that is resis- tant to topical corticosteroids and calcineurin inhibitors, the use of several steroid-sparing agents has been described in the literature, including cyclosporine, mycophenolate mofetil, methotrexate, and azathioprine. Herein we report what is to our knowledge the first use of 6-mercaptopurine (6MP) for pediatric AD. The patient was a 13-year-old boy with a long-standing history of severe atopic dermatitis. Previous treatments with topical corticos- teroids and heavy emollients were unsuccessful. The patient’s med- ical history was complicated by persistent asthma, food allergies, massively elevated IgE, and adrenal insufficiency related to chronic use of inhaled corticosteroids. Azathioprine and omalizumab were the main considerations for long term steroid-sparing agents, how- ever it was ultimately decided that the IgE levels were too high to safely proceed with omalizumab. Given his numerous food aller- gies, the composition of commercially available azathioprine was carefully reviewed and all were found to contain lactose. However, 6MP was determined not to contain lactose and was initiated. 6MP is the active metabolite of azathioprine. While originally approved for the induction and maintenance of acute lymphoblastic leukemia, 6MP has also been used for Crohns disease and ulcera- tive colitis. We followed the previously published dosing protocols for pediatric Crohns disease after checking baseline labwork, including thiopurine methyltransferase enzyme activity. The patient has tolerated the 6MP well and has maintained a significant reduc- tion of AD severity after an initial course of cyclosporine. This is therefore the first documented case of using 6MP as a lac- tose-free steroid sparing agent for the treatment of severe pediatric AD.
Sales is an applied discipline that is in high demand by businesses. The development of a professional selling program in the Byrum School followed a model of active and collaborative learning to prepare students for success in professional sales. Experiential learning theory was used in course design, and course components were mapped to identify how they support higher levels of thinking using a Bloom’s taxonomy framework. The new Professional Selling Concentration emphasizes actively practicing skills to prepare future sales representatives with the necessary competencies, and to position the Byrum School as the partner of choice to businesses seeking to hire sales professionals. and Presented in the Active/Collaborative Learning track.
Online instruction poses challenges including creating opportunities for student interactions. This discussion format combines real-world implications and classroom community building. Students explore instructor-provided information and then reflect on what they would like to learn by identifying search terms. Then students locate information related to the topic and write a post. Students comment on other’s posts to develop an understanding of other students’ interests. Student response has been overwhelmingly positive with survey results indicating an appreciation for “understanding other’s points of view” and “connecting…learning to actual research going on” and ratings showed increased interest and interaction with peers.
In 2016, Marian University’s library began collecting data on how patrons utilized our building. We conducted student surveys, held focus groups, and collected spatial data using Suma, an open-source assessment toolkit. In 2019, in response to the student surveys, the library began upgrades to our building including new furniture and additional technology. We utilized results from Suma studies to make evidence-based decisions about where to focus our improvements. This poster covers using SUMA for assessment. It covers what SUMA is, what sort of data can be collected, and how it can be tailored to your library’s needs.
Diabetic ketoacidosis (DKA) is a life threatening complication of type 1 diabetes (T1D) resulting from ketone body production and metabolic acidosis occurring due to insulin deficiency, We sought to define the occurrence of DKA amongst pediatric patients presenting with new onset T1D in Indiana and to determine whether patterns of DKA were affected by the COVID-19 pandemic. This was a retrospective chart review for pediatric patients admitted to Riley Children's Hospital with a clinical diagnosis of new onset T1D who had available chemistry values. Patients diagnosed from March 23-June 30, 2020 and over the same period in 2019 were included. DKA was classified as mild (bicarbonate 10-15 mmol/L) or severe (bicarbonate <10 mmol/l). Ninety-four patients met inclusion criteria. There was no significant difference in rates of DKA (21 in 2019 vs. 25 in 2020; p>0.05). DKA was present in nearly half of all new onset pediatric T1D cases in Indiana in 2019 and 2020. There was no observed impact of the COVI0-I9 pandemic on T10 or DKA.