ABSTRACTS 2013 BIOM Abstracts and Poster Competition he Bureau of International Osteopathic Outreach Medicine (BIOM) held their annual stu- ◾ First Place: “Osteopathic Medical Leadership dent poster competition in conjunction Training Through International Medical T Outreach Trips” (abstract BIO1542) by Logan with the Student Osteopathic Medical Association Huff, OMS III, from the Nova Southeastern (SOMA) during the 2013 Osteopathic Medical University College of Osteopathic Medicine Conference and Exposition (OMED 2013) in Las (see page e62) Vegas, Nevada. All participants who submitted ◾ Second Place: “Integration of Local Youth abstracts to the BIOM competition were invited Volunteers as an International Osteopathic to display their posters at the 15th annual BIOM Medical Education Paradigm (Jhor-Mahankal, seminar, which was held on Monday, September Kathmandu District in Nepal)” (abstract BIO1556) by Kathleen K. Hua, OMS II, from 30, during OMED 2013. the Georgia Campus–Philadelphia College of The competition consisted of 2 categories: (1) Osteopathic Medicine (see page e63) research projects conducted internationally and (2) broad outreach experiences. This year there were 36 The winners were invited to present a summary abstracts submitted to the competition—19 research of their research during the 15th Annual Internation- abstracts and 17 outreach abstracts. There were also al Seminar “Osteopathic Medicine in Humanitarian 5 noncompetition abstracts submitted, for a total of Care,” which was held on Monday, September 30, at 41 participants, which is a record number of abstract OMED 2013. submissions for the BIOM. The winners, who were The BIOM congratulates all of the winners and selected by BIOM members and a SOMA represen- abstract presenters on their accomplishments. The tative, were as follows: quality of research conducted continues to improve each year. By encouraging research involvement Research during medical education through initiatives such ◾ First Place: “Fetal and Maternal Assessment in a Rural Dominican Community Utilizing as this competition, we help to ensure a future of Bedside Sonography” (abstract BIO1544) innovative osteopathic medical research for many by Shwetha Manoharan, OMS IV, from the years to come. Edward Via College of Osteopathic Medicine– Virginia Campus (see next page) Lauren A. Fetsko, OMS III ◾ Second Place: “Relationship Between SOMA international health programs director; University of Chapman’s Reflexes and Acupuncture Pikeville-Kentucky College of Osteopathic Medicine Meridians by Traditional Chinese Medicine Practitioners in Taiwan” (abstract BIO1536) Editor’s Note: Abstracts have been edited for by Cuong Huy Quach, OMS III, from the basic JAOA style only. The content has not been Touro University California, College of modified. Information provided reflects information Osteopathic Medicine (see next page) that was submitted by the primary author; there- fore, institutional affiliations may represent that of the primary author only. Neither the BIOM nor the JAOA assume responsibility for the abstracts’ content. e48 The Journal of the American Osteopathic Association January 2014 | Vol 114 | No. 1 ABSTRACTS Research (n=131), and unidentified (n=88). Thirteen abnor- mal pregnancies required emergent and direct inter- BIO1544—1st Place Winner vention. The averages of BPD, FL, and FHR among Fetal and Maternal Assessment normal pregnancies were 59.2±18.6 mm, 46.3±16.5 in a Rural Dominican Community mm and 146.6±14.7 beats/min and among abnor- Utilizing Bedside Sonography mal pregnancies were 64.1±26.6 mm, 60.13±23.3 Shwetha Manoharan, OMS IV; Fred Rawlins, mm, and 142.1±8.16 beats/min respectively. Abnor- DO; Dixie Tooke-Rawlins, DO; Suporn mal pregnancy patients have higher BPD by 4.89 Sukpraprut, PhD; Janella Looney, BS mm (F=2.05, P=.052), higher FL by 13.84 mm Edward Via College of Osteopathic Medicine– (F=1.98, P=.022), and lower HR by 4.52 beats/min Virginia Campus, Lewisburg (F=3.23; P=.057). Objective and Hypotheses: The research objec- Conclusion: Local physicians trained in using the tives were: (1) to determine abnormal ultrasound bedside ultrasound model successfully identified readings requiring emergent or urgent intervention abnormal ultrasound in pregnant patients who re- at the VCOM Veron clinic; (2) to determine the quired emergent and direct intervention. Ultrasound impact of bedside sonography in a remote clinic training and quality assurance procedures resulted site; and (3) to develop an electronic database for in image upload for research and optional special- ultrasound record. Our hypothesis was that the fetal ist US consultation. Bedside ultrasound is a highly assessment of BPD, FL, and FHR would be sig- effective, low cost and safe diagnostic modality to nificantly different between normal and abnormal enhance quality health care at the rural Veron clinic, pregnancies. which has application in other similar settings. Materials: This was a retrospective chart review of the ultrasound images and obstetrical reports. BIO1536—2nd Place Winner Methods: This retrospective study of 423 pregnant Relationship Between Chapman’s patients included transabdominal or transvaginal Reflexes and Acupuncture Meridians ultrasound fetal assessment at a VCOM primary by Traditional Chinese Medicine care facility in the DR between October 1, 2011, Practitioners in Taiwan to March 30, 2012. Patient ultrasound images were Cuong Huy Quach, OMS III; Madeline Tram uploaded to VCOM electronic database for analy- Nguyen, DO; Janet Burns, DO; Athena Lin, PhD ses to supplement local diagnosis for emergent and Touro University California, College of Osteopathic direct intervention. A standard protocol measured Medicine, Vallejo Fetal Assessment of biparietal diameter (BPD), fe- Background: Chapman’s reflexes (CR) and tradi- mur length (FL), and fetal heart rhythm (FHR) along tional Chinese medicine (TCM) acupuncture me- with number of gestations, placenta position, and ridian (AM) points utilize points on the body for di- fetal presentation information. agnosis and treatment. Frank Chapman, DO, noted Results: Of the 423 pregnant patients, 259 were painful nodules in anterior and posterior fascia, each Dominican and 166 Haitian. The age averages were site correlating with specific organ pathology rep- 25.1±8.9 for normal and 25.7±6.2 for abnormal resenting aberrant sympathetic outflow. AM points pregnancy women. Patient presentations includ- all over the body correspond to specific viscera and ed 5 breech, 2 twins, 182 cephalic, 58 pelvic, 99 disease states and have been found to affect the transverse, and 6 vertex form. Placenta positions autonomic nervous system (ANS).1 Many points were anterior (n=166), fundal (n=38), posterior from CR and AM systems seem to relate anatomi- The Journal of the American Osteopathic Association January 2014 | Vol 114 | No. 1 e49 ABSTRACTS cally and clinically.2 There is limited evidence as to References whether both systems utilize similar mechanisms 1. Haker E, Egekvist H, Bjerring P. Effect of sensory stimulation (acupuncture) on sympathetic and parasympathetic activities of action. in healthy subjects. J Autonomic System. 2000;79.1:52-59. Accessed August 23, 2013. Hypothesis: CR and AM point systems are clini- 2. Kim O. Comparative analysis of the topographical locations cally and spatially correlated. of acupuncture points and Chapman’s reflex points. 2007. Methods: Three Taiwanese TCM doctors were in- Unpublished thesis submitted in partial fulfillment of the degree of Master of Osteopathy, Unitec New Zealand, New terviewed as part of Touro University-California’s Zealand. Global Health Internship program in June 2012; 2 3. Owens C. An Endocrine Interpretation of Chapman’s worked in an exclusively TCM hospital. They were Reflexes. Indianapolis, IN: Academy for Applied Osteopathy; 1963. presented with a diagram of anterior CR points, in- cluding specific symptoms for each point location, based on An Endocrine Interpretation of Chapman’s BIO1495 Evaluation of the Knowledge of Reflexes.3 In each interview, the TCM doctor was Chagas Disease in El Salvador Before given the CR diagram with descriptions of symp- and After an Educational Presentation toms and treatment indications associated with each CR point. Each TCM doctor reported if there were Melissa Meghpara, OMS III; Michael Passafaro, DO; Min Kyung Jung, PhD AM points at the same location. For coinciding CR and AM points, each TCM doctor was asked if the New York Institute of Technology College of CR point symptoms and/or treatment indications Osteopathic Medicine, Old Westbury correlated with those of TCM. Posterior CR and Hypothesis: The knowledge and awareness of Cha- AM point correlations were not obtained due to time gas disease in school children in El Salvador would constraints. increase both short and long term after an educa- Results: Out of 53 anterior CR points, 36 AM points tional presentation on Chagas disease. (68%) were found by at least 2 TCM doctors to be Materials: Copies of the survey to each of the 200 in the same location (ear, nose, throat; lung, heart, subjects. Skit materials including handmade puppets liver, spleen, gall bladder, pancreas, upper GI, small and a script. intestine). Qualitative correlations of treatment Methods: Two hundred school children, aged 6 to indications were similar regarding affected organ 20 years, from 4 different schools, were adminis- systems. All TCM doctors described that, similar tered the same 20-question survey 3 times: before to CR points,