The prevalence of overweight and obesity (assessed by BMI) is increasing in all areas of the world including low and middle income countries. A particular concern is that a high BMI is associated with increased risk of cardiovascular disease, diabetes and premature death. BMIs are assessed according to WHO and CDC standards. Project will expand on anthropometric studies and include lipid studies and/or cardiovascular analysis (PACER). There is also interest in looking into causes of malnutrition in the pediatric populations. (Click the link above to read an abstract presented this spring by our medical scholars.)
2. Osteopathic clinical OMM/OMT assessment
This project will provide clinical OMM/OMT to patients and assess the impact of our sustainable preventative philosophy. Two possible projects exist; either an OMM presentation at a medical school and/or assessing OMM in the clinic.
Project focuses on common skin aliments, pathology, and clinical presentations.
4. Women’s/Men’s health initiative
With the increasing incidence and prevalence of sexually transmitted infections in the local population, correlations will be examined to better understand what barriers exist and how to offset this troubling trend. Project parameters may include survey based analysis of symptoms, vaginal pH, and urology based investigations. We will also be doing a HPV serotyping project.
5. Carcinogenic Water Study
In the drinking waters of Altiplano in South Peru, it has been well-documented that there exist
toxic levels of arsenic (As) – a natural element famous for its carcinogenic effects on multicellular life. We found evidence that urine arsenic levels in the pediatric population reached a level of 5 times the accepted dose as recommended by the WHO, and the arsenic level in drinking water is up to 100 times the accepted levels of arsenic as recommended by the WHO. This will be monitored.
6. Pediatric Anemia
The pediatric populations of Iquitos have significant prevalence of anemia. Projects will be considered which will evaluate possible etiologies. This clinic based project will obtain blood samples and survey based analysis.
7. Laryngeal Cancer Screen
You can make a number of observations/determinations based on the quality of the voice produced, e.g., everyone knows hoarseness is a sign of laryngeal CA, myasthenia shows early as a weak voice, flaccid dysarthria or bulbar palsy have lots of laryngeal issues, etc. So to look at a type of voice disorder such as muscle tension dysphonia or hyper functional voice disorders, We were interested in the contrast of the quality of voice produced pre and post OMM of the extrinsic laryngeal muscles, straps, face and neck muscles. We plan to use videostroboscopic exam to rule out an laryngeal pathologies, then using acoustics software we collected data on the fundamental frequency (“pitch”) of voice and for the amount of perturbation, aka jitter (“noise”) in the voice. We do the OMM, then after that was completed we would collect the same acoustics, again.
8. Impact of OMM on swallow function
We use a portable light source and a flexible nasopharyngoscope. Plan to evaluate the impact of OMM on swallow function. Hence, we could perform a FEES (flexible endoscopic examination of swallow) eval to determine the presence of a pharyngeal dysphagia, then would like to try some OMM to see if it helps the swallow function. Could work with several groups, e.g., a) normal swallow, b) dysphagia treated with standard swallowing therapy only, c) dysphagia treated with OMM and standard swallow tx., and d) dysphasia tx with OMM only.
9. Environmental Toxins
Project investigation is based on identifying primary cases of community illness. Previous project examined water quality. This project will extend those examinations to a plant and soil based project. Samples will be collected by physicians and researchers at the national Peruvian university. Project responsibilities include analysis of data and constructing research report.
10. Glaucoma screening project
Plan to measure IOP using a tonometer, as well as visual field testing, cup to disk ratio, and a possible questionnaire to determine glaucoma risk.