HPD Research Day | February 16, 2018

58 Atrium – Poster 58 12:15-1:15 p.m. Decreasing Injury in Children Ages 0-12 Years Old Through the Use of Proper Vehicle Restraint Systems Luisa F. Posada, Entry Level Nursing Student, College of Nursing, Nova Southeastern University Jennifer Testa, College of Nursing, Nova Southeastern University Ashitha Mathew, College of Nursing, Nova Southeastern University Kelly Raza, College of Nursing, Nova Southeastern University Katrina Croubalian, College of Nursing, Nova Southeastern University Jennifer Campos, College of Nursing, Nova Southeastern University Child passenger safety devices were first introduced into the automobile world during the 1970s. Since that time, safety for the child passenger has come a long way. Each year about 2,000 children die in motor vehicle accidents (Lee, Farrell, & Mannix, 2015). To combat those statistics, the Office of Disease Prevention and Health Promotion’s Healthy People 2020 (2017) came up with a goal to decrease the number of pediatric injuries and fatalities related to vehicular crashes by increasing use of age-appropriate vehicle restraint systems by the year 2020. The proper utilization of child passenger safety devices helps to decrease the number of childhood fatalities related to automobile accidents (Bae, Anderson, Silver, & Macinko, 2013). To help parents to understand how to properly use their safety seats, the American Academy of Pediatrics, Committee of Injury, Violence, and Poison Prevention (2011) developed a set of guidelines for what type of safety seat the child should be using depending on age, height, and weight. Oftentimes, there is a lack of knowledge for parents when it comes to proper use of a car seat, leading to an increased risk for injury for the child (Horder, 2016). As nurses, we must educate parents on the importance of proper utilization of child passenger safety devices during opportunities such as prenatal visits, prior to discharge from the hospital after delivery of a child, and also during pediatric wellness visits. Providing this education will contribute to a decrease in the amount of injuries of children involved in vehicle accidents, therefore decreasing the number of pediatric patients being treated for motor vehicle accident-related injuries (Horder, 2016). Atrium – Poster 59 12:15-1:15 p.m. Unique Pathogenesis of Burkitt’s Lymphoma with Presentation in the Nasopharynx Gabriel Quinones-Medina, MS, MBS student, College of Medical Sciences, Nova Southeastern University Introduction. Epstein-Barr Virus (EBV) is a known causative agent for B-cell hyperplasia, and has a significant role in the pathogenesis of the aggressive B cell-derived Burkitt’s Lymphoma (BL). Typical locations for primary BL tumors include the face, kidneys, reproductive organs, gastrointestinal organs, and meninges. However, BL development is complex and does not always occur in predictable patterns. Case Presentation. The present case describes a 72-year-old Caucasian female who presented with a sore throat, cough, left ear pain and hearing loss. Initial examination revealed serous fluid in the left middle ear, and nasopharyngoscopy showed prominent tissue present in the nasopharynx with overlying thickened mucus and dried blood. CT scan was completed and forwarded to radiology for review. A biopsy was obtained, and samples were analyzed with histology and flow cytometry. Tissue findings were consistent with BL and were negative for EBV. Deviation From the Expected. The present case describes an atypical pathogenesis and presentation of BL, which is not well documented in the scientific literature. Discussion. EBV is present in 95% of BL cases. Furthermore, lymphomas of adulthood (mean age of onset of 30-50 years) account for only one percent of all BL cases, whereas childhood lymphomas (mean age of onset 5-10 years) account for 30% of cases. Our patient outlies both of these normative BL conditions. Equally important to note is the location of our patient’s tumor; the nasopharyngeal space is not a common site for BL and, in fact, nasopharyngeal BL accounts for less than 23% of all Non-Hodgkin lymphoma cases. Conclusion. Although one similar EBV-negative case has been described, to our knowledge this is the first reported case of an older Caucasian female with EBV-negative nasopharyngeal BL.