Medicine and Health Sciences Commons^™

Aileen Ishuin Macmillan, Aileen Ishuin Macmillan, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Aileen Ishuin MacMillan did not grow up wanting to be a nurse, but after two years of college in Montclair not knowing what she wanted to do, Ms. MacMillan decided by chance to pursue nursing at Jefferson. After graduating in 1976 from the Diploma program she took a job as a nurse in the maternity ward of Thomas Jefferson University Hospital. During her forty year career at Jefferson Ms. MacMillan also completed her BSN at Gwynedd Mercy University. She remains very involved in Jefferson Nursing, serving on both the Jefferson Nursing College Alumni Board and, as president, on the Diploma …

Karen Jordan, Karen Jordan, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Born and raised in Philadelphia, Karen Jordan was a member of the civil rights movement in Philadelphia during the 1960s, first becoming involved with the fight to desegregate Girard College. After a semester at Cheyney University Ms. Jordan took time away from school before deciding to study nursing. She enrolled in the Jefferson Diploma Nursing program in 1973 and graduated in 1976. She would later go on to also receive her Bachelor’s in Nursing Science, also from Thomas Jefferson University. Ms. Jordan has spent her long career at Jefferson working as a medical-surgical, oncology, and neonatal nurse. In her free …

Physician Executive Leadership: Student-Led Curriculum To Fill Gaps In Traditional Medical Education, Anuj Shah, Ronuk Modi, Jessica Downing, Angela Ugorets, Kathryn Linder, Michael Jacobs, Graham Hale, Jeffrey Fitch, Nicholas Kurtzman, Paul Rosen, Md

Physician Executive Leadership

Students at Sidney Kimmel Medical College (SKMC) have identified a gap in the traditional medical curriculum surrounding topics such as telehealth, the patient experience, health policy, medical malpractice, and health care entrepreneurship and innovation, and in response have initiated a student-centered, student-led, student-driven program called Physician Executive Leadership (PEL). PEL provides students with a variety of avenues to engage with these topics, such as lectures from leaders in each of these fields, easy access to weekly news articles on current events in health care, targeted review sessions on the US health care system, and the opportunity to voice and develop …

Functional Integrity Of Resting-State Networks Predicts Seizure Outcome After Anterior Temporal Lobectomy, Gaelle Doucet, Xiaosong He, Michael R. Sperling, Ashwini Sharan Md, Joseph I. Tracy

Department of Neurosurgery Posters

Rationale

Predicting seizure outcome (SO) after anterior temporal lobectomy (ATL) is a major clinical goal. With clear evidence that even focal epilepsies disrupt large scale brain networks, resting-state functional connectivity (FC) methods have been increasingly used on a pre-surgical basis to characterize the impact of seizures on brain activity. In this project, we sought to determine whether the functional integrity of resting-state networks (RSNs) prior to surgery can discriminate between patients who obtain good versus poor seizure control after ATL.

Mary Woltemate Stec, Mary Woltemate Stec, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Dr. Stec began her nursing career in 1973 as a graduate of Jefferson’s Nursing Diploma School. She would go on to receive her BS in Nursing from the University of Pennsylvania, her MSN from Gwynedd Mercy College, and her PhD in Nursing from Widener University. Dr. Stec has spent the majority of her career as a nursing educator, including as an instructor at Thomas Jefferson University Hospital School of Nursing, Gwynedd Mercy College, and Abington Memorial Hospital Dixon School of Nursing. She is now an Assistant Professor at Temple University. She is also a Certified Nurse Educator, an Evaluator for …

Katherine Kingsley Kinsey, Katherine Kingsley Kinsey, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Dr. Kinsey received her nursing diploma from the Jefferson Hospital School of Nursing in 1963 and later a BS in Education and School Health from Millersville University. She also has a BS in Nursing, Magna Cum Laude, a MS in Nursing in Community Health, and a PhD in Education, all from the University of Pennsylvania. She currently serves as the Nurse Administrator and Principal Investigator for the Philadelphia Nurse-Family Partnership (NFP), the Mabel Morris Family Home Visit Program (MM), and other early childhood initiatives. Previously, Dr. Kinsey was a tenured professor at La Salle University School of Nursing where she …

Patricia Maro Dehart, Patricia Maro Dehart, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Patricia Maro DeHart first became interested in nursing in high school when she first volunteered, and later worked, as a nurses’ aide in a local nursing home. She decided to attend Jefferson’s Diploma Nursing program and graduated in 1977. After starting her career in medical surgery at West Jersey Hospital she then worked as an OB-GYN nurse at Thomas Jefferson University Hospital for eleven years. As her career progressed she moved to Bristol-Myers Squibb, where she held a number of varied positions that allowed her to combine both her degrees in nursing and business, including as account executive and government …

Road To Recovery: Dysphagia Treatment With An Adult With Sma Type Ii, Kara Maharay, M.S., Ccc-Slp, Bcs-S, Kelly Salmon, M.A., Ccc-Slp, Bcs-S, Clt-Lana, Ronald S. Kaiser, Ph.D

Department of Rehabilitation Medicine Posters

Objective: Spinal Muscular Atrophy (SMA) is a genetic and degenerative motor neuron disease that affects muscle control including the muscles responsible for head and neck control and swallowing (Kesting, n. d.). There is limited research on the benefits of exercise as a therapeutic modality for people with Spinal Muscular Atrophy (SMA) (Swoboda et al., 2007) and no existing research specifically targeting pharyngeal or laryngeal strengthening to improve swallow function. As demonstrated by the positive outcome in this case study, speech-language pathologists should be aware that various modalities for dysphagia treatment such as biofeedback, neuromuscular electrical stimulation (NMES), and an exercise …

Virtual Rounds: Improving Family Participation In Multidisciplinary Rounds Via Telehealth, Gerald Durkan

CwiC Posters

Background

What Are Multidisciplinary Care Rounds (MDR’s)?

MDRs are defined by the unique characteristic of incorporating a multitude of both physician and non-physician specialties into the conversation with the patient for the coordination of their care.

What is Discussed During an MDR?

Activities relating to the care of the patient that may be incorporated into the MDR include summarizing the treatment that the patient has undergone, discussing the treatment approach that is planned for the patient, working through potential issues that may arise from the treatments, and discussing the potential future therapy.

What is Telehealth?

Telehealth is the delivery of …

Improving Rural Community Health Through Care Coordination, Alexander Miller

CwiC Posters

DEMOGRAPHICS OF CRAWFORD COUNTY^1,2

• Population – 87,600
• Population density – 86.5 per mi²
• Ratio of patients to PCPs – 1,685:1
• Number of hospitals – 2
• Population 65 and older – 17.4%
• Overweight – 65% Obesity – 32%
• Population with Diabetes – 12%
• Heart disease death rate – 200 deaths per 100,000 people.

The above percentages and rates of disease are either equal to or higher than the averages for the state of Pennsylvania.

School Wellness Assessment: Creating A Culture Of Health, Kaitlyn Petruccelli, Bs, Rickie Brawer, Mph, Phd

CwiC Posters

Introduction

The Center for Urban Health (CUH) and the Office for Student Life and Engagement at Thomas Jefferson University (TJU) are working with two public elementary schools in Philadelphia – Southwark School and Independence Charter School – to create a culture of health in the schools. Both schools wish to establish an environment that promotes health and safety and assists children in developing life-long healthy habits. The offices at TJU set out a plan to

(1) Assess the current policies and climate at the schools,

(2) Identify priority weaknesses to address,

(3) Connect TJU’s various health professional schools and student …

The Public Health Of Youth And High School Athletics, Michael Haines

CwiC Posters

The Problem

• The number of participants in high school sports has increased since 1989 (National Federation of State HS Association).
• From 2000-2010 7% of public schools cut athletic programs while less than 1% added them (Sharp Center Univ. Michigan).
• Some estimates predict 27% of public high schools will not offer varsity athletics by 2020 (Sharp Center Univ. Michigan).
• School’s are dropping athletic programs (as well as music and theater programs) due to budget cuts.
• Alternative approaches schools are taking include “pay to play” which increases the financial burden on students and families.
• In 2011, 3 out of 4 school districts …

Jeffhealth Medical Student Exchange In Rwanda, Amanda Nemecz, Alexander Rowan, Talia Stark

CwiC Posters

Teaching Community Health Workers

In rural Rwandan villages, the communities are linked to healthcare through Community Health Workers (CHW). CHW are appointed based on village election and the requirement that they can read and write. The Rwandan Ministry of Health provides general health training to the CHW so that they can educate and advise the village on health related matters. CHW administer educational sessions at village meetings about prevalent health issues, and advise members of the village when they should go to the Health Center. JeffHEALTH’s teaching aims to supplement the Ministry of Health training. Topics are chosen and approved …

Clinical Experience At Pasteur Clinic Đà Lạt, Vietnam, Emma Howard-Young, Jordan Howard-Young, Ma

CwiC Posters

History of the Pasteur Clinic Đà Lạt

The Pasteur Clinic is associated with the Institut Pasteur, part of the international network of research institutes dedicated to the prevention and treatment of infectious diseases. The Đà Lạt branch of Vietnam’s Institut Pasteur was built between 1930 and 1936 under the direction of Dr. Alexandre Yersin, a physician remembered for identifying Yersinia pestis as the causative agent of Plague and a student of the eponymous French chemist and microbiologist Louis Pasteur. While many overt references to the French colonial tradition have been supplanted in Vietnam by nationalist sentiments, the Institut Pasteur …

Developing Maternal And Child Health Curriculum In Rural Uganda, Rebecca Newbrander, Md Candidate

CwiC Posters

Maternal and Child Health in Iganga District Uganda

Maternal and child health outcomes in the East Central Region of Uganda are especially poor compared to the rest of Uganda [1]:

• Only 32% of women (50.7% nationally) informed about signs of pregnancy or delivery complications
• Only 12% of women (62% nationally) received malaria prophylaxis during pregnancy

The “Three Delays Model” of barriers to care[3]:

• Knowing when to seek care and making the decision to do so
• Access to care once decision is reached to seek it
• Receiving quality care at a health center or hospital

Maternal and Child Heath Care in …

The Intersection Between Medication Tablets And Electronic Tablets: Determining The Usability And Acceptability Of A Patient-Centered Cardiovascular Risk Assessment (Pccra) Ios App, Nisha Patel, Ms2, Geoffrey Mills, Md, Phd, Marianna Lanoue, Phd, Amy Cunningham, Mph

CwiC Posters

Background

One American dies from cardiovascular disease (CVD) every 40 seconds. Risk factor awareness, assessment, and communication has been shown to improve efficacy of patient treatment and also decline overall risk in the population over time. Traditional cardiac risk assessment tools (e.g. Framingham risk assessment, FRA) generate a risk score in a format that may not appreciated or easily understood by all patients. A new patient-centered approach, in which the patient becomes an active participant in the decision-making process, has shown significant increase in patient-provider communication and diagnosis/management.

How A Civil War Surgeon’S Population Health Initiatives Helped Save The Union, 2lt Tyler Walker

CwiC Posters

Introduction

Dr. Jonathan Letterman was the medical director for the Army of the Potomac during the American Civil War. Dr. Letterman graduated from Jefferson Medical College in Philadelphia in 1849. With his appointment to the largest portion of the Union Army, Dr. Letterman was tasked with improving what would today be called a population health nightmare. Soldiers lived in filth, ate food devoid of nutrition, were forced to train beyond what was necessary no matter the conditions, and worst of all, were not provided with an organized medical department to treat them if they were wounded or became ill. He …

Housing First: A Solution To Urban Homelessness, Kelsey L. Capron, Lara C. Weinstein, Md

CwiC Posters

Homelessness in the United States

• 630,000 homeless in the US in 2012, thousands in Philadelphia
• Over 3% of the US population has been homeless during the past 5 years
• Homeless = no stable residence

Temporary shelters, unsheltered locations (the street, transit stations, parked cars), etc.

• High rates of legal issues, substance abuse/dependency, & lack of stable employment

Severe mental illness = overrepresented & linked to severe health disparities

• Higher risk for all-cause mortality (primarily due to injuries, overdose, CV disease)

Mortality rates 3-4x higher than the general population

Chronic & acute mental & physical health conditions

HIV, tuberculosis, hypertension, diabetes …

Follicular Bronchiolitis In An Adult Male With Common Variable Immune Deficiency, Megan K. Ford, Md, Alana B. Kekevian, Do, Charalambos C. Solomides, Md, John R. Cohn, Md, Facaai

Department of Medicine Posters

BACKGROUND

• Follicular bronchiolitis (FB) in patients with common variable immune deficiency (CVID) is rarely described and knowledge is based on case reports, case series, and studies on the individual disease entities.^1-5
• FB is a granulomatous-lymphocytic interstitial lung disease (GLILD). GLILD is a group of non-infectious lung diseases which also includes lymphocytic interstitial pneumonia, granulomatous disease, and lymphoid hyperplasia.^6,7
• FB is caused by an external stimulus or abnormal immune response that incites lymphoid hyperplasia.⁸
• The etiology of FB is idiopathic or associated with collagen vascular disorders (e.g., Sjogrens, rheumatoid arthritis), hypersensitivity reactions, acquired immunodeficiencies (typically HIV), and less …

A Phase I Study Of Ad5-Gucy2c-Padre In Stage I And Ii Colon Cancer Patients, Adam E. Snook, Trevor R. Baybutt, Michael J. Mastrangelo, Nancy L. Lewis, Scott D. Goldstein, Walter K. Kraft, Yaa D. Oppong, Terry Hyslop, Ronald E. Myers, Vitali Alexeev, Laurence C. Eisenlohr, Takami Sato, Scott A. Waldman

Department of Pharmacology and Experimental Therapeutics Posters

Background

Ad5-GUCY2C-PADRE is a replication-deficient human type 5 recombinant adenovirus (Ad5) vaccine encoding guanylyl cyclase C (GUCY2C) fused to the PAn DR Epitope (PADRE). GUCY2C, a paracrine hormone receptor producing the second messenger cyclic GMP (cGMP), is selectively expressed by intestinal epithelial cells and a subset of hypothalamic neurons, but not other tissues. Importantly, GUCY2C is over-expressed in nearly all primary and metastatic human colorectal tumors. Preclinical studies in mice demonstrated selective tolerance of GUCY2C-specific CD4+ T cells, but not CD8+ T or B cells, necessitating inclusion of the exogenous CD4+ T helper cell epitope PADRE to maximize GUCY2C-specific CD8+ …

Purchase Of Loose Cigarettes By Adult Smokers In Philadelphia: Individual-Level Correlates And Neighborhood Characteristics, Russell K. Mcintire, Phd, Mph

College of Population Health Posters

Background

• Philadelphia has the highest adult smoking rate1 and the highest rate of tobacco retailers2 among the 10 largest U.S. cities.

• Governmental reports have identified high rates of illegal sale of cigarettes in Philadelphia2.

• Studies have found that a main source of cigarette use in low income communities is single (loose) cigarettes purchased at tobacco retailers or from unregulated street vendors3,4.

• While studies have shown that loose cigarette use is a problem among urban youth who reside in disadvantaged neighborhoods, less research has been performed among adults on this topic5,6, and no studies focus on Philadelphia. …

Accelerating Curriculum Design: "A Love It, Don't Leave It" Approach To Creative Process And Idealized Design, Mary Bouchaud, Phd, Rn, Angela Gerolamo, Phd, Aprn, Bcps, Beth Ann Swan, Phd, Crnp, Faan, Kathleen Black, Phd, Rnc, Karen Alexander, Msn, Rn, Ccrn, Jennifer L. Bellot, Phd, Mhsa, Cne, Denise Brown, Msn, Rnc, Susan Egger, Phd, Rn, Rachel Scherzer, Msn, Rn, Ccrn, Kathy Shaffer, Edd, Rn, Cne, Catherine Levonian, Phd, Rn, Dori Sullivan, Phd, Rn, Ne-Bc, Cphq, Faan

College of Nursing Posters

Purpose and Background:

The Institute of Medicine’s (IOM) report (2010) on the “Future of Nursing” emphasized the need for nurses to lead health care change. One of the key messages in this report is a call to action for nursing schools to re-envision nursing education that focuses on a population-based perspective and emerging roles for nurses across the care continuum. With an evolving focus on primary and community-based care rather than acute care, and recognition of the importance of coordinating care and managing transitions across providers and settings of care, registered nurses now and in the future will need to …

The Use Of Narrative Pedagogy And Unfolding Case “Ivan” To Promote Interprofessional Collaboration And Education Among Nursing And Radiology Students, Mary Bouchaud, Phd, Rn, Elizabeth Speakman, Edd, Rn, Anef, Fnap

College of Nursing Posters

Purpose:

Nursing students are unfamiliar with roles and responsibilities of their healthcare colleagues and how partnering with them can impact patient health outcomes. Many are unaware of how an interprofessional healthcare team contributes to preventing and resolving healthcare issues affecting care transition from tertiary settings back to the community. Case “Ivan” is a real lived experience that was shared to prepare nursing and allied health students for interprofessional, patient-centered care practice.

Poster presented at:

NLN Education Summit, 2015:Bridging Practice and Education, Las Vegas, Nevada, September 30, 2015-October 2, 2015.

Jefferson Center For Interprofessional Education (Jcipe), Christine A. Arenson, Md, Elizabeth T. Speakman, Edd, Rn, Anef, Fnap, Lauren Collins, Md, Shoshana Sicks, Med, Sarah Ballas, Ba, Abigail Sherburne, Bs, Catherine Mills

JCIPE Posters

Mission Statement

To promote excellence in healthcare through interprofessional education and scholarship.

Vision Statement

JCIPE will define the future of interprofessional care by creating a culture of collaborative educational practice, setting the standards for patient-centered care and team-based training, and becoming a national/international leader in developing an evidence-base to support interprofessional education.

Fostering The Development Of Emotional Intelligence Among Health Science Students: Empowering Students To Impact Institutional Culture, Julia Ward, Phd, Rn, Mary Hanson-Zalot, Msn, Rn, Aocn, Collleen Dempsey, Ms, Rt(R)

College of Nursing Posters

Objectives:

Identify challenges of navigating institutional culture for students interacting in a variety of clinical settings

Discuss the importance of integrating concepts of emotional intelligence throughout curricular plans of study

Consider contemporary research findings in the health science literature regarding emotional intelligence among students.