Medicine and Health Sciences Commons^™

Reaching High-Risk Patient Populations Through Emergency Department Opt-Out Hiv Testing: A Retrospective Chart Review, Tyler G. Boyce, Ba, Priya Mammen, Md, Mph

CwiC Posters

Specific Aims and Hypotheses:

This study aimed to identify socioeconomic (SE), sexual, and other risk factors (RFs), among patients diagnosed with HIV infection through an emergency department-based opt-out HIV screening program, and to examine trends in intravenous drug use (IVDU) as a RF.

• H1: Unsafe sexual practices are the most commonly reported RF.
• H2: Role of IVDU as a RF has increased over the time period studied.

Poster presented at 2017 APHA conference in Atlanta Georgia.

Borders And Blood Pressure: Understanding The Role Of Acculturation In A Hypertension Diagnosis Among Hispanic Americans: 2014 California Health Interview Survey, Lia Scalzo, Mph, Hee-Soon Juon, Phd, Msn, Russell K. Mcintire, Phd, Mph

College of Population Health Posters

Background:

In the U.S. Hispanic population overall, heart disease is the leading cause of death. The prevalence of hypertension among Mexican American immigrants is lower than the general population, yet it is on the rise. Health risks among Hispanics vary depending on their length of stay in the US (as proxy measure of acculturation). The purpose of this study was to examine the association between acculturation and the individual's likelihood of being diagnosed with hypertension among Hispanic Americans.

Methods:

We used data from the 2014 California Health Interview Survey (CHIS) and performed univariate analysis to examine racial differences in prevalence …

Climate Change And Resulting Floods: Using Social Capital To Strengthen Community Resilience In Eastwick, Philadelphia A Known Floodplain, Natasha Bagwe, Md, Mph, Richard Pepino, Phd, Mss, Erin Johnson, Mph, Msn, Rn, Julie Becker, Phd, Mph

College of Population Health Posters

• Climate change will produce intense weather events like increased precipitation and flooding

• Based on climate projections, Philadelphia will be hotter and wetter, and will experience more frequent and intense weather events (OOS, 2016)

•Floods are the second most common hazards in our city (OEM, 2017)

• Vulnerable population such as children, people of color, elderly population and people with disability are severely impacted by climate change

Poster presented at AHPA conference in Atlanta Georgia, United States.

A Pilot Study For Enhancing Postpartum Discharge Instructions For Incision Care: Assessment Of Comprehension, Rebekah Jo Mccurdy, Md, Rebecca Lawrence, Bs, Sarah Cohen, Bs, Jason K. Baxter, Md, Mscp

CwiC Posters

Literacy and Health Care

• 14.5% of United States is illiterate 1

• Reading level of most medical forms is 10th grade 2

Improving Outcomes with a Visual Aid

• Cesarean Surgical Site Infection (SSI) rate is 5% 3

• A patient with a SSI can be 2 times as expensive 4

• Visual aids improve information recall 8 and confidence in wound care 5

Study Objectives

1. To evaluate the readability of the cesarean wound care discharge instructions relative to the patient population’s reading level

2. To conduct a pilot Randomized Control Trial (RCT) to evaluate the effectiveness of …

Baseline Assessment Of Providers' Perspectives On Integrating Community Health Workers Into Primary Care Teams To Improve Diabetes Prevention, Ariel Brown, Garseng Wong, Radhika Gore, Mark Schwartz, Md

CwiC Posters

• Type 2 Diabetes Mellitus (T2DM) affects 11% of U.S. adults

• Additional 35% considered pre-diabetic, at-risk for developing T2DM1

• Bellevue Hospital and the VA NY Harbor Hospital disproportionately affected: 2x the prevalence in the general population, and increasing2

• Only 55% of adults receive recommended preventive services3

• Panel management: each care team is responsible for preventive care, disease management, and acute care of a patient panel

• Community health worker (CHW): non-clinical frontline public health professional trained in behavioral counseling, care follow-up, program referrals, and health education4-8

• Come from the community that they serve, so they …

Leading Causes Of Death In Vietnam, Lindsey Roth

CwiC Posters

Vietnam is currently facing a public health crisis. Rates of chronic and preventable diseases are climbing, in addition to mortality rates from these diseases. If nothing is done to halt these rising rates, the health of the Vietnamese people will only continue to decline. Although there may be many factors contributing to these high death rates due to chronic diseases, risky health behaviors, such as smoking, and the state of the healthcare system can be considered two main contributors to the leading causes of death in Vietnam. The high smoking rates and high costs of healthcare are hindering the health …

Depression, Cognition, & Social Determinants Of Health: Assessing Associations In Older African Americans With Diabetes, Jeremiah Davis, Robin Casten, Phd, Barry W. Rovner, Md

CwiC Posters

Social determinants of health have been widely identified as characteristics of one’s social and economic climate that affect one’s health outcomes1. (see Graphic 1)

The Alzheimer’s Association indicates that rates of Alzheimer’s disease (AD) and other forms of dementia are two times higher in older African Americans than their white counterparts2. People who have diabetes are also at an increased risk.

The prevalence and co-morbidity of depression among older Americans with diabetes (both with and without cognitive impairment) has been well established3.

Understanding the effect that social determinants of health have on the onset and progression of dementia and depression …

Initiating C.H.E.W. At Maternity Care Coalition, Haley Wicklum, Rickie Brawer, Mph, Phd

CwiC Posters

The purpose of this project is to provide access to healthy and affordable foods to the families involved in Maternity Care Coalition’s Early Head Start program as means to reduce obesity in the 0-3 year old children. Implementing the C.H.E.W. (Cultivating Healthy Eating and Wellness) program, which includes a new food buying club where families can access healthy food at whole sale prices as well as nutrition education workshops throughout the year, will provide access to the healthy and affordable foods needed. The program is focused on pregnant women and young families with children 0-3 years of age to attempt …

Examining The Role Of Diagnosis In The Emergency Department Experience, Danielle Kovalsky, Bs, Angela Gerolamo, Phd, Aprn, Bcps, Amanda Doty, Ms, Alexzandra Gentsch, Lsw, Annemarie Jutel, Rn, Bphed (Hons), Phd, Kristin L. Rising, Md, Ms

CwiC Posters

Study Objective:

To explore the social, functional, and emotional needs that patients want addressed when seeking a diagnosis at their ED visit.

Assessing Variability In End-Of-Life Intensity Of Care After Out-Of-Hospital Cardiac Arrest, Polina Ferd, Md Candidate, David Karp, Musa, Alexis Zebrowski, Phd Candidate, Brendan G. Carr, Md, Ma, Ms

CwiC Posters

Out of hospital cardiac arrest (OHCA) affects over 300,000 Americans per year.1 Many factors affect the outcomes and overall OHCA survival in a community; some of these include an individual’s characteristics such as age, co-morbid conditions, availability of an AED on scene, time to CPR, and the characteristics of the hospital they are treated at.1,2 Directly following resuscitation from cardiac arrest, the individual is at risk of developing numerous problems caused by sequelae of ischemic injury sustained during the arrest. The national average rate of survival to discharge is only 10%.2,3 Many of these factors are modifiable and provide an …

All Limbs Lead To The Trunk, Daniel E. Graves, Phd, Darryn Atkinson, Phd, Pt

Department of Rehabilitation Medicine Posters

This poster describes the development of and the psychometric properties of the trunk scale that measures the voluntary motor ability in the thoracic and upper lumbar regions. The function of the trunk musculature has far reaching implications, particularly in persons with SCI, where postural control and voluntary movement are compromised to varying degrees. Precisely coordinated muscle actions must occur in the appropriate sequence, duration, and combination for the optimal movement function and maintenance of balance and posture during dynamic activities. Trunk mobility is required for nearly all mobility tasks, particularly transitional movements such as rolling, supine to sit, and sit …

The Handoff Culture: Can We Change How An Icu To Floor Transfer Works?, Kristin Lohr, Md, Grant Turner, Md, Allison Greco, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Handoffs between providers have increased following the implementation of the 2011 Accreditation Council for Graduate Medical Education (ACGME) work hour restrictions. Properly structured and timed handoffs are essential to patient safety.1 Despite this, studies have shown that errors in code status, medication allergies, and important updates to the problem list are common, all of which can lead to adverse outcomes to patients.2

At Thomas Jefferson University Hospital (TJUH) the 2016 Safety Culture Survey revealed that across all specialties, 37% of residents felt that things “fall through the cracks” when transferring patients from one unit to another.

Our interdepartmental Housestaff Quality …

Symptomatic Choledocholithiasis After Cholecystectomy, Joseph Spataro, Mazen Tolaymat, Charles Kistler, Michael Jacobs, Jeffrey Fitch, Monjur Ahmed

Department of Medicine Posters

Background

• Clinical manifestations of choledocholithiasis include biliary colic, obstructive jaundice, pancreatitis, and acute cholangitis
• Secondary common bile duct (CBD) stones are common when the gallbladder is intact or after recent cholecystectomy (CCY) whereas recurrent stones develop >3 years after surgery1,2
• Patients with retained CBD stones after CCY may be asymptomatic for years and there is limited data on their pattern of presentation
• Despite known predisposing conditions and risk factors for recurrent biliary disease, the role of intraoperative cholangiography (IOC) during CCY remains controversial

Poster presented at: World Congress of Gastroenterology at ACG 2017 in Orlando Florida, United States.

One Jefferson News October 2017, Performance Excellence

One Jefferson News

Over the past month, we have continued our One Jefferson journey and achieved a number of integration successes for the organization as well as our patient and student communities. In this issue of One Jefferson News, we invite you to join us in celebrating the recent addition of Kennedy to Jefferson Health and a new college structure for Jefferson (Philadelphia University + Thomas Jefferson University) set to launch in 2018.

During this time of continued organizational evolution, we recognize the importance of frequent communications and celebrating the many accomplishments of our talented team. If you have questions or ideas, we …

Ready Bag, Erica Stewart (Interior Design), Anna Petronio (Interior Design), Chelsey Glidden (Interior Design), William Guo (Business), Anna Slomowitz (Occupational Therapy)

Nexus Maximus

The Ready Bag is for people in the United States who have been displaced due to natural disasters. The bags contain all of the necessary products that people need for survival and disaster relief and it comes in one convenient bag. There are four options for different regions in the US that target specific natural disasters and provide people with a sense of security and preparedness.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in …

S.A.V.E.-Safety And Vitals Emitter, Brandon Pun (Architecture), Fred Ramirez (Architecture)

Nexus Maximus

A series of devices created to assist in the location of those who have been affected by natural disasters. The devices utilize ultrasonic and infared signals to create a proximity and heat signature for those affected.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the first place. Every minute, 24 people around the world are forced to flee their homes. That’s 34,000 people a day who leave everything behind in the hope of finding …

It Takes A Village, Valerie Smith (Interior Design), Allison Mccabe (Interior Design), Kelly Mcmullen (Interior Design), Evatt Holmström (Industrial Design), Coral Pistilli (Occupational Therapy)

Nexus Maximus

Through collaboration and teamwork, we tried to fulfill the needs of refugees coming into the country. We created a temporary society (urban plan) through the use of IKEA shelters in order to better the everyday lives of refugees who are in limbo waiting for approval in the country they landed. We hope the plan will spark a sense of community, contribution, and improve the mental health of the society residing there.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how …

Unite App: Connecting Refugees And Locals, Aubrey Coughlin (Interior Design), Anna Loimusalo (Information And Service Management), Anthony Difranco (Industrial Design), Bennett Purdy (Textile), Mismilad Alhashim (Pre-Med), Winston Folkes (Occupational Therapy)

Nexus Maximus

Unite is a social media platform which connects refugees with local organizations and anyone who wants to lend a hand, when they arrive in a new country. To make our concept more specific, we focused on the city of Berlin, the organizations which exist there and the people who are migrating there.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the first place. Every minute, 24 people around the world are forced to flee …

Life, Kendall Hancock (Fashion Design), Damien Vela, Fancy Castillo, Monica Barrera (Interior Design), Terry Rim

Nexus Maximus

This project is about offering a solution to nationally displaced populations. Our group has created a system that will not only provide people with housing but a piece of mind.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the first place. Every minute, 24 people around the world are forced to flee their homes. That’s 34,000 people a day who leave everything behind in the hope of finding safety and a better tomorrow. The …

Solar Stove, Julia Strange (Interior Design), Alaina Mcihenney (Physicians Assistant), Zachary Quain (Industrial Design), Adam Beauchner (Industrial Design), Irene Ghattas (Occupational Therapy)

Nexus Maximus

PEOPLE'S CHOICE AWARD WINNER!

We designed a solar powered hot plate that also functions as a light source. This allows refugees to cook food without burning wood or using toxic fuels and provides a portable light source.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the first place. Every minute, 24 people around the world are forced to flee their homes. That’s 34,000 people a day who leave everything behind in the hope of …

Nah-Atlas, Samantha Schwartz (Interior Design), David Kahn (Industrial Design), Alana Thirsk (Industrial Design), Erick Iacono (Occupational Therapy)

Nexus Maximus

Current products that attempt to help crisis victims fail to address the most important problem at hand. Citizens feel like there is nothing they can do for people in other countries.

NAHAtlas strengthens the connection between the needs of refugees and the abilities of volunteers during crisis by providing a website that easily answers the main question people are asking.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the first place. Every minute, 24 …

Refugee.Jobs, Laura Dunne (Pa Studies), Jonathan Looi (Computer Science), Jose Tomas Marchant (Industrial Design), Devin Morrison (Industrial Design)

Nexus Maximus

Refugee.jobs connects prospective refugee workers with both American employers and English language education resources. Employers who participate in Refugee.jobs are educated about the benefits of hiring refugees and are provided with answers to their concerns by Refugee.jobs liasons. Key players in the success of Refugee.jobs are local refugee resettlement agencies and cultural communities.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the first place. Every minute, 24 people around the world are forced to …

Language Learning Application, Sarah Plonski (Landscape Architecture), Mohit Jain (Construction Management), Amar Chinni (Pre-Med), Venla Pirhonen, Victoria Silva (Advertising), Victoria Martinez (Marketing Engineering)

Nexus Maximus

An application that facilitates immersive language learning by connecting refugees to one another as language learning partners and to native-speaking tutors.

Our group worked to overcome language barriers of our own to complete this project. This work represents a major success in terms of collaborating across disciplines as well as cultures and languages.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the first place. Every minute, 24 people around the world are forced to …

Intgrt, John Cecil (Industrial Design), Veronica Reguero Cadilla (Industrial Design), Keaghan Caldwell (Sustainability Design), Emmalee Vansciver (Interior Design)

Nexus Maximus

We are a non-profit organization with the goal to resettle refugees into a small-scale community with opportunities of education, employment, and housing. With the focus on cities between a 5,000 to 60,000 population, refugees have the chance to utilize their skill sets to improve and evolve a current community without being strongly labeled as a “refugee.”

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the first place. Every minute, 24 people around the world …

The Children's Community Center, Noelle Howard (Economics), Silvia Martin Aldana (Graphic Design Certificate), Cristina Pareja (Disaster And Medicine And Management), Albaraa Jebreel (Disaster And Medicine And Management)

Nexus Maximus

We are the Children’s Community Center, a NGO thats wants to provide an emergency response to the new surge of Rohingya refugee children. We want to relieve the daily mental traumas of the refugee camps through the collaborative interaction of the different children within the camps. This center will also give parents the space to focus on their own healing without the preoccupation of childcare.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the …

Combating The Problem Of Smuggling Via Legal Refugee Transport Agencies, Mitchell Maurer (Engineering), Ala Saleh, Alex Marino, Adam Hoover, Imani Pajibo, Gabriel De Toro Cruzat

Nexus Maximus

Our final project is the idea of an organization that works to legally transport refugees into the EU where they can safely become members of the local economy. Legal and social loopholes prevent refugees from entering easily, while refugees are actually seen to aid in temporary working economies.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the first place. Every minute, 24 people around the world are forced to flee their homes. That’s 34,000 …

Refyougee, Joshua Ferguson (Industrial Design), Valmar Wilson, Nicholas Austin, Kaitlin Johnson (Interior Design), Alvari Poikola, Ignacio, Sebastian Eduardo Guajardo

Nexus Maximus

We created a temporary replica of a refugee camp, with the intent of creating empathy for refugees among the citizens of western countries.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the first place. Every minute, 24 people around the world are forced to flee their homes. That’s 34,000 people a day who leave everything behind in the hope of finding safety and a better tomorrow. The impact of war, political, racial and religious …

Half Full: A Personal Water Collection System, Matthew Cuccurese (Industrial Design), Andres Valbuena, Pooja Joshi (Occupational Therapy), Sophia Warne Rowe (Interior Design), Samantha Ringer (Interior Design)

Nexus Maximus

Our project focuses on the issue of water within refugee camps. We have proposed a system that can allow for individuals to be able to have their own source of drinking water with a device that can condensate water from the air, even in an aired region. This would allow them to use less water from the community's supply overall, and allow more water to be able to be rationed for uses like washing and cleaning than is currently rationed per person.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our …

Portable Privacy, Larken Mccarthy (Interior Design), Breah Banks (Landscape Architecture)

Nexus Maximus

Creating a temporary home for displaced people in times of crisis by maximizing vertical space within an air pitch housing structure.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the first place. Every minute, 24 people around the world are forced to flee their homes. That’s 34,000 people a day who leave everything behind in the hope of finding safety and a better tomorrow. The impact of war, political, racial and religious conflict, and …

Category 5, Michael A. Gregori (Landscape Architecture), Kelly Dutertre (Accounting), Catalina Arce Elton (Marketing), Griffin Voight (Landscape Architecture)

Nexus Maximus

Follow Elizabeth and her family through this family oriented video series which highlights topics such as preparing for a hurricane, how to help those affected by a storm and raises awareness for mental health after a natural disaster.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the first place. Every minute, 24 people around the world are forced to flee their homes. That’s 34,000 people a day who leave everything behind in the hope …