Medicine and Health Sciences Commons^™

Infusing Cultural Competency Into Medical School Curricula, Debbie Salas-Lopez, Maria Soto-Greene, Catherine Bolder, Robert Like

Debbie Salas-Lopez MD, MPH

No abstract provided.

A Culture Of One. Every Healthcare Encounter Is A Cultural Encounter, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

Meaning Of The Family-Cap Policy For Poor Women: Contraceptive And Fertility Decision-Making, Diana Romero, Hannah Fortune-Greely, Jorge Verea, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

In 1996 the US Congress enacted welfare reform legislation. In addition to new lifetime time limits and work requirements for those receiving cash and other forms of social assistance, the states could impose policies pertaining to reproductive-related behaviors of poor women. One such policy is the so-called “family-cap,” which denies additional income support to poor women who have a baby while receiving cash assistance; 24 states have implemented such policies. The ostensible goal of the policy is to limit fertility among current cash assistance recipients. This pilot study sought to explore whether poor women in a family-cap state (NJ) base …

Practicing Anthropology In An Academic Community Hospital: Lessons From The Field, Lynn Deitrick, Terry Capuano, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

Physician Clinical Alignment And Integration: A Community Academic Hospital Approach, Debbie Salas-Lopez Md, Mph, Sandra Jarva-Weiss Jd, Brian A. Nestor Do, Mba, Thomas V. Whalen Md

Debbie Salas-Lopez MD, MPH, FACP

An overwhelming need for change in the U.S. healthcare delivery system, coupled with the need to improve clinical and financial outcomes, has prompted hospitals to direct renewed efforts toward achieving high quality and cost-effectiveness. Additionally, with the dawn of accountable care organizations and increasing focus on patient expectations, hospitals have begun to seek physician partners through clinical alignment. Contrary to the unsuccessful alignment strategies of the 1990s, today's efforts are more mutually beneficial, driven by the need to achieve better care coordination, increased access to infrastructure, improved quality, and lower costs. In this article, we describe a large, academic, tertiary …

Quantitative And Qualitative Findings And Implications Of An Intercultural Sensitivity Assessment Among Employees At A Large Health System, Jarret R. Patton Md, Jay Baglia Phd, Lynn M. Deitrick Rn, Phd, Anthony Nerino, Eric J. Gertner Md, Mph, Judith Sabino Mph, Mary Kay Grim, Debbie Salas-Lopez Md, Mph

Debbie Salas-Lopez MD, MPH, FACP

Tuesday, November 10, 2009: 2:45 PM Jarret R. Patton, MD , Department of Pediatrics, Lehigh Valley Health Network, Allentown, PA Jay Baglia, PhD , Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA Lynn M. Deitrick, RN, PhD , Department of Community Health, Health Studies and Education, Lehigh Valley Health Network, Allentown, PA Anthony Nerino, MA , Department of Community Health, Health Studies and Education, Lehigh Valley Health Network, Allentown, PA Eric J. Gertner, MD, MPH , Department of Medicine, Lehigh Valley Health Network, Allentown, PA Judith N. Sabino, MPH , Cultural Awareness, Lehigh Valley Health Network, Allentown, PA …

Alignment Of Lean Management Process To Quality And Safety In A Academic Community Hospital: Psychiatry For The Twenty First Century., Ronald Swinfard, Michael Kaufmann, Ralph Primelo, Laurence Karper, Muhamad Rifai, Edward Norris, Debbie Salas-Lopez, David Burmeister, Gail Stern, David Dylewski, D Ezrow, Rosanne Teders, Courtney Vose

Debbie Salas-Lopez MD, MPH

No abstract provided.

Addressing Health Disparities In Minority Communities: Evaluation Of A Cultural Competency Curriculum In Medical School, Debbie Salas-Lopez, Maria Soto-Greene, Dawne Mouzon, A Davidow, J Reteguiz, C Mclauglin, Ana Natale-Pereira

Debbie Salas-Lopez MD, MPH

No abstract provided.

Prioritizing Partners Across The Continuum, Mary Maly, Susan Lawrence, Marie Jordan, W Davies, Michael Weiss, Lynn Deitrick, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

Baseline Intercultural Sensitivity Assessment Among Employees At A Large Health Network: Findings And Implications For Cultural Competency Interventions, Eric Gertner, Jarret Patton, Jay Baglia, Judith Sabino, Lynn Deitrick, Anthony Nerino, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

An Ecological Approach To Organizational Transformation: The Growth Of Cross-Cultural Health Care Delivery In An Academic Community Health Network, James Geiger, Judith Sabino, Eric Gertner, Jarret Patton, Llewellyn Cornelius, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

Striving For Cultural Competence In An Hiv Program: The Transformative Impact Of A Microsystem In A Larger Health Network, Judith N Sabino, Timothy Friel, Lynn Deitrick, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

An Ecological Approach To Organizational Cultural Competence, Judith Sabino, Jarret Patton, Erica Mahady, Lynn Deitrick, James Geiger, Marykay Grim, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

Defining And Targeting Health Care Access Barriers, J Carrillo, Victor Carrillo, Hector Perez, Debbie Salas-Lopez, Ana Natale-Pereira, Alex Byron

Debbie Salas-Lopez MD, MPH

The impact of social and economic determinants of health status and the existence of racial and ethnic health care access disparities have been well-documented. This paper describes a model, the Health Care Access Barriers Model (HCAB), which provides a taxonomy and practical framework for the classification, analysis and reporting of those modifiable health care access barriers that are associated with health care disparities. The model describes three categories of modifiable health care access barriers: financial, structural, and cognitive. The three types of barriers are reciprocally reinforcing and affect health care access individually or in concert. These barriers are associated with …

Barriers And Facilitators For Colorectal Cancer Screening Practices In The Latino Community: Perspectives From Community Leaders, Ana Natale-Pereira, Jonnie Marks, Marielos Vega, Dawne Mouzon, Shawna Hudson, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

BACKGROUND: Colorectal cancer (CRC) is the second-leading cause of cancer-related death in the United States and the third most commonly diagnosed cancer among Latinos. While Latinos represent one of the fastest-growing ethnic groups in the United States, their participation in cancer prevention and treatment trials is low. METHODS: Thirty-six Latino community leaders participated in five focus groups that examined factors affecting CRC screening practices among Latinos. RESULTS: The top four barriers identified were low knowledge and awareness of CRC, language barriers, lack of insurance, and undocumented legal status. Additional barriers included seeking health care only when sick, fatalism, fear, denial …

Perspectives On Cancer Screening Among Latino Community Members And Internal Medicine Residents, Debbie Salas-Lopez, Dawne Mouzon, Jonnie Marks, Neil Kothari, Ana Natale-Pereira

Debbie Salas-Lopez MD, MPH

BACKGROUND: Latinos have lower rates of cancer screening, partially because of cultural beliefs that conflict with those of health care professionals. Moreover, established programs for training physicians in cultural competency often fail to incorporate input from the community.

METHODS: To explore beliefs about cancer and cancer screening among Latino community members and internal medicine residents. Three focus groups of Latino community members (n = 31) and one focus group of internal medicine residents (n = 9) were conducted to compare ideas regarding cancer and cancer screening.

RESULTS: We identified clear disconnects between residents and Latino community members regarding their understandings …

Community Cancer Services, Clinical Trials, And Quality Initiatives—Year 1 Ncccp At Lehigh Valley Health Network, Gregory R. Harper Md, Phd, Ada M. Rivera Ba, Eliot L. Friedman Md, Kathleen A. Leies Rn, Ocn, Nadesda Mack Rn, Bsn, Mba, Ocn, Lenore Mcgonigle Med, Suresh G. Nair Md, Tara Namey Ms, Cgc, Debbie Salas-Lopez Md, Mph, Facp, Ronald W. Swinfard Md, Facp

Debbie Salas-Lopez MD, MPH, FACP

No abstract provided.

The Neighborhood Cancer Center, Gregory R. Harper Md, Phd, Debbie Salas-Lopez Md, Mph, Keith J. Weinhold Mha, Elliot J. Sussman Md, Mba

Debbie Salas-Lopez MD, MPH

No abstract provided.

Understanding Breast-Cancer Patients' Perceptions: Health Information-Seeking Behaviour And Passive Information Receipt, Daniel Longo, Bin Ge, M Radina, Allen Greiner, Casey Williams, Gregory Longo, Dawne Mouzon, Ana Natale-Pereira, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

It is critical to understand patients' information use from the patient perspective, especially when patients are from different cultures and levels of health literacy. A cross-sectional survey supplemented with interviews of breast cancer survivors including both Latina and non-Latina women was undertaken. Subjects were classified as active information seekers, passive information receivers, and/or users of information. Subjects were further classified by stage of information use, progressing from unawareness or awareness of available information to use or non-use of information to make health decisions. Information sources used and use patterns were examined. Most were active information seekers; many were also passive …

Cultural Competency In New Jersey: Evolution From Planning To Law, Debbie Salas-Lopez, Linda Holmes, Dawne Mouzon, Maria Soto-Greene

Debbie Salas-Lopez MD, MPH

No abstract provided.

Access To Hospital Interpreter Services For Limited English Proficient Patients In New Jersey: A Statewide Evaluation, Glenn Flores, Sylvia Torres, Linda Holmes, Debbie Salas-Lopez, Mara Youdelman, Sandra Tomany-Korman

Debbie Salas-Lopez MD, MPH

CONTEXT/OBJECTIVES: We surveyed New Jersey (NJ) hospitals to assess current language services and identify policy recommendations on meeting limited English proficiency (LEP) patients' needs.

METHODS: Survey with 37 questions regarding hospital/patient features, interpreter services, and resources/policies needed to provide quality interpreter services.

RESULTS: Sixty-seven hospitals responded (55% response rate). Most NJ hospitals have no interpreter services department, 80% provide no staff training on working with interpreters, 31% lack multilingual signs, and 19% offer no written translation services. Only 3% of hospitals have full-time interpreters, a ratio of 1 interpreter:240,748 LEP NJ residents. Most hospitals stated third-party reimbursement for interpreters would …

Development And Utilization Of An Acuity Scale For Oncology Patient Navigation, Raizalie Roman-Rosado Bsn, Ocn, Cmsrn, Laura Beaupre Bsn, Ocn, Cbpn-Ic, Kathy Sevedge Rn, Ma, Aocn, Jane Zubia Rn, Ocn, Cbpn I-C, Martiza Y. Chicas Rn, Pccn, Diane Mchugh Bsn, Ocn, Cbpn-Ic, Dorothy Morrone Rnc, Ms, Ocn, Tracy Kichline

Patient Care Services / Nursing

No abstract provided.

The Impact Of A Home-Based Palliative Medicine Service On The Care For A Community-Dwelling Patient With Intractable Cancer Pain, Stefanie Toman Crnp, Robin Fritsch Crnp, Barbara Sikora Lpn

Department of Medicine

No abstract provided.

Sex Differences In Cardiac Arrest Survivors Who Receive Therapeutic Hypothermia, Marna Greenberg, Amy Ahnert, Nainesh Patel, Courtney Bennett, Nicole Elliott, Mark Lundquist, Andrew Miller, Ellina Feiner, Anita Kurt, Bernadette Gl-Porter, Mercedes Rios-Scott, David Burmeister

Marna R Greenberg DO, MPH, FACEP

OBJECTIVE: Sex differences have not been well defined for patients undergoing therapeutic hypothermia (TH). We aimed to determine sex differences in mortality and Cerebral Performance Category (CPC) scores at discharge among those receiving TH. METHODS: This retrospective cohort study used data abstracted from an "ICE alert" database, an institutional protocol expediting mild TH for postarrest patients. Quality assurance variables (such as age, time to TH, CPC scores, and mortality) were reviewed and compared by sex. χ(2) Test and Wilcoxon rank sum test were used. Stepwise logistic regression was used to assess the association between mortality and sex, while controlling for …

Stress Echo Doppler In Patients With Aortic Valve Stenosis, Bruce Feldman

Bruce A. Feldman DO

No abstract provided.

Lymphedema Management Of The Homebound Patient Challenges In Lymphedema Treatment, Gayle S. Burkhart Pt, Clt-Lana, Kami Reinhard Mspt, Clt, Sharon H. Duvall Ms, Pt, Clt, Jill K. Ferragame Otr/L, Clt

Department of Medicine

No abstract provided.

Adrenergic Signaling Regulates Mitochondrial Ca2+ Uptake Through Pyk2-Dependent Tyrosine Phosphorylation Of The Mitochondrial Ca2+ Uniporter., Jin O-Uchi, Bong Sook Jhun, Shangcheng Xu, Stephen Hurst, Anna Raffaello, Xiaoyun Liu, Bing Yi, Huiliang Zhang, Polina Gross, Jyotsna Mishra, Alina Ainbinder, Sarah Kettlewell, Godfrey L Smith, Robert T Dirksen, Wang Wang, Rosario Rizzuto, Shey-Shing Sheu

Department of Medicine Faculty Papers

AIMS: Mitochondrial Ca2+ homeostasis is crucial for balancing cell survival and death. The recent discovery of the molecular identity of the mitochondrial Ca2+ uniporter pore (MCU) opens new possibilities for applying genetic approaches to study mitochondrial Ca2+ regulation in various cell types, including cardiac myocytes. Basal tyrosine phosphorylation of MCU was reported from mass spectroscopy of human and mouse tissues, but the signaling pathways that regulate mitochondrial Ca2+ entry through posttranslational modifications of MCU are completely unknown. Therefore, we investigated α1-adrenergic-mediated signal transduction of MCU posttranslational modification and function in cardiac cells.

RESULTS: α1-adrenoceptor (α1-AR) signaling translocated activated proline-rich tyrosine …

Mitochondrial Ion Channels/Transporters As Sensors And Regulators Of Cellular Redox Signaling., Jin O-Uchi, Shin-Young Ryu, Bong Sook Jhun, Stephen Hurst, Shey-Shing Sheu

Department of Medicine Faculty Papers

SIGNIFICANCE: Mitochondrial ion channels/transporters and the electron transport chain (ETC) serve as key sensors and regulators for cellular redox signaling, the production of reactive oxygen species (ROS) and nitrogen species (RNS) in mitochondria, and balancing cell survival and death. Although the functional and pharmacological characteristics of mitochondrial ion transport mechanisms have been extensively studied for several decades, the majority of the molecular identities that are responsible for these channels/transporters have remained a mystery until very recently.

RECENT ADVANCES: Recent breakthrough studies uncovered the molecular identities of the diverse array of major mitochondrial ion channels/transporters, including the mitochondrial Ca2+ uniporter pore, …

Demystifying Insulin Pump Therapy In The Acute Care Setting: Clarifying Roles, Processes And Practices For Standardized Care Delivery, Sharnee Cederberg Msn, Rn, Cde, Joyce Najarian Msn, Rn, Cde

Patient Care Services / Nursing

No abstract provided.

Diabetes Care Management In The Cancer Center: Challenging Current Models Of Care To Optimize Outcomes For A Complex Population, Cara Habeck Rn, Cde, Joyce Najarian Msn, Rn, Cde, Gregory R. Harper Md, Phd, Gretchen Perilli Md, Janelle M. Sharma Dnp, Crnp, Melissa Kratz Rn, Msn, Aocn, Patricia Shearburn Rn, Msn, Aocn, Cathy A. Coyne Phd, Mph, Hope Kincaid Mph, Cph, Roya Hamadani Mph

Patient Care Services / Nursing

No abstract provided.