Digital Commons Network^™

Sodium-Glucose Cotransporter 2 Inhibitors And Vulvovaginal Candidiasis, Gabriela Skovronsky, Natalie Suozzi, Paul Nyirjesy

Phase 1

Introduction: Sodium-glucose cotransporter-2 inhibitors (SGLT2is) are widely used for type 2 diabetes management, but are associated with increased risk of genital infections. Despite their use, there is limited evidence to quantify this risk. We conducted a systematic review to determine the incidence of vulvovaginal candidiasis (VVC) in patients taking SGLT2is compared to other diabetes treatments. We hypothesized that SGLT2i use would be associated with an increased incidence of VVC compared to other treatments.

Methods: Using PRISMA guidelines, we searched five databases using MESH terms for studies examining VVC in females with type 2 diabetes mellitus treated with SGLT2is versus …

Patient Experiences With Provision Of Telehealth Addiction Treatment Services, Kaleigh Spollen, Shane Nieves, Mph, Gregory Jaffe, Md, Msed, Vanessa Short, Phd, Mph

Phase 1

Introduction: Substance use disorder (SUD) is a nationwide public health crisis, and deaths from opioids have risen significantly since 1999. In recent years, telehealth has emerged as a novel modality for SUD treatment. This study aims to evaluate patient experiences with a telehealth program for SUD, identifying barriers and facilitators to participation in the program, as well as opportunities for program improvement.

Methods: This qualitative study comprises an online survey and semi-structured interview. Individuals 18 years of age or older who have attended at least one session of Jefferson’s telemedicine program for SUD treatment were enrolled in the …

Training Protocol Efficacy On Empowerment And Sustainability In Staff Serving Marginalized Youth In Peru, Hannah Park, Abigail Sugarman, Stephen Didonato, Phd, Lpc, Ncc

Phase 1

Introduction: In Peru, there is limited longitudinal research evaluating trauma-informed care (TIC) training for residential child-care staff, despite evidence that it reduces distress, improves confidence and expertise. This project addresses this gap, studying the impact of a trauma-informed training protocol on staff perceptions of the residential care environment and on staff self-awareness. We hypothesize that an effective protocol would yield improvements in both domains.

Methods: As Phase 3 of a study under Dr. Stephen DiDonato (Jefferson College of Nursing) and Dr. Wayne Centrone (Health Bridges International, HBI), this phase evaluates supplemental training under an established protocol while introducing a self-sustainability …

Healthcare Capital: Leveraging Social Connections To Navigate The Healthcare System, Ona Ichoku, Nicholas Wahba, Rosemary Frasso, Phd, Sm, Cph

Phase 1

Introduction: Navigating the healthcare system can be overwhelming for patients, who face rising costs, long wait times, and complex health information. Many patients leverage personal connections to decode healthcare information, yet little is understood about that process. The objective of this study is to investigate how do patients leverage social connections, “Healthcare Capital,” to navigate their healthcare?

Methods: In this study, qualitative semi-structured interviews were conducted with a sample of adults who sought healthcare within the last 12 months. Participants were selected through convenience and snowball sampling. 30-minute interviews were recorded on Zoom, transcribed, and de-identified. A directed content analysis …

Cardiovascular Outcomes Of Youth Female Athletes: Stratifications Of Risk Using Subdivisions In Sports, Jillian D'Souza, Nikta Nair, David Shipon, Md

Phase 1

Introduction: Sudden cardiac death (SCD) in youth athletes is a rare, but devastating event that may proactively be prevented through identification of pathologic structural, functional and electrical cardiac remodeling changes. Pathological changes in female athletes along with the associated risk and protective factors related to SCD are understudied. This study aims to identify pathological cardiac changes in female athletes and inquire whether strength-based versus endurance-based sports carry different levels of risk.

Methods: The HeartBytes database was compiled from cardiac screenings of youth athletes in Southeastern Pennsylvania conducted from 2014 to 2021. Screenings collected information from health questionnaires, physical …

Sodium-Glucose Cotransporter 2 Inhibitors And Vulvovaginal Candidiasis, Natalie Suozzi, Gabriela Skovronsky, Paul Nyirjesy

Phase 1

Introduction: Sodium-glucose transporter 2 inhibitors (SGLT2is) are associated with an increased risk of vulvovaginal candidiasis (VVC), negatively impacting quality of life. Most studies evaluate risk with individual SGLT2is or the class as a whole, rather than comparing risk between different SGLT2is. The objective of this study was to compare the risk of VVC across individual SGLT2is.

Methods: We conducted a systematic review to find studies examining VVC rates in women taking SGLT2is. Of 74 studies identified, four met inclusion criteria for a meta-analysis, with several others used for background. For canagliflozin, ertugliflozin, and empagliflozin, we calculated risk ratios and …

Leveraging Social Media To Disseminate Evidence-Based Messaging About Substance Use To Reduce Stigma And Promote Harm Reduction In Adolescents And Young Adults, Jacob Mihalic, Gregory Jaffe, Md, Msed

Phase 1

Introduction

Substance use disorder (SUD) remains a major contributor to morbidity and mortality in Philadelphia, with adolescents and young adults (AYAs) particularly vulnerable due to peer influence and digital exposure. However, harm reduction messaging rarely targets AYAs directly. This project will explore how AYAs engage with social media, how these platforms shape their perceptions of SUD, and how digital messaging can be leveraged to reduce stigma and support prevention.

Methods

This qualitative project will conduct three focus groups with Philadelphia AYAs aged 13-18, recruited through local Boys and Girls Clubs. Discussions will explore how AYAs engage with SUD-related content online, …

Deafmed Through Deaf Eyes: A Patient-Centered Approach Of The Deafmed Program, Allie Capik, Julia Croce

Phase 1

Introduction
DEAFMed, a Humanities selective within the JeffMD curriculum, aims to enhance cultural competency in caring for Deaf patients. This study predominantly assesses DEAFMed’s impact from the viewpoint of Deaf patients to determine whether the training improves medical student preparation for culturally competent care.

Methods
Deaf individuals were recruited and trained as Standardized Patients (SPs) for 15-minute history-taking encounters with first-year medical students. Twelve non-DEAFMed-trained and sixteen DEAFMed-trained students were randomized to SPs blinded to their training status. SPs evaluated students quantitatively on trust, eye contact, respect, communication, and comfort, and provided qualitative feedback on strengths and areas for improvement. …

Narrative Perspectives On Providing Gender Affirming Care In Primary Care Settings, Sofia Lemberg, Ma, Robert Mcclowry, Md

Phase 1

Introduction: Gender affirming (hormone) care (GAC) has come under bureaucratic scrutiny over the 21st century despite increasing social support of LGBTQ+ individuals. Primary care healthcare professionals (PCHPs) are uniquely situated to oversee and maintain patients’ GAC. Despite this, there is little research investigating PCHPs’ experiences providing GAC, particularly from a narrative lens. This approach may help us understand these perspectives, by promoting reflection upon personal experiences and emphasizing what PCHPs think is important for providing GAC.

Hypothesis: This study investigates what perspectives and experiences PCHPs hold regarding providing GAC in primary care settings. The investigators hypothesize that PCHPs will have …

Alumni Reflections On The Impact Of Participating In Artz @ Jefferson, Clarissa Martin, Rosemary Frasso

Phase 1

Introduction
Alzheimer’s disease and related dementias (ADRD) are becoming increasingly prevalent, with 13.8 million Americans age 65 and older predicted to be living with ADRD by 2060. Humanities-based interventions in medical education can foster person-centered approaches towards people living with dementia (PLWD). ARTZ @ Jefferson pairs health-studies students (mentees) with PLWD and care partners (mentors) in arts-based sessions that facilitate discussion of the lived experience of dementia. This study aims to explore how health-studies’ alumni reflect on the long-term impact of their participation in ARTZ @ Jefferson.

Methods
A qualitative design was used to capture student alumni reflections on their …

Exploring Music As A Therapeutic Tool For Patients, Andrew Rosario, Josh Robinson

Phase 1

Introduction: Music is a remarkably powerful art form that has the potential to impact people in innumerable ways. This project seeks to explore the many ways patients think about and use music in their lives, whether it be as a source of healing, a reminder of their past memories, an outlet to express emotions, or a companion through whatever challenges they may face.

Methods: This project partnered with an existing workshop run by Josh Robinson for patients in the Headache Unit at Jefferson Methodist Hospital. The first part of these sessions involved a “Soundtrack to My Life” activity where …

Designing A Multilingual Instructional Language Tool For Patient Communication In Interventional Radiology, Ahlam Houssein, Samuel Almodóvar, Gregg Khodorov, Md, Mba, Sahib Sohal, Md, Robert Pugliese, Pharmd, David Dwyer, Md

Phase 1

Introduction: Language barriers in healthcare contribute to medical errors, reduced patient adherence, and increased procedural risk among patients with limited English proficiency (LEP), particularly in interventional radiology (IR), where real-time verbal instruction is essential for procedural success. Current virtual translation services lack the immediacy, specificity, and workflow integration required for intraprocedural communication. This project asks how a digital platform can enable IR professionals to communicate procedural instructions to LEP patients accurately and efficiently in real time, hypothesizing that a structured, phrase-based translation system will improve procedural efficiency and safety.

Methods: On-site interviews and workflow observations were conducted with IR physicians, …

A Novel Ankle Sprain Rehabilitation Device, Ian Argento, Bs, Jack Rifkin, Bs, Brady Stillman, Bs, Robert Pugliese, Pharmd

Phase 1

Background: Ankle sprains are among the most common musculoskeletal injuries across all patient groups. Structured rehabilitation with resistance bands decreases re-injury by improving balance, range of motion, and strength, but protocols vary widely. Furthermore, patients often struggle to perform resistance band exercises correctly, limiting their effectiveness.

Aim: To design and develop a wearable rehabilitation device that standardizes resistance band therapy for ankle sprains by controlling resistance vectors and progressive overload.

Methods/Design: We conducted a needs assessment of current rehabilitation practices and identified limitations in resistance band use, including lack of standardization, variability in patient adherence, and difficulty replicating exercises at …

Design Of A Standardized Resistance-Based Rehabilitation Device For Ankle Sprain Recovery, Jack Rifkin, Bs, Brady Stallman, Bs, Ian Argento, Bs, Robert Pugliese, Pharmd

Phase 1

Introduction: Ankle sprains are among the most common musculoskeletal injuries, particularly in adolescents and athletes. Although many patients recover quickly, a substantial number experience poor healing, leading to chronic ankle instability, weakness, and reinjury. While structured rehabilitation improves outcomes, inconsistent protocols and difficulty performing resistance-based exercises limit effectiveness. This project addresses the need for a standardized and accessible rehabilitation approach for ankle sprain recovery.

Methods: We designed a novel rehabilitation device that reimagines traditional resistance band therapy by standardizing resistance vectors and enabling controlled progressive overload. The design supports reproducible ankle movements targeting strength, range of motion, and proprioception. Iterative …

Development Of A Novel Resistance-Integrated Device To Optimize Ankle Strength Recovery, Brady Stallman, Bs, Jack Rifkin, Bs, Ian Argento, Bs, Robert Pugliese, Pharmd

Phase 1

Introduction: Ankle sprains occur when ligaments of the ankle are stretched or torn due to excessive force, such as twisting or rolling. Ankle sprains are the most common injury in athletes, with re-injury rates as high as 47%. We aim to design a device with integrated resistance to standardize re-strengthening care in patients with sprained ankles.

Methods: A crucial aspect of ankle rehabilitation involves regaining strength and proprioception through resistance band exercises. Currently, resistance band exercises are difficult to complete alone, which is a necessary part of at-home exercises. Our wearable ankle-strengthening device standardizes the exercises, allowing for easier use …

Improving Options For Prehospital Management Of Hyperthermia, David Azizi, Connor Coyle, Robert Pugliese, Pharmd

Phase 1

Introduction: Hyperthermia, particularly heatstroke, is a life-threatening failure of thermoregulation that requires rapid cooling to prevent serious sequelae. Despite effective hospital-based systems, prehospital and austere environments lack portable solutions capable of achieving timely temperature reduction. This project investigates whether a lightweight, field-ready garment incorporating endothermic salts can improve prehospital hyperthermia management.

Methods: We conducted a literature review and expert interviews with emergency and wilderness medicine clinicians to identify limitations of existing tools and define design requirements. A prototype was designed with a thermally conductive inner layer and insulating outer layer integrating off-the-shelf chemical cold packs. Planned testing includes quantifying heat …

Temperature Control Vest For Use In Acute Hyperthermic Episodes, Connor Coyle, David Azizi, Isaac Kravatz, Robert Pugliese, Pharmd

Phase 1

Introduction: In the acute treatment of acute hyperthermia that is treated in austere conditions, there is a lack of a portable, effective, and inexpensive device that can rapidly lower the temperature of the patient back to baseline levels. With rapidly rising global temperatures, we anticipate an increase in acute heat strokes where correction by cooling can save countless lives. We want to create a medical device that is effective in cooling a patient with hyperthermia to increase survival and recovery outcomes. Our main inquiry is whether it is reasonable to design, produce, and test a cooling device that fits within …

A 3d-Printed Enclosure To Improve Precision And Reduce Tearing In Laser Fenestration Of Endovascular Grafts, Tuyaa Bi, Babak Abai, Md, Robert Pugliese, Pharmd

Phase 1

Introduction

In-situ laser fenestration has become increasingly critical in endovascular surgery. However, the higher risk of endoleak and microthrombosis has raised concerns about achieving optimal outcomes.

In a previous study, researchers performed laser fenestration on several commonly used graft materials and compared fabric fraying and directional tear propagation. However, the experimental environment was suboptimal because the fenestration angle was not controlled. This may limit the validity of the results.

In this SI project, we aim to create a more controlled environment for laser fenestration by designing and 3D printing an enclosure that mimics the anatomy of the aorta and the …

Auravena, Isaac Kravatz, Bassem Fayek, Robert Pugliese, Pharmd

Phase 1

Introduction: Over 200 million peripheral IVs are placed annually, serving as critical access points for medications and therapies, yet up to 40% fail on the first attempt. While heat is often used to support IV placement, current methods are insufficient compared to what the literature suggests. Therefore, we asked: how might heat be applied more efficiently and sustainably to improve first-attempt success rates for patients with difficult IV access?

Methods: We began by interviewing nursing staff at an outpatient infusion center, uncovering a significant gap in care for patients with difficult IV access. These insights drove iterative design cycles focused …

Beyond Naloxone: A Human Centered Overdose Response And Education Kit To Destigmatize Opioid Use Disorder For First-Year Medical Students, Hope Friel, Justin Leggin, Madeleine Peele, Donya Zarrinnegar, Abigail Kay, Md

Phase 1

Introduction: Opioid related deaths are a leading cause of death in adults in the United States and Thomas Jefferson University equips each first year medical student (M1) with a box of Narcan at the White Coat Ceremony. Research has shown that there are knowledge and training gaps in M1s and harmful stigmas surrounding drug users. This project examines how we might provide an education-focused opioid overdose response kit and intervention for JeffMD M1s in order to reduce stigma and improve clinical readiness for drug-related emergencies.

Methods: Class of 2029 M1s will take a pre-post survey to capture the baseline level …

Beyond Naloxone: A Human-Centered Overdose Response And Education Kit To Destigmatize Opioid Use Disorder For First-Year Medical Students, Justin Leggin, Abigail Kay, Md, Madeleine Peel, Hope Friel, Donya Zarrinnegar

Phase 1

Introduction: Opioid overdose remains a leading cause of preventable mortality in the United States and is particularly prevalent in Philadelphia. While first-year medical students commonly receive brief training in overdose recognition and naloxone administration, such instruction often overlooks stigma toward people who use drugs(PWUD). Sidney Kimmel Medical College implemented a two-step model in which students received naloxone at their white coat ceremony and later completed a clinical skills–based overdose response session. This study assessed how this training influenced first-year students’ overdose knowledge and attitudes toward PWUD.

Methods: Students completed the Opioid Overdose Knowledge Scale (OOKS; 0–39)and Opioid Overdose Attitudes Scale …

Beyond Naloxone: A Human Centered Overdose Response And Education Kit To Destigmatize Opioid Use Disorder For First-Year Medical Students, Madeleine Peel, Justin Leggin, Hope Friel, Donya Zarrinnegar, Abigail Kay, Md

Phase 1

Introduction: Over 1,413 unintentional opioid-related deaths occurred in Philadelphia in 2022,indicating a public health crisis. Medical students can assist in overdose responses, driving our question: how might we provide an education-focused opioid-overdose response kit for first-year JeffMD students to reduce stigma and improve clinical readiness for opioid-related emergencies? We hypothesize that a naloxone kit with educational materials will improve preparedness and empathy and reduce stigma toward people who use drugs (PUD) compared with standard naloxone training.

Methods: A needs assessment was conducted among first-year JeffMD’s class of 2029 using pre- and post-surveys administered before and after a naloxone training. Surveys …

Beyond Naloxone: A Human Centered Overdose Response And Education Kit To Destigmatize Opioid Use Disorder For First-Year Medical Students, Donya Zarrinnegar, Justin Leggins, Madeleine Peel, Hope Friel, Abigail Kay, Md

Phase 1

Introduction: The opioid crisis remains a leading cause of accidental death among U.S. adults under 45. Yet, medical education often inadequately prepares trainees to recognize overdoses, administer naloxone, or provide stigma-free care for people who use drugs (PWUD). These gaps contribute to reduced treatment engagement and underutilization of lifesaving interventions. This project examined whether an education-focused opioid overdose response intervention for first-year JeffMD students (Class of 2029) reduces stigma and improves clinical preparedness for drug-related emergencies.

Methods: We administered a baseline survey prior to the White Coat Ceremony and a follow-up survey after a naloxone training. Surveys incorporated validated instruments, …

Impact Of Jackson-Pratt Drain Placement Location On Postoperative Pain In Breast Mastectomy And Reconstruction, Spencer Haber, Bs, Elizabeth Simon, Bs, Krishna Koka, Bs, Devin Williams, Bs, Andrew Newman, Md

Phase 1

Introduction: The Jackson-Pratt (JP) drain is routinely used after breast mastectomy and reconstruction. However, postoperative JP drain usage is associated with an increased incidence of surgical site pain (SSP), which negatively impacts quality of life (QOL). We hypothesize that the anatomical site of JP drain placement relative to major nerve densities leads to variation in SSP and QOL.

Methods: This prospective cohort study will enroll 30 adult female patients undergoing breast mastectomy or reconstruction. Drain placement location will be measured intraoperatively using X, Y coordinates based on midline, anterior axillary line, and jugular notch landmarks. Normalized spatial data will be …

The Correlation Between Pain And Placement Of The Jackson-Pratt Drain In Post-Mastectomy Patients, Krishna Koka, Bs, Elizabeth Simon, Bs, Spencer Haber, Bs, Devin Williams, Bs, Andrew Newman, Md

Phase 1

Introduction

The Jackson-Pratt Drain is a frequently used closed-suction, active drain system that prevents seroma and hematoma formation through negative pressure drainage. Prior research has revealed that some patients report increased surgical site pain that negatively impacts quality of life. We hypothesize that interpatient variability in pain may be associated with the location of drain placement relative to local innervation.

Methods

We are targeting 30 biologically female patients >30 years old undergoing bilateral mastectomy, excluding those with factors affecting chest wall innervation. Drain placement was measured bilaterally along an X-Y axis: X from the mid-axillary line (negative medial, positive lateral) …

The Need For Innovative Changes In The Jp Drain, Devin Williams, Bs, Elizabeth Simon, Bs, Krishna Koka, Bs, Spencer Haber, Bs, Andrew Newman, Md

Phase 1

Introduction: The Jackson Pratt (JP) Drain removes surgical site fluid postoperatively. It prevents surgical site complications, however mastectomy and breast reconstruction patients report varying states of pain and quality of life (QOL) during use. The anterior chest wall is densely innervated and drain placement is not precisely controlled. We hypothesize that placement variation contributes to inconsistent patient outcomes. This prospective cohort study aims to understand the impact of drain placement on pain and QOL.

Methods: The drain sites of 30 patients undergoing breast reconstruction or mastectomy and screened for exclusion criteria are measured intraoperatively using anatomical landmarks. A validated pain …

Creating A Student-Led Volunteer Doula Program At Thomas Jefferson University Hospital, Halleh Radvar, Elizabeth Liveright, Md

Phase 1

Introduction: Despite demonstrated improvement in birth outcomes, continuous labor support with a doula is underutilized due to access limitations. As a large academic medical center in Philadelphia, Thomas Jefferson University Hospital (TJUH) can reduce disparities in access with a student-led volunteer doula program. This project aims to create such a program.

Methods: A literature review was conducted to assess the effectiveness of existing hospital-based volunteer doula programs. Programs at the University of California and the University of North Carolina, as successful programs at academic medical centers, were adapted to be student-run. The program was presented to clinical and nursing leadership …

Chiefcomplaint: An Ai Based Application For Self Regulated Learning And Practicing Clinical Skills, Said Omer Sadat, Jeffrey Ratliff, Md

Phase 1

Introduction: As a constantly evolving field, medicine is prone to change with acquisition of new knowledge and information. As such, medical learners are obligated to practice Self-Regulated Learning (SRL); being behaviorally, metacognitively, and motivationally proactive in the learning process. With this project, we attempt to explore the use of AI as a tool to mimic clinical encounters and advance SRL.

Methods: Python was used to build an application that stimulates patient interactions under guidance of an instructor. Written case scenarios and AI instructions were parsed, chunked and stored into vectors using LangChain. To facilitate the clinician-patient interaction, OpenAI’s ChatGPT-4o-mini was …

The Need For Innovative Changes In The Jp Drain, Elizabeth Simon, Bs, Spencer Haber, Bs, Devin Williams, Bs, Krishna Koka, Bs, Andrew Newman, Md

Phase 1

Introduction: The Jackson-Pratt (JP) drain has been used post-mastectomy since 1980; however, little research has been done regarding the quality of life (QOL) associated with drains. How might we help JP drain patients following mastectomy have increased QOL during drain use? We hypothesize that specific drain placement locations relative to anatomical body wall landmarks correlate with QOL.

Methods: This is a prospective cohort study of thirty female sex patients undergoing breast mastectomy or reconstruction needing bilateral drains and excludes patients with significant confounding variables that interfere with pain data. The surgeon measures the JP drain location after placement in the …

Designing A Multilingual Instructional Language Tool For Patient Communication In Interventional Radiology, Samuel Almodóvar, Ahlam Houssein, Gregg Khodorov, Md, Mba, Sahib Sohal, Md, Robert Pugliese, Pharmd, David Dwyer, Md

Phase 1

Introduction: Current efforts to provide language-inclusive radiological care fall short, resulting in suboptimal imaging, increased procedural time, and greater radiation exposure. Inadequate language accessibility results in poor communication, suboptimal care, and increased patient dissatisfaction. A digital language tool was developed to provide patient instructions during interventional radiology (IR) procedures, addressing this gap and enhancing patient care.

Methods: Observations were carried out to better understand workflow during IR procedures and identify how to incorporate the tool. We conducted interviews with IR physicians, nurses, and technologists to gather common procedural phrases and patient instructions. Spanish and Mandarin were selected because they are …