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In The News

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

In the news including: APTR/Healthy People 2020 and Collaborating Across Borders (CAB III).

Exploring And Evaluating Interprofessional Training: A Brief Overview, Barret Michalec, Phd

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

This paper provides a general overview of an upcoming

evaluation plan with JCIPE that began this fall. This plan was

constructed primarily because although numerous training

institutions have constructed and implemented various courses

and programs designed to provide students with extensive

learning opportunities steeped in interprofessional education

(IPE)1-3, projects employing longitudinal and/or mixed-methods

approaches to understanding the multi-faceted barriers to and

facilitators of IPE within health professions training have been

quite limited. Similarly, few evaluation plans have attempted to

unearth if and how students are exposed to interprofessional

values outside of IPE-specific programs or how these team-based

values may translate …

Team Training Obstetrical Simulation Drills To Improve Perinatal Outcomes, Deborah A. Cruz, Msn, Rnc, Crnp, Carol Carofiglio, Phd, Msn

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Sixteen year-old, timid Noelle arrived on the labor floor with complaints of severe abdominal pain and headache, onset earlier today at school. During her intake, she confided to her nurse that she is probably about 7 months pregnant with no prenatal care. Only her boyfriend knew. Her parents were oblivious. Noelle was petrified to tell her mother of the pregnancy. Mom arrived on the labor floor about thirty minutes later and was shocked to discover her daughter’s condition. The physician explained the situation to Mom. Noelle was 30 weeks pregnant, hypertensive with seizures. Mom could barely comprehend her daughter’s illness, …

Interprofessional Education In A Department Of Urology, Maryann Sonzogni

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Optimum health care delivery requires increasing reliance allied health care professionals who are members of highly functioning teams. However, few allied health care professionals are trained in the specific field of urology. Within our urology department, care of patients is fragmented into different segments with little to no crossover of staff. Patient care may benefit from specialty training and additional education sessions for those involved in patient care. Interprofessional Education (IPE) offers a potential way to improve collaboration and may enhance healthcare outcomes.

From The Editors, Christine A. Arenson, Md, Elizabeth Speakman, Edd, Rn, Cde, Anef

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Welcome to the latest edition of the JCIPE Interprofessional Education and Care Newsletter! Since our last edition, we have had some changes at JCIPE. First, founding Co-Director Dr. Molly Rose has begun a phased retirement and stepped down from her JCIPE position. Although parting is always bittersweet, we are thrilled that Molly is continuing to champion interprofessional education from her position in the Jefferson School of Nursing (JSN), and also still serving as chair of our Evaluation Workgroup. At the same time, transitions bring us the joy of new partners – and we are delighted to introduce Elizabeth Speakman, EdD, …

Smoking Cessation: Where We Stand, Sidharth Sidharth Bagga Md Mba

Division of Pulmonary, Allergy, and Critical Care Medicine Presentations and Grand Rounds

Objectives:

1. Current state of health (US and worldwide)

2. Steps to improve compliance and physician satisfaction

3. Novel pharmacologic and behavioral approaches

The Grizzly, February 2, 2012, Liz Kilmer, Nick Pane, Caroline Edler, Melissa Rutkowski, Lisa Jobe, Lauren Goldstein, Sara Hourwitz, Sarah Bollert, Taylor Sparks, Kyu Chul Shin, Kelsey Mahaffey, Sarah Godfrey, Keith Baker, Matthew Johnston, James Wagner

Ursinus College Grizzly Newspaper, 1978 to Present

Birk Launches Graphic Novel at UC • Myrin Welcomes New Library Intern • Resumania Preps Students for Job, Internship Fair • Organic Farm Names New Student Director • Ursinus Introduces Zumba Class for Students • Jablonowski Gains Experience at Academy of Natural Sciences • St. Christopher's Offers Volunteer Opportunity for UC Students • Opinion: SOPA had Right Idea, but was Misguided; Major and Minor Expo Offers Great Information • Senior Spotlight: Sean Whelan, Football • Buckley's Bears Battle Through Adversity • Ursinus Community Remembers Daniel Glover

Association Between Triptanuse And Cardiac Contraindications In An Insured Migraine Population, Daisy Ng-Mak, Phd, Valerie P. Pracilio, Mph, Stephen Silberstein, Md, Joseph Couto, Pharmd, Mba, Cary Sennett, Md, Phd, Mary Hopkins, Rn, Jon Bumbaugh, Neil I. Goldfarb

College of Population Health Lectures, Presentations, Workshops

Background

Safety concerns exist when using triptansto treat patients with cardiac contraindications.

–Triptans cause vasoconstriction, a safety concern for migraineurswith cardiovascular (CV) disease or other cardiac risk factors.

–All triptans contain contraindications in their package inserts to avoid use in patients with cardiac conditions.

•Previous research indicates that clinicians are less likely to prescribe triptansin patients with CV disease or CV risk factors.

Limited research has examined the proportion of migraine patients with cardiovascular disease or those individuals who were concurrently treated with triptans.

Slides: Air Monitoring And Litigation Update, John Jacus

Air Quality Impacts from Oil and Gas Development (January 27)

Presenter: John Jacus, Partner, Davis Graham & Stubbs LLP, reviews recent litigation aimed at oil and gas development activities with respect to air emissions impacts, and also several recent and ongoing studies and ambient monitoring efforts focused upon air emissions from oil and gas activities

23 slides

The Grizzly, January 26, 2012, Liz Kilmer, Nick Pane, James Noebels, Melissa Rutkowski, Lisa Jobe, Michael Schmidt, Sarah Bollert, Lauren Goldstein, Julia Fox, Sabrina Mcgettigan, Sara Hourwitz, Kyu Chul Shin, Victoria Cameron

Ursinus College Grizzly Newspaper, 1978 to Present

Ursinus Celebrates Dr. King's Life • CAB Sponsoring New Spring Events • Alumnus Loses Battle with Cancer • Grizzly Update • Psychology Major Interns at Yale • Student Organization Raises Awareness About Safe Sex • UTD Finale Event Tonight • Collegeville Area Offers Dining Variety • Opinion: Facebook and Cell Phones Impede Learning; Mitt Romney Favorite for GOP Nomination • Life on the Road: Men's Basketball Travels to Las Vegas • Graduating Athletes Focus on Healthier Lifestyle

Taylor, R. W. (Sc 237), Manuscripts & Folklife Archives

Manuscript Collection Finding Aids

Finding aid and typescript (Click on "Additional Files" below) for Manuscripts Small Collection 237. Letter written by R. W. Taylor, a medical student in Philadelphia, Pennsylvania, to Caleb Bryant, a friend back home in Kentucky. Taylor reveals his political views concerning the Civil War and the enlistment of African American soldiers. Also includes undated note from donor.

Effects Of An 8-Week Meditation Program On Mood And Anxiety In Patients With Memory Loss., Aleezé Sattar Moss, Nancy Wintering, Hannah Roggenkamp, Dharma Singh Khalsa, Mark R Waldman, Daniel Monti, Andrew B Newberg

Marcus Institute of Integrative Health Faculty Papers

Abstract Background: This study assesses changes in mood and anxiety in a cohort of subjects with memory loss who participated in an 8-week Kirtan Kriya meditation program. Perceived spirituality also was assessed. Previous reports from this cohort showed changes in cognitive function and cerebral blood flow (CBF). The purpose of this analysis was to assess outcome measures of mood and affect, and also spirituality, and to determine whether or not results correlated with changes in CBF.

Methods: Fifteen (15) subjects (mean age 62±7 years) with memory problems were enrolled in an 8-week meditation program. Before and after the 8-week meditation, …

Manifestations Of Rheumatoid Arthritis: Epidural Pannus And Atlantoaxial Subluxation Resulting In Basilar Invagination., Adam L Schreiber, Do, Ma

Department of Rehabilitation Medicine Faculty Papers

Presented in part at the AAPMR 71st Annual Assembly Meeting, Seattle, WA, November 4-7, 2010.

Atlantoaxial instability results from cartilaginous destruction, periarticular erosions, and ligament and tendon attenuation. Instability affects 19%-70% of patients, and basilar invagination from vertical odontoid subluxation through the foramen magnum occurs in 38% of patients. This phenomenon occurs twice as often in women than men, whose age at diagnosis typically ranges from 30-50 years. Along with bony compression, the pannus further decreases the space available for the cord by 3mmor more in approximately 66% of patients (Figures 1-7). The earliest and most common symptom of cervical …

Ursinus Magazine, Winter 2012, Wendy Greenberg, Kathryn Campbell, Ellen Labrecque, Bobby Fong, Andrew Clark, Kelly Sorensen, Abbie Cichowski, Mariana Bergerson, Chelsea Sproul

Ursinus Magazine, 1995–Present

Farewell and congratulations to Dean Judith Levy • Drumroll, please; Mark Gadson joins Ursinus Advancement staff • Faculty books • Heefner organ • Balance and broaden • Redemptive power of music • Which fork event • America Reads holiday party hosted by Ursinus tutors • Business students compete • Student-athlete earns accolades • The Philip and Muriel Berman Museum of Art exhibitions on view • Take your best shot: Collegeville on Camera days • Homecoming 2011 • Welcome to the blogosphere • Nothing short of amazing: Ursinus field hockey wins Centennial Conference • Inauguration of Bobby Fong, Ph.D. • A …

Trends In The Utilization Of Outpatient Advanced Imaging After The Deficit Reduction Act., David C Levin, Vijay M Rao, Laurence Parker

Department of Radiology Faculty Papers

PURPOSE: After the Deficit Reduction Act (DRA) took effect in 2007, there was concern that private office-based imaging facilities would close, that advanced imaging would shift to less convenient hospital-based facilities, and that access to advanced imaging might be restricted. The aim of this study was to see if these developments occurred during the years after the DRA.

METHODS: Using Medicare data, outpatient CT, MRI, and nuclear medicine trends before and after the DRA were studied. Procedure volumes performed in private offices and hospital outpatient departments (HOPDs) were tabulated separately. Volumes were tracked from 2000 to 2006 (before the DRA) …

Lymph Node Ratio Is An Important And Independent Prognostic Factor For Patients With Stage Iii Melanoma., Adam C. Berger, Michael Fierro, John C Kairys, David Berd, Takami Sato, Jocelyn Andrel, Terry Hyslop, Michael J Mastrangelo

Department of Surgery Faculty Papers

INTRODUCTION: The incidence of melanoma is dramatically increasing worldwide. We hypothesized that the ratio of metastatic to examined lymph node ratio (LNR) would be the most important prognostic factor for stage III patients.

METHODS: We retrospectively reviewed our institutional database of melanoma patients and identified 168 patients who underwent lymph node dissection (LND) for stage III disease between 1993 and 2007. Patients were divided into three groups based on LNR (≤10%, n = 93; 10-≤25%, n = 45; and >25%, n = 30). Univariate and multivariate analysis was performed using Cox proportional hazards model.

RESULTS: The median survival time of …

Mutant Tdp-43 In Motor Neurons Promotes The Onset And Progression Of Als In Rats, Cao Huang, Jianbin Tong, Fangfang Bi, Hongxia Zhou, Xu-Gang Xia

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Amyotrophic lateral sclerosis (ALS) is characterized by progressive motor neuron degeneration, which ultimately leads to paralysis and death. Mutation of TAR DNA binding protein 43 (TDP-43) has been linked to the development of an inherited form of ALS. Existing TDP-43 transgenic animals develop a limited loss of motor neurons and therefore do not faithfully reproduce the core phenotype of ALS. Here, we report the creation of multiple lines of transgenic rats in which expression of ALS-associated mutant human TDP-43 is restricted to either motor neurons or other types of neurons and skeletal muscle and can be switched on and off. …

Attempting To Close The Food Gap: An Evaluation Of The 2011 Fair Share Program In Gettysburg, Pa, Lisa M. Martin

Student Publications

Background: Families in Adams County with an income between 160% and 250% of the Federal Poverty Income Guidelines and ineligible for federal food assistance programs were determined to be in the “food gap.” In collaboration with Adams County Farm Fresh Markets and the Center for Public Service at Gettysburg College, the Adams County Food Policy Council developed the Fair Share Program to provide monthly food vouchers and educational sessions to a group of families in the food gap to use at farmers markets in Gettysburg, PA. The goals of the program were to provide families not eligible for federal food …

Buffered Memory: A Hypothesis For The Maintenance Of Functional, Virus-Specific Cd8(+) T Cells During Cytomegalovirus Infection., Christopher M Snyder

Department of Microbiology and Immunology Faculty Papers

Chronic infections have been a major topic of investigation in recent years, but the mechanisms that dictate whether or not a pathogen is successfully controlled are incompletely understood. Cytomegalovirus (CMV) is a herpesvirus that establishes a persistent infection in the majority of people in the world. Like other herpesviruses, CMV is well controlled by an effective immune response and induces little, if any, pathology in healthy individuals. However, controlling CMV requires continuous immune surveillance, and thus, CMV is a significant cause of morbidity and death in immune-compromised individuals. T cells in particular play an important role in controlling CMV and …

The Grizzly, December 1, 2011, Liz Kilmer, Nick Pane, Jacquelyn Heikel, Jenna Yaich, Lisa Jobe, Jordan Demcher, James Noebels, Julia Fox, Sara Sherr, Sarah Bollert, Satchel Summers, Julia Glauberman, Eilish Bennett, Rosemary Clark, Shane Eachus

Ursinus College Grizzly Newspaper, 1978 to Present

Former Child Soldier Speaks for Peace • Landscaping Initiative Looks to Keep Campus Fresh • Fulbright Scholar to Join Ursinus This Spring • HIV Couple Speak on Sexual Health in Bomberger Auditorium • FFO Educates Students to Combat Bullying • Whitians' Woman to Watch: Stephanie Nocito, 2012 • Senior Interns with GlaxoSmithKline • UC United Aims to Help with Organization-run Events • Opinion: "Baby Bio" Insults Humanities Majors; Penn State Scandal Could Impact Victims of Sexual Assault; Students Desire an Off-Campus Shuttle Service; UC Provides Alternatives, Prepares for NBA Lockout • Post-Season Honors and Early Season Struggles

Hand Problems Among Endourologists., Kelly A Healy, Raymond W Pak, Ryan C Cleary, Arturo Colon-Herdman, Demetrius H Bagley

Department of Urology Faculty Papers

BACKGROUND AND PURPOSE: Endourology has evolved rapidly for the management of both benign and malignant disease of the upper urinary tract. Limited data exist, however, on the occupational hazards posed by complex endourologic procedures. The aim of this study was to determine the prevalence and possible causes of hand problems among endourologists who routinely perform flexible ureteroscopy compared with controls.

MATERIALS AND METHODS: An online computer survey targeted members of the Endourological Society and psychiatrists in academic and community settings. A total of 600 endourologists and 578 psychiatrists were contacted by e-mail. Invited physicians were queried regarding their practice settings …

Promoting Your Institutional Repository On And Off Campus, Daniel G. Kipnis, Msi

Academic Commons and Scott Memorial Library Staff Papers and Presentations

Webinar presentation for Association for Library Collections and Technical Services.

Navigating The Digital Divide: A Teaching-Learning Initiative With The Ipad2, Beth Ann Swan, Kathryn Shaffer, Kellie Smith, Anthony J. Frisby, Mary Hanson-Zalot

College of Nursing Faculty Papers & Presentations

Background/ Rationale: It has been established that Interprofessional Education (IPE) offers a solution to foster teamwork and improve patient care and should be implemented early in professional role development. Thomas Jefferson University has been providing IPE to interprofessional healthcare students for over 5 years. A long term strategic goal was identified to “create innovative learning environments that support interprofessional education including state-of-the-art technologies”. In actualizing this goal, the curriculum was enhanced with technology supported collaborative learning techniques to assist in group processing and reflection. Combining traditional IPE activities with technology supported components incorporated the advantages of both delivery methods, …

Molecular Diagnostics In Periprosthetic Joint Infection., Javad Parvizi, Lesley Walinchus, Bahar Adeli

Department of Orthopaedic Surgery Faculty Papers

Periprosthetic joint infection (PJI) is a significant and costly challenge to the orthopedic community. The lack of a gold standard for diagnosis remains the biggest obstacle in the detection and subsequent treatment of PJI. Molecular markers in the serum and joint fluid aspirate hold immense promise to enhance the development of a firm diagnostic criterion. The primary goal is one marker with high sensitivity and specificity. Here, we review our current research efforts in the field of molecular markers: C-reactive protein, erythrocyte sedimentation rate, white blood cells, and leukocyte esterase. Each marker has been studied to determine its sensitivity, specificity, …

The Grizzly, November 3, 2011, Liz Kilmer, Nick Pane, Dave Muoio, Sabrina Mcgettigan, Lisa Jobe, James Noebels, Lauren Tedesco, Hilary Gibbs, Jessica Long, Sarah Bollert, Jacquelyn Heikel, Jenna Yaich, Marina Mccann, Shane Eachus, Victoria Cameron

Ursinus College Grizzly Newspaper, 1978 to Present

Sustainability the "Future" for Ursinus • Career Services Holds Internship Event • Asher Serves up Expert Advice for Students • Center for Writing Increasing its Versatility • Deacle Joins BE Department • SIFE Visits Area Middle Schools • Senior Spends Summer at Philadelphia Zoo • Share Poetry, Prose Each Week • Opinion: DREAM Act Offers Possible Solutions; Internships are a Valuable Experience for Students • Field Hockey Gears up for Stretch Run • Wild Weather Weekend for Fall Sports Teams • Senior Spotlight: Mike Alfieri, Men's Soccer

Mis Posterior Cervical Spine Surgery: Five-Level Fusion Through A Novel Cervical Tube, Ashwini Sharan Md, Mitchell A. Hardenbrook, Md, John K. Ratliff Md, James Harrop, Md

JHN Journal

Minimally invasive surgical (MIS) techniques to the spine have focused mainly on the lumbar region. Many reports exist on the ability to decompress the neural structures in the lumbar and thoracic spine both via an anterior and posterior approach. Familiarity with these techniques now allows one or two level interbody and pedicle fusions, and treatment of trauma through MIS approaches. Controversy exists as to the efficacy of these techniques because direct studies comparing MIS approaches with open techniques are lacking. However, proponents of these techniques site smaller incision, less muscle retraction, less blood loss, shorter length of stay and better …

Second Floor Pilot For Group Learning Tools, Aisr, Education Services

Library Posters

Poster promoting collaborative learning tools including whiteboards and Teamspot.

Clinical Care Plan: Interdisciplinary Course (Ccpic), Marcia Levinson, Pt, Phd, Mft, Amy M Egras, Pharm.D, Bcps, E. Adel Herge, Otd, Otr/L, Kathryn Shaffer, Rn, Msn

Department of Physical Therapy Faculty Papers

Background/Rationale:

Interprofessional collaborative practice significantly improves patient outcomes, reduces mortality and enhances quality-of-life.

Person-focused care demands collaboration among professions in a team approach to address multiple issues including illness, prevention, and health promotion activities.

Key elements of successful implementation of interprofessional education supported by Clinical Care Plan, Interprofessional Course (CCPIC):

-Increasing knowledge of the roles, responsibilities, and competencies of multiple health professions.

-Collaborating in teams

-Recognizing the patient as the expert

-Communicating effectively

Course Statistics:

-176 students from various disciplines completed course (2008-2011).

Disciplines include:

-Medicine, Nursing, Occupational Therapy, Physical Therapy, Pharmacy

Health Information Technology (Hit) And Chemotherapy Management, Diane Abisaleh, Rn, Bsn, Msn

Department of Nursing papers and presentations

• Cancer is the 2nd most common cause of death, accounting for 26% of all deaths.
• Chemotherapy errors can potentially lead to significant harm or death
• 1 out of every 50 chemotherapy orders, results in serious death
• Lack of HIT support for workflow increases error

Partnership Between University Clnical Skills/Simulation Center And Nursing Staff Development-New Products, Mary Bent Mangano, Msn, Rn, Cns, John J. Duffy, Rn, Msn, Ccrn, Cnrn

Department of Nursing papers and presentations

There is a growing evidence in the nursing literature about the effectiveness of clinical simulation as a powerful teaching/learning strategy. This wealth of research attributes simulation's effectiveness to its design that creates an environment where "students become active learners, abandoning memorization for accessing knowledge, and thinking and applying learning in context rather than providing answers to fact-based test" (Jeffries, 2007). A simulation suite provides a "safe, supportive environment that allows students to learn a variety of complex skills in a stress-free environment" (Ghiglieri, Ruiz, & Vasudevan, 2007). Creating this environment requires meticulous planning to details. The learner must have a …