Digital Commons Network^™

Lgbtq+ Inclusive Cancer Screening Guidelines, Jacob Nair, Stephanie Perez

Health Equity and Quality Improvement (HEQI) Summit

Aims:

1. Development of an organ -based screening tool to collect health information that is pertinent to cancer risk
2. Creation of an inclusive cancer screening algorithm that is tailored to patients based on their individual risk factors

Deafness And Medicine: A Pilot Program For Increasing Medical Student Awareness Of The Deaf Community, Natalie Perlov, Bs, Zachary Urdang, Md, Phd, Arielle Spellun, Md, Irina Middleton, Aud, Julia Croce, Aud

Health Equity and Quality Improvement (HEQI) Summit

Aims: Curate a five-lecture series at Jefferson for medical students throughout the fall semester on topics in Deaf culture and American Sign Language (ASL), with a focus on application in medical settings

Does Treatment At A Level I Trauma Center Reduce Disparities In Patient Outcomes For Open Tibia Fractures?, Nicholas Zingas, Lily R. Mundy, Md, Ronnie L. Shammas, Md, Tracy Truong, Ms, Sarah B. Peskoe, Phd, Scott T. Hollenbeck, Md, Mark J. Gage, Md

Health Equity and Quality Improvement (HEQI) Summit

Aims: Do Level I trauma centers improve outcomes in patients shown to be at high risk of experiencing adverse outcomes due to differences in race and insurance status?

Disparities In Head And Neck Cancer Survival And Treatment By Race And Socioeconomic Status At A Single Institution In Philadelphia, Sarah Wagoner, Mph(C), R. Axelrod, Md, S. W. Keith, Phd, W. Vervilles, Mph(C), C. Zeigler-Johnson, Phd, Mph

Health Equity and Quality Improvement (HEQI) Summit

Aims:

1. Assess the individual associations of Black, White, and Asian race and neighborhood SES on HNC mortality
2. Analyze and assess for a moderating relationship between race and socioeconomic status in HNC mortality
3. Investigate a disparity in receipt of surgical treatment by race and socioeconomic status

Does Maternal Race Influence Indication For Ntsv Cesarean Delivery?, Simone Reaves, Rebecca Mercier, Ryan Brannon

Health Equity and Quality Improvement (HEQI) Summit

Aiims:

• Examine the NTSV CD rate by race and identify differences in indication by race at our institution
• We hypothesize that after controlling for confounding variables there will be no difference in rate of CD or indication for CD by race

Opioid Reduction In Pancreatectomy Patients: Driving Down Dependence And Depleting The Diversion Pool, Ryan Lamm, Shawnna Cannaday, Francesca Ponzini, David Moskal, Jack E. Williamson Iii, Brandon Wummer, Rachel Huang, George Sun, Steven G. Song, Brian Im, Luke L. Kowal, Wilbur B. Bowne, Avinoam Nevler, Theresa Yeo, Charles J. Yeo, Harish Lavu

Health Equity and Quality Improvement (HEQI) Summit

Project AIM: The goal of this project was to create an opioid reduction toolkit to be used on pancreatectomy patients to reduce the percentage of opioids prescribed by 50% and increase the percentage of patients aware of proper disposal techniques for unused opioids by 50% within 1 year.

Development Of Clinical Operating Guides (Cogs) By The Clinical Variation Team At Jefferson Health, Ryan Lamm, Christine Schleider, Lisa Maenner, Nour Cheikhali, Candace Caldwell, Christine Horner, Jenny Bosley, Scott Cowan

Health Equity and Quality Improvement (HEQI) Summit

Project AIM: Create a multidisciplinary clinical variation team to develop Enterprise clinical operating guides (COGs) for high volume surgical procedures with the goal of creating three COGs by June 2022 for use by all surgical care team members.

Improving Documentation Of Penicillin Allergies Through Provider-Focused Education, Jonathan Huang, Andrea Molin, Christian Cardillo, James Lee

Health Equity and Quality Improvement (HEQI) Summit

Project Aim:

• Quantify misdiagnosis and mislabeling of penicillin allergies at Thomas Jefferson University Hospital.
• Educate our colleagues on appropriate allergy labeling and facilitate delisting allergies when appropriate.

Improving Quality Of Care Through Early Discharge On Postoperative Day One Or Two Following Robotic Cardiac Surgery, Colin C. Yost, Ba, Jake L. Rosen, Ba, Kyle W. Prochno, Ba, Jenna Mandel, Bs, Daniella H. Wong, Bs, Caroline M. Komlo, Md, Jordan E. Goldhammer, Md, T. Sloane Guy, Md, Mba

Health Equity and Quality Improvement (HEQI) Summit

Cardiac surgery is traditionally associated with a postoperative length of stay (LOS) of at least one week.1-2. The reduced invasiveness of the robotic platform facilitates discharge on postoperative day one (POD1) or two (POD2), thus minimizing cost and risk of hospital-associated complications. We sought to evaluate the characteristics of patients who underwent POD1 or POD2 discharge after robotic cardiac surgery at Jefferson.

Sugar Crash! Time To Insulin Administration In The Emergency Department For Diabetic Ketoacidosis, Tara Rakiewicz, Md, Joey Junarta, Md, Gillian Naro, Md Med, Nicholas Noverati, Md Med, Sahaj Mujumar, Md, Christa Smaltz, Md, Sameep Thapa, Md, Evan Nardone, Md

Health Equity and Quality Improvement (HEQI) Summit

Project AIM: The time to insulin administration from ordering through JIIP protocol has been delayed in the Emergency Department. We have established a way to store prepared insulin infusions in the Emergency Department so they are readily available for administration. We anticipate to see a decrease in time to administration with our intervention of about 30 minutes.

Inpatient Management Of Delirium, Nicolas Gordon, Md, Chantel Venkataraman, Md, Vinay Rao, Md, Benjamin Claxton, Md Mph, Lauren Lally, Md, Danielle Fitzpatrick, Md, Shuji Mitsuhashi, Md, Michelle Perkons, Md

Health Equity and Quality Improvement (HEQI) Summit

This project will improve inpatient delirium treatment, with the aim of reducing use of nonviolent restraints by 10% on a single inpatient unit over a 3-month period.

Improving Serial Imaging Protocols In Spontaneous Intracerebral Hemorrhage, Kevin Hines, Md, Karim Hafazalla, Nikolaos Mouchtouris, Md, Fadi Al-Saiegh, Md, Giuliana Labella, Muhammad K. Athar, Md, Adam Flanders,Md, M. Reid Gooch, Md, Stavropoula Tjoumakaris, Md, Robert H. Rosenwasser, Md, Pascal Jabbour, Md

Health Equity and Quality Improvement (HEQI) Summit

The goal of this project has been to decrease unnecessary serial imaging in our patients in order to decrease resource utilization, decrease patient radiation, expedite movement of stable patients out of the ICU and/or disposition

Reusable Pulse Oximeters Could Result In Significant Cost Savings And Waste Reduction, Scott Dale, Md, Matthew Owrey, Alexa Tomlak, Kathryn Bormes, Allison Weiss, John Waters

Health Equity and Quality Improvement (HEQI) Summit

The goal of this project was to evaluate whether implementing reusable pulse oximeters impacts patient care, is financially feasible, and generally supported.

Improving Hepatitis C Screening At A Resident Clinic, Ryan Erwin, Michael Dong, Abdul Kazi, Carmine Ballarano, Connor Mclaughlin, Jonathan Fenkel

Health Equity and Quality Improvement (HEQI) Summit

The aim of our project was to improve HCV screening rates at JHAP through an Epic-based “Care Gap” notification, which will alert providers when a patient is eligible for HCV screening. Our smart aim is to improve HCV screening rates by 30%.

Improving Resident Continuity Clinic Efficiency, Victor S. Wang, Md, Karina Burda, Md, Megan Super, Md, Tzu-Ying Chuang, Md, Phd, Michelle Braslavsky, Do, Anna Volski, Md, Jessica Yi, Md, Ericka Wong, Md, Melissa Heiry, Md, Dhanashri Miskin, Md, Nina Martinez, Md, Anh-Thu Vu, Md

Health Equity and Quality Improvement (HEQI) Summit

Project AIM: By May2022, the Neurology Resident Continuity Clinic will improve the times to start staffing patients by 20%.

Dalbavancin Utilization And Associated Clinical Outcomes Within A Large, Integrated Health System, Meagan Greckel, Brent Footer

Providence Pharmacy PGY2 Program at Providence Medical Group 2022

No abstract provided.

Preoperative Phytonadione Supplementation For Mitral Valve Intervention Hemostasis, Katherine M. Nguyen, Joshua Francis, Celine Munoz, Torin P. Fitton

Providence Pharmacy PGY1 Program at Providence Portland and Providence St. Vincent Medical Centers 2022

No abstract provided.

Evaluation Of A Discharge Medication Access Service Program At Two Large Tertiary Medical Centers, Eva Huang, Theresa Morikawa, Adam Saulles

Providence Pharmacy PGY1 Program at Providence Portland and Providence St. Vincent Medical Centers 2022

No abstract provided.

Evaluation Of Specialty Pharmacy Productivity Metrics To Create An Updated Standardized Productivity Tool, David Kim, Adam Saulles, Ryan Bradley

Providence Pharmacy PGY1 Program at Providence Portland and Providence St. Vincent Medical Centers 2022

No abstract provided.

Evaluating The Impact Of A Pharmacist Run Pharmacotherapy Service On Hepatitis C Outcomes In A Large Integrated Health-System, Jessica Hendrix, Charmaine Hunt, Judy Perkins

Providence Pharmacy PGY1 Program at Providence Portland and Providence St. Vincent Medical Centers 2022

No abstract provided.

Evaluation Of A Beta-Lactam Antibiotic Allergy Assessment Tool For Patients Receiving Surgical Prophylaxis, Katelynn Tran, Alyssa B Christensen, Tobias Pusch, Jennifer Marfori

Providence Pharmacy PGY1 Program at Providence Portland and Providence St. Vincent Medical Centers 2022

No abstract provided.

Redeveloping Homeless History And Chronicity Documentation: A Study For Heartland Family Service, Rachel Riede

Theses/Capstones/Creative Projects

In recent months, the Permanent Supportive Housing (PSH) program at Heartland Family Service (HFS) has seen substantial delays during their intake process, specifically when it comes to verifying a client’s HUD-required homeless history. This has led to an increase in program vacancies, fewer clients served, and an underutilization of the program’s budget, which could also induce more permanent defunding in the future. While the agency is working to address this problem by retraining all of their case managers on how to collect homeless histories, this project seeks to instead identify and address the problem through the case managers’ perspective. Through …

Structure Of Number Theoretic Graphs, Lee Trent

Mathematical Sciences Technical Reports (MSTR)

The tools of graph theory can be used to investigate the structure
imposed on the integers by various relations. Here we investigate two
kinds of graphs. The first, a square product graph, takes for its vertices
the integers 1 through n, and draws edges between numbers whose product
is a square. The second, a square product graph, has the same vertex set,
and draws edges between numbers whose sum is a square.
We investigate the structure of these graphs. For square product
graphs, we provide a rather complete characterization of their structure as
a union of disjoint complete graphs. For …

Amphiphilic Cyclic Cell-Penetrating Peptides Containing Tryptophan And Arginine As Anticancer Agents And Drug Delivery System, Khalid Zoghebi

Pharmaceutical Sciences (PhD) Dissertations

Amphiphilic cyclic cell-penetrating peptides composed of an increasing number of alternative tryptophan (W) and arginine (R) were synthesized and evaluated as a molecular transporter and for their ability to deliver doxorubicin (Dox) and large molecular weight molecules, such as siRNA and proteins. We prepared a cyclic peptide containing alternative tryptophan (W) and arginine (R) residues and a lysine containing a free side chain amino group. Cyclic peptide [(WR)8WK βA] was conjugated through the free side chain amino group of β-alanine with Dox via a glutarate linker to afford [(WR)8WK]bA-Dox conjugate. The conjugate inhibited the cell viability of ovarian adenocarcinoma (SK-OV-3) …

Race, Gender, And Socioeconomic Status Predicting Reading Achievement For Arkansas Delta Students In Grades 6-8, Cedric E. Hawkins

College of Education Dissertations

The purpose of this dissertation was to determine the predictive effects of race, gender, and SES on reading achievement for sixth-, seventh-, and eighth-grade students in the Arkansas Delta. A quantitative, regression strategy was used to analyze the data. Predictor variables for each hypothesis were race, gender, and SES. The criterion variable was reading achievement for Grades 6, 7, and 8. The sample included 450 individual students from three participating schools located in the Arkansas Delta. The results were analyzed by examining the combination of predictor variables. Also, each predictor variable was examined individually to ascertain how much the predictor …

A Longitudinal Study Of High School Success, College Readiness, And College Success Among High School Students, Coniell Bursac

College of Education Dissertations

The purpose of this dissertation was to use the Education Longitudinal Study of 2002 data set, a nationally representative and longitudinal study of high school students, to determine if the combination of Goals and Expectations, Outcomes and Measures, Pathways and Supports, and Resources and Structures strands of the Organizer Model significantly predict high school success, college readiness, and college success among high school students in the United States. Second, this study was to determine if high school success and college readiness significantly mediate the effects of mentioned strands on college success while controlling for demographic, socioeconomic, and geo regional characteristics. …

Repeated Targets Of Natural Selection During Ecological Transitions Of Fish Across Salinity Boundaries, Jonathan P. Velotta, Stephen D. Mccormick, Andrew Whitehead, Catherine S. Durso, Eric T. Schultz

EEB Articles

Ecological transitions across salinity boundaries have led to some of the most important diversification events in the animal kingdom, especially among fishes. Adaptations accompanying such transitions include changes in morphology, diet, whole-organism performance, and osmoregulatory function, which may be particularly prominent since divergent salinity regimes make opposing demands on systems that maintain ion and water balance. Research in the last decade has focused on the genetic targets underlying such adaptations, most notably by comparing populations of species that are distributed across salinity boundaries. Here, we synthesize research on the targets of natural selection using whole-genome approaches, with a particular emphasis …

Halodash: The Deep And Shallow History Of Aquatic Life's Passages Between Marine And Freshwater Habitats, Eric T. Schultz, Lisa Park Boush

EEB Articles

This series of papers highlights research into how biological exchanges between salty and freshwater habitats have transformed the biosphere. Life in the ocean and in freshwaters have long been intertwined; multiple major branches of the tree of life originated in the oceans and then adapted to and diversified in freshwaters. Similar exchanges continue to this day, including some species that continually migrate between marine and fresh waters. The series addresses key themes of transitions, transformations, and current threats with a series of questions: When did major colonizations of fresh waters happen? What physiographic changes facilitated transitions? What organismal characteristics facilitate …

Revenue Collections, May 2022, Tennessee. Department Of Revenue

2022 Revenue Collection Reports

No abstract provided.

A Spatiotemporal Analysis Of Food Pantry Accessibility In Washington County, Arkansas, Coleman Warren

Industrial Engineering Undergraduate Honors Theses

Food pantries are an essential resource for impoverished and food insecure communities. Washington County, Arkansas has a food insecurity rate of 14.3% as compared to the national average of 10.9% (Feeding America, 2019). The Northwest Arkansas Food Bank has a robust pantry network in Washington County to support families and individuals who struggle with food insecurity.

We conducted a spatiotemporal analysis of food pantry accessibility in Washington County, Arkansas to evaluate the effectiveness of the food pantry network in Washington County at supporting communities with the most need. This analysis was conducted using the Two-Step Floating Catchment Area (2SFCA) method …