Medicine and Health Sciences Commons^™

A Natural Fit: Collaborations Between Community Health Centers And Family Planning Clinics, Rachel Benson Gold, Marcie Zakheim, Jillanne M. Schulte, Susan F. Wood, Tishra Beeson, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Federally Qualified Health Centers (FQHCs) and family planning clinics funded through Title X of the Public Health Service Act are critical components of the health care safety net in urban and rural medically underserved communities. Although they share the common mission of serving vulnerable and low-income populations, health centers and Title X clinics possess different, but complementary, strengths. The Patient Protection and Affordable Care Act (Affordable Care Act) will expand coverage to an additional 32 million people while leaving 23 million uninsured. Most of the newly insured and the remaining uninsured will be residents of medically-underserved communities, and thus, positioning …

Comparative Immunogenicity Of Na-Gst-1 Human Hookworm Vaccine With Synthetic Glucopyranosyl Lipid Adjuvant (Gla) In Balb/C Mice, Amar R. Jariwala, Brian Keegan, Jordan L. Plieskatt, Maria Elena Bottazzi, Peter J. Hotez, Jeffrey M. Bethony

Microbiology, Immunology, and Tropical Medicine Posters and Presentations

More than 740 million people worldwide are infected with Hookworm. Hookworm infection is most prevalent in the poorest of the poor populations of the world, and has serious health effects. Hookworm infection causes blood loss leading to iron deficiency anemia and protein energy malnutrition, which results in a compromised immune response. Consequently, the target human population suffers from an increased susceptibility to infectious diseases including hookworm infection. We have developed recombinant adult hookworm vaccines against hookworm infection to break this vicious cycle. Toll-like receptor (TLR) 4 agonist are known to boost immune response in healthy and immunocompromised individuals. We believe …

Medicine + Health, Fall 2011, George Washington University, School Of Medicine And Health Sciences, Office Of Communications And Marketing

Medicine + Health Magazine

No abstract provided.

Transgenic C. Elegans Dauer Larvae Expressing Hookworm Phospho Null Daf-16/Foxo Exit Dauer, Verena Gelmedin, Thomas Brodigan, Xin Gao, Michael Krause, Zhu Wang, John M. Hawdon

Research Center for Neglected Diseases of Poverty

Parasitic hookworms and the free-living model nematode Caenorhabtidis elegans share a developmental arrested stage, called the dauer stage in C. elegans and the infective third-stage larva (L3) in hookworms. One of the key transcription factors that regulate entrance to and exit from developmental arrest is the forkhead transcription factor DAF-16/FoxO. During the dauer stage, DAF-16 is activated and localized in the nucleus. DAF-16 is negatively regulated by phosphorylation by the upstream kinase AKT, which causes DAF-16 to localize out of the nucleus and the worm to exit from dauer. DAF-16 is conserved in hookworms, and hypothesized to control recovery from …

Vhs To Dvd--The Media Collection Upgrade Story At Himmelfarb Library, Catherine R. Harris, Kathe Obrig, George P. Paul

Himmelfarb Library Faculty Posters and Presentations

From the mid-1980s through the mid-2000s, Himmelfarb Health Sciences Library's collection of films, slides, audio and video tapes, and other similar "audiovisual" materials grew to over 1,000 items. After an assessment of the A/V collection, it was determined that the videocassette tapes (VHS) could be converted to or purchased in DVD format. This poster explains the background, process, results, and conclusions of how the VHS-to-DVD conversion and replacement project was implemented.

Capitalizing On Our Strengths: Teaching Health Informatics Courses, Anne Linton, Laura E. Abate

Himmelfarb Library Faculty Posters and Presentations

This poster presents the experiences of two health sciences librarians teaching health informatics in semester-length credit courses--one for undergraduate health sciences students in a distance education format and the other for graduate students in a health information technology program in a traditional classroom environment.

Strengthening E-Professionalism: Discussing Social Media Dos And Don'ts With Students And Faculty, Gisela Butera, Thomas Harrod, Alexandra Gomes, Anne Linton

Himmelfarb Library Faculty Posters and Presentations

This poster presentation describes several incidents of medical professionals and students engaging in professional misconduct using social media online. It also gives advice on discussing and providing information sessions to students and faculty of health care learning institutions.

Strengthening Our Collaborations: Building An Electronic Health Record Educational Module, Alexandra Gomes, Anne Linton, Laura E. Abate, Elizabeth Palena Hall

Himmelfarb Library Faculty Posters and Presentations

Spurred by the growing adoption of electronic health records, librarians developed an online educational module for second year medical students which was integrated into existing curriculum. This poster presentation is a summary of the project, which required collaboration with staff from the faculty practice group's IT division, the library's web services division, and members of the reference department.

Librarians As Participants In A Medical School Advanced Teaching Program, Anne Linton, Laura E. Abate

Himmelfarb Library Faculty Posters and Presentations

Librarians of Himmelfarb Health Sciences Library are now participating in a joint program of the School of Medicine and Health Sciences (SMHS) and the Graduate School of Education and Human Development of the George Washington University. The program, called the Master Teacher Leadership and Development Program (MTLDP), has increased library visibility and an expanded faculty understanding of how library resources and services can enhance education. This poster presentation is a general outline of the program's benefits to the library.

Collecting Overdue Library Books While Simultaneously Benefiting The Community: The Food For Fines Program, Catherine R. Harris, Kathe Obrig, Kathleen Lyons

Himmelfarb Library Faculty Posters and Presentations

This poster presentation is a detailed description of the background, process, promotion, results, and conclusions of an academic library community service project. The "Food for Fines" program, implemented at Himmelfarb Health Sciences Library was designed to encourage the collection of fines for overdue items. One non-perishable food item was accepted for every $1.00 in overdue fines, to a maximum of $20.00. These food items were donated to a local food bank in the Washington, DC, area.

Individual And Small-Group Market Health Insurance Rate Review And Disclosure: State And Federal Roles After Ppaca, Kathryn Linehan

National Health Policy Forum

Oversight of private insurance, including health insurance, is primarily a state responsibility. Each state establishes its own laws and regulations regarding insurer activities, including premium increases for the insurance products within its purview. The authority that state regulators have to review and deny requests for premium changes varies from state to state, as do the amount of resources available to state insurance departments for reviewing premium changes. In some markets where insurers have proposed or implemented steep increases, such changes have received considerable attention from the press, state regulators, and policymakers. The Patient Protection and Affordable Care Act (PPACA) requires …

Community Health Centers And The Economy: Assessing Centers' Role In Immediate Job Creation Efforts, Sara J. Rosenbaum, Peter Shin

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Federal investment in community health centers not only creates health care access but, based on previous studies, generates an estimated 8:1 return for medically underserved communities while creating thousands of jobs. Since our earlier 2008 economic impact study, Congress has made two major program investments: $2 billion under the American Reinvestment and Recovery Act (ARRA) of 2009; and $11 billion under the Affordable Care Act (ACA). This analysis measures the economic and jobs-creation benefits of this cumulative investment in health centers, as well as the impact of legislation enacted in April, 2011, which reduced the first year of new …

Aligning Graduate Medical Education With Public Policy, Rob Cunningham

National Health Policy Forum

In late May–early June 2011, the Forum sponsored a site visit to Denver, Colorado, to observe innovative efforts to improve the health of Coloradans and reduce the cost of health care. The three-day agenda was designed to convey the breadth and interconnectedness of the efforts underway in Denver and to highlight both successes and challenges. The exploration concentrated on how three themes of national interest are unfolding in Denver: building and sustaining a robust and effective safety net in an evolving health care market; improving the health of people and their communities to prevent and reduce the need for health …

A Night Team Curriculum For The Inpatient Service, Priti Bhansali, Christine Skurkis, Karin Gray, Aisha Davis, Edwin Zalneraitis

E-Learning Modules

Due to ACGME work duty hour requirements, many residency programs have initiated a Night Team (NT) rotation. There may be limited direct contact with faculty overnight. The provision of an educational experience and ability to evaluate performance on the NT rotation are needed. This curriculum, originally developed at the University of Connecticut Pediatric Residency Program, may be adapted for other programs.

Goals for the rotation were developed with resident input and include:

1. Improving clinical reasoning and communication skills.
2. Increasing faculty feedback.
3. Providing appropriate patient surveillance.
4. Enhancing the teaching role of the senior resident.

Educational activities include:

1. Periodic structured audit of …

Himmelfarb Headlines - September/October 2011, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Headlines (2009 - present)

News and information about Himmelfarb Health Sciences Library of interest to users. Includes articles on Natural Standard, QR codes, and profiles of Nancy L. Falk, PhD, MBA, RN, and Elaine Sullo.

Creating Linkable Subject Bibliographies And New Book Lists In Symphony, Jolinda Thompson

Himmelfarb Library Faculty Posters and Presentations

Presents methods for creating subject bibliographies and new books lists in the SirsiDynix Symphony Integrated Library System. The links to these bibliographies can be used in other formats, such as library guides and web pages.

Bending The Health Care Cost Curve In North Carolina: The Experience Of Community Health Centers, Patrick Richard, Peter Shin, Kristina Vasilkovska, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

North Carolina is known for innovative practices in primary care delivery and education, and accordingly one might expect to see greater efficiencies overall in care delivery, and less direct, measurable impact by community health centers on cost and outcome. Of interest is whether community health centers (CHCs) are cost effective providers in states with a sophisticated primary care infrastructure and focus on the needs of medically underserved communities. Building on the large body of health services research literature that has documented the quality and cost-effectiveness of federally-funded primary health centers nationwide, as well as estimates of national savings that are …

The Situation Analysis Of Children And Women In Belize 2011: An Ecological Review, Mark C. Edberg, C. Chambers, D. Shaw

Center for Social Well-Being and Development

No abstract provided.

Mmp9 Cleavage Of The Β4 Integrin Ectodomain Leads To Recurrent Epithelial Erosions In Mice, Sonali Pal-Ghosh, Tomas Blanco, Gauri Tadvalkar, Ahdeah Pajoohesh-Ganji, Arpitha Parthasarathy, James D Zieske, Mary Ann Stepp

Anatomy and Regenerative Biology Faculty Publications

Integrin α6β4 is an integral membrane protein within hemidesmosomes and it mediates adhesion of epithelial cells to their underlying basement membrane. During wound healing, disassembly of hemidesmosomes must occur for sheet movement-mediated cell migration. The mechanisms of disassembly and reassembly of hemidesmosomes are not fully understood. The current study was initiated to understand the underlying cause of recurrent corneal erosions in the mouse. Here, we show that in vivo: (1) MMP9 levels are elevated and β4 integrin is partially cleaved in epithelial cell extracts derived from debridement wounded corneas; (2) the β4 ectodomain is missing from sites where erosions develop; …

Influenza Vaccination Of The Healthcare Workforce: Developing A Model State Law, Alexandra M. Stewart, Marisa A Cox

Health Policy and Management Faculty Publications

No abstract provided.

Rasch Analysis Of Repeated Measures, Trudy Mallinson

Health, Human Function, and Rehabilitation Sciences Faculty Publications

Repeated measures are common in rehabilitation studies where patients are scored on assessments at both admission and discharge. Yet repeated measures produce dependencies among responses. This paper presents an alternative approach that avoid dependencies in the data.

Addressing The Challenges Of Reporting On Childhood Asthma In A Changing Health Care System: Building Better Evidence For High Performance, Meagan Lyon, Anne Rossier Markus, Maya Tuchman Gerstein, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Childhood asthma is a serious and costly chronic disease that burdens children and families as well as the health care systems that serve them. A key element to improving asthma outcomes is access to timely and useful data that can improve the quality of care and inform programs and policies to best serve those communities most burdened by asthma. This Policy Brief examines the nation’s data collection framework for childhood asthma and considers steps that might be taken to strengthen it, including the development, collection and refinement of community-level data to inform local health care systems. Through a review of …

Rocky Mountain Highs And Lows: Efforts To Improve Health And Reduce Costs In Denver, Michele J. Orza, Jessamyn Taylor

National Health Policy Forum

In late May–early June 2011, the Forum sponsored a site visit to Denver, Colorado, to observe innovative efforts to improve the health of Coloradans and reduce the cost of health care. The three-day agenda was designed to convey the breadth and interconnectedness of the efforts underway in Denver and to highlight both successes and challenges. The exploration concentrated on how three themes of national interest are unfolding in Denver: building and sustaining a robust and effective safety net in an evolving health care market; improving the health of people and their communities to prevent and reduce the need for health …

Home, But Not Alone: Evidence-Based Maternal, Infant, And Early Childhood Home Visitation, Eileen Salinsky

National Health Policy Forum

Home visitation services for young and expectant families have the potential to improve child and parent outcomes in a broad variety of ways, but the effectiveness of home visits may depend on the nature, frequency, and duration of these services. The Patient Protection and Affordable Care Act of 2010 (PPACA) created a new federal funding stream to promote the development and implementation of evidence-based home visiting programs. This issue brief provides an overview of the newly established Maternal, Infant, and Early Childhood Home Visiting program, describes existing approaches to home visitation, and discusses the implications of federal funding for state …

Potency Testing For Ntd Vaccines: Determining Relative Potency For The Na-Gst-1 Human Hookworm Vaccine, Amar R. Jariwala, Brian Keegan, Pavithra Raghavendra, Jordan L. Plieskatt, Maria Elena Bottazzi, Peter J. Hotez, Jeffrey M. Bethony

Microbiology, Immunology, and Tropical Medicine Posters and Presentations

Over the next decade, a new generation of vaccines will target the neglected tropical diseases (NTDs) . The goal of most NTD vaccines will be to reduce the morbidity and decrease the chronic debilitating nature of these often-forgotten infections - outcomes that are hard to measure in the traditional potency-testing paradigm . The absence of measurable correlates of protection, a lack of permissive animal models for lethal infection, and a lack of clinical indications that do not include the induction of sterilizing immunity required us to reconsider the traditional bioassay methods for determining vaccine potency . Owing to these limitations, …

Himmelfarb Headlines - May/June 2011, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Headlines (2009 - present)

News and information about Himmelfarb Health Sciences Library of interest to users. Includes articles on the Health Policy Reference Center; highlighting and adding notes to web pages, e-texts, and PDFs; and profiles of Linda Werling, PhD, and Yvonne Lee.

Revising, Improving And Using A Locally-Developed Worksheet For Multiple Journal Requests To Simplify The Review Process, Steven W. Brown, Kathe Obrig

Himmelfarb Library Faculty Posters and Presentations

The Himmelfarb Health Sciences Library Serials Department implemented revisions to a previously developed worksheet used to aid in more effectively making collection development decisions. The worksheet as developed was used effectively, but subsequent questions and further input encouraged the original developer to identify additional parameters to measure, thus improving on the original worksheet. This poster presentation is a summary of the process and results of the improvements made to the worksheet.

Rethinking Library Service To Distance Education Students: Analyzing The Embedded Librarian Model, Elaine Sullo, Alexandra Gomes, Thomas Harrod, Gisela Butera

Himmelfarb Library Faculty Posters and Presentations

Himmelfarb Health Sciences Library has embedded librarians into Blackboard classes in the George Washington University School of Nursing and School of Medicine and Health Sciences. This poster is a summarized guide of how librarians can best support distance learning groups in the medical field.

Rethinking Our Mobility: Supporting Our Patrons Where They Live, Alexandra Gomes, Elizabeth Palena Hall, Laura E. Abate

Himmelfarb Library Faculty Posters and Presentations

In anticipation of the release of a mobile VPN to access the George Washington University wireless network, the Himmelfarb Health Sciences Library began developing materials and services to provide support to patrons. This poster is an outline of the mobile services that were implemented to reach patrons where they live.

Medicare's Accountable Care Organization Regulations: How Will Medicare Beneficiaries Who Reside In Medically Underserved Communities Fare?, Sara J. Rosenbaum, Peter Shin

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

On March 31, 2011, the Centers for Medicare and Medicaid Services (CMS) released proposed regulations implementing the Medicare Shared Savings Program (MSSP). The thrust of the MSSP is to promote savings to Medicare as well as the greater clinical integration of health care through incentive payments to accountable care organizations (ACOs) that meet Medicare standards for structure, performance, and health care outcomes. The effort to spur greater clinical integration through the MSSP was part of a broader set of reforms contained in the Affordable Care Act (ACA) whose aim was to improve health care quality and efficiency. Among these reforms …