Medicine and Health Sciences Commons^™

Evaluating Existing Efforts To Implement Quality Indicators In Behavioral Health Settings, Anam Ahmed

USF-LVHN SELECT

No abstract provided.

Physician Burnout, Emr Usage, And Factors Related Burnout, Naumaan Hafeez

USF-LVHN SELECT

No abstract provided.

Information Seeking Behavior Among Family Medicine Providers At Lehigh Valley Health Network, Matthew Molnar, Robert D. Barraco Md, Mph, S Reynolds, R Chan, Jordan Davies, Robert Postlethwaite, Monica Stewart, Nicholas Werbeckes, Rahul Mhaskar Md, Bryan G. Kane Md

USF-LVHN SELECT

No abstract provided.

Outcomes In Enhanced Recovery After Surgery In Gynecologic Oncology – Doing Our Part To Reduce Postoperative Opioid Use, Thomas P. Cacciola Md, Joshua Cohen, Martin A. Martino Md

USF-LVHN SELECT

No abstract provided.

Addressing The Healthcare Needs Of The Lehigh Valley Homeless Population In The Emergency Department, Kareem S. Elsayed Ms, Marna R. Greenberg Do, Mph, Facep

USF-LVHN SELECT

No abstract provided.

Information Seeking Behaviors Of Lvhn Providers: Implications For Future Educational Resource, Monica Stewart, Robert D. Barraco Md, Mph, Maria Karagias, S Reynolds, Jordan Davies, Matthew Molnar, Robert Postlethwaite, Nicholas Werbeckes, Rahul Mhaskar Md, Bryan G. Kane Md

USF-LVHN SELECT

No abstract provided.

Obesity Is Not Associated With A Differential Outcome Following Coronary Artery Bypass Surgery, Lohit Garg Md, Sahil Agrawal Md, Amitoj Singh, Raman Dusaj, Jamshid Shirani

Department of Medicine

Background: Conflicting data exists regarding the impact of obesity on mortality and morbidity following coronary artery bypass graft (CABG) surgery with some suggesting a paradoxical reduction in adverse outcomes. We aimed to compare the in-hospital outcomes of CABG in obese and non-obese subjects.

Methods: The Nationwide Inpatient Sample for years 2003- 2014 was used to identify adults (age ≥18 years) who underwent isolated CABG.

Results: A total of 2,297,932 patients underwent CABG of which 554,857 (28.2%) surgeries were for acute coronary syndrome (ACS) and 1,743075 (74.2%) were elective. Obese patients in either group were younger, were more likely to be …

Metastatic Cancers Treated With Concurrent Pd-1 Inhibition And Stereotactic Ablative Radiotherapy (Sabr), Jason Naziri Bs, Samuel Adediran Md, Suresh G. Nair Md

USF-LVHN SELECT

No abstract provided.

The Information-Seeking Behaviors Of Pediatricians Regarding Treatment Benefits And Harms At Lehigh Valley Health Network (Lvhn)., Nicholas Werbeckes, Robert D. Barraco Md, Mph, Maria Karagias, Monica Stewart, Samuel Reynolds

USF-LVHN SELECT

No abstract provided.

A Multi-Method Approach To Improving Preventative Care: Breast Cancer Screening At Lvhn, Gina Provenzano, Grant M. Greenberg M.D., M.H.S.A., M.A., Melanie B. Johnson Mpa, Kyle Shaak Bs

USF-LVHN SELECT

No abstract provided.

Lack Of Gender Differences In Prevalence Of Homelessness In The Lvhn Emergency Department Population, Timothy Batchelor

USF-LVHN SELECT

No abstract provided.

Aspirin For Prevention Of Preeclampsia: The Impact Of Recommendation Variations From 6 Professional Guidelines On Missed Opportunities For Prophlaxis, Vidhya Krishnan

USF-LVHN SELECT

No abstract provided.

A Multi-Methodological Examination Of Perceptions Surrounding Advance Care Planning (Acp), Aleksandra Bacewicz, Nicole Defenbaugh Phd

USF-LVHN SELECT

No abstract provided.

Cost Savings Achieved Through Introduction Of Holep And Care Pathway, Andrew Lai Mph, Benjamin Croll, Rohan Shah Bs, Jacob Rust Bs, Angelo A. Baccala Jr Md, Mba, James Johannes Md

USF-LVHN SELECT

No abstract provided.

An Analysis Of Concussion Management Within The Lehigh Valley Health Network Emergency And Pediatric Departments: Needs Assessment And Provider Based Educational Handout, John J. Petosa Jr

USF-LVHN SELECT

No abstract provided.

Cardiac Amyloidosis Masquerading As Hypertrophic Obstructive Cardiomyopathy, Lohit Garg Md, Naveen Sablani, Amy Ahnert, Bruce Feldman Do

Department of Medicine

Background: Cardiac amyloidosis (CA) remains a diagnostic challenge and is associated with significant morbidity and mortality.

Case: A 67-year old male was referred for septal myomectomy for hypertrophic obstructive cardiomyopathy (HOCM) due to worsening symptoms despite medical therapy. His medical history included chronic diastolic heart failure, and atrial fibrillation post pulmonary vein isolation. His examination revealed mid peaking crescendo-decrescendo systolic murmur, worse on Valsalva. An electrocardiogram revealed normal sinus rhythm and normal voltage. Transthoracic and transesophageal echocardiogram revealed asymmetric septal hypertrophy, chordal systolic anterior motion (SAM), and left ventricular (LV) obstruction with a peak gradient of 40 mmHg at rest. …

Type Ii Brugada Syndrome Syncopal Seizure: A Diagnostic Dilemma, Syed Rafay Ali Sabzwari, Nghia Hoang

Department of Medicine

Background: Type II Brugada syndrome is a rare entity that can present as syncope, sudden cardiac death, palpitations and nocturnal agonal respiration as a manifestation of ventricular tachyarrythmia. Although patients can experience a syncopal seizure, the dilemma between epileptic seizure and syncopal seizure due to type II Brugada syndrome is rarely encountered and reported in literature.

Case: 45 years old caucasian male with history of bicuspid aortic valve and no family history of sudden cardiac death or arrhythmia presented with generalized body shaking, unresponsiveness, mouth frothing and rolling of eyes for 4 minutes during sleep followed by 30 minutes of …

Outcomes Of Catheter Ablation For Supraventricular Tachycardia In Adult Patients With Congenital Heart Disease, Lohit Garg Md, Sahil Agrawal Md, Manyoo Agarwal Md, Brijesh Patel Md, Mahek Shah Md, Aakash Garg Md, Sudip Nanda Md, Facp, Talha Nazir Md, Raman Dusaj Md

Department of Medicine

Background: Supraventricular tachyarrhythmias (SVT) are common in adult patients with congenital heart disease (CHD). There is paucity of data regarding the safety and outcomes associated with catheter ablation in these patients.

Methods: We queried the National Inpatient Sample (NIS) to identify all adults patients > 18 years with CHD undergoing catheter ablation for SVT.

Results: Between 2003-2013, 5,966 patients with CHD underwent catheter ablation for SVT. Of these 4,769 were performed for atrial fibrillation or atrial flutter and rest for other SVTs. The mean age of these patient was 47+/- 15 years, 59.9% were males. 18% of patients experienced procedure related …

Risk Scores-Medical Derivatives., Ronald S. Freudenberger Md

Department of Medicine

No abstract provided.

Ensuring Proper Utilization Of Interpreter Services In The Emergency Department., Kirsten Cassidy Bsn, Rn, Elizabeth Dobo Bsn, Rn, Meggy Fernandez Bsn, Rn, Marissa Johnson Bsn, Rn, Madeline Trego Bsn, Rn, Jen Weimer Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Staff's Perception Of The Most Effective Methods To Learn New Information., Juliette Blanchard Bsn, Rn, Juliana Eichenberg Bsn, Rn, Michael Fang Bsn, Rn, Gelissa Lombard Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Recognizing Pre-Operative Anxiety In Acute Care Pediatric Patients., Kendra Prosser Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Turn Over For What: Pressure Injury Prevention And Nurse/Technical Partner Compliance., Kim Ni Bsn, Rn, Stephanie Byers Bsn, Rn, Laura Thomson Bsn, Rn, Kailyn Wunder Bsn, Rn, Isla Carruthers Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Open The Door To Small Bore., Christina Leinweber, Carly Hoskins, Jenna Wyncoll, Ryan Fuller, Gabrielle Matyus

Patient Care Services / Nursing

No abstract provided.

Chest Tube Removal Performed By Rn's., Robert Ealey Bsn, Rn, Ashley Hunter Bsn, Rn, Ryan Stuart Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Triple Pancreatic Walled-Off Fluid Collections Treated Simultaneously With Endoscopic Transmural Drainage., Sameen Khalid, Aamer Abbass, Eric Nellis Md, Shashin Shah Md, Hiral N. Shah Md

Department of Medicine

Pancreatic pseudocysts and walled-off pancreatic necrosis arise as a complication of pancreatitis. Multiple fluid collections are seen in 5-20% of the patients who have walled-off peripancreatic fluid collections. There is a paucity of data regarding the role of endoscopic transmural drainage in the management of multiple pancreatic fluid collections. In this case report, we present the case of a 72-year-old male with three walled-off pancreatic fluid collections in the setting of acute necrotizing pancreatitis. The patient underwent simultaneous endoscopic ultrasound-assisted cyst gastrostomy and cyst duodenostomy and aggressive irrigation without index endoscopic necrosectomy of the three peripancreatic fluid collections. Significant improvement …

Perception And Practice Among Emergency Medicine Health Care Providers Regarding Discharging Patients After Opioid Administration, Ryan M. Surmaitis Do, Alexandra Amaducci Do, Kathryn Henry Do, Michael Jong Md, Emily A. Kiernan Do, Hope Kincaid Mph, Cph, Lindsa Houck Msn, Rn, Nea-Bc, Cen, Cpen, Phrn, Sandra Sabbatini Bsn, Rn, Marna R. Greenberg Do, Mph, Facep, Kenneth D. Katz Md

Department of Emergency Medicine

Abstract

Purpose

This study aimed to determine the current attitudes, perceptions, and practices of emergency medicine providers and nurses (RNs) regarding the discharge of adult patients from the emergency department (ED) after administration of opioid analgesics.

Methods

A cross-sectional survey was administered at 3 hospital sites with a combined annual ED census of >180,000 visits per year. All 59 attending emergency physicians (EPs), 233 RNs, and 23 advanced practice clinicians (APCs) who worked at these sites were eligible to participate.

Findings

Thirty-five EPs (59.3%), 88 RNs (37.8%), and 14 APCs (60.9%) completed the survey for an overall response rate of …

Lowest Postoperative Prealbumin Is Associated With Worse Outcomes Following Robotic-Assisted Pulmonary Lobectomy, Anastasia Jermihov, Athanasios Tsalatsanis Phd, Shruti Kulkarni, Frank Velez, Carla Moodie Pa-C, Joseph Garrett Mph, Arnp-C, Jacques-Pierre Fontaine Md, Eric Tolozoa Md, Phd

USF-LVHN SELECT

No abstract provided.

Intravenous Insulin Infusion, Lehigh Valley Health Network

Department of Education

No abstract provided.

Department Of Education: Fy2018 Annual Report, Lehigh Valley Health Network

Department of Education

No abstract provided.