Medicine and Health Sciences Commons^™

School Of Nursing Newsletter Summer 2019, Southern Adventist University School Of Nursing

Southern Nursing - School of Nursing Newsletter

The Summer 2019 issue of the newsletter features information on accreditation renewal, appointment of Dr. Holly Gadd as dean, nursing honor class awards, spring break mission trips, faculty updates, and Campus Research Day.

Perspectives, Summer/Fall 2019, Volume 7, Number 2, Nova Southeastern University

Perspectives

No abstract provided.

Labrad : Vol 45, Issue 2 - July 2019, Aga Khan University Hospital, Karachi

LABRAD - Departments of Pathology & Laboratory Medicine and Radiology Archives

• Novel Molecular Technique for Identifying Respiratory Tract Pathogens
• Role of Serum Galactomannan (GM) Assay in Diagnosing Invasive Aspergillosis (IA)
• Factor VIII Inhibitor – A Diagnostic Approach
• PET/CT Hybrid Imaging Technology at Aga Khan University Hospital
• Diagnostic Tests for Von Willebrand Disease
• Iron Deficiency Anemia
• Sweat Testing for Diagnosis of Cystic Fibrosis
• Flow Cytometric Identification of Abnormal B-Cells
• Direct Immunofluorescence in Bullous Skin Disorders
• Radiology-Pathology Correlation; Orthopedic Pathology
• Fecal Elastase: A Marker For Exocrine Pancreatic Function
• Edward Syndrome: Rare Autosomal Aneuploidy
• Sirolimus in Renal Transplant
• Latest Trends in Clinical Laboratory Science Technology
• Radiology-Neuropathology Correlation
• Nuchal Translucency Scan
• Bio-risk Management System in …

Cime Newsletter : June - July 2019, Cime

Centre for Innovation in Medical Education (CIME) Archives

-Enhancing team leadership skills through simulation
-CIME’s first breech delivery workshop
-Surgical simulation workshop
-SONOGAMES
-Managing postpartum haemorrhage (PPH)
-Jugaad enabling a central line simulation
-Relieving urinary obstruction
-Got a housekeeping issue?

Baystate Library & Knowledge Services Newsletter - Summer 2019, Maria Roman

Library Newsletters

Baystate Library & Knowledge Services Newsletter - Summer 2019

The Write Stuff - Summer 2019 (Vol. 16, No. 3), Research Medical Library

Write Stuff 2019

• Using Research Resource Identifiers (RRIDs) to enhance rigor and reproducibility
• Court ruling sheds light on publishing giant OMICS International
• Manuscript presentation tips to improve the peer review process
• How to insert Greek letters, symbols, and other special characters in Word documents
• Changes to Plan S give researchers and publishers time to adapt
• Unusual terms used in scientific writing and publishing: Hanging indent

Transforming Trauma: Resilience And Healing Through Our Connections With Animals, Philip Teseschi, Molly Anne Jenkins

Purdue University Press Book Previews

Have you ever looked deep into the eyes of an animal and felt entirely known? Often, the connections we share with non-human animals represent our safest and most reliable relationships, offering unique and profound opportunities for healing in periods of hardship. This book focuses on research developments, models, and practical applications of human-animal connection and animal-assisted intervention for diverse populations who have experienced trauma. Physiological and psychological trauma are explored across three broad and interconnected domains: 1) child maltreatment and family violence; 2) acute and post-traumatic stress, including military service, war, and developmental trauma; and 3) times of crisis, such …

Inspire : Vol 2, Issue 7, Department Of Medicine

INSPIRE – Department of Medicine Archives

Content

• Message From The Chair
• ‘Life and Steth: Health Challenges of Pakistan’
• Dept. of Medicine Bids Farewell to One of its Own
• Peripherally Inserted Central Catheters (PICC) and Patients with Kidney Disease by Dr Sonia Yaqub
• Department of Medicine at National and International Forums
• Women in Medicine (WIM) at UC Davis Health Featured Faculty Profile Dr Ainan Arshad; “ Set small targets and celebrate little achievements as they come.”
• What Are Academics Around the World Reading This Month?
• Publications

July 2019, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

UV Safety Month

Summer has arrived and while the sun is shining bright it's a golden time to highlight July as UV Safety Awareness Month! We all love to take in those warm summer rays, but everyone must remember to protect their skin and eyes from the damaging effects of the sun.

What's Happening: June 24, 2019, Maine Medical Center

What's Happening

No abstract provided.

Week Of June 24, 2019, New York Medical College

InTouch

• NYMC Announces New Clinical Leadership in the School of Medicine
• Conference Addresses How the Microbiome Impacts Health and Wellness
• Robert B. Nadelman, M.D., Research Fellowship Pays Tribute to Esteemed Professor

What's Happening: June 17, 2019, Maine Medical Center

What's Happening

No abstract provided.

Obstetrical Providers’ Comfort And Knowledge Of Screening, Brief Intervention, And Referral To Treatment, Dennis J. Hand, Aasta Mehta, Emily Rosenthal, Alice C. Fischer, Tamara Tatevosian, Carrie Malanga, Laura Hart, Debra Dalessandro, Kristin Walker

Department of Obstetrics and Gynecology Posters

Background

Rates of substance use during pregnancy have continued to rise through 2017. It is likely that obstetrical providers are encountering many pregnant persons who use substances either during prenatal care or postpartum. Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based model that has been successfully implemented in some obstetrical settings, but its implementation has been sporadic. The objective of this study was to determine the baseline level of familiarity and use of SBIRT elements among obstetrical providers to identify needs for future SBIRT implementation efforts.

Methods

Participants were physicians, medical students, nurses, and other staff attending …

Patient And Student Experience On An Interprofessional Hotspotting Team, Steven Elsesser, Md, Elizabeth Feeney, Bsn, Katherine Petty, Spt, Kevin Shaloo, Spt, Nancy Tang, Pharmd

JCIPE Posters

The purpose of the Student Hotspotting initiative is to identify these individuals, understand their barriers and intervene by:

• Connecting them with community resources
• Improving coordination and communication between both providers and the patient
• Empowering these individuals to better manage their health

Our patient (DW) lives in a close-knit, 4-generation household that just welcomed their newest member: a black-and-white kitten

DW is a 61 year-old female who recently received orthotopic heart transplant. Her comorbidities include sleep apnea, GERD, OA, chronic pain syndrome, COPD and a history of a CVA

We identified 3 main barriers to address with DW

• Transportation difficulties
• Management …

Bridging The Gaps: Team 6 Hotspotting Experience, Sean O'Sullivan, Rebecca Schuck, Sean Tonnesen, Gabrielle Sallade, Emily Osisek, Avninder Ubhi

JCIPE Posters

Healthcare spending in the U.S. reached $3.5 trillion in 20171. Half of this spending was due to only 5% of patients. Hotspotting is the practice of identifying high-utilizing patients and providing them ancillary care. Supporting such patients with nutrition information, care coordination, clinician communication, health education, and treatment adherence coaching benefits the patients, clinicians, and healthcare system. The Jefferson Interprofessional Student Hotspotting Program places students of different educational programs into teams to identify high-utilizing patients and provide them individualized and holistic care. It is an intimate longitudinal clinical experience for students and an opportunity to improve the health of complex …

Interprofessional Student Hotspotting: Impact Of Federally Qualified Health Centers (Fqhc) On Complex Patients, Alexis Amendola, Pallavi Chary, Andrew Day, Graziella Holland, Michelle Murray, Jesse Simpson

JCIPE Posters

Individuals with complex health and social needs drive much of the total cost of care, accounting for nearly 50% of annual costs. Studies show that patients’ use of community health centers is associated with lower health care costs, less frequent use of emergency departments, and fewer preventable hospitalizations, compared to patients who do not use the health centers. Federally qualified health centers (FQHCs) provide patients with medical homes where they can build ongoing, personal relationships with treatment teams, resulting in continuous, comprehensive and integrated care.

Additionally, addressing these individuals' needs and decreasing costs requires interprofessional teams to engage with communities …

Interprofessional Student Hotspotting Learning Collaborative: A Student Initiative To Together Help Patients In Tangible And Intangible Ways, Kristin Brannon, Saskia Levy-Sheon, Michael Murphy, Megan Rankel, Caroline Christianson, Carly Alexander, Tejash Patel, Mariana Kuperman, Md, Leigh Ann Hewston, Pt, Dpt, Med, Ceeaa

JCIPE Posters

The Interprofessional Student Hotspotting Learning Collaborative brings together a team of students who work closely with individual patients with complex medical histories who are “super-utilizers” of health care resources.

Our goals:

• Provide a targeted, patient-centered approach to patient care
• Learn about our patient’s health from their perspective and develop a plan based on the patient’s goals and perceived needs
• Minimize misuse and miscommunication that had previously hindered the patient healthcare experience.
• Bring unique perspectives from each of our respective disciplines to improve upon inefficiencies in care
• Our team consisted of students from the colleges of Occupational Therapy, Physical Therapy, Nursing, …

Interprofessional Perspectives: Challenges & Lessons Learned From Participation In The Student Hotspotting Program, Alex Faus, Bs, Jennifer Newman, Ba, Stephanie Quist, Bm, John Ra, Bs, Madeline Runyen, Ba, Kelsie Wilhelm, Bsfs

JCIPE Posters

By participating in the Student Hotspotting Program, students learned that:

• Coordinating the care of a complex patient requires an interprofessional team
• Hotspotting interventions can often be complicated by uncontrollable circumstances
• Building trust is key to working with patients who may be hesitant to engage with the healthcare system
• Successful interprofessional healthcare teams are characterized by specific attributes
• As future healthcare practitioners, we can apply these lessons into our own interprofessional interactions to optimize our treatment plans for complex patients

An Overview And An Experience Of Hotspotting, Adam Myer, Allyson Psillos, Brianna Brown, Anne Bono, Stephen Kern, Phd, Otr/L, Faota, Jamie Smith, Michele Zawora, Md

JCIPE Posters

United States Healthcare Dilemma

In the United States, a large proportion of healthcare resources and costs are utilized by a small percentage of the population.

• Approximately 25% of the United States healthcare costs are incurred by 1 percent of the population, while 5% are of healthcare costs are incurred by 50% of the population. The small percentage of the individuals who consume large amounts of resources has led to the term “super-utilizers.”
• These patients usually have complex and hard-to-manage conditions, as well as socioeconomic barriers to care, which frequently lead to potentially avoidable emergency department and hospital admissions and complications. …

Student Hotspotting: A Novel Dynamic For Learners And Patients, Richard Jeffries, Lydia Glick, Katherine O'Rourke, Mi Bui, Jennifer Morelli, Katherine Cambareri, Florencia Campbell, Miranda Aragon, Tracey Vause-Earland

JCIPE Posters

About the Student Hotspotting Program:

A team of interdisciplinary students working with patients with complex medical and social needs

Identify "super-utilizers" of the healthcare system

• These patients frequently use the Emergency Department as primary source of medical care
• A "super-utilizer" of the ED is costly to the patient and system

Goals:

• Build relationships
• Identify needs and goals
• Provide support to navigate healthcare system and increase independence

Week Of June 11, 2019, New York Medical College

InTouch

• BioInc@NYMC Is Expanding
• Evening Honors Volunteer Preceptors

What's Happening: June 10, 2019, Maine Medical Center

What's Happening

No abstract provided.

Time Outs Take Teamwork Improving Patient Safety For Bedside Procedures, Thana Theofanis, Md, Adam Johnson, Md, Mph, Jennifer Harris, Md, Elly Fitzpatrick, Rn, Darlene Rosendale, Rn, Rebecca Jaffe, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Aims for Improvement

Mission: Improve patient safety through increasing interprofessional collaboration and empowerment in the peri procedural time periods.

Aims

• Increase rate of high quality time outs performed prior to bedside procedures by 50%
• Increase rate of accurate and timely timeout documentation by 50%

Ephb-Ephrinb Cis Interaction Regulates Filopodial Movement, Yu-Ting Mao, Matthew B. Dalva

Department of Neuroscience Posters

Neural connections are initiated by motile dendritic and axonal protrusions, such as dendritic filopodia and axonal growth cones. Dendritic filopodia interview many axons and then choose the correct ones to make stable contacts. Specific rates of EphB activation in dendritic filopodia controls the decision of filopodia to reject or stabilize a synaptic contact onto an axon. However, it remains unknown how EphB activity in dendritic filopodia is modulated to regulate filopodial decisions. Here using an optogenetic approach, we find that photoactivation of a cis-interaction between EphB2 and ephrinB3 prevents filopodial retraction, likely driving filopodial stabilization. Using photoactivatable EphB2KD as a …

Increasing Awareness For The Opioid Aftercare Coordination Service (Oacs), Michael Weintraub, Md, Harry Wang, Md, Sean Dikdan, Md, Mph, Alexys Monoson, Md, Shalini Krishnasamy, Jillian Zavodnick, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Background

• The United States is in a crisis of opiate related adverse events. From 1999 2017, more than 700,000 people in the U.S. died from drug related overdose; 68% of those involved opioids
• Admissions at Jefferson Hospital for opioid abuse complications are common among the medicine services. Treating patients for their opiate addiction is essential to prevent future opioid overdoses and other complications
• Jefferson has initiated an Opioid Aftercare Coordination Service (OACS) consult system in response to this crisis in order to increase the number of patients who receive medications for opioid use disorder on discharge
• OACS serves both Jefferson …

Improving Residents’ Response Time To Inbox Results, Sean Hurt, Md, Rose Onyeali, Md, Jason Ojeda, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Study Aims

• We aimed to improve the response times to inbox results of the residents and interns at Jefferson Internal Medicine Associates. A standard measure in EPIC is the percentage of inbox results responded to within 24 hours. At the time of project initiation, 50% of all results assigned to resident and intern inboxes were being responded to in this time frame . We aimed to improve this number to 70%
• There is no expectation that residents and interns could respond to all results within 24 hours. Trainee schedules are very crowded, and not all inbox results need to be …

Moisture Chamber For Eye Care After Facial Nerve Injury, Ryan Rimmer, Md, Lauren Bogdan, Md, Gregory Epps, Md, Nikolaus Hjelm, Md, Erin Reilly, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Introduction

• Patients with various lesions of the head and neck may have compromise of facial nerve function.
• Facial nerve (CN VII) has various roles, including movement of facial muscles and, importantly, eye closure.
• When facial nerve is sacrificed or damaged during a surgical cases, steps are often taken intraop to surgically correct the deficit and allow eye closure. However, these patients may not immediately realize the benefit of these interventions.
• In the postop period, appropriate eye care is critical to prevent exposure keratopathy due to inability to close eye.
• Exposure keratopathy is damage to the cornea that occurs primarily due …

Creation Of An Institutional Toolkit For Evaluation Of Multidisciplinary Handoffs, Richard F. Schmidt, Md, Courtney Devin, Md, Nicholas Tarangelo, Md, Andrew Mendelson, Md, Bracken Babula, Md, Rebecca Jaffe, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Objectives

1. Create a method for analyzing different handoffs in a variety of clinical settings and scenarios at TJUH.
2. Develop a set of standardized survey tools using existing validated language to quantify the perceptions, quality, and needs for different patient care transitions.
3. Use results from these tools to cater focused handoff improvement interventions for specific patient care settings.

Improving Ed Door To Puncture Times For Endovascular Thrombectomy In Acute Ischemic Stroke, Richard F. Schmidt, Md, Nabeel Herial, Md, Robin D'Ambrosio, Bsn, Erin Simko, Bsn, Fred Rincon, Md, Maria Aini, Md, Pascal Jabbour, Md, Stavropoula Tjoumakaris, Md, M. Reid Gooch, Md, Robert H. Rosenwasswer, Md, Robin Dharia, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Objectives

• Optimize the management of patients presenting to TJUH with AIS who are candidates for ET.
• Enable continued process improvement through improved data collection methods and identification of new process metrics.

Expanding Care Access For The Homeless Using Teledermatology, Elizabeth Schoenberg, Ba, Nicholas A. Ross, Md, Kathleen Mcguinn, Md, Rachelle Lacey, Md, Elizabeth Jones, Md, Matthew Keller, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Aims for Improvement

Specific: Expand dermatology care access to men’s shelters using a teledermatology model enabling us to determine the efficiency, feasibility, and relevance of delivering telehealthcare to the homeless population

Measurable: Surveys to determine patient and provider needs enabling creation of practice guidelines, as well as surveys measuring feasibility and efficacy of the teledermatology intervention

Assignable: JeffHOPE precepting medicine residents, on-call JeffHOPE dermatology residents, dermatology research fellow

Realistic: Pilot two interventions: 1) a teledermatology program to determine feasibility, utility, and efficiency of this care modality in a homeless population 2) a patient-centered practice recommendation booklet to best serve this …