Medicine and Health Sciences Commons^™

2016-2017 Lsu Health Sciences Center In New Orleans Catalog/Bulletin, Office Of The Registrar

Catalogs and Bulletins

No abstract provided.

Nsu Sharks Rx-Summer, 2016, Nova Southeastern University

NSU Sharks Rx

No abstract provided.

Bahram & Camila, Bahram, Camila, Tsos

TSOS Interview Gallery

Bahram tells the story of the Afghanistan's 1992 government collapse and subsequent civil wars that destroyed the city of Kabul. "There was war in every alley, every house, every area and every village. 60,000 people were killed." Their family emigrated to Pakistan and after living there for some time, some relatives of a friend from their village travelled to Pakistan and required lodging so they stayed with Bahram's family. In some developing and under-developed countries, the custom of arranged marriage to child and infant daughters is practiced. These house guests demanded their one-year-old daughter be given in marriage to a …

Mina And Gulyar, Tsos

TSOS Interview Gallery

Mina:

Mina was the second polygamous wife to her husband in Afghanistan. After her husband’s death 16 years ago, her husband’s first wife and children took all the husband’s belongings as their own, including the house and land. Forced to find another place to live, Mina and her sons fled to Pakistan, where they lived until returning to Afghanistan to ask for their share of Mina’s husband’s property. In response, both Mina and her children were beaten, resulting in the death of her oldest son. Mina and her younger son, Gulyar, escaped, and as Gulyar hid, Mina buried her older …

Lima And Hanif, Tsos

TSOS Interview Gallery

In Afghanistan, Lima worked as a teacher, and her husband worked (and continues to work) for the government as an agricultural manager. She has a fourteen-year-old son who is deaf and has related speech problems; he could not be treated for them properly in Afghanistan. Because her uncle was very wealthy, Lima received daily threats that her son would be kidnapped and held for ransom. Her uncle went to Germany with his own children and her son to protect them from the kidnapping threats.

Although Lima’s son was safer in Germany, she still faced threats because of her work as …

What's Happening: June 27, 2016, Maine Medical Center

What's Happening

No abstract provided.

What's Happening: June 20, 2016, Maine Medical Center

What's Happening

No abstract provided.

Week Of June 20, 2016, New York Medical College

InTouch

• Victor T. Madubuko Is Named Diversity and Inclusion Officer
• Department of Family and Community Medicine Hosts Annual Faculty Appreciation Dinner
• NYMC Honors Preceptors and Seminar Leaders at Annual Dinner
• School of Medicine Joins Ranks of AAMC Te4Q Sites

Cannabinoid Receptor Type-2 Modulates Nociceptive Signaling Molecules In A Model Of Post-Concussion Headache, Jarred M. Stratton, Lan Cheng, Ashley L. Tyburski, Jessica Perino, Melanie B Elliott

Department of Neurosurgery Posters

Abstract

The goal of this study was to investigate the role of the cannabinoid receptor type-2 (CB₂R) in the trigeminal pain pathway in a model of post-concussion headache. Sprague Dawley rats were randomized to receive either a repeated mild closed head injury (CHI) or served as incision controls. Changes in CGRP, nNOS, and IBA-1 were assessed in the trigeminal nucleus caudalis (TNC) and trigeminal ganglia via IHC. A subset of CHI rats received either a cannabinoid receptor type 2 (CB₂R) anti-inflammatory agonist (JWH133), an NSAID (Ketorolac), or vehicle and underwent von Frey testing for trigeminal allodynia. …

Gastric Pepsin In Post-Tympanostomy Tube Otorrhea, Jill N. D'Souza, Md, Erin Fields, Pa-C, Zhaoping He, Phd, Robert O' Reilly, Md

Department of Otolaryngology - Head and Neck Surgery Posters

Introduction

Otorrhea is the most common complication following tympanostomy tube placement, with an incidence commonly reported at around 20%. Topical otic antibiotic drops are typically used for relief of otorrhea in children with tympanostomy tubes. In children with recurrent otorrhea, gastroesophageal reflux and extraesophageal reflux have been postulated to be involved in the pathogenesis of otitis media with effusion¹. Middle ear inflammation is thought to be mediated by proteolytic activity of pepsin, as well as by the decrease in pH associated with reflux of gastric acid through Eustachian tube. The goal of this study is to examine the …

What's Happening: June 13, 2016, Maine Medical Center

What's Happening

No abstract provided.

On-Site Test Collection Intervention Improves Lead Screening Rates At An Urban Family Medicine Practice, Krys Foster, Md, Mph, Tina Castellan, Md, Kelly Lopez, Md, Pgy-Iii, Phoebe Askie, Md, Mph, Daniel Chung, Md, Laura Parente, Md, Yury Parra, Md Pgy2, Grace Amadi, Md, Mariana R. Kuperman, Md, Mph, Bruce Reaves, Md, Marc Altshuler, Md

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

Study Aims:

Examine the effect of on-site lead screening collection on resulted lead screening rates.

The (R)- Isomer Of Isometheptene Decreases Trigeminal Sensitivity In A Rat Model Of Primary Headache, Jessica Perino, Ms, Nathan T. Fried, Phd, Michael L. Oshinsky, Phd, Bruce Daugherty, Phd, Mba, Seth Lederman, Md, Melanie B Elliott, Phd

Department of Neurosurgery Posters

Introduction

Isometheptene is thought to be the active ingredient of the commonly known headache medication, Midrin. Previously, we found only the (R) enantiomer to be effective in alleviating headache behavior in two models of headache compared to the (S) enantiomer.

Experiments using electrical and mechanical stimulation of the dura in animals with no history of head pain have been used to elucidate the mechanisms of the trigeminovascular system at the level of the trigeminal ganglion, trigeminal nucleus caudalis, periaqueductal gray, and the thalamus. The limitation of these acute models is that electrical and mechanical stimulation of the dural blood vessels …

Improving Colon Cancer Screening In Jefferson Hospital Ambulatory Practice, Rady Ho, Md, Ravi Patel, Md, Matthew Zheng, Md, Albert Lee, Md

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

AIM:

We want to improve our colorectal screening rates for Tuesday JHAP patients to 40% by March 2016.

We will assess monthly rates of the % of patients who received CRC screening over the past 10 years.

This will improve overall health maintenance, and find/prevent pre-cancerous lesions. This potentially improves the life expectancy of our population.

At The Leading Edge Of Change: Creation Of The Housestaff Quality And Safety Leadership Council, Ruben Rhoades, Md, Adam P. Johnson, Md, Mph, Rebecca C. Jaffe, Md, Bracken Babula, Md

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

Background:

The ACGME Clinical Learning Environment Review (CLER) is driving a national re-evaluation of the engagement and alignment of housestaff in institutional Quality and Safety.

In 2008, the concept of a housestaff quality and safety committee was born, as a means of driving practice change

Our CLER data suggested that we need a similar council

To Fib Or Not To Fib: Misdiagnosis Of Atrial Fibrillation On Telemetry: Case Presentation And Root Cause Analysis, Andrew W. Panakos, Md, Loheetha Ragupathi, Md, Sarah Feldman, Rn, Brittany Heckel, Susannah Eckman, Rebecca C. Jaffe, Md

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

Case presentation, current practices of telemetry management, root cause analysis, goals for improvement, proposed intervention and next steps.

Engaging In Change: Smoking Cessation In An Ambulatory Residency Clinic, Benjamin Khazan, Md, Ankita Mehta, Md, Neena Mohan, Md, Albert Lee, Md

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

AIM:

Decrease the quantity of daily cigarettes smoked by 25% in cigarette smokers receiving their care at an ambulatory resident practice from January 2016 to May 2016.

Getting Engaged: Efforts To Increase Housestaff Event Reporting, Adam P. Johnson, Md, Mph, Ruben Rhoades, Md, Allison Greco, Md, Caitlyn Sidrane, Mph, Bracken Babula, Md, Rebecca C. Jaffe, Md

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

Background:

Residents traditionally are under-engaged in event reporting through institutional channels.

The ACGME Clinical Learning Environment Review prioritizes this issue, and is establishing national benchmarks.

In 2015 the Housestaff Quality and Safety Leadership Council selected Increasing Error Reporting as their clinical quality initiative.

Got Diabetes? With Us, You'll Have Complete Diabetic Care, Mansi Shah*, Md, Hasmik Minasyan*, Md, Alison Liss*, Md, John Caruson, Md, Loren Chen, Md, Albert Lee, Md

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

AIM:

By April 2016, we aim to improve Complete Diabetic Care of Thursday JHAP Clinic's patients with diabetes by 50%.

* These authors contributed equally

Appropriate Utilization Of Diabetic Diets For Inpatients, Neha Agarwal, Md, Tasha Kouvatsos, Md

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

AIM:

To increase the number of diabetic patients that are ordered a diabetic diet at time of admission

So that blood sugars may be better controlled throughout admission with decreased usage of CDI

Taking The "E" Out Of Night "Mare" Rotation: Uncloaking Ghost Admissions Via Teletracking And Reducing Paper Fatigue, Ramya Punati, Md, Jaehee Kim, Md, Rebecca C. Jaffe, Md, Lakshimi Ravindran, Md, Bracken Babula, Md

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

Goal:

To improve communication at admission for patients admitted from non-ED locations so that patient care delays are minimized and provider frustration decreases.

Easy Identification Of Missed Dvt Prophylaxis-A Chance For Intervention, Kinjal Parikh, Md, Shuwei Wang, Md, Kimberly Conway, Rn, Rebecca C. Jaffe, Md

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

Goal:

"To minimize the number of missed or refused medications for inpatients so that adverse patient events such as PE or DVT are prevented"

SMART AIM: Within 3 months of initiating an EMR based electronic identification system for refused and missed medications, we will decrease the rate at which DVT prophylaxis was ordered however not eventually administered by 50%.

Improving Influenza Vaccination Rates And Understanding Reasons For Patient Refusal At Jefferson Hospital Ambulatory Practice, Daniel Brandt, Md, Ashley Butland, Md, Kevin Kwak, Md, Joseph Yoo, Md, Albert Lee, Md, Susan West, Md

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

AIM:

Improve influenza vaccination rates for eligible patients at the Jefferson Hospital Ambulatory Practice to levels above the national average of 43.6% between October 2015 and March 2016 with universal screening and improved documentation.

To characterize reasons for patients who did not receive vaccination.

Using A Swift Score Guided Time Out To Reduce Medical Icu Readmission Rates, Justin Herman, Md, Andrew Dargan, Md, John Madara, Md, Michael Baram, Md, Bharat K. Awsare, M.D., Fccp

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

AIM:

For patients admitted to the medical ICU over an additional period of 17 months, our goal is to reduce the rate of ICU readmissions within 72 hours of transfer out of the ICU to less than 2%. This will as a result reduce the costs of care, length of stay, and in-hospital mortality rates for these patients.

Understanding And Improving Patient Arrival Rates At An Urban Ambulatory Medicine Resident Clinic, Teresa Lee, Md, Shuwei Wang, Md, Susan Truong, Md, Albert Lee, Md

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

AIMS:

To improve the arrival rate of patients at the Jefferson Hospital Ambulatory Practice (JHAP) by 10% over a 10-month period from July-April 2016 using a combination of additional reminder calls and targeted summaries from physicians.

Improving Influenza Vaccination Rates In The Hiv Population At An Academic Clinic, Anusha G. Govinda, Md, Anita Modi, Md, Emma Biegacki, Bryan Hess, Md

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

AIM:

Performance measure: Percentage of HIV-infected patients with documentation of influenza vaccination in Allscripts.

Numerator: Number of HIV-infected patients who have obtained an influenza vaccine during influenza season.

Denominator: Total number of HIV-infected patients at the Jefferson Infectious Disease (ID) Clinic

Patient exclusions: Those who are allergic to eggs or have had allergic reactions to the influenza vaccine in the past

Goal: "75% of HIV-infected patients at the Jefferson ID clinic will be vaccinated against influenza and documented in Allscripts during influenza season"

Medication Errors And Hospital Admissions, A Tale Of Woe, Allison Greco, Md, René Daniel, Md, Raymond Janowski, Md, Bracken Babula, Md

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

Goal for Improvement:

To improve proper medication regimens for patients as they transition between healthcare settings

So that patients achieve improved outcomes and reduced hospital admissions caused by medication errors

SMART aim is to decrease teh number of discrepancies between discharge medication lists and pill bottles or blister packs produced at one-week follow up with Jefferson PCP by 10% within six months.

Medical Student And Resident Foley Catheterization Training Program To Decrease Post-Operative Catheter Associated Urinary Tract Infections, Peter J. Altshuler, Adam P. Johnson, Md, Mph, Danica Giugliano, Md, Gerald A. Isenberg, Md, Scott W. Cowan, Md

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

Objective:

Determine whether a more comprehensive medical student urinary catherer training curriculum can be successful in decreasing post-operative CAUTI rates in general and vascular surgery patient populations.

Primary target:

Reduce post-operative UTI rates by 0.5% over 6 months

Secondary targets:

Achieve 100% medical student confidence in Foley catheter placement, understanding indications and contraindications to urinary catheterization.

Improve objective performance of urinary catheterization skills as determined by objective clinical skills exam (OSCE) scores.

Screening For Venous Thromboembolism In Asymptomatic Trauma Patients: Effective In High Risk Patients, Seth Stake, Bs, Adam Wallace, Bs, Deepika Koganti, Md, Pgy-4, Adam P. Johnson, Md, Mph, Joshua A. Marks, Md, Scott W. Cowan, Md, Murray Cohen, Md

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

Hypothesis:

Through data analysis of a large cohort of trauma patients, a clinically applicable protocol can be developed based on various predisposing factors for VTE in asymptomatic patients. By isolating the factors that make these patients high risk for VTE, we can effectively lower the incidence of PE in hospitalized trauma patients.

Analyzing Patient Satisfaction And Improved Physician-Patient Communication Using Introductory Brochures, Raza A. Hasan, Md, Lily Ackermann, Md

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

AIM:

Assess how the use of introductory brochures added to patient satisfaction at time of discharge. Also, assess whether the brochure helped foster improved physician-patient communication.