Medicine and Health Sciences Commons^™

From Interprofessional Education To Collaborative Practice: A Jefferson Alumna's Perspective, Chelsea (Gorman) Lytle, Bsn, Rn

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

I graduated from Jefferson College of Nursing at Thomas Jefferson University in May 2015 and began my work as a perioperative nurse the following July. During my time at Jefferson, I not only participated in the Health Mentors Program (HMP), but was also given the opportunity to work closely with JCIPE and a group of students from other health care professions to refine and expand IPE offerings. We formed a student organization, now known as Jefferson Students for Interprofessional Education (JSIPE), which had three over-arching goals:

1. Students will gain exposure to real-world collaborative practice teams

2. Students will learn …

Leveraging Online Learning And Creative Narrative To Advance Interprofessional Competency Development, Karen T. Pardue, Phd, Rn, Cne, Anef, Shelley Cohen Konrad, Phd, Lcsw, Fnap

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

The need for health profession students to engage in collaborative interprofessional education (IPE) is abundantly evident. In contemporary practice, creating clinical environments which promote healing relies not just on the dispositions of individual clinicians, but also on the collective capacities of interprofessional healthcare teams (Konrad & Browning, 2012). Health profession educators are therefore increasingly challenged to: 1. design robust pedagogical curricula that prepare students with discipline-specific competencies to care for future patients; 2. offer shared learning experiences in which students develop interprofessional, team-based capacities grounded in intentional and respectful collaboration; and 3. cultivate an interprofessional culture amongst faculty that models …

A Community College's Foray Into Interprofessional Education, Judith Blum, Ms, Otr/L, Mary Kay Demarco, Phd, Rn, Cne

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

As initiatives and innovations in interprofessional education (IPE) continue to flourish in university settings, there is limited evidence this is occurring in two-year allied health and nursing programs found in community colleges. Recent literature indicates that graduates of associate degree allied health and nursing programs account for 49% of the total healthcare workforce (Brookings Institute, 2014). Graduates of these programs will work among those coming from university programs where IPE has been well established, therefore, it is imperative that this content be addressed at the community college. To meet this need, the Community College of Baltimore County’s (CCBC) School of …

From The Editors, Christine Arenson, Md, Elizabeth T. Speakman, Edd, Rn, Anef, Fnap, Lauren Collins, Md, Shoshana Sicks, Edm

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Happy Spring! You will notice that the Jefferson Center for Interprofessional Education (JCIPE) newsletter has undergone a name and layout change. This represents the many new directions our Center is taking in both interprofessional education (IPE) and collaborative practice (CP) training. Indeed, JCIPE has had another busy spring. We started the new year by piloting the patient version of the Jefferson Teamwork Observation Guide (JTOG) in the inpatient setting, expanding an outpatient pilot that started last fall. Thanks to many research assistants, we have been able to gather some rich and informative data and this summer we hope to have …

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.

Hexavalent Chromium Induces Malignant Transformation Of Human Lung Bronchial Epithelial Cells Via Ros-Dependent Activation Of Mir-21-Pdcd4 Signaling, Poyil Pratheeshkumar, Young-Ok Son, Sasidharan Padmaja Divya, Lilia Turcios, Ram Vinod Roy, John Andrew Hitron, Lei Wang, Donghern Kim, Jin Dai, Padmaja Asha, Zhuo Zhang, Xianglin Shi

Center for Research on Environmental Disease Faculty Publications

Hexavalent chromium [Cr(VI)] is a well-known human carcinogen associated with an increased risk of lung cancer. However, the mechanisms underlying Cr(VI)-induced carcinogenesis remain unclear. MicroRNA-21 (miR-21) is a key regulator of oncogenic processes. Studies have shown that miR-21 exerts its oncogenic activity by targeting the tumor suppressor gene programmed cell death 4 (PDCD4). The present study examined the role of miR-21-PDCD4 signaling in Cr(VI)-induced cell transformation and tumorigenesis. Results showed that Cr(VI) induces ROS generation in human bronchial epithelial (BEAS-2B) cells. Chronic exposure to Cr(VI) is able to cause malignant transformation in BEAS-2B cells. Cr(VI) caused a significant increase of …

A Technology-Mediated Behavioral Weight Gain Prevention Intervention For College Students: Controlled, Quasi-Experimental Study, Delia Smith West, Courtney M. Monroe, Gabrielle Turner-Mcgrievy, Beth Sundstrom, Chelsea Larsen, Karen Magradey, Sara Wilcox, Heather M. Brandt

Faculty Publications

BACKGROUND: Both men and women are vulnerable to weight gain during the college years, and this phenomenon is linked to an increased risk of several chronic diseases and mortality. Technology represents an attractive medium for the delivery of weight control interventions focused on college students, given its reach and appeal among this population. However, few technology-mediated weight gain prevention interventions have been evaluated for college students. OBJECTIVE: This study examined a new technology-based, social media-facilitated weight gain prevention intervention for college students. METHODS: Undergraduates (n =58) in two sections of a public university course were allocated to either a behavioral …

Female Chromosome X Mosaicism Is Age-Related And Preferentially Affects The Inactivated X Chromosome, Mitchell J. Machiela, Weiyin Zhou, Eric Karlins, Joshua N. Sampson, Neal D. Freedman, Qi Yang, Belynda Hicks, Casey Dagnall, Christopher Hautman, Kevin B. Jacobs, Christian C. Abnet, Melinda C. Aldrich, Christopher Amos, Laufey T. Amundadottir, Alan A. Arslan, Laura E. Beane-Freeman, Sonja I. Berndt, Amanda Black, William J. Blot, Cathryn H. Bock, Paige M. Bracci, Louise A. Brinton, H Bas Bueno-De-Mesquita, Laurie Burdett, Julie E. Buring, Mary A. Butler, Federico Canzian, Tania Carreon, Kari G. Chaffee, I-Shou Chang, Nilanjan Chatterjee, Chu Chen, Constance Chen, Kexin Chen, Charles C. Chung, Linda S. Cook, Marta Crous Bou, Michael Cullen, Faith G. Davis, Immaculata De Vivo, Ti Ding, Jennifer Doherty

Dartmouth Scholarship

To investigate large structural clonal mosaicism of chromosome X, we analysed the SNP microarray intensity data of 38,303 women from cancer genome-wide association studies (20,878 cases and 17,425 controls) and detected 124 mosaic X events 4 2 Mb in 97 (0.25%) women. Here we show rates for X-chromosome mosaicism are four times higher than mean autosomal rates; X mosaic events more often include the entire chromosome and participants with X events more likely harbour autosomal mosaic events. X mosaicism frequency increases with age (0.11% in 50-year olds; 0.45% in 75-year olds), as reported for Y and autosomes. Methylation array analyses …

Local Muscle Metabolic Demand Induced By Neuromuscular Electrical Stimulation And Voluntary Contractions At Different Force Levels: A Nirs Study, Makii Muthalib, Graham Kerr, Kazunori Nosaka, Stephane Perrey

Research outputs 2014 to 2021

Functional Muscle metabolic demand during contractions evoked by neuromuscular electrical stimulation (NMES) has been consistently documented to be greater than voluntary contractions (VOL) at the same force level (10-50% maximal voluntary contraction-MVC). However, we have shown using a near-infrared spectroscopy (NIRS) technique that local muscle metabolic demand is similar between NMES and VOL performed at MVC levels, thus controversy exists. This study therefore compared biceps brachii muscle metabolic demand (tissue oxygenation index-TOI and total hemoglobin volume-tHb) during a 10s isometric contraction of the elbow flexors between NMES (stimulation frequency of 30Hz and current level to evoke 30% MVC) and VOL …

Fh535, A Β-Catenin Pathway Inhibitor, Represses Pancreatic Cancer Xenograft Growth And Angiogenesis, Lu Liu, Qiaoming Zhi, Meng Shen, Fei-Ran Gong, Binhua P. Zhou, Lian Lian, Bairong Shen, Kai Chen, Weiming Duan, Meng-Yao Wu, Min Tao, Wei Li

Markey Cancer Center Faculty Publications

The WNT/β-catenin pathway plays an important role in pancreatic cancer carcinogenesis. We evaluated the correlation between aberrant β-catenin pathway activation and the prognosis pancreatic cancer, and the potential of applying the β-catenin pathway inhibitor FH535 to pancreatic cancer treatment. Meta-analysis and immunohistochemistry showed that abnormal β-catenin pathway activation was associated with unfavorable outcome. FH535 repressed pancreatic cancer xenograft growth in vivo. Gene Ontology (GO) analysis of microarray data indicated that target genes responding to FH535 participated in stemness maintenance. Real-time PCR and flow cytometry confirmed that FH535 downregulated CD24 and CD44, pancreatic cancer stem cell (CSC) markers, suggesting FH535 …

Medical School Watercooler Newsletter - June 12, 2016, Lindsey Lyle

Watercooler Newsletter

This is the June 12, 2016 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents Include:

• USA Pediatric Cardiology Clinic Receives Echocardiography Accreditation by the IAC
• Med School Café - Expert Advice for the Community
• USA, Greek Community Dedicate Hippocrates Park
• Class of 2018 Medical Students to Receive White Coats June 19

Lack Of An Association Or An Inverse Association Between Low-Density-Lipoprotein Cholesterol And Mortality In The Elderly: A Systematic Review, Uffe Ravnskov, Rokura Hama, Tomohito Hamazaki, Paul J. Rosch, Tore Schersten, Ralf Sundberg

NYMC Faculty Publications

OBJECTIVE: It is well known that total cholesterol becomes less of a risk factor or not at all for all-cause and cardiovascular (CV) mortality with increasing age, but as little is known as to whether low-density lipoprotein cholesterol (LDL-C), one component of total cholesterol, is associated with mortality in the elderly, we decided to investigate this issue.

SETTING, PARTICIPANTS AND OUTCOME MEASURES: We sought PubMed for cohort studies, where LDL-C had been investigated as a risk factor for all-cause and/or CV mortality in individuals ≥60 years from the general population.

RESULTS: We identified 19 cohort studies including 30 cohorts with …

Punishment From The Viewpoint Of Psychiatry, Robert P. Odenwald

The Catholic Lawyer

No abstract provided.

Food-Related Practices And Beliefs Of Rural Us Elementary And Middle School Teachers, Nancy Findholt, Betty T. Izumi, Jackilen Shannon, Thuan Nguyen

Community Health Faculty Publications and Presentations

INTRODUCTION:

Childhood obesity disproportionately affects rural populations; therefore, promoting healthy eating among rural children is essential. Teachers are important role models for children and can influence children's eating behaviors through their own behaviors and beliefs about food. This study examined the food-related practices and beliefs of rural elementary and middle school teachers.

METHODS:

Data were used from the SNACZ study, a school- and community-based trial conducted in rural Oregon. Kindergarten through eighth-grade teachers (n=87), teaching students usually aged 5-14 years, from eight rural school districts completed a baseline survey in November 2012 concerning their classroom food practices, eating behaviors at …

An Analysis Of Weight Loss Articles And Advertisements In Mainstream Women’S Health And Fitness Magazines, Danna Ethan, Corey H. Basch, Grace Clarke Hillyer, Alyssa Berdnik, Mary Huynh

Publications and Research

Background: Magazines are a commonly used source for health and fitness information. Little is known about the nature and extent of weight loss strategies and products presented in mainstream women’s health and fitness magazines.

Methods: This preliminary cross-sectional study evaluated the prevalence of articles and advertisements featuring weight loss content and products in mainstream US-based health and fitness magazines, as well as assessed weight loss themes presented. Thirty-one US health and fitness-focused magazine issues were coded. Prevalence of, product type, and themes related to weight loss in articles and advertisements were assessed.

Results: Among the 31 issues of the five …

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 …

Association Of Known And Unknown Oncoviruses With External Genital Lesion (Egl) Manifestations In A Multinational Cohort Of Men, Shams Ur Rahman

USF Tampa Graduate Theses and Dissertations

Human papillomaviruses (HPV) are double-stranded, DNA, epitheliotropic viruses that infect skin and mucosal membranes. Over 200 types of HPV have been identified and classified into alpha (α), beta (β), gamma (γ), mu (µ), and nu (ν) genera. HPV in the genus α mainly infect mucosal membranes, cause the majority of the ano-genital cancers, and are widely studied. However, epidemiology of HPV in the other genera, which mainly infect skin, is poorly understood. Few studies have reported the seroprevalence of cutaneous HPV among healthy individuals, and to date, no study has prospectively examined the association between cutaneous HPV seropositivity and development …

Guidelines Are Not Evidence, James P. Meza Md, Phd, Nicholus H. Yee Md

Clinical Research in Practice: The Journal of Team Hippocrates

Guidelines are inherently flawed when caring for an individual patient, because they apply to populations, not individuals. A strong competency in reading and interpreting clinical research gives doctors the power to evaluate guidelines and make appropriate shared decisions with their patients.

Research On Problem Gambling Websites, Chang Boon Patrick Lee

International Conference on Gambling & Risk Taking

This is a continuation of a series of studies on problem gambling websites. It has been noted in prior studies that one avenue problem gamblers might look for help was to go online to perform a web search. Online help is practical as help can be located immediately and this can help to ease the gamblers’ concerns that they are left alone to handle their own problems. While there are some anecdotal evidences regarding the success of problem gambling websites, there have been few empirical studies that relate directly to the perceptions and usefulness of the websites for the problem …

An Empirical Evaluation Of The Clubsnsw (Australia) Multi-Venue Self-Exclusion Program, Dylan A. Pickering, Alexander Blaszczynski, Sally Gainsbury, Rowan Cameron

International Conference on Gambling & Risk Taking

Few empirical studies have evaluated the effectiveness of self-exclusion programs. Research is required to identify factors contributing to decisions to enter and/or breach self-exclusion orders, or to self-excluded gamblers to seek additional treatment. Clinical characteristics of self-excluders remain relatively unknown in addition to factors that differentiate gamblers who do or do not breach. Limitations of current programs are that gamblers can self-exclude from only one or a limited number of venues. The Multi-venue Self-exclusion program, developed and implemented by ClubsNSW (Australia), is a centralised web-based system designed to help problem gamblers self exclude from up to 35 venues at a …

Mandatory Pre-Commitment Loss Limits: Six Years’ Experience Shows It Works, Bjorn H. Hoffmann

International Conference on Gambling & Risk Taking

The Norwegian state owned company Norsk Tipping is a pioneer in the gambling indusrty with its secure player identification and mandatory registered play across all channels. Knowing who your player is and having a strong link between the player and his consumption of games across all channels (land based, EGM, web and mobile) is an important premise for having a credible responsible gaming platform.

Norsk Tipping introduced in 2009 EGM’s with both pre commitment tools and maximum loss limits. In 2014 we introduced our Internet casino with probably the best responsible gambling platform in the world, including mandatory loss limits. …

Best Practices For Self-Exclusion Reinstatement And Renewal, Alex Price

International Conference on Gambling & Risk Taking

While many studies have examined self-exclusion few have focused on the processes through which gamblers return at the end of their agreements. In 2014, the RGC Centre for the Advancement of Best Practices examined voluntary self-exclusion reinstatement and renewal in an effort to develop evidence-informed best-practices for both land-based and online gambling operations. The presentation outlines the findings of the study and the recommended best practices for reintegration and ban renewal.

The study examined a range of practices around the world. In the end the study recommended an active reinstatement process in which all participants are required to apply to …

Monitoring Gambling Impacts In Massachusetts: Honing Strategies And Preventing Harm, Rachel A. Volberg, Amanda Houpt

International Conference on Gambling & Risk Taking

In November 2011, an Act Establishing Expanded Gaming in the Commonwealth of Massachusetts was signed into law (Chapter 194 of the Acts of 2011). This legislation permits casinos and slot parlors in Massachusetts under the regulatory auspices of the Massachusetts Gaming Commission (MGC). Section 71 of the Expanded Gaming Act requires the MGC to establish an annual research agenda to assist in understanding the effects of casino gambling in Massachusetts and in minimizing the negative impacts. Research activities launched thus far include a comprehensive study of the social and economic impacts of casino gambling in Massachusetts (SEIGMA), a cohort study …

A Public Health-Based Approach To German Gaming Regulation, Knut Walter, Gerhard Buehringer

International Conference on Gambling & Risk Taking

The current situation of the German gambling market can be characterized by an unrelated framework of different legal systems, different regulatory authorities and different control principles, and has led to (1) an increasing number of court decisions and information requests by European Commission questioning parts of that regulatory system, (2) public tolerance of illicit gambling, and consequently (3) a lack of consumer protection.

Taking RENO Model 1.0 and 2.0 seriously, a new and comprehensive regulatory framework based on common consumer protection standards for all types of gambling – land-based and online, state-owned and private operated – has been developed and …

Impact Of Adiposity On Postural Control At The Onset Of Sitting, Danae M. Dinkel, Anastasia Kyvelidou, Ben Senderling, Kailey Snyder, Jung-Min Lee

Research Presentations

Little research has examined the impact of infant adiposity on the quality of gross motor behavior, especially in sitting through measuring postural control. Therefore, the purpose of this study was to examine the impact of adiposity as measured by skinfold thickness (SFT) on postural control at the onset of sitting in typically developing infants. Nineteen infants (n=8 high SFT, n=11 lower SFT) participated in a pilot study examining the relationship between infant physical activity and postural control. High SFT was classified as having a subscapular and triceps measurement in the 85th percentile or above according to the WHO age and …

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.