Medicine and Health Sciences Commons^™

Nfκb Inhibition Negatively Impacts Microvascular Function In Women With Endometriosis, A Williams, V Content, L Alexander

International Journal of Exercise Science: Conference Proceedings

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Relationship Between The U.S. Army Combat Fitness Test And Motion Capture Outcomes, Z Wilson, T Steiner, K Wisniewski

International Journal of Exercise Science: Conference Proceedings

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Effect Of Acute Arm Versus Leg Exercise On Central Blood Pressure, Z Wu, K Heffernan Phd

International Journal of Exercise Science: Conference Proceedings

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Effects Of Swearing On Strength Test, M Yeh, C Lin, C Chen, C Liu

International Journal of Exercise Science: Conference Proceedings

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Interrelationship Between Levels Of Bisphenol- A And -S, Peak Anaerobic Power And Body Composition, J Zhu, T Kennedy, J Dechant, J Santos

International Journal of Exercise Science: Conference Proceedings

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Effects Of Blood Flow Restrictive Bicep Curl Exercise On Arterial Stiffness- Pilot Study, S Zupnik, N Rolnick, M Moghaddam, L Marquette, J Walter, B Fedorko, T Werner

International Journal of Exercise Science: Conference Proceedings

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Does Medical School Prepare Doctors To Treat Sexual Health?, Sonjia Kenya, Breanne Young, Fabiola Joseph, Olveen Carrasquillo

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Does Medical School Prepare Doctors to Treat Sexual Health?

Abstract

Introduction: Sexual function is a normative process warranting the equal attention of preventive and treatment services throughout the lifespan. Despite growing recognition of the value of human sexuality in clinical settings, there is no standardized sexual wellness curriculum universally administered in medical schools. Accordingly, many current and future physicians feel underprepared when taking care of patients’ sexual health needs.

Methods: To strengthen sexual health knowledge among medical students in Miami, we conducted a brief workshop in February 2020 and March 2021. The workshop provided an introductory overview of the physiology …

Virtual Support For Bereaved Parents: Acceptability, Feasibility, And Preliminary Efficacy Of Hope Group, Emma Archer, Bs, Amelia Hayes, Mpg Ccls, Kristin Drouin, Lcsw, Elissa G. Millier, Md, Aimee Hildenbrand, Phd

Health Equity and Quality Improvement (HEQI) Summit

Background

• Bereaved parents demonstrate increased risk for long-term psychological problems and poorer overall quality of life. Bereavement support programs can promote improved coping and are positively received by parents but remain underutilized.
• Virtual programs may help address barriers to accessing bereavement resources, such as families’ physical distance to the hospital and trauma reactions when exposed to a setting where the child received care.
• The objective of this quality improvement study is to examine caregivers’ bereavement experiences and perspectives on HOPE Group, a virtual group program for bereaved caregivers administered by the palliative care team at Nemours Children's Hospital, Delaware.

Identification And Management Of Exposure Keratopathy In The Critical Care Setting, Susanna Betti, Harrison Bell, Erika Yoo, David Oxman

Health Equity and Quality Improvement (HEQI) Summit

Background

- Exposure keratopathy (EK) refers to corneal damage and ocular epithelial breakdown.

- It can result from prolonged exposure of the eye to the outside environment, often from incomplete eyelid closure or tear film defect.

- Increasingly common in critical care settings, up to 60%

• Mechanical ventilation, sedation, paralysis
• Medications (neuromuscular blockade)
• Impaired blink reflex, reduced tear production
• Fluid imbalance, increased vascular permeability

- Complications include corneal scarring, perforation, and blindness.

- Current recommendations: scheduled artificial tears with nightly lubricating ointment, tarsorrhaphy to close lids

Opportunities For Quality Improvement In A Smoking Cessation Program For Patients With Lung Cancer, Amman Bhasin, Md, Garrett Melby, Nicole Bassounas, Crnp, Ida Micaily, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

• Smoking cessation improves mortality in patients with lung cancer
• Low rates of smoking cessation have been observed and are rarely effective in absence of formal interventions (counseling, nicotine replacement, medication, etc.)
• Referrals to formal counseling can significantly impact cessation. Particularly in patients with lung cancer, cancer centers have the opportunity to serve as a central actor for referrals
• In this study we aimed to assess the efficacy of the Tobacco Cessation Program at the Sidney Kimmel Cancer Center and to identify opportunities for quality improvement to improve smoking cessation rates in these patients

Assessment Of Obgyn Department Research Collaboration And Satisfaction, Anne Bocage, Md, Melanie Hotz, Md, Julia Switzer, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

• There are many simultaneous and similar research projects ongoing within the OB-GYN department, but with little collaboration. Additionally, it can be difficult to identify faculty, residents, and students with similar research interests.
• Collaboration between residents is shown to improve research productivity (1) and co-residents serve as effective research mentors (2).
• This project is aimed to assess the department's satisfaction with ongoing research and collaboration and to purpose an intervention for improvement.

Effect Of Education Level On Adequacy Of Bowel Preparation Prior To Colonoscopy, Anna Chen, Md, Michael Dimarino, Md, Akash Patel, Do, Katherine Duffey, Md, Gregory Habig, Md, Aaron Martin, Md, Cuckoo Choudhary, Md, Stephanie Moleski, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

• Adequate bowel preparation is crucial for obtaining a high-quality colonoscopy.
• Inadequate preparation leads to impaired visualization, which can lower adenoma detection rate, increase the risk of complications and potentially necessitate repeating the procedure.¹
• Patients with higher health literacy and a higher level of education have been associated with better bowel preparation quality.^2,3,4,5

The Utility Of The Pap Nap For Increasing Patient Utilization Of Positive Airway Pressure Therapy, Erin Creighton, Md, Nicole Molin, Md, Dimitri Markov, Md, Ritu Grewal, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

Problem Statement:

• An estimated 9-38% of adults have obstructive sleep apnea (OSA), and about 80% is undiagnosed.
• OSA has been linked to excessive sleepiness, neurocognitive impairments, reduced quality of life, diabetes, heart disease, stroke, hypertension, and motor vehicle and workplace accidents
• Approximately85% of people with diagnosed OSA receive PAP and only 35-60% remain compliant long term
• Many factors impact CPAP use: disease and patient characteristics, titration procedures, device factors, side effects, psychological and social factors

Project AIM: Evaluate whether a daytime, abbreviated cardio-respiratory sleep study (AKA the PAP NAP -developed to help improve adherence in patients with OSA and …

Health Outcomes Of Hispanic Clients In A Community-Based Medically Tailored Meal Program, Victor Diaz, Jule Anne Henstenberg, Adrian Crafford

Health Equity and Quality Improvement (HEQI) Summit

Introduction and Objectives

• The Philadelphia-based Metropolitan Area Neighborhood Nutrition Alliance (MANNA) is a community-based organization that home delivers medically tailored meals (MTM) to local residents with serious illness andnutritional risk.
• Previous research has shown that in the U.S., Hispanics bear a disproportionate burden of major pathologies such as kidney disease [1] and experience lower rates of healthcare utilization [2].
• The objective of this project is to describe health outcomes of 258 Hispanic clients (mean age 57, 50% women) enrolled in MANNA’s program for 3-6 months between 2020-2022.

Increasing Hpv Vaccination Rates In Residents' Primary Care Clinics, Normonique Dyer, Do, Amman Bhasin, Md, Abdul Ekiyoyo, Md, Umma Fatema, Md, Ilana Goldberg, Md, Chukwuemezie Mamanu, Md, Tamar Wolinsky, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

• The human papillomavirus (HPV) vaccine was approved in 2014 for the prevention of anogenital, cervical, and oropharyngeal cancers in female and male adolescents up to 26 years of age^1,2
• Data compiled from multiple clinical trials performed between 2006 and 2018 sought to evaluate benefit from extending the vaccination age given the implications on improving quality of life, morbidity/mortality, and reducing overall healthcare costs for preventable diseases³
• Results showed that increasing the vaccination age up to 45 in both males and females could offer additional protections against high-risk oncogenic strains of the HPV virus3
• Current recommendations from the …

Timely Ambulatory Follow Up After Emergency Department Discharge, Kevin Endersby, Jackson Weber, Marisyl De La Cruz

Health Equity and Quality Improvement (HEQI) Summit

Background

Problem Statement:

Patients over the age of 65 lack timely ambulatory follow up after discharge from the ED, leading to increased return to the ED, resource utilization, and mortality.

Project AIM:

Within 6 months of intervention, 70% of patients over the age of 65 who were recently discharged from the ED will follow up with their PCP within 7 days of the timeline recommended by the ED provider.

Improving Site-Specific Sti Screening In A Philadelphia-Based Academic Family Medicine Office, Brittany Macdonald, Md, Marie Ezran, Md, Haley Smallwood, Md, Gisel Garcia, Md, Maia Mandel, Md, Amaka Amobi, Md, Marshal Miller, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

• In the last decade, rates of sexually transmitted infections (STIs) are rising both in Philadelphia and across the United States^{1, 2}
• STIs are often asymptomatic³
• Site-specific screening for gonorrhea and chlamydia (GC/CT) infections may increase STI detection o Genitourinary (GU), pharyngeal, and rectal sites o GU is the most common site tested, but GU-only testing may lead to missed diagnoses⁴

The Association Of The G8 Questionnaire With Treatment Side Effects And Unscheduled Care Among Older Adults With Bladder Cancer, Umma Fatema, Md, Amman Bhasin, Md, Michael Zimmerman, Md, Julia Palecki, Md, Kendall Ozorowski, Kristine Swartz, Md, Kevin Zarrabi, Md, Kuang-Yi Wen, Phd

Health Equity and Quality Improvement (HEQI) Summit

Background

• The average age of people when they are diagnosed with bladder cancer is 73
• Bladder cancer in the geriatric population is often complicated by the presence of comorbidities and this population is at increased risk of experiencing short-term and long-term toxicities
• This necessitates a multimodal treatment approaches with a careful balance between efficacy and toxicity management
• The G8 questionnaire, a geriatric assessment tool, is designed to identify frailties and health risks in older patients, guiding healthcare professionals in tailoring treatment
• The aim of the study is to determine the predictive value of the G8 scores for adverse treatment outcomes …

Knowledge And Receptiveness Of Epidural Labor Analgesia By Parturients At Two Teaching Hospitals In Rwanda: A Cross-Sectional Study, Casey Fishman, Ba, Justin Do, Bs, Richita Bashyal, Mph, Fidele Hakorimana, Md

Health Equity and Quality Improvement (HEQI) Summit

Introduction

• Pain during labor can result in lasting psychological and physiological effects.¹ Although epidural analgesia is a first line pain management treatment and is used to reduce birth complications in many western countries, it is not commonly used in much of the world including Rwanda. The literature shows that African women have some of the lowest rates of pharmacological pain relief usage.
• Barriers to accessibility include; availability of equipment, staff with sufficient skills and monitoring, or myths and controversies surrounding labor.² Studies have found that some women believe that crying is a sign of weakness.³
• The aim …

Procedural Realignment To Ensure Superb Hypertension Regulation: The Presher Study, Eleni Florakis, Md, Emily Khantses, Md, Bret Mccarty, Md, Jeffrey White, Md, Jason Ojeda, Md

Health Equity and Quality Improvement (HEQI) Summit

Problem Definition

Hypertension (HTN), defined by the American Heart Association as systolic blood pressure (SBP) over 130 mm Hg or diastolic blood pressure (DBP) over 80 mm Hg, remains a major health concern worldwideas it leads tocongestive heart failure, chronic kidney disease, and stroke. Blood pressure control is an important task for the primary care physician (PCP). However, adequate management remains suboptimal as nearly half of US adults have uncontrolled high blood pressure.

After reviewing selected patients in our primary care office and discussing with our stakeholders, we found that more than two-thirds (69%) of uncontrolled hypertensive patients from a …

Incidental Coronary Artery Calcification: A Low-Hanging Fruit With Life-Prolonging Potential, Ryan Gardner, Md, Youssef Elfatatry, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

Problem Statement:

Incidental coronary artery calcium (CAC) seen on ungated computerized tomography (CT) scans obtained for various clinical reasons can serve as an excellent opportunity for screening of patients with previously undiagnosed coronary artery disease (CAD). Despite this, studies have shown that these findings are rarely reported in final impressions of radiology reports.

Project AIM:

To propose the use of a natural language processing (NLP) algorithm to identify incidental CAC noted in radiology reports and an electronic alert to notify primary care clinicians of such findings.

Addressing The Rates Of Contaminated Blood Cultures In The Tjuh Ed, Marina Gonzalez, Md, Trishya Srinivasan, Md, Bertilia Tavárez, Md, Natasa Kostic, Md, Virginia Gonzalez, Md, Kathleen Quinn, Bsn Rn-Bc, Michael Dong, Md

Health Equity and Quality Improvement (HEQI) Summit

Background & Aim

Blood culture contamination is a common, yet underrecognized, adverse event within emergency departments (ED). Through root cause analysis, this project identified barriers to using standardized blood culture collection techniques in the TJUH (Thomas Jefferson University Hospital) ED.

After incorporating our proposed interventions, we aim to reduce the percentage of contaminated blood cultures to

Improving Time To Mri In The Emergency Room For Spinal Epidural Abscesses, Karim Hafazalla, Md, Angeleah Carreras, Ms, Sean Mcgann, Md, Scott Faro, Md, Adam Flanders, Md, Richard Schmidt, Md, James Harrop, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

Magnetic resonance images (MRI) is integral in assessing pathology. This is especially true in the emergency room (ER), where delays in diagnosing emergent neurologic pathologies, including spinal epidural abscesses (EDAs), where the morbidity can be severe if not addressed in time. This study aims to implement an expedited imaging pathway for this urgent / emergent pathology.

Finding Ways To Decrease The Number Of Pediatric Type 1 Diabetes Patients With A Hba1c Over 8.5%, Abigayle Hoover, Bs, Ashley Medina, Dhsc, Kimberly Shoe Moyer, Apm, Evan G. Graber, Do, Patrick C. Hanley. Md

Health Equity and Quality Improvement (HEQI) Summit

Background

Problem Statement:

Hemoglobin A1c is the standard of care for monitoring the metabolic control of patients with Type 1 Diabetes.¹ Patients should have HbA1c checked every 3 months.

Higher HbA1cs are linked to higher morbidity and mortality in patients with diabetes.²

Project AIM:

Develop, implement, and evaluate different methods to engage patients with an

Social Needs Screenings Programs: Factors For Success, Varun Jayanti, Akshay Krishnan, Zachary Goldberg, Md, David Nash, Md, Mba

Health Equity and Quality Improvement (HEQI) Summit

Abstract

Introduction: In January 2024, the Centers for Medicare and Medicaid Services (CMS) implemented Health Quality Measure (HQM) 487, which required participating hospitals to annually screen admitted patients for the 5 domains of the Social Determinants of Health (SDOH). These requirements allowed hospitals to develop individualized, but compliant, screening programs. Previous SDOH screening research has focused on measurement tools, but not the mechanisms of screening present in various hospitals.

Research Objectives: This study will investigate the mechanism(s) for a social needs screening program (which is reflective of underlying SDOH disparity) in a large, multi-hospital academic health system in the Northeastern …

Improving Head Ct Utilization After Traumatic Intracranial Hemorrhage According To The Modified Brain Injury Guidelines (Mbig), Mathews Lan, Md, Michael Baldassari, Md, Caitlin Ritz, Md, Tyler Alexander, Bs, Richard Schmidt, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

Problem Statement: There are subsets of patients with traumatic intracranial hemorrhage who are low-risk for clinically significant hemorrhage expansion and/or neurologic deterioration requiring procedural intervention, yet these patients often undergo multiple serial head CT’s requiring an extended length of stay that may not be necessary. The Brain Injury Guidelines^1,2 (BIG) and subsequent modified Brain Injury Guidelines³ (mBIG) sought to categorize these low-risk subsets and provide an algorithm for more efficient care for these patients.

Project AIM: For low-risk patients with traumatic intracranial hemorrhage (specifically mBIG 2), we aim to reduce the number of head CT’s during admission …

Key Stakeholder Perceptions Of Doula Support For Persons With Perinatal Opioid Use Disorder, Meghan Gannon, Phd, Msph, Dennis Hand, Phd, Vanessa Short, Phd, Taylor Carrubba, Grace Thiele, Samantha Pancoe, Sarah Lawson, Nadia H-Yazdi, Phd, Scott Keith, Phd, Diane Abatemarco, Phd

Health Equity and Quality Improvement (HEQI) Summit

Background

• Maternal child health disparities are prevalent among pregnant and parenting women in treatment for opioid use disorder (OUD).
• Doulas have been utilized as a perinatal support in other vulnerable populations to increase healthcare utilization and improve birth outcomes.
• While research demonstrated that doula services can be feasibly implemented for populations experiencing poverty and trauma, there are limited studies to support that this could be true for patients with OUD as well.

Improving Provider Teach-Back Rates Among Patients With Limited English Proficiency, Bojan Lazarevic, Raghda Bchech, Md Aahivs

Health Equity and Quality Improvement (HEQI) Summit

Background and Aim

• Low personal health literacy is a social risk and is associated with worse health and health outcomes.¹
• Patients with limited English proficiency (LEP) are at greater risk for lower personal health literacy.²
• Patients with LEP also report more difficulty understanding medical situations and medication use than their English proficient counterparts.³
• Teach-back has been shown to improve post-visit comprehension of self-care after diagnosis, as well as understanding of medications and necessary follow-up, in patients with LEP.⁴
• The “5Ts” for teach back provides clinicians with an excellent counseling format for all encounter types.⁵
• Aim …

Student Pharmacists Educating Patients On Proper Disposal Of Unused Opioid Medications, Ashley Ann Uy, Jessica Cao, Anthony Esposito, Colleen Carrigan, Siddharth Pant, Ashley Kim, Kaylen Louie, Efrain Santiago, Richard Pacitti, Pharmd, Mba, Fashp, Joseph Stavish, Pharmd, Msph, Nicholas Leon, Pharmd, Bcacp, Fcpp

Health Equity and Quality Improvement (HEQI) Summit

Background

• The opioid epidemic is a public health crisis characterized by illicit drug abuse like heroin, fentanyl, and opioid medications (oxycodone and morphine)
• Improper disposal of unused opioids contribute to the opioid epidemic
• Jefferson Health places high importance on opioid stewardship to mitigate the public health risks associated with unused opioids.

Evaluating Patient Satisfaction Of Medication Education In Oncology, Christina Lew, Pharmd, Bcps, Rose Dimarco, Pharmd, Bcps, Bcop, Maria Hafez, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

• Optimization of medication education is important in promoting patient adherence, improving outcomes, and managing toxicities.
• With the increasing complexities of cancer treatments and an aging population, patient understanding is critical. In addition, chemotherapy is associated with toxicities that often require supportive care management.
• Historically, institutions and providers decide upon the type, format, and amount of information provided to patients.
• The aim of the project is to assess patient understanding of information provided in clinic, retention of information after clinic, and patient satisfaction.