Clinical Care posts displayed by category

The President’s Message

Check out the December issue of The President’s Message. It includes Dr. Perman’s column on Medicaid cuts under proposed health care legislation, a holiday greeting, Russell McClain’s Diversity Advisory Council presentation on bias, volunteers helping at Project Feast, CURE welcoming its third cohort of young scholars, seasonal safety tips, and a roundup of student, faculty, and staff achievements.

  
Chris Zang ABAE, Bulletin Board, Clinical Care, Collaboration, Community Service, Contests, Education, For B'more, People, Research, Technology, UMB News, University Life, USGADecember 13, 20170 comments
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HS/HSL Introduces ‘Graphic Medicine’ Collection

The Health Sciences and Human Services Library (HS/HSL) has started a new collection of Graphic Medicine texts. Graphic Medicine refers to the use of graphic novels, comics, and visual storytelling in medical education, patient care, and other applications related to health care and the life sciences.

The titles of these innovative texts include Graphic Medicine Manifesto, Pain is Really Strange, and The Bad Doctor: The Troubled Life and Times of Dr. Iwan James. They are shelved on the first floor of the library, next to the Leisure Reading collection.

The Graphic Medicine collection is small but will grow over time. We would be happy to hear any suggestions you might have for new content at this link.

 

  
Everly Brown Clinical Care, Education, For B'more, People, ResearchDecember 11, 20170 comments
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Redwood Optical Shop Reopening Dec. 6

The UM Optical Shop is reopening on Dec. 6 in a brand-new space in the Ophthalmology Suite 420, 419 W. Redwood St.

The shop will offer competitive pricing, patient convenience, and a large selection of brands. Use your flex spending before the end of the year! Employees without insurance receive a 20 percent discount. Call 667-214-1111 or visit the University of Maryland Eye Care web page for details.

  
Merideth Marr Bulletin Board, Clinical Care, People, University LifeNovember 30, 20170 comments
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Join UMMC for Schwartz Rounds and Nursing Grand Rounds Back-to-Back

On Tuesday, Dec. 12, at 11 a.m., the University of Maryland Medical Center (UMMC) will host a two-hour special event featuring the emotional exploration of Schwartz Rounds (Topic: “Taking Things Personally: The Toil and Harvest of Caregiving”) and a unique experiential Nursing Grand Rounds (Topic: “Odes, Licks, and Flicks: The Role of Humanities in Health Care”).

The event, which will be held in the UMMC Auditorium, is free and open to all University of Maryland students, residents, fellows, nurses, faculty, staff, and allied health providers.

 

  
Shapir Rosenberg Bulletin Board, Clinical Care, Collaboration, Contests, Education, People, ResearchNovember 28, 20170 comments
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Pharmacist McPherson Named Visionary in Hospice and Palliative Medicine

Mary Lynn McPherson, PharmD, MA, MDE, BCPS, CPE, professor and executive director of advanced postgraduate education in palliative care in the Department of Pharmacy Practice and Science (PPS) at the University of Maryland School of Pharmacy, has been named a Visionary in Hospice and Palliative Medicine by the American Academy of Hospice and Palliative Medicine (AAHPM). She is one of 30 health care professionals, and the only pharmacist, to be honored by the organization this year in recognition of her continued work to advance the field.

“In the nearly 30 years since she joined the faculty at the School of Pharmacy, Dr. McPherson has achieved worldwide recognition as a trusted authority in the field of hospice and palliative care medicine,” says Jill A. Morgan, PharmD, BCPS, BCPPS, associate professor and chair of PPS. “She has dedicated her career not only to improving care for patients diagnosed with serious illnesses and their families as a practicing pharmacist, but also to educating future generations of practitioners to ensure that they enter the field prepared to have a marked impact on the lives of their patients. There is no one more deserving of this award, and our department congratulates her on this tremendous achievement.”

Pioneer in Palliative Care

An international expert in the field of palliative care and pain management, McPherson received her Doctor of Pharmacy (PharmD) from the school in 1986 and joined the faculty in 1990. She has maintained a practice in hospice and ambulatory care throughout her career while teaching extensively in the school’s PharmD program on pain management and end-of-life care. She established one of the first palliative care pharmacy residency programs in the United States at the school and recently launched an online, interprofessional MS in Palliative Care program for which she serves as director. She is the author of four books, including Demystifying Opioid Conversion Calculations: A Guide for Effective Dosing, and has received numerous honors and awards for her practice and teaching throughout her career, including the Presidential Citation from the Hospice and Palliative Nurses Association and the Robert C. Chalmers Distinguished Educator Award from the American Association of Colleges of Pharmacy.

“I have had the pleasure of working with Dr. McPherson over the years on a number of educational activities, both with AAHPM and now with her recently launched MS in Palliative Care program at the School of Pharmacy,” says Vincent Jay Vanston, MD, FAAHPM, associate professor of clinical medicine at the University of Pennsylvania Perelman School of Medicine, who nominated McPherson for the award. “She is a truly outstanding teacher. Through passion, humor, and a razor-sharp mind, she engages students and draws them into her commitment to providing excellent care for patients near the end of life. More importantly, she is a genuinely kind person. She is honestly interested in her students and works assiduously to help them achieve their goals.”

Pinnacle of Success

Hospice and palliative medicine is the medical specialty that focuses on improving quality of life and relieving pain and other symptoms of seriously ill patients. AAHPM is the professional organization for physicians who specialize in this field, though members also include nurses and other health care professionals such as pharmacists, who have demonstrated a commitment to improving quality of life for seriously ill patients and their families. Its Visionaries in Hospice and Palliative Medicine awards program was established in 2012. The award is presented to deserving leaders in the field every five years based on nominations submitted by AAHPM members. From the more than 140 nominations received this year, 30 practitioners were selected as recipients.

“This program recognizes key individuals who have been critical in building and shaping our field over the past 30 years,” says Steve R. Smith, MS CAE, chief executive officer for AAHPM. “These individuals represent thousands of other health care professionals in this country who provide quality medical care and support for those living with serious illness — each and every day.”

McPherson will receive her award at the Annual Assembly of Hospice and Palliative Care in March. She and the other honorees join the inaugural group of Visionaries named by the organization in 2012.

“It is truly an honor to have been named one of this year’s Visionaries in Hospice and Palliative Medicine, particularly given the list of ‘who’s who’ nominees for this prestigious award,” McPherson says.  “I am touched that my peers thought that my work in the field to date has been of value, and receiving this recognition has invigorated me to continue my work with palliative care colleagues from across all health disciplines to further advance the role of appropriate medication management in serious illness.”

Malissa Carroll

  
Malissa Carroll Clinical Care, Education, People, UMB NewsNovember 22, 20170 comments
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The President’s Message

Check out the November issue of The President’s Message. It includes Dr. Perman’s column on UMB’s outreach to alumni, a wrap-up of Founders Week, Derreck Kayongo’s Politics and Policy presentation, MPower seed grant recipients and an award for the BioPark, stories on RISING Baltimore and the schools’ Mission of Mercy community service, a safety tip, and a roundup of student, faculty, and staff achievements.

  
Chris Zang Bulletin Board, Clinical Care, Collaboration, Community Service, Contests, Education, For B'more, People, Research, Technology, UMB News, University Life, USGANovember 10, 20170 comments
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‘Trauma of War’ Mask Exhibit, Luncheon, and Speaker on Nov. 20

A photo exhibit titled “Unmasking the Trauma of War” will soon be on display at the Health Sciences and Human Services Library’s (HS/HSL) Weise Gallery featuring masks that were created by military service members participating in art therapy sessions at the National Intrepid Center of Excellence (NICoE) in Bethesda, Md.

The masks explore the themes of patriotism, duality of self, and the physical and psychological pain so often experienced by our military service members.

A luncheon to kick off the exhibit featuring guest speaker Melissa Walker, MA, ATR, an art therapist and the Healing Arts Program Coordinator at NICoE, will be held Nov. 20 from noon to 1 p.m. in the Gladhill Board Room on the fifth floor of the HS/HSL. Walker will discuss the masks and show several of them at the luncheon. For more information, click here.

To attend this event, please RSVP to events@hshsl.umaryland.edu. Seating is limited.

  
Everly Brown Clinical Care, Community Service, Education, PeopleNovember 10, 20170 comments
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Nursing’s Mueller-Burke and Colleagues to Assess Sedation Safety in Children

A 6-year old is experiencing a medical issue that doctors are unable to properly diagnose without ordering an MRI. On average, an MRI lasts 30 minutes to an hour and requires patients to lie completely still in a narrow, enclosed space — a tall task for a young child. In cases like these, and for other medical or dental procedures, sedation is often used to allow providers to treat children, especially those younger than 7. While sedating a child may allow for successful diagnosis and/or treatment, there are risks. According to a 2015 report in Pediatric Critical Care Medicine, approximately 5 percent of children suffer life-threatening, adverse events while sedated during a procedure.

When colleagues at the University of Maryland Medical Center (UMMC) approached Dawn Mueller-Burke, PhD ’01, MS ’98, CRNP, NNP-BC, assistant professor, University of Maryland School of Nursing (UMSON), to investigate how children undergoing procedures are being monitored for safe and adequate sedation, it was a well-matched collaboration, as Mueller-Burke had previously worked on a National Institutes of Health-funded grant regarding sedation in UMMC’s pediatric ICU.

Now, Mueller-Burke is teaming with fellow UMSON faculty member Shari Simone, DNP ’11, MS ’96, CRNP-AC, PPCNP-BC, FCCM, FAANP, assistant professor; and UMMC colleagues Peggy Dorr, DNP, CPNP, pediatric nurse practitioner, Pediatric Sedation Service, and Karen Kaiser, PhD, RN, clinical practice coordinator, Oncology, Pain, and Palliative Care, on a $14,800 UMNursing Collaborative Grant for the joint research project, “Testing Reliability, Validity and Clinical Utility of the Richmond Agitation and Sedation Scale in Spontaneously Breathing Children Undergoing a Procedure,” which they hope will prevent future sedation/agitation complications in a young population.

The Richmond Agitation and Sedation Scale (RASS) can accurately assess mechanically ventilated, sedated, pediatric critically ill patients. Mueller-Burke and the UMMC team will determine the validity, reliability, and clinical utility of RASS when used by nurses in the largest pediatric population of spontaneously breathing children to be assessed to date. Using a single tool across an institution’s care settings may reduce the risk of communication errors due to misinterpretation by providers and staff in different settings. Mueller-Burke expects the team’s findings to be applicable to a large procedural sedation population and allow description of procedural sedation patterns, both priorities of a national pediatric sedation professional organization.

“It’s great to see UMSON and UMMC nurses collaborating on a nursing project that has clear nursing outcomes. It’s really important to determine if the tools nurses use to assess children are good for the task. If they’re not, we need to adjust them or develop others,” said Erika Friedmann, PhD, professor and associate dean of research, UMSON. “This research will make a meaningful contribution to nursing practice and quality of care for vulnerable children as they undergo procedures required to diagnose and treat their health conditions.”

In addition to being exposed to sedatives during procedures more frequently than are adults, children are at risk for adverse events while receiving sedative or analgesic medications because they require a deeper level of sedation and their physiology places them at higher risk for respiratory depression and hypoxia (Cravero, et al., 2006). Although clinical judgment is important, the use of a reliable, valid, clinically useful sedation/agitation tool is critical in determining a young patient’s sedation needs. This routine assessment should minimize adverse effects associated with the sedation medications used.

“As a faculty member of the School of Nursing, I’m embracing the opportunity to work with an incredible cadre of nurse scientists and clinicians from UMMC where this idea was born. I look forward to this special opportunity as a joint collaboration between the School of Nursing and UMMC to enable multiple educational opportunities for our doctoral students,” Mueller-Burke said. “Linking arms with our fellow DNP and PhD colleagues and the bridging of academic and UMMC resources and expertise exemplifies the goal of true translation of best evidence to practice.”

 

  
Kevin Nash Bulletin Board, Clinical Care, Collaboration, Education, For B'more, People, Research, UMB News, University Life, USGANovember 6, 20170 comments
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Diversity Recognition Award Nominations Sought

The President’s Diversity Advisory Council (DAC) at UMB is requesting nominations for the 2018 Dr. Martin Luther King Jr. Diversity Recognition Awards.

The awards honor individual or group achievement in the areas of diversity and inclusiveness at UMB. The recipients serve as models for the campus of personal and professional commitment to the ideals of equality, justice, and opportunity for all people epitomized by Dr. King’s life and work.

Individuals or groups will be recognized in three categories:

• Outstanding UMB faculty or unit.
• Outstanding UMB staff or unit.
• Outstanding UMB student or student group.

In addition to the underlying principles outlined above, the DAC will use the criteria on the attached nomination form when evaluating potential honorees. Those making nominations are encouraged to address as many of the criteria as appropriate. Self-nominations are acceptable.

Nominations must be received by the close of business Nov. 22, 2017.

You may submit your nominations online at the 2018 MLK Diversity Awards Nominations page.

Or, you may send nominations to:
Vanessa Fahie, PhD, RN
DAC MLK Jr. Award Committee Chair
School of Nursing
655 W. Lombard St., Room 475C
Baltimore, MD 21201

  
Vanessa Fahie Clinical Care, Collaboration, Education, For B'more, People, UMB News, University Life, USGANovember 2, 20170 comments
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HS/HSL Provides Online Toolkit for Aspiring Entrepreneurs

The Health Sciences and Human Services Library (HS/HSL) has put together a toolkit of information for entrepreneurs and innovators on campus interested in learning more about intellectual property, starting a company, innovating, and other related topics.

The guide was constructed with the help of innovative individuals at UMB and is a work in progress — to be updated with future suggestions from innovators around campus who would like to contribute to the toolkit.

If you know of a resource that would make a nice addition to the toolkit, please email the HS/HSL at entre@hshsl.umaryland.edu. If you are including a web page or a website that you are directly responsible for, please include a note with permission to link to it.

  
Everly Brown Clinical Care, Collaboration, Community Service, Education, For B'more, People, Research, Technology, UMB NewsNovember 1, 20170 comments
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Libraries Partner to Provide Access to ‘POLITICO Pro’

In collaboration with the Thurgood Marshall Law Library, the Health Sciences and Human Services Library (HS/HSL) has extended access to POLITICO Pro to the entire campus.

This two-year pilot offers granular reporting and analysis across 16 policy coverage areas along with tools, trackers, and data to provide users with key policy intelligence. Areas covered include education, e-health, employment and immigration, and health care.

The resource can be accessed on- and off-campus through the database list located on the HS/HSL home page or here.

  
Steven Douglas Clinical Care, Education, People, Research, TechnologyOctober 30, 20170 comments
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Researcher of the Year Ernst Recounts Quest To Thwart Sepsis

Davidge Hall has been witness to some enlightening presentations over its 205 years, but chances are few foes discussed there have been more formidable than sepsis, which Robert K. “Bob” Ernst, PhD, addressed in his Founders Week Researcher of the Year presentation on Oct. 17.

A death from sepsis occurs every two minutes in the United States. Hospitals spend $23 billion on it annually, making it the most expensive condition treated in U.S. hospitals.

Ernst, professor and vice chair of the Department of Microbial Pathogenesis at the University of Maryland School of Dentistry (UMSOD), and his colleagues are engineering rationally designed mimetics based on bacterial surface molecules that will inhibit the ability of the body to mount the damaging immune response present in sepsis.

In particular, he is at the forefront of innovative research studying the molecular basis by which bacteria modify the lipid component of their membrane, specifically lipopolysaccharide (LPS), and how these alterations affect normal host innate immune system responses, potentially resulting in septic shock.

Before his presentation Ernst was saluted by University of Maryland, Baltimore President Jay A. Perman, MD, and School of Dentistry Dean Mark A. Reynolds, DDS, PhD, MA. “We recognized Dr. Ernst at the Gala Saturday night, but now he needs to work for it,” said Perman, eliciting laughter from the 100-plus Ernst colleagues, students, faculty, and staff on hand. Perman praised Ernst not only for his “groundbreaking body of work” but also as “a generous collaborator, entrepreneur, and very dedicated mentor.”

When Perman spoke of the scientist inspiring the “next generation of Bob Ernsts” an “oh, no” from the crowd brought another round of laughter, with the jovial Ernst leading the way.

Indeed, Reynolds said Ernst’s “enthusiasm for science and mentoring is contagious,” which he showed in his 45-minute presentation “Structure Matters — Making Bacterial Molecules Work for Us.”

Without notes, the award winner chronicled the journey his research has taken. He thanked a long list of collaborators and funders, saying “you can’t just rely on NIH,” which has supported Ernst and his team with $3 million in the last decade. UMB’s seed grant program and MedImmune also have provided strong support.

He discussed E coli, pattern recognition receptors, and the “bar code” in bacterial molecules. “Pathogens are detected by pattern recognition receptors on host cells that recognize structures that are broadly shared by pathogens,” Ernst said. “These bacterial patterns represent a signature or ‘bar code’ that informs the host on the level of danger of the invading organism and how to respond.”

Ernst came to UMB in the fall of 2008, moving his laboratory from the University of Washington in Seattle. David R. Goodlett, PhD, who worked closely with Ernst in Seattle studying the structure function relationships of lipid A, also came to UMB and is now a professor of pharmaceutical sciences in the University of Maryland School of Pharmacy.

In 2016, Ernst and Goodlett co-founded a startup diagnostic company called Pataigin. Last fall, the company received a $25,000 Maryland Department of Commerce Life Award for its patented test called “BACLIB” that inexpensively identifies bacteria- and fungi-causing infections in less than an hour, allowing clinicians to make decisions in the hospital at the “point-of-care.”

“Thank you to Jim Hughes and the UMB tech transfer office for all their help,” Ernst said.

When he turned to sepsis, Ernst’s tone turned more serious. “Each hour delay in antibiotic treatment the mortality rate goes up 7 percent,” he said.

Ernst admits he’s willing to talk to anyone in his quest for research advances. That approach has taken him to Maastricht in the Netherlands to utilize multimodal imaging, tracking where the blood flow is in sepsis. “They’re among the best in the world, with an image every 20 minutes instead of every three to six hours.”

Ernst was the picture of a passionate scientist, enthused and lifted when he discussed advances with E coli and the LPS, bemoaning the setbacks, praising “unheard of” assistance from the Food and Drug Administration, and recognizing his colleagues in the professional schools at UMB.

“Absolutely, this is the most collegial university that I’ve been associated with. The Department of Microbiology and Immunology in the School of Medicine and our department work together hand in glove. We are now branching out to do work with cancer researchers at UMB, MedImmune, and the National Cancer Institute, as they are also looking for novel mechanisms to attack cancer cells in the body.”

Ernst concluded his presentation with thanks to his many colleagues and a final PowerPoint slide:
Yes, structure does matter

Modulation of the host innate and adaptive immune systems
– Adjuvant development

Just the tip of the iceberg
– We are expanding our library rapidly
– We’ve neglected the carbohydrate portion – core and O-antigen

The potential for a novel antisepsis therapeutic is promising
– Inhibiting at the earliest intervention point

Asked earlier if a cure for sepsis in his lifetime is a realistic possibility, Ernst responded, “Cure, no, there will always be infections. But being able to modify the host response to give physicians a better chance to treat the symptoms associated with sepsis, potentially.”

— Chris Zang

  
Chris Zang Clinical Care, Education, People, Research, UMB NewsOctober 26, 20170 comments
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Entrepreneur of the Year Griffith Revisits ‘Road To A Deep Breath’

Bartley P. Griffith, MD, took a riveted audience on the “Road to a Deep Breath” at the Entrepreneur of the Year presentation Oct. 18, one of the highlights of UMB’s Founders Week celebration.

Griffith, the Thomas E. and Alice Marie Hales Distinguished Professor in Transplant Surgery at the School of Medicine, has spent 20 years developing the world’s first wearable, artificial lung system and founded Breethe, Inc., in 2014 to perfect and commercialize it.

“There is no worse death than one from loss of lung function,” Griffith says.

To demonstrate his point, Griffith showed a PowerPoint slide of a huge rock sitting on a stick person’s chest to the audience at the BioPark Life Sciences Conference Center. It included the words “Empathy Drives Everything.”

Empathy is what has inspired Griffith in his Breethe quest. Hundreds of thousands of people die annually from lung failure. Griffith, as a surgeon who has done more than 1,250 heart transplants and 685 lung transplants, has seen firsthand the demoralizing life of those who are tied to a breathing machine in a hospital bed.

“If we build a better mousetrap, people can get up and live a more normal life, and we can get them out of the hospital,” Griffith told the audience of his original thoughts. The road wasn’t easy. There were setbacks as well as successes. “I love firsts,” says Griffith, who also was the first surgeon in America to implant a Jarvik heart in a patient and developed a pediatric heart pump.

It took decades but Griffith and his team have developed the first wearable artificial lung system. Fully portable, the pump lung unit, which is a little larger than a Coke can and sits on the patient’s belt, draws blood out down through the cannula. It oxygenates and removes carbon dioxide from the blood, which then goes back into the body. The unit also is attached to a portable pack on wheels, which contains batteries, the oxygen source, and the pump motor to control it.

“Our artificial lung device is different because of its inherently biocompatible and efficient design,” says Griffith, who also has built a resistance to clotting into it, saying “moving blood is good blood; stagnant blood is bad blood.”

With business partners Carl Cohen and Steve Orwig, who attended the presentation, and medical device executive Marshal Linder, who was out of the country, Griffith and the Breethe team are proceeding toward filing a 501(k) request for approval with the Food and Drug Administration in 2019.

Griffith, UMB’s 2010 Researcher of the Year, also credited funders like NIH and Robert Embry of the Abell Foundation, who was on hand, bioengineers like Jon Wu and Jiafeng Zhang, the UMB tech transfer office, and University leadership.

“I would be the poster boy for learning that multidisciplinary involvement is the key and the crutch that most surgical scientists have to fall upon,” said Griffith. He said the pump lung unit, which crams a surface area of 72 square meters, the size of a tennis court, into a Coke can-sized device, really is the work of the bioengineering community.

“We have passion, we have direction,” Griffth said, “but it’s that partnership between the empathetic physician that draws in the people who have the math skills to do the engineering that makes it click.”

He urged others to “innovate fearlessly” and humbly said he was just a surgeon. E. Albert Reece, MD, PhD, MBA, vice president for medical affairs at UMB and dean of the School of Medicine, disagreed in his introduction.

Said Reece: “If I had the skills to develop the perfect School of Medicine physician/scientist, that person would look highly likely like Bart Griffith. That person would be a gifted and dedicated clinician, a collaborative and determined researcher, and an innovative and visionary entrepreneur. That’s the full package, and Dr. Griffith, I believe you are the embodiment of that.”

After Griffith’s presentation, Phil Robilotto, assistant vice president in UMB’s Research and Development Tech Transfer Office, honored UMB faculty who received patents in the previous year. (See the list here).

— Chris Zang

  
Chris Zang Clinical Care, Education, People, UMB NewsOctober 26, 20170 comments
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