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The CPHI Digest
September 26, 2017
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Health Care Within the Prison Walls - and Without
Thursday, October 19, 2017 at 12:00 PM | Lunch Provided
John Morgan Reunion Auditorium
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Bruce Herdman, PhD, MBA Chief of Medical Operations Philadelphia Department of Prisons |
Each year 30,000 citizens receive state of the art health care while they are incarcerated in the Philadelphia Department of Prisons ["PDP"]. The illness burden that these citizens suffer is described as three times that of the general population, including exceptionally high rates of HIV, STDs, seizure disorders, chronic physical illnesses and drug addiction, most of which are largely untreated prior to arrest. In addition, PDP is in effect the largest psychiatric care provider in the region. 350 full-time health care staff make medical services available to inmates all day, every day. In a year, PDP delivers 300,000 visits of medical care, and a full range of specialty services.
Aspects of PDP's healthcare program have received national recognition as best practices.
What happens when inmates leave prison - or even return - is a different story. Join Dr. Herdman in an eye-opening talk exploring the medical needs, challenges and opportunities for this extremely vulnerable population. In his talk, he will describe the Philadelphia Department of Prisons while outlining the burden of illness of the inmate population. Dr. Herdman will discuss what services are, or aren't, provided, related ethical issues, why jails are an opportunity to radically improve public health, and will explain current efforts to improve the health of inmates both within and beyond the prison system.
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Pushing Boundaries in Public Health: Precision, Prevention, and Entrepreneurship
Thursday, November 16, 2017 at 12:00 PM | Lunch Provided
Amado Recital Hall in Irvine Auditorium
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Flaura Koplin Winston, MD PhD
Chair, Science & Medical Advisory Committee for Entrepreneurship and Innovation,
The Children's Hospital of Philadelphia
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How do we push boundaries in public health to improve health outcomes? What is "Precision Prevention" and how has it contributed to the dramatic public health achievements for children over the past 100 years? These questions will be addressed in a talk by Dr. Flaura Winston, Distinguished Chair of Pediatrics at The Children's Hospital of Philadelphia. She will draw from her successes in the field of pediatric injury prevention, and describe a public health future that is built on a tiered risk framework -Precision Prevention - that goes beyond universal level interventions in order to meet the needs of those at highest risk. Throughout her talk, Dr. Winston will emphasize the importance of public health entrepreneurship to ensure successful and sustainable implementation.
Flaura Koplin Winston, MD PhD is an internationally recognized, Board-certified, practicing pediatrician, a doctorally-trained engineer, a public health researcher, Scientific Director of the Center for Injury Research and Prevention and Science, Director, National Science Foundation Center for Child Injury Prevention Studies, and Medical Advisor for Innovation at The Children's Hospital of Philadelphia (CHOP) and a professor of pediatrics at the University of Pennsylvania.
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Junior Scholars Forums
Thursday, October 12, 2017 at 12:00 PM | Lunch Provided
BRB 1412
Thursday, November 9, 2017 at 12:00 PM | Lunch Provided
BRB 601
The
Junior
Scholars
Forum brings together early career researchers interested in public health and the social sciences. We welcome students and trainees at all levels, as well as research staff and
junior
faculty, to join the conversation. The Forum will provide opportunities to connect with mentors and collaborators and to build a community of
scholars
with shared interests.
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Wellness Walks for Penn Employees
Friday's from 12:00-1:00 beginning at College Green
Fall 2017 Dates:
October 27
November 17
December 8
We meet at the Ben Franklin statue in front of College Hall at 12 noon. The walk begins with stretching, followed by a 2 mile walk around campus and beyond. This is a great opportunity to get away from your desk and walk with others. Plus- you'll receive points for Penn HR's "Be In the Know Campaign" if you are a Penn employee.
Visit the HR website to sign up.
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No effect of commercial cognitive training on brain activity, choice behavior, or cognitive performance
CPHI Fellows
Rebecca Ashare
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Robert Hornik,
Caryn Lerman, and collaborators explored the effects of cognitive training on choice behavior and brain responses. Among other measures of cognitive and choice behavior, the group tested the effects of cognitive training specifically on delay discounting and risk sensitivity; with delay discounting referring to choosing between immediate small rewards and larger rewards in the future and risk sensitivity referring to choosing between larger, riskier rewards and smaller, certain rewards. The group found that cognitive training has no effect on choice behavior or brain activity during decision-making.
Read more.
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The relationship between pay day and violent death in Guatemala: A time series analysis
CPHI Fellows
Therese S. Richmond
,
Kent Bream
,
Douglas J. Wiebe
, and collaborators explored the relationship between pay days, holidays, and occurrences of violent death in Guatemala. By itself, pay day does not correlate with heightened rates of violent death; however, their results show that holidays and pay days occurring on holidays are associated with an increased risk of violent death. The collaborators offer several suggestions for intervention, including a staggered system of pay days and increased guardianship.
Read more.
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Motor vehicle crash risk among adolescents and young adults with attention-deficit/hyperactivity disorder
CPHI Fellows
Allison E. Curry
,
Flaura K. Winston
and collaborators have found that adolescents and young adults with Attention-Deficit/Hyperactivity Disorder (ADHD) have a 36% higher risk of getting into a motor vehicle crash than those without ADHD. Additional results show that these individuals with ADHD are also licensed less often and at older ages. The researchers examined the electronic health records and New Jersey state traffic safety databases for a cohort of 18,000 individuals within the CHOP healthcare network.
Read more.
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Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and protective factors
CPHI Fellows
Gala True,
Rosemary Frasso,
and colleagues identified protective factors that mitigate the risk of adverse events in inpatient psychiatric units; these factors include engaging in a culture of safety, embracing patient-centeredness, and encouraging local experts to share their knowledge to leadership to implement any changes. These findings were gathered from 20 interviews with informants in Veterans Health Administration hospitals. These protective factors, when engaged with all stakeholders, including patients, can improve the quality of inpatient psychiatric care.
Read more.
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Carolyn Cannuscio worked with Professor Andi Johnson
to allow an undergraduate class to become research assistants for a semester on a project that explored how public libraries function as a health resource for vulnerable populations in Philadelphia. The
class collected data for an ongoing needs assessment in West Philadelphia; each student conducted an interview with either a West Philadelphia resident, public library staff member, or a public health/medical professional to better understand the health needs of community members and the needs and experiences of library staff. Puja Upadhyay, a student in the course, wrote a blog post about the experience.
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Place Still Matters: Racial/Ethnic and Geographic Disparities in HIV Transmission and Disease Burden
CPHI Senior Fellow
Bridgette M. Brawner
and colleagues explored racial and geographic differences in the mode of HIV transmission in Philadelphia, PA. In doing so, the investigators also examined how neighborhood factors shaped HIV/AIDS outcomes. Two populations were compared in this study: High HIV prevalence among black males, who consequently tended to not have insurance, and among white males, who mostly had private insurance. Interesting results included: higher-than-average transmission via heterosexual relations, which was 7 times more likely to occur in the black population; and heightened rates of transmission via injection drug use, which was more prevalent in black, male populations as well as among those on Medicaid or without insurance. These findings can be used to guide larger studies as well as the development of neighborhood-level, structural interventions.
Read more.
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Coping with the stress in the cardiac intensive care unit: Can mindfulness be the answer?
CPHI Fellow
Janet A. Deatrick
and colleagues investigate the feasibility of engaging in mindfulness as an effective coping mechanism for the stress felt by mothers with infants suffering from complex congenital heart disease (CHD); this stress can lead to adverse health outcomes for both mother and child. The results show that mothers engage in common coping mechanisms, such as positive thinking, distraction, and relying on support systems. It was also found that mindfulness was acceptable and feasible, but mothers expressed concerns relating to time and space as well as exhibited general unfamiliarity with the concept. The results from this study set the stage for further research into tailored intervention regarding coping mechanisms, such as mindfulness.
Read more.
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The Importance of Countering Vaccine Misinformation In 200 Words
A recently published study by researchers in New Zealand shows that information provided to pregnant mothers can influence their decision about vaccinating their children. They found that pregnant mothers who received discouraging information about vaccines were less likely to have their infant vaccinated on time compared to those who received no information about vaccines. Kristin Feemster wrote a blog post about this research, which can be found here.
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A
Making a Difference in Diverse Communities
grant from Penn Arts and Sciences will allow a team of researchers and students led by Reto Gieré and CPHI Fellow Richard Pepino of Earth and Environmental Science to educate local communities about the dangers of lead poisoning, collect important data necessary to inform remediation efforts, and work with the city and other partners to reduce lead exposure and address environmental justice issues. Read more here.
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What Bernie Sanders didn't say in his 'Medicare for All' vision
Members of the Senate introduced a "Medicare for All" plan, in which Bernie Sanders is the principal sponsor, that would ultimately result in universal health coverage and phase out private insurance. David Rubin wrote an opinion piece for the Philadelphia Inquirer Health Cents section in which he brings forward something that was largely missing from Senator Sanders' vision: how to address the rising costs of health care. The opinion piece can be found here.
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Movement patterns in women at risk for perinatal depression: Use of a mood-monitoring mobile application in pregnancy
CPHI Fellow
Douglas J. Wiebe
and colleagues have shown an association between symptoms of perinatal depression and daily radius of travel through a study using a mood-monitoring smartphone application. The application asks several questions daily to assess mood, while also tracking travel and mobility. Women with milder perinatal depression symptoms had a daily radius of travel that was 0.8 miles more than that of women with severe symptoms (2.7 miles compared to 1.9 miles). Moreover, there appears to be an association between mood and a contracted radius of travel, leading to a worsening of mood compared to the previous day. This study lays the groundwork for future studies and interventions involving smartphone technology.
Read more.
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Want to become a CPHI Fellow?
CPHI welcomes new voices and representations from various sectors related to health.
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Public Health Events
CHOP Pediatric Global Health Conference
International Migration and Child Health: Progress and Priorities in Immigrant/Refugee Health
October 6-7, 2017
This conference will explore the state of immigrant and refugee health from a global, national and local perspective. Attendees will gain clinical, advocacy, public health and research tools to better serve these populations. Cases, discussions and stories will help us better understand the context of those who leave their homes seeking a better life.
Community Asthma Prevention Program (CAPP) Asthma Disparities Awareness Walk and Community Fun Day
October 7, 2017 | 8:00 am- 2:00 pm
This event helps to bring awareness of the effects of asthma on our Philadelphia families and provides valuable information on how to better manage and control asthma. There will be great activities for children and adults, including bouncy houses and slide, live music, face painting, food, and asthma and other health resources and information.
More information and registration here.
Philadelphia Public Health Grand Rounds:
Preventing Sleep-Related Deaths,
A Leading Cause of Post-Neonatal Mortality
October 18, 2017 | 5:30 -7:30 pm
This free Philadelphia Public Health Grand Rounds will discuss what is known about sleep-related infant deaths and activities in the Philadelphia community to educate parents and reduce these deaths.
Academic Coaching and Writing FREE Webinars
In this webinar you will learn how to identify essential documents to include in book proposal submissions, understand the purpose of each of the sections of an academic book proposal, select the best press for your work, and communicate with academic editors.
REGISTER HERE
Global Health & Innovation Conference: Call for Abstracts
April 14-15, 2018 | Yale University, New Haven, Connecticut
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Public Health Job & Fellowship Opportunities
Tenure Track Position in Social Work
The Department of Sociology, Social Work and Anthropology at Utah State University (USU) invites applications for a tenure-track appointment in the Social Work program (MSW and BSW degrees) at the rank of Assistant Professor with a role assignment of 40% teaching, 50% research and 10% service. This is a nine-month position which will begin in August 2018. The position is located at the USU flagship campus in Logan, Utah. We seek applications from individuals with expertise related to macro social work with a focus on health, wellness and/or prevention. Applicant reviews begin 10/23/2017.
Associate Dean for Academic and Faculty Affairs
The Dornsife School of Public Health Drexel University seeks a dynamic and innovative leader to serve as Associate Dean for Academic and Faculty Affairs. The Associate Dean will oversee a comprehensive portfolio of educational programs at the graduate and undergraduate levels, ensuring their excellence and adherence to accreditation standards.The posting with more information can be found here.
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