Pulmonary and Critical Care Medicine, Presentations and Grand Rounds Copyright (c) 2013 Thomas Jefferson University All rights reserved. http://jdc.jefferson.edu/pulmcritcaregrandrounds Recent documents in Pulmonary and Critical Care Medicine, Presentations and Grand Rounds en-us Fri, 17 May 2013 01:58:08 PDT 3600 Translating the Mysteries of Pulmonary Pre-Malignancy http://jdc.jefferson.edu/pulmcritcaregrandrounds/88 http://jdc.jefferson.edu/pulmcritcaregrandrounds/88 Wed, 15 May 2013 12:52:35 PDT Objectives:

1. To understand the importance of early detection and diagnosis

2. To understand advances in lung cancer pathogenesis

3. To understand the importance of patient selection for targeted therapy.

Presentation: 53 minutes

]]> Steven M. Dubinett, MD Incredible India! http://jdc.jefferson.edu/pulmcritcaregrandrounds/87 http://jdc.jefferson.edu/pulmcritcaregrandrounds/87 Wed, 08 May 2013 07:08:57 PDT Objectives:

1. Healthcare in India

2. Spectrum of disease in critical units

3. The Future

Presentation: 1 hour, 1 minute.

]]> Roselle Almeida, MD Diagnosis and Management of Malignant Pleural Effusions http://jdc.jefferson.edu/pulmcritcaregrandrounds/86 http://jdc.jefferson.edu/pulmcritcaregrandrounds/86 Wed, 01 May 2013 08:18:48 PDT Objectives:

1. Recognize the importance of malignant pleural effusions in the quality of life of patients with cancer.

2. Understand the treatment priorities in patients with malignant pleural effusions.

3. Acquire a deep understanding of the different modaliities of treatment of malignant pleural effusion including repeat thoracentesis, tunneled pleural catheters and thoracoscopy with pleurodesis.

Presentation: PowerPoint and audio are not together. Download button to link to audio, and PowerPoint slides are located at bottom of page.

Time: 1 hour and 11 minutes

]]> Erik Folch, MD, MSc Lung Cancer: Diagnosis and Staging http://jdc.jefferson.edu/pulmcritcaregrandrounds/85 http://jdc.jefferson.edu/pulmcritcaregrandrounds/85 Wed, 24 Apr 2013 06:48:44 PDT Objectives:

1. Discuss the appropriate initial diagnostic procedures

2. Review of current tumor-nodes-metastasis staging system

3. Case discussions.

Presentation: 1 hour, 7 minutes

]]> Rohit Kumar, MD Cultural, Economic and Systems Performance Aspects of Mortality http://jdc.jefferson.edu/pulmcritcaregrandrounds/84 http://jdc.jefferson.edu/pulmcritcaregrandrounds/84 Wed, 17 Apr 2013 10:37:10 PDT Objectives:

1. Describe recent changes in mortality trends

2. Appreciate geographic variation in mortality

3. Explain economic significance of end-of-life care

Presentation: One hour, 7 minutes

]]> Jonathan Eli Gottlieb, MD Fifty Shades of Sleep Disordered Breathing: Cardio-Pulmonary Implications of SDB http://jdc.jefferson.edu/pulmcritcaregrandrounds/83 http://jdc.jefferson.edu/pulmcritcaregrandrounds/83 Mon, 15 Apr 2013 07:16:48 PDT Objectives:

1. Understand cardiac implications of sleep disordered breathing.

2. Review association and impact of SDB on pulmonary diseases like PH, asthma, COPD and others.

3. Discuss screening and evaluation of SDB in patient with cardio-pulmonary disorders.

]]> Sunil Sharma, MD Shining the light on intensivists at night: Who is sleeping anyway? http://jdc.jefferson.edu/pulmcritcaregrandrounds/82 http://jdc.jefferson.edu/pulmcritcaregrandrounds/82 Thu, 04 Apr 2013 06:38:01 PDT Objectives:

1. To highlight existing evidence of varying staffing patterns on patient outcomes in the ICU.

2. To detail sentinel studies on the effects of in-house nocturnal staffing by intensivists.

3. To introduce randomized trial of nocturnal staffing in the ICU that explores patient and physician-related outcomes.

4. To review literature on interventions to facilitate sleep in clinicians working an overnight shift.

5. To explore methodology to measure sleep and work duration and alertness in physicians during an assigned clinical rotation.

Presentation: 1 hour and 6 minutes

]]> Rita Bakhru, MD End of Life Decision-Making in the ICU (Part 2): Strategies for Effective Communication http://jdc.jefferson.edu/pulmcritcaregrandrounds/81 http://jdc.jefferson.edu/pulmcritcaregrandrounds/81 Wed, 27 Mar 2013 12:54:16 PDT Objectives:

1. Exploring the evidence backing effective communication in the ICU.

2. Detailing strategies for effective communication: the tool box.

3. Proposing future strategies in communication.

]]> Urvashi Vaid, MD, MS Do we really know what anyone wants? Advance directives, surrogates and beyond http://jdc.jefferson.edu/pulmcritcaregrandrounds/80 http://jdc.jefferson.edu/pulmcritcaregrandrounds/80 Wed, 20 Mar 2013 06:47:43 PDT Objectives:

1. Discuss the barriers to effecting patient autonomy at the end of life.

2. Explore the effectiveness of advance directives for advancing patient autonomy.

3. Discuss alternative approaches to advancing patient autonomy at the end of life.

Presentation: 50 minutes

]]> David Oxman, MD Nonpharmacologic Therapies for the Treatment of Asthma http://jdc.jefferson.edu/pulmcritcaregrandrounds/79 http://jdc.jefferson.edu/pulmcritcaregrandrounds/79 Wed, 06 Mar 2013 07:07:39 PST Dr. Most is a postdoctoral fellow at Yale University School of Medicine. She did her medical school and residency training at Drexel University. Her interests include asthma and respiratory illness.

Presentation: 46 minutes

]]> Jessica Freyer Most, MD Strategies for Targeting TGF-b signaling for cancer and fibrosis http://jdc.jefferson.edu/pulmcritcaregrandrounds/78 http://jdc.jefferson.edu/pulmcritcaregrandrounds/78 Wed, 27 Feb 2013 07:12:51 PST Objectives:

1. Will cover the role of TGF-b signaling in cancer and fibrosis

2. Current strategies of targeting TGF-b signaling and their drawbacks

3. Some potential new strategies that we are testing

Presentation: 48 minutes

]]> Venkateshwar G. Keshamouni, PhD Idiopathic Pulmonary Fibrosis in 2013-Update on approach to diagnosis and treatment http://jdc.jefferson.edu/pulmcritcaregrandrounds/77 http://jdc.jefferson.edu/pulmcritcaregrandrounds/77 Wed, 20 Feb 2013 08:08:59 PST Dr. Flaherty's specialties are pulmonary diseases, internal medicine. Dr. Flaherty's clinical interests include: idiopathic pulmonary fibrosis and other interstitial lung disease, chronic obstructive pulmonary disease (COPD), lung transplantation, lung disease associated with connective tissue diseases. Dr. Flaherty's specialities include: internal medicine, pulmonary diseases, critical care medicine.

Presentation: 46 minutes

]]> Kevin R. Flaherty, MD, MS The Patient with Suspected Occupational Asthma: What to do Next http://jdc.jefferson.edu/pulmcritcaregrandrounds/75 http://jdc.jefferson.edu/pulmcritcaregrandrounds/75 Wed, 30 Jan 2013 06:42:38 PST Objectives:

1. Better understanding occupational diseases

2. How to evaluate patients with suspected occupational diseases

3. Useful diagnostic studies

Presentation: 1 hour and 8 minutes.

]]> John Robert Cohn, MD ICU Delirium: What's the Confusion? http://jdc.jefferson.edu/pulmcritcaregrandrounds/74 http://jdc.jefferson.edu/pulmcritcaregrandrounds/74 Wed, 23 Jan 2013 06:54:12 PST Objectives:

1. Review of ICU delirium literature

2. Understand the differences between sedation-related and persistent ICU delirium

3. Consider future areas of study

Presentation: 48 minutes

]]> Shruti Bhupendra Patel, MD Pre-Operative Risk Stratification for Non-Cardiac Surgery in Patients with Pulmonary Arterial Hypertension http://jdc.jefferson.edu/pulmcritcaregrandrounds/73 http://jdc.jefferson.edu/pulmcritcaregrandrounds/73 Wed, 16 Jan 2013 12:33:29 PST Objectives:

1. List determinants of the normal pulmonary circulation.

2. Recognize predictors of short-term morbidity after non-cardiac surgery in PAH.

3. Discuss the relative risk of the type of non-cardiac surgery on post-operative outcome in PAH.

Presentation: 54 minutes.

]]> Michael Scharf Allergy in Adult Asthma: What the Pulmonologist Should Know http://jdc.jefferson.edu/pulmcritcaregrandrounds/72 http://jdc.jefferson.edu/pulmcritcaregrandrounds/72 Wed, 09 Jan 2013 10:46:13 PST Objectives:

1. Understand the pathogensis of allergic reactions in the airway

2. Discuss classic and modern understandings of how allergy contributes to asthma and airway reactivity

3. Incorporate the evaluation and management of allergy into the management of adult asthma.

Presentation: 51 minutes

]]> Randy Young, MD Does Monitoring Physician Work have Unintended Consequences? http://jdc.jefferson.edu/pulmcritcaregrandrounds/71 http://jdc.jefferson.edu/pulmcritcaregrandrounds/71 Wed, 19 Dec 2012 10:53:30 PST Objectives:

1. Understand why physician work needs to be monitored.

2. Learn the most common method for measuring physician work.

3. Understand the potential unintended consequences that come from measuring physician work in academic medical centers.

Presentation: 34 minutes

]]> Ross Summer Industrial Hygiene and Response to Exposures to Highly Hazardous Materials http://jdc.jefferson.edu/pulmcritcaregrandrounds/70 http://jdc.jefferson.edu/pulmcritcaregrandrounds/70 Wed, 12 Dec 2012 07:39:19 PST Objectives:

1. To provide awareness of the highly toxic materials used or produced at DuPont whereby an exposure could be treated at Thomas Jefferson University Hospital.

2. To provide information on known related health effects which occur from exposure to highly toxic materials.

3. To provide current medical information on our recent exposure to Phosgene.

Presentation: 59 minutes

]]> James L. Aker, BS, MS Pulmonary Rehabilitation http://jdc.jefferson.edu/pulmcritcaregrandrounds/69 http://jdc.jefferson.edu/pulmcritcaregrandrounds/69 Wed, 05 Dec 2012 10:16:02 PST Objectives:

1. Review the history and evolution of pulmonary rehabilitation (PR) as a proven, efficacious therapy for patients with chronic lung disease.

2. Understand the pathophysiologic basis of improvements in outcome measures due to exercise training.

3. Discuss pulmonary rehabilitation (pr) program components and structure, including evolving concepts and trends.

Presentation: 1 hour and 11 minutes

]]> William P. Sexauer Chronic Beryllium Disease-disease severity and treatment http://jdc.jefferson.edu/pulmcritcaregrandrounds/68 http://jdc.jefferson.edu/pulmcritcaregrandrounds/68 Wed, 28 Nov 2012 11:16:54 PST Objectives:

1. Understand when to suspect Chronic Beryllium Disease

2. Understand how to diagnose Chronic Beryllium Disease

3. Understand the pathogenesis of Chronic Beryllium Disease

Presentation runs: 46 minutes

]]> Milton Rossman