St. Luke's Research & Innovation: Annual Report 2016 by KSA&D Interactive

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2016 ANNUAL REPORT

Table of Contents Welcome Letter..................................................................................................................3 St. Luke’s University Health Network............................................................................4 Research & Innovation Clinical Research & Innovation at St. Luke’s University Health Network .................6 Research & Innovation Encompasses Many Departments........................................8 The Research Institute................................................................................................10 Clinical Trials................................................................................................................ 12 Health Care Education.................................................................................................... 14 The Medical School of Temple University/St. Luke’s University Health Network... 17 Annual Report Research Summary of Post-Doctorate Research Program............. 18 The Auxiliary of St. Luke’s Awards Scholarship......................................................... 19 Advanced Practice ..................................................................................................... 20 Nursing........................................................................................................................22 Department of Pharmacy...........................................................................................26 St. Luke’s Global Presence......................................................................................... 30 Medical Textbook Chapters Authored by St. Luke’s Research Faculty....................34 Departments Anesthesiology............................................................................................................36 Behavioral Health Services.........................................................................................39 Community Health and Preventive Medicine............................................................ 41 Critical Care.................................................................................................................45 Dentistry..................................................................................................................... 50 Dermatology...............................................................................................................52 Emergency Medicine...................................................................................................55 Family Medicine......................................................................................................... 60 Geriatric Medicine.......................................................................................................65 Heart & Vascular........................................................................................................ 68 Internal Medicine & Subspecialties ...........................................................................76 Neurosciences.............................................................................................................82 Obstetrics & Gynecology............................................................................................87 Oncology.....................................................................................................................92 Orthopedic Surgery.....................................................................................................97 Other (Otolaryngology (ENT), OMS & Ophthalmology)........................................102 Pain & Palliative Care Services................................................................................. 104 Pathology ..................................................................................................................105 Pediatrics & Neonatology.........................................................................................109 Physical and Occupational Therapy and Speech Language Pathology...................112 Podiatry & Foot Care..................................................................................................117 Radiology................................................................................................................... 119 Surgery....................................................................................................................... 122 Traumatology, Surgical Critical Care & Acute Care Surgery................................... 132 Wound Care and Hyperbaric Medicine.................................................................... 136

President & CEO Richard A. Anderson

Contributing Medical Writers Dr. Sanjiv Agarwala Vice President, Dr. James Airoldi Marketing & Dr. James Anasti Public Relations Maureen Barrett, Ken Szydlow MPAS, PA-C Dr. Brent Bernstein Editor-in-Chief Dr. Aldo Carmona Dorrit Trate Dr. James Cipolla Dr. Bonnie Coyle Editorial Director Dr. William De Long Mary DeHaven Dr. Robert deQuevedo Peter Deringer, RN Art Director Dr. Ray Durkin Jen Rimonneau Dr. Steven Falowski Dr. Gloria Fioravanti Research Dr. Hal Folander Contributors Dr. William Hoff Tracy Butryn Dr. Jennifer Janco Stanislaw Stawicki Dr. Rebecca Jeanmonod Jill Stoltzfus Dr. Leslie Johnson Stephen Kareha, DPT Contributing Dr. Robert Lagan Photographers Dr. Marian McDonald Anne Kemp Dr. Scott Melanson Anita Sergent Dr. Alaa-Elin Mira Betsy Toole Dr. Hugh Moulding Dr. Sudip Nanda Contributing Writers & Designers Darlene Nemeth St. Luke’s Marketing Dr. Stephen Olenchock Dr. Mohammed Qahash & Public Relations Susan Reed, RPH Department Dr. Lee Riley Dr. Richard Sharpe Dr. Jamshid Shirani Dr. Jamie Thomas Dr. Peter Thomas Dr. David Yen Dr. Israel Zighelboim

Welcome to the Second Annual Research & Innovation Report St. Luke’s University Health Network (SLUHN) believes strongly that advancing medical practice and technologies through quality research and innovation fortifies our commitment to provide our patients and community with exceptional health care. Our world-class team of dedicated research professionals specialize in a broad range of highly specialized skills, including biostatistics, data collection, grant preparation, regulatory compliance, clinical trials coordination, manuscript writing, among many others. They are supported by the Department of Research and Innovation, which actively facilitates and coordinates research efforts across SLUHN, including: • The development and conduct of both internally driven studies and externally sponsored clinical trials • Faculty engagement with medical students, residents, and fellows • Sponsoring educational opportunities for SLUHN staff in the areas of research and clinical trials • Compliance and regulations • Statistical analysis of research and quality improvement projects. Working together with our team of dedicated and experienced clinicians and support staff colleagues, we are committed to advancing medicine while improving access to the highest quality of health care. Our ultimate goal is to improve the quality of life of all members of our community. Sincerely,

Stanislaw P. Stawicki, MD, MBA, FACS Chair & Network Medical Director Department of Research & Innovation

Tracy Butryn, MS, CCRP, CHRC Network Director Clinical Trials & Research

Jill C. Stoltzfus, PhD Director The Research Institute

Co-Director Post-Doctoral Research Program

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SLUHN DEPARTMENT OF RESEARCH & INNOVATION

St. Luke’s University Health Network Research, innovation and education have been a vital force within the St. Luke’s University Health Network (SLUHN) for more than a century. Our commitment to forwarding the field of medicine began in 1873 in south Bethlehem with the opening of St. Luke’s Hospital, the area’s first hospital. Today, that desire to constantly improve permeates each of our seven non-profit hospitals and more than 200 outpatient locations serving Lehigh, Northampton, Carbon, Schuylkill, Bucks, Montgomery, Berks and Monroe counties, Pennsylvania and Warren County, New Jersey. At St. Luke’s, we believe that innovation is the very cornerstone of quality as we continuously strive to bring medical advances to the communities we serve. This commitment to quality is apparent to patients, physicians and staff and has been recognized by national evaluators of quality standards. For example, in February 2015, Truven Health Analytics, a provider of data-driven analytics and solutions for improving health care cost and quality, named St. Luke’s to its Top 100 Hospitals list — the only Lehigh Valley Health system to achieve this distinction. St. Luke’s University Hospital was also named as one of the Top 15 Major Teaching Hospitals in the nation. In determining top performers, Truven uses 11 performance metrics, including patient care, operational efficiency and financial stability, to identify hospitals that provide the best value for their communities. The study incorporates public data, as well as proprietary, risk-adjusted and peer-reviewed methodologies. This is one of many quality awards SLUHN has received. For more information about St. Luke’s quality click here. St. Luke’s is always growing — not only in its geographical reach, but also in the breadth of services offered. Here are some facts you might not know about St. Luke’s. • SLUHN is a non-profit, regional, fully integrated, nationally recognized Network providing services at more than 200 sites. • St. Luke’s School of Nursing is the nation’s oldest, continuously operating, hospital-based, diploma nursing school, currently enrolling 150+ students.

• As of December 31, 2015, SLUHN was comprised of six hospitals: St. Luke’s University Hospital – Bethlehem, St. Luke’s Allentown Campus, St. Luke’s Anderson Campus (Bethlehem Township), St. Luke’s Miners Campus (Coaldale) and St. Luke’s Quakertown Campus, in Pennsylvania, and St. Luke’s Warren Campus in Phillipsburg, NJ with its seventh hospital, St. Luke’s Monroe Campus (Bartonsville), opened in October 2016. • SLUHN includes more than 300 physician-owned practice sites; various outpatient testing and service facilities; regional medical school campus; largest hospital-based EMS unit in PA; and other health care services, including hospice and home health. • Since 1997, SLUHN has been nationally and regionally recognized for clinical excellence more than 120 times by various prestigious organizations, including one of the nation’s 100 Top Hospitals and one of the nation’s 100 Top Teaching Hospitals. Since 1999, St. Luke’s has routinely been honored by U.S. News & World Report in its annual listings of America’s Best Hospitals and Hospital Top Performance. • In response to the impending physician shortage, St. Luke’s and Temple University School of Medicine developed the first and only medical school campus in the Lehigh Valley. The first students graduated in 2015. Within 10 years, we expect to graduate 300 physicians and retain half of them in the Lehigh Valley. • St. Luke’s offers more than 184 intern/resident/ fellowship positions in 22 accredited programs. • SLUHN serves more than 140,000 clinic patient visits at medical, specialty care, women’s, pediatric and dental clinics.

We believe that innovation is the very cornerstone of quality as we continuously strive to bring medical advances to the communities we serve.

St. Luke’s University Hospital – Bethlehem

St. Luke’s Allentown Campus

St. Luke’s Anderson Campus

St. Luke’s Miners Campus

St. Luke’s Quakertown Campus

St. Luke’s Warren Campus

St. Luke’s Monroe Campus

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SLUHN DEPARTMENT OF RESEARCH & INNOVATION

Clinical Research & Innovation at St. Luke’s University Health Network Over the past 5 years, St. Luke’s University Health Network (SLUHN) has developed a formidable regional presence in the areas of research and innovation. Below are some of the most significant developments highlighting the growth of clinical research and associated innovation at SLUHN. THE RESEARCH INSTITUTE The SLUHN Research Institute was restructured significantly in 2007, with the arrival of its current Director Jill C. Stoltzfus, PhD. The Research Institute is integral to promoting original research among nurses, nursing students, medical students, residents, fellows, attending physicians, and other employees. In addition to helping establish a new competitive scholarship program and organizing an expanded full-day Network-wide “Research Day” event in the spring, the Research Institute was also instrumental in increasing the scientific publication output of our Network by nearly 50% over the past 3 academic years. In addition to increasing the quantity of our publications, the Research Institute also enhances the quality of our scientific output, with 5 research articles co-authored by our faculty in prestigious periodicals such as The New England Journal of Medicine. With the support of our Graduate Medical Education Office, SLUHN residents and fellows from different specialties and departments present research projects at major regional, national, and international meetings. Examples of successful recent projects completed and presented by our trainees include: • Comparison of N-Acetyl Cysteine to placebo in treatment of alcohol intoxication symptoms in the emergency department; • Development of a novel cranial CT scan scoring rubric to predict outcomes in elderly patients with traumatic brain injury; • Assessment of a brief alcohol educational session on university athletes’ binge drinking knowledge and behaviors; • A quality improvement initiative to improve delirium detection among nursing home residents.

200 180 160 140 120 100 80 60 40 20 0

Manuscripts (SLUHN)

185

117

2013

2015

Nursing research is also a vibrant component of SLUHN, with numerous projects highlighting our Network’s creative and innovative approaches to patient care. Recent research topics include the use of music to reduce anxiety symptoms in elderly dementia patients and the incorporation of aromatherapy into care of hospice patients. Other exciting areas of research innovation include the establishment of the St. Luke’s Research Endowment Fund (2015) and the successful implementation of SLUHN REDCap project (Research Electronic Data Capture). Thanks to REDCap, St. Luke’s students, nurses, physicians, residents and fellows can engage in super-secure, cloud-based data entry for the numerous investigator-initiated clinical trials, surveys, and quality projects across the Network. CLINICAL TRIALS OFFICE St. Luke’s University Hospital has a long tradition of participation in high-impact, high-quality clinical trials. Starting in 2012, following the founding of our Clinical Trials Office (CTO), SLUHN has been able to significantly increase its footprint in this important area of discovery and innovation. Under the leadership of Tracy Butryn, MS, CCRP, CHRC, the CTO demonstrated consistent growth and has been the true engine of research at the Network.

St. Luke’s University Health Network has developed a formidable regional presence in the areas of research and innovation.

Patients at SLUHN are among the first in the region to receive cutting edge, novel treatments available only through clinical trials. In diverse areas like melanoma, necrotizing fasciitis, pulmonary embolism, and traumatic brain injury, our physicians are now able to offer options not available anywhere else in the region, all thanks to the CTO. This corresponded with tremendous amount of growth within the SLUHN Department of Research & Innovation . Among the cutting edge, innovative research endeavors currently available to our patients through the efforts of the CTO are: • Cancer and non-cancer immunotherapy trials • Cardiovascular interventions • National databases and registries in neurology, vascular surgery, and interventional radiology • Numerous oncology protocols • New devices and healthcare software applications • Novel management approaches to necrotizing soft tissue infections • Pioneering research in neurostimulation • Traumatic brain injury In addition, our CTO is in a true sense the “brain center” of research coordination for the entire network, including oversight of research performed by Post-Doctoral Researchers, Research Volunteers, Medical Students, Residents and Fellows. POST-DOCTORAL RESEARCH FELLOWSHIP St. Luke’s University Health Network offers a unique opportunity for individuals holding advanced degrees (M.D., D.O., Pharm. D., Ph.D.) who wish to develop a career in clinical research. Through our Post-Doctoral Research Fellowship program, we facilitate personal and professional growth and development for individuals whose passion is to advance the knowledge of public health and disease management. Through a closely coordinated blend of mentorship and didactic activities, our PostDoctoral Research Fellows are given the unique opportunity to build their research and professional skills while enhancing their competitiveness. RESEARCH VOLUNTEER PROGRAM Through our competitive Research Volunteer Program, SLUHN is able to offer pre-medical and other undergraduate and graduate students a unique opportunity in advanced clinical trials methodologies, outcomes research, healthcare quality and performance improvement projects. The program was founded in conjunction with our Volunteer Office (Georgina Winfield, Director). In addition to acquiring important professional skills, our volunteers also gain valuable didactic experience by participating in the Comprehensive, 52-week SLUHN Research & Innovation Curriculum. Some of our research volunteers have been able to complete projects that resulted in local, regional, and national scientific presentations, as well as manuscript publications.

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Research & Innovation Encompasses Many Departments St. Luke’s University Health Network’s Research and Innovation encompasses many departments and initiatives that further medical study, exploration and education. Not just a worthwhile pursuit, research and innovation benefits our patients by offering advanced treatments and procedures and by attracting exceptional health care professionals determined to advance their fields. THE RESEARCH & INNOVATION SECTION CONSISTS OF: • The Research Institute • Clinical Trials • Health Care Education, including our Medical School and School of Nursing RESEARCH FACULTY COUNCIL The Research Faculty Council oversees and advises research and innovation. Council members are: • Sanjiv Agarwala, MD

• Maher El Chaar, MD, FACS, FASMBS

• Philip Salen, MD

• James Anasti, MD

• Brian Hoey, MD

• Lisa Spacek, MD, PhD

• Jennifer Axelband, DO

• Rebecca Jeanmonod, MD

• Jamshid Shirani, MD

• Ric Baxter, MD

• Stephen Kareha, DPT

• Joan Snyder, MS, BSN, RN, CPHQ

• Brent Bernstein, DPM

• Daniel Longyhore, PharmD, BCACP

• Stan Stawicki, MD, FACS

• Bill Burfeind, MD

• Sudip Nanda, MD

• Jill Stoltzfus, PhD

• Tracy Butryn, MS, CCRP

• JP Orlando, EdD

• Nicholas Taylor, MD

• Greg Carolan, MD

• Marc Portner, MD

• Pamela Valenza, MD

• Maria Collette, MLS

• Peter Puleo, MD

• Gail Wainwright, MSN, RN

• Kathleen Dave, PhD

• Mohammed Qahash, DDS

• Bob Weigand, MS

• Nimisha Deb, MD

• Kathy Ramson, DNP, RN

• Judy Zarzeka, RN, BSN

• William De Long, MD

• Lee Riley, MD, PhD

• Peter Deringer, RN, MA, NE-BC

• Joel Rosenfeld, MD, MEd, FACS

Not just a worthwhile pursuit, research and innovation benefits our patients by offering advanced treatments and procedures.

St. Luke’s University Health Network was named one of the nation’s 100 Top Hospitals® by Truven Health Analytics™, a leading provider of data-driven analytics and solutions to improve the cost and quality of health care. RESEARCH POLICIES AND PROCEDURES WORKGROUP Also providing oversight is the Research Policies and Procedures Workgroup. Members are: • Tracy Butryn, MS, CCRP

• JP Orlando, EdD

• Walter Harrison, RN, BSN

• Stan Stawicki, MD, FACS

• Jane Markson, Esquire

• Jill Stoltzfus, PhD

• Amanda Mazza, MBA

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The Research Institute Under the leadership of Dr. Jill C. Stoltzfus, the Research Institute provides critical guidance to employees of St. Luke’s University Health Network regarding research opportunities. This includes students, faculty members, physicians, nurses, therapists and other employees. Dr. Stoltzfus has also been the principal organizer of the annual St. Luke’s Research Symposium for Residents and Fellows — a celebration of research that dates back more than 20 years. The 2014 Residents’ and Fellows’ Research Symposium was held in Laros Auditorium on June 12, 2014 and featured oral and poster presentation competitions. Physician judges, Bill Burfeind, MD, Peter Ender, MD and Dianne Jacobetz, MD, evaluated the presentations and selected the following winners:

Angel Gonzalez Rios, MD (OBGYN), “A Search for Novel Risk Factors for Obstetric Trauma”

1st Place Oral Presentation Dan Avery, MD (Orthopedic Surgery), “SurgeonDetermined Visualization in Shoulder Arthroscopy: A Randomized, Blinded, Controlled Trial Comparing Irrigation Fluid with and without Epinephrine”

Nourse R, Reade C, Stoltzfus J, Mittal V. Demographics, Clinical Characteristics, and Treatment of Aggressive Patients Admitted to the Acute Behavioral Unit of a Community General Hospital: A Prospective Observational Study. Primary Care Companion for CNS Disorders. 2014; 16(3). doi: 10.4088/PCC.13m01589.

2nd Place Oral Presentation Kathryn Balinger, MD (General Surgery), “Will I Miss an Aneurysm? The Role of CTA in Traumatic Subarachnoid Hemorrhage” 1st Place Poster Presentation (two-way tie) Christin Gillier, MD (co-first author, OB-GYN) and Jennifer Myers, DO (co-first author, OB-GYN), “The Effects of Abdominal Binders on Pain and Distress in Post-Cesarean Section Patients: A Prospective Randomized Controlled Trial” Keith Habeeb, DO (Emergency Medicine), “Incoming Resident Perception of Competency and Knowledge Base of Basic Medical Procedure Enhanced by Procedural Workshop and Educational Material”

Marcela Perez-Acosta, MD (Internal Medicine), “Red Blood Cell Distribution Width Variation in Sepsis: A Marker of SIRS or Bacteremia?” THE RESEARCH INSTITUTE: PUBLICATIONS Mersky A, Eberhardt M, Overfield P, Melanson S, Stoltzfus J, Pretosh J. The Effect of the Repeal of the Pennsylvania Helmet Law on the Severity of Head and Neck Injuries Sustained in Motorcycle Accidents. Annals of Emergency Medicine (Impact Factor: 4.33). Sept 2009; 54(3). doi: 10.1016/j2009.06.332.

Paulik Ramson K, Dudjak L, August-Brady M, Stoltzfus J, Thomas P. Implementing an Acuity-Adaptable Care Model in a Rural Hospital Setting. Journal of Nursing Administration. Sept 2013; 43(9): 455-460. doi: 10.1097/NNA.0b013e3182a23b9b. Stawicki SP, Stoltzfus JC, Aggarwal P, Bhoi S, Bhatt S, Kalra OP, Bhalla A, Hoey BA, Galwankar SC, Paladino L, Papadimos TJ. Academic College of Emergency Experts in India’s INDO-US Joint Working Group and OPUS12 Foundation Consensus Statement on Creating a Coordinated, Multi-Disciplinary, Patient-Centered, Global Point-of-Care Biomarker Discovery Network. International Journal of Critical Illness & Injury Science. July 2014; 4(3): 200-208. doi: 10.4103/2229-5151.141398.

2nd Place Poster Presentation (three-way tie) Daniel Evans, DO, MPH (Emergency Medicine), “NEXUS in the Elderly Fall Patient: What is Distracting?”

The Research Institute provides critical guidance to employees of St. Luke’s University Health Network footer callout text opportunities. regarding research

Stoltzfus J, Nishijima D, Melnikow J (2012). Commentary: Why Quantile Regression Makes Good Sense for Analyzing Economic Outcomes in Medical Research. Academic Emergency Medicine. July 2012; 19(7): 850-851. doi: 10.1111/j.1553-2712.2012.01386.x. Stoltzfus J. Logistic Regression: a Brief Primer. Academic Emergency Medicine. Oct 2011; 18(10): 1099-1104. doi: 10.1111/j.1553-2712.2011.01185.x. Waninger K, Goodbred A, Vanic K, Hauth J, Onia J, Stoltzfus J, Melanson S. Adequate Performance of Cardiopulmonary Resuscitation Techniques During Simulated Cardiac Arrest Over and Under Protective Equipment in Football. Clinical Journal of Sport Medicine. July 2014; 24(4): 280-283. doi: 10.1097/JSM.0000000000000022.

THE RESEARCH INSTITUTE: PRESENTATIONS Eberhardt M, Mersky A, Goldman E, Melanson S, Prestosh J, Stoltzfus J. The Effect of the Repeal of the Pennsylvania Helmet Law on the Severity of Head and Neck Injuries Sustained in Accidents. ACEP Research Symposium; Oct 2009; Boston, MA. Finan M, Hahn D, Stoltzfus J, Eberhardt M. How Well Do Academic and Community ED Physicians Follow Decision Rules for Pulmonary Embolism. Poster. ACEP Research Forum; Oct 2014; Chicago, IL. Kadish J, Salen P, Genzlinger M, Stoltzfus J, Grossman M. An Exploratory Study Comparing Ketamine v. Etomidate for Rapid Sequence Intubation in Traumatically Injured Patients. Poster presentation #74. ACEP Scientific Assembly; Oct 2013; Seattle, WA. Loffredo D, Salen P, Guerrieri E, Stoltzfus J. Parenteral V. Oral Phytonadione Administration For Coumadin Induced Coagulopathy. Poster presentation #88. ACEP Scientific Assembly; Oct 2013; Seattle, WA.

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Clinical Trials The Clinical Trials Office, led by Tracy Butryn, MS, CCRP, CHRC, conducts clinical trials spanning a multitude of therapeutic areas. These include cardiology, pulmonology, surgery, orthopedics, infectious diseases, neurology and oncology. Our team of expert, dedicated clinicians and staff conduct research supported by industry and government sources in both outpatient and inpatient settings throughout our seven-hospital system. We also offer clinical trials that consist of newly FDA-approved drugs, as well as expanded access trials (awaiting FDA approval). Our goal is to provide the latest and greatest therapies, as well as unapproved therapies, to our patients. Patients at SLUHN are among the first in the region to receive cutting edge, novel treatments available only through clinical trials. In diverse areas like melanoma, necrotizing fasciitis, pulmonary embolism, and traumatic brain injury, our physicians are now able to offer options not available anywhere else in the region.

Within the last six years, the Clinical Trials Office has grown into a research powerhouse that helps support scholarly productivity across the Network. In addition, our CTO is in a true sense the “brain center” of research coordination for the entire Network, including oversight of research performed by post-doctoral researchers, research volunteers, medical students, residents and fellows. Among the cutting edge, innovative, research endeavors currently available to our patients through the efforts of the CTO are: • Numerous oncology protocols • High specialization in immunotherapy trials • Cardiovascular interventions • National databases and registries in neurology, vascular surgery and interventional radiology • New devices and health care software applications • Novel management approaches to necrotizing soft tissue infections • Pioneering research in neurostimulation • Traumatic brain injury

Our goal is to provide the latest and greatest therapies, as well as unapproved therapies, to our patients.

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Health Care Education Twenty-four accredited graduate medical education programs, the Temple/St. Luke’s School of Medicine and the St. Luke’s School Nursing exemplify St. Luke’s University Health Network’s commitment to providing quality medical education training. SLUHN provides a nurturing, compassionate, patient-centered, and technologically sophisticated, teaching environment for more than 1,000 students each year, making St. Luke’s the largest community-based teaching hospital in the area. 2015 HIGHLIGHTS • In conjunction with the SLUHN Research Institute, GME now offers a bi-weekly network-wide research curriculum. • A framework has been set up for the SLUHN Summer Scholar Program, where qualified volunteers will have an opportunity to directly engage in activities involving research & innovation. • Our Post-Doctoral Research Program has been expanded to three positions. Currently, our research fellows devote themselves to conducting investigator-initiated trials, maintaining research databases, writing scientific manuscripts, scientific presentations, research curriculum development. They are also offered an opportunity to participate in GME lectures and conferences and participate in the residency program of their choice as observers. SLUHN residents & medical students actively participate in a broad range of research projects. In 2015, our students and residents co-authored more publications than ever before in the history of our institution. EDUCATION-FOCUSED PUBLICATIONS

23 accredited, graduate medical education programs (doctoral-level) • 13 Accreditation • 1 Commission on Council for Graduate Dental Accreditation Medical Education • 1 American Society • 5 American of Health-System Osteopathic Association Pharmacists • 2 Council on Podiatric • 1 American Board Medical Education of Physical Therapy Residency/Fellowship

184 house staff • 169 residents

• 15 fellows

Unaccredited, graduate medical education programs (doctoral-level) • 1 fellow Giamportone KE. Counter Transference in the Face of Compassionate Care. Journal of Social Work in End-oflife & Palliative Care. Oct 2, 2015; 11(3-4): 220-3.

Caggiano NM, Fegley MW, Matullo KS. Patients’ Preferences Regarding the Delivery of Health Care in a Hand Surgical Practice. Hand. Dec 1, 2015; 10(4): 785-8.

Hon HH, Kousari YM, Papadimos TJ, Tsavoussis A, Jeanmonod R, Stawicki SP. What’s New in Critical Illness and Injury Science? Nonaccidental Burn Injuries, Child Abuse Awareness and Prevention, and the Critical Need for Dedicated Pediatric Emergency Specialists: Answering the Global Call for Social Justice for our Youngest Citizens. Internal Journal of Critical Illness and Injury Science. Oct-Dec 2015; 5(4): 223–226.

Evans DC, Firstenberg MS, Galwankar SC, MoffattBruce SD, Nanda S, O’Mara MS, Papadimos TJ, Stawicki SP. International Journal of Academic Medicine: A Unified Global Voice for Academic Medical Community. International Journal of Academic Medicine. 2015; 1: 1-2.

Uchino R, Yanagawa F, Weigand B, Orlando JP, Tachovsky TJ, Dave KA, Stawicki SP. Focus on Emotional Intelligence in Medical Education: From Problem Awareness to System-based Solutions. International Journal of Academic Medicine. 2015; 1(1): 9-20.

Birriel TJ, Uchino R, Barry N, Butryn T, Sabol DM, Valenza PL, Stawicki SP. Adverse Drug Reactions in the Era of Multi-morbidity and Polypharmacy. Journal of Basic Clinical Pharmacy. Sep 2015; 6(4): 122-3.

QUICK FACTS

St. Luke’s is the largest community-based teaching hospital in the area.

GRADUATE MEDICAL EDUCATION The Graduate Medical Education (GME) program, a cornerstone of St. Luke’s educational efforts, provides more than 180 fellows, residents and interns with quality medical education. In fact, external national benchmarks credit St. Luke’s with providing a better training and learning environment than most other teaching hospitals nationally. More than 95 percent of resident and fellow graduates pass their board examinations on the first attempt. SLUHN sponsors medical education programs that are accredited by the Accreditation Council for Graduate Medical Education, American Osteopathic Association, Commission on Dental Accreditation, Council on Podiatric Medical Education, American Society of HealthSystem Pharmacists and American Board of Physical Therapy Residency and Fellowship. The Graduate Education Program is led by Joel C. Rosenfeld, MD, MEd, FACS, SLUHN Chief Academic Officer and Senior Associate Dean and Professor of Surgery at the Lewis Katz School of Medicine at Temple University and James P. Orlando, EdD, Associate Chief Academic Officer ACGME Designated Institutional Official. In addition an experienced St. Luke’s physician serves as program director for each residency and fellowship. These include Robert C. Langan, MD, FAAFP, Family Medicine Residency Program Director & Medical Director, who was named 2015 Exemplary Teacher of the Year Award by the Pennsylvania Academy of Family Physicians. Associated with the American Academy of Family Physicians, the PAFP represents more than 5,000 Pennsylvania family physicians and family medicine residents and students. Langan is also the Medical Director, St. Luke’s Family Medicine Center in Bethlehem and works closely with students in that capacity. At the center and elsewhere throughout St. Luke’s seven-hospital system, students experience compassionate, patient-centered care and work in technologically sophisticated environments. They also have the opportunity to work in St. Luke’s high-level Network Simulation Center. Offering simulation exercises that mirror real-life experiences, the center provides residents and fellows with outstanding opportunities to develop their clinical and procedural skills. The center is equipped with robotic simulators and standardized patients as well as a variety of procedural skills training equipment. Joshua Onia, Network Director of Simulation, St. Luke’s University Health Network, recently earned certification as a Healthcare Simulation Operation Specialist (CHSOS) by the Society for Simulation in Healthcare (SSH). He is among the first 21 recipients worldwide to earn this certification. By working through simulations, as well as hand-on-experience with patients, students gain the knowledge and skills needed to enter private practice and/or go into fellowships for further training. For example, in 2015, two orthopedic residents matched for fellowships in prestigious hand and upper extremity surgery programs. Dan Avery, MD, matched at the Hospital for Special Surgery in New York City, while Nick Caggiano, MD, at Beth Israel Hospital in the Harvard Medical System in Boston.

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RESIDENCY PROGRAMS AVAILABLE AT ST. LUKE’S UNIVERSITY HEALTH NETWORK

FELLOWSHIP & INTERNSHIP PROGRAMS

• Dental

• Geriatric Medicine

• Emergency Medicine (ACGME)

• Hospice Palliative Medicine

• Emergency Medicine (AOA)

• Primary Care Sports Medicine

• Family Medicine at St. Luke’s University Hospital (dually accredited ACGME and AOA)

• Surgical Critical Care • Female Pelvic Medicine & Reconstructive Surgery (Unaccredited)

• Family Medicine – St. Luke’s Hospital – Warren Campus (dually accredited ACGME and AOA)

• Osteopathic Traditional Rotating Internship

• General Surgery

ADVANCED PRACTITIONER PROGRAMS

• Internal Medicine (dually accredited ACGME and AOA)

• Emergency Medicine Post Residency

• Obstetrics/Gynecology

• Trauma Critical Care (PA/NP)

• Orthopedic Surgery • Pharmacy • Podiatry • Transitional Year

QUICK FACTS RESIDENCY PROGRAM SLOTS

FELLOWSHIP PROGRAMS

• Dental Residency

• Cardiology Fellowship

• Emergency Medicine Residency

• Geriatric Medicine Fellowship

• Family Medicine Residency – Bethlehem Campus

• Hospice & Palliative Care Medicine

• Family Medicine Residency – Warren Campus

• Podiatry/Dermatology Fellowship

• Sports Medicine Fellowship

• General Surgery Residency

• Surgical Critical Care Fellowship

• Internal Medicine Residency

• Obstetrics and Gynecology Residency

• Orthopedic Physical Therapy Residency (new program)

• Orthopedic Surgery Residency

• Pharmacy Residency

• Podiatry Residency

• Transitional Year Residency

GRAND TOTAL Post-Doctoral Research Programs

• Cardiology

Non-Accredited • Female Pelvic Medicine and Reconstructive Surgery Fellowship

185 3

The Medical School of Temple University/ St. Luke’s University Health Network The ONLY Medical School of the Greater Lehigh Valley The year 2015 was significant for Temple/St. Luke’s School of Medicine as it graduated its inaugural class on May 6 at the Kimmel Center for Performing Arts in Philadelphia. The 28 St. Luke’s graduates have since moved onto to residencies at outstanding hospitals such as Hospital of the University of Pennsylvania, Case Western Reserve University Hospital in Ohio, Hospital of the Icahn School of Medicine – Beth Israel Medical Center in New York, Rush University Medical Center in Illinois and Johns Hopkins Hospital in Maryland. Eight students will remain at St. Luke’s University Hospital – Bethlehem for their residencies. The 28 graduates will specialize in many areas, such as anesthesiology, emergency medicine, family medicine, internal medicine, internal medicine/pediatrics, obstetrics and gynecology, pediatrics and surgery. One of only 400 members of the prestigious Council of Teaching Hospitals, The Temple/ St. Luke’s School of Medicine combines an enthusiastic faculty, eager to share their knowledge and skills, with cutting edge medicine and technology. The school is led by Joel C. Rosenfeld, MD, MEd, FACS, Chief Academic Officer for St. Luke’s University Health Network and Senior Associate Dean and Professor of Surgery for the St. Luke’s Campus at the Lewis Katz School of Medicine at Temple University. Temple/St. Luke’s students experience the energy and excitement of a new, innovative program that is firmly grounded in outstanding medical care resulting from decades of experience. The small class size offers students a supportive and interactive learning environment in a friendly, collegial setting that enables them to achieve their full potential. Students attend Lewis Katz School of Medicine at Temple University in Philadelphia during their first year of their medical degree program and then complete years two, three and four at St. Luke’s University Hospital – Bethlehem. For more information about the Temple/St. Luke’s School of Medicine, click here.

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Annual Report Research Summary of Post-Doctoral Research Program In 2015, SLUHN implemented a post-doctoral research program for doctoral-level applicants (e.g., DO, MD, PhD) to provide them with experience in designing and conducting research in a large health care system. During the first year of the program, two post-doctoral researchers were selected from a competitive pool of applicants: Thomas Wojda, MD; and Kristine Cornejo, MD, MPH. Some of the highlights of the post-doctoral research program include the following: Dr. Wojda: • MD from Warsaw University School of Medicine (2014) • Two publications in peer-reviewed journals: 1) Wernick B, Cipriano A, Odom SR, MacBean U, Mubang RN, Wojda TR, Liu S, Serres S, Evans DC, Thomas PG, Cook CH, Stawicki SP. Leukocytosis after splenic injury: a comparison of splenectomy, embolization, and observation. Journal of the American College of Surgeons, 2015;221(4): S164; and 2) Wojda TR, Valenza PL, Cornejo K, McGinley T, Galwankar SG, Kelkar D, Sharpe RP, Papadimos TJ, Stawicki SP. The Ebola outbreak of 2014-2015: from coordinated multilateral action to effective disease containment, vaccine development, and beyond. Journal of Global Infectious Diseases, 2015;7(4):127-38. • Presentation entitled “Identifying Injury and Fatality Risks in Aeromedical Transport: Making it Safer” at the Life-Savers Conference of the American College of Surgeon’s Keystone Chapter (Scranton, PA; 11/6/15)

• MD from St. George’s University School of Medicine (2013) • MPH degree concentrated in Biostatistics and Epidemiology from St. George’s University (2009) Currently working towards completing MBA at St. George’s University (projected completion date in 2017)

• Active involvement in two internally initiated clinical trials

• Publication in two peer-reviewed journals: 1) Wojda TR, Valenza PL, Cornejo K, et al. The Ebola Outbreak of 2014-2015: From Coordinated Multilateral Action to Effective Disease Containment, Vaccine Development, and Beyond. J Glob Infect Dis. 2015;7(4):127-38. DOI: 10.4103/0974-777X.170495; and 2) Cornejo K, Reichel M, Dut A, Guido S. Cinnamon and Diabetes. Family Physicians Inquiries Network. 2015.

• Reviewer for the International Journal of Academic Medicine (IJAM)

• Member of the SLUHN Research Faculty Council’s Primary Care and Community Health Subcommittee

• Study coordinator for CONSESUS Vascular Surgery National Registry

• Reviewer for the International Journal of Academic Medicine (IJAM)

• Study Coordinator for OWN THE BONE National Osteoporosis Registry

• Study coordinator for seven externally sponsored clinical trials

• Past work experience: one-year research fellowship in Neuroanesthesia at The Ohio State University.

• Sub-investigator of one externally sponsored clinical trial

• Study coordinator for two externally sponsored clinical trials • Sub-investigator of an externally sponsored clinical trial

Dr. Cornejo:

SLUHN has implemented a post-doctoral research program for doctoral-level applicants.

The Auxiliary of St. Luke’s Awards Scholarships During the 2015-16 academic year, the Auxiliary of St. Luke’s University Health Network (SLUHN) provided $8,500 in funding for research scholarships to be awarded to medical students, residents, and fellows on a competitive basis. To qualify for a scholarship, applicants had to submit a Request for Application for original research that was conceived and implemented at SLUHN with faculty mentorship. The Research Scholarship Review Subcommittee consisting of Maria Collette, Director of Library Services; James P. Orlando, EdD, Associate Chief Academic Officer; Philip Salen, MD, Emergency Medicine residency faculty member; and Jill Stoltzfus, PhD, Director of the Research Institute) selected the final projects. Each scholarship recipient received up to $1,250 for completion of different research project stages, including Institutional Review Board submission and approval; development of project timeline, data collection and analysis; abstract completion; and manuscript completion with submission to a peer-reviewed journal. The 2015-16 research scholarship award winners were as follows: 1. Elena Berg, Emergency Medicine resident 2. Jason Black, Emergency Medicine resident 3. Veronica Coppersmith, Emergency Medicine resident 4. Heidi Hon, General Surgery resident 5. Ajith Malige, Temple University/St. Luke’s School of Medicine student and Vince Lands – Orthopedic Surgery resident 6. Ronnie Mubang, General Surgery resident 7. Melody Stouder, Podiatry resident 8. Julia Tolentino, General Surgery resident

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Advanced Practice St. Luke’s University Health Network established the Advanced Practice Department in 2014 to recognize the ever-expanding role and influence of advanced practitioners (APs). Over the past 30 years the network AP workforce has grown to approximately 30 percent of the Network’s provider workforce. SLUHN currently employs 345 physician assistants and nurse practitioners working in a variety of settings from physician offices to the delivery room to the operating room. Under the direction of Maureen Barrett, MPAS, PA-C, Network Chairman of Advanced Practice, the department functions through a committee structure. The committees establish network standards for advanced practice recruitment, onboarding and credentialing. CRITICAL CARE & EMERGENCY MEDICINE ADVANCED PRACTITIONER FELLOWSHIP SLUHN offers a paid, 12-month acute care advanced practitioner fellowship with tracks in emergency medicine or critical care. The program provides an environment conducive to the education of physician assistants and nurse practitioners enabling them to acquire the knowledge, values and experience needed to provide cost-effective quality health care in emergency medicine and acute care settings. The Advanced Practitioner Fellowship is led by Julie Gutzweiler, MSPA-C-EM, Co-Program Director, Emergency Medicine and Dana Williams, CRNP, Co-Program Director, Critical Care. Six core clinical rotations are the mainstay of the fellowship for both tracks with specialization enabling fellows to refine their educational experience. St. Luke’s provides fellows the opportunity to acquire extensive experience and work alongside a diverse and active faculty committed to education. A dedicated faculty delivers a comprehensive approach to patient care in a complex environment. The magnitude of clinical experiences in this multidisciplinary program provides incomparable learning opportunities for the fellows. The program provides the advanced practitioner fellow with specialty training in the expert management of critically ill patients in the emergency department, intensive care units and the trauma bay.

PA/NP fellows become proficient in: • Evaluation of critically ill and injured patients • Initiation of appropriate, complete diagnostic and treatment plans • Development and implementation of patient care plans • Providing leadership Students receive systematic instruction in: • Resuscitation of critically ill patients • Advanced cardiac and trauma life support • Clinical features and physiology of disease states that lead to acute, life-threatening illnesses • Technical skills involved in monitoring, airway maintenance and mechanical ventilation • Theory and practical management of invasive and noninvasive monitoring systems For more information, contact: APEMCCfellow@sluhn.org. AWARDS AND RECOGNITIONS Caitlyn Trovato, PA-C, received the Award for Excellence in Case Study Presentation at the 2015 Pennsylvania Society of Critical Care Medicine conference held in Hershey. Her Presentation entitled “Management of the Crashing, Burning Heart” highlighted a very complex patient who benefited from all of the combined resources of SLUHN’s Cardiovascular and Critical Care teams. PRESENTATIONS Trovato, C. Management of the crashing, burning heart. Presented at the Pennsylvania Society of Critical Care Medicine Annual Meeting; Aug 2015; Hershey, PA. Winner of the Award for Excellence in Case Study Presentation.

St. Luke’s University Health Network established the Advanced Practice Department in 2014 to recognize the ever-expanding role and influence of advanced practitioners.

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Nursing The advancement of nursing has always been on the forefront of St. Luke’s University Health Network. Among the many testaments of this long-standing commitment is the St. Luke’s School of Nursing. Founded in 1884, the school is the oldest nursing school in the nation. During the 20-month nursing curriculum, students receive 900 hours of clinical practice in a variety of health care settings preparing them well for success on state boards and careers in professional nursing. St. Luke’s University Health Network also offers a 12-month acute care advanced practitioner postgraduate fellowship with tracks in emergency medicine/critical care or critical care/surgical subspecialty. Additionally, it serves as a clinical site for numerous nursing masters/ doctorate practicums and internships. Employing more than 2,200 nurses, St. Luke’s University Health Network has been successful in attracting, cultivating and retaining nurses with extensive experience and education. Eight nurses have attained doctorate degrees in nursing and well over 100 have master’s degrees. Nursing leadership strongly supports and promotes professional inquiry as an essential component to the continued growth of a healthy evidence-based practice environment. Strong education and interdisciplinary partnerships have allowed St. Luke’s to excel in evidence-based and quality initiatives. An Evidencebased Practice and Standards Council oversees important committees including the Nursing Policy and Procedure, EBP Education, and Nursing Research and Scholarship Committees. At the 2015 Nursing Research and Scholarship Day event, the second annual Robin Haff Research and Scholarship Award was presented. The award, sponsored by Dr. Vincent Lucente, honors the late Robin Haff, who was a committed and passionate nurse researcher. The award is presented to a St. Luke’s nurse who exemplifies those same qualities.

The Center for Nursing Excellence at St. Luke’s was created to provide a forum to support nurses in their lifelong commitment to learning and self-development. Managed by nurses for the purpose of advancing the profession of nursing, it provides scholarships for nurses to pursue BSN, MSN or doctorate degrees, offers nurses opportunities to obtain specialty certifications and hosts CEC conferences, often featuring national keynote speakers. In addition, the Center provides opportunities for nurses to attend national conferences and funds research projects. Nurses are supported and highly encouraged to share their research and experience through publications and presentations at conferences. With nurses in many key leadership positions, nurses are highly respected members of the St. Luke’s health care team. Nurses often initiate and lead projects that improve patient care and are submitted for recognition in the Annual SLUHN Quality Awards Program and the Hospital Association of Pennsylvania Achievement Awards. In addition, nursing’s strong evidence-based practice and culture of safety is essential to the network’s success in earning such prestigious recognition as one of Truven Health Analytics Top 100 Hospitals. Nursing’s latest commitment to the advancement of evidence-based practice, performance improvement (PI) and research is evident in the new Nursing Fellowship program. The fellowship provides future nurse leaders with advanced education, coaching and mentoring, thereby preparing them to help lead meaningful and significant PI and research projects.

The advancement of nursing has always been on the forefront of St. Luke’s University Health Network.

AWARDS Second Annual Robin Haff Research and Scholarship Award Diane Ward, RN, St. Luke’s University Hospital: The Effect of Familiar Music in Decreasing Agitated Behaviors in Hospitalized Patients with Dementia. March of Dimes In 2015, the March of Dimes named St. Luke’s Neonatal Intensive Care Unit (NICU) nurse Karen Metzger, LPN, was selected as “Nurse of the Year.” President’s Award, 2015 Annual SLUHN Quality Awards Program Nikki Alderfer, BSN, RN and team: Multidisciplinary Approach for Intermittent Pneumatic Compression Device Compliance-mechanical VTE Prophylaxis. Award for Excellence in Case Study Presentation, Pennsylvania Society of Critical Care Medicine Caitlyn Trovato PA-C received the Award for Excellence in Case Study Presentation at the recent Pennsylvania Society of Critical Care Medicine conference held in Hershey. Her Presentation entitled “Management of the Crashing, Burning Heart” highlighted a very complex patient who benefited from all of the combined resources of SLUHN’s Cardiovascular and Critical Care teams.

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PUBLICATIONS The following section features publications and presentations from various areas of nursing expertise across our Network. Specialties listed include bariatric nursing, critical care nursing, perioperative nursing, surgical nursing and trauma nursing. Birriel TJ, Uchino R, Barry N, Butryn T, Sabol DM, Valenza PL, Stawicki SP. Adverse Drug Reactions in the Era of Multi-morbidity and Polypharmacy. Journal of Basic and Clinical Pharmacy. Sep 2015; 6(4): 122. El Chaar M, Claros L, Hammoud N, Ezeji G, Miletics M, Stoltzfus J. Laparoscopic Sleeve Gastrectomy Versus Laparoscopic Roux-en-Y Gastric Bypass: A Single Center Experience with 2 Years Follow-up. Obesity Surgery. Feb 2015; 25 (2): 254-262. Kalra S, Kelkar D, Galwankar SC, Papadimos TJ, Stawicki SP, Arquilla B, Hoey BA, Sharpe RP, Sabol D, Jahre JA. The Emergence of Ebola as a Global Health Security Threat: from “Lessons Learned” to Coordinated Multilateral Containment Efforts. Journal of Global Infectious Diseases. Oct 1, 2014; 6(4): 164. Ozekcin L, Tuite P, Willner K, Hravnak M. Simulation Education: Early Identification of Patient Physiologic Deterioration by Acute Care Nurses. Clinical Nurse Specialist. May/June 2015; 29(3): 166–173 doi: 10.1097/ NUR.0000000000000123. Ozekcin L, Hravnak M. A Clinical Nurse Specialist-Led Initiative: Earlier Response and a Team-Based Approach to Patient Clinical Deterioration. Clinical Nurse Specialist. Mar 1, 2015; 29 (2): E9-E9. Sabol DM, Wittmann-Price RA. Get Creative with Performance Improvement Plans. Nursing Management. Aug 1, 2005; 36(8): 16-9. PRESENTATIONS Buck T. Tracking and Trending of Immediate Use Sterilization. Poster presentation. AORN Surgical Conference & Expo; March 2015; Denver, CO. Fischer M, Gregg E. Energizing Beginner NICHE Resource RN’s and PCA’s: An Innovative Educational Approach. Poster Presentation, NICHE Annual Conference; April 2015; Orlando, FL.

Gannon P, Sargent K. Two Journeys to Improve ED Patient Experience. Premier Breakthroughs Conference; June 2015; National Harbor, MD. Hann S, Rehnert C. The Hidden Danger of Surgical Smoke. Poster presentation. Received Clinical Excellence Award. AORN Surgical Conference and Expo; March 2015; Denver, CO. Heffner S. Closing the Loop: Addressing High ED Utilization. Premier Breakthroughs Conference; June 2015; National Harbor, MD. Kupec C, Powell S. Improving Performance: Re-engineer the Documentation or the Process. Premier Breakthroughs Conference; June 2015; National Harbor, MD. Leshko K. Using the PI Process for Challenging Trauma Cases/Scenarios. Pennsylvania Trauma Systems Foundation (PTSF); June 2015; Harrisburg, PA. Miletics M. Inpatient Bariatric Nursing – How to Safely Manage these High Risk Patients. Early Tickets for Post-Operative Success: Lifestyle Starts on the Floors. 12th Annual Bariatric Summit 2015, for the Comprehensive Management of Severe Obesity; September 2015; Austin, TX. Miller A, Marrone R. TeamSTEPPS: Get your Briefs in a Huddle. Premier 2015 Breakthroughs Conference; June 2015; National Harbor, MD. Neiman, R. Leadership Rounding to Promote a Positive Patient Experience. Premier Breakthroughs Conference; June 2015; National Harbor, MD. Ozekcin L. A CNS-Led Initiative: Earlier Response and a Team-Based Approach to Patient Clinical Deterioration. National Association of Clinical Nurse Specialists 2015 Annual Conference; March 2015; San Diego, CA.

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Department of Pharmacy The St. Luke’s pharmacy team is committed to patient care in multiple ways. The pharmacy team provides all medications necessary to the care of patients using technologies and workflows which emphasize patient safety, such as bar code scanning, automated dispensing cabinets, sterile compounding areas, and many drug information resources. The medication use process is evaluated continuously to ensure safety and maximize efficiency. Routine communication among the network pharmacy departments also serves to maintain an adequate inventory of medications, particularly those medications, which are difficult to obtain due to manufacturer supply issues. Pharmacy advisement was instrumental in the safe implementation of the network’s new electronic health record, Epic. Clinical pharmacists provide direct patient care in the context of a multidisciplinary team in order to optimize patients’ medication regimens and, therefore, patient outcomes. Clinical pharmacists are an integral part of several patient care service lines, including internal medicine, trauma, surgical critical care, medical critical care, pediatrics, cardiology, infectious diseases, hematology-oncology and emergency medicine. Clinical pharmacists also provide didactic education to medical students at the Temple University Lewis Katz School of Medicine regional campus at St. Luke’s University Hospital. RESIDENCY The PGY-1 Pharmacy Practice Residency is an ASHPaccredited program dedicated to excellence in training. Our residents are exposed to a variety of practice areas and are taught by an enthusiastic faculty in an innovative and dynamic environment. The residents benefit from the diverse training and background of our clinical pharmacists and preceptors. Our residents have access to integrated health care delivery systems, excellent learning resources, and multiple health care team members working together to provide quality care to all of the patients we serve.

The Department of Pharmacy Services at St. Luke’s University Health Network is proud to offer three residency positions. Our residents experience educational offerings throughout the network. The goal of our program is to provide high quality, comprehensive education that prepares residents to compassionately meet the needs of patients. Upon graduation, residents will be self-directed learners possessing clinical competence, leadership and professional skills, and will have the confidence to excel in diverse practice environments. MEDICATION USE EVALUATION The pharmacy department conducts medication use evaluations (MUE) to pragmatically assess the safe and responsible use of new and established medications within the network. This practice serves to help maintain a streamlined and fiscally sound medication formulary. QUALITY IMPROVEMENT St. Luke’s pharmacists are also involved in multidisciplinary quality improvement committees, providing input on the safe and rational use of medications as it pertains to respective committee objectives.

The pharmacy team provides all medications necessary to the care of patients.

INVESTIGATIONAL PHARMACY SERVICES At St. Luke’s University Health Network, the Department of Pharmacy actively supports medical research, innovation and education. In this capacity, our pharmacy professionals help investigators and research personnel in the use of medications utilized in clinical trials. The responsibilities of the Pharmacy related to clinical trials include: • Serving as a resource to investigators regarding the development of investigational drug studies • Obtaining and storing study medication and related supplies • Screening physician orders and patient information for safe use of study drugs and adherence to study protocols • Preparing medication according to protocol • Ensuring that labeling, drug storage, dispensing, and accountability records comply with federal, state and local guidelines • Maintaining accurate clinical trial medication accountability records • Meeting with study monitors and regulatory agencies • Providing information and training about study medications • Reviewing protocols for the network’s Institutional Review Board Contact Information Pharmacy Department Clinical Trials Coordinator St. Luke’s University Health Network 801 Ostrum Street Bethlehem, PA 18015 484-526-4211

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PUBLICATIONS Adesina A, Colombo A, Jeanmonod R. Anaphylactoid Reaction from IV Contrast Dye Causing Ischemic Colitis with Portal Venous Gas. Case Reports in Critical Care. 2015: 793951.

Mubang RN, Stoltzfus JC, Cohen MS, Hoey BA, Stehly CD, Evans DC, Jones C, Papadimos TJ, Grell J, Hoff WS, Thomas P. Comorbidity–Polypharmacy Score as Predictor of Outcomes in Older Trauma Patients: A Retrospective Validation Study. World Journal of Surgery. Aug 2015; 39(8): 2068-75.

Birriel TJ, Uchino R, Barry N, Butryn T, Sabol DM, Valenza PL, Stawicki SP. Adverse Drug Reactions in the Era of Multi-morbidity and Polypharmacy. Journal of Basic and Clinical Pharmacy. Sep 2015; 6(4): 122-3.

Mudalel ML, Dave KP, Hummel JP, Solga SF. N-acetylcysteine Treats Intravenous Amiodarone Induced Liver Injury. World Journal of Gastroenterology. Mar 7, 2015; 21(9): 2816.

Doshi NM, Cook CH, Mount KL, Stawicki SP, Frazee EN, Personett HA, Schramm GE, Arnold HM, Murphy CV. Adjunctive Aerosolized Colistin for Multi-drug Resistant Gram-negative Pneumonia in the Critically Ill: A Retrospective Study. BioMed Central Anesthesiology. Nov 2013; 13(1): 1.

Segre K, Doshi. Evaluation of Dexmedetomidine U sage and Adverse Events Pre- and Post-Restriction Implementation. Critical Care Medicine. Dec 1, 2012; 40(12): U296.

Doshi NM, Mount KL, Murphy CV. Nephrotoxicity Associated with Intravenous Colistin in Critically Ill Patients. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy. Dec 1, 2011; 31(12): 1257-64. Eagleson N, Doshi N, Cook C, Murphy C. Colistin Monotherapy Versus Colistin-Plus Regimens for Treatment of Multi-drug Resistant Nosocomial Pneumonia in Critically Ill Patients. Critical Care Medicine. Dec 1, 2012; 40(12): U34. El Chaar M, Stoltzfus J, Claros L, Wasylik T. IV Acetaminophen Results in Lower Hospital Costs and Emergency Room Visits Following Bariatric Surgery: a Double-Blind, Prospective, Randomized Trial in a Single Accredited Bariatric Center. Journal of Gastrointestinal Surgery. Apr 2016; 20(4): 715-24. Housley BC, Stawicki SP, Evans DC, Jones C. Comorbidity-polypharmacy Score Predicts Readmission in Older Trauma Patients. The Journal of Surgical Research. Nov 2015; 199(1): 237-43. Justiniano CF, Coffey RA, Evans DC, Jones LM, Jones CD, Bailey JK, Miller SF, Stawicki SP . Comorbiditypolypharmacy Score Predicts In-hospital Complications and the Need for Discharge to Extended Care Facility in Older Burn Patients. Journal of Burn Care & Research. Jan-Feb 2015; 36(1): 193-6 .

Stawicki SP, Kalra S, Jones C, Justiniano CF, Papadimos TJ, Galwankar SC, Pappada SM, Feeney JJ, Evans DC . Comorbidity Polypharmacy Score and its Clinical Utility: A Pragmatic Practitioner’s Perspective. Journal of Emergencies, Trauma and Shock. Oct-Dec 2015; 8(4): 224–231. Zagar B, Longyhore DS. Taking a CHANCE on Clopidogrel Plus Aspirin to Prevent Stroke. http://www.iforumrx.org/node/307. Oct 30, 2015. PRESENTATIONS Ference JD, Parsi M, Cook E, Longyhore DS. The Effect of Framing Relative and Absolute Risk Upon Clinical Decision Making in Pharmacy Students. Poster session presented at: American Association of Colleges of Pharmacy Annual Meeting; Jul 2015; National Harbor, Maryland Franko T, Hoot E, Longyhore DS. Developing an Objective Structured Clinical Exam (OSCE) to Supplement Performance-based Assessments. Poster session presented at: American Association of Colleges of Pharmacy Annual Meeting. Jul 2015; National Harbor, MD. Labram Y, Johnson LA. Medication Use Evaluation of Calcitonin Injection within the St. Luke’s University Health Network. Poster session presented at: American Society of Health System Pharmacists Mid-Year Clinical Meeting; Dec 2015; New Orleans, LA.

Labram Y, Johnson LA. Medication Use Evaluation of Phytonadione within the St. Lukeâ&#x20AC;&#x2122;s University Health Network. Poster session presented at: American Society of Health System Pharmacists Mid-Year Clinical Meeting; Dec 2015; New Orleans, LA. Longyhore D, Ren YL, Menak R. Using In-hospital COPD Inhaled-medication Regimens as Predictors for Subsequent Hospital Admissions. Poster session presented at: 2015 ACCP Global Conference on Clinical Pharmacy; Oct 17-21, 2015; San Francisco, CA. Longyhore DS, Ference JD, Ference K. Every Day Evidence: Working Smarter, Not Harder to be an Evidence-Based Pharmacist. Oral presentation at: Wilkes University; Oct 8, 2015; Wilkes-Barre, PA. Longyhore DS, Gleason B, Saseen J, Zlatic T. Planning for Effective Teaching Presymposium. Oral presentation at: American College of Clinical Pharmacy Academy; Oct 17, 2015; San Francisco, CA. Longyhore DS, Haase K, Saseen J, Zlatic T. Teaching & Learning Primer. Oral session presented at: American College of Clinical Pharmacy; Oct 19, 2015; San Francisco, CA. Longyhore DS, Johnson LA. Evaluating the Accuracy of Several Different Methods for Estimating Renal Function for the Purpose of Dosing Medications. Poster session presented at: 2015 ACCP Global Conference on Clinical Pharmacy; Oct 17-21, 2015; San Francisco, CA. Nguyen, K. Comparison of Infection Rates in Patients with Type III Open Fractures Given Cefazolin Prophylaxis vs. a Combination of Cefazolin Plus an Aminoglycoside: A Retrospective Pilot Study from a Level I Trauma center. Oral presentation presented at: Eastern States Residency Conference; May 2015; Hershey, PA. Nguyen, K. Comparison of Infection Rates in Patients with Type III Open Fractures Given Cefazolin Prophylaxis vs. a Combination of Cefazolin Plus an Aminoglycoside: A Retrospective Pilot Study from a Level I Trauma Center. Oral presentation at: MEPSHP Night of Residents; May 2015; Bethlehem, PA. Paek, J. Outcomes in Continuing Home Medications in the Hospital. Oral presentation presented at: Eastern States Residency Conference; May 2015; Hershey, PA. Paek, J. Outcomes in Continuing Home Medications in the Hospital. MEPSHP Night of Residents Oral presentation at: MEPSHP Night of Residents; May 2015; Bethlehem, PA. Ren Y. Impact of a Multidisciplinary Guideline on the Likelihood of Surgical Patients Receiving Optimal Antimicrobial Prophylaxis: Skipping the SCIP. Oral presentation presented at: Eastern States Residency Conference; May 2015; Hershey, PA. Ren Y. Impact of a Multidisciplinary Guideline on the Likelihood of Surgical Patients Receiving Optimal Antimicrobial Prophylaxis: Skipping the SCIP. Oral presentation at: MEPSHP Night of Residents; May 2015; Bethlehem, PA.

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St. Luke’s Global Presence Our faculty members are actively involved in promoting health and wellness around the globe. From providing much needed mentorship and surgical care in Cameroon, to educating emergency physicians in India, to participating in surgical mission trips to Ecuador, St. Luke’s physicians are there to help and lead. AMONG THE PHYSICIANS WHO HAVE PARTICIPATED IN INTERNATIONAL PROJECTS ARE: • Sudip Nanda, MD, and Stanislaw Stawicki, MD, became Principal Editors of the International Journal of Academic Medicine, a new scientific publication dedicated to medical education, worldwide sharing of medical knowledge, and international academic outreach. Dr. Stawicki also represents SLUHN as the Section Editor for Acute Care Surgery on the Editorial Board of the European Journal of Trauma & Emergency Surgery. • William G. De Long, MD, orthopedic surgeon, faculty member of the International Orthopedic Trauma Care Forum in 2010 and 2014. • Marian McDonald, MD, who has completed several independent medical and surgical mission trips to Haiti (Gros Morne and Port au Prince) with both local organizations and a respected international organization. These programs encourage sustainable development in medical care and in-country partners. Her projects include the development of a shortterm, ACGME (Accreditation Council for Graduate Medical Education)-accredited rotation near Port au Prince for St. Luke’s medical students. In addition, Dr. McDonald also completed programs in Costa Rica and Ghana, West Africa. • Dr. Stawicki, who serves on the Advisory Board of the Maharishi Markandeshwar University, Mullana, India. He also is a Member of the INDO-US International Advisory Council and participated as an organizer for the annual INDO-US Emergency & Trauma Collaborative Summit since 2012.

ST. LUKE’S INTERNATIONAL SURGICAL STUDIES Under the direction of Richard P. Sharpe, MD, St. Luke’s University Hospital Network has developed the St. Luke’s International Surgical Studies (SLISS) Program. SLISS works to meet the health care needs of populations in developing nations through sustained improvements in care as well as train the next generation of medical professionals to meet the needs of the international community. This program was designed specifically to partner with hospitals in host nations and provide supplies, equipment, training and visiting medical professionals. Since Spring 2014, the St. Luke’s International Surgical Studies Program (SLISS), has partnered with Mbingo Baptist Hospital (MBH) in Cameroon, Africa to improve access and quality of health care for nearby villagers while also providing St. Luke’s surgical residents with a rewarding and eye-opening international medical experience. From SLISS’s inception in 2014 through December 2015, there have been five surgical teams that have traveled to MBH for one month visits. In addition to Dr. Sharpe, the attending physicians who have served on these trips include: Chinenye Nwachuku, MD, (orthopedics), Gail Burgey, MD, (OB-GYN), and Scott Keeney, DO, (general surgery). In addition, seven residents, five from general surgery and two from obstetrics — gynecology have also served on the teams.

• St. Luke’s surgeons and podiatry specialists participate in various outreach initiatives involving South America.

Our faculty members are actively involved in promoting health and wellness around the globe.

After great consideration, the curriculum committee of The Lewis Katz School of Medicine Temple University has approved the SLISS program as a Global Surgery Elective for their fourth year medical students. Starting in September of 2016, a fourth-year medical student, who is interested in a career in surgery, will be offered to accompany each surgical team. As the SLISS program grows, hopefully students interested in other specialties will also be able to participate. During these trips, St. Luke’s physicians hand carry much needed supplies to the Cameroon hospital. Throughout the rotation, they collaborate with MBH residents trained through a program administered by the Pan African Academy of Christian Surgeons (PAACS). St. Luke’s residents and their attending physicians work side by side with their African counterparts in an ongoing exchange of training and experiences that are mutually beneficial. For the St. Luke’s general surgery residents, the many benefits of their Cameroon elective include learning how to perform surgery in an austere setting where medical supplies are limited and ancillary support services are non-existent. They gain experience in diagnosing and treating common conditions that present much later in the course of the disease, as well as illnesses unique to the location. They develop logical and ingenious approaches to manage these patients in a resource limited environment and gain a clearer understanding of the term “Global Surgery” including disparities in the level of care that is available as well as access to that care. The total cost of the trip is $3000 per person and funded solely through donations. For more information on the SLISS program, including photos, videos and daily blogs from the October rotation, please visit the program’s web site.

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PUBLICATIONS Birriel TJ, Uchino R, Barry N, Butryn T, Sabol DM, Valenza PL, Stawicki SP. Adverse Drug Reactions in the Era of Multi-morbidity and Polypharmacy. Journal of Basic and Clinical Pharmacy. Sep 2015; 6(4): 122-3. Evans DC, Firstenberg MS, Galwankar SC, MoffattBruce SD, Nanda S, O’Mara MS, Papadimos TJ, Stawicki SP. International Journal of Academic Medicine: A Unified Global Voice for Academic Medical Community. International Journal of Academic Medicine. 2015; 1: 1-2. Hon HH, Kousari YM, Papadimos TJ, Tsavoussis A, Jeanmonod R, Stawicki SP. What’s New in Critical Illness and Injury Science? Nonaccidental Burn Injuries, Child Abuse Awareness and Prevention, and the Critical Need for Dedicated Pediatric Emergency Specialists: Answering the Global Call for Social Justice for our Youngest Citizens. International Journal of Critical Illness and Injury Science. Oct-Dec 2015; 5(4): 223–226. Kelly N, Esteve R, Papadimos TJ, Sharpe RP, Keeney SA, DeQuevedo R, Portner M, Bahner DP, Stawicki SP: Clinician-performed Ultrasound in Hemodynamic and Cardiac Assessment: A Synopsis of Current Indications and Limitations. European Journal of Trauma and Emergency Surgery. Oct 2015; 41(5): 469-80. doi: 10.1007/s00068-014-0492-6.doi: 10.1007/s00068-014-0492-6.

Montoya J, Stawicki SP, Evans DC, Bahner DP, Sharpe RP, Cipolla J. From FAST to E-FAST: An Overview of the Evolution of Ultrasound-Based Traumatic Injury Assessment. European Journal of Trauma and Emergency Surgery. March 2015; In press. doi: 10.1007/ s00068-015-0512-1. Tsavoussis A, Stawicki SP, Papadimos TJ. Childwitnessed Domestic Violence: An Epidemic in the Shadows. International Journal of Critical Illness and Injury Science. 2015; 5: 64-5. Weksler B, Kosinski AS, Burfeind WR, Silvestry SC, Sullivan J, D’Amico TA. Racial and Ethnic Differences in Lung Cancer Surgical Stage: An STS Database Study. The Thoracic and Cardiovascular Surgeon. Oct 2015; 63(7): 538-43. Wojda TR, Valenza PL, Cornejo K, McGinley T, Galwankar SC, Kelkar D, Sharpe RP, Papadimos TJ, Stawicki SP. The Ebola Outbreak of 2014-2015: From Coordinated Multilateral Action to Effective Disease Containment, Vaccine Development, and Beyond. Journal of Global Infectious Diseases. Nov 2015; 7(4): 127-38. doi: 10.4103/0974-777X.170495.

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Medical Textbook Chapters Authored by St. Luke’s Research Faculty Agarwala SS, Implications of Chemo/Biochemotherapy in the Treatment of Metastatic Melanoma. In: Leong SPL, ed. From Local Invasion to Metastatic Cancer. Humana Press, 2009: pp.607-609. Becker M, Axelrod DJ, Chism K, Weinberger TE, Markov D, Denysenko L, Marchionni C, Oyesanmi O, Field H, and Shakin Kunkel EJ. In: Hematologic Disorders. Psychiatric Care of the Medical Patient. Fogel BS, Greenberg DB, Editors. Oxford University Press. May 28, 2015.

Jones C, Stawicki SP, Evans DC. Mechanical Complications of Nasoenteric Tubes. In: Rajendram R, Preedy VR, Patel VB, eds. Diet and Nutrition in Critical Care. New York: Springer, 2015: 1625-1635. Maxhimer JB, Quiros RM. Small Bowel Obstruction. In: Myers JA, Millikan KW, Saclarides TJ, eds. Common Surgical Diseases. New York, Springer, 2008: 141-143.

Coven DL, Kalyanasundaram A, Shirani J. Acute Coronary Syndrome. Medscape Reference. Updated March 06, 2015. Available at: http://emedicine.medscape.com/ article/1910735-overview.

Hoff WS. Look for Missed Extremity Fractures in Patients with a Diagnosed Extremity Fracture. In: Marcucci L, Martinez EA, Haut ER, Slonim AD, Suarez JI, eds. Avoiding Common ICU Errors. Philadelphia: Lippincot Williams & Wilkins, 2012: pp.771-773

Palazzo JP, Toll AD. Gastric MALT Lymphoma Associated with Helicobacter Pylori Infection. In Gulati G, FilickoO’Hara J, Krause J, eds. (2011) Case Studies in Hematology and Coagulation. 2011. Chicago, IL. ASCP Press.

Hoff WS. Team Activation and Organization. In: B. Peitzman, Timothy C. Fabian, Michael Rhodes, Donald M. Yealy, C. William Schwab, eds. The Trauma Manual: Trauma and Acute Care Surgery. Philadelphia: Lippincot Williams & Wilkins, 2012: pp.101-109 Hon HH, Stoltzfus JC, Stawicki SP. Biostatistics for the Intensivist: A Clinically-Oriented Guide to Research Analysis and Interpretation. In: Martin ND, Kaplan LJ, eds. Principles of Adult Surgical Critical Care. New York: Springer, 2015: In press. Hosey JP, et al. 2013–2015. Guideline Development Subcommittee (GDS) Member. Evidence-based Guideline Summary: Diagnosis and Treatment of Limb-girdle and Distal Dystrophies: Report of the Guideline Development Subcommittee of the American Academy of Neurology and the Practice Issues Review Panel of the American Association of Neuromuscular and Electrodiagnostic Medicine [NGC: 010565; 2014 Oct 14]. Available online

at: https://www.guideline.gov/summaries/ summary/48746?search=Supine%20Position%20.

Quiros RM. Ischemic Bowel. In: Myers JA, Millikan KW, Saclarides TJ, eds. Common Surgical Diseases. New York, Springer, 2008: pp. 145-148. Rae-Grant A, Rabinstein A, Cree B, Dubinsky R, Day G, Haboubi M, Halper J, Hosey JP, et al. Disease-modifying Therapies for Multiple Sclerosis: A Guideline Project Protocol Proposal of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. [July 13, 2015]. Available online at: https://www.aan.com/uploadedFiles/Website_ Library_Assets/Documents/2.Clinical_Guidelines/3. Browse_By_Status/4.Guidelines_Under_Development/ Protocol-Draft-MS-DMT-7-9-15-Final.pdf. Salen PN, Spacek LA. Diarrhea. In: Wolfson AB, Hendey GW, Ling LJ, Rosen CL, Schaider JJ, and Cloutier RL, eds. Harwood-Nuss’ Clinical Practice of Emergency Medicine. 6th ed. Philadelphia: Wolters Kluwer, 2015: 590-95.

More than 180 fellows, residents and interns train at St. Luke’s, which is one of only 400 members of the prestigious Council of Teaching Hospitals.

Salen PN, Solga S. Feeding Tubes. In: Wolfson AB, Hendey GW, Ling LJ, Rosen CL, Schaider JJ, and Cloutier RL, eds. Harwood-Nussâ&#x20AC;&#x2122; Clinical Practice of Emergency Medicine. 6th ed. Philadelphia: Wolters Kluwer, 2015: 605-7. Singh VN, Aggarwal K, Sharma RK, Shirani J, Strom JA, Suksanong M. Myocardial Abscess. Medscape reference. Updated: November 14, 2014. Available at: http://emedicine.medscape. com/article/223700-overview. Shirani J, Acharya Y, Kalyanasundaram A, Pourmoghadam KK. Cor Triatriatum. Medscape reference. Updated December 18, 2014. Available at: http://emedicine.medscape.com/article/154168-overview. Shirani J, Brofferio A. Isolated Coronary Artery Anomalies. Medscape Reference. Updated: December 18, 2014. Available at: http://emedicine.medscape.com/article/153512-overview. Toll AD, Erozan YS. Diagnostic cytology: Central Nervous System and Cerebrospinal Fluid. In: Bibbo M, Wilbur DC, eds. Comprehensive Cytopathology, 4th ed. United Kingdom. Elsevier; 2014.

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Anesthesiology Approximately 70 anesthesiologists provide medical treatment and surgical procedures for patients at St. Luke’s University Health Network’s seven hospital campuses. They include fellowship-trained physicians specializing in critical care, trans-esophageal echocardiography and pain management. St. Luke’s anesthesiologists provide medical treatment and surgical procedures including: epidural injections; cervical, thoracic and lumbosacral nerve root blocks; spinal cord and peripheral nerve stimulation; caudal epidural injections; sacroiliac joint injections; discography; diagnostic medial branch block (cervical/thoracic/ lumbar); cervical, thoracic and lumbar medial branch radiofrequency neurotomy (rhizotomy); intercostal nerve blocks; occipital nerve blocks; hip joint injections; stellate injections; and lumbar sympathetic blocks. Led by Aldo Carmona, MD, Chief of the SLUHN Department of Anesthesiology and Anesthesiology Faculty Member at Temple University School of Medicine, the department is in the process of developing and implementing a perioperative surgical home, a patient-centric approach to the management of a patient’s surgical episode from the time a case is scheduled, to the post-discharge period. To date, a new preadmission process that incorporates our geriatric surgery program, enhanced recovery pathways for individual surgery types, and acute pain service for the effective treatment of post-operative pain have been instituted. Plans for a post discharge follow-up clinic are currently being developed. All anesthesiologists at the St. Luke’s University Hospital – Bethlehem Campus have completed either basic or advanced trans-esophageal echocardiography certification. This unique capability ensures state-ofthe-art support for our cardiovascular and critical care programs, and helps facilitate the rapid diagnosis and treatment of cardiac conditions intra- and postoperatively. St. Luke’s Anesthesiology Department is the first department of its size in the nation to achieve this distinction.

Among other educational efforts, the Department of Anesthesia supports St. Luke’s Critical Care Fellowship Program, and a three-year (PGY 1-3) ACGME-approved Emergency Medicine Residency Program providing an academically rigorous curriculum in a tertiary, academic medical center. The fully accredited program exposes residents to a broad spectrum of clinical experiences, providing them with in the skills required to manage the breadth of conditions seen in emergency medicine, including issues central to anesthesiology, such as airway emergencies, endotracheal intubation, and a variety of critical care problems. The St. Luke’s Trauma Fellowship offers both a twoyear Surgical Critical Care Fellowship for emergency medicine graduates, and a one-year fellowship for graduates of surgical programs. In 2012, the fellowship was awarded ACGME (Accreditation Council for Graduate Medical Education) accreditation, and was approved by the American Board of Surgery to include surgical critical care into its curriculum and training. St. Luke’s pioneering efforts in this area place it among the first institutions in the country to offer a two-year surgical critical care fellowship training for emergency medicine residency graduates approved by the American Board of Surgery.

Anesthesiologists include fellowship-trained physicians specializing in critical care, trans-esophageal echocardiography and pain management.

PUBLICATIONS Abcejo A, Andrejko KM, Ochroch EA, Raj NR, Deutschman CS. Impaired Hepatocellular Regeneration in Murine Sepsis is Dependent on Regulatory Protein Levels. Shock (Augusta, Ga.). Nov 2011; 36(5):471. Abcejo AS, Andrejko KM, Raj NR, Deutschman CS. Failed Interleukin-6 Signal Transduction in Murine Sepsis: Attenutation of Hepatic Glycoprotein (gp) 130 Phosphorylation. Critical Care Medicine. May 2009; 37(5): 1729. Amhaz HH, Chamoun RB, Waguespack SG, Shah K, McCutcheon IE. Spontaneous Involution of Rathke Cleft Cysts: Is It Rare or Just Underreported? Report of 9 Cases. Journal of Neurosurgery. Jun 2010; 112(6): 1327-32. Amhaz HH, Fox BD, Johnson KK, Whitehead WE, Curry DJ, Luerssen TG, Jea A. Postlaminoplasty Kyphotic Deformity in the Thoracic Spine: Case Report and Review of the Literature. Pediatric Neurosurgery. Mar 25, 2009; 45(2): 151-4.

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Amhaz HH, Fox BD, Johnson KK, Whitehead WE, Curry DJ, Luerssen TG, Jea A. Postlaminoplasty Kyphotic Deformity in the Thoracic Spine: Case Report and Review of the Literature. Pediatric Neurosurgery. 2009; 45(2): 151-4. doi: 10.1159/000209655. Epub 2009 Mar 25. Amhaz HH, Gupta DE, Manders LA, McKelvey GE, Orlewicz MS, Kaddoum RN. Renal Protection in the cardiac Surgery Patient: Peri-operative Sodium Bicarbonate Infusion (POSBI) or Not? Middle East Journal of Anesthesiology. Feb 2015; 23(1): 17. Amhaz HH, Kuo R, Vaidya R, Orlewicz MS. Esophageal Perforation Following Cervical Spine Surgery: A Review with Considerations in Airway Management. International Journal of Critical Illness and Injury Science. Oct 2013; 3(4): 276. Amhaz HH, Manders L, Chidiac EJ, Pallekonda V, Chakrabortty S. Unusual Case of Contralateral Horner’s Syndrome Following Stellate-Ganglion Block: A Case Report and Review of the Literature. Local and Regional Anesthesia. 2013; 6:31. Andrejko KM, Chen J, Deutschman CS. Intrahepatic STAT-3 Activation and Acute Phase Gene Expression Predict Outcome after CLP Sepsis in the Rat. American Journal of Physiology-Gastrointestinal and Liver Physiology. Dec 1, 1998; 275(6): G1423-9. Andrejko KM, Deutschman CS. Acute-phase Gene Expression Correlates with Intrahepatic Tumor Necrosis Factor-alpha Abundance but Not with Plasma Tumor Necrosis Factor Concentrations During Sepsis/Systemic Inflammatory Response Syndrome in the Rat. Critical Care Medicine. Dec 1, 1996; 24(12): 1947-52. Andrejko KM, Raj NR, Kim PK, Cereda M, Deutschman CS. IL-6 Modulates Sepsis-Induced Decreases in Transcription of Hepatic Organic Anion and Bile Acid Transporters. Shock (Augusta, Ga.). Apr 2008; 29(4): 490. Balinger KJ, Lam MT, Hon HH, Stawicki SP, Anasti JN. Amniotic Fluid Embolism: Despite Progress, Challenges Remain. Current Opinion in Obstetrics and Gynecology. Dec 1, 2015; 27(6): 398-405. Caggiano NM, Avery DM, Matullo KS. The Effect of Anesthesia Type on Nonsurgical Operating Room Time. The Journal of Hand Surgery. Jun 30, 2015; 40(6): 1202-9.

Chen, Jodi BS; Raj, Nichelle BS; Kim, Patrick MD; Andrejko, Kenneth M. BA; Deutschman, Clifford S. MD, FCCM. Intrahepatic Nuclear Factor-κ B Activity and α 1-acid Glycoprotein Transcription Do Not Predict Outcome After Cecal Ligation and Puncture in the Rat. Critical Care Medicine: March 2001; 29 (3): 589-596. Falowski SM. Deep Brain Stimulation for Chronic Pain. Current Pain and Headache Reports. Jul 1, 2015; 19(7): 1-4. Fox BD, Amhaz HH, Patel AJ, Fulkerson DH, Suki D, Jea A, Sawaya RE. Neurosurgical Rotations or Clerkships in US Medical Schools: Clinical Article. Journal of Neurosurgery. Jan 2011; 114(1): 27-33. Gupta D, Amhaz H, Mazumdar A, Soskin V. Transient Compressive Lumbar Radiculopathy Following Post-Epidural Blood Patch. Journal Anesthesiology, Clinical Pharmacology. Jan 2014; 30(1): 112-4. doi: 10.4103/0970-9185.125723. Gupta D., Amhaz HH. Arterial Cannulation: Simple Swaying Rates. Middle East Journal of Anesthesiology. Jun 2016; 23(5): 591. Kelly N, Esteve R, Papadimos TJ, Sharpe RP, Keeney SA, DeQuevedo R, Portner M, Bahner DP, Stawicki SP. Clinician-performed Ultrasound in Hemodynamic and Cardiac Assessment: A Synopsis of Current Indications and Limitations. European Journal of Trauma & Emergency Surgery. Oct 2015; 41(5):469-80. doi: 10.1007/s00068-014-0492-6. Manda YR, Shirani J. Prognostic Value of Dobutamine Stress Echocardiography in Renal Transplant Candidates: A Meta-Analysis. Journal of the American College of Cardiology. May 17, 2015; 65 (10_S).

Behavioral Health Services St. Luke’s Behavioral Health Services provides a wide variety of mental and behavioral health services ranging from management of stress and work-life balance to medical treatment of complex conditions, such as bipolar disorder or post-traumatic stress. The Behavioral Health (BH) program strives to bring innovative approaches to improve access to mental health services and provide much needed expertise to our patients. For example, in 2015, St. Luke’s Behavioral Health Services launched a program that places a behavioral health therapist within primary care practices. The therapist coordinates the patient’s mental health care while working closely with the individual’s primary care physician. After meeting with the patient for 15 to 20 minutes, the behavioral health specialist develops a plan to improve emotional wellness, often involving referrals to in-network programs and outside community agencies. The BH specialist continues to guide the patient on an appropriate path to better mental health. The program began with two primary care practices and has now expanded to eight. In order to meet the growing demand for geriatric behavioral services, St. Luke’s opened an Older Adult Behavioral Health Unit in February 2013. A specialist trained in geriatric psychiatry, a geriatrician, medical-surgical nurses, mental health technicians, case managers and activity therapists ensure that the unit is both easily accessible and capable of meeting the increased demand from our community. In addition to treating patients’ behavioral health conditions, our geriatric behavioral health specialists also address various medical health concerns that often accompany advanced age, such as diabetes, hypertension and heart disease. In addition, St. Luke’s operates a 23-bed adult inpatient unit at St. Luke’s University Hospital in Bethlehem and a 19-bed acute, adult mental health unit at St. Luke’s Quakertown Hospital. A team of psychiatrists, nurses, social workers, occupational therapists and other mental health experts staff both units. A crisis team, which operates around the clock, provides expert behavioral services to emergency departments at most hospitals within the St. Luke’s University Health Network. In addition to providing outstanding inpatient care, St. Luke’s Behavioral Health Services also operates a partial hospitalization day program, as well as individual, group, couples and family therapy. Among the many conditions treated are anxiety disorders, attention deficit disorder, depression, panic disorder, phobias, post-partum depression and post-traumatic stress disorder.

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PUBLICATIONS Ackerman D, Tzeng DL, Pineda MC. Abstract W P384: De-Depress: Detection of Post Stroke Depression in the Outpatient Setting; the Interim Analysis. Stroke. Feb 1, 2015; 46(Suppl 1): AWP384. Becker M, Axelrod DJ, Chism K, Weinberger TE, Markov D, Denysenko L, Marchionni C, Oyesanmi O, Field H, and Shakin Kunkel EJ. In: Hematologic Disorders. Psychiatric Care of the Medical Patient. Fogel BS, Greenberg DB, Editors. Oxford University Press. May 28, 2015. Kovach JG, Combs CJ, Singh H, Dubin WR. Psychiatry Resident Quality of Life. Academic Psychiatry. Jun 30, 2015. PubMed PMID: 26122355.

Singh H, Dubin W, Kaur S. Drug Interactions Affecting Clozapine Levels. Psychiatric Intensive Care, Available on CJO2013. doi:10.1017/S1742646413000332. Tsavoussis A, Stawicki SP, Papadimos TJ. Childwitnessed Domestic Violence: An Epidemic in the Shadows. International Journal of Critical Illness and Injury Science. Jan 1, 2015; 5(1): 64. Uhde TW, Cortese BM, Vedeniapin A. Anxiety and Sleep Problems: Emerging Concepts and Theoretical Treatment Implications. Current Psychiatry Reports. 2009; 11(4): 269-276. Uhde TW, Cortese BM, Vedeniapin A. Sleep Disorders. In: Adult Psychopathology and Diagnosis. Hersen M, Beidel DC, Editors. John Wiley & Sons; 2012 Hoboken, NJ.

Community Health and Preventive Medicine St. Luke’s University Health Network’s (SLUHN) Community Health and Preventive Medicine Department partners with the community to promote healthy lifestyles and foster health equity. By working with community groups and members, the department strives to reduce health disparities and improve the health status of the community through access to care, especially for our vulnerable populations. Under the leadership of Chair Bonnie Coyle, MD, the St. Luke’s Community Health Department spearheads a national model of collaboration with more than 200 participating partners representing local businesses, government, educational organizations, social service and community organizations. The department is also committed to medical education and research. Among the medical education programs supported by the Community Health Department is the H.E.A.R.T.S. program, a free clinic created by Temple/St. Luke’s Medical School students to serve uninsured and underserved individuals in Fountain Hill and south Bethlehem. Through a partnership with Lehigh University, Lehigh students work alongside the Temple medical students and St. Luke’s physicians to provide needed services. The primary responsibility of these volunteers is to serve as coordinators for the health care team and work directly with individuals and their families to help identify barriers to care. Once these barriers are identified, students work with these individuals to navigate the complex health care system and link them to available resources within the community, such as health insurance and a medical home. Moreover, Temple/St. Luke’s medical students, as well as faculty members and SLUHN residents, gain experience through the AIDS Services Center (ASC), which implements nationally recognized quality care in clinics in Bethlehem and Easton. The program is led by ASC Medical Director Peter Ender, MD, a Clinical Associate Professor of Medicine at the Temple University School of Medicine, and a core faculty member SLUHN’s Internal Medicine Residency. ASC has been featured twice in the National Quality Center’s national newsletter, and won the SLUHN 2015 President’s Award for Quality Improvement for its Viral Load Suppression project. Besides viral load suppression, research topics include tobacco cessation. ASC works actively to provide clinical and research experience for interns working on master’s and bachelor’s degrees in public health.

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ASC serves more than 270 clinical patients, almost 300 case-managed clients and tens of thousands of people with its prevention services and public education. In 2014, the Ryan White Part C grant was awarded to SLUHN, which allowed ASC to open its second clinic in Easton, which has grown from 69 to 105 patients. The Part C grant was renewed in April 2015. The Community Health Department also works with area schools. In 2015, its Adopt-a-School Program was awarded the Weller Health Education Center’s Outstanding Friends to Kids Award, which recognizes individuals and organizations that make a powerful, positive impact on the lives of the region’s young people. Working with Allentown, Bethlehem, Bangor and Panther Valley School Districts, the Adopt-ASchool Program supports four priority areas: access

to health care/mobile health services; youth development; academic success; and healthy living. Program goals include improved student learning, access to health care, student and family healthy living awareness, health outcomes and graduation rates. As part of the Adopt-A-School program, St. Luke’s also partnered with the Kellyn Foundation, a local nonprofit organization committed to developing, supporting, facilitating, and implementing programs that encourage family and community physical and emotional wellness, to offer “Healthy Lifestyles” programming in 10 schools within five school districts. The elementary school curricula includes in-classroom nutritional and healthy lifestyle presentations, as well as the “Garden as a Classroom,” where students build, maintain and harvest school gardens.

In other school-related programming, St. Luke’s has partnered with the Bethlehem Area School District since 1996 — and later with the Allentown School District — to provide the St. Luke’s Adolescent Career Mentoring Initiatives for bilingual students. The program offers employment skills and on-the-job training in the medical field to high school students. Program goals include, improving English skills and academic performance, reducing absenteeism and increasing the number of bilingual/bicultural health care professionals. Since its inception, 385 students have participated with a high school graduation rate exceeding 95 percent. The Lehigh Valley Workforce Development Board Inc. and the U.S. Department of Labor Employment and Training Administration – Allied Health Careers have recognized the program as a best practice model for youth programming. Also in 2015, St. Luke’s University Health Network conducted a community survey as part of the primary data gathering process of the community health needs assessments as mandated by the Patient Protection and Affordable Care Act. Based on survey findings, St. Luke’s University Health Network began implementing initiatives focusing on helping people make the right choices for a healthy body and mind through the Department of Community Health and Preventive Medicine. The Network not only works to mend bodies but also to make people and the community healthier by supporting these healthy living initiatives. The survey data indicated that community members in our service area suffered from many chronic health conditions, a number of which were directly related to obesity, poor nutrition and lack of exercise. Programs to encourage fitness include the Get Your Tail on the Trail (GYTOT) program, which encourages area residents to hike, bike and run on local canal and rail trails. St. Luke’s partnered with a local trail organization responsible for the stewardship of 165 miles of trails and offers contests and prizes to encourage program participants to log miles of trails used. In May 2015, American Trails, a national, nonprofit organization working on behalf of all trail interests, presented St. Luke’s with its “Trails for Health Award” for our community’s outstanding commitment to improving access to trails and promoting their use and importance for increasing physical activity. SLUHN also has an active prevention and wellness program. Through its Caring Starts with You Employee Wellness/Population Health program and the WellNow brand, SLUHN is committed to health education, programming, policies and environment designed to teach our employees, patients and community about healthy living, disease prevention and supporting healthy behaviors in their life. The VNA of St. Luke’s houses the Nurse-Family Partnership™ (NFP), a community health program that serves 250 families in both Lehigh and Northampton County. A well-established, evidence-based community health program, NFP provides ongoing nurse home visits from pregnancy through age two of the child by a registered nurse to low- income, first-time mothers to provide the care and support they need to have a healthy pregnancy, be a responsible and caring parent, and become more economically self-sufficient. Local NFP data focuses on three main goals of improving pregnancy outcomes, improving childhood health and development, and improving the families’ economic self-sufficiency.

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PUBLICATIONS

PRESENTATIONS

Coyle, B., Austin, K. Academic and Health System Partnerships to Teach Public Health to Undergraduate Students through Service Learning Opportunities. The Association for Prevention Teaching and Research (APTR) Annual Meeting; March 2015; Charleston, SC.

Matthews, L., Coyle, B., Deegan, M. Building Community While Complying with the Affordable Care Act in the Lehigh Valley of Pennsylvania. Progress in Community Health Partnerships: Research, Education, and Action. Spring 2015; 9: 101-112.

Gibbons, H., Sadler, C. Go Local For Health – “Get Your Tail on the Trail,” Leveraging Outdoor Recreation to Improve Community Wellness, South Mountain Partnership Symposium; Harrisburg, PA.

McGorry, S., Lister, R., Reed, R. Health, Accessibility & Inclusion – Health & Wellbeing. Lehigh Valley Research Consortium: State of the Lehigh Valley – Community Trends at a Glance 2014-2015. 2015. Polimera HV, Agarwal A, Fioravanti G, Coyle B. Identification of Variables that Led to Improvement in Breast Cancer Screening. ASCO Annual Meeting Proceedings. May 20, 2015; 33(15 suppl): e12573. Shepherd, C. – ‘Providers Corner’ on HIV Viral Load Suppression QI Project. National Quality Center eNewsletter. Jan 2015.

Gursky, M., Price, L., Lister, R., Reed, R., How to Engage Your Communities and your Health Networks. Cultivating Healthy Communities, PA Downtown Center, Jun 2015; Lancaster, PA. Reed, R. Using Technology to Enhance Student Learning in the Online Learning Environment. Teaching, Learning and Technology Summit at Lehigh University; Oct 2015; Bethlehem, PA. Reed, R, Bodzin, A. Geospatial Thinking and Reasoning Skills Using Web GIS in Public Health Education. International Society of Technology in Education (ISTE) Annual Meeting; Jun 2015; Philadelphia, PA. Reed, R., Lister, R., Gursky, M., Price, L. Conducting a Community Health Needs Assessment (CHNA). Cultivating Healthy Communities; PA Downtown Center: Jun 2015; Lancaster, PA.

Critical Care St. Luke’s University Health Network is prepared to meet the needs of any critically ill or injured patient who arrives at any network hospital. From trauma centers and emergency rooms to operating rooms and intensive care units, patients have access to the latest life-saving technology and critical care specialists. Robert deQuevedo, MD, leads a team of physicians and advanced practitioners who specialize in providing intensive care services. St. Luke’s critical care physicians come from diverse medical specialties, including pulmonary and critical care medicine, traumatology and surgical critical care, emergency medicine, anesthesiology and internal medicine. Critical care services at St. Luke’s University Health Network are unified under the Center for Critical Care, a high-performing, clinically integrated organization dedicated to meeting the growing challenges and complexity of modern health care. Medical, surgical, cardiovascular and neuroscience services are pushing the envelope on patient outcomes and practical applications of research. Livia Bratis, DO, is Section Chief of Pulmonary Medicine and Medical Critical Care. James Cipolla, MD, is Section Chief of Emergency Surgery and leads Surgical Critical Care. Dr. deQuevedo also serves as the director of Cardiovascular Critical Care. John Gillard, PA-C, leads the critical care advanced practitioners. CRITICAL CARE AND MEDICAL EDUCATION St. Luke’s has a long tradition of medical education and research in intensive care medicine. Our academic critical care faculty is diverse, with board-certified experts from general surgery, pulmonary and critical care medicine, emergency medicine, neurocritical care, obstetrics and gynecology, and anesthesiology. We train residents from our training programs in emergency medicine, internal medicine, general surgery, obstetrics and gynecology, orthopedics, family practice, podiatry and dentistry. The St. Luke’s Trauma and Surgical Care Fellowship offers both a two-year Surgical Critical Care Fellowship for emergency medicine graduates, and a one-year fellowship for graduates of general surgical programs. In 2012, the fellowship was awarded ACGME (Accreditation Council for Graduate Medical Education) accreditation, and was approved by the American Board of Surgery to include surgical critical care into its curriculum and training. St. Luke’s is one of the first institutions to offer a two-year track for a Surgical Critical Care Fellowship for emergency medicine residency graduates approved by the American Board of Surgery. James Cipolla, MD, is the director of the surgical critical care fellowship.

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Like their physician colleagues, the specialty of critical care for advanced practitioners requires a significant amount of post-graduate education to achieve proficiency. This intensive training is offered via St. Luke’s University Health Network’s 12-month acute care advanced practitioner postgraduate fellowship with tracks in critical care/ surgical or emergency medicine/critical care or subspecialty. Six core clinical rotations are the mainstay of the fellowship; followed by specialization in one of the two tracks, allowing fellows to both refine and personalize their educational experience. St. Luke’s University Health Network is one of only a small number of programs in the United States, and the only in the region, to offer acute care certified registered nurse practitioners and physician assistants this level of comprehensive training. Dana Williams, CRNP, serves as the Program Director. Research has long been an important mission for the critical care team at St. Luke’s University Health Network. HONORS AND AWARDS In 2015, St. Luke’s Emergency Transport Service was recognized for its expertise in transporting pediatric patients through a multi-agency program that recognizes EMS agencies that are willing to go above and beyond current pediatric transport requirements within Pennsylvania. Pennsylvania Emergency Medical Services for Children program, in partnership with the Department of Health, Bureau of EMS and the Pennsylvania Emergency Health Services Council, has created the Pediatric Voluntary Recognition Program to recognize EMS agencies consistently deliver excellence in emergency medical care to children within the Commonwealth. St. Luke’s University Hospital – Bethlehem emergency physician John Prestosh, DO, FACOEP, was recently named as the 20th president of the American College of Osteopathic Emergency Physicians (ACOEP) during its annual Scientific Assembly. Award for Excellence in Case Study Presentation, Pennsylvania Society of Critical Care Medicine Caitlyn Trovato, PA-C, received the Award for Excellence in Case Study Presentation at the recent Pennsylvania Society of Critical Care Medicine conference held in Hershey. Her presentation entitled “Management of the Crashing, Burning Heart” highlighted a very complex patient who benefited from all of the combined resources of SLUHN’s cardiovascular and critical care teams.

PUBLICATIONS Abcejo A, Andrejko KM, Ochroch EA, Raj NR, Deutschman CS. Impaired Hepatocellular Regeneration in Murine Sepsis Is Dependent on Regulatory Protein Levels. Shock. (Augusta, Ga.). Nov 2011; 36(5): 471. Abcejo AS, Andrejko KM, Raj NR, Deutschman CS. Failed Interleukin-6 Signal Transduction in Murine Sepsis: Attenutation of Hepatic Glycoprotein (gp) 130 Phosphorylation. Critical Care Medicine. May 2009; 37(5): 1729. Adesina A, Colombo A, Jeanmonod R. Anaphylactoid Reaction from IV Contrast Dye Causing Ischemic Colitis with Portal Venous Gas. Case Reports in Critical Care. 2015; 2015: 793951. doi:10.1155/2015/793951. Epub 2015 Apr 23. Andrejko KM, Raj NR, Kim PK, Cereda M, Deutschman CS. IL-6 Modulates Sepsis-Induced Decreases in Transcription of Hepatic Organic Anion and Bile Acid Transporters. Shock (Augusta, Ga.). Apr 2008; 29(4): 490. Balinger KJ, Elmously A, Hoey BA, Stehly CD, Stawicki SP, Portner ME. Selective Computed Tomographic Angiography in Traumatic Subarachnoid Hemorrhage: A Pilot Study. International Journal of Surgery and Research. Nov 2015; 199(1): 183-9. Balinger KJ, Lam MT, Hon HH, Stawicki SP, Anasti JN. Amniotic Fluid Embolism: Despite Progress, Challenges Remain. Current Opinion in Obstetrics & Gynecology. Dec 2015 Dec; 27(6): 398-405. Bensson Samuel, MD,PG Dip, Gloria Fioravanti, DO, Jennifer Axelband, DO, Alden Smith, BA, Michael Hughes, BS, Santo Longo, MD, and Emily Keeler, DO. Not Just a Simple Headache. Consultant. June 2015; 55 (6). Bullock-Palmer RP, Freeman AM, Kontak A, Shaw LJ, Dickert NW, Henzlova M, Shirani J, Dorbala S. Collegial Pressure and Patient-centered Shared-decision Making: A Case-based Ethics Discussion. American Society of Nuclear Cardiology. Oct 2015; 22(5): 920-2. Cipriano A, Mao ML, Hon HH, Vazquez D, Stawicki SP, Sharpe RP, Evans DC. An Overview of Complications Associated with Open and Percutaneous Tracheostomy Procedures. International Journal of Critical Illness and Injury Science. Sep 2015; 5(3): 179-88. doi: 10.4103/2229-5151.164994

Daou B, Deprince M, D’Ambrosio R, Tjoumakaris S, Rosenwasser RH, Ackerman DJ, Bell R, Tzeng DL, Ghobrial M, Fernandez A, Shah Q. Pennsylvania Comprehensive Stroke Center Collaborative: Statement on the Recently Updated IV rt-PA Prescriber Information for Acute Ischemic Stroke. Clinical Neurology and Neurosurgery. Dec 31, 2015; 139: 264-8. Fegley MW, Redstone EA, Singh A, Agrawal S, Shirani J, Nanda S. Isolated acute traumatic Aortic Injury Following Cardiopulmonary Resuscitation with Excessively Forceful Chest Compressions. International Journal of Academic Medicine. Dec 2015; 1(1): 29. Gupta D, Amhaz HH. Arterial Cannulation: Simple Swaying Maneuver May Be an Answer to Counter Failure/Complication Rates. Middle East Journal of Anesthesiology. Jun 2016; 23(5): 591. Hon HH, Sheref Kousari YM, Papadimos TJ, Tsavoussis A, Jeanmonod R, Stawicki SP. What’s New in Critical Illness & Injury Science? Non-accidental Burn Injuries, Child ≠Specialists: Answering the Global Call for Social Justice for Our Youngest Citizens. International Journal of Critical Illness & Injury Science. Oct-Dec 2015; 5(4): 223-6. Jones C, Stawicki SP, Evans DC. Mechanical Complications of Nasoenteric Tubes. Diet and Nutrition in Critical Care. May 29, 2015: 1625-1635. Kelly N, Esteve R, Papadimos TJ, Sharpe RP, Keeney SA, DeQuevedo R, Portner M, Bahner DP, Stawicki SP. Clinician-performed Ultrasound in Hemodynamic and Cardiac Assessment: A Synopsis of Current Indications and Limitations. European Journal of Trauma and Emergency Surgery. Oct 2015; 41(5): 469-80. Kindel T, Latchana N, Swaroop M, Chaudhry UI, Noria SF, Choron RL, Seamon MJ, Lin MJ, Mao M, Cipolla J, El Chaar M. Laparoscopy in Trauma: An Overview of Complications and Related Topics. International Journal of Critical Illness and Injury Science. Oct-Dec 2015; 5(4): 256–264. PMC4705572. 10.4103/2229-5151.170840.

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Knight PH, Maheshwari N, Hussain J, Scholl M, Hughes M, Papadimos TJ, Guo WA, Cipolla J, Stawicki SP, Latchana N. Complications During Intrahospital Transport of Critically Ill Patients: Focus on Risk Identification and Prevention. International Journal of Critical Illness and Injury Science. Oct-Dec 2015; 5(4): 256–264. PMC4705572. 10.4103/2229-5151.165007. Kumar R, Sinha A, Lin MJ, Uchino R, Butryn T, O’Mara MS, Nanda S, Shirani J, Stawicki SP. Complications of Pericardiocentesis: A Clinical Synopsis. International Journal of Critical Illness and Injury Science. Jul-Sep 2015; 5(3): 206–212. PMC4613420. 10.4103/22295151.165007. Kumar R, Sinha A, Lin MJ, Uchino R, Butryn T, O’Mara MS, Nanda S, Shirani J, Stawicki SP. Complications of Pericardiocentesis: A Clinical Synopsis. International Journal of Critical Illness and Injury Science. Jul-Sep 2015; 5(3): 206–212. PMC4613420. 10.4103/22295151.165007. Kwon HP, Zanders TB, Regn DD, Burkett SE, Ward JA, Nguyen R, et al. Comparison of Virtual Bronchoscopy to Fiber-optic Bronchoscopy for Assessment of Inhalation Injury Severity. Burns. Nov 2014; 40(7): 1308-1315. doi: 10.1016/j.burns.2014.06.007.

Mao M, Hughes R, Papadimos TJ, Stawicki SP. Complications of Chest Tubes: A Focused Clinical Synopsis. Current Opinion in Pulmonary Medicine. Jul 2015; 21(4): 376-86. Mittadodla PS, Kumar S, Smith E, Badireddy M, Turki M, Fioravanti GT. CT Pulmonary Angiography: An Over-utilized Imaging Modality in Hospitalized Patients with Suspected Pulmonary Embolism. Journal of Community Hospital Internal Medicine Perspectives. Apr 2013; 3(1). doi: 10.3402/jchimp.v3i1.20240. Mubang RN, Terzian WH, Cipolla J, Keeney S, Lukaszczyk JJ, Stawicki SP. Acute Myocardial Infarction Following Right Coronary Artery Dissection Due to Blunt Trauma. Heart Views. Jan-Mar 2016; 17(1): 35–38. Mudalel ML, Dave KP, Hummel JP, Solga SF. N-acetylcysteine Treats Intravenous Amiodarone Induced Liver Injury. World Journal of Gastroenterology. Mar 7, 2015; 21(9): 2816. Stawicki SP, Bahner DP. Modern Sonology and the Bedside Practitioner: Evolution of Ultrasound from Curious Novelty to Essential Clinical Tool. European Journal of Trauma and Emergency Surgery. Oct 2015; 41(5): 457-60.

Stawicki SP, Kent A, Patil P, Jones C, Stoltzfus JC, Vira A, Kelly N, Springer AN, Vazquez D, Evans DC, Papadimos TJ. Dynamic Behavior of Venous Collapsibility and Central Venous Pressure During Standardized Crystalloid Bolus: A Prospective, Observational, Pilot Study. International Journal of Critical Illness and Injury Science. Apr-Jun 2015; 5(2): 80–84. Wernick B, Hon HH, Mubang RN, Cipriano A, Hughes R, Rankin DD, Evans DC, Burfeind Jr WR, Hoey BA, Cipolla J, Galwankar SC. Complications of Needle Thoracostomy: A Comprehensive Clinical Review. International Journal of Critical Illness and Injury Science. Jul-Sep 2015; 5(3): 160-9. Wernick B, MacBean U, Mubang RN, Wojda TR, Liu SC, Evans DC, Hoey BA, Hoff WS, Thomas P, Stawicki SP. Leukocytosis after Splenic Injury: A Comparison of Splenectomy, Embolization, and Observation. Journal of American College of Surgery. 2015; 221(4 Suppl 1): S164. Wojda TR, Cardone MS, Lo WD, Stawicki SP, Evans DC. Ultrasound and Computed Tomography Imaging Technologies for Nutrition Assessment in Surgical and Critical Care Patient Populations. Current Surgery Reports. Aug 1, 2015; 3(8): 1-8. PRESENTATIONS Bowling S, Firstenberg MS, Papadimos TJ, Stawicki SP, Hejal R. Intracranial Hemorrhage while on Extracorporeal Membrane Oxygenation (ECMO) for Respiratory Failure due to Influenza H1N1 Flu: The Role of Risk Factors and Complications on Outcomes. Podium presentation at the European Society for Cardiovascular and Endovascular Surgery (ESCVS); Mar 26-29; Istanbul, Turkey. Bowling S, Hejal R, Shenoy R, Espinal E, Papadimos TJ, Stawicki SP, Firstenberg MS. International Registry Experience with Neurologic Complications in Patients Receiving ECMO Support during the Pandemic Influenza H1N1: Morbid but not Futile. Podium presentation. The European Society for Cardiovascular and Endovascular Surgery (ESCVS); Mar 26-29; Istanbul,Turkey. Firstenberg MS, Hejal R, Shenoy RS, Espinal E, Stawicki SP, Papadimos TJ. Death after Near-death: Risk Factors for Mortality Among H1N1 Victims who Survived to Be Successfully Weaned from ECMO. International Registry Insights. Podium presentation. The European Society for Cardiovascular and Endovascular Surgery (ESCVS); Mar 26-29; Istanbul, Turkey. Mubang RN, Wojda TR, Hoff WS, Hoey BA, Thomas PG, O’Rourke D, Stawicki SP. “Determining the Futility of Operative Traumatic Brain Injury Management in Older Trauma Patients: A Novel Risk Assessment Tool Based on Initial Brain CT Findings.” Podium presentation at the 2015 Annual Pennsylvania Chapter of the American College of Surgeons Committee on Trauma Resident Paper Competition; Oct 2015; Harrisburg, PA. Trovato, C. Management of the Crashing, Burning Heart. Presented at the Pennsylvania Society of Critical Care Medicine Annual Meeting; Aug 2015; Hershey, PA. Winner of the Award for Excellence in Case Study Presentation. Wojda T. Aeromedical Transportation Risk: A Critical Re-Appraisal. Podium presentation at the 2015 Annual Scientific Meeting of the Keystone Chapter, American College of Surgeons; Nov 2015; Scranton, PA.

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Dentistry To improve dental health throughout the region, St. Luke’s University Health Network offers the Dental Health Initiative and our Dental Residency Program. The Dental Health Initiative provides care for children and adults at our dental health centers in Bethlehem and Easton. A program of the Bethlehem Partnership for a Healthy Community, the Dental Health Initiative is a collaborative effort dedicated to improving the quality of life and health of residents in Bethlehem, Pennsylvania and surrounding areas. The program includes two mobile dental vans, HealthStar I and HealthStar II, which are Winnebagos outfitted with dental chairs, X-ray and sterilization facilities and a patient waiting area. Working with school nurses, the vans offer comprehensive dental care for children ages three to 18 years and are staffed by dentists, dental hygienists and dental assistants. Led by Mohammed O. Qahash, DDS, the St. Luke’s Dental Residency Program offers a comprehensive program, which is accredited by the Commission on Dental Accreditation (CODA). The St. Luke’s Dental Residency Program trains dentists to provide comprehensive primary care to all patients. The program serves a diverse patient population, including older adults and individuals with complex medical conditions and special needs.

HONORS & AWARDS St. Luke’s University Health Network was awarded a payment from Gateway Health’s Pay-for-Performance program, Gateway to Excellence, for the network’s dental care performance. The award recognized primary care providers whose annual dental rate exceeded the published 2014 National Committee for Quality Assurance (NCQA) Quality Compass top 25 percent benchmark for annual pediatric dental visit rate for pediatric patients ages 2-21 (Medicaid only). Recognized were: St. Luke’s Community Health Department, St. Luke’s KidsCare – Bethlehem and Allentown, Fowler Family Center at Donegan Elementary, St. Luke’s Allentown Family Health Center and the William Penn Family Practice.

Clinical experiences include off-service rotations in anesthesiology, emergency medicine, family medicine and community health. Residents will acquire competency in the assessment and treatment of dental and facial trauma, dental emergencies, physical diagnosis and the treatment of office emergencies.

The Dental Health Initiative provides care for children and adults at our dental health centers in Bethlehem and Easton.

PUBLICATIONS Barreto VT. A Focused Review of Local Anesthetic Admixture with Dexmedetomidine in Regional Anesthesia; What, if Any, Clinical Implications Does this Have in Oral and Maxillofacial Surgery? Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2013 Jun 1; 115(6): e3-4. Barreto VT. Behavior of Oral and Maxillofacial Infections: Where Are We in 2013? Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. May 1, 2014; 117(5): e333. Barreto V. Trends of C-Reactive Protein Laboratory Values with White Blood Cell Count Levels in Maxillofacial Infections. In AAOMS 95th Annual Meeting; 2013 Oct 10. AAOMS. Ephros HD, Madani M, Geller BM, DeFalco RJ. Developing a Protocol for the Surgical Management of Snoring and Obstructive Sleep Apnea. Atlas of the Oral and Maxillofacial Surgery Clinics. Sep 30, 2007; 15(2): 89-100. Fielding AF, Rachiele DP, Frazier G. Lingual Nerve Paresthesia Following Third Molar Surgery: a Retrospective Clinical Study. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. Oct 31, 1997; 84(4): 345-8. Gunawardena D, Proothi M, Ruggiero S. An Atypical Zygomaticomaxillary Frontotemporal Complex Fracture: A Case Report. Indian Journal of Multidisciplinary Dentistry. May 1, 2014; 4(3). Pierse JE, Dym H, Clarkson E. Diagnosis and Management of Common Postextraction Complications. Dental Clinics of North America. Jan 31, 2012; 56(1): 75-93. Pierse JE, Stern A. Benign Cysts and Tumors of the Paranasal Sinuses. Oral and Maxillofacial Surgery Clinics of North America. May 31, 2012; 24(2): 249-64.

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Dermatology St. Luke’s University Health Network is a leader in the treatment of skin conditions. Dermatologists treat a number of conditions including: acne, cellulitis, hair disease, impetigo, psoriasis, and vitiligo, skin cancer and melanoma. Joseph Zaladonis, MD, serves as the Section Chief of Dermatology for St. Luke’s University Health Network. The Melanoma Center at St. Luke’s is a regional center of excellence and provides comprehensive care for patients with all stages of the disease. The St. Luke’s team is guided by internationally recognized melanoma expert Sanjiv Agarwala, MD, and board-certified specialists who provide the latest diagnostic and therapeutic care. In 2015, St. Luke’s Cancer Center was the first center in the world to offer a new Phase II oncolytic viral therapy for advanced melanoma from the Japanese innovative biotechnology company, Takara Bio, Inc. Using biotechnology, viruses are converted into therapeutic agents to destroy cancers. This promising therapy uses the injectable strain of the Herpes simplex virus, HF10, to destroy cancer cells and produce an anti-tumor immune response. Since the study is Phase II, patients still receive the standard-of-care therapy for advanced melanoma, the FDA-approved drug ipilimumab, along with this new viral treatment. Dr. Agarwala has also been involved in research with antibodies that target a receptor called PD-1, which may be twice as effective as ipilimumab in treating patients with late-stage melanoma. St. Luke’s participates in clinical trials with a PD-1 antibody from Bristol Myers called nivolumab, which recently received FDA approval, serving as a major enroller to several clinical trials ultimately resulting in this FDA approval. These treatments are intended for patients with advanced melanoma who have received ipilimumab and have progressed on that treatment. Perhaps this is most promising area of Dr. Agarwala’s research – the discovery of unique mutations in melanoma cells, which is a key risk factor in drug development to target these mutations and kill the melanoma cells.

Caring for skin conditions related to feet is another area of focus. The three-year Podiatric Residency Program helps train experts in podiatric medicine and surgery. Started in 1991 with just a single residency slot, the program has since grown to nine slots because of the increased volume of foot surgery. The program also offers an elective fourth-year slot as a Podiatric Dermatology Fellowship, which was one of the first nationally recognized podiatry fellowships by the Council on Podiatric Medical Education. TOur advanced Podiatry Center treats a broad range of podiatric problems, from claw foot to plantar fasciitis and nerve dysfunction. In addition to our busy clinical practice, our faculty and residents are actively involved in a number of high-profile research projects and clinical trials. HONORS AND AWARDS In 2015, Dr. Agarwala was named to the editorial board of new magazine, Physician’s Life. The publication offers lifestyle news and features geared toward doctors and other medical professionals. In other recognitions, St. Luke’s was voted 2015 Top Reader’s Choice for Best Cancer Care by the readers of the Morning Call, a regional, daily newspaper based in Allentown.

St. Luke’s University Health Network is a leader in the treatment of skin conditions.

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Kirsner RS1, Bernstein B2, Bhatia A3, Lantis J4, Le L5, Lincoln K6, Liu P7, Rodgers L8, Shaw M9, Young D10. Clinical Experience and Best Practices Using Epidermal Skin Grafts on Wounds. Wounds. 2015 Nov; 27(11): 282-92. Puzanov I, Dummer R, Schachter J, Pavlick AC, Gonzalez R, Ascierto PA, Margolin KA, Hamid O, Agarwala SS, Carlino MS, Utikal J. Efficacy Based on Tumor PD-L1 Expression in KEYNOTE-002, a Randomized Comparison of Pembrolizumab (pembro; MK-3475) versus Chemotherapy in Patients with Ipilimumab-refractory (IPI-R) Advanced Melanoma (MEL). ASCO Annual Meeting Proceedings. May 20, 2015; 33(15): 3012. Ribas A, Puzanov I, Dummer R, Schadendorf D, Hamid O, Robert C, Hodi FS, Schachter J, Pavlick AC, Lewis KD, Cranmer LD. Pembrolizumab Versus InvestigatorChoice Chemotherapy for Ipilimumab-Refractory Melanoma (KEYNOTE-002): a Randomised, Controlled, Phase 2 Trial. The Lancet Oncology. Aug 31, 2015; 16(8): 908-18. doi: 10.1016/S14702045(15)00083-2. Epub 2015 Jun 23.

PRESENTATIONS Agarwala S. Clinical Challenges and Solutions. priME Oncology seminar entitled the Biosimilar Era: Opportunities and Considerations; Nov 5, 2015; New York, NY. Agarwala S. Faculty Member; Sixth Annual Oncology Patient and Nurse Navigator (AONN) Conference; Nov 1-4, 2015; Atlanta GA. Agarwala S. Why Biosimilars? prIME Oncology seminar entitled Beyond the Looking Glass: Biosimilars in Cancer Care, prIME Oncology; Hyatt Regency; May 30, 2015; Chicago, IL. Balinger C, Tolentino JC, Birriel TJ, Gilbert V, Burfeind W, Halpern AE, Puc M. Lung Cancer Screening in a Community Setting: Medicare Patients Have Similar Outcomes to Younger Patients. Poster presentation at the Resident Surgical Forum, the 2015 Clinical Congress of the American College of Surgeons; Oct 2015; Chicago, IL.

Emergency Medicine St. Luke’s University Health Network has been providing emergency care since 1872 when it was established to care for the workers of the steel foundries in Bethlehem. Today, under the leadership of Chair Rebecca Pequeno, MD, it operates Emergency Departments in seven hospitals, including a Level 1 Trauma Center — one of only 14 in Pennsylvania. Meanwhile, physicians and other staff members conduct research, present at national conferences, contribute to publications and educate future emergency medicine staff. Committed to community health and education, St. Luke’s University Health Network, working with a local ambulance company, opened the St. Luke’s Community Education Center at Cetronia Ambulance Corps in October 2015. The Center is a resource for life-saving knowledge, skill honing and sharing of vital information to make the community stronger, healthier and safer. CPR/AED and first aid courses are held in the Center each week, as well as regular continuing education programs for its EMS personnel. Cetronia also utilizes the center for its Emergency Medical Responder, Emergency Medical Technician and Car Seat Technician courses. St. Luke’s Emergency Services stays abreast of advances in emergency medicine to continually improve the quality of services and patient satisfaction. For example, to better serve older adults, the Emergency Department at St. Luke’s – Bethlehem opened a special Older Adult Section that offers a gentler, quieter alternative to the hustle and bustle of the traditional Emergency Department. St. Luke’s Hospital – Miners Campus was the first hospital in Pennsylvania to achieve designation as a Level IV Trauma Center. The designation is given to rural hospitals that provide enhanced care to patients within emergency departments. Staffed with board-certified emergency care physicians, trained Emergency Department nurses and cutting-edge diagnostic and treatment technology, St. Luke’s Emergency Departments and hospitals offer: • A consistently high level of care for heart attack patients with access to cardiac catheterization laboratories at three hospitals • Top-performing certified Stroke Centers — a 24-hour emergency response team dedicated to providing specialized stroke care • A strong team of medical and surgical specialists — including orthopedic physicians, plastic surgeons, pulmonologists, endocrinologists, and infectious disease physicians — working directly with our emergency medicine physicians and nurses

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EMERGENCY MEDICINE EDUCATION St. Luke’s three-year (PGY 1-3) ACGME-approved Emergency Medicine Residency Program provides an academically rigorous curriculum in a tertiary, academic medical center. The fully accredited program exposes residents to a broad spectrum of pathology, which provides students with experience in managing the breadth of conditions seen in emergency medicine. The Center’s faculty is comprised of board-certified emergency physicians. The St. Luke’s Trauma Fellowship offers both a two-year Surgical Critical Care Fellowship for emergency medicine graduates and a one-year fellowship for graduates of surgical programs. In 2012, the fellowship achieved ACGME (Accreditation Council for Graduate Medical Education) accreditation, and was approved by the American Board of Surgery to include surgical critical care into our curriculum and training. St. Luke’s is one of the first institutions to offer a two-year track for a Surgical Critical Care Fellowship for emergency medicine residency graduates approved by the American Board of Surgery. St. Luke’s University Health Network also offers a 12-month acute care advanced practitioner postgraduate fellowship with tracks in emergency medicine/critical care or critical care/surgical subspecialty. Six core clinical rotations are the mainstay of the fellowship, which are then followed by specialization in one of the two tracks. This enables fellows to refine their educational experience. HONORS AND AWARDS In 2015, St. Luke’s Emergency Transport Service was recognized for its expertise in transporting pediatric patients through a multi-agency program that recognizes EMS agencies that are willing to go above and beyond current pediatric transport requirements within Pennsylvania. The Pennsylvania Emergency Medical Services for Children program, in partnership with the Department of Health, Bureau of EMS and the Pennsylvania Emergency Health Services Council, has created the Pediatric Voluntary Recognition Program to recognize EMS agencies that consistently deliver excellence in emergency medical care to children within the Commonwealth.

St. Luke’s University Hospital – Bethlehem emergency physician John Prestosh, DO, FACOEP, was recently named as the 20th president of the American College of Osteopathic Emergency Physicians (ACOEP) during its annual scientific assembly. In other recognitions, St. Luke’s was voted 2015 Top Reader’s Choice for Best Emergency Care, as well as Best Urgent Care by the readers of The Morning Call, a regional, daily newspaper based in Allentown. The poll surveyed readers of The Morning Call. CLINICAL TRIALS The emergency medicine research team at St. Luke’s University Health Network is actively involved in cutting edge clinical trials. In conjunction with the SLUHN Department of Research & Innovation, we offer active trials in the areas of pulmonary thromboembolism, soft tissue infections, and trauma. PUBLICATIONS Adesina A, Colombo A, Jeanmonod R. Anaphylactoid Reaction from IV Contrast Dye Causing Ischemic Colitis with Portal Venous Gas. Case Reports in Critical Care. 2015; 2015: 793951. doi:10.1155/2015/793951. Epub 2015 Apr 23. Adesina A, Rammohan G, Jeanmonod R. Retrograde Gastrojejunostomy Tube Migration. Case Reports in Emergency Medicine. 2014; 738506. doi: 10.1155/2014/738506. Epub Dec 29, 2014. Berrios M, Roman C, DiGregorio A, Eberhardt M, Stoltfus J, Smith T. Association of Elevated B-type Natriuretic Peptide and Troponin: Do Increased BNP Levels Correlate with Troponin Elevation? Academic Emergency Medicine. May 2015; 22(S1): S108. Cohen M, Zwiebel S, Jeanmonod R. Recurrent Hypoglycemia in a Toddler. The American Journal of Emergency Medicine. Dec 2015; 33(12): 1847.e3–4. doi:10.1016/j.ajem.2015.04.074 Cross D, Jeanmonod R. Meningitis and Brain Abscess Presenting with Epistaxis in a Woman with Prior Head and Neck Cancer: Report of a Case. Case Reports in Otolaryngology. 2015: 460208. doi: 10.1155/2015/460208.

Evans D, Pester J, Jeanmonod D, Jeanmonod R. Elderly Fall Patients Triaged to the Trauma Bay: Age, Injury Patterns, and Mortality Risk. The American Journal of Emergency Medicine. Nov 2015; 33(11): 1635-8. doi: 10.1016/j.ajem.2015.07.044. Evans D, Vera L, Jeanmonod D, Pester J, Jeanmonod R. Application of National Emergency X-Ray Utilizations Study Low-Risk c-Spine Criteria in High-Risk Geriatric Falls. The American Journal of Emergency Medicine. Sept 2015; 33(9): 1184â&#x20AC;&#x201C;87. doi: 10.1016/j. ajem.2015.05.031. Habeeb K, Stankewicz H, Axelband J, Melanson S. The Infected Heart: Ventriculoseptal Abscess and Intracardiac Fistulization. The American Journal of Emergency Medicine. Mar 2016; 34(3): 678.e1-3. doi: 10.1016/j.ajem.2015.06.053. Epub 2015 Jun 29. Hon HH, Sheref Kousari YM, Papadimos TJ, Tsavoussis A, Jeanmonod R, Stawicki SP. Whatâ&#x20AC;&#x2122;s New in Critical Illness & Injury Science? Non-accidental Burn Injuries, Child Abuse Awareness and Prevention, and the Critical Need for Dedicated Pediatric Emergency Specialists: Answering the Global Call for Social Justice for Our Youngest Citizens. International Journal of Critical Illness & Injury Science. Oct-Dec 2015; 5(4): 223-6. Joseph L, Jeanmonod R, Jeanmonod D. 294 A Comparison of Ultrasound-Guided and Palpation-Guided Identification of Lumbar Puncture Needle Entry Site in Patients as Body Mass Index Increases. Annals of Emergency Medicine. Oct 1, 2015; 66(4): S106. Kadish J, Layng E, Berrios M, Pester J. Stabcric: Surgical Technique Against Bougie Cricothyrotomy. International Journal of Academic Medicine. Dec. 2015; 1(1): 32-40. Kelly N, Esteve R, Papadimos TJ, Sharpe RP, Keeney SA, DeQuevedo R, Portner M, Bahner DP, Stawicki SP: Clinician-performed Ultrasound in Hemodynamic and Cardiac Assessment: A Synopsis of Current Indications and Limitations. European Journal of Trauma and Emergency Surgery. Oct 2015; 41(5): 469-80. doi: 10.1007/s00068-014-0492-6. doi: 10.1007/s00068-014-0492-6.

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Kent A, Patil P, Davila V, Bailey JK, Jones C, Evans DC, Boulger CT, Adkins E, Balakrishnan JM, Valiyaveedan S, Galwankar SC, Bahner DP, Stawicki SP. Sonographic Evaluation of Intravascular Volume Status: Can Internal Jugular or Femoral Vein Collapsibility Be Used in the Absence of IVC Visualization? Annals of Thoracic Medicine. Jan-Mar 2015; 10(1): 44-49. Layng E, Berrios M, Kadish J, Pester JM. 102 STABCric 2: Surgical Technique Against Bougie Cricothyrotomy. Annals of Emergency Medicine. Oct 1, 2015; 66(4): S36. Mao M, Hughes R, Papadimos TJ, Stawicki SP. Complications of Chest Tubes: A Focused Clinical Synopsis. Current Opinion in Pulmonary Medicine. Jul 2015; 21(4): 376-86. Merritt M, Brown R, Glenn A, Chudasama Y, Eberhardt M. 255 Effect of Antimicrobial Disinfectant Wipes on Bacteria on Computer Equipment in the Emergency Department. Annals of Emergency Medicine. Oct 1, 2015; 66(4): S92. Mubang RN, Stoltzfus JC, Cohen MS, Hoey BA, Stehly CD, Evans DC, Jones C, Papadimos TJ, Grell J, Hoff WS, Thomas P, Cipolla J, Stawicki SP. ComorbidityPolypharmacy Score as Predictor of Outcomes in Older Trauma Patients: A Retrospective Validation Study. World Journal of Surgery. Aug 2015; 39(8): 2068-75. doi: 10.1007/s00268-015-3041-5.

Mubang RN, Terzian WH, Cipolla J, Keeney S, Lukaszczyk JJ, Stawicki SP. Acute Myocardial Infarction Following Right Coronary Artery Dissection due to Blunt Trauma. Heart Views. 2016 Jan-Mar; 17(1): 35–38. Roper J, Cossey K, Roman C, Jeanmonod R. Misidentification of English Language Proficiency in Triage: Impact on Satisfaction and Door-to-room Time. Journal of Immigrant and Minority Health. #JOIH-D-14-00363R1. Accepted for publication Jan 2015. Salen PN, Spacek LA. Diarrhea. In: Wolfson AB, Hendey GW, Ling LJ, Rosen CL, Schaider JJ, and Cloutier RL, eds. Harwood-Nuss’ Clinical Practice of Emergency Medicine. 6th ed. Philadelphia: Wolters Kluwer, 2015: 590-95. Salen PN, Solga S. Feeding Tubes. In: Wolfson AB, Hendey GW, Ling LJ, Rosen CL, Schaider JJ, and Cloutier RL, eds. Harwood-Nuss’ Clinical Practice of Emergency Medicine. 6th ed. Philadelphia: Wolters Kluwer, 2015: 605-7. Samuel B, Fioravanti G, Axelband J, Smith A, Hughes M, Longo S, Keeler E. Not Just a Simple Headache. Consultant. Jun 2015; 44(6). Stawicki SP, Kalra S, Jones C, Justiniano CF, Papadimos TJ, Galwankar SC, Pappada SM, Feeney JJ, Evans DC. Comorbidity Polypharmacy Score and its Clinical Utility: A Pragmatic Practitioner’s Perspective. Journal of Emergencies, Trauma and Shock. Oct-Dec 2015; 8(4): 224–231.

Stawicki SP, Bahner DP. Modern Sonology and the Bedside Practitioner: Evolution of Ultrasound from Curious Novelty to Essential Clinical Tool. European Journal of Trauma and Emergency Surgery. Oct 2015; 41(5): 457-60. Wojda TR, Valenza PL, Cornejo K, McGinley T, Galwankar SC, Kelkar D, Sharpe RP, Papadimos TJ, Stawicki SP. The Ebola Outbreak of 2014-2015: From Coordinated Multilateral Action to Effective Disease Containment, Vaccine Development, and Beyond. Journal of Global Infectious Diseases. Nov 2015; 7(4): 127-38. doi: 10.4103/0974-777X.170495. Zweibel S, Cohen M, Jeanmonod R. Recurrent Hypoglycemia in a Toddler: Idiopathic Ketotic Hypoglycemia (IKH). The American Journal of Emergency Medicine. Dec 2015; 33(12): 1847.e3-4. doi: 10.1016/j.ajem.2015.04.074. PRESENTATIONS Cohen M, Stankewicz H, Jeanmonod D, Berrios MW, Habeeb K, Coppersmith VL. Patientsâ&#x20AC;&#x2122; Attitudes Regarding Tattooed Physicians: the ART Study. ACEP Research Forum. Abstract 644. Sep 2015; Boston, MA. Coppersmith V, Stankewicz H. Access and Use of Primary Care Services and the Effect on Emergency Department Visits. PaACEP William Spivey Research Forum. Electronic Presentation. Apr 2015; Lancaster, PA. Finan M, Balakrishnan V, Evans DS, Jeanmonod D, Jeanmonod R. Experiential Value of Emergency Medicine Resident Membership on Hospital Rapid Response Team. 2015 ACEP Research Forum. Abstract 290. Sep 2015; Boston, MA. Joseph L, Jeanmonod D. A Comparison of Ultrasound-Guided and Palpation-Guided Identification of Lumbar Puncture Needle Entry Site in Patients as Body Mass Index Increases. PACEP15 Scientific Assembly William H. Spivey, MD, FACEP, Research Competition on Thursday, Apr 2015; Lancaster, PA; 2015 ACEP Research Forum Abstract 291, Sept 2015; Boston, MA. Kelly B, Stankewicz H. Blood Alcohol Level Estimation by Emergency Physicians. PaACEP William Spivey Research Forum. Electronic Presentation. Apr 2015; Lancaster, PA. Layng E, Berrios M, Kadish J, Pester JM. STABCric 2: Surgical Technique against Bougie Cricothyrotomy. 2015 ACEP Research Forum. Abstract 558. Oct 2015; Boston, MA. Merritt M, Brown R, Glenn A, Eberhardt M, Stoltzfus J. Effect of Antimicrobial Disinfectant Wipes on Bacteria on Computer Equipment in Emergency Department. Poster. ACEP Research Forum. Oct 2015; Boston MA. Milano A, Stankewicz H. Laceration Length Estimation by Emergency Medicine Providers. PaACEP William Spivey Research Forum. Electronic Presentation. Apr 2015; Lancaster, PA. Newsom C, Silberman M, Jeanmonod R. Nursing Treatment Protocols and Physician Order Preference in Chest Pain Patients. PACEP15 Scientific Assembly William H. Spivey, MD, FACEP, Research Competition; Apr 2015; Lancaster, PA. Pester JM. Development of the Open Access Airway Course. 2015 ACEP Research Forum. Abstract 515. Oct 2015; Boston, MA.

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Family Medicine St. Luke’s University Health Network – Bethlehem & Warren Campuses The St. Luke’s Family Medicine Centers provide a wide variety of health care services to meet the needs of the entire family. Under the direction of Michael A. Abgott, MD, Chief of Family Medicine, more than 150 family medicine physicians affiliated with St. Luke’s University Health Network’s seven hospitals provide care throughout the Lehigh Valley and surrounding areas. The program strives to bring innovative approaches to improve access to mental health and provide specialized services. For example, in 2015, St. Luke’s launched a program that places a behavioral health therapist within primary care practices. The therapist coordinates the patient’s mental health care while working closely with the individual’s treatment team at the practice. After meeting with the patient for 15 to 20 minutes, the therapist develops a plan to improve emotional wellness, often involving referrals to in-network programs and outside community agencies. Then, he continues to guide the patient on an appropriate path to better mental health. The program began with two primary care practices and has since been expanded to four.

Committed to medical education, the Department of Family Medicine offers two comprehensive residency programs. Robert C. Langan, MD, FAAFP, Program Director, and Martha E. Metzgar, DO, Osteopathic Program Director, lead the Bethlehem Campus program from our 425-bed St. Luke’s University Hospital in Bethlehem, PA. Dr. Metzgar serves on the faculty of the Philadelphia College of Osteopathic Medicine (PCOM), Department of Family Medicine. Since 2010, the Bethlehem residency has published 13 papers and presented regionally and nationally 18 times. Dr. Langan, who was named 2015 Exemplary Teacher of the Year Award by the Pennsylvania Academy of Family Physicians, also serves as the Medical Director of St. Luke’s Family Medicine Center. In addition, he is an Associate Adjunct Professor at the Temple University School of Medicine, Department of Family and Community Medicine.

Family medicine physicians affiliated with St. Luke’s University Health Network’s seven hospitals provide care throughout the Lehigh Valley and surrounding areas.

Other St. Luke’s physicians who serve as Assistant Adjunct Professors of the Temple University School of Medicine, Department of Family and Community Medicine, include Drs. Nguyet-Cam V. Lam, MD, Maria Ghetu, MD and Jennifer Ranton, MD. Several of these faculty members are also fellowship-trained. Both Dr. Lam and Dr. Langan have completed a National Institute of Program Director Development Fellowship, while Dr. Metzgar is currently enrolled in the fellowship. Dr. Ranton currently participates in a Behavioral Medicine Fellowship through the St. Luke’s Family Medicine. WARREN CAMPUS FAMILY RESIDENCY PROGRAM Students who prefer a more intimate setting may opt for the unopposed Warren Campus Family Medicine Residency Program based at the 214-bed St. Luke’s Hospital in Warren, NJ, located about 25 minutes east of Bethlehem. Since joining SLUHN in 2013, the physicians affiliated with the residency program have published five papers and presented regionally and nationally 20 times. Furthermore, as part of the Rutgers Robert Wood Johnson Network of Affiliated Residency Programs, the Warren Campus program collaborates on a number of academic areas, including research. Training high quality physicians since 1980, the Warren Campus Family Residency Program was the first program nationally to be accredited by both the Accreditation Council for Graduate Medical Education (ACGME) and the American Osteopathic Association (AOA). Program Director Thomas McGinley, MD, FAAFP, has completed a National Institute of Program Director Development Fellowship. In addition, the St. Luke’s Warren Family Medicine faculty members serve many different academic and community roles. Mary Siciliano, DO, is the DO Director of Medical Education for the Philadelphia College of Osteopathic Medicine (PCOM), while faculty pediatrician Helaine Levine, MD, is a Clinical Assistant Professor of PCOM. In addition, she, as well as Raymond Buch, MD are school physicians for the Phillipsburg School District. Eugene Decker, MD, is Medical Director of the DeSales University Physician Assistant Program and a school physician for the Lopatcong and Harmony Elementary Schools. Pamela Valenza, MD, is a Clinical Assistant Professor at the Lewis Katz School of Medicine at Temple University, a Board Director of the Pennsylvania Academy of Family Physicians, Chair of the Primary Care and Community Health Subcommittee of the Research Faculty Council at St. Luke’s, and the Primary Care Specialties Section Editor of the International Journal of Academic Medicine. Dr. Valenza and faculty psychologist James Feldman, PhD, are local editors of the Family Physicians Inquiry Network. PUBLICATIONS Balinger C, Tolentino JC, Birriel TJ, Gilbert V, Burfeind W, Halpern AE, Puc M. Lung Cancer Screening in a Community Setting: Medicare Patients Have Similar Outcomes to Younger Patients. Journal of the American College of Surgeons. 2015; 4(221): e54. Birriel TJ, Uchino R, Barry N, Butryn T, Sabol DM, Valenza PL, Stawicki SP. Adverse Drug Reactions in the Era of Multi-morbidity and Polypharmacy. Journal of Basic and Clinical Pharmacy. Sep 2015; 6(4): 122-3. Dut A, Fitzgerald C, Levine H. Influenza Annual Vaccine: Early Versus Late Administration. International Journal of Academic Medicine; 2015; 1: 32-40

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Fegley MW, Redstone EA, Singh A, Agrawal S, Shirani J, Nanda S. Isolated Acute Traumatic Aortic Injury Following Cardiopulmonary Resuscitation with Excessively Forceful Chest Compressions. International Journal of Academic Medicine. Dec 1, 2015; (1): 29.

Polimera HV, Agarwal A, Fioravanti G, Coyle B. Identification of Variables that Led to Improvement in Breast Cancer Screening. ASCO Annual Meeting Proceedings. May 20, 2015; 33(15 suppl): e12573.

Fegley MW, Woodruff WW, Longo S, Nanda S. Extensive Periventricular White Matter Abnormality with Mediastinal Adenopathy. International Journal of Academic Medicine. 2015; 1(1): 41.

Polimera HV, Agarwal A, Fioravanti G, Coyle B. Identification of Variables that Led to Improvement in Breast Cancer Screening. American Society of Clinical Oncology (ASCO) Annual Meeting Proceedings. May 20, 2015; 33(15 suppl): e12573.

Langan R, Jones K. Common Questions about the Initial Management of Hypertension. American Family Physician. Feb 1, 2015; 91(3): 172-7.

Shepherd, C. – ‘Providers Corner’ on HIV Viral Load Suppression QI Project. National Quality Center eNewsletter. Jan 2015.

PRESENTATIONS Coyle, B., Austin, K. Academic and Health System Partnerships to Teach Public Health to Undergraduate Students through Service Learning Opportunities. The Association for Prevention Teaching and Research (APTR) Annual Meeting; March 2015; Charleston, SC. Dut A, Fitzgerald C, Levine H. Timeliness of Influenza Vaccine Administration at a Family Medicine Residency Outpatient Center: A Pilot Study for Needs Assessment. SLUHN Annual Research Symposium, June 2015, Bethlehem, PA. Feldman J. Psychological First Aid in Disaster Response. 48th STFM Annual Spring Conference, April 2015, Orlando, FL. Ghetu MV, Lam NC, Singh H. International Medical Graduate Precepting in Family Medicine Residency Training. Poster. Pennsylvania Academy of Family Physicians Clinical Education Series, March 2015; Valley Forge, PA. Ghetu MV. Mild Cognitive Impairment. Pennsylvania Academy of Family Physicians Clinical Education Series; Mar 2015; Allentown, PA.

Gibbons, H., Sadler, C. Go Local For Health – “Get Your Tail on the Trail,” Leveraging Outdoor Recreation to Improve Community Wellness, South Mountain Partnership Symposium; Harrisburg, PA. Goodbred A. Spirometry, Pennsylvania Academy of Family Physicians Clinical Education Series; Nov 2015; Allentown, PA. Gursky, M., Price, L., Lister, R., Reed, R., How to Engage Your Communities and your Health Networks. Cultivating Healthy Communities, PA Downtown Center, Jun 2015; Lancaster, PA. Jones K. Dyslipidemia, Pennsylvania Academy of Family Physicians Clinical Education Series; Nov 2015; Allentown, PA. Kaufman S, Samia H, Levine H. Increasing Health Literacy with Regard to Timeliness of Influenza Vaccine. Horizon Health Literacy Initiative, Robert Wood Johnson University Hospital, November 2015, New Brunswick, NJ. Lam NC. Menopause and Gynecological Care. Pennsylvania Academy of Family Physicians Clinical Education Series; Nov 2015; Allentown, PA.

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Lam NC. Women’s Health Maintenance. Pennsylvania Academy of Family Physicians Clinical Education Series, Chesapeake, MD, July 2015. Langan RC. Hematology. Pennsylvania Academy of Family Physicians Clinical Education Series, Valley Forge, PA, March 2015. Langan RC. Otolaryngology Potpourri. Pennsylvania Academy of Family Physicians Clinical Education Series, Allentown, PA, November 2015. Levine H, Dut A, Fitzgerald C. Timeliness of Influenza Vaccine Administration at a Family Medicine Residency Outpatient Center: A Pilot Study for Needs Assessment. 34th Family Medicine Education Consortium Annual Meeting, October 2015, Boston, MA. Metzgar M. Select Surgical Topics. ACOFP Board Review Course, Chicago, IL, November 2015. Metzgar M. Women’s Health. ACOFP Board Review Course, Chicago, IL, November 2015.

Parmar J, Samia H, Levine H. Increasing Access to Diabetic Retinopathy Screening. Horizon Health Literacy Initiative, Robert Wood Johnson University Hospital, November 2015, New Brunswick, NJ. Reed, R, Bodzin, A. Geospatial Thinking and Reasoning Skills Using Web GIS in Public Health Education. International Society of Technology in Education (ISTE) Annual Meeting; Jun 2015; Philadelphia, PA. Reed, R. Using Technology to Enhance Student Learning in the Online Learning Environment. Teaching, Learning and Technology Summit at Lehigh University; Oct 2015; Bethlehem, PA. Reed, R., Lister, R., Gursky, M., Price, L. Conducting a Community Health Needs Assessment (CHNA). Cultivating Healthy Communities; PA Downtown Center: Jun 2015; Lancaster, PA.

Geriatric Medicine St. Luke’s University Health Network provides a positive aging experience for older adults in the community through specialized services and care designed especially for seniors. Recognizing that with age come unique needs and challenges St. Luke’s is committed to helping seniors and caregivers get the most out of life by offering a wealth of programs, classes and tools designed by geriatric specialists. Physicians, nurses, therapists and other staff, many of whom have specialized training in geriatrics, have developed programs to better meet the needs of older patients. For example, Emergency Department at St. Luke’s – Bethlehem Campus is environmentallyfriendly for older adults, offering a gentler, quieter alternative to the hustle and bustle of the traditional emergency room. The network’s innovative services also include the Older Adult Behavioral Health Unit. A geriatric-trained psychiatrist, medical-surgical nurses, mental health technicians, case managers and activity therapists staff the unit. In addition to treating patients’ behavioral health conditions, the team also addresses the medical health concerns that often accompany advanced age, such as diabetes, hypertension and heart disease. The network also provides comprehensive evaluations and recommendations for senior care through St. Luke’s Senior Care Associates. A team of geriatricians, nurse practitioners and social workers staff the program. The team provides specialized services and care designed for seniors at St. Luke’s Center for Positive Aging. Through the Center, the team works with patients, family members and family physicians to assess the patient’s physical, emotional, social and functional needs and assists in planning for their future. St. Luke’s Senior Care Associates also provide inpatient comprehensive geriatric assessment through the Acute Care of Elderly (ACE) Program. ACE team includes geriatricians, geriatric pharmacy, nursing, case management, and physical and occupational therapy. The goal of the ACE program is to reduce and prevent hospital complications for seniors, which includes falls, delirium, cognitive decline, functional decline, immobility and polypharmacy. The Surgical Senior Program for Older Adults, led by a nurse navigator, has been implemented at St. Luke’s – Bethlehem Campus. The nurse navigator provides preoperative geriatric assessment and recommendations for older adults undergoing elective surgery. She helps the patient throughout the surgery process by providing education, communication, support and management. The nurse navigator works closely with anesthesiologists, surgeons, nurses and primary care physicians to prevent postoperative hospital complications. The network is restructuring the post-acute care through the Bundled Payment initiative. St. Luke’s team and Senior Care Associates work closely with the nursing home facilities in our service area to improve quality of care, outcomes and transition of care.

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St. Luke’s University Health Network hospitals have achieved designation as NICHE hospitals. NICHE (Nurses Improving Care for Healthsystem Elders) is the leading nurse-driven program designed to help hospitals and health care organizations improve the care of older adults. Through NICHE, St. Luke’s will be recognized as a health network that is highly skilled in providing integrated clinical and supportive care directed at the unique and sensitive needs of older patients and their caregivers.

GERIATRIC FELLOWSHIP

Housley BC, Stawicki SP, Evans DC, Jones C. Comorbidity-polypharmacy Score Predicts Readmission in Older Trauma Patients. International Journal of Surgery and Research. Nov 2015; 199(1): 237-43.

The St. Luke’s Geriatric Fellowship program trains physicians to become outstanding geriatricians. The program provides a wide variety of clinical experiences in geriatric care settings including geriatric outpatient, inpatient consults, acute care of the elders (ACE), long-term care, skilled nursing, physical medicine and rehabilitation, geropsychiatry, hospice and palliative care as well as memory and dementia care. The graduate physicians are prepared to provide exceptional patient care to older adults and lead the senior care services in their communities. PUBLICATIONS Birriel TJ, Uchino R, Barry N, Butryn T, Sabol DM, Valenza PL, Stawicki SP. Adverse Drug Reactions in the Era of Multi-morbidity and Polypharmacy. Journal of Basic and Clinical Pharmacy. Sep 2015 Sep; 6(4): 122-3. Evans D, Luizza A, Zanders T, Jeanmonod R. Elderly Man with Dysphagia and Esophageal Perforation from an Anterior Cervical Osteoarthritic Osteophyte. American Journal of Emergency Medicine. Nov 2015; 33(11): 1711.e3-4.

Evans D, Vera L, Jeanmonod D, Pester J, Jeanmonod R. Application of National Emergency X-Ray Utilizations Study Low-risk C-spine Criteria in High-risk Geriatric Falls. American Journal of Emergency Medicine. Sep 2015; 33(9): 1184-7.

Justiniano CF, Coffey RA, Evans DC, Jones LM, Jones CD, Bailey JK, Miller SF, Stawicki SP. Comorbidity-polypharmacy Score Predicts In-hospital Complications and the Need for Discharge to Extended Care Facility in Older Burn Patients. Journal of Burn Care & Research. Jan-Feb 2015; 36(1): 193-6. Mubang RN, Stoltzfus JC, Cohen MS, Hoey BA, Stehly CD, Evans DC, Jones C, Papadimos TJ, Grell J, Hoff WS, Thomas P, Cipolla J, Stawicki SP. ComorbidityPolypharmacy Score as Predictor of Outcomes in Older Trauma Patients: A Retrospective Validation Study. World Journal of Surgery. Aug 2015; 39(8): 2068-75. Stawicki SP, Kalra S, Jones C, Justiniano CF, Papadimos TJ, Galwankar SC, Pappada SM, Feeney JJ, Evans DC. Comorbidity Polypharmacy Score and its Clinical Utility: A Pragmatic Practitioner’s Perspective. Journal of Emergencies, Trauma, and Shock. Oct-Dec 2015; 8(4): 224–231.

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Heart & Vascular Recognized for its excellence in cardiovascular medicine, the St. Luke’s Heart & Vascular Center is committed to the three pillars of modern medicine: patient care, medical education and research. St. Luke’s Cardiovascular Center of Excellence continuously adds new services to benefit our community. In February 2015, the St. Luke’s Heart and Vascular Center opened the Center for Lipid Disorders, which focuses on the evaluation and treatment of a variety of conditions including familial hypercholesterolemia and hypertriglyceridemia. The new center will focus on patients with a personal or strong family history of premature atherosclerosis as well as individuals with intolerance to or a suboptimal response to medications. During the last two years, there has been a large amount of research on this patient population with new recommendations for care and treatment as well as the approval of two new therapeutic agents for hypercholesterolemia. The St. Luke’s team is well versed in the latest research, experienced in the treatment of these complex conditions and well-equipped to treat patients at-risk for heart and vascular disease. Advanced lipid analysis, tailored evidence based therapy and education in concert with a dietitian are offered to every patient who visits our center. The center is staffed by the largest number of board-certified lipid specialists within one network regionally. The staff includes two cardiologists, Gerald E. Pytlewski, DO, and Sobhan Kodali, MD, and one doctor of nursing practice, Carla Weidner, DNP, board certified in lipidology by the American Board of Clinical Lipidology and the National Lipid Association. Also in February 2015, St. Luke’s University Health Network teamed up with HealthFair, a leading health and wellness company offering consumers affordable mobile screening services, to provide heart and vascular screenings and annual wellness visits to residents throughout St. Luke’s service region. The screenings were available through a St. Luke’s branded mobile unit at various scheduled locations. The program will be piloted for three months followed by an evaluation of the continuance of the service. Altogether, more than 1,000 adults were screened in this program.

The screenings occurred on a mobile unit branded with the St. Luke’s logo. Potential participants were alerted to the location of the mobile unit through direct mail and print ads and directed to schedule appointments through an 800 number or by website, both managed by HealthFair. After the screening was completed, St. Luke’s physicians interpreted the studies and a dedicated St. Luke’s coordinator contacted participants with abnormal results regarding appropriate next steps. On February 21, 2015, the St. Luke’s Heart and Vascular Center held the “10th Annual Cardiac Update for the Practitioner” at the DeSales University campus. The program is designed to provide general practitioners, internists and family physicians with an update on strategies for the management of patients with cardiovascular diseases. The program was endorsed by the Pennsylvania Chapter of the American College of Cardiology and included presentations by St. Luke’s cardiologists and cardiovascular surgeons as well as invited, nationally known speakers, on topics such as “Specialized Lipid Management in 2015,” “Novel Oral Anticoagulants,” “Hypertrophic Cardiomyopathy,” “Gender Differences in Cardiac Disease,” “Adult Congenital Cardiac Diseases,” “Heart Valve Disease,” “LVAD/MCS Therapy for Heart Failure” and “Training and Staffing Challenges of the Modern Cardiac Intensive Care Unit”. In August 2015, St. Luke’s surgeons were the first in the region and among the first in the country to perform percutaneous Mitral Valve Repair using the new technology for patients with severe symptomatic degenerative mitral regurgitation. Percutaneous mitral valve repair using MitraClip© has expanded treatment options for patients suffering from this type of valvular dysfunction — particularly where surgical options are associated with an increased risk.

St. Luke’s Cardiovascular Center of Excellence continuously adds new services to benefit our community.

The following month, St. Luke’s University Health Network was the first in the region to offer patients new FDA-approved technology to treat sudden cardiac arrest. The Evera MRI™ SureScan© ICD System from Medtronic includes design enhancements from previous generation devices that allow it to safely undergo full-body magnetic resonance imaging (MRI), while maintaining the same longevity, proven shock reduction and physical size and shape of the original Evera ICD. In 2014, Truven Health Analytics (formerly known as Thomson Reuters), a leading provider of information and solutions to improve the cost and quality of health care, named St. Luke’s University Health Network one of the nation’s 50 Top Cardiovascular Hospitals — the sixth time that St. Luke’s was named to Truven’s Top Cardiovascular Hospitals list. Led by Dr. Raymond Durkin, Network Chairman of the Department of Cardiovascular Medicine, and Dr. Stephen Olenchock, Section Chief of Cardiovascular Surgery, the St. Luke’s Heart & Vascular Center has earned many achievements, honors and awards. The Center: • Was named a Truven Top 50 Cardiovascular Hospital in 2012, 2014. • Achieved the highest rating for quality of cardiac surgery from the Society of Thoracic Surgeons • Has the lowest mortality index in the region for heart disease and heart surgery patients • Was selected as one of the first institutions in the country to offer both transcatheter aortic valve replacement (TAVR) and MitraClip percutaneous mitral valve repair due to its exceptional outcomes and multidisciplinary team approach. • Was first in the United States to install GE Healthcare’s Discovery IGS 730 Hybrid Operating Room and is one of only a handful of international GE Healthcare show sites. • Operates the first accredited Chest Pain Center in the Lehigh Valley region at the St. Luke’s University Hospital – Bethlehem Campus.

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• Advanced ventricular tachycardia management — taking care of high risk abnormal electrical circuits in the heart using a combined approach from both inside and outside the heart

St. Luke’s Heart & Vascular Center offers the most advanced technologies, diagnostics and treatments to provide superior care. Some leading-edge treatments include: • Minimally invasive mitral and aortic valve surgery • Mitral valve repair including complex disease processes such as Barlow’s valve • Complex aortic surgery for aneurysmal disease utilizing open and endovascular approach including TEAVR. This includes an aortic clinic that longitudinally follows and treats patients with aortic aneurysmal disease • Structural heart program and Valve Clinic with expertise transcatheter aortic valve replacement, MitraClip percutaneous mitral repair and ASD closure • A comprehensive heart failure clinic including evaluation for transplant, treatment of pulmonary hypertension, hypertrophic cardiomyopathy and advanced medical support utilizing extracorporeal life support (ECLS), also known as extracorporeal membrane oxygenation (ECMO) and the Heart Mate II Left Ventricular Assist Device (LVAD) as a destination therapy program • Full service interventional cardiology program including 24/7 MI coverage, structural heart program and PAD evaluation and treatment • Advanced lead management for pacemakers and defibrillators — where malfunctioning leads and device infections are taken care of by a combined team (thoracic surgeon, electrophysiologists and cardiac surgeon) in the GE Healthcare’s 730 Hybrid Operating Room, providing the best outcomes for patients • Subcutaneous defibrillators (SICD) — a new defibrillator for select group of patients with high risk of sudden death

• Atrial fibrillation center — using multimodal therapy for atrial fibrillation, the most common heart rhythm disorder in United States. In addition to usual medications and radiofrequency ablation (using heat to burn abnormal electrical circuits) we also offer cryo-ablation (freezing abnormal tissues) and hybrid ablation (unique technique of ablation with cardiac surgeon and electrophysiologist working together in hybrid operating room) St. Luke’s University Health Network believes that every patient with heart or vascular disease should have access to high quality cardiovascular services close to home. As a result, Heart and Vascular Centers are located throughout the Lehigh Valley and the surrounding areas. Providing services in Bucks, Carbon, Lehigh, Monroe, Montgomery, Northampton and Schuylkill counties in Pennsylvania and Warren County in New Jersey, St. Luke’s Heart & Vascular Center has: • 13 cardiology offices • Cardiac catheterization capability at three hospitals • Three accredited chest pain centers • 31 cardiologists • Three cardiac surgeons • Six vascular surgeons • Six interventional radiologists • Three electrophysiologists • Five interventional cardiologists St. Luke’s University Health Network is fully committed to the second pillar of modern medicinemedical education. St. Luke’s provides training opportunity to medical students and residents from across the country to train in an ACGME (American College of Graduate Medical Education) recognized Cardiovascular Fellowship program and Interventional Cardiology Fellowship. Cardiology fellows from the program have successfully gone on to higher training and desirable positions across the country.

St. Luke’s University Health Network is firmly entrenched in medical research, the third pillar of modern medicine. Led by Jamshid Shirani, MD, program director of the Cardiovascular Fellowship Program, physicians and fellows of the department of cardiovascular medicine have published more than 200 peer-reviewed papers in internationally recognized journals. A research department led by Stanislaw Stawicki, MD, is fully committed to improving medical education and patient care through clinical research. RESEARCH CONTACT INFORMATION – CARDIOLOGY For questions about research and clinical trials, contact Christy Stehly, Manager, Integrated Med/Surg Clinical Trials, at christy.stehly@sluhn.org or call her at 484-5266076. You may also write to St. Luke’s University Health Network Clinical Trials and Research, 801 Ostrum St., Bethlehem, PA 18015. PUBLICATIONS Abstracts Agrawal S, Manda YR, Durkin R, Puleo P, Shirani J. Intracranial Hemorrhage Following Fibrinolysis for Acute ST-segment Elevation Myocardial Infarction. The Journal of Heart Valve Disease. 2015; 12: 35. Agrawal S, Nanda S. Allen D, Vefali H, Shirani J. Impact of Implantable CardioverterDefibrillators on Outcome of Patients with Left Ventricular Assist Devices. Circulation. 2015; 132: A18703.

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Agrawal S, Shirani J. Culprit Artery Only Versus Multivessel Primary Percutaneous Coronary Intervention in Acute ST-segment Elevation Myocardial Infarction. Journal of American College of Cardiology. 2015; 65: A47. Amhaz HH, Gupta DE, Manders LA, McKelvey, GE, Orlewicz MS, Kaddoum RN. Renal Protection in the Cardiac Surgery Patient: Peri-operative Sodium Bicarbonate Infusion (POSBI) or Not. Middle East Journal of Anesthesiology. Feb 205; 23(1): 17. Aradhya M, Shirani J. Comparison of Manual Compression and Arterial Closure Device Following Percutaneous Coronary Intervention in Patients with STEMI using BARC Classification. The Journal of Heart Valve Disease. 2015; 12: 37. Manda YR, Agrawal S, Durkin R, Puleo P, Shirani J. Myocardial Viability Assessment prior to Percutaneous Coronary Intervention for Coronary Chronic Total Occlusion: A Systematic Review. The Journal of Heart Valve Disease. 2015; 12: 35. Manda YR, Agrawal S, Durkin R, Sarnoski C, Puleo P, Shirani J. Impact of Percutaneous Intervention of Coronary Chronic Total Occlusion on Left Ventricular Ejection Fraction. The Journal of Heart Valve Disease. 2015; 12: 25. Manda YR, Sarnoski C, Agrawal S, Durkin R, Puleo P, Shirani J. Radial Approach to Coronary Artery Bypass Graft Angiography and Intervention Reduces Access Site Complications. The Journal of Heart Valve Disease. 2015 (12): 7.

Manda YR, Shirani J. Comparison of Transradial and Transfemoral Approach for Coronary Artery Bypass Graft Angiography and Intervention: Systemic Review and Meta-analysis. International Journal of Academic Medicine. 2015 (1): 6-7. Manda YR, Shirani J. Prognostic Value of Dobutamine Stress Echocardiography in Renal Transplant Candidates: A Meta-analysis. Journal of American College of Cardiology. 2015; 65: A318. Manda YR, Sinha A, Agrawal S, Singh A, Shirani J. Dobutamine Stress Echocardiography for Cardiovascular Risk Stratification prior to Renal Transplant. The Journal of Heart Valve Disease. 2015; 12: 29. Shirani J. Myocardial Viability in Coronary Artery Chronic Total Occlusion. The Journal of Heart Valve Disease. 2015; (12): 87. Sinha A, Acharya Y, Bhattarai J, Kumar R, Shirani J. Dobutamine-Induced Atrial Fibrillation during Dobutamine Stress Echocardiography. The Journal of Heart Valve Disease. 2015 (12): 95. Sinha A, Singh A, Kumar R, Shirani J. Pericardial Decompression Syndrome: An Entity in Need of Urgent Attention. The Journal of Heart Valve Disease. 2015; (12) 28.

Manuscripts Agrawal S, Agrawal N, Garg J, Mohandas R, Gupta T, Segal M. Heart Failure and Chronic Kidney Disease: Should we Use Spironolactone? The American Journal of the Medical Sciences 2015 Aug; (350): 147-51. doi: 10.1097/MAJ.0000000000000514. Agrawal S, Harikrishnan P, Manda Y, Vefali H, Sinha A, Shirani. St-Segment Elevation Myocardial Infarction With Multi-Vessel Coronary Artery Disease: Outcomes in the Age of Staged Percutaneous Coronary Intervention. Journal of College Cardiology. 2015; 65(10S). doi: 10.1016/S0735-1097(15)60200-5. Agrawal S, Nanda S, Allen D, Vefali H, Shirani J. Impact of Implantable Cardioverterdefibrillators on Outcome of Patients With Left Ventricular Assist Devices. Circulation. Nov 10, 2015; 132(Suppl 3): A18703. Agrawal S, Stevens S, Shirani J, Garg J, Nanda S. Ischemia-induced Brugada Phenocopy. Journal of Electrocardiology. 2015 Sep-Oct; 48(5): 815-7. 26231693. doi: 10.1016/j. jelectrocard.2015.07.007. Bullock-Palmer R, Freeman AM, Kontak A, Shaw LJ, Dickert NW, Henzlova M, Dilsizian V, Shirani J, Dorbala S, Dilsizian V, Einstein AJ. Collegial Pressure and Patient-centered Shared Decision-making: A Case-based Ethics Discussion. Journal of Nuclear Cardiology. 2015; (22): 923-26. doi: 10.1007/s12350-015-0230-4. Bullock-Palmer R, Kontak A, Dickert NW, Shaw LJ, Dilsizian V, Holly TA, Shirani J, Dorbala S, Einstein AJ. Responsibility for follow-up of Abnormal Findings in Myocardial Perfusion Imaging: A Case-Based Ethics Discussion. Journal of Nuclear Cardiology. Oct 1, 2015; 22(5): 927-31. 26271959. doi: 10.1007/s12350-015-0232-2. Bullock-Palmer RP, Freeman AM, Kontak A, Shaw LJ, Dickert NW, Henzlova M, Shirani J, Dorbala S. Collegial Pressure and Patient-Centered Shared-Decision Making: A CaseBased Ethics Discussion. Journal of Nuclear Cardiology. Oct 2015; 22(5):920-2; 26271957. doi: 10.1007/s12350-015-0230-4. Evans DC, Firstenberg MS, Galwankar SC, Moffatt-Bruce SD, Nanda S, Oâ&#x20AC;&#x2122;Mara MS, Papadimos TJ, Stawicki SP. International Journal of Academic Medicine: A Unified Global Voice for Academic Medical Community. International Journal of Academic Medicine: A Unified Global Voice for Academic Medical Community. 2015; (1): 1-2. Fan W, Chachula L, Wu Y, Khalighi K. Key Clinical Features a General Internist Needs to Know about Brugada Syndrome: a Case-Based Discussion. Journal of Community Hospital Internal Medicine Perspectives. Jun 2015; 5(3). Fan W, Khalighi K. Application of ICD Guidelines and Indications in a Community-Based Academic Hospital: A Case Series-Based Discussion. Journal of Community Hospital Internal Medicine Perspectives. Apr 2014; 4(2). Fegley MW, Redstone EA, Singh A, Agrawal S, Shirani J, Nanda S. Isolated Acute Traumatic Aortic Injury Following Cardiopulmonary Resuscitation with Excessively Forceful Chest Compressions. International Journal of Academic Medicine. Jan 1, 2015; 1(1): 29.

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Fegley MW, Woodruff WW, Longo S, Nanda S. Extensive Periventricular White Matter Abnormality with Mediastinal Adenopathy. International Journal of Academic Medicine. Jan 1, 2015; 1(1): 41-44. Gilson J, Khalighi K, Krishnamurthy M. Case Report: Palpitations as an Unusual Manifestation of a Multisystemic Disease. 5 Editorial Comments and Dean’s Recognition. 2011; 139(1): 22. Hai JJ, Chahal AA, Friedman PA, Vaidya VR, Syed FF, DeSimone CV, Nanda S, Brady PA, Madhavan M, Cha YM, McLeod CJ, Mulpuru S, Munger TM, Packer DL, Asirvatham SJ. Electrophysiologic Characteristics of Ventricular Arrhythmias arising from the Aortic Mitral Continuity-Potential Role of the Conduction System. Journal of Cardiovascular Electrophysiology. Feb 2015; 26(2):158-63. 25425429. doi: 10.1111/jce.12587. Khalighi K, Aung TT, Elmi F. The Role of Prophylaxis Topical Antibiotics in Cardiac Device Implantation. Pacing and Clinical Electrophysiology. Mar 2014; 37(3): 304-11. Khalighi K, Farooq MU, Aung TT, Oo S. Takotsubo Cardiomyopathy: A Long Term Follow-up Shows Benefit with Risk Factor Reduction. Journal of Cardiovascular Development and Disease. 2015 Nov 16; 2(4):273-81. Khalighi K, Kodali A, Thapamagar SB, Walker SR. Cardiac Involvement in Myotonic Dystrophy. Journal of Community Hospital Internal Medicine Perspectives. 2015; 5(1). Kumar R, Sinha A, Lin MJ, Uchino R, Butryn T, O’Mara MS, Nanda S, Shirani J, Stawicki SP. Complications of Pericardiocentesis: A Clinical Synopsis. International Journal of Critical Illness and Injury Science. Jul-Sep 2015; 5(3): 206–212. PMC4613420. doi: 10.4103/22295151.165007. Lamas GA, Knight JD, Sweeney MO, Mianulli M, Jorapur V, Khalighi K, Cook JR, Silverman R, Rosenthal L, Clapp-Channing N, Lee KL. Impact of Rate-Modulated Pacing on Quality of Life and Exercise Capacity — Evidence from the Advanced Elements of Pacing Randomized Controlled Trial (ADEPT). Heart Rhythm. 2007 Sep 30;4(9):1125-32. Manda YR, Shirani J. Prognostic Value of Dobutane Stress Echocardiography in Renal Transplant Candidates: a Meta-Analysis. Journal of the American College of Cardiology. Mar 17, 2015; 65(10_S)

Sinha A, Yeruva SL, Kumar R, Curry BH. Early Cardiac Tamponade in a Patient with Postsurgical Hypothyroidism. Case Reports in Cardiology. 2015; (2015): 310350. Early Cardiac Tamponade in a Patient with Postsurgical Hypothyroidism. doi: 10.1155/2015/310350. Srivastava AV, Kontak A, Shaw LJ, Dickert NW Jr., Dilsizian V, Dorbala S, Shirani J, Einstein AJ. How to Approach an Inappropriately Ordered Myocardial Perfusion Stress Study: A Case-based Ethics Discussion. Journal of Nuclear Cardiology. Oct. 1, 2015; (22): 920-22. doi: 10.1007/s12350-015-0231-3 Vefali H, Manda Y, Shirani J. Myocardial Viability in Coronary Artery Chronic Total Occlusion. Current Cardiology Reports. Jan 1, 2015; 17(1): 1-9.25413581. doi: 10.1007/s11886-014-0552-x. PRESENTATIONS Allen D. LVAD/MCS Therapy for Heart Failure. 10th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center; DeSales University. Feb 2015; Center Valley, PA. Mani A. Gender Differences in Cardiac Disease. Presented at: 10th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center; DeSales University. Feb 2015; Center Valley, PA. Olenchock S. “Heart Valve Disease – When to Operate,” 10th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center; DeSales University. Feb 2015; Center Valley, PA. Pytlewski GE. Specialized Lipid Management in 2015. 10th Annual Cardiac Update for the Practitioner. St. Luke’s Hospital Heart and Vascular Center; DeSales University; Feb 2015; Center Valley, PA. Shirani J. Imaging for Transcatheter Aortic Valve Replacement (TAVR). Annual Meeting of the Northeastern Pennsylvania Ultrasound Society, St. Luke’s University Health Network; Apr 2015; Bethlehem, PA. Shirani J. Ethical Considerations in Medical Imaging. ACGME/AOA General Competencies Symposia, St. Luke’s University Health Network; Jan 2015; Bethlehem, PA.

Shirani J. Myocardial Viability in Chronic Total Occlusion. 20th World Congress on Heart Disease, International Academy of Cardiology, Annual Scientific Sessions; July 2015; Vancouver, BC, Canada. Shirani J. The Echo Report. 17th annual Cardiovascular Nursing Symposium – Walter W. Buckley Jr. Symposium in Cardiac Medicine; Sept 2015; Macungie, PA. Shirani J. Update on Evaluation and Care of Patients with Hypertrophic Cardiomyopathy, 10th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center, DeSales University; Feb 2015; Center Valley, PA. Traub D. Novel Oral Anticoagulants – Everyday Advice for the Clinician. 10th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center; DeSales University; Feb 2015; Center Valley, PA.

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Internal Medicine & Subspecialties The St. Luke’s Department of Internal Medicine has made a robust contribution to research and medical publications. Throughout the Lehigh Valley and surrounding areas, St. Luke’s more than 80 internal medicine physicians apply scientific knowledge and clinical expertise to the diagnosis, treatment and compassionate care of adults across the spectrum from health to complex illness. Justin Psaila, MD, leads the department. Many of our internal medicine physicians are also involved in cultivating future internists through the St. Luke’s Internal Medicine Residency Program. St. Luke’s offers two options. The first Internal Medicine Residency Program option falls under the Department of Medicine and is led by Gloria Fioravanti, DO, FACP, Program Director, Internal Medicine Residency, St. Luke’s University Health Network. Dr. Fioravanti is also a faculty member of Temple University School of Medicine. Fully accredited by the Accreditation Council for Graduate Medical Education (ACGME), the program excels amid state-of-the-art facilities, strong administrative support and a dedicated faculty. It enjoys a high passage rate on the American Board of Internal Medicine certifying examination. Also, the Internal Medicine Residency Program supports an ACGME-accredited Cardiology fellowship and Interventional Cardiology subspecialty Fellowship. Cara Ruggerio, DO, leads the Osteopathic Internal Medicine Residency Program at St. Luke’s. She is also a faculty member of the Temple University School of Medicine. The program is fully accredited by the Council on Post-Doctoral Training of the American Osteopathic Association, as well as the Accreditation Council for Graduate Medical Education (ACGME). The training program also has Osteopathic Recognition status. Upon successful completion of the program, residents may take both the American College of Osteopathic Internal Medicine Board examination and the American Board of Internal Medicine (ABIM) certifying examination. This enables residents interested in fellowships to pursue both osteopathic and/or allopathic fellowshiptraining opportunities. The program enjoys a high passage rate on both the American College of Osteopathic Internist and the American Board of Internal Medicine certifying examination.

In addition to internal medicine physicians who provide primary care, many St. Luke’s physicians certified in internal medicine have received advanced training and certification in fields including cardiology, critical care, endocrinology, gastroenterology, infectious diseases, nephrology, oncology and pulmonology. CARDIOLOGY See Heart & Vascular section on page 68. CRITICAL CARE See Critical Care section on page 45. ENDOCRINOLOGY St. Luke’s Center for Diabetes & Endocrinology physicians are certified specialists who treat adults with diabetes and disorders of the hypothalamus, pituitary gland, pineal gland, parathyroid glands, adrenal gland, ovaries and testes. Mohammad Arastu, MD, serves as the Section Chief of Endocrinology for St. Luke’s University Health Network. Located in Center Valley, the Center provides care to patients in other St. Luke’s University Health Network locations through telehealth technology. Among the endocrinologists involved in telemedicine is Bankim Bhatt, MD. Also a Clinical Assistant Professor of Medicine at Temple University’s School of Medicine, Dr. Bhatt is particularly interested in treating patients with diabetes and has presented his research findings at national meetings and has published them in leading medical journals.

More than 80 internal medicine physicians apply scientific knowledge and clinical expertise.

GASTROENTEROLOGY More than 30 gastroenterologists affiliated with St. Luke’s University Health Network’s seven hospitals are committed to caring for patients with digestive health disorders. Their expertise, combined with their focus on each patient, provides patients with high quality gastroenterological care. Many St. Luke’s gastroenterologists specialize in areas such as advanced endoscopy or oncological gastroenterology. Noel Martins, MD, serves as Chief of Gastroenterology for St. Luke’s University Health Network.

INFECTIOUS DISEASES Led by Jeffrey Jahre, MD, St. Luke’s Senior Vice President for Medical and Academic Affairs and Chief, Infectious Diseases, seven physicians affiliated with St. Luke’s University Health Network are available to prevent, diagnose and treat infectious diseases caused by organisms such as bacteria, viruses, fungi and parasites. Experts in epidemiology, these physicians are active in public health activities, such as identifying sources of infectious diseases, preventing their spread and educating the public. NEPHROLOGY St. Luke’s University Health Network is affiliated with 13 nephrologists. They provide kidney care and treat diseases of the kidneys. Office locations include Bethlehem, Easton, Jim Thorpe and Palmerton. Robert Gaynor, MD, serves as Section Chief of Nephrology for St. Luke’s University Health Network. ONCOLOGY See Oncology section on page 92.

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PULMONOLOGY

PUBLICATIONS

St. Luke’s Pulmonary & Critical Care Associates, as well as private practice pulmonologists affiliated with St. Luke’s University Health Network, treat lung diseases and recurring pulmonary conditions. Under the leadership of Livia Bratis, DO, Section Chief of Pulmonary Medicine at St. Luke’s University Health Network, approximately 15 physicians provide patients with up-to-date treatments. These dedicated professionals continually search for new therapeutic methods and technologies to improve patient care and quality of life. Specialty areas within pulmonology include critical care and sleep medicine.

RHEUMATOLOGY Under the direction of Charles Ludivico, MD, seven rheumatologists diagnose and treat rheumatologic conditions such as rheumatoid arthritis, lupus, osteoarthritis, fibromyalgia and gout. Recently, St. Luke’s University Health Network recruited Sherilyn McCollum, DO.

Bansal V, Asmar NE, Selman WR, Arafah BM. Pitfalls in the Diagnosis and Management of Cushing’s Syndrome. Neurosurgical Focus. Feb 2015; 38(2): E4. doi: 10.3171/2014.11.FOCUS14704. Bansal V, Davis G, Ismail-Beigi F. Risk of Insulin Accumulation (Stacking) with Use of Novel UltralongActing Insulin Formulations. Endocrine Practice. Sep 20, 2014 20(9):990-1 doi: 10.4158/EP14144.CO. Birriel TJ, Uchino R, Barry N, Butryn T, Sabol DM, Valenza PL, Stawicki SP. Adverse Drug Reactions in the Era of Multi-morbidity and Polypharmacy. Journal of Basic Clinical Pharmacology. Sep 2015; 6(4): 122-3. 26692740. doi: 10.4103/0976-0105.168052.

Burmester GR, Rubbert-Roth A, Cantagrel A, Hall S, Leszczynski P, Feldman D, Rangaraj MJ, Roane G, Ludivico C, Bao M, Rowell L. Efficacy and Safety of Subcutaneous Tocilizumab Versus Intravenous Tocilizumab in Combination with Traditional DMARDs in Patients with RA at Week 97. Annals of the Rheumatic Diseases. Jan 2016; 75(1): 68-74. doi: 10.1136/annrheumdis-2015-207281. Epub 2015 Jun 8. Evans DC, Firstenberg MS, Galwankar SC, Moffatt-Bruce SD, Nanda S, Oâ&#x20AC;&#x2122;Mara MS, Papadimos TJ, Stawicki SP. International Journal of Academic Medicine: A Unified Global Voice for Academic Medical Community. International Journal of Academic Medicine. 2015; 1: 1-2. Fegley MW, Redstone EA, Singh A, Agrawal S, Shirani J, Nanda S. Isolated Acute Traumatic Aortic Injury Following Cardiopulmonary Resuscitation with Excessively Forceful Chest Compressions. International Journal of Academic Medicine. Jan 1, 2015; 1(1): 29. Fegley MW, Woodruff WW, Longo S, Nanda S. Extensive Periventricular White Matter Abnormality with Mediastinal Adenopathy. International Journal of Academic Medicine. Jan 1, 2015; 1(1): 41. Giamportone KE. Counter Transference in the Face of Compassionate Care. Journal of Social Work in End-Of-Life & Palliative Care. Oct 2, 2015; 11(3-4): 220-3. doi: 10.1080/15524256.2015.1107804. Han JH, Bilker WB, Edelstein PH, Mascitti KB, Lautenbach E. Derivation and Validation of Clinical Prediction Rules for Reduced Vancomycin Susceptibility in Staphylococcus Aureus Bacteraemia. Epidemiology and Infection. 2013 Jan 1; 141(1): 165-73. Han JH, Mascitti KB, Edelstein PH, Bilker WB, Lautenbach E. The Effect of Reduced Vancomycin Susceptibility on Clinical and Economic Outcomes in Staphylococcus Aureus Bacteremia. Antimicrobial Agents and Chemotherapy. 2012 Jul 23: AAC-00757. Keeler E, Fioravanti G, Samuel B, Longo S. Scleroderma Renal Crisis or Thrombotic Thrombocytopenic Purpura: Seeing Through the Masquerade. Laboratory Medicine. May 1, 2015; 46(2): e39-4. 26023003. doi: 10.1309/LM72AM5XFHZYOQCB. Knight P, Anagnostakos JP, Lin MJ, Geme B, Stawicki SP. Knight P, Anagnostakos JP, Lin MJ, Geme B, Stawicki SP. Fecal Microbiota Transplantation (FMT) for Clostridium Difficile Colitis. OPUS 12 Scientist. 2015; 9(1): 1-8. Mascitti KB, Edelstein PH, Fishman NO, Morales KH, Baltus AJ, Lautenbach E. Prior Vancomycin Use is a Risk Factor for Reduced Vancomycin Susceptibility in MethicillinSusceptible but Not Methicillin-resistant Staphylococcus Aureus Bacteremia. Infection Control and Hospital Epidemiology: The Official Journal of the Society of Hospital Epidemiologists of America. Feb 2012; 33(2): 160. doi: 10.1086/663708. Mudalel ML, Dave KP, Hummel JP, Solga SF. N-acetylcysteine Treats Intravenous Amiodarone Induced Liver Injury. World Journal of Gastroenterology. Mar 7, 2015; 21(9): 2816. Polimera HV, Agarwal A, Fioravanti G, Coyle B. Identification of Variables that Led to Improvement in Breast Cancer Screening. ASCO Annual Meeting Proceedings. May 20, 2015 (Vol. 33, No. 15_suppl, p. e12573).

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Samuel B, Dip PG, Fioravanti G, Axelband J, Smith A, Hughes M, Longo S, Keeler E. Not Just a Simple Headache. Consultant. Jun 2015; 55(6). Spacek LA, Mudalel M, Tittel F, Risby TH, Solga SF. Clinical Utility of Breath Ammonia for Evaluation of Ammonia Physiology in Healthy and Cirrhotic Adults. Journal of Breath Research. Dec 15, 2015; 9(4): 047109. Spacek LA, Solga SF. Comment on When to Perform Hepatic Resection for Intermediate-Stage Hepatocellular Carcinoma. Hepatology. doi: 10.1002/ hep.27896. Epub 2015, Aug 10. Wojda TR, Valenza PL, Cornejo K, McGinley T, Galwankar SC, Kelkar D, Sharpe RP, Papadimos TJ, Stawicki SP. The Ebola Outbreak of 2014-2015: From Coordinated Multilateral Action to Effective Disease Containment, Vaccine Development, and Beyond. Journal of Global Infectious Diseases. Oct-Dec 2015; 7(4): 127–138. PMC4693303. doi: 10.4103/0974777X.170495.

PRESENTATIONS McCollum S. Rheumatic Manifestations of NonRheumatic Diseases – 3/23/15 – Temple/St. Luke’s Medical School 2nd Year Lecture Series; Mar 23, 2105; Bethlehem, PA. McCollum, S. Myositis and Scleroderma. Temple/ St. Luke’s Medical School 2nd Year Lecture Series; March 19, 2015; Bethlehem, PA. McCollum, S. Rheumatoid Arthritis. St. Luke’s Internal Medicine Residency Lecture Series; Nov 23, 2015; Bethlehem, PA. McCollum, S. Seronegative Spondyloarthropathies. Temple/St. Luke’s Medical School 2nd Year Lecture Series; March 23, 2015; Bethlehem, PA. McCollum, S. The Basic Approach to the Rheumatologic Patient – 9/28/15 – St. Luke’s Internal Medicine Residency Lecture Series; Sep 28, 2015; Bethlehem, PA.

Prutzman D, Krupali P, Thong L. Encephalitis Without the Encephalopathy â&#x20AC;&#x201C; An Abnormal Presentation of HSV Encephalitis. Poster. American College of Osteopathic Internists National Meeting; Oct 2015; Tampa, FL. Rabenold S, Murphy P, Ruggeri C. Increasing the Incidence of Post-Code Debriefing. Poster. American College of Osteopathic Internists National Meeting; Oct 2015; Tampa, FL. Signarovitz D, Ruggeri C. K2 Synthetic Marijuana is the New High. Poster. American College of Osteopathic Internists National Meeting; Oct 2015; Tampa, FL. Vasquez Prado C, McKim, Chudasama Y, Ender P. Rapid Influenza Testing May Lead to a Delay in Diagnosis and Treatment, and Poor Outcomes in Patients with Influenza in H1N1 Predominant Season. Presented as a poster at ID Week; Oct 2014; San Diego, CA. Yoder N. Be a Quitter, Strategies for Smoking Cessation. 4th Annual Pulmonary & Critical Care Update for the Practitioner â&#x20AC;&#x201C; Penn State Lehigh Valley; Sept 2015; Center Valley, PA.

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Neurosciences The St. Luke’s Center for Neuroscience provides expert care of conditions of the nervous system. Jonathan Hosey, MD, Chief of Neurology and Network Chairman, Department of Neurosciences Stroke/Vascular Neurology, leads the center. Hugh Moulding, MD, PhD, serves as Chief of Neurosurgery. Under their leadership, the center offers specialized services for patients with brain tumors, intracranial aneurysms, epilepsy, multiple sclerosis, spine conditions, normal pressure hydrocephalus, chronic pain, movement disorders, traumatic injuries, as well as numerous other neurological and neurosurgical conditions. Additionally, St. Luke’s neurologists and neurosurgeons actively participate in cutting edge clinical research. Steven Falowski, MD, the region’s only fellowshiptrained functional neurosurgeon, is dedicated to the surgical treatment of neurological conditions. He is a nationally recognized leader in research advancing functional neurosurgery and is currently working on a textbook in this pioneering area of neurosciences. Through this role, he continuously brings cutting edge technology and procedures to the region served by St. Luke’s University Health Network.

In December, Dr. Falowski surgically implanted the Proclaim™ Elite system, the only Bluetooth™ enabled Implantable Pulse Generator (IPG) that can be controlled by Apple™ technology to manage its stimulation therapy. This pioneering platform improves both the patient’s chronic pain and the overall therapy experience. The Proclaim Elite SCS for chronic pain is programmable using an Apple iPad mini tablet by connecting it via Bluetooth.

He was the first physician in the region to perform Deep Brain Stimulation (DBS) surgery in 2011, and by the end of 2015, had performed more than 100 DBS procedures. Today, the St. Luke’s DBS program ranks among the top 10 percent nationally in new patient DBS implants and remains the only such program in the region.

Continuing its role as a pioneer of neuroscience research, St. Luke’s University Health Network is participating in the Sunburst™ (Success Using Neuromodulation with Burst) clinical study to test the effectiveness of the Prodigy™ neurostimulator, which delivers closely spaced pulses of electrical energy to a patient’s spinal cord to manage chronic pain. St. Jude Medical, Inc., a global medical device company, selected St. Luke’s as one of only 20 hospitals in the country to participate in the study and named Dr. Falowski as one of the investigators. He is working closely with Scott Loev, DO, Director of Pain Medicine at St. Luke’s Spine and Pain Associates. Dr. Falowski also serves on the board of directors for the North American Neuromodulation Society, the largest society dealing with spinal cord stimulation and neuromodulative procedures.

Dr. Falowski works with device manufacturers to continuously improve and enhance technological aspects of various devices and implants used in neurostimulation. In August, Medtronic engineers in Minneapolis, MN watched a live video feed as Dr. Falowski performed the implantation of the company’s spinal cord stimulator. In another example, he provided live intra-procedural feedback during a procedure involving the implantation of a deep brain stimulator device — a first-of-its-kind undertaking for both the company and St. Luke’s. The opportunity to witness the surgery and ask questions while it was occurring provided the engineers with invaluable information that they are now able to use n order to make modifications that will enhance and improve their devices for future patients.

St. Luke’s neurologists and neurosurgeons actively participate in cutting edge clinical research.

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St. Luke’s Neurosurgical Associates are the only regional neurosurgical practice enrolled in the National Neurosurgery Quality Outcomes Database (N2QOD). National surgical outcomes data is collected for patients undergoing cervical and lumbar surgeries to better understand their impact on quality of life and daily function. Dr. Don Zhang, MD, FRCSC and Dr. Doron Rabin, MD, FRCSC, neurosurgeons with special interest in complex spine surgery, routinely review this data and compare local and national outcomes. This information is used to guide and track initiatives that aim to improve the quality of inpatient and outpatient care for neurosurgical spine patients at St. Luke’s University Health Network. The St. Luke’s Center for Neuroscience is also a leader in the evaluation and treatment of stroke. Dr. Hosey brings three decades of clinical experience and since 1997 ongoing recognition as one of the Best Doctor in America for Stroke Services. A member and fellow of the American Academy of Neurology Institute, he received AAN’s prestigious AB Baker Teacher

Recognition Award in 2015. Dr. Hosey and his team conduct several research and clinical studies relating to stroke diagnosis, treatment and management. He is a proponent of rapid evaluation to determine the best course of treatment. At St. Luke’s, stroke patients often go directly to the CT scan, while neurosurgeons connected via videoconferencing view images in real time to determine whether the patient needs immediate catheterization to open clogged arteries. PUBLICATIONS Ackerman D, Tzeng DL, Pineda MC. De-Depress: Detection of Post Stroke Depression in the Outpatient Setting; the Interim Analysis. Stroke. Feb 1, 2015; 46(Suppl 1): AWP384. Amhaz HH, Fox BD, Johnson KK, Whitehead, WE, Curry DJ, Luerssen, TG, Jea A. Postlaminoplasty Kyphotic Deformity in the Thoracic Spine: Case Report and Review of the Literature. Pediatric Neurosurgery. Mar 2009; 45(2): 151-4.

Bansal V, Asmar NE, Selman WR, Arafah BM. Pitfalls in the Diagnosis and Management of Cushingâ&#x20AC;&#x2122;s Syndrome. Neurological Focus. Feb 2015; 38 (2): E4. Balinger KJ, Elmously A, Hoey BA, Stehly CD, Stawicki SP, Portner ME. Selective Computed Tomographic Angiography in Traumatic Subarachnoid Hemorrhage: A Pilot Study. Journal of Surgical Research. Nov 30, 2015;199(1): 183-9. Daou B, Deprince M, Dâ&#x20AC;&#x2122;Ambrosio R, Tjoumakaris S, Rosenwasser RH, Ackerman DJ, Bell R, Tzeng DL, Ghobrial M, Fernandez A, Shah Q. Pennsylvania Comprehensive Stroke Center Collaborative: Statement on the Recently Updated IV rt-PA Prescriber Information for Acute Ischemic Stroke. Clinical Neurology and Neurosurgery. Dec 31, 2015; 139: 264-8. doi: 10.1016/j.clineuro.2015.10.010. Epub 2015 Oct 21. Falowski SM, DiLorenzo DJ, Shannon LR, Wallace DJ, Devries J, Kellogg RG, Cozzi NP, Fogg LF, Byrne RW. Optimizations and Nuances in Neurosurgical Technique for the Minimization of Complications in Subdural Electrode Placement for Epilepsy Surgery. World Neurosurgery. Feb 2015. doi: 10.1016/j.wneu.2015.01.018. Falowski S, Ooi YC, Bakay RA. Long Term Evaluation of Changes in Operative Technique and Hardware Related Complications with Deep Brain Stimulation. Journal of Neuromodulation. Dec 2015; 18(8): 670-7. doi: 10.1111/ner.12335. Epub Aug 5, 2015. Falowski, S. Deep Brain Stimulation for Chronic Pain. Current Pain and Headache Report. Jul 2015; 19(7): 27. doi: 10.1007/s11916-015-0504-1. Falowski, S. The Ongoing Debate of the Utility of Magnetic Resonance Imaging Conditional Neuromodulation Devices. Journal of Neuromodulation. June 2015; 18(4): 337-8. doi: 10.1111/ner.12306. Fegley MW, Woodruff WW, Longo S, Nanda S. Extensive Periventricular White Matter Abnormality with Mediastinal Adenopathy. International Journal of Academic Medicine. Jan 1, 2015; 1(1): 41. Fox BD, Amhaz HH, Patel AJ, Fulkerson DH, Suki D, Jea A, Sawaya RE. Neurosurgical Rotations or Clerkships in US Medical Schools. Journal of Neurosurgery. Jan 2011; 114(1): 27-33. Graves B, Bambach W, Hosey R, Hosey J. Non-HIV PML: A Case of PML in an Immunocompetent Patient with a Retrospective Review on Non-HIV PML Risk Factors. Neurology. Apr 8, 2014; 82(10 Supplement): P4-320. Graves B, Hosey J. Basal Ganglia Encephalitis and Autoimmune Retinitis Associated with Influenza B (P5. 034). Neurology. Apr 8, 2014; 82(10 Supplement): P5-034. Narayanaswami P, Showers D, Levi B, Showers M, Jones EC, Busis NA, Comella CL, Pulst SM, Hosey JP, Griggs RC. State Neurologic Societies and the AAN Strengthening Neurology for the Future. Neurology: Clinical Practice. Jun 1, 2014; 4(3): 247-55. Pope J, Falowski S, Deer T. Advanced Waveforms and Frequency with Spinal Cord Stimulation: Burst and High-Frequency Energy Delivery. Expert Review of Medical Devices. June 2015; 18(4): 337-8. doi: 10.1111/ner.12306. Pope J, Poree L, Falowski S. Implications of the Medtronic Consent Decree on Your Practice. Journal Neuromodulation. 2015.

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Pope J, Poree L, McRoberts WP, Falowski S, Deer T. Consent Decree: Physician and Institution Ramifications? Neuromodulation. Dec 1, 2015; 18(8):653-6. doi: 10.1111/ner.12374. Samuel B, Fioravanti G, Axelband J, Smith A, Hughes M, Longo S, Keeler E. Not Just a Simple Headache. Consultant. 2015; 55(6): 466-468. Sweet JA1, Mitchell LS, Narouze S, Sharan AD, Falowski SM, et.al. Occipital Nerve Stimulation for the Treatment of Patients With Medically Refractory Occipital Neuralgia: Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline. Neurosurgery. Jun 29, 2015. [Epub ahead of print] PRESENTATIONS Balinger KJ, Elmously A, Hoey BA, Stehly CD, Stawicki SP, Portner ME. Will I Miss an Aneurysm? The Role of CTA in Traumatic Subarachnoid Hemorrhage. Podium presentation at the Academic Surgical Congress; Feb 2015; Las Vegas, NV. Falowski, S. Fusion Methods for Surgeons. Pain Conference of the West Virginia Society of Interventional Pain Physicians (WVSIPP); Aug 2015; Miami, FL. Falowski, S. Infection Rates of Spinal Cord Stimulator Implants in High Risk Populations: A Multi- Center Study. North American Neuromodulation Society (NANS) Annual Meeting; Dec 2015; Las Vegas, NV. Falowski, S. Life After a DBS Fellowship: The First 6 Months. Deep Brain Stimulation (DBS) Fellows Course; Jan 2015; Minneapolis, MN. Falowski, S. Mentorship in Neuromodulation: Preliminary Results from a Society Driven, Multi-Center, Prospective National Pilot Mentorship Program. North American Neuromodulation Society (NANS) Annual Meeting; Dec 2015; Las Vegas, NV. Falowski, S. NACC and PACC Consensus Guidelines – Rationalized Step Wise Approach to Therapy and the Increased Pace of Technology. Pain Conference of the West Virginia Society of Interventional Pain Physicians (WVSIPP); Aug 2015; Miami, FL. Falowski, S. Neuromodulation and Headache. Pain Conference of the West Virginia Society of Interventional Pain Physicians (WVSIPP); Aug 2015; Miami, FL.

Falowski, S. Preliminary Results from a Society Driven, Multi-Center, Prospective National Pilot Mentorship Program. American Society Regional Anesthesia and Pain Management (ASRA) Annual Meeting; Nov 2015; Miami, FL. Falowski, S. Randomized Double Blind Crossover Study Examining the Safety and Effectiveness of Closed Loop Control In Spinal Cord Stimulation. North American Neuromodulation Society (NANS) Annual Meeting; Dec 2015; Las Vegas, NV. Falowski, S. Reducing Bleeding and Infection with Implantable Devices. Pain Conference of the West Virginia Society of Interventional Pain Physicians (WVSIPP); Aug 2015; Miami, FL. Falowski, S. Spinal Cord Stimulation for Pain. New York & New Jersey Society of Interventional Pain Physicians (NY/NJSIPP) Pain Medicine Symposium; Jersey City, NJ. Falowski, S. Spinal Cord Stimulator Paddle Implantation. American Association of Neurological Surgeons; May 2015; Washington DC. Mubang RN, Wojda TR, Hoff WS, Hoey BA, Thomas PG, O’Rourke D, Stawicki SP. “Determining the Futility of Operative Traumatic Brain Injury Management in Older Trauma Patients: A Novel Risk Assessment Tool Based on Initial Brain CT Findings.” Podium presentation at the 2015 Annual Pennsylvania Chapter of the American College of Surgeons Committee on Trauma Resident Paper Competition; Oct 2015; Harrisburg, PA. COURSES Falowski S. Course Instructor: Neuromodulation for Pain Fellows-Education; Oct 2015; Boston, MA. Falowski S. Course Instructor: Spinal Cord Stimulation Workshop Director. North American Neuromodulation Society (NANS) Annual Meeting; Dec 2015; Las Vegas, NV. Falowski S. Course Director: AANS Integrating Pain Treatments into Your Spine Practice. 83rd American Association of Neurological Surgeons (AANS) Annual Scientific Meeting; May 2015; Washington, DC. Falowski S. Course Director: Spinal Cord Stimulation Techniques and Patient Selection. New York & New Jersey Society of Interventional Pain Physicians (NY/ NJSIPP) Pain Medicine Symposium; Jersey City, NJ.

Obstetrics & Gynecology The Department of Obstetrics & Gynecology has a rich tradition of research and innovation. Under the leadership of Israel Zighelboim, MD, FACOG, FACS, the department continues to be a clinical research hub for St. Luke’s University Health Network. Faculty members in multiple sections of the department devote their efforts to the tripartite mission of patient care, education of students and residents and clinical research. St. Luke’s has been recognized as providing superior obstetrical and gynecological services. In 2015, St. Luke’s University Health Network’s Allentown and Bethlehem campuses received the Women’s Choice Awards® for being among America’s Best Hospitals for Obstetrics. This evidence-based designation bases its rating on robust criteria that consider female patient satisfaction, clinical excellence, and what women say they want from a hospital. Also in 2015, St. Luke’s received the Blue Distinction® Centers for Maternity Care Designation. The Blue Distinction Centers (BDC) designation signifies that the hospital’s maternity program met nationally established criteria by demonstrating expertise in delivering quality specialty care, safely and effectively. Facilities designated as Blue Distinction Centers+ (BDC+) also demonstrate both expertise and cost efficiency in delivering specialty care.

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A regional leader in managing expectant mothers with diabetes, St. Luke’s Perinatal Centers offer a complete management program for pregnant women who have or have developed diabetes or for non-pregnant women with diabetes who are contemplating a pregnancy in the future. Gynecological services include general care and a full complement of gynecologic specialists through St. Luke’s University Health Network Women’s Services and our affiliated private practice physicians. These include specialists in urogynecology, minimally invasive and robotic gynecological surgery and gynecological cancer treatment. St. Luke’s Allentown Hospital is an AAGL Center of Excellence in Minimally Invasive Gynecology (COEMIG). The distinction recognizes hospitals that provide exceptional minimally invasive gynecologic surgical care and are dedicated to continuously improving health care quality and patient safety. Each year physicians deliver more than 3,900 babies across the St. Luke’s University Health Network and are able to manage complex pregnancies, labors and deliveries. The Neonatal Intensive Care Units at both St. Luke’s Bethlehem and Allentown campuses are designed to provide a high level of care for babies and families, offering the latest technology and developmental techniques. St. Luke’s embraces parental involvement and has been recognized as offering the only March of Dimes Neonatal Intensive Care Unit (NICU) Family Support Program in the Lehigh Valley. When in 2015, the March of Dimes announced its first annual National Site of the Year Award Winner, our Department and the Network could not be more pleased. St. Luke’s University Health Network was selected as the winner for the Pennsylvania Chapter’s NICU Family Support Program. The National NICU Family Support® Site of the Year award recognizes the breadth and depth of work done by a NICU Family Support program in five key areas: high quality and innovative services to families, strong collaboration with the hospital partner, local and national promotion of the program, integration of families and volunteers throughout the program, and demonstrated program impact.

A leader in breast health services, St. Luke’s offers an Individualized Breast Screening Program. In Fall 2015, radiologist Joseph Russo, MD, St. Luke’s University Health Network Section Chief of Women’s Imaging, discussed the program at the National Consortium of Breast Centers (NCoBC) Annual Conference, Las Vegas, NV, during a special meeting hosted by GE. The program uses technologies such as Breast MRI, automated breast ultrasound (ABUS) and 3D mammography (tomosynthesis) as an effective supplement to screening mammography that leads to a significant increase in cancer detection and reduction of unnecessary return visits and breast biopsy. In addition, in determining the most effective and efficient screening protocols for each patient, physicians use the Tyrer-Cuzick screening tool to gather the patient’s genetic and non-genetic information. St. Luke’s participates in several clinical trials related to women’s health, including gynecologic oncology and breast cancer. In fact, we were the first network in the region and second in Pennsylvania to offer a new clinical trial using a breakthrough immunotherapy treatment for “triple negative” breast cancer.

This broad range of patient care provides excellent, hands-on learning experiences for students. In addition, our Obstetrics & Gynecology residents actively participate in scholarly activities and quality improvement projects under the guidance of James Anasti, MD, the Residency Program Director. Through these patient-centered research endeavors, we are able to improve clinical outcomes, improve quality and safety. In the last five years, faculty members and residents have presented more than 25 abstracts at national and international scientific conferences including meetings of the American College of Obstetricians and Gynecologists, the American Society of Reproductive Medicine, the Endocrine Society, the Society of Gynecologic Oncologists and the International Gynecologic Cancer Society. These presentations have generated important national acclaim, such as a top research award at the annual meeting of the American College of Obstetricians and Gynecologists. During that time, members of the Obstetrics & Gynecology Department have authored or co-authored more than 35 peer-reviewed publications accepted by specialty and sub-specialty journals. Physicians in the urogynecology and gynecologic oncology sections are active members of national collaborative research organizations and run multiple clinical trials to benefit their patients. Many St. Luke’s physicians sit on national boards and editorial boards of high impact national journals. They have also earned regional and national recognitions in patient care such as multiple Patients’ Choice Awards, Compassionate Doctors Awards and being named among the Top Doctors in their sub-specialties. HONORS AND AWARDS In November 2015, nationally-renowned urogynecologist Vincent Lucente, MD, FACS, was recognized with the prestigious Raymond A. Lee Endowment Award from the American Urogynecologic Society (AUGS) for his contributions to the advancement of urogynecologic surgery. Also in 2015, the March of Dimes recognized Neonatologist Kimberly Costello, DO, FAAP, Director of Neonatology, St. Luke’s University Health Network as “Physician of the Year,” and St. Luke’s Neonatal Intensive Care Unit (NICU) nurse Karen Metzger, LPN, was awarded “Nurse of the Year.” In addition, in 2015 and 2016, St. Luke’s was voted “Best Place to Have a Baby” by the readers of The Morning Call, a regional, daily newspaper based in Allentown. PUBLICATIONS Balinger KJ, Chu Lam MT, Hon HH, Stawicki SP, Anasti JN. Amniotic Fluid Embolism: Despite Progress, Challenges Remain. Current Opinion in Obstetrics and Gynecology. Dec 2015; 27(6): 398-405. doi: 10.1097/GCO.0000000000000218. Fenner D, Lucente V, Zutshi M, Culligan P, Mellgren A. TOPAS™: A New Modality for the Treatment of Fecal Incontinence in Women. Journal of Minimally Invasive Gynecology. 2015 Mar 1; 22(3): S3-4.

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Fenner D, Zutshi M, Lucente V, Culligan P, Nihira M, Mellgren A. Long-term Efficacy of the Topas (TM) System for Treatment of Fecal Incontinence. Neurology and Urodynamics. Aug 1, 2015; 34: S127-S128. Gillier CM, Sparks JR, Kriner R, Anasti JN. A Randomized Controlled Trial of Abdominal Binders for the Management of Postoperative Pain and Distress After Cesarean Delivery. International Journal of Gynecology and Obstetrics. May 2016; 133(2): 188-91. 26892694.10.1016/j.ijgo.2015.08.026. Jambusaria LH, Murphy M, Lucente VR. One-year Functional and Anatomic Outcomes of Robotic Sacrocolpopexy Versus Vaginal Extraperitoneal Colpopexy with Mesh. Female Pelvic Medicine and Reconstructive Surgery. Mar-Apr 2015; 21(2): 87-92. doi: 10.1097/SPV.0000000000000120. Katsnelson M, Biroschak J, Toll AD, Rosenblum N. Metastatic Squamous Cell Carcinoma of the Cervix Presenting as an Adnexal Neoplasm. Clinical Ovarian Cancer and other Gynecologic Malignancies. 2011; 4(1): 47-48.

Kuroki LM, Benn TE, Dukes JL, Hagemann AR, Thaker PH, Powell MA, Mutch DG, Massad LS, Zighelboim I. Awareness of the Association Between Obesity and Peri-operative Risk Among Newly Diagnosed Patients with Complex Atypical Hyperplasia and Endometrial Cancer. Gynecologic Oncology Reports. Apr 2015; 12: 41-44. Lam M, Peredes I, Anasti J. The Dilemma: Current Systemic Inflammatory Response Syndrome Criteria Applied to Obstetric Patients. International Journal of Academic Medicine 2015; 1:32-40. Lucente VR, Ephraim SN. Diagnosis and Surgical Treatment of Stress Urinary Incontinence. Obstetrics and Gynecology. Apr 2015; 125(4): 979. doi: 10.1097/ AOG.0000000000000774. Rahn DD, Carberry C, Sanses TV, Mamik MM, Ward RM, Meriwether KV, Olivera CK, Abed H, Balk EM, Murphy M. Vaginal Estrogen Use in Postmenopausal Women with Pelvic Floor Disorders: Systematic Review and Practice Guidelines. International Urogynecology Journal. Jan 26, 2015; 26(1): 3-13. doi: 10.1007/s00192-014-2554-z. Epub 2014 Nov 13.

Rios AR, Acosta MP, Lam MC, Zuber MJ, Anasti JN. Red Blood Cell Distribution Width Variation: A Marker for Preterm Labor? Obstetrics and Gynecology. May 1, 2015; 125: 48S Rios A, Ephraim S, Murphy M, Lucente V. In Office Single Incision Sling Procedure: A Safe, Cost-Effective Approach for the Surgical Management of Stress Urinary Incontinence. The Journal of Minimally Invasive Gynecology. 2015; 6(22):S247. Rios AR, Fouad L, Lam MC, Shollenberger C, Wagner J, Anasti JN. Failed Endometrial Ablation: Who Is at Risk? Obstetrics and Gynecology. May 1, 2015; 125: 24S. Rios AR, Tha T, Taylor N, Zighelboim I, Anasti JN. The Effect of Using a Delayed-Absorbable Subdermal Skin Closure on Postoperative Wound Complications in Obese Women Undergoing Abdominal Gynecologic Surgery. Obstetrics and Gynecology. May 1, 2015; 125: 23S-4S. Sides C, Rios AR, Lam MC, Ward AR, Stoltzfus J, Lucente VR. Above All, Do No Harm: Modifiable Risk Factors for High-Risk Perineal Lacerations. Obstetrics and Gynecology. May 1, 2015; 125: 49S. Zighelboim I, Ali S, Lankes HA, Backes F, Moore K, Mutch D, Robison K, Behbakht K, Waggoner S, Ghebre RG, Pearl M, Ramirez NC, Goodfellow P. Assessing the Prognostic Role of ATR Mutation in Endometrioid Endometrial Cancer: An NRG Oncology/ gynecologic Oncology Group Study. Gynecologic Oncology. Sept 2015; 138(3): 614-19. doi: 10.1016/j.ygyno.2015.06.038. Zutshi M, Culligan P, Fenner D, Lucente V, Nihira M, Mellgren A. The Topas (TM) Treatment for Fecal Incontinence: A Close Look at Complications. Diseases of the Colon & Rectum. May 1, 2015; 58(5): E113-E114. PRESENTATIONS Chu-Lamb M, Rios-Gonzales A, Zuber M, Anasti JN. Red Blood Cell Distribution Width Variation: A Marker for Preterm Labor? 63rd Annual Clinical Meeting of the American College of Obstetricians and Gynecologists; 2015 May; San Francisco, CA. Murphy M. Intraoperative Complications of Gynecologic Surgery and Perioperative Medical Complications. ExamPro Board Review Course; May 2014 and 2015; Baltimore, MD. Murphy M. Principles of Clinical Research Design. FMIGS/SREI Fellows Surgical Boot Camp; Jul 25, 2015; Orlando, FL. Murphy M. The Use of Mesh in Pelvic Reconstructive Surgery. Grand Rounds Department of Ob/Gyn Einstein Medical Center; Feb 4, 2015; Philadelphia, PA. Rios-Gonzalez A, Fouad L, Schoenberger C, Wagner J, Anasti JN. Failed Endometrial Ablation: Who is at Risk. 63rd Annual Clinical Meeting of the American College of Obstetricians and Gynecologists; May 2015; San Francisco, CA. Sides C, Rios-Gonzalez A, Taylor N, Zighelbolm I, Anasti JN. The Effect of Using a Delayedabsorbable Subdermal Skin Closure on Postoperative Wound Complications in Obese Women Undergoing Abdominal Gynecologic Surgery. 63rd Annual Clinical Meeting of the American College of Obstetricians and Gynecologists; May 2015; San Francisco, CA.

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Oncology St. Luke’s University Health Network is committed to being one of the best places to receive comprehensive cancer care. Last year St. Luke’s provided cancer services to more than 2,900 new oncology patients. The Network has three comprehensive outpatient cancer centers in Allentown, Bethlehem and Easton (Anderson Campus), and also provides cancer services in Quakertown, Coaldale, East Stroudsburg and Warren County, NJ. Under the direction of Lee B. Riley, MD, PhD, FACS, Network Chairman, Department of Oncology, St. Luke’s provides nationally recognized cancer care, participates in numerous clinical trials and conducts extensive research. The cancer team includes fellowship-trained cancer experts specializing in surgical oncology, medical oncology, radiation oncology, gynecologic oncology, thoracic-oncology, urologic-oncology and neurosurgical oncology. Committed to advancing the field of oncology, St. Luke’s oncologists frequently present at national conferences and contribute to well-respected peerreviewed journals. St. Luke’s earned national Three-Year Accreditation with Commendation as an Integrated Network Cancer Program (INCP) through 2016 from the Commission on Cancer of the American College of Surgeons (ACS CoC). St. Luke’s was one of only two health care networks in the state of Pennsylvania to receive this distinction and one of only 51 health care networks nationwide. St. Luke’s Cancer Center maintains its current level clinical excellence while embracing new advances and leading-edge technology to give patients the best possible care.

Active in cancer research, St. Luke’s Clinical Trials Office supports clinical investigators, enabling them to bring patients a variety of clinical research trials, quality service, education and support. The Oncology Clinical Trials Team offers studies sponsored by industry pharmaceutical companies, governmentsponsored studies through NCI’s National Clinical Trials Network (NCTN) such as ECOG-ACRIN and NRG, as well as investigator-initiated trials (IITs). As an area leader in cancer clinical trials, St. Luke’s Cancer Center offers more leading-edge immunotherapies than anyone else in the region. St. Luke’s immunotherapy program includes treatment of melanoma, lung cancer, head and neck cancer, bladder cancer, kidney cancer, stomach cancer and breast cancer. Originating within the network, some of these multisite trials involve St. Luke’s as the lead coordinating center. In 2014, more than 10 percent of network cases were enrolled in clinical trials. Within the last two years St. Luke’s has increased the number of trials opened per year by more than 50 percent.

“ What’s most important is getting information to patients so they are educated enough to make a well-informed decision and most importantly, get the best care.” — Lee Riley, MD, PhD, FACS

St. Luke’s provides nationally recognized cancer care, participates in numerous clinical trials and conducts extensive research.

Watch St. Luke’s cancer experts discuss how to access the latest and greatest cancer clinical trials with a focus on personalized cancer care and targeted therapies. Visit cancer.sluhn.org.

St. Luke’s has been a nationally recognized center for melanoma for over a decade, starting with Dr. Riley’s introduction of clinical trials with CancerVax, high dose interleukin 2, anti-CTLA4 and peptide vaccines. The program continues to thrive under the direction of Sanjiv Agarwala, MD, Chief of Medical Oncology. In 2015, St. Luke’s Cancer Center was the first center in the world to offer a new Phase II oncolytic viral therapy for advanced melanoma from the Japanese innovative biotechnology company, Takara Bio, Inc. Using biotechnology, viruses are converted into therapeutic agents to destroy cancers. This promising therapy uses the injectable strain of the Herpes simplex virus, HF10, to destroy cancer cells and produce an anti-tumor immune response. Since the study is Phase II, patients still receive the standard-of-care therapy for advanced melanoma, the FDA-approved drug ipilimumab, along with this new viral treatment. During the past five years, Dr. Riley and Dr. Agarwala have both authored papers published in the New England Journal of Medicine. St. Luke’s was also the first in the region to offer ipilimumab to patients prior to FDA-approval as part of an expanded access clinical research. Through several clinical trials, many of which St. Luke’s was a major contributor, ipilimumab has been shown to help some people with advanced melanomas live longer by targeting CTLA-4, a protein that suppresses the T-cell immune response, thus leading to its FDA approval in 2011. In the fight against breast cancer, St. Luke’s Cancer Center is first in the region and second in Pennsylvania to offers a new clinical trial from Genentech using a breakthrough immunotherapy treatment for triple negative breast cancer. Also, St. Luke’s is the closest center, outside of Philadelphia and New York, to offers several immunotherapy clinical trials for patients with recurrent, metastatic head and neck cancer. For lung cancer, St. Luke’s offers 10 clinical trials, half of which use the newest, most innovative immunotherapy agents, with more coming on line.

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In radiation oncology, St. Luke’s University Health Network is our region’s first health care provider to offer “Frameless” Stereotactic Radiosurgery (SRS) using Varian’s TrueBeam™ STx linear accelerator in 2015. The technology is offered through St. Luke’s Brain & Spine Tumor Center for malignant and benign brain tumors, as well as some cerebrovascular malformations. Stereotactic Radiosurgery (SRS) uses precise 3-D computerized planning and imaging to deliver a highly concentrated dose to a targeted tumor or lesion, minimizing the amount of radiation exposure to normal, healthy tissues. Also in 2015, St. Luke’s was the first hospital in the state to use robotic surgery for prostate cancer. Robotic prostatectomy, a computer-enhanced, minimally invasive surgical technique. Surgeons access the prostate through small keyhole incisions. Compared with conventional open surgery, minimally invasive robotic prostatectomy has reduces patient blood loss and post-operative pain, and results in a shorter hospital stays and a quicker recovery. To treat breast cancer, SLUHN offers Intrabeam’s intraoperative radiation therapy (IORT). Designated a Center of Excellence by the American College of Radiology, St. Luke’s Regional Breast Center was the first facility of its kind in the region to provide higherlevel breast imaging exclusively. Advanced imaging technology offered at the St. Luke’s Regional Breast Center includes Automated Breast Ultrasound (ABUS), which provides a clearer, more accurate evaluation of dense breast tissue. Advanced imaging technology is available at other sites, including the St. Luke’s Women’s Imaging Center in the West End Medical Center, Allentown, the location of the new low dose 3D mammography system — GE’s SenoClaire® breast tomosynthesis. It uses a low-dose, short X-ray sweep around the compressed breast. The 3D technology separates the tissues to reduce overlapping of structures. St. Luke’s University Health Network facilities participate annually in the National Cancer Data Base (NCDB) through the Cancer Registry and utilize the Cancer Program Practice Profile Reports (CP3R) as a mechanism to assess and monitor concordance with standards of care. SLUHN facilities’ Accountability and Quality Improvements Measure rates surpassed the Commission on Cancer’s expected performance rates.

Also, the Network promotes programs to screen individuals for cancer and access risk of developing the disease. St. Luke’s Lung Cancer Screening Program was developed under the leadership of thoracic surgeon William Burfeind, MD. More than 1,000 patients have been screened to date through St. Luke’s, resulting in 250 positive scans. Eleven cases of cancer were identified and seven had curative resections. St. Luke’s implemented a Lynch Syndrome Surveillance Program that involves universal screening for malignant lesions in patients at risk. The test, performed on endometrial and/or colonic tumors, helps direct the appropriate patients to genetic counseling and potential testing for the genetic mutations involved. Our infusion centers implemented a Distress Thermometer Screening for all new cancer patients undergoing treatment. This assures that every new patient starting chemotherapy has their psychosocial needs addressed and refers them to our Cancer Care Counselors if needed. OTHER 2015 HIGHLIGHTS AND ACCOMPLISHMENTS INCLUDE: A leader in medical education, the Network offers the St. Luke’s Hospice and Palliative Medicine Fellowship to recruit outstanding primary care physicians to train in the evaluation and management of clinical issues in end-of-life care. Fellows complete rotations in Radiation Oncology and Surgical Oncology, as well as participate in the Tumor Board. HONORS AND AWARDS In November 2015, urogynecologist Vincent Lucente, MD, FACS, was recognized with the prestigious Raymond A. Lee Endowment Award from the American Urogynecologic Society (AUGS) for his contributions to the advancement of urogynecologic surgery. Also in 2015, Dr. Agarwala was been named to the editorial board of new magazine, Physician’s Life. The publication offers lifestyle news and features geared toward doctors and other medical professionals. In other recognitions, St. Luke’s was voted 2015 Top Reader’s Choice for Best Cancer Care by the readers of The Morning Call, a regional, daily newspaper based in Allentown.

PUBLICATIONS Agarwala SS. Practical Approaches to Immunotherapy in the Clinic. Seminars in Oncology. Dec 31, 2015; 42: S20-S27. doi: 10.1053/j.seminoncol.2015.10.001. Epub 2015 Oct 19. Agarwala SS. Intralesional Therapy for Advanced Melanoma: Promise and Limitation. Current Opinion in Oncology. Mar 2015; 27(2): 151-156. doi: 10.1097/CCO.0000000000000158. Andtbacka RH, Kaufman HL, Collichio F, Amatruda T, Senzer N, Chesney J, Delman KA, Spitler LE, Puzanov I, Agarwala SS, Milhem M. Talimogene Laherparepvec Improves Durable Response Rate in Patients with Advanced Melanoma. Journal of Clinical Oncology. May 26, 2015: JCO-2014. Balinger C, Tolentino JC, Birriel TJ, Gilbert V, Burfeind W, Halpern AE, Puc M. Lung Cancer Screening in a Community Setting: Medicare Patients Have Similar Outcomes to Younger Patients. Journal of the American College of Surgeons. 2015; 4(221): e54. Fishman MN, Vaena DA, Singh P, Picus J, Vaishampayan UN, Slaton J, Mahoney JF, Agarwala SS, Rosser CJ, Landau D, Hajdenberg J. Phase Ib/II Study of an IL-2/T-Cell Receptor Fusion Protein in Combination with Gemcitabine and Cisplatin in Advanced or Metastatic Chemo-Refractory Urothelial Cancer (UC). ASCO Annual Meeting Proceedings. May 20, 2015; 33(15 Supplement): 4515. Giamportone KE. Counter Transference in the Face of Compassionate Care. Journal of Social Work in End-of-Life & Palliative Care. Oct 2, 2015; 11(3-4): 220-3. Hodi FS, Postow MA, Chesney J, Pavlick AC, Robert C, Grossmann K, McDermott D, Linette G, Meyer N, Giguere J, Agarwala SS. Improved Clinical Response in Patients with Advanced Melanoma Treated with Nivolumab Combined with Ipilimumab Compared to Ipilimumab Alone. Cancer Research. Aug 1, 2015; 75(15 Supplement): 2860. Hodi FS, Postow MA, Chesney JA, Pavlick AC, Robert C, Grossmann KF, McDermott DF, Linette GP, Meyer N, Giguere JK, Agarwala SS. Clinical Response, Progression-Free Survival (PFS), and Safety in Patients with Advanced Melanoma (MEL) Receiving Nivolumab (NIVO) Combined with Ipilimumab (IPI) vs IPI Monotherapy in CheckMate 069 Study. ASCO Annual Meeting Proceedings. May 20, 2015; 33(15 Supplement): 9004. Hughes MS, Zager J, Faries M, Alexander HR, Royal RE, Wood B, Choi J, McCluskey K, Whitman E, Agarwala S, Siskin G. Results of a Randomized Controlled Multicenter Phase III Trial of Percutaneous Hepatic Perfusion Compared with Best Available Care for Patients with Melanoma Liver Metastases. Annals of Surgical Oncology. Apr 1, 2016; 23(4): 1309-19. Kuroki LM, Benn TE, Dukes JL, Hagemann AR, Thaker PH, Powell MA, Mutch DG, Massad LS, Zighelboim I. Awareness of the Association Between Obesity and Peri-operative Risk among Newly Diagnosed Patients with Complex Atypical Hyperplasia and Endometrial Cancer. Gynecologic Oncology Reports. Apr 2015; 12: 41-44. PMID: 25995994.

American College of Surgery Commission on Cancer (ACoS CoC) CoC Accreditation

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Postow MA, Chesney J, Pavlick AC, Robert C, Grossmann K, McDermott D, Linette GP, Meyer N, Giguere JK, Agarwala SS, Shaheen M. Nivolumab and Ipilimumab versus Ipilimumab in Untreated Melanoma. New England Journal of Medicine. May 21, 2015; 372(21): 2006-17. Puzanov I, Dummer R, Schachter J, Pavlick AC, Gonzalez R, Ascierto PA, Margolin KA, Hamid O, Agarwala SS, Carlino MS, Utikal J. Efficacy Based on Tumor PD-L1 Expression in KEYNOTE-002, a Randomized Comparison of Pembrolizumab (pembro; MK-3475) versus Chemotherapy in Patients with Ipilimumab-refractory (IPI-R) Advanced Melanoma (MEL). ASCO Annual Meeting Proceedings. May 20, 2015; 33(15): 3012. Ribas A, Puzanov I, Dummer R, Schadendorf D, Hamid O, Robert C, Hodi FS, Schachter J, Pavlick AC, Lewis KD, Cranmer LD. Pembrolizumab Versus InvestigatorChoice Chemotherapy for Ipilimumab-Refractory Melanoma (KEYNOTE-002): a Randomised, Controlled, Phase 2 Trial. The Lancet Oncology. Aug 31, 2015; 16(8): 908-18. doi: 10.1016/S14702045(15)00083-2. Epub 2015 Jun 23. Rios AR, Fouad L, Lam MC, Shollenberger C, Wagner J, Anasti JN. Failed Endometrial Ablation: Who Is at Risk? Obstetrics & Gynecology. May 1, 2015; 125(24S) Shadduck RK, Rossetti JM, Faroun Y, Kaplan RB, Lister J. AML Induction Therapy with Outpatient Azacitidine. Blood. Nov 16, 2004; 104(11): 1800. Sudan N, Rossetti JM, Shadduck RK, Latsko J, Lech JA, Kaplan RB, Kennedy M, Gryn JF, Faroun Y, Lister J. Treatment of Acute Myelogenous Leukemia with Outpatient Azacitidine. Cancer. 2006 Oct 15; 107(8): 1839-43. Tarhini AA, Lin Y, Zahoor H, Shuai Y, Butterfield LH, Ringquist S, Gogas H, Sander C, Lee S, Agarwala SS, Kirwood JM. Pro-Inflammatory Cytokines Predict Relapse-Free Survival After One Month of Interferon-α But Not Observation in Intermediate Risk Melanoma Patients. Public Library of Science One. Jul 20, 2015; 10(7): e0132745.

Thompson JF, Agarwala SS, Smithers BM, Ross MI, Scoggins CR, Coventry BJ, Neuhaus SJ, Minor DR, Singer JM, Wachter EA. Phase 2 Study of Intralesional PV-10 in Refractory Metastatic Melanoma. Annals of Surgical Oncology. Jul 1, 2015; 22(7): 2135-42. Weksler B, Kosinski AS, Burfeind WR, Silvestry SC, Sullivan J, D’Amico TA. Racial and Ethnic Differences in Lung Cancer Surgical Stage: An STS Database Study. The Thoracic and Cardiovascular Surgeon. Oct 2015; 63(7): 538-43. Zighelboim I, Ali S, Lankes HA, Backes F, Moore K, Mutch D, Robison K, Behbakht K, Waggoner S, Ghebre RG, Pearl M, Ramirez NC, Goodfellow P. Assessing the Prognostic Role of ATR Mutation in Endometrioid Endometrial Cancer: An NRG Oncology/Gynecologic Oncology Group Study. Gynecological Oncology. Sep 2015; 138(3): 614-9. doi: 10.1016/j.ygyno.2015.06.038. Epub 2015 Jul 3. PMID: 26144601. PRESENTATIONS Agarwala S. Clinical Challenges and Solutions. priME Oncology Seminar Entitled the Biosimilar Era: Opportunities and Considerations; Nov 5, 2015; New York, NY. Agarwala S. Faculty Member; Sixth Annual Oncology Patient and Nurse Navigator (AONN) Conference; Nov 1-4, 2015; Atlanta GA. Agarwala S. Why Biosimilars? prIME Oncology Seminar Entitled Beyond the Looking Glass: Biosimilars in Cancer Care, prIME Oncology; Hyatt Regency; May 30, 2015; Chicago, IL Balinger C, Tolentino JC, Birriel TJ, Gilbert V, Burfeind W, Halpern AE, Puc M. Lung Cancer Screening in a Community Setting: Medicare Patients Have Similar Outcomes to Younger Patients. Poster presentation at the Resident Surgical Forum, the 2015 Clinical Congress of the American College of Surgeons; Oct 2015; Chicago, IL.

Orthopedic Surgery The St. Luke’s Department of Orthopedic Surgery is advancing the field by bringing advanced treatments to the Lehigh Valley and surrounding areas, providing orthopedic education, and sharing their knowledge with colleagues around the country through national publications and conferences. Under the leadership of William G. De Long, Jr., MD, Charles and Anna Kasych Family Chair of Orthopedic Surgery at St. Luke’s University Health Network, St. Luke’s physicians and staff provide outstanding diagnosis, treatment and rehabilitation for patients experiencing a wide variety of musculoskeletal disorders and injuries. In 2015, the department expanded its clinical presence in New Jersey with the opening of the St. Luke’s Bone and Joint Center at the Hillcrest Plaza in Phillipsburg. Part of the St. Luke’s Warren Campus, the 20,000 square-foot outpatient facility, which opened in April 2015, features physicians’ offices as well as a state-of-the-art rehabilitation suite for physical, occupational and speech therapies. The rehabilitation center is called Physical Therapy at St. Luke’s. St. Luke’s Orthopedic Specialists also opened a new location in East Stroudsburg and welcomed Dr. Stacey Gallacher, who completed an orthopedic surgery residency at Brown University, fellowship training in shoulder and elbow surgery at Yale University and a trauma fellowship at Brown University. In addition to the Phillipsburg Center, the St. Luke’s Bone and Joint Institute has locations in Quakertown and the St. Luke’s Hospital – Anderson Campus (Easton). The Center aligns leading physicians and therapists to deal with all aspects of orthopedic conditions. In addition, St. Luke’s Orthopedic Specialists has nine locations throughout Bucks, Lehigh, Northampton, Monroe and Schuylkill Counties, PA and Warren County, New Jersey. St. Luke’s offers many advanced procedures including anterior approach hip replacement and minimally invasive sacroiliac (SI) joint fusion procedure.

St. Luke’s is the only Own the Bone-certified facility in the region.

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Committed to medical education, St. Luke’s offers an orthopedic surgery residency. This rigorous, five-year training prepares residents to be leaders in the orthopedic community. In the 2015 match, two St. Luke’s University Health Network residents obtained hand fellowships. Dr. Daniel Avery matched at the Hospital for Special Surgery in New York City, while Dr. Nick Caggiano matched at Beth Israel Hospital in the Harvard Medical System in Boston. These are two of the best facilities in the world to train in hand and upper extremity surgery. HONORS AND AWARDS St. Luke’s orthopedic surgeon Nicholas J. Avallone, MD was selected as one of New Jersey’s top doctors in orthopedic surgery by Inside New Jersey magazine. Dr. Avallone, an orthopedic sports medicine specialist with St. Luke’s Orthopedic Specialists in Phillipsburg, was recently featured by Inside Jersey. Castle Connolly Medical, a respected medical ratings research firm based in New York City, conducted the selection process for Inside Jersey’s Top Doctors edition. Top doctors are nominated by their peers in an extensive survey process. NEUROSURGERY SLUHN is participating in the Sunburst™ (Success Using Neuromodulation with Burst) clinical study to test the effectiveness of the Prodigy™ neurostimulator, which delivers closely spaced pulses of electrical energy to a patient’s spinal cord to manage chronic pain. St. Jude Medical, Inc., a global medical device company, selected St. Luke’s as one of only 20 hospitals in the country to participate in the study and named Steven Falowski, MD, as one of the investigators. He works closely with Scott Loev, DO, Director of Pain Medicine at St. Luke’s Spine and Pain Associates. Dr. Falowski also serves on the board of directors for the North American Neuromodulation Society, the largest society dealing with spinal cord stimulation and neuromodulative procedures.

St. Luke’s Brain & Spine Tumor Center provides the region’s only patient-centered multidisciplinary clinic for primary and metastatic diseases of the brain and spine. Under the direction of Hugh Moulding, MD, PhD, Chief of Neurosurgery, patients consult with a team of doctors from neurosurgery, radiation therapy and medical oncology. This multi-disciplinary group is involved in several national multi-center clinical trials. In 2015, the center upgraded its Stereotactic RadioSurgery system to a ‘frameless’ format, obviating the need for a rigid headframe to be affixed to the patient during focused, non-invasive radiation treatments — the only center in the region to offer this innovation. The RadioSurgical team has been very proactive in adopting such new technologies while improving the techniques used to treat such patients, and is presenting part of this work at the upcoming International Stereotactic RadioSurgery conference in Yokohama, Japan. St. Luke’s Neurosurgical Associates are the only regional neurosurgical practice enrolled in the National Neurosurgery Quality Outcomes Database (N2QOD). National surgical outcomes data is collected for patients undergoing cervical and lumbar surgeries to better understand their impact on quality of life and daily function. Don Zhang, MD, FRCSC and Doron Rabin, MD, FRCSC, neurosurgeons with special interest in complex spine surgery, routinely review this data and compare local and national outcomes. This information is used to guide and track initiatives that aim to improve the quality of inpatient and outpatient care for neurosurgical spine patients at St. Luke’s University Health Network. SPORTS MEDICINE In 2015, St. Luke’s University Health Network and Moravian College worked together to plan and prepare for the opening of the innovative Sports Medicine & Rehabilitation Center, which opened in Bethlehem in March 2016. The center provides a truly inter-professional educational experience in an environment modeled after the best practices in a clinical setting.

The building features 33,000 square feet of space for Moravian College and more than 10,000 square feet of space on the first floor for St. Luke’s University Health Network’s sports medicine and physical therapy services. Highlights include six specialized teaching labs for Moravian College and space for St. Luke’s University Health Network’s Orthopedics, Sports Medicine and Physical Therapy services. The inclusion of St. Luke’s patient care facilities and state-of-the-art equipment in the building will allow students to complete both didactic and clinical observation/education in the same building. Moravian College is developing a master of science in athletic training program and plans to develop doctorate programs in occupational therapy, athletic training, physical therapy and rehabilitation sciences in the future. The college is also developing accelerated 3-plus-2 and 3-plus-3 cohort programs in health sciences. Students will be able to finish their undergraduate health sciences program and then choose athletic training, occupational therapy and physical therapy for their graduate degrees. When accredited, Moravian College will be one of only two schools in the country where students can complete a master’s in athletic training and a doctorate in physical therapy degree in four years.

In other partnerships, St. Luke’s University Health Network has teamed with the Pennsylvania Interscholastic Athletic Association’s (PIAA) District XI to provide all District XI schools and teams with the region’s most comprehensive, technically advanced and responsive care and training for athletes. District 11 is one of the PIAA’s 12 districts and comprises mostly high schools within the Lehigh Valley, Poconos and Schuylkill County region and a few surrounding counties. Also in 2015, St. Luke’s Sports Medicine, was the regional sponsor for the Nike Football Coach of the Year Clinic held March 5–7 at the Holiday Inn Conference Center in Breinigsville. Despite a snowstorm, nearly 400 high school and college football coaches attended.

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One of sixteen Nike Football Coach of the Year Clinics held nationwide, featured guest speakers at the St. Luke’s-sponsored local event included Mark Helfrich, head coach of the Oregon University Ducks; Mark Stoops, head coach of the University of Kentucky Wildcats; Kyle Flood, head coach of the Rutgers University Scarlet Knights; Bronco Mendenhall, head coach of the Brigham Young University Cougars; and Tim Murphy, head coach of the Harvard University Crimson.

Avery DM, Gibson BW, Carolan GF. Surgeon-rated Visualization in Shoulder Arthroscopy: A Randomized Blinded Controlled Trial Comparing Irrigation Fluid With and Without Epinephrine. Arthroscopy: The Journal of Arthroscopic & Related Surgery. Jan 31, 2015; 31(1): 12-8.

PUBLICATIONS

Caggiano NM, Fegley MW, Matullo KS. Patients’ Preferences Regarding the Delivery of Health Care in a Hand Surgical Practice. Hand. Dec 1, 2015; 10(4): 785-8. doi: 10.1007/s11552-015-9763-x.

Anakwenze OA, Kancherla VK, Carolan GF, Abboud J. Coracoid Fracture After Reverse Total Shoulder Arthroplasty: A Report of 2 Cases. American Journal of Orthopedic. Nov 2015; 44(11): E469-72. Avery DM, Caggiano NM, Matullo KS. Ulnar Collateral Ligament Injuries of the Thumb: A Comprehensive Review. Orthopedic Clinics of North America. Apr 30, 2015; 46(2): 281-92. doi: 10.1016/j.ocl.2014.11.007.

Caggiano NM, Avery DM, Matullo KS. The Effect of Anesthesia Type on Nonsurgical Operating Room Time. The Journal of Hand Surgery. Jun 30, 2015; 40(6): 1202. doi: 10.1016/j.jhsa.2015.01.037.

Avery D, Lands V, Gibson B, Carolan G, Stoltzfus J. Validation of the Visual Analog Score for Visualization in Shoulder Arthroscopy With Comparison to a New Grading System. International Journal of Academic Medicine. 2015; 1: 32-40.

Kancherla V, Morton M, Nwachuku C, De Long W. Short Versus Long Intramedullary Nails for Treatment of Unstable Intertrochanteric Femur Fractures. International Journal of Academic Medicine. 2015; 1: 32-40. Kareha S, Buggey J, Miller T, Carolan GF. Reliability of Shoulder Irritability Levels: A Pilot Study. The Journal of Orthopedic and Sports Physical Therapy. 2015; 45(1): A74-A151. doi:10.2519/jospt.2015.45.1.A74. Matullo KS, Dennison DG. Outcome Following Distally Locked Volar Plating for Distal Radius Fractures with Metadiaphyseal Involvement. Hand. Jun 1, 2015; 10(2): 292-6. doi: 10.1007/s11552-014-9713-z. Morton P, Agarwala A, Gangavalli A, Caggiano N, Black J, De Long W. Validity of the Tip Apex Distance as a Predictor of Failure in Cephalomedullary Nails: a Single Center Study. International Journal of Academic Medicine. 2015; 1: 32-40. Ramski DE, Hennrikus WP, Bae DS, Baldwin KD, Patel NM, Waters PM, Flynn JM. Pediatric Monteggia Fractures: A Multicenter Examination of Treatment Strategy and Early Clinical and Radiographic Results. Journal of Pediatric Orthopedics. Mar 1, 2015; 35(2): 115-20. Roy D, Morton P, Jeffers K, Brogle P. Injuries Associated With Supracondylar Femur Fractures. International Journal of Academic Medicine. 2015; 1: 32-40. PRESENTATIONS Kareha S, Buggey J, Miller T, Carolan GF. Reliability of Shoulder Irritability Levels: A Pilot Study. APTA Combined Sections Meeting; Feb 2015; Indianapolis, IN. Naftulin, S. Radiofrequency Ablation. Anesthesia CME Program at Philadelphia College of Osteopathic Medicine; Dec 2015; Philadelphia, PA. Naftulin, S. Introduction to Radiofrequency Neurotomy. Spine Intervention Society; Nov 2015; Memphis, TN. Naftulin, S. Physical Examination for the Interventionalist. Instructor. Spine Intervention Society; July 2015; Las Vegas, NV. Naftulin, S. Interventional Pain Medicine: Treating Back Pain. Grand Rounds, Easton Hospital; June 2015; Easton, PA.

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Other OTOLARYNGOLOGY

OPHTHALMOLOGY

To provide patients with the best treatment, otolaryngologists at St. Luke’s University Health Network are the first in the region to offer a wide variety of new technologies. These include the use of drug-eluting stents in sinus surgery and robotic surgery in treating cancers of the head and neck. Additionally, all physicians pursue continuing medical education, and many participate in clinical research to offer the most up-to-date care possible.

The doctors at St. Luke’s are experienced in diagnosing and treating vision and eye disorders for patients of all ages. Under the direction of Marilyn McDonald, MD, more than 20 ophthalmologists provide routine vision care including glasses. They manage many eye diseases medically such as glaucoma and diabetic eye disease. When intervention is indicated, they perform advanced eye procedures including laser eye surgery for glaucoma and retinal disease. For cataracts, they perform sutureless small incision cataract extraction with lifestyle intraocular lens implants. They use the latest innovations to treat macular degeneration, and the latest surgical techniques to repair eye injuries sustained in trauma.

Under the direction of David Yen, MD, St. Luke’s more than 15 otolaryngologists perform routine and advanced ear, nose and throat procedures. Conditions treated include acoustic neuroma, dizziness and vertigo, Meniere’s disease, sinusitis, esophageal disorders, various throat complaints, taste and smell disorders, and thyroid conditions (including hypothyroidism and hyperthyroidism). ORAL-MAXILLOFACIAL SURGERY The Center for Oral & Maxillofacial Surgery at St. Luke’s (St. Luke’s OMS) provides a full array of oral and maxillofacial surgery with expertise ranging from dental implant surgery and wisdom tooth removal to corrective jaw surgery. This includes advanced procedures designed to rebuild bone structure with minimal surgical intervention and optimal patient comfort. Wayne Saunders, DMD, Chief of Dentistry, leads St. Luke’s OMS. In addition to in-office procedures, the doctors of St. Luke’s OMS are on staff and on call for facial trauma needs at St. Luke’s University Health Network. St. Luke’s OMS also diagnoses and treats facial pain, facial injuries and fractures. In addition to offices in Bethlehem, Easton and Allentown, St. Luke’s OMS started the first and only oral surgery clinic in the Lehigh Valley. Located in Allentown, patients covered by medical assistance plans are given the medical care they need in a private and compassionate setting. The St. Luke’s OMS Oral Surgery Clinic provides treatment of dental infections, extractions, treatment of traumatic injuries and minor pathologic conditions. In addition, the clinic provides diagnostic services for more complicated conditions.

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St. Luke’s Retina Center is the only hospital-based retina center in the Lehigh Valley. PUBLICATIONS Alterman MA, Young BK, Eggenberger ER, Kaufman DI. Macular Hole: A Rare Complication of Ocular Bartonellosis. Journal of Neuro-Ophthalmology. Jun 1, 2013; 33(2): 153-4. Barreto VT. A Focused Review of Local Anesthetic Admixture with Dexmedetomidine in Regional Anesthesia; What, If Any, Clinical Implications Does This Have in Oral and Maxillofacial Surgery? Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. Jun 1, 2013; 115(6): e3-4. Barreto VT. Behavior of Oral and Maxillofacial Infections: Where Are We in 2013? Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. May 1, 2014; 117(5): e333. Bejjani FJ, Kaye GM, Benham M. Musculoskeletal and Neuromuscular Conditions of Instrumental Musicians. Archives of Physical Medicine and Rehabilitation. Apr 30, 1996; 77(4): 406-13. Kaye GM, Zorowitz RD, Baredes S. Role of Flexible Laryngoscopy in Evaluating Aspiration. Annals of Otology, Rhinology & Laryngology. Aug 1, 1997; 106(8): 705-9.

To provide patients with the best treatment, otolaryngologists at St. Luke’s University Health Network are the first in the region to offer a wide variety of new technologies.

Toll AD, Rossi ED, Ali SZ. Role of Ancillary Testing in Thyroid Fine Needle Aspiration: Review and Update. Journal of the American Society of Cytopathology. 2014; 3(4): 218-224. Tsyvine IC, Fechtner RD, Cohen A, Berezina T, Pham M, Lu M. Ex-PRESS Glaucoma Shunt Versus Trabeculectomy: a Retrospective Review of Post-Operative Complications and Need for Intensity of Post-Operative Interventions. Investigative Ophthalmology & Visual Science. Apr 22, 2011; 52(14): 641. PRESENTATIONS Barreto V. Trends of C-Reactive Protein Laboratory Values with White Blood Cell Count Levels in Maxillofacial Infections. American Association of Oral and Maxillofacial Surgeons (AAOMS) 95th Annual Meeting; Oct 10, 2013; Orlando, FL.

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Pain & Palliative Care Services St. Luke’s University Health Network is committed to enhancing pain management and palliative care through treatment, consultation and education. Ric A. Baxter, MD, FAAHPM, Chairman, Department of Pain Medicine and Palliative Care, leads the specially trained team of doctors, advanced practitioners, nurses and social workers. In providing patient care, the St. Luke’s Pain and Palliative Care Services team assesses the physical, social, emotional and spiritual needs of patients coping with a life-limiting illness. The team focuses on improving quality of life by helping patients emphasize what brings value to their lives. In addition, the team provides consultative services to health care professions. This includes guidance on providing advanced acute post-operative pain management of patients who receive peripheral nerve blocks/catheters and/or neuraxial analgesics. Also, they advise staff on pain control of opioid-naive patients experiencing uncontrolled post-operative pain and acute-on-chronic pain management of opioid-tolerant, post-operative patients. In addition, Dr. Baxter serves as program director of the Hospice/Palliative Medicine Fellowship, St. Luke’s Family Medicine Residency Program. PUBLICATIONS Falowski, S. Deep Brain Stimulation for Chronic Pain. Current Pain and Headache Report. Jul 2015; 19(7): 27. doi: 10.1007/s11916-015-0504-1. Giamportone KE. Counter Transference in the Face of Compassionate Care. Journal of Social Work in End-ofLife & Palliative Care. Oct 2, 2015; 11(3-4): 220-3.

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PRESENTATIONS Baxter R, Feinman J, Huey A, Payne P. Advancing the Inter-disciplinary Team Approach in Working With Challenging Situations. Oral presentation at: Pennsylvania Hospice Network Annual Meeting, Pre-conference Workshop; Apr 2015; Hershey, PA. Baxter R, Huey A., Ingalls J. I Can’t Fix This With a Pill: Identifying and Addressing Existential Suffering. Oral presentation at: Pennsylvania Hospice Network Annual Meeting; Apr 2015; Hershey, PA. Baxter R. Managing Uncontrolled Post-Op Pain. Oral Presentation at: MEAPAN Annual Symposium; April 2015; Allentown, PA. Baxter Ric, Briggs R, Carter V, Mueller MK, Wilson C. Palliative Care in Practice: Sustainable Models. Oral presentation at: Care for Life Course Management of Chronic Disease, Pre-conference Workshop, Oncology Section, Combined Sections Meeting. American Physical Therapy Association; Feb 2015; Indianapolis, IN. Baxter, Ric MD. Oral presentation at Grand Rounds/ CME program for New Jersey State Licensure. Education for End-of-Life. St. Luke’s Warren Campus; April 2015; Phillipsburg, NJ. Giamportone, K.E. Perception of the Palliative Care Social Work Role. Poster presentation presented at the SWHPN General Assembly. February 2015; Philadelphia, PA.

St. Luke’s University Health Network is committed to enhancing pain management and palliative care through treatment, consultation and education.

Pathology The pathologists of St. Luke’s University Health Network use the tools of laboratory science to provide clinical specialists with diagnostic information essential in the diagnosis of many diseases, which challenge physicians in every specialty of medical practice. St. Luke’s pathologists are integral members of both diagnostic and clinical research teams by providing details about the etiology, pathogenesis and pathophysiology of many diseases. David W. Anderson, MD, is St. Luke’s Chairman of the Pathology Department and Temple University School of Medicine Clinical Professor of Pathology. Dr. Anderson leads the department’s team of nine pathologists in applying the latest knowledge and technologies in the diagnosis and treatment of many diseases. In 2014, the department completed more than 2 million clinical laboratory tests and nearly 36,000 routine and state-of-the-art testing of tissue samples. Central in the practice of pathology is the study and interpretation of morphologic expression of disease at organ, tissue, cellular, and ultra-structural levels. The spectrum of research interests includes oncology, cardiology, rheumatology, traumatology and epidemiology. Most recently, Dr. Anderson has led his team in the participation of complex collaborative research focused on cancer and cardiac disease. In addition, 2015 marks an important milestone in the transition of SLUHN Department of Pathology into a regional academic hub, with new faculty arrivals as well as significant increase in both publications and active clinical trials. Recent publications are cited below. Education is also a priority of the Pathology Department. Pathologist Santo Longo, MD, leads the department’s educational efforts to teach medical students, residents and fellows about the role of pathology in diagnosing illness and developing the best course of treatment. PUBLICATIONS Bensson S, Dip PG, Fioravanti G, Axelband J, Smith A, Hughes M, Longo S and Keeler E. Not Just a Simple Headache. Consultant. Jun 2015: 55(6). Biroschak JR, Schwartz GF, Palazzo JP, Toll AD, Brill KL, Jaslow RJ, Lee SL. Impact of Oncotype DX on Treatment Decisions in ER-positive, Node-negative Breast Cancer with Histologic Correlation. The Breast Journal. 2013; 19(3): 269-275. Chew HF, Jungkind DL, Mah DY, Raber IM, Toll AD, Tokarcyk MJ, Cohen EJ. Post-Traumatic Fungal Keratitis Caused by Carpoligna sp. Cornea. 2010; 29(4): 449-452. Fegley MW, Woodruff WW, Longo S, Nanda S. Extensive Periventricular White Matter Abnormality with Mediastinal Adenopathy. International Journal of Academic Medicine. Jan 1 2015; 1(1): 41.

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Han JS, Toll AD, Amin A, Carter B, Landis P, Lee S, Epstein JI. Low Prostate-specific Antigen (PSA) and No Gleason Score Upgrade Despite More Extensive Cancer During Active Surveillance Predicts Insignificant Prostate Cancer at Radical Prostatectomy. Urology. 2012; 80(4): 883-888. Katsnelson M, Biroschak J, Toll AD, Rosenblum N. Metastatic Squamous Cell Carcinoma of the Cervix Presenting as an Adnexal Neoplasm. Clinical Ovarian Cancer and other Gynecologic Malignancies. 2011; 4(1): 47-48. Keeler E, Fioravanti G, Samuel B, Longo S. Scleroderma Renal Crisis or Thrombotic Thrombocytopenic Purpura: Seeing Through the Masquerad. Laboratory Medicine. 2015 May 1; 46(2):e39-44. 26023003. 10.1309/LM72AM5XFHZYOQCB. Kirsner RS, Bernstein B, Bhatia A, et al. Clinical Experience and Best Practices Using Epidermal Skin Grafts on Wounds. Wounds. Nov 2015. 2015 Jan 1; 1(1): 41. Olson MT, Novak A, Trotter T, Sachs S, Boonyaarunnate T, Toll AD, Tatsas A, Maleki Z, Erozan YS, Rosenthal DR. Reproducibility of the Johns Hopkins Hospital Template for Urologic Cytology Samples. Journal of the American Society of Cytopathology. 2014; 3(3): 156-164. Palazzo JP, Toll AD. Gastric MALT Lymphoma Associated with Helicobacter Pylori Infection. In Gulati G, FilickoOâ&#x20AC;&#x2122;Hara J, Krause J, eds. Case Studies in Hematology and Coagulation. 2011. Chicago, IL. ASCP Press.

Toll AD, Dasgupta A, Potoczek M, Yeo CJ, Kleer CG, Brody JR, Witkiewicz AK. Implications of Enhancer of Zeste Homologue 2 (EZH2) Expression in Pancreatic Ductal Adenocarcinoma. Human Pathology. 2010; 41(9): 1205-1209. Toll AD, Epstein JI. Invasive Low-grade Papillary Urothelial Carcinoma: a Clinicopathologic Analysis of 41 Cases. American Journal of Surgical Pathology. 2012; 36(7): 1081-1086. Toll AD, Erozan YS. Diagnostic Cytology: Central Nervous System and Cerebrospinal Fluid. In Bibbo M, Wilbur DC, eds. Comprehensive Cytopathology, 4th ed. United Kingdom. 2014. Elsevier. Toll AD, Fabius D, Pequignot E, Hyslop T, Infantolino A, DiMarino AJ, Palazzo JP. Prognostic Significance of High-grade Dysplasia in Colorectal Adenomas. Journal Commentary by Dr. Robert Riddell. Colorectal Disease. 2011; 13(4): 370-380. Toll AD, Hruban RH, Ali SZ. Acinar Cell Carcinoma of the Pancreas: Clinical and Cytomorphologic Characteristics. Korean Journal of Pathology. 2013; 47(2): 93-99. Toll AD, Kelly D, Maleki Z. Utility of P16 Expression and Ki-67 Proliferation Index in ASCUS and ASC-H Pap Tests. Diagnostic Cytopathology. 2014; 42(7): 576-581.

Sadej P, Feld RI, Toll AD, Palazzo JP. AIRP Best Cases in Radiologic-Pathologic Correlation: Spindle Cell Carcinoma of the Esophagus. Radiographics. 2011; 31(7): 2035-2039.

Toll AD, Kowalski T, Loren D, Bibbo M. The Added Value of Molecular Testing in Small Pancreatic Cysts. Journal of the Pancreas. 2010; 11(6): 582-586.

Toll AD, Ali SZ. Urinary Cytomorphology and Clinical Correlates of Prostatic Small Cell Neuroendocrine Carcinoma. Acta Cytologica. 2013; 57(5): 495-500.

Toll AD, Liu J, Gulati G, Behling EB, Kocher WD. Does Routine Repeat Testing of Critical Values Offer any Advantage Over Single Testing? Archives of Pathology and Laboratory Medicine. 2011; 135(4): 440-444.

Toll AD, Ali SZ. Urinary Cytopathology in Primary Bladder Amyloidosis. Acta Cytologica. 2013; 57(3): 271-275. Toll AD, Bibbo M. Identification of Gastrointestinal Contamination in Endoscopic Ultrasound-guided Pancreatic Fine Needle Aspiration. Acta Cytologica. 2010; 54(3): 245-248.

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Toll AD, Boman BM, Palazzo JP. Dysplastic Lesions in Inflammatory Bowel Disease Show Increased Positivity for the Stem Cell Marker Aldehyde Dehydrogenase (ALDH1). Human Pathology. 2012; 43(2): 238-242.

Toll AD, Maleki Z. Cytomorphology of Non-small Cell Lung Carcinoma (NSCLC) with Anaplastic Lymphoma Kinase (ALK) Gene Rearrangement. Diagnostic Cytopathology. Jan 2015; 43(1): 8-15. doi: 10.1002/ dc.23160.

Toll AD, Maleki Z. Cytomorphology of Non-small Cell lung Carcinoma (NSCLC) with Anaplastic Lymphoma Kinase (ALK) Gene Rearrangement. Diagnostic Cytopathology. 2015; 43(1): 8-15. Toll AD, Malik S, Tuluc M. Ulcerative Gastritis Secondary to Epstein-Barr Viral Infection. Digestive Diseases and Sciences. 2010; 55(1): 218-219. Toll AD, Mitchell D, Yeo CJ, Hruban RH, Witkiewicz AK. Acinar Cell Carcinoma with a Prominent Intraductal Growth Pattern: Case Report with Review of the Literature. International Journal of Surgical Pathology. 2011; 19(6): 795-799. Toll AD, Palazzo JP. Diffuse Colitis Cystica Profunda in a Patient with Ulcerative Colitis. Inflammatory Bowel Diseases. 2009; 15(10): 1454-1455. Toll AD, Rossi ED, Ali SZ. Role of Ancillary Testing in Thyroid Fine Needle Aspiration: Review and Update. Journal of the American Society of Cytopathology. 2014; 3(4): 218-224. Toll AD, Upasana J, Palazzo JP. Pathologic Spectrum of Secretory and Mucinous Breast Lesions. Archives of Pathology and Laboratory Medicine. 2016; 140 (7):644-650. Toll AD, Wakely PE, Ali SZ. Acral Myxoinflammatory Fibroblastic Sarcoma: Cytopathologic Findings on Fine Needle Aspiration. Acta Cytologica. 2013; 57(2): 134-138. Toll AD, Witkiewicz AK, Bibbo M. Expression of K Homology Domain Containing Protein (KOC) in Pancreatic Cytology with Corresponding Histology. Acta Cytologica. 2009; 53(2): 123-129. Van Neste L, Bigley J, Toll AD, Otto G, Clark J, Delree P, Van Criekinge W, Epstein JI. A Tissue Biopsy-based Epigenetic Multiplex PCR Assay for Prostate Cancer Detection. BMC Urology. 2012; 12(16): 1-8.

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PRESENTATIONS Anguiano J, Toll AD. Colorectal Carcinoma Arising from Microsatellite Instability. Jefferson Medical College Research Symposium; 2011; Philadelphia, PA. Han JS, Toll AD, Amin A, Carter HB, Epstein JI. Predictors of Insignificant Prostate Cancer on Radical Prostatectomy Following Disease Progression During Active Surveillance. United States and Canadian Academy of Pathology Meeting; 2012; Vancouver, BC, Canada. Holtz A, Toll AD, Burkholder SW, Carlin AM, Blumstein LF, Schroeder KA, Behling EM, Edmonston TB. Establishing the Purity of Mononuclear Cell Preparations using Morphology and Flow Cytometry. College of American Pathologists Meeting; 2009; Washington, DC. Olson MT, Novak A, Trotter T, Sachs S, Boonyaarunnate T, Toll AD, Tatsas A, Maleki Z, Erozan YS, Rosenthal DR. Reproducibility of the Johns Hopkins Template for Urologic Cytology Samples. American Society of Cytopathology Meeting; 2013; Chicago, IL. Toll AD, Bibbo M. Identifying Gastrointestinal Contamination in Pancreatic Fine Needle Aspiration. United States and Canadian Academy of Pathology Meeting; 2010; Washington, DC. Toll AD, Bibbo M. The Added Value of Molecular Testing in Small Pancreatic Cysts. Resident Research Award Finalist. American Society for Clinical Pathology Meeting; 2010; San Francisco, CA. Toll AD, Boman BM, Palazzo JP. Expression of Aldehyde Dehydrogenase in Dysplastic Lesions Arising from Inflammatory Bowel Disease. United States and Canadian Academy of Pathology Meeting; 2011; San Antonio, TX. Toll AD, Dasgupta A, Potoczek M, Kleer CG, Brody JR, Witkiewicz AK. Repression of E-cadherin by the Polycomb Group Protein EZH2 in Pancreatic Cancer. United States and Canadian Academy of Pathology Meeting; 2010; Washington, DC. Toll AD, Fabius D, Pequignot E, Hyslop T, Infantolino A, DiMarino AJ, Palazzo JP. Prognostic Significance of High-Grade Dysplasia in Colorectal Adenomas. College of American Pathologists Meeting; 2010; Chicago, IL.

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Toll AD, Farber JL. FoxP3-expressing T Regulatory Cells (T-regs) Increase With the Severity of Active Disease in Chronic Hepatitis C. United States and Canadian Academy of Pathology Meeting; 2009; Boston, MA. Toll AD, Gulati G, Behling EB, Kocher WD. Utility of Repeat Critical Value Testing. College of American Pathologists Meeting; 2009; Washington, DC. Toll AD, Illei P, Maleki Z. Cytomorphology of NonSmall Cell Lung Carcinoma (NSCLC) with Anaplastic Lymphoma Kinase (ALK) Gene Rearrangement. United States and Canadian Academy of Pathology Meeting; 2013; Baltimore, MD. Toll AD, Kelly D, Maleki Z. Utility of P16 Expression and Ki-67 Proliferation in Addition to Standard HPV Analysis in Pap Smears of ASCUS and ASC-H. American Society of Cytopathology Meeting 2012; Boston, MA. Toll AD, Palazzo JP. Adenomatous Polyps and Colonic Adenocarcinoma. Jefferson Medical College Research Symposium; 2005; Philadelphia, PA. Toll AD, Witkiewicz AK. Acinar Cell Carcinoma with a Prominent Intraductal Growth Pattern. College of American Pathologists Meeting; 2009; Washington, DC.

Pediatrics & Neonatology St. Luke’s Pediatrics Department is comprised of board eligible/ board-certified pediatricians and neonatologists, as well as expert advanced practitioners committed to caring for children and educating future pediatricians. The Neonatal Intensive Care Units at both St. Luke’s Bethlehem and Allentown campuses are designed to provide a high level of care for babies and families, offering the latest technology and developmental techniques. St. Luke’s embraces parental involvement and in 2014 was recognized as offering the only March of Dimes Neonatal Intensive Care Unit (NICU) Family Support Program in the Lehigh Valley. St. Luke’s Inpatient Unit cares for children who need the acute care services of a hospital. In 2015, it provided children in the community with diagnostic services, treatment and well baby/child check-ups through its six outpatient general pediatric practices in 11 locations and three subspecialist practices. Additionally, a pediatric radiologist and pediatric inpatient pharmacist help to deliver even more specialized care to our youngest patients. Chaired by Jennifer Janco, MD, the faculty of the St. Luke’s Pediatric Department represents a blend of clinical expertise, academics and personalized care delivery. The specialty physicians offer a broad range of difficult-to-find and advanced clinical skills. They include: Pamela Abrams, MD, board-certified pediatric endocrinologist; Leo Heitlinger, MD, a board-certified pediatric gastroenterologist with a lifetime certification in pediatric gastroenterology and Tecile Andolino, MD, the only pediatric nephrologist in the Lehigh Valley. Dianne Jacobetz, MD, actively participates in medical student and resident driven research, including designing a pediatric specific history and physical to improve quality of data collected during admissions and outcomes of infants born with meconium analysis positive for in utero alcohol exposure. In 2015, Laurel Erickson Parsons, MD, was named Medical Director of Inpatient Pediatric Unit and heads the quality improvement projects jointly with the American Academy of Pediatrics. Through her leadership, St. Luke’s has participated in both the Improving community acquired pneumonia management project and the Decreasing Bronchodilator use in Bronchiolitis project. She made a presentation about the community acquired pneumonia management project at this year’s American Academy of Pediatrics Conference. Prior to joining St. Luke’s, she completed her pediatric residency at St. Christopher’s Hospital for Children in 2010. Contact Information Questions about research and clinical trials Pediatric Endocrine Pediatric GI Pediatric Nephrology KidsCare Coopersburg Pediatrics Pocono Pediatrics ABW Pediatrics Palmerton Pediatrics:

484-526-4873 484-526-7300 484-526-7575 610-865-5888 484-526-3060 484-526-7337 570-664-8750 610-868-2007 610-826-1166

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ACADEMIC APPOINTMENTS Dr. Abrams: Clinical Assistant Professor of Pediatrics, Temple University School of Medicine (2012-present) Lindy Cibischino, MD: Teaching/clinical faculty for Temple, The Commonwealth Medical College, Kings College, DeSales University and Arcadia University Dr. Heitlinger: Temple University, Clinical Professor, (DeSales, PA program) A. North American Society for Pediatric Gastroenterology, Hepatology and Nutrition i. Professional Education Committee 2007-2010 ii. Maintenance of Certification Task Force, 2011-2012 iii. Public Affairs and Advocacy Committee, 2011-present iv. Finance Committee, 2012-present v. Foundation Board, 2014-present B. American Academy of Pediatrics i. Section of Gastroenterology, Hepatology and Nutrition, Chair, 2009-present ii. Specialty Medical Home Leadership Team, 2011-present iii. PA Chapter Board, 2014-present Sulaiman Sannoh, MD: Assistant Clinical professor of pediatrics, Temple University School of Medicine, Philadelphia, PA TEACHING APPOINTMENTS WITH TEMPLE UNIVERSITY AND DESALES UNIVERSITY Dr. Janco, Dr. Jacobetz, Eyda Samuels, MD, Laurel Erickson-Parsons, MD, Maya Greenberg, DO, Aram Yousef-Elmi, MD, Alycia Walty, MD, Dr. Andolino, Fatima Malik, MD. HONORS/AWARDS In 2015, the March of Dimes honored St. Luke’s with two regional awards. Neonatologist Kimberly Costello, DO, FAAP, Director of Neonatology, St. Luke’s University Health Network was named “Physician of the Year,” and St. Luke’s Neonatal Intensive Care Unit (NICU) nurse Karen Metzger, LPN, was selected as “Nurse of the Year.”

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Also in 2015, St. Luke’s Emergency Transport Service was recognized for its expertise in transporting pediatric patients through a multi-agency program that recognizes EMS agencies that are willing to go above and beyond current pediatric transport requirements within Pennsylvania. Pennsylvania Emergency Medical Services for Children program, in partnership with the Department of Health, Bureau of EMS and the Pennsylvania Emergency Health Services Council, has created the Pediatric Voluntary Recognition Program to recognize EMS agencies consistently deliver excellence in emergency medical care to children within the Commonwealth. In addition, St. Luke’s was voted 2015 Top Reader’s Choice for Best Place to Have a Baby by the readers of the Morning Call, a regional, daily newspaper based in Allentown. In addition, St. Luke’s was voted 2015 Top Reader’s Choice for Best Urgent Care by the readers of The Morning Call, a regional, daily newspaper based in Allentown. In addition, St. Luke’s was voted 2015 Top Reader’s Choice for Best Emergency Care by the readers of The Morning Call, a regional, daily newspaper based in Allentown. PUBLICATIONS Cohen M, Zwiebel S, Jeanmonod R. Recurrent Hypoglycemia in a Toddler. The American Journal of Emergency Medicine. Dec 1, 2015; 33(12): 1847-e3. Dut A, Fitzgerald C, Levine H. Influenza Annual Vaccine: Early Versus Late Administration. International Journal of Academic Medicine. 2015; 1: 32-40. Gidding SS, Palermo RA, DeLoach SS, Keith SW, Falkner B. Associations of Cardiac Structure with Obesity, Blood Pressure, Inflammation, and Insulin Resistance in African-American Adolescents. Pediatric Cardiology. Feb 1, 2014; 35(2): 307-14. Hon HH, Kousari YMS, Papadimos TJ, Tsavoussis A, Jeanmonod R and Stawicki SP. What’s New in Critical Illness and Injury Science? Nonaccidental Burn Injuries, Child Abuse Awareness and Prevention, and the Critical Need for Dedicated Pediatric Emergency Specialists: Answering the Global Call for Social Justice for Our Youngest Citizens. International Journal of Critical Illness and Injury Science. 2015; 5(4): 223.

Palermo RA, Gidding SS, DeLoach SS, Keith SW, Falkner B. Abstract P181: Cardiac Structure is Associated with Obesity and Blood Pressure But Not Inflammation. Circulation. Mar 13, 2012; 125(Suppl 10): AP181. Palermo RA, Monge MC, Charrow J, Costello JM, Epting CL. Masquerading Acidosis After Cardiopulmonary Bypass A Case of Propionic Acidemia and Congenital Heart Disease. World Journal for Pediatric and Congenital Heart Surgery. Apr 1, 2015; 6(2): 291-4. Palermo RA, Palac HL, Wald EL, Wainwright MS, Costello JM, Eltayeb OM, Backer CL, Epting CL. Metabolic Uncoupling Following Cardiopulmonary Bypass. Congenital Heart Disease. Nov 12, 2015; 10(6): E250-7. Rosh JR, Heitlinger LA, Rosenfeld WD. AM: STARs: Clinical GI Challenges in the Adolescent, Adolescent Medicine: State of the Art Reviews. May 2007; 27 (1). Tsavoussis A, Stawicki SP, Papadimos TJ. Child-witnessed Domestic Violence: An Epidemic in the Shadows. International Journal of Critical Illness and Injury Science. Jan 1, 2015; 5(1): 64. PRESENTATIONS Erickson-Parsons L, Janco J, Brill J. Increasing Narrow Spectrum Antibiotic Use for Community Acquired Pneumonia: Quality Improvement through a Clinical Pathway. American Academy of Pediatrics; Oct 2015; Washington, DC.

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Physical and Occupational Therapy and Speech Language Pathology St. Luke’s University Health Network offers a wide range of physical, occupational, speech and wellness programs. Therapists actively pursue clinical research and participate in the education of therapy students. At St. Luke’s patient care is paramount and therapists evaluate and treat various patient populations including: • Orthopedic/Spine

• Women’s Health

• Sports

• Pediatric

• Neurological/ Neurosurgical

• Geriatric

PHYSICAL THERAPY AT ST. LUKE’S (OUTPATIENT SERVICES) Under the direction of physical therapists Dennis and Judy Dougherty, approximately 200 clinical staff members provided 225,000 outpatient sessions (visits) in 2015. With more than 25 years of experience treating patients and operating practices in the Lehigh Valley, the Doughertys and their team are committed to providing high quality rehabilitative services close to home. Physical Therapy at St. Luke’s operates 24 outpatient rehabilitation locations in Bucks, Carbon, Lehigh, Monroe, Northampton and Schuylkill counties in Pennsylvania and Warren County in New Jersey.

Besides patient care, St. Luke’s therapists are actively involved in research and work with physician specialists in many areas, including joints, trauma, spine and pain. The therapy team also participates in several clinical studies. The Research Team consists of: Stephen Kareha, PT, DPT, OCS, ATC, CMP, CSCS Jeffrey Bays, PT, OCS, Cert MDT Nikol Tews, PT, DPT, OCS, Cert MDT Rett Holmes, PT, DPT, OCS, Cert MDT Timothy Miller, PT, DPT, OCS, SCS, CSCS Nick DeBlasio, PT, DPT, OCS, CSCS Laura Rothermel, PT, DPT, FAAOMPT

Physical Therapy at St. Luke’s has been successful in recruiting rehabilitation specialists skilled in advanced techniques to improve patients’ mobility, function and overall wellness. In fact, 85 percent of physical therapists are doctorally trained. In addition, the staff includes: • 18 board-certified orthopedic clinical specialists (Five of these are pending results in mid-June) • Six board-certified sports clinical specialists (Two are pending results in mid-June) • Two board-certified neurologic clinical specialists (Two are pending results in mid-June) • A board-certified geriatric clinical specialist • A board-certified pediatric clinical specialist (pending results in mid-June) • A Fellow of the American Academy of Orthopedic Manual Physical Therapists

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At St. Luke’s patient care is paramount and therapists evaluate and treat various patient populations.

Physical Therapy at St. Luke’s is committed to furthering professional education for both staff and students. Kareha, director of Physical Therapy Post-Graduate Education at St. Luke’s Physical Therapy and also adjunct faculty at Arcadia University, leads these efforts to facilitate learning and advancement of its clinical staff members while also providing educational opportunities and clinical experience for students pursuing careers in physical therapy, occupational therapy, speech therapy and audiology programs. Working under the supervision and guidance of an expert clinician, St. Luke’s offers learning opportunities in orthopedic surgery observation, orthotic prescription and fabrication, audiology, and pediatric, occupational, vestibular, hand and aquatic therapies. In addition, Physical Therapy at St. Luke’s offers an orthopedic residency program designed to provide physical therapists with advanced knowledge and skill training in the clinical environment. The curriculum enhances interprofessional collaboration and provides physical therapists with advanced training in orthopedic examination, clinical decisionmaking, and treatment skills. For more information, visit Physical Therapy at St. Luke’s. HONORS/AWARDS National Outcomes Excellence Awards (Focus on Therapeutic Outcomes, Inc. Outcomes Excellence Award): 2015Q4 – 68714081 – NEURO – Physical Therapy at St. Luke’s – Eighth Avenue 2015Q4 – 68714041 – NEURO – Physical Therapy at St. Luke’s – North 2015Q4 – 68714051 – ORTHO – Physical Therapy at St. Luke’s – Anderson Campus 2015Q4 – 68714071 – ORTHO – Physical Therapy at St. Luke’s – Center Valley 2015Q4 – 68714181 – ORTHO – Physical Therapy at St. Luke’s – Commons 2015Q4 – 68714011 – ORTHO – Physical Therapy at St. Luke’s – Emmaus 2015Q4 – 68714021 – ORTHO – Physical Therapy at St. Luke’s – Illick’s 2015Q4 – 68714091 – ORTHO – Physical Therapy at St. Luke’s – Nazareth 2015Q4 – 68714101 – ORTHO – Physical Therapy at St. Luke’s – Northampton 2015Q4 – 68714121 – ORTHO – Physical Therapy at St. Luke’s – Orefield 2015Q4 – 68714031 – ORTHO – Physical Therapy at St. Luke’s – Quakertown 2015Q4 – 68714141 – ORTHO – Physical Therapy at St. Luke’s – Tilghman 2015Q3 – 68714081 – NEURO – Physical Therapy at St. Luke’s – Eighth Avenue 2015Q3 – 68714041 – NEURO – Physical Therapy at St. Luke’s – North 2015Q3 – 68714051 – ORTHO – Physical Therapy at St. Luke’s – Anderson Campus 2015Q3 – 68714071 – ORTHO – Physical Therapy at St. Luke’s – Center Valley

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2015Q3 – 68714181 – ORTHO – Physical Therapy at St. Luke’s – Commons

2015Q1 – 68714071 – Physical Therapy at St. Luke’s – Center Valley

2015Q3 – 68714011 – ORTHO – Physical Therapy St. Luke’s – Emmaus

2015Q1 – 68714181 – Physical Therapy at St. Luke’s – Commons

2015Q3 – 68714021 – ORTHO – Physical Therapy at St. Luke’s – Illick’s

2015Q1 – 68714011 – Physical Therapy at St. Luke’s – Emmaus

2015Q3 – 68714091 – ORTHO – Physical Therapy at St. Luke’s – Nazareth

2015Q1 – 68714061 – Physical Therapy at St. Luke’s – Hellertown

2015Q3 – 68714101 – ORTHO – Physical Therapy at St. Luke’s – Northampton

2015Q1 – 68714021 – Physical Therapy at St. Luke’s – Illick’s

2015Q3 – 68714031 – ORTHO – Physical Therapy at St. Luke’s – Quakertown

2015Q1 – 68714091 – Physical Therapy at St. Luke’s – Nazareth

2015Q3 – 68714141 – ORTHO – Physical Therapy at St. Luke’s – Tilghman

2015Q1 – 68714101 – Physical Therapy at St. Luke’s – Northampton

2015Q2 – 68714051 – Physical Therapy at St. Luke’s – Anderson Campus

2015Q1 – 68714031 – Physical Therapy at St. Luke’s – Quakertown

2015Q2 – 68714071 – Physical Therapy at St. Luke’s – Center Valley

2015Q1 – 68714141 – Physical Therapy at St. Luke’s – Tilghman

2015Q2 – 68714181 – Physical Therapy at St. Luke’s – Commons

Contact Information

2015Q2 – 68714011 – Physical Therapy at St. Luke’s – Emmaus 2015Q2 – 68714021 – Physical Therapy at St. Luke’s – Illick’s 2015Q2 – 68714091 – Physical Therapy at St. Luke’s – Nazareth 2015Q2 – 68714101 – Physical Therapy at St. Luke’s – Northampton 2015Q2 – 68714031 – Physical Therapy at St. Luke’s – Quakertown 2015Q2 – 68714141 – Physical Therapy at St. Luke’s – Tilghman 2015Q1 – 68714051 – Physical Therapy at St. Luke’s – Anderson Campus

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Questions about research and clinical trials

484-426-2544

Established patients

484-526-5025

Referral line for new patients

484-526-5025

Research is conducted at the following locations: Central location: West End Clinic (501 Cetronia Rd., Suite 145, Allentown, PA 18104); Satellite locations: St. Luke’s North (153 Brodhead Rd, Bethlehem, PA 18017), Anderson Campus (1700 St. Luke’s Boulevard, Suite 201, Easton, PA 18045), Hellertown (2301 Cherry Lane, Hellertown, PA 18015), Illick’s Mill (1174 Illick’s Mill Rd, Bethlehem, PA 18017), Orefield (3560 Route 309, Orefield, PA 18069).

PUBLICATIONS Brown A, Alfieri V, Fazulak D, Edeer AO, Olson VD. The Immediate Effects of Two Different Stretching Interventions on Passive Shoulder Internal Rotation in Collegiate Baseball Players. Journal of Student Physical Therapy Research. 2015;8(5):1 Frantz A, Massie G, Clark J, Kareha S. Effects of Joint Mobilization and Treatment Timing on the Glenohumeral Joint: A Pilot Study. Orthopedic Practice. 2015; 27(3):160-167. McClure P, Greenberg E, Kareha S. Evaluation and Management of Scapular Dysfunction. Sports Medicine and Arthroscopy Review. March 2012; 20(1): 39-48. doi: 10.1097/ JSA.0b013e31824716a8. McClure PW, Tate AR, Kareha S, Irwin D, Zlupko E. A Clinical Method for Identifying Scapular Dyskinesis: Part 1 Reliability. Journal of Athletic Training. March-April 2009; 44(2): 160-164. doi: 10.4085/1062-6050-44.2.160. Ojha HA, Snyder RS, Davenport TE. Direct Access Compared with Referred Physical Therapy Episodes of Care: a Systematic Review. Physical Therapy. Jan 2014; 94(1): 14-30. doi: 10.2522/ptj.20130096. Tate AR, McClure PW, Kareha S, Irwin D, Barbe M. A Clinical Method for Identifying Scapular Dyskinesis: Part 2 Validity. Journal of Athletic Training. March-April 2009; 44(2):165-173. doi: 10.4085/1062-6050-44.2.165. Tate AR, McClure PW, Kareha S, Irwin D. Effect of the Scapula Reposition Test on Shoulder Impingement Symptoms and Elevation Strength in Overhead Athletes. Journal of Orthopedic and Sports Physical Therapy. 2008; 38(1): 4-11. doi: 10.2519/jospt.2008.2616.

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ABSTRACTS

CURRENT CLINICAL TRIALS AND STUDIES

Kareha S, Buggey JT, Miller TW, Carolan GF. Reliability of Shoulder Irritability Levels: A Pilot Study. Journal of Orthopedic and Sports Physical Therapy. 2015;45(1):A103.

Kareha S. Diagnostic Reliability and Validity of the Shoulder Symptoms Irritability Scale.

McClure P, Kareha S, Tate AR, Irwin D, Stuckey E. Reliability of a Clinical Test to Detect Scapular Dyskinesia. Journal of Orthopedic and Sports Physical Therapy. 2007; 37(1): A24.

Arthur W, Kareha S, Holmes R, Bays J, Tews N, Carolan G, Avallone N. Pain Science Education for Rotator Cuff Repairs: A Cohort Study.

PRESENTATIONS

Feher A, Kareha S. Shoulder Irritability Classification Based Treatment: A Case Study.

Kareha S. Musculoskeletal Imaging of the Cervical Spine, Grand Rounds, St. Luke’s University Health Network, Tilghman Street Clinic; Feb 2014; Allentown, PA. Kareha S. “Mobilizations.” Grand Rounds, WellSpan Deatrick Commons Clinic, July 2012; Gettsyburg, PA. Kareha S. “Residency Education.” Grand Rounds presented to WellSpan Health staff – York County; Jan 2011; York, PA. Kareha S. “Lumbar Spine Evaluation.” Grand Rounds, WellSpan Adams Health Center; Nov 2011; Gettysburg, PA.

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Sharma A, Kareha S, Stoltzfus J, Harris A, Holmes R, Rothermel L. Cost of Care Associated with Low Back Pain.

Bergmooser A, Bays J, Stoltzfus J, Kareha S. Patients’ Thoughts and Perspectives on Pain in an Outpatient Physical Therapy Practice: A Descriptive Study. Harris A, Holmes R, Kareha S. Does the STarT Back Screening Tool Correlate with the FOTO Functional Scale in Patients with Low Back Pain.

Podiatry & Foot Care St. Luke’s University Health Network has long been recognized for its excellence in the area of podiatry and foot care. In fact, St. Luke’s offers the only podiatric residency program in the Lehigh Valley area. Its faculty includes national pioneers in the area of podiatric dermatology. Under the leadership of Robert A. Diamond, Chief, Division of Podiatry and Director of the Podiatry Surgery Residency; William De Long, MD, FACS, Chief, Department of Orthopedic Surgery and Brent H. Bernstein, Director of Research Division of Podiatry, St. Luke’s podiatric physicians and residents are actively involved in research and scholarly activities. These include participating in national clinical trials, partaking in surgical mission trips to Ecuador, presenting original contributions at major national meetings, and publishing articles in major peer-reviewed scientific journals. The three-year Podiatric Residency Program helps train experts in podiatric medicine and surgery. The program started in 1991 with a single residency slot. Due to growth in foot surgery volume throughout the St. Luke’s University Health Network, the program now accepts nine residents in each class. The program also offers one elective fourth-year position as a Podiatric Dermatology Fellowship — one of the first nationally recognized fellowships in podiatry by the Council on Podiatric Medical Education. St. Luke’s state-of-the-art Podiatry Center treats a broad range of podiatric problems, from claw foot to plantar fasciitis and nerve dysfunction. In addition to serving the patients of the busy clinical practice, the faculty and residents are actively involved in a number of high-profile research projects and clinical trials.

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Contact Information Podiatry Center 1501 Lehigh Street Allentown, PA 18104 610-628-8260 Clinic Hours Mon-Thu: 8 am – 8 pm Fri: 8 am – 5 pm Podiatric Residency: 610-628-8364 Questions about Outpatient Clinical Trials: Contact appropriate principal investigator directly. PUBLICATIONS Baker JR, Patel SN, Teichman AJ, Bochat SE, Fleischer AE, Knight JM. Bivalved Fiberglass Cast Compared With Plaster Splint Immobilization for Initial Management of Ankle Fracture-Dislocations A Treatment Algorithm. Foot & Ankle Specialist. Jun 2012 1; 5(3): 160-7. Bronfenbrenner E, Busch E, Bernstein B. Hospital Admissions for Lower Extremity Infections: Comorbidities, Procedures and Length of Stay. International Journal of Academic Medicine. 2015; 1: 32-40. Kirsner R, Bernstein B, Bhatia A, Lantis J, Le L, Lincoln K, Liu P, Rogers L, Shaw M, and Young D. Clinical Experience and Best Practices Using Epidermal Grafts. Wounds. Nov 2015; 27(11): 282-92. Lullove EJ, Brent Bernstein DP. Use of SilvrSTAT® in Lower Extremity Wounds: A Two Center Case Series. The Journal of Diabetic Foot Complications, 2015; 7(1): 13-16

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Piraino, JA, Busch EL, Sansosti LE, Pettineo SJ, Creech C. Use of an All-Suture Anchor for Re-Creation of the Anterior Talofibular Ligament: A Case Report. Jan-Feb 2015; 54(1): 126-129. doi: 10.1053/j.jfas.2014.08.020. ABSTRACTS Bernstein B, Statkewicz M. Improved Split Thickness Graft Take with Negative Pressure Wound Therapy in High-Risk Wounds. Poster presentation. The American College of Foot and Ankle Surgeons (ACFAS) Annual Scientific Conference; Feb 2015; Phoenix, AZ. Bernstein B., Seiler D. Inferior Calcaneal Slide Osteotomy for the Treatment of a Sagittal Plane Dominant Charcot Foot Deformity. American College of Foot and Ankle Surgeons Annual Conference; Feb 2014. Bronfenbrenner E, Seiler D, Busch E, Bernstein B. Hospital Admissions for Lower Extremity Infections: Comorbidities, Procedures, and Length of Stay. Poster presentation. ACFAS Annual Scientific Conference; Feb 2015; Phoenix, AZ. Malan J, Busch E, Schwartz E. Surgical Management of Flexor Digitorum Accessorieus Longus and Intraretinacular Ganglion Cyst in MultifactorialTarsal Tunnel Syndrome. Poster presentation. ACFAS Annual Scientific Conference; Feb 2015; Phoenix, AZ. Statkewicz M, Lu S, Williams A , Rocchio T. Advantages of Resorbable Pin Fixation for Metatarsal Osteotomies. Poster presentation. ACFAS Annual Scientific Conference; Feb 2015; Phoenix, AZ.

Radiology St. Luke’s University Health Network is committed to providing physicians with leading edge imaging technology to give them a clearer picture of their patients’ health conditions. Hal L. Folander, MD, Network Chairman of the Radiology Department, leads a team of nearly 40 radiologists who specialize in areas such as interventional and neurointerventional radiology, advanced breast imaging, neuroradiology, nuclear medicine, musculoskeletal ultrasound, positron emission tomography (PET), computed tomography (CT) and magnetic resonance imaging (MRI). With more than 25 network locations, our radiology specialists read exams from all seven St. Luke’s hospitals, numerous outpatient centers and many physician offices. St. Luke’s radiologists use some of the most advanced technologies available today. For example, St. Luke’s University Hospital – Bethlehem is home to the Discovery IGS 730 Hybrid OR from GE Healthcare. In fact, St. Luke’s was the first hospital in the United States to offer this technology, which effectively brings interventional radiology suite into the operating room, allowing the simultaneous performance of open and endovascular interventions. This state-of-the-art facility is utilized by our interventional radiologists, cardiovascular surgeons and traumatologists. St. Luke’s University Health Network has been designated an international show site for GE Medical Systems. Physicians, clinical staff and hospital administrators from all over the world visit St. Luke’s facilities to observe procedures being performed using this advanced equipment. Additionally, St. Luke’s radiologists and staff train other physicians, staff and GE applications specialists in its use. A leader in breast health services, St. Luke’s offers an Individualized Breast Screening Program. In the fall of 2015, radiologist Joseph Russo, MD, St. Luke’s University Health Network Section Chief of Women’s Imaging, discussed the program at the National Consortium of Breast Centers (NCoBC) Annual Conference, Las Vegas, NV, during a special meeting hosted by GE. The program uses technologies such as breast MRI, automated breast ultrasound (ABUS) and 3D mammography (tomosynthesis) as an effective supplement to screening mammography that leads to a significant increase in cancer detection and reduction of unnecessary return visits and breast biopsy. In addition, in determining the most effective and efficient screening protocols for each patient, physicians use the Tyrer-Cuzick screening tool to gather the patient’s genetic and non-genetic information. Designated a Center of Excellence by the American College of Radiology, St. Luke’s Regional Breast Center was the first facility of its kind in the region to exclusively provide higher-level breast imaging. Other advanced technology offered at the Center includes automated breast ultrasound (ABUS). ABUS provides a clearer, more accurate evaluation of dense breast tissue and elastography, which measures the tissue density of a mass using ultrasound.

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Advanced imaging technology is also available at our other Network sites, including the St. Luke’s Women’s Imaging Center in the West End Medical Center, Allentown, the location of the new low dose 3D mammography system – GE’s SenoClaire® breast tomosynthesis and also the new SensorySuite®. Using a low-dose, short X-ray sweep around the compressed breast, the 3D technology separates the tissues to reduce overlapping of structures, a limiting factor in standard 2D mammography. The SensorySuite uses the senses of sight, sound and smell simultaneously to create a pleasant atmosphere that helps reduce a patient’s worry or anxiety. St. Luke’s University Health Network radiologists participate in many research activities which include, but are not limited to: National Institute of Health sponsored ATTRACT trial for lower extremity deep vein thrombosis, The Angel® Catheter Clinical Trial: Prevention of Pulmonary Embolism in High Risk Subjects as well as multiple trials in the realm of interventional oncology. Additionally, the Network offers breast screening, diagnostic and treatment services throughout the Lehigh Valley, Bucks County, Monroe County in Pennsylvania and Warren County in New Jersey. In 2015, SLUHN installed the GE Silent Scan MRI at its St. Luke’s Warren Campus. The Silent Scan technology is designed to improve patient comfort by significantly reducing the noise generated during an MRI exam. Instead of the traditional loud clanging sound, the sound a patient now hears is similar to background noise. Patients having an MRI exam at St. Luke’s Warren Campus also benefit from the recently-installed wider bore MRI from GE Healthcare. The technology is 10 centimeters larger than a standard bore MRI, making it a better solution for larger patients and those individuals who are claustrophobic. The depth of the magnet is also shorter, making it feel more open. PUBLICATIONS Adesina A, Colombo A, Jeanmonod R. Anaphylactoid Reaction from IV Contrast Dye Causing Ischemic Colitis with Portal Venous Gas. Case Reports in Critical Care. Apr 23, 2015.

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Balinger KJ, Elmously A, Hoey BA, Stehly CD, Stawicki SP, Portner ME. Selective Computed Tomographic Angiography in Traumatic Subarachnoid Hemorrhage: A Pilot Study. Journal of Surgical Research. Nov 30, 2015; 199(1): 183-9. Evans D, Vera L, Jeanmonod D, Pester J, Jeanmonod R. Application of National Emergency X-Ray Utilizations Study Low-risk S-spine Criteria in High-risk Geriatric Falls. The American Journal of Emergency Medicine. Sep 30, 2015; 33(9): 1184-7. Falowski SM. The Ongoing Debate of the Utility of Magnetic Resonance Imaging Conditional Neuromodulation Devices. Neuromodulation: Technology at the Neural Interface. Jun 1, 2015; 18(4): 337-8. Fegley M, Redstone E, Singh A, Agrawal S, Shirani J, Nanda S. Isolated Acute Traumatic Aortic Injury Following Cardio-pulmonary Resuscitation (CPR) with Excessively Forceful Chest Compressions. International Journal of Academic Medicine. Jan 2015; 1: 29-31. Fegley MW, Woodruff WW, Longo S, Nanda S. Extensive Periventricular White Matter Abnormality with Mediastinal Adenopathy. International Journal of Academic Medicine. Jan 1, 2015 Jan; 1(1): 41. Fenty M, Crescenzi R, Fry B, Squillante D, Turk D, Maurer PM, Borthakur A. Novel Imaging of the Intervertebral Disk and Pain. Global Spine Journal. Jun 2013; 3(03): 127-32. Hon HH, Kousari YM, Papadimos TJ, Tsavoussis A, Jeanmonod R, Stawicki SP. What’s New in Critical Illness and Injury Science? Nonaccidental Burn Injuries, Child Abuse Awareness and Prevention, and the Critical Need for Dedicated Pediatric Emergency Specialists: Answering the Global Call for Social Justice for our Youngest Citizens. International Journal of Critical Illness and Injury Science. Oct 2015; 5(4): 223. Lavingia KS, Collins JN, Soult MC, Terzian WH, Weireter LJ, Britt LD. Torso Computed Tomography Can Be Bypassed after Thorough Trauma Bay Examination of Patients who Fall from Standing. The American Surgeon. Aug 1, 2015; 81(8): 798-801. Mackie M, Fenty M, Savage D, Kesselman J. Crossmolecular Coupling in Combined Photoassociation and Feshbach Resonances. Physical Review Letters. Jul 21, 2008; 101(4): 040401.

Mackie M, Fenty M, Savage D, Kesselman J. General Physics: Statistical and Quantum Mechanics, Quantum Information, etc.-Cross-Molecular Coupling in Combined Photoassociation and Feshbach Resonances. Physical Review Letters. 2008; 101(4): 40401. Polimera HV, Agarwal A, Fioravanti G, Coyle B. Identification of Variables that Led to Improvement in Breast Cancer Screening. ASCO Annual Meeting Proceedings. May 20, 2015 Vol. 33, No. 15_suppl, p. e12573. Saxena V, DAquilla K, Singh A, Gordon JA, Fenty M, Carey JL, Borthakur A, Kneeland JB, Reddy R, Sennett BJ. T1ρ Magnetic Resonance Imaging to Assess Cartilage Damage After Primary Shoulder Dislocation. Orthopedic Journal of Sports Medicine. Mar 1, 2015 1; 3 (1 suppl): 2325967115S00025. Stawicki SP, Bahner DP. Modern Sonology and the Bedside Practitioner: Evolution of Ultrasound from Curious Novelty to Essential Clinical Tool. European Journal of Trauma and Emergency Surgery. Oct 1, 2015; 41(5): 457-60. Stawicki SP, Kent A, Patil P, Jones C, Stoltzfus JC, Vira A, Kelly N, Springer AN, Vazquez D, Evans DC, Papadimos TJ. Dynamic Behavior of Venous Collapsibility and Central Venous Pressure During Standardized Crystalloid Bolus: A Prospective, Observational, Pilot Study. International Journal of Critical Illness and Injury Science; 2015 Apr; 5(2): 80. Witschey WR, Borthakur A, Fenty M, Kneeland BJ, Lonner JH, McArdle EL, Sochor M, Reddy R. T1ρ MRI Quantification of Arthroscopically Confirmed Cartilage Degeneration. Magnetic Resonance in Medicine. May 1, 2010; 63(5): 1376-82. Wojda TR, Cardone MS, Lo WD, Stawicki SP, Evans DC. Ultrasound and Computed Tomography Imaging Technologies for Nutrition Assessment in Surgical and Critical Care Patient Populations. Current Surgery Reports. Aug 1, 2015; 3(8): 1-8. PRESENTATIONS Holayter RA, Ozkan OS, Lee KS, Moberg DP, Busarow SB, Dalvie PS, Pinchot JW, Brunner MC. A Framework for Co-designing Clinical Decision Support to Advance More Efficient IO Imaging. Poster. WCIO; 2015; New York, NY. Lin MJ, Barry N, Akusoba I, Hon HH, Cohen MS, Shukla P, Cipolla J, Stawicki SP, Hoey BA. Traditional Autopsy Versus CT-imaging Autopsy: A Case of “Synergistic Disagreement.” Presented at the 2015 Annual St. Luke’s University Health Network Resident Research Symposium; June 4, 2015; Bethlehem, PA.

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Surgery St. Luke’s University Health Network has significantly expanded its faculty and therefore the breadth of clinical expertise in recent years. Led by Chairman of Surgery Marc Granson, MD, surgeons from respected institutions throughout the country have been recruited to St. Luke’s University Health Network. Equipped with leading edge technology, St. Luke’s surgeons continuously bring advanced procedures to residents of the Lehigh Valley and surrounding areas. For example, St. Luke’s University Hospital – Bethlehem is home to the Discovery IGS 730 Hybrid OR from GE Healthcare. The first hospital in the United States to offer this technology, the interventional suite essentially brings a radiology laboratory into the operating room. An international show site for GE Medical Systems, physicians from all over the world visit St. Luke’s to observe procedures being performed there. The state-of-the-art facilities’ advanced procedures include transcatheter aortic valve replacements (TAVR). In 2014, cardiac surgeons and interventional cardiologists at St. Luke’s University Hospital – Bethlehem were the first in the region, and among the first group of hospitals in the country, to implant a smaller and more refined second-generation transcatheter aortic valve. Under Dr. Granson’s direction, surgeons perform a broad variety of surgeries. In 2015, Joseph Lennert, MD, FACS, was the first physician in northeast Pennsylvania to surgically implant the Urolift® System, the first permanent implant to treat symptoms of benign prostate enlargement in men. While relieving symptoms, including blocked urine flow, the UroLift ® System is designed to relieve symptoms caused by an enlarged prostate, while preserving sexual function. HONORS AND AWARDS In 2012, St. Luke’s Allentown Campus and gynecologic surgeons Michael Patriarco, DO, St. Luke’s Director of Minimally Invasive GYN Surgery; Tirun Gopal, MD; Sheldon Linn, MD, and David Hanes, MD, were awarded the Center of Excellence designation in Minimally Invasive Gynecology™ (COEMIG).

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SURGICAL EDUCATION Surgical education is a priority for St. Luke’s University Health Network, which offers residencies in general surgery and orthopedic surgery. The general surgery residency provides access to a large number of diverse cases. The bulk of residents’ time is spent in the operating room. Under the watchful eye of experienced faculty members, surgical residents are encouraged to make patient care decisions. Many of the general surgery residents go on to prestigious fellowships. Fourth year general surgery residents may opt to complete a rotation through our International Surgical Studies Program – a partnership between St. Luke’s University Hospital’s Division of Trauma and Acute Care Surgery (ACS) and the Mbingo Baptist Hospital in Cameroon, Africa. The St. Luke’s University Health Network Orthopedic Surgery Residency is a rigorous, five-year training program that prepares residents to be leaders in the orthopedic community. Upon completion of this program, residents will have the knowledge and skills necessary to compete for the best fellowships available in their area of interest. The St. Luke’s Trauma Fellowship offers both a two-year surgical critical care fellowship for emergency medicine graduates and a one-year Fellowship for graduates of general surgery programs. In 2012, the fellowship was awarded ACGME (Accreditation Council for Graduate Medical Education) accreditation, and was approved by the American Board of Surgery to include surgical critical care into our curriculum and training. We are one of the first institutions to offer a two-year track for a surgical critical care fellowship for emergency medicine residency graduates approved by the American Board of Surgery.

St. Luke’s surgeons continuously bring advanced procedures to residents of the Lehigh Valley and surrounding areas.

ST. LUKE’S UNIVERSITY HOSPITAL ADULT LEVEL I TRAUMA CENTER Celebrating its 15th anniversary, the St. Luke’s University Hospital Adult Level I Trauma Center has done much more than provide state-of-the art care of the injured from all corners of Lehigh Valley, eastern Pennsylvania and western New Jersey. Our Level I Trauma Center is among the top five percent of trauma centers in Pennsylvania and has undergone two consecutive accreditation cycles with no citations. Under the leadership of William S. Hoff, MD, FACS, Chief, Division of Trauma & Acute Care Surgery; Peter Thomas, DO, FACOG, Trauma Program Medical Director; and James Cipolla, MD, FACS, Section Head, Surgical Critical Care, the program has trained experts in trauma and surgical critical care for nearly a decade. This, combined with the establishment of the Medical School of Temple University/St. Luke’s University Health Network, has positioned the Center as a leader in trauma medical education. In addition, the Division of Trauma & Acute Care Surgery is among the research leaders of the St. Luke’s University Health Network, with clinical research being at the forefront of its mission. Our physicians and staff are actively involved in research and scholarly activities. They participate in high-profile national clinical trials, present original contributions at major national meetings, and publish work in notable, peer-reviewed scientific journals. More recently, the Division of Trauma & Acute Care Surgery has seen tremendous growth in volume and acuity of general surgery cases performed by its surgeons. This mission complements greatly the efforts of Brian A. Hoey, MD, FACS, Director, General Surgery Residency, by fostering a synergistic relationship between clinical practice, medical education and research.

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BARIATRIC SURGERY

NEUROSURGERY

The St. Luke’s Weight Loss Center is accredited by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program and is a center of quality and excellence. The comprehensive center includes bariatric surgeons, a bariatrician, social workers, dieticians, physician assistants, nurses and a coordinator. Under the direction of Leonardo Claros, MD, and Maher El Chaar, MD, the center performs approximately 500 cases a year including gastric bypass surgery, sleeve gastrectomy, gastric banding and revisional surgery.

SLUHN is participating in the Sunburst™ (Success Using Neuromodulation with Burst) clinical study to test the effectiveness of the Prodigy™ neurostimulator, which delivers closely spaced pulses of electrical energy to a patient’s spinal cord to manage chronic pain. St. Jude Medical, Inc., a global medical device company, selected St. Luke’s as one of only 20 hospitals in the country to participate in the study and named Steven Falowski, MD, as one of the investigators. He works closely with Scott Loev, DO, Director of Pain Medicine at St. Luke’s Spine and Pain Associates. Dr. Falowski also serves on the board of directors for the North American Neuromodulation Society, the largest society dealing with spinal cord stimulation and neuromodulative procedures.

Dr. Claros, Section Chief and Medical Director, St. Luke’s Bariatric Surgery Program, St. Luke’s University Health Network, performed the first robotic bariatric Roux-en-Y gastric bypass procedure using the daVinci® Surgical System at St. Luke’s University Hospital in May 2012. Assisting him was Dr. El Chaar, Co-medical Director. Drs. Claros and El Chaar are both fellowship trained in bariatric surgery. Also in 2012, Dr. El Chaar, assisted by Dr. Claros, performed the first Natural Orifice Surgery (NOTES) in the Lehigh Valley. THORACIC SURGERY The Division of Thoracic Surgery is staffed by two board-certified cardiothoracic surgeons, William Burfeind, MD, and Matthew Puc, MD, who focus solely on general thoracic surgery. Their practice is heavily weighted toward thoracic cancers such as lung, esophagus, thymus, and chest wall and a multidisciplinary team evaluates all patients. Performing more than 550 thoracic surgical procedures per year, the surgeons submit all their operative data to the Society of Thoracic Surgeons General Thoracic Surgery Database and have their outcomes benchmarked to the most prestigious centers in the United States. The practice is committed to continually developing expertise in minimally invasive surgery and performs more than 96 percent of their early-stage lung cancer operations thoracoscopically. The Lung Cancer Multidisciplinary Team ensures that all patients eligible for a clinical trial are offered enrollment.

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Centers of Excellence: • Optum (United Health Care) Bariatric Centers of Excellence Network • Aetna Institute of Quality in Bariatric Surgery • Cigna 3 star Quality Bariatric Surgery Center • Blue Distinction + Center for Bariatric Surgery • MBSAQIP (Metabolic and Bariatric Surgery Accreditation Quality Improvement Program) Accredited Center – Comprehensive. APPOINTMENTS William R. Burfeind Jr., MD • Associate Clinical Professor of Surgery, Temple School of Medicine. • Society of Thoracic Surgery Taskforce memberships (General Thoracic Surgery Database, Access and Publication, Quality Initiatives, Public Reporting). Matthew M. Puc, MD • Assistant Clinical Professor of Surgery, Temple School of Medicine. PUBLICATIONS Amhaz HH, Chamoun RB, Waguespack SG, Shah K, McCutcheon IE. Spontaneous Involution of Rathke Cleft Cysts: Is It Rare or Just Underreported? Report of 9 Cases. Journal of Neurosurgery. Jun 2010; 112(6): 1327-32. Amhaz HH, Kuo R, Vaidya R, Orlewicz MS. Esophageal Perforation Following Cervical Spine Surgery: A Review with Considerations in Airway Management. International Journal of Critical Illness and Injury Science. Oct 2013 Oct; (4): 276.

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Balinger C, Tolentino JC, Birriel TJ, Gilbert V, Burfeind W, Halpern AE, Puc M. Lung Cancer Screening in a Community Setting: Medicare Patients Have Similar Outcomes to Younger Patients. Journal of the American College of Surgeons. 2015; 4(221): e54. Balinger KJ, Elmously A, Hoey BA, Stehly CD, Stawicki SP, Portner ME. Selective Computed Tomographic Angiography in Traumatic Subarachnoid Hemorrhage: A Pilot Study. Journal of Surgical Research. Nov 2015; 199(1): 183-9. Balinger KJ, Lam MT, Hon HH, Stawicki SP, Anasti JN. Amniotic Fluid Embolism: Despite Progress, Challenges Remain. Current Opinion Obstetrics and Gynecology. Dec 2015; 27(6): 398-405. 26485455. doi: 10.1097/ GCO.0000000000000218. Birriel TJ, Uchino R, Barry N, Butryn T, Sabol DM, Valenza PL, Stawicki SP. Adverse Drug Reactions in the Era of Multi-Morbidity and Polypharmacy. Journal of Basic Clinical Pharmacy. Sep 2015; 6(4): 122-3. Brethauer SA, Kim J, El Chaar M, Papasavas P, Eisenberg D, Rogers A, Ballem N, Kligman M, Kothari S. Standardized Outcomes Reporting in Metabolic and Bariatric Surgery. Obesity Surgery. 2015; 25(4): 587-606. doi: 10.1007/s11695-015-1645-3. Brethauer SA, Kim J, El Chaar M, Papasavas P, Eisenberg D, Rogers A, Ballem N, Kligman M, Kothari S; ASMBS Clinical Issues Committee. Standardized Outcomes Reporting in Surgery for Obesity and Related Diseases. Surgery for Obesity Related Diseases. May-Jun 2015; 11(3): 489-50626093765. doi: 10.1016/j. soard.2015.02.003. Chopski SG, Fox CS, McKenna KL, Riddle ML, Kafagy DH, Stevens RM, Throckmorton AL. Physics-Driven Impeller Designs for a Novel Intravascular Blood Pump for Patients with Congenital Heart Disease. Medical Engineering & Physics. 2016 Jul 31;38(7):622-32. Cipriano A, Mao ML, Hon HH, Vazquez D, Stawicki SP, Sharpe RP, Evans DC. An Overview of Complications Associated with Open and Percutaneous Tracheostomy Procedures. International Journal of Critical Illness and Injury Science. Jul-Sep; 5(3): 179-88.

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Daou B, Deprince M, D’Ambrosio R, Tjoumakaris S, Rosenwasser RH, Ackerman DJ, Bell R, Tzeng DL, Ghobrial M, Fernandez A, Shah Q. Pennsylvania Comprehensive Stroke Center Collaborative: Statement on the Recently Updated IV rt-PA Prescriber Information for Acute Ischemic Stroke. Clinical Neurology and Neurosurgery. Dec 31, 2015; 139: 264-8. doi: 10.1016/j.clineuro.2015.10.010. Epub 2015 Oct 21. El Chaar M, Claros L, Hammoud N, Ezeji G, Miletics M, Stoltzfus J. Laparoscopic Sleeve Gastrectomy Versus Laparoscopic Roux-en-Y Gastric Bypass: A Single Center Experience with 2 Years Follow-up. Obesity Surgery. 2015; 25(2): 254-62. doi: 10.1007/s11695-014-1388-6. Evans D, Luizza A, Zanders T, Jeanmonod R. Elderly Man with Dysphagia and Esophageal Perforation from an Anterior Cervical Osteoarthritic Osteophyte. American Journal of Emergency Medicine. Nov 2015; 33(11): 1711.e3-4. Evans D, Pester J, Vera L, Jeanmonod D, Jeanmonod R. Elderly Fall Patients Triaged to the Trauma Bay: Age, Injury Patterns and Mortality Risk. The American Journal of Emergency Medicine. Nov 30, 2015; 33(11): 1635-8. Evans DC, Firstenberg MS, Galwankar SC, MoffattBruce SD, Nanda S, O’Mara MS, Papadimos TJ, Stawicki SP. International Journal of Academic Medicine: A Unified Global Voice for Academic Medical Community. International Journal of Academic Medicine. 2015; 1: 1-2. Evans DC, Wojda TR, Jones CD, Otey AJ, Stawicki SP. Intentional Ingestions of Foreign Objects Among Prisoners: A Review. World Journal of Gastrointestinal Endoscopy. Mar 16; 7(3): 162–168. PMC4360434.10.4253/ wjge.v7.i3.162. Falowski S, Ooi YC, Bakay RA. Long Term Evaluation of Changes in Operative Technique and Hardware Related Complications with Deep Brain Stimulation. Journal of Neuromodulation. Dec 2015; 18(8): 670-7. doi: 10.1111/ner.12335. Epub Aug 5, 2015. Falowski SM, DiLorenzo DJ, Shannon LR, Wallace DJ, Devries J, Kellogg RG, Cozzi NP, Fogg LF, Byrne RW. Optimizations and Nuances in Neurosurgical Technique for the Minimization of Complications in Subdural Electrode Placement for Epilepsy Surgery. World Neurosurgery. Feb 2015. doi: 10.1016/j.wneu.2015.01.018.

Falowski, S. Deep Brain Stimulation for Chronic Pain. Current Pain and Headache Report. Jul 2015; 19(7):27. doi: 10.1007/s11916-015-0504-1. Falowski, S. The Ongoing Debate of the Utility of Magnetic Resonance Imaging Conditional Neuromodulation Devices. Journal of Neuromodulation. Jun 2015; 18(4): 337-8. doi: 10.1111/ner.12306. Franco JJ, Mesia CI, Escarcega RO, Stevens R, Moulick A. Oblique Coronary Artery Prolongation Approach in Anomalous Left Coronary Artery From the Pulmonary Artery in a Low-Birth-Weight Neonate. World Journal for Pediatric and Congenital Heart Surgery. Apr 1, 2015; 6(2): 328-31. Hon HH, Kousari YM, Papadimos TJ, Tsavoussis A, Jeanmonod R, Stawicki SP. What’s New in Critical Illness and Injury Science? Nonaccidental Burn Injuries, Child Abuse Awareness and Prevention, and the Critical Need for Dedicated Pediatric Emergency Specialists: Answering the Global Call for Social Justice for our Youngest Citizens. International Journal of Critical Illness and Injuries Science. Oct-Dec 2015; 5(4): 223–226. PMC4705565. doi: 10.4103/2229-5151.170854. Housley BC, Stawicki SP, Evans DC, Jones C. Comorbidity-Polypharmacy Score Predicts Readmission in Older Trauma Patients. The Journal of Surgical Research. Nov 2015; 199(1): 237-43. 26163329. doi: 10.1097/BCR.0000000000000094. Jones C, Stawicki SP, Evans DC. Mechanical Complications of Nasoenteric Tubes. Diet and Nutrition in Critical Care. Rajendram R, Preedy VR, and Petel VB, Editors. Springer: Heidelberg. May 29, 2015: 1625-1635. Justiniano CF, Coffey RA, Evans DC, Jones LM, Jones CD, Bailey JK, Miller SF, Stawicki SP. Comorbidity-Polypharmacy Score Predicts In-Hospital Complications and the Need for Discharge to Extended Care Facility in Older Burn Patients. Journal of Burn Care and Research. Jan-Feb 2015; 36(1): 193-625559732. doi: 10.1097/BCR.0000000000000094. Kelly N, Esteve R, Papadimos TJ, Sharpe RP, Keeney SA, DeQuevedo R, Portner M, Bahner DP, Stawicki SP. Clinician-Performed Ultrasound in Hemodynamic and Cardiac Assessment: A Synopsis of Current Indications and Limitations. European Journal of Trauma and Emergency Surgery. Oct 2015; 41(5): 469-80. 26038013. doi: 10.1007/s00068-014-0492-6. Kindel T, Latchana N, Swaroop M, Chaudhry UI, Noria SF, Choron RL, Seamon MJ, Lin MJ, Mao M, Cipolla J, El Chaar M. Laparoscopy in Trauma: An Overview of Complications and Related Topics. International Journal of Critical Illness and Injury Science. Oct-Dec 2015 Oct; 5(4): 256–264. PMC4705572. doi: 10.4103/2229-5151.170840. Knight P, Anagnostakos JP, Lin MJ, Geme B, Stawicki SP. Fecal Microbiota Transplantation (FMT) for Clostridium Difficile Colitis. OPUS 12 Scientist. 2015; 9(1): 1-8. Knight PH, Maheshwari N, Hussain J, Scholl M, Hughes M, Papadimos TJ, Guo WA, Cipolla J, Stawicki SP, Latchana N. Complications During Intrahospital Transport of Critically Ill Patients: Focus on Risk Identification and Prevention. International Journal of Critical Illness and Injury Science. Oct-Dec 2015; 5(4): 256–264. PMC4705572. doi: 10.4103/2229-5151.165007. Kumar R, Sinha A, Lin MJ, Uchino R, Butryn T, O’Mara MS, Nanda S, Shirani J, Stawicki SP. Complications of Pericardiocentesis: A Clinical Synopsis. International Journal of Critical Illness and Injury Science. Jul-Sep 2015; 5(3): 206–212. PMC4613420. doi: 10.4103/2229-5151.165007.

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Kuroki LM, Benn TE, Dukes JL, Hagemann AR, Thaker PH, Powell MA, Mutch DG, Massad LS, Zighelboim I. Awareness of the Association Between Obesity and Peri-operative Risk among Newly Diagnosed Patients with Complex Atypical Hyperplasia and Endometrial Cancer. Gynecologic Oncology Reports. Apr 2015; 12: 41-44. PMID: 25995994. Lavingia KS, Collins JN, Soult MC, Terzian WH, Weireter LJ, Britt LD. Torso Computed Tomography Can Be Bypassed after Thorough Trauma Bay Examination of Patients Who Fall from Standing. The American Surgeon. Aug 1, 2015; 81(8): 798-801. Lin MJ, Barry N, Akusoba I, Hon HH, Cohen MS, Shukla P, Cipolla J, Stawicki SP, Hoey BA. Traditional Autopsy Versus Computed Tomography Imaging Autopsy in Trauma: A Case of “Synergistic Disagreement.” Surgery. Jul 1, 2016; 160(1): 211-9. 26038013. doi: 10.1016/j.surg.2016.02.033. Mahan VL, Stevens RM, Mesia CI, Schwartz RE, Moulick AN. The Internal Mammary Artery as a Shunt in a Noncyanotic Infant with Hemitruncus: Surgical and Anesthetic Management. Journal of Clinical Anesthesia. 2016 Aug 31;32:12-6. Mao M, Hughes R, Papadimos TJ, Stawicki SP. Complications of Chest Tubes: a Focused Clinical Synopsis. Current Opinion in Pulmonary Medicine. Jul 2015; 21(4): 376-86. 26016583. doi: 10.1097/ MCP.0000000000000169. Mubang RN, Stoltzfus JC, Cohen MS, Hoey BA, Stehly CD, Evans DC, Jones C, Papadimos TJ, Grell J, Hoff WS, Thomas P. Comorbidity–Polypharmacy Score as Predictor of Outcomes in Older Trauma Patients: A Retrospective Validation Study. World Journal of Surgery. Aug 2015; 39(8): 2068-75. PMC4879804. doi: 10.1007/s00268-015-3041-5. Palazzo JP, Toll AD. Gastric MALT Lymphoma Associated with Helicobacter Pylori Infection. In Gulati G, Filicko-O’Hara J, Krause J, eds. (2011) Case Studies in Hematology and Coagulation. Chicago, IL. ASCP Press. Pope J, Falowski S, Deer T. Advanced Waveforms and Frequency with Spinal Cord Stimulation: Burst and High-Frequency Energy Delivery. Expert Review of Medical Devices. June 2015; 18(4): 337-8. doi: 10.1111/ner.12306.

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Pope J, Poree L, Falowski S. Implications of the Medtronic Consent Decree on Your Practice. Journal Neuromodulation. 2015. Pope J, Poree L, McRoberts WP, Falowski S, Deer T. Consent Decree: Physician and Institution Ramifications? Neuromodulation. Dec 1, 2015; 18(8): 653-6. doi: 10.1111/ner.12374. Sadej P, Feld RI, Toll AD, Palazzo JP. AIRP Best Cases in Radiologic-pathologic Correlation: Spindle Cell Carcinoma of the Esophagus. Radiographics 2011; 31(7): 2035-2039. Shen YS, Hon HH, Papadimos TJ, Stawicki SP, Schrag SP. Malignant Peripheral Nerve Sheath Tumor. International Journal of Academic Medicine. 2015; 1(1): 45. Stawicki SP, Bahner DP. Modern Sonology and the Bedside Practitioner: Evolution of Ultrasound from Curious Novelty to Essential Clinical Tool. European Journal of Trauma and Emergency Surgery. Oct 2015; 41(5): 457-60. Stawicki SP, Kalra S, Jones C, Justiniano CF, Papadimos TJ, Galwankar SC, Pappada SM, Feeney JJ, Evans DC. Comorbidity Polypharmacy Score and its Clinical Utility: A Pragmatic Practitioner’s Perspective. Journal of Emergencies, Trauma and Shock. Oct-Dec 2015; 8(4): 224–231. PMC4626940. doi: 10.4103/0974-2700.161658. Stawicki SP, Kent A, Patil P, Jones C, Stoltzfus JC, Vira A, Kelly N, Springer AN, Vazquez D, Evans DC, Papadimos TJ. Dynamic Behavior of Venous Collapsibility and Central Venous Pressure during Standardized Crystalloid Bolus: A Prospective, Observational, Pilot Study. International Journal of Critical Illness and Injury Science. Apr-Jun 2015; 5(2): 80–84. PMC4477400. doi: 10.4103/2229-5151.158392. Styskel B, Wernick B, Mubang RN, Falowski SM, Papadimos TJ, Stawicki SP. Retained Surgical Items: Building on Cumulative Experience. International Journal of Academic Medicine. 2016; 2: 5-21. doi: 10.4103/2455-5568.183316. Sweet JA1, Mitchell LS, Narouze S, Sharan AD, Falowski SM, et.al. Occipital Nerve Stimulation for the Treatment of Patients With Medically Refractory Occipital Neuralgia: Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline. Neurosurgery. Jun 29, 2015. [Epub ahead of print]

Thompson JF, Agarwala SS, Smithers BM, Ross MI, Scoggins CR, Coventry BJ, Neuhaus SJ, Minor DR, Singer JM, Wachter EA. Phase 2 Study of Intralesional PV-10 in Refractory Metastatic Melanoma. Annals of Surgical Oncology. Jul 1, 2015; 22(7): 2135-42. Throckmorton AL, Chopski SG, Birewar SN, Joa TS, Huang P, Whitehead KK, Stevens RM, Kresh JY. Vortical Flow Characteristics of Mechanical Cavopulmonary Assistance: Pre-and Post-swirl Dynamics. Technology and Health Care. 2016 Mar 31(Preprint): 1-2. Toll AD, Ali SZ. Urinary Cytomorphology and Clinical Correlates of Prostatic Small Cell Neuroendocrine Carcinoma. Acta Cytologica. 2013; 57(5): 495-500. Toll AD, Fabius D, Pequignot E, Hyslop T, Infantolino A, DiMarino AJ, Palazzo JP. Prognostic Significance of High-grade Dysplasia in Colorectal Adenomas. Journal Commentary by Dr. Robert Riddell. Colorectal Disease. 2011; 13(4): 370-380. Toll AD, Hruban RH, Ali SZ. Acinar Cell Carcinoma of the Pancreas: Clinical and Cytomorphologic Characteristics. Korean Journal of Pathology. 2013; 47(2): 93-99. Toll AD, Kowalski T, Loren D, Bibbo M. The Added Value of Molecular Testing in Small Pancreatic Cysts. Journal of the Pancreas. 2010; 11(6): 582-586 Toll AD, Malik S, Tuluc M. Ulcerative Gastritis Secondary to Epstein-Barr Viral Infection. Digestive Diseases and Sciences. 2010; 55(1): 218-219. Toll AD, Palazzo JP. Diffuse Colitis Cystica Profunda in a Patient with Ulcerative Colitis. Inflammatory Bowel Diseases. 2009; 15(10): 1454-1455 Toll AD, Rossi ED, Ali SZ. Role of Ancillary Testing in Thyroid Fine Needle Aspiration: Review and Update. Journal of the American Society of Cytopathology. 2014; 3(4): 218-224. Tsavoussis A, Stawicki SP, Papadimos TJ. Child-Witnessed Domestic Violence: An Epidemic in the Shadows. International Journal of Critical Illness and Injury Science. Jan-Mar 2015; 5: 64-5. doi: 10.4103/2229-5151.152354. Uchino R, Yanagawa F, Weigand B, Orlando JP, Tachovsky TJ, Dave KA, Stawicki SP. Focus on Emotional Intelligence in Medical Education: From Problem Awareness to Systembased Solutions. International Journal of Academic Medicine. 2015; 1(1): 9-20. Weksler B, Kosinski AS, Burfeind WR, Silvestry SC, Sullivan J, Dâ&#x20AC;&#x2122;Amico TA. Racial and Ethnic Differences in Lung Cancer Surgical Stage: An STS Database Study. Thoracic Cardiovascular Surgery. Oct 2015; 63(7): 538-43. doi: 10.1055/s-0035-1546295. Epub 2015 May 18. Wernick B, Jansen M, Noria S, Stawicki SP, El Chaar M. Essential Bariatric Emergencies for the Acute Care Surgeon. European Journal of Trauma and Emergency Surgery. Dec 15, 2015. [Epub ahead of print] Wernick B, MacBean U, Mubang RN, Wojda TR, Liu SC, Evans DC, Hoey BA, Hoff WS, Thomas P, Stawicki SP. Leukocytosis after Splenic Injury: A Comparison of Splenectomy, Embolization, and Observation. Journal of American College Surgery. 2015; 221(4 Suppl 1): S164. doi: 10.1016/j.jamcollsurg. Wojda TR, Cardone MS, Lo WD, Stawicki SP, Evans DC. Ultrasound and Computed Tomography Imaging Technologies for Nutrition Assessment in Surgical and Critical Care Patient Populations. Current Surgery Reports. Aug 1, 2015; 3(8): 1-8.

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Wojda TR, Valenza PL, Cornejo K, McGinley T, Galwankar SC, Kelkar D, Sharpe RP, Papadimos TJ, Stawicki SP. The Ebola Outbreak of 2014-2015: From Coordinated Multilateral Action to Effective Disease Containment, Vaccine Development, and Beyond. Journal of Global Infectious Disease. Oct-Dec 2015; 7(4): 127–138. PMC4693303. doi: 10.4103/0974-777X.170495. Zighelboim I, Ali S, Lankes HA, Backes F, Moore K, Mutch D, Robison K, Behbakht K, Waggoner S, Ghebre RG, Pearl M, Ramirez NC, Goodfellow P. Assessing the Prognostic Role of ATR Mutation in Endometrioid Endometrial Cancer: An NRG Oncology/Gynecologic Oncology Group Study. Gynecological Oncology. Sep 2015; 138(3): 614-9. doi: 10.1016/j.ygyno.2015.06.038. Epub 2015 Jul 3. PMID: 26144601. PRESENTATIONS Balinger C, Tolentino JC, Birriel TJ, Gilbert V, Burfeind W, Halpern AE, Puc M. Lung Cancer Screening in a Community Setting: Medicare Patients Have Similar Outcomes to Younger Patients. Poster presentation. Resident Surgical Forum, the 2015 Clinical Congress of the American College of Surgeons; Oct 2015; Chicago, IL. Bowling S, Firstenberg MS, Papadimos TJ, Stawicki SP, Hejal R. Intracranial Hemorrhage while on Extracorporeal Membrane Oxygenation (ECMO) for Respiratory Failure due to Influenza H1N1 Flu: The Role of Risk Factors and Complications on Outcomes. Podium presentation at the European Society for Cardiovascular and Endovascular Surgery (ESCVS); Mar 26-29; Istanbul, Turkey. Bowling S, Hejal R, Shenoy R, Espinal E, Papadimos TJ, Stawicki SP, Firstenberg MS. International Registry Experience with Neurologic Complications in Patients Receiving ECMO Support during the Pandemic Influenza H1N1: Morbid but not Futile. Podium presentation. The European Society for Cardiovascular and Endovascular Surgery (ESCVS); Mar 26-29; Istanbul, Turkey. Firstenberg MS, Hejal R, Shenoy RS, Espinal E, Stawicki SP, Papadimos TJ. Death after Near-death: Risk Factors for Mortality Among H1N1 Victims who Survived to Be Successfully Weaned from ECMO. International Registry Insights. Podium presentation. The European Society for Cardiovascular and Endovascular Surgery (ESCVS); Mar 26-29; Istanbul, Turkey.

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Lin MJ, Barry N, Akusoba I, Hon HH, Cohen MS, Shukla P, Cipolla J, Stawicki SP, Hoey BA. Traditional Autopsy versus CT-imaging Autopsy: A Case of “Synergistic Disagreement.” Presented at the 2015 Annual St. Luke’s University Health Network Resident Research Symposium; Jun 4, 2015; Bethlehem, PA. Mubang RN, Wojda TR, Hoff WS, Hoey BA, Thomas PG, O’Rourke D, Stawicki SP. “Determining the Futility of Operative Traumatic Brain Injury Management in Older Trauma Patients: A Novel Risk Assessment Tool Based on Initial Brain CT Findings.” Podium presentation at the 2015 Annual Pennsylvania Chapter of the American College of Surgeons Committee on Trauma Resident Paper Competition; Oct 2015; Harrisburg, PA. Stawicki SP, Keynote Speaker. From Concept to Manuscript: A Road Map to Success in Research & Publication. Presented at the OhioHealth Grant Medical Center Research Workshop, Hugenberger Auditorium; Feb 2015; Columbus, OH. Tolentino J. Polypharmacy-Comorbidity Score is an Independent Predictor of Hospital Mortality and Readmissions for Medical-Surgical Patients. Podium presentation at the 2015 Annual Scientific Meeting of the Keystone Chapter, American College of Surgeons; Nov 2015; Scranton, PA. Wernick B, MacBean U, Mubang RN, Wojda TR, Liu SC, Evans DC, Hoey BA, Hoff WS, Thomas PG, Stawicki SP. Leukocytosis after Splenic Injury: A Comparison of Splenectomy, Embolization and Observation. Podium presentation at the Resident Surgical Forum, the 2015 Clinical Congress of the American College of Surgeons; Oct 2015; Chicago, IL. Wojda T. Aeromedical Transportation Risk: A Critical Re-Appraisal. Podium presentation at the 2015 Annual Scientific Meeting of the Keystone Chapter, American College of Surgeons; Nov 2015; Scranton, PA.

St. Luke’s Surgery Residents Present at the 2015 Academic Surgical Congress Meeting The Academic Surgical Congress (ASC) is a joint meeting of the two leading associations for academic surgery — the Association for Academic Surgery (AAS) and the Society of University Surgeons (SUS). Together, the AAS and SUS boast more than 5,000 members from leading institutions nationwide. The 10th Annual Academic Surgical Congress (ASC) was February 3-5, 2015, at the Encore at Wynn, Las Vegas, Nevada. More than 1,100 academic surgeons from a breadth of disciplines participated. Medical students, residents and young surgeons were acknowledged for their thought-provoking work and established surgical leaders presented keynote addresses. “ASC is one of the most prestigious academic surgical meetings in the world and very competitive to get research accepted for presentation,” notes Brian Hoey, MD, Program Director, St. Luke’s University Surgical Residency. “For St. Luke’s to have been chosen by ASC to present three papers in our first ever appearance there is really a testament to the great work done by our new Chair of Research and Innovation, Stan Stawicki, MD. He has hit the ground running and has already been quite an inspiration to our surgical residents.” The mission of the Academic Surgical Congress (ASC) is to promote surgical research investigations through the communication of ideas between surgical residents, surgical fellows, junior surgical faculty, and full professors, and through awarding surgical research grants. Members and leaders of the association usually maintain active laboratories or academic research programs at their institutions. In recent years, the association has increased its international involvement and taken a role in policy development. Increasingly, new members are from outside North America. Going to the podium at ASC in Las Vegas for St. Luke’s were general surgery residents: • Ronnie Mubang, MD, presenting on, “Validation of comorbidity-polypharmacy score as predictor of outcomes in older trauma patients.” • Heidi Hon, MD, presenting on, “Inappropriate warfarin use in trauma: Time for a safety initiative.” • Katherine Balinger, MD, presenting on, “Will I miss an aneurysm? The role of CTA in traumatic subarachnoid hemorrhage.” “St. Luke’s is now more than ever committed to supporting research,” Dr. Hoey adds. “All surgical residents are required, with the assistance of faculty mentors, to complete a minimum of four projects prior to completing their residency. The expectation is that this work will be presented at a national meeting and ultimately be published.” “Our high-profile showing at ASC this year should really help in spreading the good word out there globally about St. Luke’s University Health Network,” notes Dr. Hoey, “and in continuing to attract and maintain the best and the brightest physicians here at St. Luke’s for our patients.”

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Traumatology, Surgical Critical Care & Acute Care Surgery The St. Luke’s University Network Trauma Program is committed to providing exceptional patient care to those requiring injury and emergency surgical expertise, offering outstanding education, conducting cutting edge research, and sharing its experience with others — regionally, nationally and internationally. Celebrating its 15th anniversary, the St. Luke’s University Hospital Adult Level I Trauma Center provides state-ofthe art care to patients throughout the Lehigh Valley area, eastern Pennsylvania and western New Jersey. Located at St. Luke’s University Hospital–Bethlehem, the Trauma Center has completed two consecutive accreditation cycles with no citations. This is a very unique achievement that very few top trauma centers can claim. The St. Luke’s Division of Trauma & Acute Care Surgery has trained experts in critical care for nearly a decade. It is led by William S. Hoff MD, FACS, Division Chief; Peter Thomas, DO, FACOG, Trauma Program Medical Director; and James Cipolla, MD, FACS, Section Head, Surgical Critical Care and Director of the Surgical Critical Care Fellowship. This effort, combined with the establishment of the Medical School of Temple University/St. Luke’s University Health Network, established our Level I Trauma Center as a local leader in trauma and medical education. In addition, the Division of Trauma & Acute Care Surgery is among the research leaders of the St. Luke’s University Health Network, with clinical research being at the forefront of its mission. Trauma physicians and staff are actively involved in research and scholarly activities, participating in high-profile national clinical trials, presenting original contributions at regional and national meetings, and publishing in major scientific journals. More recently, the Division of Trauma & Acute Care Surgery has seen tremendous growth in the volume and acuity of general surgery cases performed by its surgeons. This clinical mission greatly complements greatly the efforts of Brian A. Hoey, MD, FACS, Director, General Surgery Residency, by fostering a synergistic relationship between clinical practice, medical education and growing research footprint.

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HONORS AND AWARDS St. Luke’s Trauma, Critical Care and Acute Care surgeon James Cipolla, MD, FACS, was named the Chief of Surgery for St. Luke’s Hospital Miners Campus, Coaldale, Pennsylvania. St. Luke’s University Hospital – Bethlehem emergency physician John Prestosh, DO, FACOEP, was recently named as the 20th president of the American College of Osteopathic Emergency Physicians (ACOEP) during its annual Scientific Assembly. St. Luke’s Trauma, Critical Care and Acute Care surgeon Stanislaw P. Stawicki, MD, MBA, FACS, became a member of both the Society of University Surgeons (SUS) and the American Association for the Surgery of Trauma (AAST). PUBLICATIONS Avery DM, Caggiano NM, Matullo KS. Ulnar Collateral Ligament Injuries of the Thumb: A Comprehensive Review. Orthopedic Clinics of North America. Apr 30, 2015; 46(2): 281-92. Balinger KJ, Elmously A, Hoey BA, Stehly CD, Stawicki SP, Portner ME. Selective Computed Tomographic Angiography in Traumatic Subarachnoid Hemorrhage: A Pilot Study. Journal of Surgical Research. Nov 30, 2015; 199(1): 183-9. Balinger KJ, Lam MT, Hon HH, Stawicki SP, Anasti JN. Amniotic Fluid Embolism: Despite Progress, Challenges Remain. Current Opinion in Obstetrics and Gynecology. Dec 1, 2015; 27(6): 398-405. Cipriano A, Mao ML, Hon HH, Vazquez D, Stawicki SP, Sharpe RP, Evans DC. An Overview of Complications Associated with Open and Percutaneous Tracheostomy Procedures. International Journal of Critical Illness and Injury Science. Jul 2015; 5(3): 179.

The St. Luke’s Division of Trauma & Acute Care Surgery has trained experts in critical care for nearly a decade.

Evans D, Pester J, Vera L, Jeanmonod D, Jeanmonod R. Elderly Fall Patients Triaged to the Trauma Bay: Age, Injury Patterns, and Mortality Risk. The American Journal of Emergency Medicine. Nov 30, 2015; 33(11): 1635-8. Evans D, Vera L, Jeanmonod D, Pester J, Jeanmonod R. Application of National Emergency X-Ray Utilizations Study Low-risk C-spine Criteria in High-risk Geriatric Falls. The American Journal of Emergency Medicine. Sep 30, 2015; 33(9): 1184-7. Evans DC, Wojda TR, Jones C, Otey AJ, Stawicki SP. Intentional Ingestions of Foreign Objects Among Prisoners: A Review. World Journal of Gastrointestinal Endoscopy. 2015; 7(3): 162-168. doi: 10.4253/wjge.v7.i3.162. Hon HH, Kousari YM, Papadimos TJ, Tsavoussis A, Jeanmonod R, Stawicki SP. Whatâ&#x20AC;&#x2122;s New in Critical Illness and Injury Science? Nonaccidental Burn Injuries, Child Abuse Awareness and Prevention, and the Critical Need for Dedicated Pediatric Emergency Specialists: Answering the Global Call for Social Justice for our Youngest Citizens. International Journal of Critical Illness and Injury Science. Oct 2015; 5(4): 223. Housley BC, Stawicki SP, Evans DC, Jones C. Comorbidity-polypharmacy Score Predicts Readmission in Older Trauma Patients. Journal of Surgical Research. Nov 30, 2015; 199(1): 237-43. Jones C, Stawicki SP, Evans DC. Mechanical Complications of Nasoenteric Tubes. Diet and Nutrition in Critical Care. 2015: 1625-35. Justiniano CF, Coffey RA, Evans DC, Jones LM, Jones CD, Bailey JK, Miller SF, Stawicki SP. Comorbidity-polypharmacy Score Predicts In-hospital Complications and the Need for Discharge to Extended Care Facility in Older Burn Patients. Journal of Burn Care & Research. 2015; 36(1): 193-196. doi: 10.1097/ BCR.0000000000000094. Kelly N, Esteve R, Papadimos TJ, Sharpe RP, Keeney SA, DeQuevedo R, Portner M, Bahner DP, Stawicki SP. Clinician-performed Ultrasound in Hemodynamic and Cardiac Assessment: A Synopsis of Current Indications and Limitations. European Journal of Trauma and Emergency Surgery. Oct 1, 2015; 41(5): 469-80.

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Kindel T, Latchana N, Swaroop M, Chaudhry UI, Noria SF, Choron RL, Seamon MJ, Lin MJ, Mao M, Cipolla J, El Chaar M. Laparoscopy in Trauma: An Overview of Complications and Related Topics. International Journal of Critical Illness and Injury Science. Jul 2015; 5(3): 196. Knight PH, Maheshwari N, Hussain J, Scholl M, Hughes M, Papadimos TJ, Guo WA, Cipolla J, Stawicki SP, Latchana N. Complications during Intrahospital Transport of Critically Ill Patients: Focus on Risk Identification and Prevention. International Journal of Critical Illness and Injury Science. Oct 2015; 5(4): 256. Kumar R, Sinha A, Lin MJ, Uchino R, Butryn T, O’Mara MS, Nanda S, Shirani J, Stawicki SP. Complications of Pericardiocentesis: A Clinical Synopsis. International Journal of Critical Illness and Injury Science. Jul 2015; 5(3): 206. Lavingia KS, Collins JN, Soult MC, Terzian WH, Weireter LJ, Britt LD. Torso Computed Tomography Can Be Bypassed after Thorough Trauma Bay Examination of Patients Who Fall from Standing. The American Surgeon. Aug 1, 2015; 81(8): 798-801. Mao M, Hughes R, Papadimos TJ, Stawicki SP. Complications of Chest Tubes: A Focused Clinical Synopsis. Current Opinion in Pulmonary Medicine. Jul 1, 2015; 21(4): 376-86. Matullo KS, Dennison DG. Outcome Following Distally Locked Volar Plating for Distal Radius Fractures with Metadiaphyseal Involvement. Hand. Jun 1, 2015; 10(2): 292-6. Mubang RN, Stoltzfus JC, Cohen MS, Hoey BA, Stehly CD, Evans DC, Jones C, Papadimos TJ, Grell J, Hoff WS, Thomas P. Comorbidity–Polypharmacy Score as Predictor of Outcomes in Older Trauma Patients: A Retrospective Validation Study. World Journal of Surgery. Aug 1, 2015; 39(8): 2068-75. Stawicki SP, Bahner DP. Modern Sonology and the Bedside Practitioner: Evolution of Ultrasound from Curious Novelty to Essential Clinical Tool. European Journal of Trauma and Emergency Surgery. Oct 1, 2015; 41(5): 457-60. Stawicki SP, Kalra S, Jones C, Justiniano CF, Papadimos TJ, Galwankar SC, Pappada SM, Feeney JJ, Evans DC. Comorbidity Polypharmacy Score and its Clinical Utility: A Pragmatic Practitioner’s Perspective. Journal of Emergencies, Trauma, and Shock. Oct 2015; 8(4): 224.

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Bowling S, Hejal R, Shenoy R, Espinal E, Papadimos TJ, Stawicki SP, Firstenberg MS. International Registry Experience with Neurologic Complications in Patients Receiving ECMO Support during the Pandemic Influenza H1N1: Morbid but not Futile. Podium presentation at the European Society for Cardiovascular and Endovascular Surgery (ESCVS); Mar 26-29, 2015; Istanbul, Turkey. Firstenberg MS, Hejal R, Shenoy RS, Espinal E, Stawicki SP, Papadimos TJ. Death after Neardeath: Risk Factors for Mortality among H1N1 Victims Who Survived to be Successfully Weaned from ECMO. International Registry Insights. Podium presentation at the European Society for Cardiovascular and Endovascular Surgery (ESCVS); Mar 26-29, 2015; Istanbul, Turkey. Hon HH, Elmously A, Stehly CD, Stoltzfus JC, Stawicki SP, Hoey BA. Inappropriate Warfarin Use in Trauma: Time for a Safety Initiative. Podium presentation at the Academic Surgical Congress; Feb 2015; Las Vegas, NV. Housley BC, Kelly NJ, Baky FJ, Stawicki SP, Evans DC, Jones C. Comorbidity-polypharmacy Score Predicts Readmission in Older Trauma Patients. Podium presentation at the Academic Surgical Congress; Feb 2015; Las Vegas, NV. Lin MJ, Barry N, Akusoba I, Hon HH, Cohen MS, Shukla P, Cipolla J, Stawicki SP, Hoey BA. Traditional Autopsy versus CT-imaging Autopsy: A Case of “Synergistic Disagreement.” Presented at the 2015 Annual St. Luke’s University Health Network Resident Research Symposium; June 4, 2015; Bethlehem, PA. Mubang RN, Stoltzfus JC, Hoey BA, Stehly CD, Evans DC, Jones C, Papadimos TJ, Cohen MS, Grell J, Hoff WS, Thomas P, Cipolla J, Stawicki SP. Validation of ComorbidityPolypharmacy Score as Predictor of Outcomes in Older Trauma Patients. Podium presentation at the Academic Surgical Congress; Feb 2015; Las Vegas, NV. Mubang RN, Wojda TR, Hoff WS, Hoey BA, Thomas PG, O’Rourke D, Stawicki SP. “Determining the Futility of Operative Traumatic Brain Injury Management in Older Trauma Patients: A Novel Risk Assessment Tool Based on Initial Brain CT findings.” Podium presentation at the 2015 Annual Pennsylvania Chapter of the American College of Surgeons Committee on Trauma Resident Paper Competition; Oct 2015; Harrisburg, PA. Stawicki SP, Keynote Speaker. From Concept to Manuscript: A Road Map to Success in Research & Publication. Presented at the OhioHealth Grant Medical Center Research Workshop; Feb 2014; Hugenberger Auditorium, Columbus, OH. Styskel B, Wernick B, Mubang RN, Sabol DM, Granson MA, Rosenfeld JC, Moffatt-Bruce SD, Stawicki SP. Natural History of Retained Surgical Items: Building on Cumulative Experience. Wernick B, MacBean U, Mubang RN, Wojda TR, Liu SC, Evans DC, Hoey BA, Hoff WS, Thomas P, Stawicki SP. Leukocytosis Following Splenic Injury: A Comparison of Splenectomy, Embolization, and Observation. Podium presentation at the 2015 Annual St. Luke’s University Health Network Resident Research Symposium; June 4, 2015; Bethlehem, PA. Wernick B, MacBean U, Mubang RN, Wojda TR, Liu SC, Evans DC, Hoey BA, Hoff WS, Thomas PG, Stawicki SP. “Leukocytosis after Splenic Injury: A Comparison of Splenectomy, Embolization, and Observation.” Podium presentation at the Resident Surgical Forum, the 2015 Clinical Congress of the American College of Surgeons; Oct 2015; Chicago, IL.

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2016 ANNUAL REPORT

SLUHN DEPARTMENT OF RESEARCH & INNOVATION

Wound Care and Hyperbaric Medicine St. Luke’s University Health Network provides advanced diagnostics and treatment of non-healing wounds and ulcers. Specialty centers are located in Allentown, Bethlehem, Coaldale and Quakertown, Pennsylvania and Phillipsburg, New Jersey. The multidisciplinary team of professionals includes general surgeons, traumatologists, plastic and vascular surgeons, podiatrists, infectious disease physicians, specially trained wound care nurses, certified wound ostomy continence nurses (CWOCN) and certified wound specialists (CWS). Under the direction of John Lukaszczyk, MD, Network Medical Director of Wound Care, the staff of the five St. Luke’s Wound Management Centers facilitates more than 14,000 patient visits per year, not including hyperbaric oxygen treatments. Available at four of the five locations, hyperbaric oxygen (HBO) therapy, treats conditions including non-healing, complicated diabetic ulcers, lower extremity limb salvage, nonhealing wounds due to radiation complications (STRN), radiation induced cystitis, proctitis and enteritis and dental/jaw complications associated with a history of radiation to the neck and jaw and chronic bone infections. St. Luke’s Wound Management Centers treat the entire spectrum of non-healing wounds and cutaneous manifestations of co-morbidities such as chronic diabetes, scleroderma, pyoderma gangrenosum and systemic lupus erythematosus (SLE). Dr. Lukaszczyk also serves as the Chief of Minimally Invasive Surgery, Section Chief of General Surgery and Associate Program Director for the General Surgery Residency Program. He also is a Clinical Associate Professor of Surgery, Temple University School of Medicine and is a surgery faculty member of the University of Pennsylvania School of Medicine. Among his many accomplishments, Dr. Lukaszczyk was the first surgeon in Pennsylvania to perform robotic surgery using the daVinci Surgical System. Because a nuanced understanding of the issues affecting a person’s ability to heal is so crucial to treating the wound itself, the doctors and nurses of the St. Luke’s Wound Management Centers coordinate with referring physicians and facilitate other clinical and non-clinical services to provide comprehensive patient care.

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In addition, our wound care team is actively involved in clinical trials, including novel pharmaceutical approaches to devastating conditions such as necrotizing fasciitis. PUBLICATIONS Hon HH, Kousari YM, Papadimos TJ, Tsavoussis A, Jeanmonod R, Stawicki SP. What’s New in Critical Illness and Injury Science? Nonaccidental Burn Injuries, Child Abuse Awareness and Prevention, and the Critical Need for Dedicated Pediatric Emergency Specialists: Answering the Global Call for Social Justice for our Youngest Citizens. International Journal of Critical Illness and Injury Science. Oct 2015; 5(4): 223. Kirsner RS, Bernstein B, Bhatia A, Lantis J, Le L, Lincoln K, Liu P, Rodgers L, Shaw M, Young D. Clinical Experience and Best Practices Using Epidermal Skin Grafts on Wounds. Wounds. Nov 2015; 27(11): 282-92. PRESENTATIONS Bernstein B, Statkewicz M. Improved Split Thickness Graft Take with Negative Pressure Wound Therapy in High-Risk Wounds. Poster presentation. ACFAS Annual Scientific Conference; Feb 2015; Phoenix, AZ. Bronfenbrenner E, Seiler D, Busch E, Bernstein B. Hospital Admissions for Lower Extremity Infections: Comorbidities, Procedures, and Length of Stay. Poster presentation. ACFAS Annual Scientific Conference; Feb 2015; Phoenix, AZ.

St. Luke’s University Health Network provides advanced diagnostics and treatment of non-healing wounds and ulcers.

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RESEARCH.SLUHN.ORG 2016 EDITION