Remedy Fall 2014 by Roseman University of Health Sciences

2 0 1 1 4

FALL 2014

PUBLISHING SEMIANNUALLY

VOLUME 4, ISSUE 1

xxxxx

INSIDE

hank

YOU! Thank you to our donors who help make Roseman and our students success.

Visit www.roseman.edu/giving to learn more about Roseman donors or to make a gift and invest in the future of the University.

inside

FEATURES Decision-Making Models: A Case Study in African Village Healthcare and the Dollar p.16

Roseman University Dental Students Work to Address Children’s Oral Health p. 20

A Case Study in African Village Healthcare and the Dollar

Stroke Awareness p.22 Identifying Correct Pain Management Therapies to Reduce Medication Abuse p.23

Roseman University Tobacco-Free in 2014 p.18 SPECIAL REPORT Roseman University Establishes Research Center Dedicated To Substance Abuse and Depression p.24

Nevada’s New College of Medicine p.26

A Fast-Acting Antidepressant Appears Within Research p.25

Dr. Mark A. Penn Named as Founding Dean of the College of Medicine p.27

DEPARTMENTS remEDy

is published semi-annually by the Office of Marketing, Roseman University of Health Sciences 11 Sunset Way, Henderson, NV 89014 We welcome any comments, questions and submissions. remedymag@roseman.edu 702-968-1633 801-878-1035

EDITORIAL/LETTERS TO THE EDITOR

ARTS & CULTURE: FALL TRAVEL: ROAD TRIP NEVADA & UTAH

HEALTHY LIVING: ANTIBACTERIAL SOAP & MICROBIAL RESISTANCE 8 CRUISING…IS IT STILL SAFE? 9

College of Dental Medicine 702-968-5222 Nevada 801-878-1400 Utah

MBA Program 702-968-2015 Nevada 801-878-1111 Utah

THE SOURCE: INFORMATION RESOURCES EVIDENCE-BASED PRACTICE: A HEALTHCARE STANDARD 10 PROTECTING YOURSELF ONLINE AVOIDING THE DEVASTATING CONSEQUENCES OF IDENTITY AND FINANCIAL THEFT 12

College of Pharmacy 702-968-2007 Nevada 801-878-1053 Utah

College of Nursing 702-968-2075 Nevada 801-878-1062 Utah

INNOVATIONS: EXPLORING NEW HORIZONS IN ORTHODONTIC/DENTAL RESEARCH

ALUMNI NEWS: CHARTING YOUR PROFESSIONAL COURSE: A CONVERSATION WITH DR. CHARLES LACY 28 LENDING A HELPING HAND IN GHANA 29 EXPERIENTIAL LEARNING AT ROSEMAN: MY EXPERIENCE 30 OUTREACH IMPACT IN SOUTHERN NEVADA 31 PHARMACY DAY ON CAPITOL HILL PHARMACISTS: PROVIDERS OF PATIENT CARE 32 RED CROSS BLOOD DRIVE 29 ROSEMAN PEOPLE

14 remedy 3

letter from the editor

Letter from the

EDITOR

Roseman University was founded 15 years ago with a focus on providing the best education for future pharmacists. Over the years we have grown and changed to meet the changing healthcare landscape in the Intermountain West and throughout the United States, and we recently took another big step toward becoming a premier health sciences institution. In November 2013 Roseman merged with the former Nevada Cancer Institute, gaining nearly 185,000 square feet of research space for our world-class research team in the Ralph and Betty Engelstad Cancer Research Building. This new campus in Summerlin will also house the future College of Medicine. This comes at a time when Roseman’s research team is making a significant impact on the future of healthcare in the areas of cancer, diabetes, obesity and their related neuropathies, Alzheimer’s and Parkinson’s diseases, and cardiovascular disease. In this issue of remEDy you can read more about Dr. Jeffrey Talbot’s potential breakthrough in treating depression, and the new Roseman research center dedicated to substance abuse and depression. Our students have been making an impact in patients’ lives through outreach, education, and care for more than a decade, and we look forward to how our new College of Medicine and our research focus will help continue the path to even better care, better education, and improved treatments and outcomes in our communities.

Tracy Hernandez Editor

4 fall 2014

remedy 5

arts & culture

Cave Lake State Park Ward Charcoal Ovens State Park

Gr Na

Cathedral Gorge State Park

Ec Sta

B S Snow Canyon State Par

Death Valley National Park

Mt. Charleston

Valley of Fire State Park

Natio Red Rock Canyon National Conservation Area

6 fall 2014

arts & culture

FALL TRAVEL: Antelope Island State Park Bonneville Salt Flats Timpanogos Cave National Monument

Lake Park Great Basin National Park

Goblin Valley State Park

Capitol Reef Spring Valley National Park State Park Echo Canyon State Park e Bryce Canyon k Brian Head National Park Beaver Dam State Park Zion ow Canyon Lake Powell National Park State Park

y of Fire te Park

Arches National Park

Canyonlands National Park

Monument Valley Navajo Tribal Park

Grand Canyon Lake Mead National Recreation Area National Park

remedy 7

healthy living

bacteria that could diminish the usefulness of important antibiotics.”

By: Dr. Susan Watson, Active Campus Dean, College of Nursing, The Food and Drug AdministraAssistant Professor of Nursing tion (FDA) and the Environmental & Aleesia Banning, BSN student Protection Agency (which monitors

he old adage “more is better” may be untrue and even dangerous in the context of antibacterial soap products for hand hygiene. The Cary Institute identifies two of the active ingredients in antibacterial soaps that are causing concern as Triclosan and Triclorcarban. Triclosan is a synthetic antibacterial used in approximately half of liquid soaps, as well as personal care products such as toothpastes, deodorants, cosmetics, liquid cleansers, and detergents. Evidence exists that Triclosan is stimulating the development of resistant bacteria in streams and rivers according to research presented in the journal Environmental Science and Technology. Triclosan was created for use in a surgical environment in the 1960s because it slows or stops the growth of bacteria, fungi, and mildew. The study showed there is new evidence that Triclosan enters streams and rivers through domestic wastewater, leaky sewer infrastructure, and sewer overflows, with residues now common throughout the U.S. According to one of the researchers Emma Rosi-Marshall, “Not only does it disrupt aquatic life by changing native bacterial communities, but it’s linked to the rise of resistant 8 fall 2014

Triclosan as a pesticide) are collaborating to determine whether Triclosan should be removed as an ingredient from soaps and detergents. The FDA issued a proposed rule that will mandate that antibacterial hand soap and body wash manufacturers will need to demonstrate that their products are safe for long-term daily use and more effective than plain soap and water in preventing illness and the spread of certain infections. Currently, no evidence exists that over-the-counter (OTC)

If soap and water are not available, an alcoholbased hand sanitizer that contains at least 60 percent alcohol and a moisturizer to minimize irritation to the skin should be used. Alcohol is immediately effective in killing bacteria and most viruses, although it does not kill all of them. The antimicrobial effect of alcohol is in its ability to destroy the bacterial cell membrane and viral capsid. Unlike other antiseptics and antibiotics, there is no reported or likely resistance to alcohol-based handrubs. In fact, the more alcohol rubs are used, the less antibioticresistant bacteria are able to spread, according to an article by Kathy Dix on the website Infection Control Today. In the article, Dr. Didier Pittet from the FDA indicated that there has not been any evidence that bacteria are resistant to alcohol in the same way they are resistance to medicated soaps often used for washing hands. While some microorganisms cause illness or disease, others are essential to the environment and life itself. Without good bacteria, yogurt, cheese, and certain medicines would not exist. For example, without Escherichia coli (bacteria that most people consider objectionable) and recombinant DNA technology, there would not be enough insulin to medicate all of the patients with diabetes, says a 2012 article in the Journal of Industrial Microbiology and Biotechnology.

antibacterial soap products are any more effective at preventing illness than washing with plain soap and water, says Colleen Rogers, Ph.D., a lead microbiologist at the FDA. Hand washing with soap and water for 24 seconds, the equivalent of two times through the "Happy Birthday" song, is still the gold standard for hand hygiene as recommended by the Centers for Disease Control.

A normal, healthy body has various external barriers and an immune system developed to fight bacteria and viruses, as long as their numbers are not overwhelming. The goal of good hand hygiene is to reduce the number of pathogenic microorganisms to a level low enough for the body to successfully fight them off, not to create a totally germ-free environment.

healthy living

By: Barbara Wood, or many people the dream Liaison for Community Outreach vacation is to take a cruise. for Health These massive floating vacation destinations offer a legion of servers at your beck and call; from your cabin to your dining table and everywhere in between, you are pampered and treated like royalty. Cruises have become remarkably affordable on a number of ships and cruise lines from family-friendly to couples retreats, fueling the demand for this type of vacation.

Recently, the question of whether or not cruise ships are safe has surfaced. There are a number of things that can happen on cruise ships, ranging from foodborne illness to people falling overboard, and in recent years we have also witnessed news reports of ship’s engines that fail leaving everyone on board stranded without power or food for days (such as the Carnival Triumph), or even ships that run aground and sink (such as the Costa Concordia).

passenger is required to attend the life vest and lifeboat safety talk. Passengers are grouped by cabin zone and shown how to put on the vests found in every cabin and which lifeboat they would board in case of emergency. Special accommodations are made for people with disabilities, and some ships even hold safety drills. While you may not think it’s necessary, paying attention during this safety presentation could save your life in an emergency.

While engines catching fire, sinking ships, and people falling overboard are relatively rare (out of 18 million passengers that board cruises every year only about 10 of them fall overboard), illness aboard cruise ships is more common. In January two different cruise lines made the news with outbreaks of the infamous norovirus, sickening hundreds of passengers. This highly contagious virus causes symptoms like inflamed stomach and/or intestines, nausea, vomiting and diarrhea, and can be deadly. Cruise ships do what they can to prevent illness, but passengers should also take some precautionary steps.

“All of the crew has extensive safety training taught by ex-FBI and safety experts,” stated William Clark of Affordable Tours, adding that “every cruise line requires continual updates on the training.” To protect against crime, cruise lines install hundreds of cameras in all public areas, with ship security personnel watching the cameras and responding to problems or potential danger with in minutes.

Protecting Against Spreading Illnesses No cruise line wants to have sick passengers, so they take a number of precautions to prevent sick people from boarding the ship, and to protect other passengers if someone becomes sick on board. During the boarding process cruise ship officials ask passengers if they have recently had a headache, stomachache vomiting or diarrhea. If they answer yes to any of those questions, they may not be allowed to embark. If an individual becomes sick while on board, that person is often quarantined in their cabin. To combat some of the most common communicable diseases, many cruise lines have dispensers with hand sanitizer in common areas, and cabin TVs run messages about hand washing and other safety measures. While on a recent Carnival cruise, I took the Chef’s Dinner tour and watched as each of the glove-clad chefs prepared meals for over 3,000 people in a sparkling and spotless kitchen. Special attention was paid to maintaining high enough temperatures when preparing food to prevent bacteria and microbes from growing. Additional Safety Measures Cruise Lines Take Safety on cruises goes beyond just preventing illness—since you are sailing through the ocean, water safety is also critical. Before the ship ever sets sail, every

As a passenger, there are also things you can do to be proactive about safety:

•Wash your hands completely and often. •Stay home if you are sick and report to the crew immediately when someone is sick.

•Safety is in numbers, so don’t go it alone on ship or on shore. •Do all things in moderation, including eating, drinking, shopping, gambling or physical activity.

With these safety tips in mind, cruising can be one of the safest affordable ways to travel and see the wonders of our world. remedy 9

the source: information resources

EVIDENCEBASED PRACTICE: By: J. David Midyette, Reference and Instruction Librarian

“Eggs are bad for your cholesterol.” "New study says eggs are good for you.” These are just some of the many headlines that bombard us on a daily basis, and the research behind the headlines represents excellent but potentially confusing science. Ultimately the consumer, the healthcare provider, and the scientist all want the true answer, but that answer is sometimes hard to find as it may be buried in complicated research. Evidence-based Practice (EBP) is a growing concept that creates best practices out of a mountain of data. Traditionally, EBP has been represented as the capstone of a pyramid covering different blocks of evidence, practice, and knowledge. At the base of the pyramid are the blocks representing the professional experience, expert knowledge, and scholarly books that give a wealth of information on specific diseases, treatments, 10 fall 2014

SYSTEMATIC REVIEWS CRITICALLY-APPRAISED TOPICS & ARTICLES RANDOMIZED CONTROLLED TRIALS (RCTS)

COHORT STUDIES CASE-CONTROLLED STUDIES, CASE-SERIES/REPORTS

BACKGROUNDS INFORMATION/EXPERT OPINION

the source: information resources and bodily systems. Just above this base are the clinical trials conducted by pharmaceutical companies, university researchers, and others who want to determine if specific drugs, devices, and clinical practices are actually effective. The clinical trials performed to test these drugs, devices, and practices often rely on detailed methods that prevent the researcher and the participant from knowing who is receiving the real treatment and who is receiving a placebo. This “blind” method helps to prevent bias when the results undergo detailed analysis. Additionally, there are many different types of trials that are designed to work on small and large scales. There is also legislation in place to help “fasttrack” some medications when the preliminary results show positive results, and the benefit to the patient outweighs the goals of the study. At the top of the pyramid, there are several types of research that evaluate all of the information from the base of the pyramid and produce articles that indicate these best practices. This entire process allows researchers and healthcare providers to see the whole forest, while still allowing them to examine individual trees. This advanced evaluation type of literature is comprised of review articles that summarize the results of multiple studies; meta-analyses, which seek to standardize the information across all of the different studies; and systematic reviews, which attempt to examine all of the literature on a topic with particular attention to outcomes. Ultimately, all of these blocks combine to form a solid structure of original research, large scale reviews of research, and evaluations of outcomes from the highest quality materials. This leaves, at the very top of the pyramid, a capstone that suggests the resulting best practices. This EBP capstone provides doctors, nurses, dentists, pharmacists, and all other healthcare providers with the best evidence on how to treat patients. There are a growing number of these pyramids for all kinds of health issues, and as the research expands in each area, the pyramids grow larger and stronger. It is important to understand that these pyramids are constantly changing, and that the best practices may alter over time. Science is an evolving process, and as knowledge is added to the system it is filtered through this EBP process.

Searching Clinical Queries in PubMed 1. Navigate to http://www.pubmed.gov

2. On the front page click on “Clinical Queries.”

There are a few key items to look for with any published EBP: • An explanation of the need for the practice, the origins of the information evaluated in the practice • Research study designs of the clinical studies • Search strategies for obtaining the research information • Lists of databases that were searched • The confidence of the evaluator(s) in the overall information and outcomes. Evidence-based Practice has become a solid fixture of modern healthcare practice and results in more consistent, positive care. For the healthcare provider, it provides a level of confidence in patient outcomes and assists with learning new practice areas. For the patient, it provides digested information to better understand the nature of conditions and potential outcomes. There are many resources available to both practitioner and patient, such as PubMed (www.pubmed. gov) and MedlinePlus (www.medlineplus.gov). PubMed provides access to all levels of research and MedlinePlus provides access for patient and health care providers to quality health information. To learn more about Evidenc-based Practice, see Roseman University Library’s InfoGuide at infoguides.roseman.edu/ebp where you can find more detailed information on EBP, a list of informational databases available to the Roseman community, and links to free resources.

3. Enter your search terms in the box. 4. You will see results displayed for: Clinical Study Categories, Systematic Reviews, and Medical Genetics. 5. To expand to the full list for any category, click on “See all” at the bottom of the list. 6. Clinical Queries uses preset search algorithms to search the PubMed database using your keywords. 7. Using the Clinical Study Categories, you can select the clinical category and select broad or narrow to better manage your results. 8. All of the results are from the PubMed database and you will be able to manage the results in PubMed as you would with any other search.

remedy 11

the source: information resources

PROTECTING

YOURSELF O N L I N E

Avoiding the Devastating Consequences of Identity and Financial Theft By: Laura Jarret, Information Technology Operations Director

People can do just about anything online – from banking and shopping to socializing and managing healthcare. With the growing popularity of cloud computing and the increased number of cyber attacks, it’s clear that company security practices should be reviewed (and some are already under review). The recent breaches with Target, Adobe, Evernote, Facebook, and Neiman Marcus demonstrate that anyone can be a target via phishing/whaling, spyware, or just attempts to hack weak passwords. According to the Privacy Rights Clearinghouse, approximately 740 million records were exposed in 2013, including credit card numbers, email addresses, login credentials, social security numbers and other related personal information. The Online Trust Alliance estimates that of all the breaches in 2013, 89 percent could have been prevented.

In another growing area of online accessibility, healthcare records are being compromised at an alarming rate. According to the February 2014 breach report by Redspin, 29.3 million patient health records have been compromised since 2009 with a 138 percent jump in the number of health records breached just since 2012. Online security does not solely rely on companies, though. Consumers must practice smart and secure measures to combat hackers. According to SplashData, provider of the SplashID Safe line of password management applications, “123456” landed atop the list of worst password used last year, with “password” coming in a close second place.

When it comes to choosing a password, consider these as requirements:

••Should be at least eight characters in length. ••Use at least two types of characters (upper-

and lowercase letters, symbols, and numbers).

••Avoid dictionary words, e.g., lemons, tractor,

love, etc. Password crackers will search dictionary words.

••Avoid information that people may know, e.g., birthdays, anniversaries, pet names, relative names, etc. With social media being exceedingly prominent in our lives, a lot of this information is available to anyone.

••Avoid popular phrases or simple combinations, e.g., qwerty, password, 123456, abc123

••Avoid using the name of the application or

website in your password, e.g., adobe123, hulu789 Don’t write your password down. If you have to write them down, place them in a locked area, such as your desk drawer or a safe.

••Try using anagrams or a random password generator.

••Change your passwords every 60-90 days.

More and more websites are using security questions as an added security feature. There are quite a few that are allowing users to create their own questions, and are making a lot more unique questions available. Using “mother’s maiden name”, “name of your hometown” or “first pet’s name” aren’t very secure questions, as this information can easily be obtained through social media today. Some unique question examples are below:

••What is the name of a college you applied to, but didn't attend? ••In what city/town did your parents meet? ••What was the name of your first stuffed animal? ••What is the license plate of your mom or dad's first car?

The ability to do things online makes our lives easier and easier everyday. Since most people can't avoid going online, maintaining good security is definitely a must. 12 fall 2014

credit card safety

A F F O R DA B L E

DENTAL CARE

FOR THE WHOLE FAMILY

ROSEMAN UNIVERSITY

DENTAL CLINIC

IS NOW OPEN IN SOUTH JORDAN

ACCEPTING NEW PATIENTS Comprehensive dental care available for seniors, adults, teens, and children (ages 4+) Uninsured and insured patients welcome â&#x20AC;&#x201C; we accept Medicaid All care provided by student dentists, under the supervision of faculty who are licensed Utah dentists Clinic is easily accessible from I-15, TRAX, Frontrunner, and UTA buses

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innovations

By: Dr. Prashanti Bollu, Director of Dental Research

Dr. Melineh Dereghishian, a second year resident assisting Dr. Prashanti Bollu with stabilizing a sample to the Instron E1000. 14 fall 2014

innovations

"The acquisition of the Instron Electropuls 1000 is an extraordinary milestone in our research endeavors and has received much attention from researchers and manufacturers in the industry, leading to some exciting collaborations."

Roseman University recently added two powerful research tools to its growing research armamentarium at the College of Dental Medicine-Henderson: the Instron E1000, a dynamic universal testing machine, and the QLF-D Biluminator 2 System, a fluorescence-based camera technology. This new equipment has dramatically changed the research landscape at the Advanced Education in Orthodontics & Dentofacial Orthopedics/Master in Business Administration (AEODO/MBA) Residency Program. Even more importantly, Rosemanâ&#x20AC;&#x2122;s research unit is the first in the country to bring these amazing technologies to the orthodontic academic research world. In November 2013, Roseman University of Health Sciences completed construction of the new stateof-the-art 42,500 square foot research laboratory. This new facility brings together several researchers within the University and promotes interprofessional research collaborations. THE INSTRON E1000 The most notable addition to Roseman Universityâ&#x20AC;&#x2122;s research equipment has been the acquisition of the Instron Electropuls 1000. It is an extraordinary milestone in our research endeavors and has received much attention from researchers and manufacturers in the industry, leading to some exciting collaborations. Roseman University AEODO/MBA residents are

using the Instron E1000 for studies involving bond strength and bond failure testing. The ability to conduct cyclic testing in dry as well as wet mediums (e.g. saliva bath) mimics the natural oral environment much better than the static testing modes used until recently. This feature opens up avenues to verify existing standards on static loads

is the most commonly used diagnostic approach, more advanced techniques such as QLF can detect decalcification even before the defective lesion is visible, allowing for earlier diagnosis and management. Several agents are currently available and on the market for WSL management. However, the true effectiveness in resolving or reversing

With the newly installed Instron E1000 at the inaugural opening of the research lab: On left, Dr. Prashanti Bollu (Director of Dental Research) and Dr. Jaleh Pourhamidi (Dean & Program Director), AEODO/ MBA Residency Program, College of Dental Medicine, Roseman University of Health Sciences, Henderson campus). as well as to assess the physical endurance of several new products in the dynamic state. THE QLF-D BILUMINATOR 2 SYSTEM The Quantitative Light-induced Fluorescence-D (QLF-D) Biluminator 2 system consists of a single lens reflex (SLR) camera with a 60mm macrolens. This specialized camera takes two images five seconds apart, a regular white image and a QLF image that shows demineralized tissues as fluorescent. The extent of fluorescence allows for quantification of the extent of demineralization. White spot lesions (WSLs) are commonly seen at the end of orthodontic treatment. While direct visual examination

demineralization is yet to be determined. The diverse educational and research backgrounds of Roseman University faculty provide an opportunity for AEODO/MBA residents to explore research ranging from retrospective review of electronic charts and diagnostic information to biomaterial research. In addition, a strong foundation on business principles as part of the MBA curriculum encourages residents to pursue practice management-based research with various mentors. The research team at the AEODO/MBA residency program firmly believes in the importance of collaborations to investigate new concepts in dentistry and orthodontics. With a strong motivation to contribute to the field, and a high volume of about 30 to 40 ongoing research projects at any given time, our program offers a highly conducive environment for residents and faculty to explore new horizons with cutting-edge research.

Dr. Jay Joshi, a second year resident, working with the QLF-D system. remedy 15

features

DECISION-MAKING MODELS: A CASE STUDY IN AFRICAN VILLAGE HEALTHCARE AND THE DOLLAR

: By: Okeleke Nzeogwu, Professor of Economics

16 fall 2014

features

Mark Nta got the 4 a.m. phone call in late August of 2004. Based on the timing of the call, long pause and slow response to his “Hello?” he knew the call came from West Africa. “Mom is very ill and dying, and she is not expected to last long. What do you want us to do?” came the voice of his eldest sister, inquiring about what end-of-life medical services and providers he thought would be best for his mother and how they would pay for it. Cost of Service and Quality of Care In very remote African villages, plagued by poverty, wages of $5 or less per day, communicable diseases such as malaria and tuberculosis, high rates of physical injuries, poor sanitation and lack of safe drinking water, the two most important factors influencing the choice and quality of health care are the cost of service, and how to pay for it. With no private or national healthcare coverage or insurers, the poorest villagers often seek affordable care, not quality care. The villagers know all their healthcare options, and corresponding quality and costs. From testimonials, radio, and TV programming they know that the best standard of care is overseas but it is very costly and unattainable, even for most urban dwellers. The local care, which is affordable, is unregulated and varied, ranging from the least to most expensive options:

• Voodoo, witch doctors, mystics and oracles • Chemists, herbalists and native doctors • Medically trained doctors and nurse practitioners residing and moonlighting in villages

• Medically trained doctors in private or public hospitals at nearby urban centers

Mark understood the concerns and answered the money question first. “I will cover all medical costs,” he said, to the relief of his sister. Knowing Mark’s prejudices against native medicines and cures, the sister did not mention them, moving to the cheapest western care available to villagers— pharmaceuticals dispensed by non-professionals through their patent medicine stores these people are usually self-trained through the reading of drug

labels and handbooks, and experimenting with patients. Providers, Insurers, Price Discrimination and Asymmetric Information Village patients who choose better care often do so because of third-party payers (an “insurer”)—generally daughters, sons and relatives earning higher incomes at urban centers within the country, in middle income countries within Africa and overseas, and in higher income industrialized countries. Knowing about these “insurers” is important to providers because it offers information about the ability to pay for services, and opens up the opportunity to charge consumers different prices for the same services, unrelated to the quality or service delivery cost—in economic terms this is called price discrimination. It should be noted that in many cases the “insurer” is distant from the patient and provider. This geographic distance increases the likelihood that both parties in the healthcare transaction have unequal information, giving one party an incentive to take advantage of the other before, during or after service—what economists call information asymmetry. Healthcare Attitudes and Cost of Care Mark knew that village healthcare providers preferred U.S. dollar or Euro “insurers” because they are less likely to haggle over cost of services, given their experiences with western standards and cost of care. Therefore, as his sister started discussing options and costs, he quickly announced that he would only pay for pre-authorized treatments. In a healthcare service environment where the standard practice is cash payment before service,

his sister recommended a nearby nurse practitioner who would accept the cash she had on hand and a verbal promise to pay for the remainder when additional money arrived. Given his mother’s age, the nurse recommended hospice-type care to allow Mark’s mother to die comfortably without pain or suffering. Mark dismissed the advice and wanted to find a provider who would do what was necessary for full recovery. His dollar-healthcare assumptions and beliefs (unbeknownst to him) were affecting his healthcare decisions and cost of care. He believed that:

• Science and technology can solve all healthcare problems

• Money can solve medical issues through research, technology and care

• Human life should be saved at all cost With those unacknowledged underlying assumptions, he called up a young doctor moonlighting in the village and invited him to recommend treatment without regard to cost. With no significant threats of medical malpractice and the doctor in agreement with him, Mark entered a family “healthcare war: his dollar versus anyone who disputes or challenges his recommendations as the insurer.” As days passed by, he started arranging travel to supervise the treatments when he received the call, “Mom just died.” That news, coupled with the details that his sisters had abandoned western treatments when their mom stopped responding in favor of a spirit-world rite recommended by a clan elder, devastated Mark. Ten years have passed since that family’s “healthcare war” but the underlying tensions and issues remain unresolved. Since then Mark has come to realize that healthcare is about more than just money, science, and technology—it is also about beliefs and attitudes about dying and death, views that are not always shared by others. Until we can vanquish dying and death, we will continue to debate and fight over healthcare, and often our emotions will play a large role. (This is a true story but the names in the story have been changed to protect privacy) remedy 17

features

By: Tracy Hernandez

18 fall 2014

features

Many people are already aware of the dangers of cigarette smoke and tobacco exposure—it is the leading cause of preventable death in the U.S., contributing to more than 440,000 deaths each year, more than alcohol, motor vehicle crashes, suicide/homicide, illegal drugs, and firearms combined. In addition, it is directly related to a variety of very serious health issues. A habit of using tobacco is most often developed as a teenager or young adult; in fact, 99 percent of smokers began using tobacco by the age of 26, and those who have not picked up the habit by that time will almost certainly never use tobacco, according to a 2012 report from the Surgeon General. That makes colleges and universities a particularly important place to target prevention and cessation efforts. Roseman University campuses in Henderson and Summerlin, Nev. and South Jordan, Utah officially became tobaccofree on July 1, 2014.

The Benefits of Tobacco-Free Policies There are significant health and financial benefits that come with a tobacco-free policy on campus. As a health sciences university, Roseman believes that this policy reinforces our mission to prepare students to become healthcare professionals and provide top quality patient care for members of the community. Some additional reasons Roseman is becoming smoke-free include: Student and Employee Health: Tobacco use and smoking are the leading causes of preventable death in the U.S. By eliminating exposure to secondhand smoke for non-smokers and helping smokers with resources to quit, Roseman University campuses are healthier places for everyone. Reduced Costs: Tobacco use contributes to higher health costs, more insurance claims, lower productivity, and added risks for things like fires on campus. Reducing these risks helps Roseman University, its employees, and its students save money. Demand for Non-Smoking Environments: According to a 2012 report by the Centers for Disease Control and Prevention, 89.4 percent Utahns and 81.9 percent of Nevadans do not smoke. An internal survey also revealed that more than 90 percent of the Roseman campus community are non-smokers. Studies have shown that exposure to secondhand smoke causes immediate adverse effects to the cardiovascular system, and there is no safe level of exposure to secondhand smoke. In nationwide surveys, many students report that they would prefer a tobacco-free campus over another school if they were given the choice.

Developing the Policy The road to a tobacco-free campus began more than a year ago when Roseman University’s Administrative Council approved the creation of a task force to determine the need for policies that address smoking and tobacco use on campus. They consulted with representatives from academic and service units on our own campuses, and researched the more than 1,000 other universities and colleges nationwide that have enacted tobacco-free and smoke-free policies. In March 2013 the task force sent out a survey to all Roseman students, faculty, and staff to assess attitudes toward tobacco-free policies. The results of the survey showed that out of 518 student, faculty, and staff responses:

• 94 percent of people at Roseman University are nonsmokers.

• 66 percent expressed concern about the dangers of exposure to secondhand smoke while on campus.

• 68 percent believe the University has a responsibility to

protect people on our campuses from exposure to secondhand smoke (20 percent of respondents strongly disagree or somewhat disagree with this).

• 77 percent of respondents somewhat believe or strongly believe that banning smoking and tobacco use reinforces Roseman’s mission as a leader in healthcare education.

The results of the survey, and the recommendations of the Administrative Council to move forward with a tobacco-free policy on campus were considered and approved by Roseman University Board of Trustees in December 2013.

Roseman’s Policy The full text of Roseman’s tobacco-free policy can be found on our website at www.roseman.edu/tobacco-free. In a letter to the campus community, President Renee Coffman says: “Roseman University is reinforcing its health care mission and enhancing the health learning and working environment on its campuses [by] going completely tobacco-free for you: our students, employees, visitors, and friends.” The policy officially went into effect at the beginning of the 2014-2015 academic year at all three Roseman University campuses. Resources to assist employees and students in abstaining from tobacco use while on campus, or quitting entirely if desired, are also available.

remedy 19

features

By: Joseph Yoo, 4th Year Dental Student Co-authored By: Dr. Douglas Ashman, Professor of Dental Medicine

Oral health for children poses a significant challenge in today’s society. This may be partly due to the fact that dental care for children has not been as consistently promoted as other related disciplines of dentistry or medicine, or perhaps results from the fact that people view children’s teeth as only temporary, and therefore feel they do not require as much attention. The average American diet (for adults and children) has also changed over the years to include more sugar and fewer fruits and vegetables, which contributes to oral decay.

ROSEMAN UNIVERSITY DENTAL STUDENTS WORK TO ADDRESS

ORAL

HEALTH 20 fall 2014

According to the Utah Department of Health, the percentage of children aged six to nine years with dental sealants applied to one or more permanent molars declined from 50 percent in 2000 to 45 percent in 2005, and down to only 26 percent in 2010. Sealants are thin plastic coatings that cover the surfaces of chewing teeth in the back to keep germs and food from getting stuck and causing cavities. They are a simple, but critical part of preventive dental care and can help children avoid the need for fillings and crowns later. In their “Oral Health Strategic Plan for 2011-2014,” Centers for Disease Control and Prevention states that tooth decay affects more than one in four U.S. children ages two to five years and half of children ages 12 to 15 years. In addition, 25 percent of children and adolescents from low-income families suffer untreated caries (another word for cavities). This causes pain, infection, dysfunction, absence from school, and poor esthetics which can greatly affect a child’s self-confidence and quality of life. One of the best ways to prevent childhood dental decay is with good preventive care at home, including brushing teeth twice a day and flossing at least once a day. Students in the Doctor of Dental Medicine (DMD) program at Roseman University College of Dental Medicine-South Jordan have been working to improve home oral health care by educating parents about how to better care for children’s teeth, and providing free preventive dental care to the children.

features

Figure 1. Percentage of children aged 6-9 years with a clinical confirmation of dental sealants applied to one or more permanent molars.

free dental care to over 40,000 children nationwide at more than 1,500 locally organized events each year. Students at Roseman partnered with the Boys and Girls Club of Greater Salt Lake to provide free dental care to nearly 50 children from low-income families who do not have insurance and otherwise might not be able to get adequate oral health care. The Student Chapter of the American Academy of Pediatric Dentistry at Roseman University hosted an outreach event in February at Kids On the Move, a non-profit organization that provides care and support to families with special health needs children. Seventeen students and two faculty members volunteered their time at the KOTM facility in Orem participating in various activities:

•First-year dental students gave oral hygiene instruc-

tions to the parents, teaching proper brushing, flossing techniques, anticipatory guidance and management of undesirable habits like thumb-sucking.

•After giving out children’s toothbrushes and

toothpastes, the second and third-year students helped parents brush their kids’ teeth and then applied fluoride varnish to the kids’ teeth.

A total of 29 children received fluoride varnish and about 60 adults returned home with better knowledge of how to give home care to their kids who do not yet have the manual dexterity or skills to properly care for teeth. The student volunteers enjoyed the opportunity to provide education and services to these families, and in addition to that, hopefully played a role in ensuring better oral health care in the future with a solid foundation today. It was a rewarding experience for the children, parents, and Roseman student and faculty volunteers. Roseman University dental students are also working collaboratively with the community to bring dental care to underserved children. Several student organizations coordinated and planned a Give Kids a Smile event in March at Roseman Dental Clinic in South Jordan. Give Kids a Smile is a national event that began in 2003, and today has expanded to provide

Third-year DMD students provided dental cleaning, sealant, and fluoride varnish with assistance from the second-year students. First-year DMD students also gave oral hygiene instructions while the children waited, then helped the children find their way into the clinic. All dental work was supervised by Roseman University faculty, who are licensed dentists in the state of Utah. Students’ main goal in organizing the event was to show children that going to the dentist can be a fun, positive experience, and teach them some basics about proper oral hygiene at home. Roseman students hope to repeat the event in future years, providing treatment to even more children from partner organizations like the Boys & Girls Club. Even though treating 50 children may not seem like much compared to the staggering amount of untreated dental decay out there, these small steps toward a healthier mouth for these children can have a big impact in the future.

remedy 21

features

By: Laura Jarret, Information Technology Operations Director

Strokes are the fourth leading cause of death in the United States, killing over 130,000 Americans every year. According to the National Stroke Association, studies show that 80 percent of strokes can be prevented through proper education and working with a healthcare professional.

WHAT CAN I DO RIGHT NOW TO LOWER MY RISK?

WHAT DO I NEED TO ASK MY DOCTOR?

••Stop smoking because it doubles the risk of stroke. ••Reduce your alcohol intake or stop drinking alcohol all together. Studies have shown that alcohol consumption is linked to strokes. ••Eat a healthy diet and exercise regularly to maintain a healthy weight. ••Schedule an annual physical with your doctor. ••Schedule a visit with a nutritionist or a dietician to learn more about eating and living healthier.

••Get educated about healthy blood pressure and cholesterol levels and how to maintain them.

••Learn about atrial fibrillation, a condition where you experience irregular heartbeats. Only a doctor can diagnose this.

••Understand what the stroke symptoms are. Some of those symptoms

include severe headaches, trouble speaking or understanding, and sudden numbness in the face, arm, or leg. ••There are some stroke risk factors that can’t be controlled, such as age, gender, race, and family history.

When to Act F.A.S.T

FACE ARMS SPEECH

TIME

A simple test can help to determine if somebody suffers from a stroke. This test is called F.A.S.T. (Face, Arms, Speech, Time). The time saved in getting help right away raises the possibility that patients might only suffer minor damages and fewer long-term complications.

Face:

Ask the person to smile. Check to see if their face is asymmetrical or drooping on one side.

Arms:

Ask the person to raise both arms in front of them with palms facing up. Check for one arm that is weaker and drifts downward. This symptom is more evident with their eyes closed.

Speech:

Ask the person to repeat a simple sentence. (e.g.,” I need help!“) Listen for slurred speech when it is repeated.

Time:

If just one part of the test is positive, call 911 immediately to get help.

HELPING STROKE SURVIVORS THROUGH TECHNOLOGY Thomas Runds founding president of MedXForce (and former LMS Director for Roseman University) has been addressing communication methods for stroke survivors for the last two years. As a stroke survivor himself, he knows the struggles during recovery and rehabilitation. While still in the hospital, he and his team began developing an app for Android and iPad tablets where motion-and speech-impaired patients can easily communicate their needs and alert those nearby for immediate assistance. The app has been in beta testing with a select group for over a year now and version 2 features are already in development.

Where can I find more information?

www.stroke.org www.cdc.gov/stroke/stroke_awareness_month.htm www.strokesmart.org www.medxforce.com

22 fall 2014

features

Identifying Correct Pain Management Therapies to Reduce Medication Abuse By: Dr. Jessica Hwang, Roseman Pharmacy Graduate and Dr. Renee Holder, Assistant Professor of Pharmacy Practice

ain management is a sensitive issue due to many concerns regarding drug misuse and addiction. Because of these concerns, prescribers are often hesitant to write prescriptions for strong pain medications and many pharmacies are unwilling to fill them. I have witnessed both ends of the spectrum in my rotations; in hospice care, we fear undertreating pain at the end of life, while in community pharmacy we question the validity of prescriptions for high doses of opioids. It seems as if, in either case, the patients ultimately suffer. One of the best ways to prevent medication abuse is to ensure that the patient is managing their pain with the correct therapy. When selecting pain medications, care providers must consider the different types of pain: nociceptive or neuropathic. With nociceptive pain, the World Health Organization (WHO) recommends a tailored approach, starting with weak doses and tapering the dose up depending on patient response. Mild pain should be treated with non-opioids such as acetaminophen, or non-steroidal anti-inflammatory drugs (NSAIDs), including ibuprofen and aspirin. Mod-

erate pain can be treated with low-potency opioids such as hydrocodone or tramadol. Strong opioids such as morphine, oxycodone, and fentanyl should be reserved for severe pain. Neuropathic pain, on the other hand, is best treated with different medications such as anticonvulsants and antidepressants due to their ability to modulate neurotransmission, thus decreasing the patient’s pain. Clearly, it is important to differentiate the type of pain in order to correctly manage it. In pharmacy we are especially concerned with comorbidities, or the effects that other diseases might have on the primary disease for which a person is receiving pain medication. For example, renal dysfunction decreases the body’s ability to excrete active or toxic metabolite, so methadone and fentanyl are the safest choice in a patient with renal dysfunction because they do not have significant active metabolites. Hepatic dysfunction impairs the body’s ability to properly metabolize a drug, which means fentanyl is the safest choice in this type of patient because it can be metabolized even in patients with liver failure. Other things to consider in pain management are

side effects. Chronic opioid use causes constipation and is best prevented with a combination of stimulant laxative and stool softener. Aspirin is not safe for use in children recovering from flulike symptoms because it has been associated with the potentially fatal Reye’s syndrome. NSAIDs are not recommended in pregnancy due to potential for birth defects. Most recently, to reduce the incidences of liver failure linked with acetaminophen use, the Food and Drug Administration (FDA) has limited the dose of acetaminophen in combination products to 325mg per tablet. While pharmacists and other care providers are concerned about the potential for pain medication abuse, pain management should be about picking the right therapy for each patient. As pharmacists we consider the different types of pain being treated, patient comorbidities, and potential medication adverse events before recommending treatment. Each patient has a unique set of circumstances that can help guide us to using the correct choices for treating their pain, and hopefully reduce the incidence of medication abuse by choosing the appropriate drug and dose for the patient. remedy 23

special report

Roseman University Establishes

Research Center Dedicated to Substance Abuse

and Depression

Roseman University of Health Sciences recently announced the creation of a research center devoted to substance abuse and depression to help address these two significant health care and societal issues affecting the Intermountain West region. Located at the university’s Henderson campus, the new Roseman University Research Center on Substance Abuse and Depression will focus on discovery, education and outreach, says Jeffery Talbot, Ph.D., the center’s director and an associate professor of pharmaceutical sciences for Roseman’s College of Pharmacy. “We are conducting basic science and translational research that will lead to drug discovery, and we will eventually expand into clinical research to develop new, effective therapies for people suffering from depression and addiction,” said Talbot. To achieve its research mission, the Center has established collaborations with experts from universities across the country to offer interprofessional educational opportunities for local, regional and national health care practitioners

24 fall 2014

and policymakers who are on the front lines of combating substance abuse and depression, as well as their related mental health issues, such as suicide. “Through the center’s collaborations we can bring in experts who, along with our local team of researchers, can help disseminate the latest developments related to research, prevention and treatment,” said Talbot. “We will also serve as a resource center for the public, further enhancing prevention, awareness and understanding of substance abuse and depression.” Talbot says the center is focusing on substance abuse and depression because there is a very close relationship between the two conditions, which occur together in a high percentage of individuals.

“About 20 percent of Americans with an anxiety or mood disorder such as depression also have an alcohol or other substance abuse disorder. Likewise, about 20 percent of those with an alcohol or substance abuse disorder also suffer from an anxiety or mood disorder,” said Talbot. “Unfortunately, when not treated, suicide is a common result.” According to the National Institute of Mental Health, more than 90 percent of people who commit suicide have a diagnosable mental disorder, most commonly a depressive disorder or a substance abuse disorder. Nevada’s suicide rate currently ranks fifth in the nation, and the state’s drug overdose mortality rate is the fourth highest in the U.S.

special report

A FAST-ACTING ANTIDEPRESSANT APPEARS WITHIN REACH

Study in mice suggests drug could bring new benefits in treating depression by lifting mood within hours, and offering sustained effectiveness. By: Jason Roth

For someone with depression in the midst of a crisis, there is no time to waste. Yet time is exactly what currentlyavailable antidepressants require to take effect—often on the order of weeks. A new study led by Jeffery Talbot, Ph.D., director of Roseman’s Research Center on Substance Abuse and Depression suggests a fast-acting antidepressant may be on the horizon. In mice the drug produces evidence of a mood lift within 24 hours, then continues working for sustained relief. “What makes this study unique and exciting is that in the same drug we seem to have both of the properties you want in an antidepressant—both rapid and sustained effects,” said Talbot during a presentation of his findings in April at Experimental Biology 2014, an annual meeting of more than 14,000 scientists and exhibitors from six sponsoring societies and multiple guest societies from across the U.S. and around the world. Though many drugs are currently available to treat people with depression, existing drugs do not work quickly, and they do not work for everyone. “Many people with depression simply don’t respond to available medications,” said Talbot. “There’s still a real need for new antidepressants.” The drug, referred to by Talbot as MI-4 and better known as Ro-25-6981, has been shown by previous researchers to cause a rapid antidepressant effect in animals by blocking one of the brain’s signaling chemicals. But until now, researchers were not aware of the full spectrum of its antidepressant properties. The new study bolsters the evidence for MI-4’s rapid effect and adds an exciting twist: MI-4 also works in the long term.

Moreover, it may accomplish its longterm effects through a three-pronged approach known as triple reuptake inhibition, which refers to a drug’s ability to simultaneously increase the levels of three key chemicals in the brain that are known to affect mood and feelings of pleasure—dopamine, norepinephrine and serotonin. Most depression drugs only target one of these chemicals, which may explain why they are not effective in all patients. The researchers found MI-4 via “virtual screening,” a method that uses computer modeling to find drugs that are likely to interact with particular receptors in the brain. “From looking at its structure, one would never have guessed that this drug interacts with the same monoamine transporter proteins as does Paxil or cocaine, but it does. That speaks to the ‘needle in a haystack’ detection power of the virtual screening methodology,” said Christopher Surratt, Ph.D., a professor of pharmacology working on this aspect of the study at Duquesne University. Following the virtual screening, the researchers tested MI-4’s effects in cell cultures and then in mice. In addition to providing new evidence of its antidepressant properties, the study shows MI-4 would be unlikely to become addictive. Depression is one of the most common mental illnesses in the world, affecting about 20 million people in the United States. It causes persistent sadness and loss of energy, and can take an enormous toll on a person’s ability to work or have healthy personal relationships. It is also a leading cause of suicide. Antidepressants are some of the most commonly prescribed medications, with 264 million prescriptions written for antidepressants in 2011 totaling more than $11 billion in sales. remedy 25

special report

NEVADA’S NEW

COLLEGE OF

MEDICINE Roseman University is working to establish allopathic medical school in Southern Nevada.

By: Jason Roth Roseman University’s plans to develop a private, allopathic medical school in Southern Nevada are moving forward following completion last November of a merger between the Nevada Cancer Institute Foundation and the university. Through the merger, Roseman gained the former Nevada Cancer Institute’s (NVCI) 184,000 square-foot Ralph and Betty Engelstad Cancer Research Building, which is now the university’s Summerlin Campus. The facility will serve as the home of the College of Medicine, and existing advanced research programs, which will continue the two institutions’ shared missions of advancing medical research and education. Roseman was founded in 1999 as the Nevada College of Pharmacy and has experienced rapid growth over the past decade by addressing its communities’ needs for health care professionals in the fields of pharmacy, nursing, dental medicine, and health care business. According to President Renee Coffman, the creation of an allopathic medical school in Southern Nevada is Roseman’s next step in responding to the health care needs in the region. It is also a logical progression in the

26 fall 2014

institution’s evolution as a transforming force in health care education in the Intermountain West.

to make important discoveries that will lead to new treatments for these diseases, says Coffman.

“Roseman completed a feasibility study over a year ago that demonstrated a need for expanded undergraduate and graduate medical education in Southern Nevada. Subsequent third-party studies reinforce the need,” said Coffman. “Currently, Las Vegas is the largest metropolitan area in the nation without a locally-based allopathic medical school. Roseman is well positioned to build a high quality medical school, with support from and the expertise of partners in the community.”

With robust research programs underway and a facility secured, Roseman’s development timeline for the College of Medicine is expedited. The university’s Board of Trustees gave administrators full approval to proceed with planning last December, allowing Roseman to submit an application with the Liaison Committee on Medical Education (LCME), the accrediting body for medical schools, to initiate the accreditation process.

The groundwork for Roseman’s College of Medicine began more than two years ago when the university began building a medical research program in leased laboratories in the Engelstad facility. Roseman hired teams of world-class researchers focused on pressing health issues in the U.S. and beyond, including cancer, diabetes and obesity (and their related neuropathies), Alzheimer’s and Parkinson’s diseases, and cardiovascular disease. By utilizing state-of-the-art equipment and through collaborations with renowned researchers around the globe, Roseman researchers hope

On April 1, Mark A. Penn, MD, MBA became founding dean of the College of Medicine and chancellor of the Summerlin Campus. Penn’s experience is critical in developing a program as complex as a medical school, says Coffman. “With Dr. Penn’s guidance and expertise, Roseman is engaging in conversations and exploring collaborations in the Southern Nevada community to continue the comprehensive planning required to launch a medical school, including curriculum development and designing its undergraduate clinical training structure. If plans progress as expected, Roseman may enroll its charter class of medical students by fall 2017.”

special report

DR. MARK A. PENN

Named as Founding Dean of the College of Medicine He will also serve as Chancellor of the Summerlin campus.

In December 2013 Mark A. Penn, was named founding dean of Roseman University’s allopathic College of Medicine, currently in development at its Summerlin Campus. Penn will also serve as chancellor of the campus, which houses Roseman’s medical research programs. He assumed the positions on April 1. Penn joined Roseman in July 2012 as chancellor of the university’s South Jordan, Utah campus and special assistant to the president for program planning. At the South Jordan campus, he played a critical role in the continuing development of the university’s College of Dental Medicine, which enrolled its first class of pre-doctoral dental students in 2011. Penn was also involved in the early planning for the College of Medicine, which received approval from the university’s Board of Trustees on December 13 to proceed in development. Before joining Roseman, Penn spent more than two decades associated with Northeast Ohio Medical University (NEOMED), serving in a variety of leadership roles, including special advisor to the president, senior vice president for academic affairs, executive associate dean of the university’s College of Medicine and acting president and dean.

communities. Penn also helped design the Baccalaureate/MD and Post-baccalaureate/ MD pathways to the medical school from CSU, and led successful fund-raising efforts for the purpose of developing urban health primary care efforts in the NEOMED-CSU partnership. Beginning early in his academia career, Penn, a family medicine doctor, served as an associate director at the Summa Health System Family Medicine Residency Program in Akron, Ohio. He oversaw all undergraduate activities as an undergraduate director and clerkship director affiliated with NEOMED. In this role Penn developed programs for medical students and residents in the areas of community medicine, rural health, and underserved care. Penn’s experience working to solve the health care disparities in both rural and urban underserved areas in Ohio make him uniquely qualified to address similar issues affecting Nevada.

In these roles, at various points in time, Penn led a team that oversaw NEOMED’s academic and faculty affairs, student affairs and admissions, academic learning resources, graduate education, human resources, diversity, information technology and institutional effectiveness. Additionally, Penn guided the university and college of medicine accreditation processes and oversaw the transformation of the four-year medical school curriculum.

Penn received his baccalaureate degree from The Ohio State University, and his Doctor of Medicine from the University of Toledo College of Medicine. He completed his family medicine residency training at St. Thomas Hospital in Akron, Ohio, and subsequently practiced in a rural community in Ohio. He later earned a Master of Business Administration from Regent University. Penn is also a Fellow of the American Academy of Family Physicians (FAAFP).

Penn also helped forge a partnership between NEOMED and Cleveland State University (CSU). He worked for the two presidents from these universities to create the NEOMED-CSU Urban Primary Care Initiative, designed to meet the health care needs of underserved urban populations in northeast Ohio by recruiting medical students who wished to serve in urban

Penn’s scholarly activities have focused on innovations in curriculum development and inter-professional education, as well as understanding health disparities in communities and building partnerships to expand access to underserved populations. He has published papers and abstracts and given numerous invited presentations in these areas of scholarly interest. remedy 27

alumni & student news

Charting Your

Professional Course:

a conversation with

Dr.Charles Lacy

By: Brenda Griego, Director of Alumni Relations Roseman students benefit from the university’s innovative and highly effective academic model, which is further strengthened by the efforts of remarkable professors. Counted among those remarkable professors is Dr. Charles Lacy, who helped found the University in 1999 with Drs. Harry Rosenberg and Renee Coffman. We caught up with him recently and asked him about his background, his path to Roseman, and his advice to Roseman students and alumni. Besides being known for his warmth, charisma, and positive energy, Dr. Lacy is a highly accomplished academic who has earned associates, bachelor’s, and Ph.D. degrees in biochemistry, biology, molecular biology, and clinical pharmacy and therapeutics, plus a master’s degree in psychology with a specialty in marriage and family therapy. In addition to all that intellectual prowess, he speaks Japanese and German and is a longtime magician and member of the worldfamous Magic Castle in Beverly Hills.

The Unexpected Road to Pharmacy Dr. Lacy is defined by his upbringing, raised in Southern California by entrepreneurial and creative parents. His father was one of the original Disney “Imagineers,” and his mother owned her own beauty salon. The defining experience of his youth occurred when he was 11 years old and his mother went blind overnight. It was traumatic for the entire family, and led to the young Charles Lacy spending many hours accompanying his mother to doctor visits, where he read medical journals and memorized drugs in the Physicians’ Desk Reference “for fun.” His mother eventually regained her sight as one of the first patients to have detached retinas fixed via laser surgery, and the culmination of her experience 28 fall 2014

made Dr. Lacy believe in innovation, in the forward momentum of scientific knowledge, and that indeed, anything is possible. He believed his path would take him to medical school, but life had other plans for him. After earning bachelor’s degrees in molecular biology at UCLA and biology/biochemistry at UC Irvine, Dr. Lacy attended a presentation by the dean of the University of Southern California’s College of Pharmacy about the new frontiers of pharmacy, which would reach far beyond the traditional concept of “lick, stick, and pour.” He discussed a new era of clinical pharmacy, one that had all the medical involvement with patients “but without the blood,” Dr. Lacy shares with a grin. With much excitement, he and his then-girlfriend (now wife) Alice Chong enrolled in USC and earned PharmD degrees. When his wife got accepted to USC’s medical school, Dr. Lacy began a pharmacy residency in breast cancer/oncology, and was hired at Cedars Sinai Hospital in Beverly Hills. He believed he would work as a pharmacist for a few months before enrolling in medical school too, but changed his mind after his wife became pregnant, deciding instead that his family should be his primary focus. It was an important realization for him—that being true to his values was vastly more important than immediate professional validation. He put medical school aside and continued to work at Cedars Sinai, supporting his wife’s educational endeavors and the child who remains “the center of his universe,” daughter Jennifer Victoria. Dr. Lacy found time to dabble in other projects, including creating the only successful competitor to the Physicians’ Desk Reference, the hugely popular Drug Information Handbook. It has

become an “industry bible” to pharmacists and other professionals in the healthcare community. His professional journey eventually led him to cross paths in the late 1990s with a dean from Western University named Harry Rosenberg— the rest, as they say, is history.

Say “Yes” More Often Than “No” Dr. Lacy’s own remarkable career was brought about because he made the right choices for the right reasons, a lesson he shares with his students. He also encourages students and alumni to, “Say ‘yes’ more often than ‘no’ because that’s where opportunities come from.” An interesting job offer may turn out to be something that has no appeal, or a profound, life-changing experience. It’s okay to have a short-term position on your CV; it can actually be a strong interview point to say you tried something that intrigued you professionally but realized it wasn’t your passion. “As an example,” he notes, “I was at the pinnacle of my career and pharmacy practice when I said ‘yes’ to starting a college of pharmacy with an entirely new academic model, utterly from scratch, in a different state. It’s scary to think about it now, but had I said ‘no’ think what a difference that would have made in my life!”

TRUST YOURSELF “Stay in touch with your professors and with each other, and join professional organizations, because they are at the forefront of change. Embrace all aspects of your discipline and explore what it has to offer. There is no OpportunitiesR-Us – you have to go and find them, and that is

alumni & student news

infinitely easier if you have a robust network.” He also continually tells students, “Trust yourself, and enjoy the educational journey. Enjoy it, take pictures, savor it. You won’t have a chance like this again. There will be obstacles and difficulties, but when you overcome the challenges, how exhilarating it is.”

Discover Your Own Career Path As for advice for alumni, Dr. Lacy reminds them that Roseman’s curriculum “was specifically designed to not be a horse race,” nor are their careers meant to be. “The important thing is that you should always experience wonderment and possibility. You can do the same job forever if that makes you happy, but you need to always grow and face new challenges in some aspect of your life.” Along those lines, when Roseman grads seek Dr. Lacy’s advice about professional options, he counsels, “Sometimes we have to reinvent ourselves, and so I ask, ‘What is your passion?’

Figure out what makes you happy professionally. Maybe more schooling, connecting with new mentors, going to a professional conference, or uncovering a hidden talent that you don’t realize connects with your profession.”

The Future of Roseman University Dr. Lacy’s idealist perspective is reflected in the University he helped to create. Roseman’s model champions the person—whether that is a student, faculty, staff or patient—in order to remedy a need. When asked about Roseman’s future and the challenges inherent in the changing healthcare landscape, Dr. Lacy notes that Roseman is good at evolving, and that it must continue to evolve because our graduates will be living, working, and growing in that changing world. “One thing Roseman can do better is be more ourselves. We need to consciously remember our original culture, that what matters most is outcomes—producing excellence in practi-

tioners and board license rates, and graduating professionals who are extraordinarily successful in their professions and lead wonderfully fulfilling lives.” He continues, “When you are with us at Roseman, you are part of the family. Once you are a part of the family, we want you to prosper. It is simply a fact that alumni create our reputation, and we want to see alumni involved in Roseman much more.” Dr. Lacy is right. Roseman leaders, together with alumni, need to engage in discussions to understand what is changing in the healthcare industry, how Roseman can adapt to it for our graduates’ sake, and how alumni can engage in the process and connect with the University. If you’re interested in getting involved in conversations to benefit future generations of Roseman students, reach out to Dr. Lacy at clacy@roseman.edu or to the Alumni Office at alumnirelations@roseman.edu.

mation to teach them which medications were appropriate in certain situations.

In September 2013 I was asked to travel to Ghana with the co-founders of Water for Children Africa to build water wells and latrines for two primary schools. Since I am studying to become a pharmacist at Roseman’s Henderson, Nev. campus, I decided when not working on wells and latrines I would spend time every day helping out in the clinic. I was shocked to learn they had no doctors, only nurses and a midwife to deliver babies.

By Nightingale Meyou,

Third-Year Pharmacy Student at Roseman

I taught the nurses the importance of hygiene and showed them how to build a “sink” out of a large bucket and nozzle so they may wash their hands throughout the day. It shocked me how much they misdiagnosed, so I used a handbook with the ingredients of each Ghanaian medication in order to see what was the equivalent to U.S. medications. I used this infor-

For example, an elderly woman came in complaining of severe rib pain. The nurse told me she diagnosed her with arthritis, and proceeded to hand her joint medication. I explained to her how in America arthritis is associated with joints such as knees and wrists. I then asked the woman if she had slept in a bad position or fallen, to which she replied that she had, in fact, fallen. Unfortunately there was no technology to conduct an X-ray to determine if she had a broken rib, so I examined her ribs and injected her with pain medication. The woman followed up with us a week later and was doing fine. I found out many villagers did not have medical insurance to be seen at the clinic. Upon finding this out I decided to walk from home to home making daily house calls, purchasing medication from the clinic and distributing and counseling each patient. I was nicknamed “BroniBofo,” which means “white angel,” for helping as many people in the village as possible with my pharmaceutical knowledge and compassion. I was even presented with a handmade necklace by the village chief as a thank you. It was an amazing experience and one that will stay with me throughout my professional life after graduation.

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alumni & student news

EXPERIENTIAL LEARNING AT ROSEMAN:

My experience By: Shaliza Ismaili, Third-year DMD Student

A great pre-clinical dental program requires state-of-the-art equipment, but more importantly, faculty members who are determined to bring all the resources together to create a cohesive learning environment. At Roseman University College of Dental Medicine, our well-balanced educational system engages various learning styles through cutting-edge techniques tailored to make every student successful. As a Doctor of Dental Medicine student, I have been privileged to learn from a brilliant group of experienced educators dedicated to a holistic teaching approach—what Roseman University calls Mastery Learning. “Everybody learns differently, some people can learn by listening, others learn by looking at a picture or by watching a video. I try to cover all aspects and present it in several different ways so everybody can absorb something,” said Dr. Joel Janis, an associate professor teaching pre-clinical fundamentals in restorative dentistry.

Dr. Rob Alder, Assistant Professor, instructs a dental student in the College of Dental Medicine South Jordan simulation lab.

Roseman strongly endorses the lifelong colleague philosophy, which states: “Students, faculty and staff are expected to make each and every interaction reflect a sincere desire 30 fall 2014

to develop one another as lifelong colleagues during the program, and throughout their professional careers.” This unique approach has resonated well the students. Personally, I feel more endeared to my professors and enjoy getting to know them outside of their academic lives. It reminds me that although our academic environment can be very structured and technical, dentistry at Roseman is as much about the people as it is about the science. Our educators propel us to not only be great dentists, but great people. Having said that, it’s important to point out that the faculty expect that we perform our best in every project we do, setting high expectations for us because they believe that we can achieve that level of merit. “I think it’s important that the students know what

the difference is between mediocre, good and excellent,” said Dr. George Richards, associate professor of pre-clinical and clinical fundamentals. “I want them to strive for excellence because they’re going to be working on real people once they transition from the simulation lab to the clinic. I want them to be able to critically analyze what they’re doing and be able to see the difference between what is passable and what they would want to have in their own mouths.” Striving for excellence and achieving Roseman’s high standard of 90 percent throughout your entire program has its struggles, and faculty members have never hesitated to point out assignment shortcomings in a positive way. Roseman’s faculty reaches out to students to uncover each individual’s strengths, rather than enforcing qualities that the educator thinks we should have. Having the trust of the faculty has uplifted my spirit, motivating me to work harder and tackle challenges that initially seemed impossible, and convert them into strengths. This enriching experience is teaching us what we need to learn to become competent professionals that can stand on our own two feet. “I want students to understand that what they learn is important and it’s going to relate to their dental practice later in life,” said Assistant Professor Dr. Robert Alder. Beyond anything else, Roseman has taught its students the significance of being productive members of society who thrive on positive change. In the future, I hope to be able to apply this knowledge effectively as a health professional and I am confident that Roseman is providing me with a solid foundation to become a successful practitioner.

alumni & student news

remedy 31

alumni & student news

PHARMACY DAY

ON CAPITOL HILL PHARMACISTS: PROVIDERS OF PATIENT CARE By: Whitney Johnston, Third-year Pharmacy Student On February 18, 2014 I sat across a table from a middle-age man at the Utah Capitol Building. This was a special day for pharmacy in the state of Utah, as pharmacists and pharmacy students came together on Capitol Hill with a goal to provide free health screenings and education to the public, senators, and congressional representatives. I prepared myself to check this gentleman’s cholesterol levels. After obtaining a small blood sample from a prick in his finger we waited for his results.

discussed a few key points about what makes a pharmacist valuable. “Pharmacists help patients understand how to take their medications, when to take them, how to give them to their kids, and the importance of taking them in a timely manner.” He went on to emphasize that physicians often have limited time to properly instruct patients on how to take their medications and what they are specifically used for.

During our short wait time I asked him how pharmacists have been beneficial to his life. “They keep me alive,” he responded. His comment caught me off guard so I proceeded to find out exactly what he meant. He explained that he was taking Coumadin, a blood thinner, and frequently visited a Coumadin clinic where pharmacists monitored his blood to keep his clotting rate at appropriate levels. “I will be on this medication the rest of my life, so as long as I am still here, I will be dependent on a pharmacist to keep me alive.” Each year Utah's two state pharmacy organizations, Utah Pharmacy Association (UPhA) and Utah Society of Health System Pharmacists (USHP), and two colleges of pharmacy, University of Utah and Roseman University of Health Sciences, come together on Capitol Hill to educate the public on the profession of pharmacy and provide special services. This year over 100 pharmacists and student pharmacists provided cholesterol, blood pressure, and blood glucose screenings, while also administering free immunizations. Senator Evan Vickers, one of Utah’s greatest advocates for the profession of pharmacy,

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“It is the responsibility of the pharmacist to help the patient fully understand their medications.” Senator Vickers concluded by explaining that a pharmacist is very accessible to the public, providing a comfortable environment for patients to ask questions. Along with providing health screenings pharmacy students presented posters addressing important public health and pharmacy related topics. One poster of particular interest was that of polypharmacy, the use of multiple medications. In 2008, more than one in three adults aged 75

and older were taking at least five prescription medications. This is where pharmacists play a vital role. They are specifically trained to know how medications work in the body, how they should be administered for safe and effective use, what food or medications they interact with, and what side effects they can cause. Rob Bishop, a member of Senator Valentine's staff, commented that it is a scary thought to be on multiple medications and not know the dangers of the interactions. Many of these drug-related interactions can lead to serious health complications resulting in hospitalization and over 75 percent of these could be avoided with proper supervision. As the profession of pharmacy continues to progress, more and more medication counseling services are being offered to prevent these problems from occurring and to educate the public on the medications they are using. Pharmacy Day on Capitol Hill provides an opportunity for pharmacists and student pharmacists to not only offer free health screenings and education, but also to inform the public of the valuable influence of a pharmacist. The pharmacy services and knowledge of a pharmacist can be greatly utilized when it comes to medication use, education, and disease state management. It is critical to increase public awareness of the beneficial, and potentially lifesaving, influence a pharmacist has on personal health. Pharmacy professionals take seriously the obligation to provide a quality, substantial, and informed service to all members of society.

alumni & student news

RED CROSS BLOOD DRIVE

BE THE MATCH BONE MARROW DRIVE, HOSTED BY MPORU

In February 2014, the Medical Professionals of Roseman University (MPoRU) student organization coordinated a Red Cross Blood Drive and a Be the Match Bone Marrow Drive as one of our many service projects.

By: Julite Phan, Alexa Perales, Nadia Lian, and Steven Damot Second-year pharmacy students

Be the Match® Bone Marrow Drive Many people are unaware of the need for bone marrow donation, and the reality of how difficult it is to find someone who “matches” when a patient needs a bone marrow transplant.

Red Cross Blood Drive Breaks Roseman Record Approximately four million people in the U.S. require blood transfusions each year for various medical conditions. Blood cannot be manufactured, it can only come from donors; and because all blood and blood products are perishable, the supply must be constantly replenished. A single unit of donated blood can be separated and transfused as components: red cells, platelets, and plasma; so by donating even a little bit, you can potentially save several lives. It is also important to keep in mind that different medical conditions require different amounts of blood products. For example, a heart transplant patient usually requires four to six units of red blood cells; while a liver transplant patient typically requires 10 units of red blood cells, two units of platelets, and 20 units of plasma. The president of MPoRU proposed the idea of hosting an event where students, faculty, and staff from all our programs could come together for a cause. The Red Cross blood drive took several months to plan and successfully coordinate. We had to ensure that we had enough volunteers to help the day of the drive, as well as enough blood donors to meet our goal of 32 units of blood. Recruiting blood donors was certainly the toughest part, mainly because many people fear needles; however knowing how important blood is to patients helped many of the donors overcome their fears. In addition to the students who came to donate blood we also had great participation from the community through advertising and word of mouth. Overall we collected 41 units of blood, 45 people registered, and we had seven deferrals, the most that Roseman’s South Jordan campus has ever collected. We were very proud to host such a successful event.

•Every four minutes, someone in the U.S. is diagnosed with a form of blood cancer •Every 10 minutes someone in the U.S. dies from a form of blood cancer •Around 70 percent of all patients needing bone marrow transplants do not have a matched donor within their family To help patients find the right donor, the National Marrow Donor Program (NMDP) has Be The Match®, a nonprofit organization that operates a donor registry with 10.5 million volunteer registrants who are willing to provide bone marrow donations. Doctors search the registry when they have a patient in need, and the global network of volunteers helps match patients with donors that have the same human leukocyte antigen, or HLA type. A patient’s likelihood of finding a matching donor through the Be the Match® Registry is estimated to range from 76 to 97 percent, depending on race and ethnicity. When people choose to become part of the registry, they can give more patients a chance to receive a life-saving transplant. Our goal was to recruit a minimum of 30 new registrants, but with overwhelming support from students and faculty we more than doubled that, ending up with over 60 new registrants. As a club dedicated to helping the community, we consider this one of our highest accomplishments. In the future we hope to host a blood drive and a Be the Match® bone marrow drive once or twice a year. As an organization, we would like to give a special thanks to the Roseman University facilities team, pharmacy Dean Larry Fannin, the Red Cross and all the volunteers who donated blood and helped make the event possible.

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Delaram Bahmandar

October 2013-Present

Robert Angel

Meredith Dugoni

Dr. Christina Madison

Whitney Johnston

Dr. Renee Coffman 34 fall 2014

Angela Yuen

positions with the American Dental Education Association. Cameron Reese is Chair and Meredith Dugoni is Secretary. The Roseman chapter was also awarded Distinguished Chapter, Outstanding Activities and Innovative Chapter of the Year awards, and third-year student Phillip Wong was awarded the Preventive Dentistry Scholarship at ADEA’s Annual Session.

Elliot Asarch Barbara Wood

Kedy Shen Philip Wong

AWARDS, RECOGNITION AND APPOINTMENTS Dr. Renee Coffman, President, was honored as a Health Care Headliner 2014 in the education category by the Greenspun Media Group’s VEGAS Inc. and Health Care Hero in the same category by Nevada Business Magazine. Dr. Jaleh Pourhamidi, Dean of the College of Dental Medicine and Director of the AEODO/MBA program at the Henderson campus, was appointed Faculty Files Editor of the Pacific Coast Society of Orthodontists Bulletin. At the recent American Student Dental Association Annual Session, the chapter of the College of Dental Medicine at the South Jordan campus was awarded the Gold Crown Rookie Chapter of the Year Award and the Auto Enrollment Implementation Award. Khealynn Harris, third-year dental student, was awarded the Gold Crown Delegate of the Year for District 10. First-year student Paridhie Patel was elected District 10 Editor and second-year student Kedy Shen was elected Fundraising Chair for District 10. Third-year student Leslie Murray was invited to address the ASDA House of Delegates in her role as National Executive Chair of the Student Professionalism and Ethics Association. Two third-year dental students were elected to national leadership

On April 5, students from the College of Dental Medicine hosted the first-ever run/walk for oral cancer awareness in Utah. This event raised more than $4,000 to support the work of the national Oral Cancer Foundation and its efforts to promote life-saving research, patient support and awareness initiatives. Students from the College of Pharmacy in South Jordan partnered with University of Utah pharmacy students to present a 5K & Health Fair focused on diabetes education and awareness. Students aimed to promote healthy lifestyle changes for people to manage and prevent diabetes. The event took place April 12 at Sugarhouse Park, with over 300 participants in the 5K run and one mile walk. The College of Nursing had a booth where students provided healthy, diabetes-friendly recipes and offered information and activities to teach kids and adults about how diabetes affects your body. Half of the estimated $10,000 raised will go towards international diabetes outreach and research in Armenia, the other half will be used locally around the state of Utah by student pharmacists at the University of Utah and Roseman University Colleges of Pharmacy to continue to promote diabetes prevention, as well as appropriate measures for management of diabetes, including purchasing diabetic testing supplies, providing materials for diabetes education, and purchase other supplies for some of the co-morbidities associated with diabetes. Roseman’s Student Alliance at the Henderson campus won the “Best Practices” award from the American Society of Health-System Pharmacists’ (ASHP) student arm (SSHP) for their “Spring it Forward” project, handout, and poster from their 2013 booth at Kid’s Mix Las Vegas. Students from the College of Pharmacy at the Henderson campus, the Drug Enforcement Administration and local law enforcement presented Operation Medicine Cabinet in conjunction with the National Drug Take Back on April 26, 2014. The event collected 1048 lbs. of unused and expired prescription and over-the-counter drugs from the public. Elliott Asarch, Phi Delta Chi Director of Philanthropy and second year pharmacy student, with the help of Roseman’s Beta Upsilon Chapter of the Phi Delta Chi Pharmacy Fraternity, planned the Dribble for St. Jude event on March 22, 2014 to raise money for St. Jude’s Children’s Research Hospital. The event raised $650 for St. Jude. There were 40 participants consisting of Roseman pharmacy and nursing students, faculty and alumni. Angela Yuen, a first year student pharmacist from the Henderson campus, has been selected as an International Academy of Compounding Pharmacists (IACP) Foundation Fund-the-Future Scholarship Program winner. remedy 35

Delaram Bahmandar, Class of 2014 graduate from the College of Pharmacy at the Henderson campus, was awarded the United States Public Health Service (USPHS) Excellence in Public Health Practice Award for demonstrating her commitment to public health and public health practices. Third-year student pharmacist Dhvani Doshi and second-year student pharmacist Whitney Johnston were the winners of the Henderson and South Jordan APhA-ASP Student Alliance 2014 Patient Counseling Competitions (respectively). The competitions, were the local qualifiers for the APhA-ASP National Patient Counseling Competition that was held at the 2014 APhA Annual Meeting and Exposition in March 2014 in Orlando, Florida. James Le, a second-year Roseman University Pharm.D./MBA candidate at the South Jordan campus, was one of four students from across the country awarded the 2014 Express Scripts Scholarship. The Express Scripts Foundation Scholarship Program recognizes that dual degree students have increased financial obligations as well as diverse interests. A team of four students from the South Jordan National Community Pharmacists Association (NCPA) chapter placed in the top 10 for the 2014 Good Neighbor Pharmacy NCPA Pruitt-Schutte Student Business Plan Competition. The business plan submitted by then-P1 pharmacy students Jordan Baird, Megan Corsi, James Le and Derrick Lin was one of 42 submitted from schools and colleges of pharmacy throughout the U.S. This was the first time that the Utah chapter has placed in the top 10 in the competition. Robert Angel, a third-year student pharmacist and Dr. Christina Madison, Associate Professor of Pharmacy Practice, both from the Henderson campus, were honored by the American Pharmacists Association’s (APhA) 2014 Pharmacy Today One-to-One Patient Counseling Recognition Program during the APhA 2014 Annual Meeting in Orlando, Florida in March 2014. Roseman pharmacy students and faculty presented posters at the American Society of Health-System Pharmacists 2014 Summer Meetings and Exhibitions in May 2014. The student poster was titled “Use of Interactive Technology for Student Education and Post-Graduate Education Opportunities Through a Student Professional Organization.” The student authors were Pouria Khan – PharmD Candidate 2015, Danielle Chipchura – PharmD/MBA Candidate 2015, Nestle Austero – PharmD/MBA Candidate 2015, and Rebecca Kim – PharmD/MBA Candidate 2015. The student’s faculty advisors were Dr. Renee Holder and Dr. Christina Madison. The faculty poster was titled “Evaluating Interviewer Characteristics in a Mock Interview for Pharmacy Practice Residencies.” The faculty authors were Dr. Roseann Visconti, Dr. William “Kai” Kuykendall and Dr. Ragini Bhakta. Dr. Trang Susan Nguyen, Assistant Professor of Pharmacy Practice, was selected to participate with five other pharmacists in the American Society of Health-System Pharmacists (ASHP) Research and Education Foundation Research Boot Camp, a research skills development program composed of distance education, experiential and research conduct components. Dr. Heather Green, a Class of 2014 graduate from the AEODO/ 36 fall 2014

MBA residency program, was selected as a participant in the Charley Schultz Resident Scholar Competition at the American Association of Orthodontists Annual Meeting on April 26, 2014 in New Orleans. Her poster titled “Occlusal Plane Manipulation Effects on Root Angulation in CBCT Derived Pan-like Images” received positive reviews. Dr. Glen Roberson, clinic director and assistant professor, has been working on this research thread for a few years, was the primary research mentor for the project. Findings from this research impacts how 3D cone beam computed tomography (CBCT) data is utilized in routine orthodontic diagnosis and treatment planning. Roseman Cancer Researcher, Dr. Aurelio Lorico, has been selected as Editor of a new book entitled “Transmission of Information in Neoplasia by Extracellular Vesicles, Cell-Cell Fusion and Membrane Protrusions,” to be published by BioMed Research International, a well-known journal covering several areas of life sciences. The members of Impact Las Vegas, a nonprofit women’s giving circle in its inaugural grant year, voted on June 7 to award their first grant of $13,000 to Roseman University of Health Sciences. The grant will fund supplies for health screenings, such as blood pressure, blood glucose, and cholesterol, as well as oral healthcare exams, at the approximately 40 health fairs Roseman conducts each year, at no cost to the public, as part of their community outreach program. Dr. Christina Madison, Associate Professor of Pharmacy Practice and Clinical Pharmacy Faculty at the Southern Nevada Health District, will speak at the University of Nevada School of Medicine’s 15th Annual Autumn Update, a continuing medical education event focusing on HIV/AIDS and Hepatitis C. The event, to be held November 8-9, 2014 at the Hyatt Regency Lake Tahoe, brings together physicians, physician assistants, nurse practitioners, nurses, pharmacists, social workers, mental health providers, administrators and other care providers to share information, skills and resources that they need to provide quality clinical care and services to patients affected by HIV and Hepatitis C. Dr. Madison was also one of two pharmacy experts interviewed for an article in the June 2014 issue of Pharmacy Today. This is an official publication of the American Pharmacists Association (APhA) and is nationally recognized. Madison’s expertise were quoted in the article entitled “Focus on Women’s Health: Experts discuss changes in pharmacotherapy landscape for women patients.” Barbara Wood, Community Outreach Coordinator, was appointed by Senator Harry Reid to serve on the Nevada Congressional Awards Board Coalition. The College of Nursing was featured during the month of March 2014 as The Shade Tree of Las Vegas’ donor of the month.

PROMOTIONS

••Rebecca Penn, College of Medicine Project Coordinator

Mark A. Penn, MD, MBA is Founding Dean of the College of Medicine and Chancellor of the Summerlin campus. Penn previously served as Chancellor of the South Jordan campus and Special Assistant to the President for Program Planning.

••Dr. Thuc (Timothy) Le, BA, PhD, Research Scientist and Assistant Professor of Pharmaceutical Sciences.

Ranjana Mitra, BS, MSc, PhD was named Assistant Professor of Pharmaceutical Sciences. She previously served as Senior Research Scientist/Adjunct Assistant Professor of Pharmaceutical Sciences. William Carroll is Associate Dean for Academic Affairs/Associate Professor after serving as Interim Associate Dean for Academic Affairs. Jerry Black is now Clinical Practice Team Leader in addition to Assistant Professor and Jeffrey Rudd is Director of Clinical Operations after previously serving as Director of Dental Laboratory Services. Rebecca Haviland was named Interim Admissions Coordinator. Dr. Erin Johanson has been promoted from Instructor in Pharmacy Practice to Assistant Professor. She also serves as Advanced Pharmacy Practice Experience Coordinator. Jessica Jorvig is Director of College of Pharmacy Laboratories after previously serving as Laboratory Coordinator. Dr. Andrew Draper, Dr. Diane Ree were promoted from Assistant Professor to Associate Professor of Pharmacy Practice. Dr. Jeffery Talbot was named Assistant Dean for Research and Faculty Development. Rowena Bermundo is Skills Lab Coordinator/Assistant Professor. She previously served as Adjunct Clinical Faculty. Georgene Kreger is Clinical Coordinator/Assistant Professor after serving as Adjunct Clinical Faculty. Jene Hurlbut as promoted from Associate Professor to Professor. Dr. Susan Watson was promoted from Assistant Professor to Associate Professor/Acting Campus Dean at the South Jordan campus. Eileen Hug was promoted from Director of Business and Finance to Controller. Sarah Isaac is Senior Accountant after previously serving as Accountant Analyst. Terrell Sparks is Vice President of Operations. He previously served as Vice President of Facilities and Risk Management. Gary Schnell was promoted from Director of Facilities Operations to Senior Director, Facilities and Construction. Daniel Hug was promoted to Help Desk Lead after previously serving as Help Desk Technician II. Lajbanti Dey was promoted from Human Resources Associate to Human Resources Operations Administrator, Nevada, Saralyn Barnes from Human Resources Associate to Human Resources Operations Administrator, Utah and Kim Dawes from Employment Benefits Coordinator to University Benefits Coordinator.

NEW EMPLOYEES College of Medicine, Summerlin Campus ••Dr. Robert Eaglen, Special Assistant to the Founding Dean and Interim Associate Dean for Academic Affairs.

Research Programs, Summerlin Campus

••Dr. Yasuyo Urasaki, Postdoctoral Research Associate ••Robert Kirsh, Animal Facilities Manager

College of Dental Medicine, AEODO/MBA Program, Henderson Campus ••Dr. Jahnavi Rao, Clinical Professor of Dental Medicine ••Dr. Ji Hyun Ahn, Assistant Professor of Dental Medicine ••Marissa Owens, Research Support Consultant

College of Dental Medicine, DMD Program, South Jordan Campus •Dr. • James Hupp, Associate Professor •Dr. • V. Joseph Cheever, Associate Professor •Dr. • Sharon Angelici, Assistant Professor •Dr. • Benjamin Wall, Assistant Professor •Dr. • Ryan Jones, Assistant Professor •Dr. • David McMillan, Assistant Professor •Dr. • Andrew Drollinger, Assistant Professor •Dr. • David Howard, Assistant Professor •Dr. • Jonathan Fairbanks, Assistant Professor •Dr. • David Prince, Assistant Professor/CPT Leader •Dr. • Ryan Willden, Adjunct Faculty •Dr. • Von Porter, Adjunct Faculty •Dr. • Gregory Randall, Adjunct Faculty •Dr. • Drew Jones, Adjunct Faculty •Dr. • Roger Harding, Adjunct Faculty •Dr. • Joseph Checchio, Adjunct Faculty •Dr. • Jordan Davis, Adjunct Faculty •Dr. • Alexander Larsen, Adjunct Faculty •Dr. • Duane Callahan, Adjunct Faculty •Dr. • Wesley Wilcox, Adjunct Faculty •Dr. • Blake Gutierrez, Adjunct Faculty •Dr. • Robert Flath, Adjunct Faculty •Dr. • Glen McMillan, Adjunct Faculty •Dr. • Daniel Poulson, Adjunct Faculty •Dr. • Jason Kim, Adjunct Faculty •Dr. • David McMillan, Adjunct Faculty •Matthew • Palfreyman, Receiving Clerk •Pearl • Ellis, Dental Assistant •Almira • Coralic, Dental Assistant •Laura • Delgado, Dental Assistant •Cherish • Dunshee, Dental Assistant •Jackie • Cole, Dental Assistant, CPT •Krystle • Shaw, Dental Assistant, CPT •Deborah • Broderick, Dental Assistant, CPT •Deann • Christensen, CPT Team 4 Coordinator •Amanda • Vuksinick, CPT Scheduler •Guadalupe • Figueroa, CPT Scheduler

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•Kortni • Wright, Dental Laboratory Staff •Whitney • Anderson, Dental Assistant, Sterilization •Natalie • Naegle, Dental Assistant, Sterilization •Megan • Thompson, Dental Assistant, Sterilization •Laura • Hooper, Dental Assistant, Dispensary •Melissa • Cregger, Dental Assistant, Dispensary •Mariah • Behrle, Dental Assistant, Dispensary •Samantha • Anderson, Dental Assistant, Dispensary •Katherine • McCraley, Dental Assistant, Dispensary •Lexi • Judd, Dental Assistant, Dispensary •Melanie • Butterfield, Dental Assistant, Dispensary •Amy • Anderson, Dental Assistant, Oral Surgery

College of Pharmacy ••Dr. Helen Park, Director of Admissions and Student Affairs/Assistant Professor ••Dr. Danielle Maila, Assistant Professor of Pharmacy Practice ••Dr. Dustin Grant, Assistant Professor of Pharmacy Practice ••Dr. Simon Pence, Assistant Professor of Pharmacy Practice ••Dr. Ho Cheong (Stephen) Lee, Associate Professor of Pharmacy Practice ••Dr. Rebecca Jayakumar, Assistant Professor of Pharmacy Practice

MBA Program •Dr. • Christopher Rodgers, Adjunct Faculty •Patricia • Harms, Adjunct Faculty •Donna • Sreckovich, Administrative Assistant •Kayla • White, Administrative Assistant

College of Nursing, Henderson Campus ••Dr. Josh Hamilton, Interim Associate Dean ABSN and Associate Professor ••Janice Inholt, Adjunct Clinical Faculty ••Mary Ann Esteban, Adjunct Clinical Faculty ••Antonette Vergara, Adjunct Clinical Faculty ••Robin Hoover, Adjunct Clinical Faculty ••Donna Laffee, Administrative Assistant ••Erik Dillon, Recruitment, Admissions and Enrollment Coordinator

College of Nursing, South Jordan Campus ••Mary Beth Larsen, Adjunct Faculty ••Kristi Miller, Adjunct Faculty ••Arlene England, Assistant Professor ••Terry Collins, Assistant Professor

Service Units ••Carol Hollatz, Director of Advancement and Stewardship Development ••Georgette Shudes, Library Assistant ••Kenya Abubakari, Library Assistant ••Wes Boyack, Assistant Controller ••Shatana Nixon, Director of Business Services ••Erica Stone, Administrative Assistant to Registrar/Student Student Services

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••Gary Hollatz, Director of Facilities ••Gurinderpal (Gary) Lalina, Information Systems Tech I/ Help Desk Tech I ••Belinda Scholz, Administrative/Human Resources Assistant ••Sally Michelson, Director of Financial Aid ••Chase Schmidt, Multimedia Technician I ••Stephanie Hilliard, Administrative Assistant, Facilities and Risk Management

RESEARCH PUBLICATIONS AND PRESENTATIONS At a January 2014 American Association for Cancer Research (AACR) meeting on prostate cancer in San Diego, CA, Dr. Ranjana Mitra presented a poster titled, “CYP3A5 regulates prostate cancer growth by facilitating nuclear translocation of AR.” Dr. Olivia Chao presented a poster titled, “HDAC inhibition sensitizes prostate cancer cells to PARP inhibitor through downregulation of DNA repair proteins.” Dr. Ronald Fiscus and Dr. Janica Wong presented a poster titled, “Resveratrol causes biphasic apoptotic and proliferative effects and at higher/proapoptotic/anti-angiogenesis concentrations causes suppression of nitric oxide/cGMP/protein kinase G signaling and decreased expression of prosurvival proteins c-IAP1, c-IAP2, livin and XIAP in human umbilical vein endothelial cells” at the annual AACR conference in San Diego, CA, April 5-9, 2014. At the same meeting, Dr. Fiscus and Dr. Priyatham Gorjala presented a poster titled, “Resveratrol alters the kinase activity of PKG-Iα and Src family in A2780cp cells (ovarian cancer cell line with mutated p53) resulting in growth inhibition. “Enhanced detection of metastatic prostate cancer cells in human plasma with lipid bodies staining,” by Dr. Mitra and Dr. Oscar Goodman, Jr. was published in BMC Cancer 2014. Dr. Glen Roberson was recently published in the “Faculty Files” section of Bulletin, the publication for the Pacific Coast Society of Orthodontists. Dr. Roberson is an Assistant Professor and Clinical Director for the Advanced Education in Orthodontics and Dentofacial Orthopedics/MBA (AEODO/MBA) Residency Program in the College of Dental Medicine-Henderson. His article examines the importance of temporary anchorage devices (TADs) in improving orthodontic treatment, reducing treatment time, and providing the highest quality results.

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