July 2009

KCC Reaffirms Research Participant Protection with Accreditation from International Organization

7.29.2009 Admin
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The Association for the Accreditation of Human Research Protection Programs, Inc. has granted accreditation to Jefferson’s Kimmel Cancer Center. Just 54 percent of NCI-designated cancer centers have earned this achievement.

The Kimmel Cancer Center at Jefferson has earned accreditation from the international organization dedicated to protecting participants of research programs. Jefferson received accreditation from the Association for the Accreditation of Human Research Protection Programs, Inc. (AAHRPP), making it among the just 54 percent of NCI-designated cancer centers worldwide who have earned the distinction.

Termed the "gold seal," accreditation from the Association “offers assurances -- to research participants, researchers, sponsors, government regulators and the general public -- that an HRPP is focused first and foremost on excellence.”

“Like the Kimmel Cancer Center, AAHRPP is grounded in the belief that ethics and scientific merit in research are inextricably intertwined," said AAHRPP President and CEO Marjorie Speers, PhD. "To date, 188 organizations representing more than 900 entities have earned accreditation.”

Thomas Jefferson University Hospitals Ranked Best in Philadelphia for Orthopaedics and Rehabilitation in 2009 Survey by U.S. News & World Report

7.22.2009 Admin
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Thomas Jefferson University Hospitals has again been ranked as the top hospital in Philadelphia for orthopaedics and rehabilitation medicine by U.S.News & World Report in their 2009 Best Hospitals survey. This ranking translates into the 17th best hospital in the nation for orthopaedic surgery and the 11th best in the U.S. for rehabilitation medicine. U.S. News & World Report this year also named Thomas Jefferson University Hospitals as among the best in the nation in four other specialties – cancer; ear nose & throat; gastrointestinal (digestive) disorders; and respiratory disorders. In addition, Wills Eye, which serves as the Department of Ophthalmology for Thomas Jefferson University Hospital and Jefferson Medical College of Thomas Jefferson University, was ranked as third in the nation and the top medical center in Philadelphia for ophthalmology. Jefferson Hospitals’ President and CEO Thomas J. Lewis said Jefferson and its staff are again honored to be among a select number of medical centers of excellence in the nation. “Being recognized in this way by U.S. News & World Report reflects the extraordinary efforts of all the talented doctors, nurses, and staff, who are dedicated to providing exceptional patient care here at Jefferson every day,” said Mr. Lewis. Redefining how healthcare is delivered is at the core of Thomas Jefferson University Hospitals’ commitment to its patients, its community and the nation.

Video-Assisted Thoracic Surgery (VATS) Lobectomy for Treatment of Lung Cancer

7.20.2009 Admin
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While chemotherapy and radiation are valuable treatments, surgery is especially crucial to cure lung cancer. And, VATS lobectomy, while every bit as effective as traditional, open thoracotomy in curing the disease, is also a safer and less traumatic alternative for patients, resulting in less pain, shorter hospital stays and faster recoveries. The entire procedure takes only two hours. Patients can then resume and enjoy the normal activities they did prior to the onset of lung cancer.

Given the sophisticated nature of the procedure, when patients are looking for a doctor, it is important that they look for experience. Benny Weksler, MD , a board-certified thoracic surgeon has successfully performed this procedure on more than 120 patients in the past two years.

VATS lobectomy is the centerpiece of the multidisciplinary program for lung cancer available at the Kimmel Cancer Center at Jefferson. Dr. Weksler, in collaboration with radiation oncologist Maria Werner Wasik, MD , medical oncologist Rita Axelrod, MD , and pulmonary specialist Gregory Kane, MD are dedicated to keeping patients and their loved ones informed and at ease as they are guided with courtesy and compassion through a comprehensive critical pathway of quality care.

For more information on minimally invasive surgery visit our web site . To schedule an appointment call 1-800-JEFF-NOW or fill out our online appointment request form.

Jefferson Breast Care Center Receives NAPBC Accreditation

7.16.2009 Admin
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In 2005, a proposal was brought to the Board of Regents of the American College of Surgeons calling for the development of a program to identify and recognize excellence in breast care centers in the United States. As a result, the NAPBC was formed with a consortium of national professional organizations dedicated to improving the quality of care and monitoring outcomes of patients with diseases of the breast. This week the Jefferson Breast Care Center learned that it had received full accreditation by the National Accreditation Program for Breast Centers. Jefferson is one of thirty breast centers in the nation to be accredited by the Program. After completing an extensive on-campus survey, Jefferson Breast Care Center at Thomas Jefferson University Hospitals, Kimmel Cancer Center, received full accreditation by the National Accreditation Program for Breast Centers (NAPBC).

Q&A: Rotator Cuff Injury

7.14.2009 Admin
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Gerald Williams, MD, is a shoulder specialist. His areas of expertise include shoulder replacement, shoulder arthroscopy, rotator cuff repair and shoulder dislocations, among other areas. He completed medical school at Temple University and a fellowship in shoulder reconstruction at the University of Texas in San Antonio. Dr. Williams is an active participant in major orthopedic societies and has held positions on the Academy of Orthopedic Surgeons Board of Directors and with the Philadelphia Orthopedic Society. His research has been published in numerous peer-reviewed publications – including the Journal of Shoulder and Elbow Surgery. Dr. Williams sees patients at the Rothman Institute at Jefferson’s Center City and King of Prussia, Pennsylvania, locations. Here, he answers a patient’s question about rotator cuff injury.

Question: I belong to a tennis club and lately, it seems that everyone complains about a rotator cuff injury. Is that commonplace?

Answer: The rotator cuff consists of tendons and muscles that work together to hold the shoulder in place. It allows you to lift your arms and reach up. The rotator cuff may be damaged from a fall or other injury to the shoulder or damage may occur slowly over time from repetitive movement or overuse of the shoulder. Rotator cuff tears are also due to aging. A rotator cuff tear is manifested by shoulder pain that is worse with overhead activity. Symptoms include recurrent pain, limited ability to move the arm, and muscle weakness.

Q & A: Shoulder Replacement

7.14.2009 Admin
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John M. Fenlin, Jr., MD, is a graduate of Jefferson Medical College. He completed an internship and a residency in orthopedic surgery at Thomas Jefferson University Hospital. He is a member of multiple professional organizations and societies. The winner of several awards, Dr. Fenlin has authored numerous articles and book chapters and is a sought-after lecturer in the field of shoulder replacement. Here, he answers a patient’s question about whether or not to wait to have his shoulder replaced.

Question: I’m a 57-year-old male whose passion is golf. For the past year, my arthritic shoulder is so painful that I haven’t been able to play much. My doctor suggests a shoulder replacement, but I feel I should wait until retirement. What do you think?

Answer: We used to put off the surgery as long as possible, but now, we view it as a quality-of-life issue. I ask my patients, “Are you willing to live with pain for the rest of your life, or do you think you’ll consider surgery at some point?” If you know you will opt for surgery eventually, sooner is better. Have the surgery while you are in good health and will enjoy the benefit of more quality years.

Osteoarthritis, a common cause of shoulder pain and mobility loss, affects more than 16 million Americans. Arthroplasty (total shoulder replacement surgery) helps restore function to shoulders damaged by degenerative joint disease, osteoarthritis or rheumatoid arthritis. Replacing the worn-out ball and socket in the shoulder with a prosthetic device relieves pain and increases shoulder mobility.

Philadelphia Cancer Patients to Benefit from Expansion of the American Cancer Society Patient Navigator Program

7.14.2009 Admin
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The Program Will Provide Personal Guide to Help Local Cancer Patients Better Navigate Their Cancer Experience Thanks to Support from AstraZeneca

The American Cancer Society today launched its Patient Navigator Program at the Kimmel Cancer Center at Jefferson in Philadelphia, thanks to support received from AstraZeneca Pharmaceuticals LP . This is the first site to launch in Pennsylvania as part of a strategic nationwide effort to significantly extend the reach of this innovative program and assist individual cancer patients in negotiating the health care system.

“A cancer diagnosis can be a life-changing experience for patients, their families and their caregivers,” said Garry Pincock, CEO, American Cancer Society Pennsylvania Division. “Our patient navigator is able to provide support every step of the way, from explaining what to expect with chemotherapy, to making sure patients have transportation to and from appointments. Fighting cancer is a difficult, challenging journey; but with the help of trained American Cancer Society patient navigators, people don’t have to go through it alone.”

AARP Magazine Lists Jefferson as a Top Hospital

7.14.2009 Admin
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The publication featured the Consumers' Checkbook “Top Hospitals in Major Metropolitan Areas” list in its May/June issue. Jefferson is one of only three hospitals in the Delaware Valley to make the list.

An article in the current issue of AARP Magazine highlights Jefferson as one of the best hospitals in the Delaware Valley. The story in the May/June issue (“The Right Hospital for You”) includes a link to “Top Hospitals in Major Metropolitan Areas,” a list compiled by Consumers’ Checkbook, a nonprofit consumer information and service resource.

Jefferson earned its place on the list through its ranking in five categories.

According to its website, AARP’s 40 million 50+ members nationwide join for benefits, information, and products and services that help them navigate the life changes and life stages that affect them, their families and the people for whom they care.

OTC Medication Labels Can be Confusing to Parents

7.14.2009 Admin
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A new study has found that medication labels on children’s over-the-counter (OTC) cold medicine can be confusing to parents.

According to the study researchers, language that is easy to read with clearer graphics is necessary to guide the selection and safe use of the medications. At present, they say, it can be difficult for caregivers to understand age indications of over-the-counter pediatric cold and cough products.

In 2007, drug makers removed several OTC cold and cough medications from supermarkets and drugstores in cooperation with the U.S. Food and Drug Administration recommendation not to use OTC cough and cold medications in children younger than two years old. For products that remained on shelves, pharmaceutical companies changed labels to reflect this recommendation, as well.

This recent study suggests there’s more work to be done regarding the effectiveness of labeling on OTC drugs for kids – and the effectiveness of the medications, too.

Reducing Stroke Risk

7.14.2009 Admin
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Stroke is the third-leading cause of death in the nation and a leading cause of disability. And it’s not just a disease of the elderly.

“Stroke can strike people between the ages of 20 and 55,” says neurologist Maria C. Pineda, MD. Dr. Pineda specializes in treating young and middle-aged adult patients at the Jefferson Acute Stroke Center.

Reducing risk
“If you have a family history of stroke, that’s a ‘non-modifiable’ risk factor you can’t do anything about,” Dr. Pineda explains. “However, you can modify and control other risk factors, including hypertension, heart disease, cholesterol, diabetes and obesity.

“See your doctor for regular checkups,” she advises. “Maintain a proper diet and regular exercise, and avoid smoking, illegal drugs and excessive alcohol intake.”

The Jefferson Acute Stroke Center is one of the most advanced centers in the United States for prevention, diagnosis, treatment and research of stroke. It is the largest such center in the Delaware Valley, with more board-certified vascular neurologists and neurocritical care physicians than most others, and is accredited by the Joint Commission.

Chronic Back Pain Relieved by Acupuncture?

7.14.2009 Admin
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Acupuncture is the practice of puncturing the skin with needles at certain anatomical points in the body to relieve specific symptoms associated with many diseases. The practice originated in China more than 2,500 years ago but started gaining popularity in the United States in the 1970s.

A recent study suggests that acupuncture helps relieve lower back pain – and that’s true whether or not the skin is pierced. The randomized trial – which compared acupuncture, simulated acupuncture and usual care for low back pain – is the largest research study of its kind.

A total of 638 patients with chronic mechanical low back pain were enrolled in this study funded by the National Center for Complementary and Alternative Medicine (NCCAM), part of the U.S. National Institutes of Health (NIH).

Research participants were randomized to one of four treatment groups – individualized acupuncture, standardized acupuncture, simulated acupuncture (non-penetrating) or “usual care.” Each participant was given a questionnaire to rate their symptoms and dysfunction, as well as 10 treatments by an experienced acupuncturist for seven weeks.

At eight weeks, dysfunction and symptom scores improved equally among the three acupuncture treatment groups. Also, medication use decreased immediately and over the next year.

Q&A: Sports injuries among “weekend warriors”

7.14.2009 Admin
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Michael Ciccotti, MD, is nationally is nationally recognized for his work in sports medicine. A graduate of College of the Holy Cross and Georgetown University Medical School, he completed Orthopedic Residency training at Thomas Jefferson University Hospital. Dr. Ciccotti was awarded a fellowship in sports medicine at the prestigious Kerlan-Jobe Sports Clinic in Los Angeles, California. While there, he served as team physician assistant for all the Los Angeles professional sports teams and the University of Southern California Athletic Program. He then returned to the Rothman Institute at Jefferson where he now serves as Director of Sports Medicine and Specialist in Knee, Shoulder and Elbow Reconstruction. He is currently the Head Team Physician and Medical Director for the Philadelphia Phillies and St. Joseph’s University. Dr. Ciccotti has published numerous papers on the treatment of sports injuries, authored in leading texts on the knee, shoulder and elbow, and lectured extensively both nationally and internationally on the full spectrum of sports medicine. Here, he answers a patient’s question about sports injuries among “weekend warriors.

Question: Most of my friends are Type A personalities, working crazy hours all week and then playing tennis for hours on the weekends. But nearly all of them have had some kind of sports injury. What can I do to avoid the same fate?