Program Book for 46th Annual Scientific Day

Advocate Aurora Health Advocate Aurora Health Institutional Repository 2020 Aurora Scientific Day Scientific Day 5-20-2020 Program Book for 46th Annual Scientific Day Advocate Aurora Health Follow this and additional works at: https://institutionalrepository.aah.org/sciday_2020 Recommended Citation Advocate Aurora Health 46th Annual Scientific Day Program Book Program book for: Aurora Scientific Day; May 20, 2020; virtual webinar hosted in Milwaukee, WI This Article is brought to you for free and open access by the Scientific Day at Advocate Aurora Health Institutional Repository It has been accepted for inclusion in 2020 Aurora Scientific Day by an authorized administrator of Advocate Aurora Health Institutional Repository For more information, please contact AAH-Library@aah.org 46th Annual Aurora Scientific Day May 20, 2020 • 9:30 a.m to p.m Webinar Session Webinar Session Welcome and Opening Remarks Judged Oral Poster Session 9:30 to 9:32 a.m 12:29 to 1:53 p.m Oral Presentation Session I Oral Presentation Session II 9:32 to 11:29 a.m 1:53 to 2:58 p.m Rieselbach Distinguished Paper Rieselbach Distinguished Paper 11:29 to 11:49 a.m 2:58 to 3:18 p.m Lunch Break General Oral Poster Session 11:49 a.m to 12:29 p.m 3:18 to 4:50 p.m Awards immediately following 46th Annual Aurora Scientific Day 2020 Richard E Rieselbach, MD Distinguished Paper Sessions Richard E Rieselbach, MD, was born in Milwaukee, educated at the University of Wisconsin-Madison and Harvard Medical School, and trained in Internal Medicine at the University of Illinois and Nephrology at Washington University in St Louis Dr Rieselbach has been a faculty member of the University of Wisconsin School of Medicine and Public Health since 1965 Dr Rieselbach served as Associate Dean and Chairman of the University of Wisconsin Medical School’s Milwaukee Clinical Campus from 1974 to 1991 He provided the inspiration and administrative leadership that created the Milwaukee Clinical Campus at Mount Sinai Hospital in 1974 He shepherded its growth from the initial 46 faculty (full-time and clinical) and 18 residents/fellows, to 90 full-time faculty, 158 clinical faculty and 108 residents/fellows in six departments by 1991 Dr Rieselbach’s high standards for clinical and academic excellence fostered the recruitment of leaders and the development of innovative programs in primary care, geriatrics, interventional cardiology and electrophysiology, and high-risk obstetrics, which came to characterize the campus He maintained a strong commitment to caring for the medically indigent and fostering an expectation of community service in faculty and students He projected a national vision in progressive reform of medical education and health care delivery 46th Annual Aurora Scientific Day 2020 Oral Presentation Session I Attempted Isolation of Cryptococcus Species and Incidental Isolation of Exophiala dermatitidis From Human Oral Cavities Toberna CP, BS, Aurora UW Medical Group, Aurora Research Institute, Center for Urban Population Health Kram JJF, MPH, Aurora UW Medical Group, Center for Urban Population Health Beck ET, PhD, ACL Laboratories Baumgardner DJ, MD, Department of Family Medicine, Aurora UW Medical Group, Center for Urban Population Health Background: Historically, cryptococcal species were not thought to be part of the human microflora Recently, they have been described as occasional members of human oral biofilms by molecular analyses Having potential fungal pathogens such as Cryptococcus species present in the oral cavity could lead to opportunistic, and potentially deadly, infections Purpose: This pilot study aimed to determine if potentially pathogenic Cryptococcus species may be demonstrated in the human oral cavity by culture technique in order to potentially study the whole organism Methods: We prospectively enrolled adult English-speaking, non-acutely ill patients, as well as volunteer medical and non-medical staff from an academic primary care clinic and affiliated research office, in Southeastern Wisconsin, during the summer of 2019 Participants were only included if they could safely submit to oral sampling and did not use any oral or systemic antifungal agents within the last four weeks Specimens from an upper lip sulcus swab and a concentrated phosphate buffered saline oral rinse were obtained and inoculated separately onto Staib (birdseed) agar containing chloramphenicol and incubated in gas impermeable zip lock bags at 35°C Basic demographic characteristics, chronic illness history, smoking status, and medication use, as well as time of last food and fluid intake, last tooth brushing, and mouthwash use were obtained Basic descriptive statistics were calculated Results: No cryptococci were grown from any of the 122 samples from the 61 patients enrolled Subjects were all generally healthy of mean age 44.0 (+17.1) years, primarily female (68.9%), white (85.3%), and non-Hispanic (86.9%) All but one individual resided in urban Southeastern WI Subjects presented with a range of last food and fluid consumption, as well as last tooth brushing and mouthwash use Both specimens from a woman with no risk factors for fungal disease, yielded a black yeast at days on Staib agar This isolate was shown to be Exophiala dermatitidis by colony and microscopic morphology, and analysis by MALDI-TOF-MS Conclusion: E dermatitidis was incidentally isolated from the oral cavity of a generally healthy human, which appears to be a novel finding Additional studies of a larger, more geodemographically diverse population are required to determine whether Cryptococcus species or E dermatitidis commonly, if even transiently, colonize the oral cavities of healthy individuals Using Clinical Guidelines for Early Continuous Positive Airway Pressure (CPAP) to Decrease the Incidence of Chronic Lung Disease in Premature Infants Prior to Discharge Schuele S, RRT-NPS, Aurora St Luke’s Medical Center, Aurora West Allis Medical Center Klumph M, MA, Aurora UW Medical Group, Center for Urban Population Health Heslin K, MPH, Aurora Research Institute, Aurora UW Medical Group, Center for Urban Population Health Background: Infants born prematurely are at risk of developing chronic lung disease (CLD) due to their immature lungs and the use of invasive mechanical ventilation (MV) At Aurora Sinai Medical Center (ASMC), the rate of very low birth weight premature infants (