Past Abstracts - Oral Presentations from CAMS 2017 Scientific Conference
Naumi Feldman, DrPH; Jane Wong. Charles B. Wang Community Health Center, 268 Canal Street, New York, NY 10013. BACKGROUND: There is increasing interest in utilizing patient reported outcome measures (PROM) in routine clinical care to more accurately assess patient symptoms and their impact on mental and physical functioning and quality of life. The EQ-5D-5L is a 5-item plus visual analogue health-related quality of life PROM developed by EuroQol that is available in over 130 languages and multiple modes of administration. The EQ-5D-5L is most commonly used for clinical research purposes, however, evaluations of its use during routine clinical care are limited. Furthermore, while the EQ-5D-5L has been validated with Chinese-speaking populations outside the U.S., this PROM has not been validated for use with Chinese Americans in the U.S. This study is an evaluation of attitudes towards the EQ-5D-5L expressed by patients at a New York City-based community health center that primarily serves limited English proficient, ethnically-Chinese patients.
HIGH RISK BREAST LESIONS: A RETROSPECTIVE COHORT ANALYSIS TO ASSESS UPGRADE RATES TO CANCER AFTER CORE BIOPSY IN CHINESE AMERICAN WOMEN Grace C. Chang, Carmen Fong, Lilyanne Chen, Steven Cai. Mount Sinai Beth Israel, 10 Nathan D Perlman Pl, New York, NY 10003. BACKGROUND: Breast cancer is common in Chinese American women. High risk breast lesions (HRBL) discovered on screening exams are recommended for wide local excision (WLE). However, there is limited data on upgrade diagnosis rates after WLE for this population. The study aimed to estimate rates of upgraded diagnosis in Chinese American women after an initial pathologic diagnosis from core biopsies.
MEASURING OVERWEIGHT IN CHINESE AMERICAN CHILDREN: COMPARISON USING US, INTERNATIONAL, AND ETHNIC-SPECIFIC GROWTH CHARTS Jennifer Lau, Cindy Huang, Loretta Au, Ina Elbaar, Eda Chao, Raymond Tse. Charles B. Wang Community Health Center, 268 Canal Street, New York, NY 10013. BACKGROUND: Chinese American children have the lowest overweight prevalence in the US compared to other groups. However, the method used to determine weight status (CDC 2000) is based on a reference population that under-sampled Asian Americans. Because Asians experience weight-related comorbid conditions at lower BMI’s than other populations, alternative growth charts may more accurately identify at-risk Chinese American children. This study aims to determine the prevalence of pediatric overweight in Chinese Americans using international and ethnic-specific growth charts.
ASSESSING GASTRIC CANCER RISKS USING INFECTION RATE OF HELICOBACTER PYLORI IN AN URBAN CHINESE POPULATION Christina Lin1, Hong Liu2, Salina Lee3 BACKGROUND: Despite a lower incidence rate in the United States, gastric cancer affects a disproportionate number of cases in high-risk groups such as populations of East Asian descent, who are also at higher risk for infection by Helicobacter pylori, a class I carcinogen for gastric cancer. Infection rates are further aggravated in urban areas. With a growing Asian population in the United States’ urban areas, there is an increasing need to address this health disparity in primary gastric cancer prevention.
ILIAC VEIN STENTING FOR CHRONIC VENOUS INSUFFIENCY IN THE ASIAN AMERICAN POPULATION Chien Yi M. Png (MS4), Sida Chen, Jacob Lurie, Sneha Subramaniam, Rami Tadros, Windsor Ting. 1. Icahn School of Medicine at Mount Sinai, New York 10029. Max.png@icahn.mssm.edu; (603)-264-5015. BACKGROUND: Chronic venous insufficiency (CVI) has a prevalence of roughly 15% in the United States, for which iliac vein stenting is being increasingly used as a treatment. Despite making up over 5% of the population, Asian Americans have yet to be the subject of a study evaluating the epidemiology or outcomes of iliac vein stenting. ORAL 5 - Png, Chien Yi M..docx
坐 月 子 : PREVALENCE OF TRADITIONAL CHINESE AND VIETNAMESE POSTPARTUM PRACTICES AT A FEDERALLY QUALIFIED HEALTH CENTER Micha Yin Zheng, MPH1; Van Viet Thuy Nguyen2; Michael A. Kallen, PhD, MPH3; Susan L. Ivey, MD, MHSA4 1,4UC Berkeley-UCSF Joint Medical Program, 570 University Hall #1190, University of California, Berkeley, School of Public Health, Berkeley, CA, USA 94720. 2University of California, Berkeley, School of Public Health, Berkeley, CA, USA 94720. 3Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University Chicago, IL, USA 60611. BACKGROUND: “Doing the month” (DTM) is a Traditional Chinese Medicine postpartum practice involving a strict set of rules regarding what can and cannot be done by a new mother one month following childbirth. In its strictest form, women are not allowed to shower, leave the house, or brush their teeth. They are also required to eat only hot foods, drink rice wine, and keep themselves warm at all times.
PATIENT PERSPECTIVES ON MENTAL HEALTH, GENDER, AND SEXUALITY IN PRIMARY CARE: UPLIFTING LGBTQ ASIAN AMERICAN NARRATIVES Michelle Chen1, Emily Chan2, Weijing Gu3, Kristina Hwang4, Joshua Ng5, Maggie Wong6, Vivian Wong7, Hannah Wu3 1Charles B. Wang Community Health Center, 2University at Albany, SUNY, 3Stony Brook University, 4Williams College, 5City College of New York, 6Brandeis University, 7Binghamton University BACKGROUND: Lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals and Asian Americans are two groups that face health disparities, including poor mental health outcomes. LGBTQ Asian Americans exist at a unique intersection of identities, and little research examines this group. Project AHEAD interns at the Charles B. Wang Community Health Center conducted a survey to assess LGBTQ Asian Americans’ experiences at medical visits with their primary care provider (PCP). POSTER 1 - Chen, Michelle.docx
ASSESSING CHINESE AMERICAN YOUTH RISK BEHAVIOR AT THE CHARLES B. WANG COMMUNITY HEALTH CENTER Matthew Chin; Brian Tang; Naumi Feldman, DrPH; Jennifer Lau, MPH; Loretta Au, MD; Kyla Cheung; Xiao Ying Pan; Sonora Yun; Xiaodong Chen; Hui Xian Liu; Yuan Wang. Charles B. Wang Community Health Center 268 Canal St. New York City, NY 10013. OBJECTIVES: The national Youth Risk Behavior Surveillance System (YRBSS) collects data for youth health risk behaviors; however, results for Asian American subgroups are aggregated, concealing ethnic differences. The aims of this study were: (1) compare risk behaviors between Chinese American youth and aggregated Asian American youth surveyed by the YRBSS, and (2) investigate acculturation behavior disparities amongst Chinese American youth.
BIOMARKERS AS PREDICTORS OF PROGRESSION FROM BARRETT’S ESOPHAGUS TO DYSPLASIA AND CARCINOMA Choi, Y., Department of Pathology and Lab Medicine, Yale School of Medicine and Bridgeport Hospital, 267 Grant St. Bridgeport, CT 06610 BACKGROUND: The incidence of esophageal adenocarcinoma (EAC) has increased up to 400% since 1970s. While the stepwise neoplastic progression from Gastro-Esophageal Reflux Disease (GERD) to Barrett’s Esophagus (BE), to dysplasia and to EAC is accepted, there is a knowledge gap regarding mechanisms and biomarkers of progression. Furthermore, over 40% of patients with GERD, BE and dysplasia are undiagnosed. Traditionally, biomarker testing is performed on formalin fixed tissue biopsies. CytoBrush technique is a recently introduced wide trans-epithelial collection of cells which yields a better collection of the entire esophageal lesions than the current 4 quadrant biopsy. This study explores results from biomarker testing on formalin fixed biopsies, and from Fluorescence In-situ Hybridization (FISH) on fresh CytoBrush samples to evaluate risk of progression of BE to (EAC) dysplasia.
ADDRESSING NUTRITION EDUCATION WITH CULTURAL COMPETENCY USING A NOVEL APPROACH: “MY TRAFFIC LIGHT PLATE” Samantha Ho1,2, Mark Chang1,2, Eric Eck1,2, Blessen George1,2, Pragya Kalla1,2,
BACKGROUND: According to the NYU Langone Community Health Needs Assessment 2017, there is limited nutritional health literacy within the community. To address this, we sought to find an improved and culturally competent way to present nutrition information for the diverse Sunset Park and Flatbush communities.
AN EVALUATION OF A SMOKING CESSATION HEALTH COACH PROGRAM FOR CHINESE AMERICANS IN NEW YORK CITY Jennifer Lau, MPH1, Annie Xu1,2, Regina Lee, JD1. 1Charles B. Wang Community Health Center, 268 Canal Street, NY, NY, 10013 2 Vassar College, 124 Raymond Ave, Poughkeepsie, NY, 12604 BACKGROUND: A smoking cessation health coach program was implemented at Charles B. Wang Community Health Center (CBWCHC) in 2015 to target Chinese American smokers due to increasing smoking rates in this population. The bilingual health coach provided culturally competent counseling at regular intervals either face-to-face or over-the-phone to provide support for smoking cessation. Participation in the program was optional. Eligible participants were provided with free nicotine patches. The evaluation’s objectives were to assess the outcomes of the program, identify perceived helpfulness of the coach, and assess participant satisfaction.
BILATERAL CONJUNCTIVAL MASSES IN A 21-YEAR-OLD H. PYLORI-POSITIVE CHINESE FEMALE Lisa K. Law*, Codrin E. Iacob*, Harsha S. Reddy* INTRODUCTION: While Helicobacter pylori’s association with gastric mucosa-associated lymphoid tissue type (MALT) lymphoma is well-documented,1,2 the evidence linking H. pylori to conjunctival MALT lymphoma is not as robust.3,4 Nonetheless, given the high rate of H. pylori infection (48 to 59% mean prevalence in one study) in Chinese patients, it is important to consider testing and treatment of H. pylori in patients with ocular adnexal lymphomas.5 We present a case of bilateral extranodal marginal zone conjunctival lymphomas in a young, otherwise healthy, H. pylori-positive patient.
DEVELOPMENT OF A PATIENT-CENTERED, CULTURALLY COMPETENT ASIAN INPATIENT PSYCHIATRIC PROGRAM Fong Liu, M.D. and Nadine A. Chang, Ph.D. Gracie Square Hospital, New York-Presbyterian Regional Hospital Network 420 East 76th Street, New York, NY 10021. BACKGROUND: In spite of recent efforts to increase parity in behavioral healthcare, the stigma of mental illness remains a significant obstacle to psychiatric treatment. It is well-documented that Asian Americans demonstrate high rates of underutilization of behavioral healthcare services, and long-held cultural stigma is a major contributing factor. New immigrants, young adults and individuals with chronic psychiatric illness are three categories of psychiatric service recipients who require inpatient psychiatric care. To address these obstacles to comprehensive behavioral healthcare in the Asian community, Gracie Square Hospital has established an inpatient treatment setting tailored for the Asian population, focusing on patient–centered, culturally competent psychiatric care with emphasis on continuity of care from inpatient treatment to the community.
PEDIATRIC CASE OF NEUROMYELITIS OPTICA PRESENTING WITH ACUTE ONSET LOWER EXTREMITY WEAKNESS David Q. Mao, M.D. BACKGROUND: Neuromyelitis optica (NMO) is a rare autoimmune condition with incidence of 0.04-0.5 per 100,000 across the world. Of these cases, pediatric NMO makes up less than 5%. NMO can cause transverse myelitis in children, and is associated with serum AQP4 antibodies.
A TECHNIQUE FOR USINGNEGATIVE PRESSURE WOUND THERAPY (NPWT) OVER THE GREAT VESSELS IN THE HEAD AND NECK Garrett Ni *2, Robert Scagnelli *2, Alexia Hwang *2, Karthik Shastri *1,2, Marcelo C. Pereira *1,2, Neil Gildener-Leapman *1,2 INTRODUCTION: Salivary leaks following laryngectomy type surgeries can lead to challenging complications including delayed wound healing, infection, pharyngocutaneous fistula, and even possible carotid exposure and blowout.To alleviate these postsurgical complications, the utilization of negative pressure wound therapy (NPWT) has been proposed in the setting of head and neck surgery. However, NPWT is not yet routinely used; this may be partially due to concerns regarding great vessels that are often exposed in the surgical site. This study examines the potential utility of a modified NPWT device that prevents undesirable contact of the vacuum sponge with a blood vessel wall.
PATTERNS OF WEIGHT CHANGE AND THEIR EFFECTS ON CLINICAL OUTCOMES FOLLOWING TOTAL KNEE ARTHROPLASTY Tanzib Razzaki, B.S. 1, Hamid Rahmatullah Bin Abd Razak, MBBS, MRCS, Dip SpMed, MMed (Ortho)2, Hwee-Chye Andrew Tan, MBBS, FRCS (Glasgow), FRCS Ed (Ortho)2. 1. Mack Lipkin Fellowship CUNY School of Medicine, 160 Convent Avenue, Harris Hall 113 New York, NY 10031 2. Department of Orthopaedic Surgery, Singapore General Hospital 20 College Road, Academia Level 4 Singapore 169865. BACKGROUND: This prospective cohort study was designed to evaluate the patterns of weight change and their effects on clinical outcomes following total knee arthroplasty (TKA) in an Asian population. POSTER 10 - Razzaki, Tanzib.docx
PROSTATE-SPECIFIC ANTIGEN VELOCITY AS A PRE-BIOPSY SCREENING TOOL FOR PROSTATE CANCER IN ASIAN-AMERICAN MEN? Zhan D. Wu, Zachary S. Feuer, Jared C. Levinson, Andrew G. Winer, Wellman Cheung. SUNY Downstate Medical Center, College of Medicine, Brooklyn, NY. BACKGROUND: Prostate-specific antigen (PSA) is a screening tool for prostate cancer (PCa). PSA velocity (PSAV) has been proposed as an alternate screening tool. Though the predictive value of PSAV has been shown to be statistically significant in African-American men, there is a paucity of data on Asian-Americans due to a lower prevalence of PCa. In this study, we compare the use of pre-biopsy PSAV for PCa detection in an Asian-American population versus an African-American population.
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