Experts Matter. Find Yours.
Connect for media, speaking, professional opportunities & more.
ChristianaCare expands Health Literacy Partnership through Support from Highmark Health
ChristianaCare has received an $80,000 grant from Highmark Blue Cross Blue Shield (BCBS) Delaware to support the Health Literacy Council of Delaware. Funded through Highmark’s BluePrints for the Community grant program, the money will be used to fund education and awareness for clinicians and other caregivers on best practices in making health care information much easier for patients to understand. “Health literacy is essential to good health,” said Greg O’Neill, MSN, APRN, AGCNS-BC, director of Patient & Family Health Education at ChristianaCare. “Personal health literacy is the degree to which individuals are able to find, understand and use information and services to inform their health-related decisions and actions. At ChristianaCare we are committed to communicating with our patients in ways that enable them to understand so that they can make informed decisions and achieve their best health. “We are deeply grateful that Highmark Health Options shares our commitment to health literacy. Their generous grant will enable us to support our caregivers in their efforts to deliver clear, consistent communication to every patient in every interaction, improving their lives.” In addition to work within health care in Delaware through the Health Literacy Council, the grant also will be used by ChristianaCare to provide education in the community to support increased health literacy and enable people to make informed, healthy choices. Housed by the Delaware Community Foundation, Highmark’s BluePrints for the Community has contributed over $35 million to the community since its inception in 2007. It was established to increase access to care and reduce health care disparities in Delaware. In addition to ChristianaCare, the Health Literacy Council of Delaware is supported by the Delaware Division of Public Health and the University of Delaware’s Partnership for Healthy Communities. “Highmark Blue Cross Blue Shield Delaware and Highmark Health Options are actively engaged with statewide literacy improvement efforts and are pleased to support the Health Literacy Council of Delaware,” said Nick Moriello, president of Highmark Blue Cross Blue Shield Delaware. “By ensuring Delawareans have the tools and resources they need to understand their health information, while simultaneously making inclusive accommodations as health care organizations, we can promote better health decisions and ultimately improve health outcomes.”
The Importance of Vitamin K for a Healthy Diet
Vitamin K is a fat-soluble vitamin that plays important roles in blood clotting and in bone metabolism. Sharon Collison, a registered dietitian and instructor of Clinical Nutrition at the University of Delaware, has over 30 years of experience looking at nutrition, diets and diet culture. She has studied the affects of vitamin K and the impact it can have on one's overall health. She notes that vitamin K decreases bone turnover, protecting against fractures. Vitamin K is unique in that bacteria in the GI tract can synthesize vitamin K that can contribute to the body’s needs. People generally get about ½ their vitamin K from synthesis in the GI tract and ½ from food sources. Here are some foods that Collison said are not only good sources of vitamin K, but are nutritional powerhouse foods that are nutrient dense. Broccoli Raab: 241 mcg/100 grams of vitamin K. Also high in dietary fiber, potassium and vitamin C. Artichokes: 14.8 mcg/100 grams vitamin K. Also an excellent source of dietary fiber and potassium. Broccoli: 102 mcg/100 grams vitamin K. Also high in vitamin C, beta carotene, dietary fiber, potassium, iron and phytonutrients — which has great cancer fighting properties. Spinach: Chopped frozen boiled spinach has 543 mcg/100 grams of vitamin K, making it one of the best sources. Also high in vitamin C, folate, potassium, vitamin A and magnesium. Green leaf lettuce: 126 mcg/100 grams vitamin K. Also a good source of vitamin A and potassium, folate and very low in calories. Canola oil: 10 mcg/1 Tbsp vitamin K. Also a good source of heart-healthy monounsaturated fats and vitamin E. Canned tuna in oil: 37 mcg/3 ounces vitamin K. Also rich in protein and heart healthy omega-3 fatty acids. Eggs: Vitamin K content varies between 67-192 mcg per egg yolk depending on the hen’s diet. Also an excellent source of protein. Arugula: 21 mcg/1 cup vitamin K. Also good source of potassium, vitamin C, folate, vitamin A and calcium. Collison is affiliated with the National Alliance on Eating Disorder Awareness and Prevention. She has been a board-certified sports dietitian since 2008, providing sports nutrition guidance to middle-school, high-school, collegiate, elite and amateur athletes.
With tourism, concerts and other forms of recreation experiencing blockbuster summers, it seems almost hard to believe that we were wearing masks, quarantining and dealing with other COVID-19 restrictions as recently as a year ago. But according to Jennifer Horney, professor and founding director of the University of Delaware's epidemiology program, the virus is far from gone, with waves hitting Japan and the Dominican Republic and a rise in cases in the southern part of the United States. In addition to providing expert analysis for national media on the pandemic, Horney focuses on the impacts of natural disasters on public health, as well as linkages between disaster planning and the actions communities and individuals take to prepare, respond and recover. A core faculty member with UD's Disaster Research Center, Horney has trained rapid response teams around the world to respond to outbreaks of novel and reemerging diseases, such as Influenza A H1N1. She recently published "The COVID-19 Response: The Vital Role of the Public Health Professional," which emphasizes the critical roles that the public health workforce played on the frontlines of the response to the COVID-19 pandemic.
Frequent tanning can signal excessive concern over image and vulnerability to taking health risks, researcher says Getty Images People who often sunbathe or use tanning beds are more likely to try risky weight-loss methods and have cosmetic surgery, as well as get tattoos and piercings. But while people who seldom tan also may try unsafe diets and cosmetic surgery, they rarely opt for tattoos or piercings, according to a Baylor University study. "When compared to infrequent tanners, frequent body-tanners — regardless of whether they are tanned by ultraviolet light from the sun, ultraviolet light from a tanning bed or methods such as tanning sprays that do not involve UV light — showed significantly higher behavioral intentions to engage in risky appearance-related behaviors overall," said Jay Yoo, Ph.D., associate professor of family and consumer sciences in Baylor's Robbins College of Health and Human Sciences. "Safer tanners, on the other hand, are more concerned about modifying their bodies in ways such as tattoos and piercing that may carry a stigma," Yoo said. Most skin cancer prevention campaigns have emphasized avoidance of getting sunburned, reducing UV exposure and applying sunscreen, but they have neglected the individual's experience with social and appearance concerns, he said. But "Excessive tanning can serve as a possible sign of overt concern over body image, with vulnerability to greater health risks," Yoo said. His research article — "A Study of the Relationships between Tanning Methods and the Intention to Engage in Risky Appearance-Related Behaviors" — is published in Family and Consumer Sciences Research Journal. Data for the study was collected from an online survey of 395 female college students in the southern United States. The major contributor to skin cancer is frequent exposure to ultraviolet rays, with skin cancer the most common — and one of the most preventable — types of cancer, according to the American Cancer Society. Ironically, previous research has found that many people choose to tan because they believe a tan makes them look thinner and more fit, Yoo said. Tanning has gone in and out of fashion, Yoo noted. Tans at one time were associated with lower classes who worked outdoors — in contrast with the Southern belles of more than a century ago, who used parasols to protect their skin and to look pale and refined. In the 1920s, fashion designer Coco Chanel started a fad after accidentally getting sunburned while visiting the French Riviera, Yoo said. Tanning remained popular, with high-fashion models often sporting tans, whether from UV exposure or sprays and bronzers. And these days, some people sport tattoos along with their tans, he said. The study found that: Frequent tanners who expose themselves to UV rays through sunbathing or tanning beds have the strongest intentions to engage in a wider range of risky appearance-related behaviors when compared to infrequent tanners or spray tanners. Such behaviors include extreme weight control methods, such as diet pills, self-induced vomiting, laxatives and diuretics; cosmetic surgery and Botox injections; spa treatments, such as hair removal by waxing (which has been associated with rashes and infections) and gel nail polish (done with UV curing and associated with DNA damage to the skin that can result in premature aging and possibly cancer; and tattoos or piercings. Infrequent tanners, as well as "safe" tanners who seek to achieve an ideal tan without ultraviolet methods (sprays, lotions or bronzers) are much less likely to engage in behaviors that may convey certain stereotypes, such as tattoos or piercings with visual symbols or messages. But they are willing to try other risky appearance-related behaviors. Yoo suggested that intervention strategies adapted for healthcare providers to reduce UV exposure and skin cancer could use stigmatization — perhaps through images of tattooed or pierced individuals who also are tanned. "A negative stigma attached to UV exposure can create ambivalence in our society about achieving a tanned appearance," Yoo said. "This could decrease the popularity of tanning in much the same way the negative stereotyping of smoking and education about its health risks have reduced the number of people who smoke." He noted that in the 1940s and 1950s, smoking was idealized, especially in Hollywood movies, but "there has been a cultural shift," he said. "One way to change the appeal of tanning would be to make it un-cool," Yoo said. "If I tan and people look at me funny, I'm not going to tan anymore." While another way to stigmatize tanning would be to stress the health consequences, "for young people it may be more effective to emphasize the appearance," Yoo said. "The tanning that makes me attractive now may be counteracted for the long haul because at 50 or 60, I may have leathery skin. "Given that tanning emerged as a fashion trend, gradual attitudes toward dangerous tanning can be made possible in a similar fashion," he said.
Five Tips to Choose Sustainable Fashion
Getty Images Fast Fashion is the most popular trend in retail fashion today. Fast Fashion isn’t a specific style but rather clothing produced quickly and cheaply to respond instantly to consumer demand. Low prices and popular online retailers allow people to purchase clothing more often but at a devastating cost to the environment. According to EarthDay.org, the fashion industry is one of the largest global polluters, creating 4% of all greenhouse gas emissions, 40 million tons of landfill waste and 35% of microplastics in the ocean. According to fashion expert Jay Yoo, Ph.D., associate professor of apparel merchandising in the Robbins College of Health and Human Sciences at Baylor University, consumers are learning more about the environmental impacts of fashion and searching for better options. Fashion expert Jay Yoo, Ph.D., associate professor of apparel merchandising in the Robbins College of Health and Human Sciences at Baylor University Fashion expert Jay Yoo, Ph.D. Yoo’s research shows that purchasing apparel products that help reduce negative impacts on the environment has emerged as a lifestyle. “Fashion-conscious consumers are ready and willing to forgo fast fashion for more sustainable options produced in an ecologically and socially responsible way,” said Yoo. Yoo recommends five ways you can use your purchasing power to support sustainable fashion. Choose natural fibers - organic cotton, linen or hemp. Avoid clothing that requires dry cleaning. Donate to and shop at resale stores. Purchase from retailers that are committed to sustainability. Encourage your friends to join you in supporting sustainable fashion. Although fashion is often understood to center on apparel choices, fashion impacts nearly every aspect of human lives, Yoo said, including health, social responsibility and environmental issues involving consumptive behaviors. His additional research interests include appearance-related behaviors and their implications for individual and social well-being from consumer perspectives, from body-tanning behaviors, body image and quality of life among cancer patients, retail therapy and mental health, and irrational shopping and extreme body modification.
Baylor Researcher Seeks to Understand the Drive for the Perfect Tan
Despite being one of the most preventable cancers, the desirability of tanning is often stronger than the dangers of harmful UV exposure. Getty Images With summer on the horizon, the quest for the perfect tan has begun. However, there is no such thing as a healthy tan. Despite being one of the most preventable cancers, skin cancer is the most common cancer in the United States, with more than 5 million cases of skin cancer diagnosed each year, according to the Skin Cancer Foundation. Baylor University researcher Jay Yoo, Ph.D., associate professor of apparel merchandising in Baylor’s Robbins College of Health and Human Sciences, found that the social and cultural influences on the desirability of tanning – which has been associated with good health and an active lifestyle since the 1920s – is often stronger than the dangers of harmful UV exposure. “The appeal of a tan is so strong in U.S. culture, it may be difficult for some people to stop or even reduce the amount of tanning,” Yoo said. In his 2019 study, “Identifying factors that influence individuals’ intentions to quit body tanning: A sociocultural perspective,”, published in the international journal Social Behavior and Personality, Yoo identified what motivates people to seek the “perfect” tan. Yoo surveyed 385 college students to understand how society effects their tanning behaviors and intention to quit tanning. His research found that the greatest influence on reducing risky tanning behavior was the perceived attractiveness from tanning, whereas skin-aging concerns positively influence their intention to quit tanning. FINDINGS Yoo’s findings provide important implications for skin cancer prevention campaigns. Instead of promoting the message of body tanning as an unhealthy behavior, focusing instead on untanned healthy bodies as a positive image can serve as an effective approach to decreasing skin cancer incidence. Using messages that accentuate a healthy body without tanned skin should be promoted to boost a positive body image and to reduce the likelihood of engaging in risky tanning behaviors. ACTIONS To protect yourself and look great, the Skin Cancer Foundation recommends: Avoid tanning entirely: It’s the best way to safeguard against unhealthy, unsightly skin damage. Fake, don’t bake: If you want a golden glow, consider sunless tanning products. There are many options, but remember, when in the sun, you still need sun protection. Tone, don’t tan: Get radiant skin through exercise. Working out feels good and boosts your mood. Hydrate and eat great: Drink lots of water and choose whole, unprocessed foods. You don’t need to tan to look slim and your skin will thank you.
CorpusCast with Dr Robbie Love: Dr Clyde Ancarno & Professor Insa Nolte on Anthropology
Hello, hello, hello, everyone! Welcome back to Corpuscast, the podcast that brings you the fascinating world of Corpus Linguistics. Can you believe it? We're already on episode 19! Since our launch in January 2022, we've been exploring the incredible impact of Corpus Linguistics on society. And trust me, today's episode is going to blow your mind! As always, I'm your host Robbie Love, a linguist from Aston University. Today, we dive deep into the realm of anthropology, the study of human societies and cultures. Get ready for an engaging discussion on the origins of humanity, the evolution of civilizations, and the incredible diversity that exists across our world. Our special guests for today's episode are none other than Professor Insa Nolte, a leading anthropologist from the University of Birmingham, and Dr. Clyde Ancarno, a brilliant corpus linguist and senior lecturer in Applied Linguistics and Education at King's College London. Together, Insa and Clyde collaborated on a groundbreaking research project in Southwest Nigeria, exploring how members of different religious groups coexist peacefully. Their findings shed light on the intricate social structures that maintain harmony within diverse communities. Join us as we delve into the thought-provoking questions that shape our understanding of humanity. Who are we and where do we come from? How have civilizations transformed throughout history? What factors contribute to the functioning of our societies? This captivating conversation will unveil the incredible insights brought forth by Corpus Linguistics and its intersection with anthropology. Discover how language and culture intertwine to shape our identities and communities. Don't miss out on this enriching episode! Tune in to Corpuscast below, and let's embark on this captivating journey together. Subscribe to Corpuscast on YouTube, Apple Podcasts, Spotify or wherever you get your podcasts, for more thought-provoking episodes exploring the boundless possibilities of Corpus Linguistics in education, health, technology, and beyond. Stay curious, stay inspired! ? #Corpuscast #Anthropology #CorpusLinguistics #Humanity #Culture #Diversity #Podcast #LanguageResearch
Nicholas Petrelli, M.D., Receives Lifetime Achievement Award
Nicholas Petrelli, M.D., Bank of America Endowed Medical Director of ChristianaCare’s Helen F. Graham Cancer Center & Research Institute, has received the Lifetime Achievement Award from Tulane University School of Medicine in New Orleans, Louisiana. Petrelli is a 1973 graduate of the school. Dr. Petrelli, center, receives the Lifetime Achievement Award from Julius L. Levy, Jr., M.D., past president, Tulane Medical Alumni Association, left, and Lee Hamm, M.D., senior vice president & dean of the School of Medicine, and the James R. Doty Distinguished Professor and Chair, Tulane University School of Medicine, New Orleans, Louisiana. The award recognizes an alumnus of the school who has made significant contributions to the field of medicine and has offered outstanding leadership in the community. Under Petrelli’s leadership at ChristianaCare since 2001, the Helen F. Graham Cancer Center & Research Institute has become a national model for multidisciplinary cancer care and a top enroller in U.S. clinical research trials. The Graham Cancer Center is a National Cancer Institute Community Oncology Research Program and one of only five hybrid academic community cancer centers in the nation. Through the work of the Graham Cancer Center and partnerships with health care providers, community organizations and the state to improve the prevention, diagnosis and treatment of cancer, Delaware’s cancer mortality rate has dropped twice as fast as the national rate. In addition, the state is outpacing the nation in reducing deaths from a number of cancers. Delaware has gone from number one in cancer mortality 22 years ago to number 17 today. Petrelli has numerous achievements in cancer care and research. He has established several firsts for Delaware, including a multidisciplinary disease center site, the Cawley Center for Translational Cancer Research, a tissue procurement center, an adult genetic counseling program, a statewide high-risk family cancer registry consisting of more than 500,000 individuals and an innovative oncology express unit to provide patients with cancer a way to address urgent care needs without having to go to the emergency department. Among his accomplishments on the national level are the first primary care practice established at a cancer center and the first gene editing research program integrated into a community cancer center. Through a unique research partnership with the Ellen and Ronald Caplan Cancer Center of The Wistar Institute, he has brought cutting-edge cancer treatments and diagnostics to Delawareans. And in a ground-breaking collaboration among the government, community organizations and the Graham Cancer Center nearly 10 years ago, Delaware ended the disparity between Black and white people for colorectal cancer screenings and mortality, which continues to this day. Petrelli has received numerous awards and has authored 360 peer-reviewed manuscripts and 31 book chapters. He has served on advisory panels of the National Cancer Institute, the American Society of Clinical Oncology, the American Cancer Society and the Society of Surgical Oncology. He was president of the Society of Surgical Oncology from 2007 to 2008. In 2013 he received the Order of the First State Award, the highest honor in the state, from Delaware Gov. Jack Markell. In 2019 he received the James Tilton award (named for the first U.S. Army Surgeon General) from the Medical Society of Delaware.
New Policy on BMI Use Will Change How Physicians Approach Diagnoses and Care
The Body Mass Index – or BMI – table was created in the mid-1800s, and for the last several decades has been viewed as the choice tool to diagnose obesity. However, the American Medical Association (AMA) recently issued a policy clarifying the role of BMI after taking a comprehensive look at both its benefits and limitations as a diagnostic tool. In short, the new policy urges physicians to use BMI only in conjunction with other measures of risk and recognizes the historical shortcomings of the oft-used formula. Lisa Diewald, MS, RDN, LDN, is the program manager of the MacDonald Center for Nutrition Education and Research with Villanova’s M. Louise Fitzpatrick College of Nursing. She applauds the AMA for embracing a more holistic approach to weight and health in individuals. “This is a huge step forward and I think it will ultimately lead to better health care and an improved practitioner-patient relationship,” Diewald said. To understand why, one must first understand the history of BMI’s use. The formula that spits out the number we have all come to understand as our BMI considers a person’s height and weight. It was developed in the mid-19th century by a Belgian sociologist to measure the socially ideal person. The modern term and application came about in the 1972 and has been a routine measurement ever since because it is easy, fast, costs nothing and in some cases, said Diewald, does correlate with body fat. But in recent years, large scale studies have exposed some of the limitations of the measure, building to the point where they needed to be weighed against the overt benefits. For starters, BMI does not measure body fat – or adiposity – directly. Adiposity, per Diewald, is more closely associated with health risk than BMI. “For this reason, health risk for some individuals with normal BMI but high body fat has been underestimated, and some with high BMI but normal body fat levels have been overestimated,” she said. Nor does it “differentiate between muscle, bone and body fat, or distribution of fat on the body,” Diewald said. “We know that all these factors can influence health and chronic disease risk.” Other comorbidities or chronic conditions that wouldn’t show up on a BMI chart alongside a number in the “normal” range can also impact health. Conversely, there are health conditions that might be incorrectly assumed just because a BMI is high. “Not every person with a high BMI experiences these chronic conditions, so developing a more holistic approach can lead to better assessment, treatment and outcomes,” Diewald said. Another shortfall she pointed out was its failure to factor in gender, race, body composition, ethnicity or physical activity level. Think back to the origins of the chart, intended to be a social standard created in Europe nearly two hundred years ago. “BMI tables were originally designed in the 1800’s using a population of white men,” Diewald said. “Understandably, at one point in time it was all we had to evaluate weight status, but it may not be accurate to use this standard alone with all groups of people.” These societal, gender and racial/ethnic factors led the AMA to explicitly cite “historical harm, use for racist exclusion and because BMI is based primarily on data collected from previous generations of non-Hispanic white populations” in the new policy on its clinical use. Additionally, the policy addressed the differences in body composition across genders, races and ages that were not being considered. There is also an ignored mental component in its use to diagnose obesity, which can lead to avoidance of doctor visits and, in turn, further physical issues. “Obesity is a multifactorial, complex condition and addressing it with individuals needs to be done with empathy and sensitivity, beginning with how it is measured,” Diewald said. “There are numerous factors influencing weight well beyond simply food intake, physical activity level and BMI, so it is important for practitioners to recognize that and communicate this to patients. “It is extremely difficult for people with higher weight to be told that they have a high BMI and simply need to eat less and move more. When BMI is used as the sole indicator of weight status, this can be psychologically damaging. We know that many who have been told to lose weight simply based on a high BMI may avoid going to the doctors for routine medical visits and skip necessary preventive care.” It will not be easy, she said, to move away from a method used for so long that has been ingrained as a part of a routine medical visit, but Diewald thinks utilization of the tool in conjunction with other assessments is the best way put this new policy to practice. She advocates for measures such as “Using BMI as only one of several indicators of chronic disease risk, asking permission to discuss weight and health risk, [and] using shared decision-making between practitioners and patient to determine course of treatment.” Education is also paramount to proper assessment of weight-related health risks. “Education cannot stop with physicians, however,” she said. “I think this provides an excellent launching pad for enhanced collaboration among health professionals such as dietitians, nurses, nurse practitioners, physician’s assistants and others involved in providing care, nutrition counseling and lifestyle modification support to patients… Doing this can better fine tune recommendations for treatment, leading to improved outcomes.”
Richard G. Cuming Appointed Chief Operating Officer of ChristianaCare
(WILMINGTON, Del. – June 26, 2023) Richard G. Cuming, Ed.D., MSN, RN, NEA-BC, FAAN, has been named ChristianaCare’s chief operating officer (COO). Cuming has been serving as interim COO since the beginning of this calendar year. He joined ChristianaCare in 2016 as the system’s first Chief Nurse Executive. In his role as COO, Cuming oversees the delivery of efficient and fiscally responsible system operations. He also works with other leaders to ensure high-quality and safe patient care. “Ric has been an invaluable asset to ChristianaCare over the past seven years, especially in navigating the many challenges of the COVID-19 pandemic” said Janice E. Nevin, M.D., MPH, ChristianaCare president and chief executive officer. “As leader of our extraordinary, Magnet®-designated nursing staff and president of ChristianaCare HomeHealth, he has improved the lives of patients and caregivers alike. I look forward to him flourishing in this new role.” Prior to coming to ChristianaCare, Cuming oversaw the operations and strategic direction of nursing services, perioperative and emergency services at Einstein Medical Center Philadelphia, Einstein Medical Center Elkins Park, MossRehab, Einstein Center One and Willowcrest, a skilled nursing center. Ric also previously worked at Jackson Health System in Miami as senior vice president and chief nursing executive, and he served as senior vice president and chief administrative officer at Jackson South Community Hospital. Cuming serves on the board of directors of the DAISY Foundation and board of trustees of the Association of Perioperative Registered Nurses Foundation. He was inducted into the American Academy of Nursing and is an alumnus of both the Robert Wood Johnson Foundation Executive Nurse Fellowship Program and the Wharton School of Business General Management Program. Cuming earned his diploma of collegial studies in nursing at John Abbott College in Montreal, his Bachelor of Science in nursing from the University of Ottawa, his Master of Science in nursing at the University of Miami and his doctorate in adult education and human resource development with a minor in advanced nursing administration from Florida International University.
