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West Grove Campus Awarded $2.5M Grant from Chester County for Capital Improvement Projects
Funds earmarked for information technology, medical equipment and facility upgrades The ChristianaCare West Grove campus has received a $2.5 million American Rescue Fund Plan Act (ARPA) grant from the Chester County Government for capital improvement projects related to information technology, medical equipment and facility renovation. ChristianaCare finalized the purchase of its West Grove campus (formerly Jennersville Hospital) from Tower Health in June 2022. The hospital has been closed since Dec. 31, 2021. “We are enormously grateful to the Chester County Commissioners for this generous grant,” said Douglas Azar, MHA, ChristianaCare senior vice president, Strategic Clinical Integration. “Our assessment and inventory of the facility indicate that while it contains some usable equipment, including hospital beds and some imaging and diagnostic equipment, there is a lot of work to be done in many key areas. For example, the building currently contains no information technology infrastructure and no laboratory equipment. This funding will provide much-needed help as we build out these critical areas,” he said. “This grant is a tremendous resource as we plan next steps for the West Grove campus,” said Heather Farley, M.D., MHCDS, FACEP, ChristianaCare’s co-lead for the campus development strategy. “Ensuring that the facility has the very best technology and medical equipment will enable us to provide expert care to our neighbors in southern Chester County for many years to come.” The Chester County Commissioners approved ARPA grants to 73 groups and organizations totaling close to $40 million last month, following recommendations by six independent review teams. The teams, comprised of county residents and county government staff, developed a system that followed ARPA guidelines to review proposals and address priorities for funding. “These funds represent a substantial investment in much-needed local programs and services including support for public health,” said County Commissioners’ Chair Marian Moskowitz. “Being able to financially assist ChristianaCare as they work toward bringing hospital services back to southern Chester County firmly met ARPA guidelines and was very important to us.” (From left) Bettina Tweardy Riveros, Chief Health Equity Officer and Senior Vice President, Government Affairs and Community Engagement at ChristianaCare, Marian Moskowitz, Chair of the Board of Commissioners of Chester County, Michelle Kichline, Chester County Commissioner, Heather Farley, M.D., MHCDS, FACEP, ChristianaCare’s co-lead for the campus development strategy and Douglas Azar, MHA, ChristianaCare senior vice president, Strategic Clinical Integration Commissioner Josh Maxwell added that “when ChristianaCare stepped up to take over Jennersville Hospital and bring health care services back to the county, we pledged to support them in those efforts in ways that we, as county government, can. The ARPA program has provided us with the opportunity to fulfill that pledge, with funding that might otherwise be cost-prohibitive.” ChristianaCare is reimagining health care at the West Grove campus and is taking a phased approach to the opening of services. The first phase will be to re-establish emergency services. Subsequent phases are still under consideration. Due to required facility upgrades and plan development, it is unlikely that any services will open within the next 12 months. Since June, Azar, Farley and others at ChristianaCare have participated in meetings and listening sessions with community leaders and small groups to gain input into planning for services at the campus. They have met with local and state government officials, school officials, chambers of commerce, nonprofit organizations, emergency responders, faith leaders and employers in the area. Commissioner Michelle Kichline noted the correlation between ChristianaCare’s focus on meeting community needs and the county’s focus on community involvement in the ARPA grant review process. “Having county residents involved in reviewing and recommending our ARPA applications has been exciting and rewarding,” she said. “They know their local communities best and evaluated and selected projects that address needs across the county. “We know that ChristianaCare is doing the same and see the $2.5 million ARPA grant as a smart investment in restoring crucial health care services to our residents.” The West Grove campus represents a significant expansion and commitment of ChristianaCare to provide health services to communities in southern Chester County. Since 2020, ChristianaCare has added three primary care practices located in Jennersville, West Grove and Kennett Square. Combined, these three practices are now the “medical home” for 22,000 residents in these communities.
Evidence that behaviour follow a two-step process when we’re in a crowd We are likely to imitate the crowd first and think independently second Findings will increase understanding of how humans make decisions based on others’ actions. An Aston University computer scientist has used artificial intelligence (AI) to show that we are not as individual as we may like to think. In the late 1960s, famous psychologist Stanley Milgram demonstrated that if a person sees a crowd looking in one direction, they’re likely to follow their gaze. Now, Dr Ulysses Bernardet in the Computer Science Research Group at Aston University , collaborating with experts from Belgium and Germany, has found evidence that our actions follow a two-step process when we’re in a crowd. Their results, Evidence for a two-step model of social group influence, published in iScience show that we go through a two-stage process, where we’re more likely to imitate a crowd first and think independently second. The researchers believe their findings will increase the understanding of how humans make decisions based on what others are doing. To test this idea the academics created an immersive virtual reality (VR) experiment set in a simulated city street. Each of the 160 participants was observed individually as they watched a movie within the virtual reality environment that had been created for the experiment. As they watched the movie, 10 computer-generated ‘spectators’ within the VR simulated street were operated by AI to attempt to influence the direction of the gaze of the individual participants. During the experiment, three different sounds such as an explosion were played coming from either the left or right of the virtual street. At the same time, a number of the ‘spectators’ looked in a specific direction, not always in the direction of the virtual blast or the other two sounds. The academics calculated a direct, and an indirect, measure of gaze-following. The direct measure was the proportion of trials in which participants followed the gaze of the crowd. The indirect measure took into account the reaction speed of participants dependent on whether they were instructed to look in the same or opposite direction as the audience. The experiment’s results support the understanding that the influence of a crowd is best explained by a two-step model. Dr Bernardet, said: “Humans demonstrate an initial tendence to follow others – a reflexive, imitative process. But this is followed by a more deliberate, strategic processes when a person will decide whether to copy others around them, or not. “One way in which groups affect individuals is by steering their gaze. “This influence is not only felt in the form of social norms but also impacts immediate actions and lies at the heart of group behaviours such as rioting and mass panic. “Our model is not only consistent with evidence gained using brain imaging, but also with recent evidence that gaze following is the manifestation of a complex interplay between basic attentional and advanced social processes.” The researchers believe their experiments will pave the way for increased use of VR and AI in behavioural sciences.

Are butter boards bad for you? An expert view on the latest food trend
In an unexpected twist, butter seems to be back on the menu. After years of being a maligned ingredient that many people shied away from, butter has now become the latest food trend on social media, thanks to the recent popularity of “butter boards”. These are sort of the meat-free equivalent of a charcuterie board. Butter is whipped then spread onto a chopping board, sprinkled with a variety of toppings – from sweet to savoury – and served with an accompaniment of choice (such as bread or a toasted baguette). But although they may be delicious, butter is still full of saturated fat – which many of us know can be harmful to our health. Here’s what you may want to consider before whipping up a butter board of your own. Is butter really that bad? Butter is made from cream, the fat-rich part of milk. While it’s usually made from cow’s milk, it can also be made from other milks such as goat milk. The reason that butter has been seen as a no-go for so many years is because it’s one of the ultimate sources of saturated fat. Butter contains around 80% fat, of which about two-thirds is saturated fat. It contains little else nutrient-wise. Saturated fats should be avoided in large amounts as they’re linked with many health problems, including heart disease and shorter life expectancy. Clinical trials have also shown that saturated fats can have an negative effects on blood cholesterol levels. When it comes to butter on its own, it appears that eating it has a relatively small or neutral effect on the risk of heart disease. But research that compared butter to olive oil (another source of saturated fat) found that butter can increase levels of LDL cholesterol, which is sometimes called “bad” cholesterol as it’s linked to greater risk of heart disease. But the majority of the butter many of us consume in our diets comes from other foods such as biscuits, cakes and pastries. Alongside butter, these foods tend also to contain high amounts of sugar, while being low in other nutrients. High intakes of these types of foods is also linked with greater risk of heart disease. Overall, sharing a butter board with friends every now and then is unlikely to cause much harm to your health. But doing it often, or eating very large quantities, could raise cholesterol levels and increase your risk of cardiovascular disease somewhat. It’s also worth bearing in mind what toppings you serve your butter board with. Certain foods (such as processed or cured meats) also contain saturated fats, and should only be enjoyed occasionally. Butter alternatives Since butter is very calorific and fat-rich, some people may want to look at using butter alternatives for the base of their butter board. The first substitute many people might look to is margarine. Margarine is chemically very similar to butter. Depending on the product though, it only contains around 40%-70% fat, making it a lighter alternative with a possibly similar taste. In the past, the processes needed to make margarine solid resulted in the production of trans fats, which have been linked to increased risk of heart disease. But these processes have since been improved so margarine no longer contain trans fat. So it may be a good option for people wary of the amount of fat they consume. Another alternative people may look at using is ghee, also sometimes known as clarified butter. A staple of Indian cooking, this is still made from milk, but the fat is much more concentrated as most of the water has been simmered away. This means it won’t have the same creamy texture as butter. Grass-fed ghee is as rich in saturated fats as butter. It also contains naturally produced trans fats. However, these trans fats are different to the industrially produced types which are bad for our health. But since ghee contains more calories than butter, it may not be the best choice for a butter board, especially if you’re looking for the best flavour. Cultured butter may also be a choice for your butter board. This is made from cream which has been fermented like yoghurt. However, no research to date has looked at whether the probiotics in cultured butter provide the same health benefits as those in yoghurt and other fermented foods. Nutrition-wise, it contains the same amount of fat and calories as regular butter. All in all, butter is not bad. But since it’s very high in calories and cholesterol, you may want to try not to have too much. Sharing a butter board with some friends or loved ones every now and again is unlikely to have any long-term negative impact on your health.

It’s time to embrace it: We’re in peak fall mode. But other than Instagram photos of crimson foliage and shearling boots, how does mainstream society observe the season? Two words: pumpkin spice. AdAge reports that the seasonal flavor is now a $500 million annual industry. So, what gives? "Seasonal products or limited-time offerings have a long history in marketing," says Tyler Milfeld, assistant professor at the Villanova School of Business. "These products are designed to connect to a broader cultural context." And pumpkin spice is undoubtedly a part of Western fall culture. Candles, snacks, drinks, eye shadow palettes, dog treats… the list goes on. But what drives consumer interest? Is it the packaging? The taste? The coziness factor? "Because of their seasonal or limited-time nature, products like these inspire consumer urgency, brand connection and word-of-mouth, three cornerstone marketing objectives," says Milfeld. "For example, candy companies have a long affiliation with the holidays through seasonal packages and flavors." But let’s be honest, there’s no pumpkin spice without Starbucks. "Starbucks' pumpkin spice latte is a terrific example of an in-season tie-in. Starbucks has leveraged consumer demand for the product by creating a buzz around the latte’s debut," says Milfeld. "It's interesting how pumpkin spice latte fans made videos and posted on social media about the launch date! In this way, product marketing is delivered through influencers, social media, and popular press. This year's product debuted in late August, allowing the brand a long run-up to the peak period." And it’s no coincidence that we see seasonally branded items popping up the most in grocery stores and restaurants. "Food products are ideal for seasonal offerings because certain ingredients enjoy strong associations with certain times. For instance, consumers associate cranberry with the Thanksgiving and Christmas seasons," Milfeld says. "These products become cultural touchstones because they connect to a specific flavor, ingredient, recipe or color associated with the season and become an experience—for example, picking up a peppermint milkshake on the way home from holiday shopping or getting a 12-pack of cranberry splash for an extended family gathering. Marketers reinforce these usage occasions to strengthen the association for subsequent seasons. The product then becomes a tradition itself and a seasonal icon." The anticipation of a product's return becomes a marketing event. Thus, the holiday and consumer product become inextricably entwined. So, here's to the "basic" PSL lovers amongst us. Enjoy your festive treat without that extra side of embarrassment. After all, we're just celebrating the season.

MEDIA RELEASE: Motorists are urged to slow down and stay alert for trick-or-treaters this Halloween
As Halloween approaches, motorists can expect even the quietest streets becoming busy with trick-or-treaters. To ensure everyone has a safe and fang-tastic night, CAA South Central Ontario (CAA SCO) is reminding motorists to be extra vigilant while driving in areas with higher volumes of pedestrians. “In the excitement of dressing up in costume and going trick-or-treating, children may not always be looking out for oncoming traffic,” says Michael Stewart, community relations consultant, Government and Community Relations, CAA SCO. “With this in mind, it’s important for motorists to slow down, obey all traffic signs and continually scan not only the road ahead, but also driveways, front yards and the spaces between parked cars.” With the majority of trick-or-treating happening after dark, visibility is key for both motorists and pedestrians. Motorists are advised to turn their headlights on 30 minutes before sunset and keep them on when it’s dark while pedestrians should opt for makeup instead of masks to not obstruct their vision. “Trick-or-treaters can also help make themselves more visible to motorists by choosing brightly coloured costumes instead of all-black ones as well as using reflective items and accessories while trick-or-treating,” adds Stewart. CAA is offering free reflector tags at CAA Stores in south-central Ontario that can be attached to backpacks and jackets. Find your nearest CAA Store here and stop by to get up to four free tags per family. CAA is also reminding all road users to take extra caution as daylight saving time ends at 2 a.m. on Sunday, November 6. The return to standard time means fewer daylight hours and reduced visibility for both motorists and pedestrians. What motorists can do to stay safe: Always look for pedestrians crossing the road. Be alert and attentive while driving and yield to pedestrians at crosswalks, school crossings and crossovers. Mind your blind spots. Be aware of blind spots when making turns at intersections. Stay focused and vigilant behind the wheel. Put the phone away, reduce your speed and obey speed limits in residential neighbourhoods. Be cautious and considerate. Be alert around stopped transit vehicles and be courteous to pedestrians with different mobility needs that may require more time to cross. Use your lights. Motorists should use their full lighting system when it gets dark and in low visibility situations. What pedestrians can do to stay safe: Remain on the sidewalk. Sidewalks give pedestrians a designated space to keep them safe. If no sidewalk is present, you should walk on the far-left side of the road. Always be aware of your surroundings. Avoid distractions and be alert while crossing the street. Follow the flow. Follow signals and only cross at designated locations or crosswalks. Stop, look, and listen. Ensure all traffic has come to a complete stop before crossing the road. Always remember to look both ways before crossing. Be visible. Make eye contact with motorists before crossing—never assume that drivers can see you or know your intentions. Pedestrians should also wear bright or reflective clothing or accessories at night to help with visibility.

Research suggests nutrition education should be on the curriculum of all medical students as well as other healthcare professionals Association for Nutrition develops new curriculum ready for medical students Aston University is one of the pioneers in delivering and embedding nutrition education as part of its medical school undergraduate programme. All healthcare professionals should study a curriculum of nutrition education during their studies in order to help better support public health – new paper suggests. Nutritional researchers from Aston University, with colleagues from other universities and leading nutritional groups, worked with the Association of Nutrition (AfN) to help develop a curriculum that can be rolled out amongst all undergraduate medical school students with potential for modules to be taught to other healthcare professional courses. The paper jointly published in the British Journal for Nutrition and BMJ Nutrition, Prevention and Health examined the development of a new curriculum aimed at undergraduate medical students and made recommendations on its roll out nationally, with a view to it subsequently being implemented into other healthcare courses. The AfN Undergraduate Curriculum in Nutrition for medical doctors has been designed to be presented to medical students as an integral part of their general undergraduate training, making it clear how nutrition interrelates with the study of other systems and contributes to an inclusive understanding of health and disease. Dr Duane Mellor, clinical dietitian and senior lecturer at Aston Medical School at Aston University and co-author on the paper, said: “At present, lifestyle related health problems from living with obesity, through to high blood pressure, type 2 diabetes, heart disease and several cancers can all be linked to diet across our communities. Whereas in hospitals around a third of patients coming in can be undernourished. “Nutrition and food play a key role to both keeping us healthy and helping to manage disease, which is why it is imperative we educate our future doctors and other health professionals about the role of nutrition in patient care.” The paper sets out not only the need for nutrition education and the gaps, but how it can be included as part of what is already a very busy and content heavy curriculum. It builds on areas of the curriculum where nutrition could even be used to help teach concepts such as epidemiology. It highlights how historically medical education along with the education of many health professionals not specialising in nutrition often have only a few hours of teaching on the subject. Dr Glenys Jones, deputy chief executive at the Association for Nutrition, who led the curriculum development project and is co-author on the recent paper, said: “Nutrition is a key and modifiable determinant of health and wellbeing, therefore it is essential our future medical and healthcare professionals are equipped to be able to identify when nutrition could be involved in a patient’s condition in order for this to form part of their care. “The curriculum is not designed to turn our doctors into nutritionists or dietitians, but to give them the knowledge and skills to be able to think about whether nutrition could be playing a role and having the confidence and knowledge of who, when and how to refer on to suitable nutrition professionals when this is needed.” Aston University is a pioneer in the key area of nutrition education of the future healthcare workforce. As one of few UK universities with a dietitian or nutritionist as part of the teaching team within its medical school, these skills are now being developed to benefit the training of other health professionals. Dr Mellor added: “As one of a few dietitians and nutritionists embedded into the teaching team at Aston Medical School, we have been able to integrate nutrition across our curriculum. “It is great to be able to highlight how nutrition links to the basic science areas such as biochemistry through to how you can encourage a patient to think about changing their diet in clinical skills". Aston University has also started to explore with the Association for Nutrition the potential need for nutrition education in other professions. From this an outline of a core curriculum for nutrition for a range of health professionals is in development. Dr Mellor also plans to work with colleagues to further develop nutrition teaching at Aston University, thus helping students across subjects such as optometry and pharmacy to gain a better understanding of nutrition and how it impacts on their areas of expertise. For more information about Aston Medical School please visit our website.

Drop! Cover! Hold On! Are you prepared for International Shakeout Day this Thursday?
Drop! Cover! Hold On! That’s what the more than 43 million people around the world who participate in International Shakeout Day will do on Thursday, Oct. 20, at 10:20 a.m. The National Earthquake Information Center now estimates 20,000 quakes – an intense shaking of the Earth’s surface caused by the crust’s constantly moving tectonic plates – occur each year across the globe. That’s approximately 55 per day! The death toll – about 20,000 each year, according to Business Insider – is magnified by a lack of preparation for this natural but deadly phenomenon. Great Shakeout drills around the world – including the Great SouthEast ShakeOut, which consists of states along the East Coast from Maryland to Florida – aim to minimize the loss of human life. University of Mary Washington's Grant Woodwell, a Professor of Earth and Environmental Science at UMW’s Earth and Environmental Sciences Department, is an expert in seismology, the branch of science concerned with earthquakes and related phenomena. A structural geologist, he studies how the crust of the earth deforms, such as during earthquakes, and teaches a UMW class on plate tectonics. If you’re a journalist looking for an expert to speak about earthquakes for this year’s International Shakeout Day, contact Dr. Woodwell. Simply click his icon now and we'll arrange an interview today.

It's a question people have been asking since we first started looking at the stars - Are we alone out there? It's been the focus of books, movies, childhood dreams and most importantly, scientists who have spent careers searching for intelligent life in the universe. Recently, the popular publication Astronomy magazine contacted some of the leading experts and academics in America and asked that very question. Manasvi Lingam, an astrobiologist and assistant professor in the Department of Aerospace, Physics, and Space Sciences at Florida Institute of Technology was interviewed to add his perspective and expert opinion with the quest to answer a question people have been asking for centuries. If you're a journalist looking to know more or are covering this topic, let us help with your stories! Manasvi Lingam is an assistant professor in the Department of Aerospace, Physics and Space Sciences at Florida Institute of Technology. He is an author and go-to expert for media when it comes to anything in outer space or out of this world. Simply click on Manasvi's icon now to arrange an interview today.

Adding Onsite Primary Care Practice in Cancer Center Earns National Innovator Award
ChristianaCare’s Helen F. Graham Cancer Center & Research Institute is the recipient of The Association of Community Cancer Center’s (ACCC) 2022 Innovator Award for its person-centered model of care that embeds a primary care provider in the cancer center for patients undergoing treatment who do not have a primary care provider. The Graham Cancer Center is among the first cancer programs in the nation to offer a program of this kind to its patients. “Earning the prestigious ACCC Innovator Award for our primary care practice is an accomplishment that belongs to our entire cancer care team which has worked long and hard to develop this unique program designed to improve our patients’ long-term health,” said Nicholas J. Petrelli, M.D., Bank of America endowed medical director of the Helen F. Graham Cancer Center & Research Institute. Patients diagnosed with cancer frequently have one or more concurrent chronic diseases, including heart disease, high blood pressure, COPD and diabetes. Cancer treatment can make these chronic medical problems worse, so it is important for patients to continue to see a primary care provider during their treatment, which can also help eliminate unnecessary emergency department visits. The new Primary Care Practice builds on the success of the Graham Cancer Center’s Oncology Express Unit, a program that offers urgent care to cancer patients in distress during treatment. “We conducted an informal survey that found as many as 15 percent of our patients did not have their own primary care provider,” said Cancer Program Clinical Director Cindy Waddington, MSN, RN, AOCN. “Having a primary care provider onsite working closely with the entire cancer care team helps ensure that essential patient care beyond cancer treatment is not delayed,” Waddington said. Patients are referred to the practice by their oncologists for any non-cancer health concerns. Since opening in January 2021, the program has received referrals to care for 234 patients. “Primary care in oncology has been a long-standing challenge for cancer patients and cancer programs,” said Family Nurse Practitioner Debra Delaney, RN, MSN, ACNS-BC, FNP-BC, who provides primary care services at the Graham Cancer Center. “Thankfully, we’ve been able to solve that challenge by addressing the whole person and promoting healthy living for the long-term.” Delaney helps patients manage their chronic medical conditions by monitoring their labs, refilling prescriptions and coordinating and communicating about any referrals they many need. “Following their cancer treatment, we help our patients transition to another practice, so they can continue to receive care for their primary care needs,” she said. The ACCC featured the program on its BuzzBlog. According to the ACCC, Innovator Award winners demonstrate the ability to advance the goals of improving access, quality and value in cancer care delivery, while also providing replicable solutions for other cancer programs and practices.
• Menopause: Continuing the Conversation will premiere at 12 noon on 18 October • The news-style programme features key industry interviews and news-style reports along with sponsored editorial profiles • It includes a film of Aston University staff telling their own stories. Aston University has joined forces with the British Menopause Society and ITN’s bespoke production hub, ITN Business, to contribute to a programme which raises awareness of the menopause for World Menopause Day. Menopause: Continuing the Conversation features key industry interviews and news-style reports, along with sponsored editorial profiles. It is anchored by television presenter and journalist Louise Minchin and will premiere at 12 noon on 18 October 2022 on the British Menopause Society's YouTube channel. The programme takes a holistic look – from lifestyle to changes in workplace policy - to support and empower women embarking on the perimenopause and beyond. Staff from Aston University tell their own stories in a film which forms part of the programme. World Menopause Day is held every year on 18 October. The day was designated by the International Menopause Society (IMS) to raise awareness of the menopause and to support options to improve health and wellbeing for women in mid-life and beyond. The theme for World Menopause Day 2022 is cognition and mood. According to research by the Chartered Institute of Personnel and Development (CIPD), three out of five working women between the ages of 45 and 55 who are experiencing menopause symptoms say it has a negative impact on them at work, nearly two-thirds of women surveyed said they were less able to concentrate, more than half said they experience more stress, 30 per cent of women said they had taken sick leave because of their symptoms and only a small minority said they told their managers about the real reason for taking sick leave. Beth Lloyd, associate director of organisational development at Aston University, said: “We are excited to announce our involvement in a news-style programme Menopause: Continuing the Conversation in partnership with ITN Business and the British Menopause Society for World Menopause Day. “Menopause is not just a gender or age issue; it is an organisational issue. It can impact on colleagues both directly or indirectly. Awareness on this topic is fundamental to reduce the stigma attached to it so that more people will talk openly about it so it can begin to be normalised and people can get the support they need. “Aston University has taken a proactive approach to raising awareness of the topic including hosting a range of workshops for managers and staff, introducing menopause mentors and creating an informal networking group. Our hope is that these activities will create a truly inclusive workplace and achieve our goal of becoming a recognised menopause friendly employer.”






