Jerome F Koleski

Interests

Teaching

Family Medicine; Global Health; HIV/AIDS; maximizing limited health care resources in under-served communities in Arizona and globally; Clinical Reasoning to pre-clinical medical students;

Research

Border Crossers on the Arizona-Mexico Border: causes of death and types of injuries; Community Health Workers impact on health in low resource settings; rural Family Medicine training both in Arizona and Low and Middle Income Countries (LMIC),

Courses

Scholarly Contributions

Journals/Publications

• Aldulaimi, S., & Koleski, J. (2022). How to Implement a Refugee Clinic Within an Existing Practice. Family practice management, 29(4), 15-18.
• Koleski, J., & Aldulaimi, S. (2022). How to Implement a Refugee Clinic Within an Existing Practice
  
  . Family Practice Management.
• Pettit, J. M., Shirai, Y., Koleski, J., Gachupin, F. C., Cunningham, J. K., Aldulaimi, S., Weiss, B. D., Stillwater, B. J., Denny, L., & Freeman, J. (2022). Writing Support Group for Medical School Faculty—A Simple Way to Do It. Teaching and Learning in Medicine, 1-8. doi:10.1080/10401334.2022.2092114
• Aldulaimi, S., Moran, E., Koleski, J., & Aldulaimi, S. (2019). From Dehydration to Fractures: Medical Issues Faced by People Crossing the United States: Mexico Border.. Journal of immigrant and minority health, 21(5), 1181-1184. doi:10.1007/s10903-018-0827-1
  More info

  To quantify the number of Border Crossers seen at our hospitals, broken down by diagnoses and age. We used our electronic medical record to identify the number of patients in custody of the United States Border Patrol who were seen at Banner-University: South and University Campuses during the calendar year 2016. 734 patients were identified, and the electronic medical record was used to identify the primary diagnosis and age for each one. We then manually categorized them into groups of common diagnoses. We also compared the number of border crosser emergency department (ED) visits to overall ED visits. Of 734 patients, 77% were male, 60% were between 16 and 40 years of age, and 18% were under age 18 years. They made up 1.3% of ED visits to South Campus, but less than 0.1% to University Campus. The top categories were musculoskeletal trauma (n = 235, 32%), and dehydration and rhabdomyolysis (n = 95, 13%). The age range of border crossers brought to our EDs varies widely, as do their primary diagnoses, although trends can be seen. They make up a 1.3% of overall emergency department visits at South Campus hospital.
• Koleski, J., Aldulaimi, S., & Moran, E. A. (2018). From Dehydration to Fractures: Medical Issues Faced by People Crossing the United States: Mexico Border.. Journal of Immmigrant and Minority Health. doi:10.1007/s10903-018-0827-1
• Koleski, J. (2014). My top 10 misconceptions about international health. Family medicine, 46(5), 389-90.
• Warrell, D. A., Theakston, R. D., Smalligan, R. D., Maudlin, J., Manock, S. R., Koleski, J., & Caron, E. J. (2009). Apparent marked reduction in early antivenom reactions compared to historical controls: was it prophylaxis or method of administration?. Toxicon : official journal of the International Society on Toxinology, 54(6), 779-83. doi:10.1016/j.toxicon.2009.06.001
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  Serious morbidity and mortality following snakebite injuries are common in tropical regions of the world. Although antivenom administration is clinically effective, it carries an important risk of early anaphylactic reactions, ranging from relatively benign nausea, vomiting, and urticaria to life-threatening angioedema, bronchospasm and hypotension. Currently, no adequately powered study has demonstrated significant benefit from the use of any prophylactic drug. A high rate of anaphylactic reactions observed during a trial of three different antivenoms in Ecuador prompted adoption of premedication with intravenous (i.v.) hydrocortisone and diphenhydramine together with dilution and slower administration of antivenom..In a rural mission hospital in Eastern Ecuador, 53 consecutive snakebite victims received a new antivenom regimen in 2004-2006, comprising prophylactic drugs and i.v. infusion of diluted antivenom over 60 min. They were compared to an historical control cohort of 76 patients treated in 1997-2002 without prophylactic drugs and with i.v. "push" injection of undiluted antivenom over 10 min. All these patients had incoagulable blood on admission and all were treated with Brazilian Instituto Butantan polyspecific antivenom..Baseline characteristics of the historical control and premedicated groups were broadly similar. In the historical group, early reaction rates were as follows: 51% of patients had no reaction; 35% had mild reactions; 6% moderate; and 6% severe. In the premedicated/slow i.v. group, 98% of patients had no reaction; 0 mild; 0 moderate; and 2% severe. The difference in reaction rates was statistically significant (p
• Koleski, J. F., Lindsey, B. G., Morris, K. A., & Balis, U. J. (1994). Simulations of a ventrolateral medullary neural network for respiratory rhythmogenesis inferred from spike train cross-correlation. Biological Cybernetics. doi:10.1007/s004220050035
• Koleski, J. F., & Eckstein, E. C. (1991). Near Wall Concentration Profiles of 1.0 and 2.5 μm Beads During Flow of Blood Suspensions. ASAIO transactions. doi:10.1097/00002216-199101000-00004
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  A freeze-capture method was used to determine the concentration profiles of latex beads in the flow of blood suspensions at a wall shear rate of 400 s-1 in hollow fibers of 200 microns i.d. Bead diameters of 1.0 and 2.5 microns and suspension hematocrits from 15 to 80% were used. All profiles exhibited an excess of beads in the 20 microns closest to the wall and a uniform central concentration. Near-wall excesses greater than 2.5 times the central concentration occurred with suspensions having 2.5 microns beads when the hematocrit was 15-40%. Although large near-wall excesses sometimes occurred for the small beads and higher hematocrits, the usual event was a small near-wall excess. A Mann-Whitney-Wilcoxan test showed that the group of data for 2.5 microns beads in suspensions with hematocrits ranging from 15 to 40% was significantly different from all other data (p less than 0.0002). As the 2.5 microns beads approximate the average platelet, these data suggest that blood flows with physiologic hematocrits are associated with larger near-wall excesses of platelets than blood flows with elevated hematocrits.
• Eckstein, E. C., KOLESKI, J. F., & Waters, C. M. (1989).

  Concentration profiles of 1 and 2.5 microns beads during blood flow. Hematocrit effects.

  . ASAIO Transactions, 35(3), 188-90..
  More info

  Freeze-capture techniques were used to obtain concentration profiles of 1.0 and 2.5 microns latex beads in suspension flows with hematocrits from 15 to 60%. Profiles with near-wall concentrations more than twice the central concentration occurred for 2.5 microns beads in this range of hematocrits, but the near-wall excess appeared wider and shorter in 60% suspensions. For suspensions with 1.0 microns beads, the nature of the profile was dependent upon hematocrit. In all cases, at least a small near-wall excess was observed. For hematocrits of 40 and 60%, profiles for 1.0 microns beads were sometimes similar to those for 2.5 microns beads. For the 60% hematocrit and small beads, however, the excess was less than twice the central concentration in two of five trials. These findings are discussed in the context of previous experiments.
• Koleski, J. F., Waters, C. L., & Eckstein, E. C. (1989). Concentration Profiles of 1 and 2.5 μm Beads During Blood Flow. ASAIO transactions. doi:10.1097/00002216-198907000-00003
  More info

  Freeze-capture techniques were used to obtain concentration profiles of 1.0 and 2.5 microns latex beads in suspension flows with hematocrits from 15 to 60%. Profiles with near-wall concentrations more than twice the central concentration occurred for 2.5 microns beads in this range of hematocrits, but the near-wall excess appeared wider and shorter in 60% suspensions. For suspensions with 1.0 microns beads, the nature of the profile was dependent upon hematocrit. In all cases, at least a small near-wall excess was observed. For hematocrits of 40 and 60%, profiles for 1.0 microns beads were sometimes similar to those for 2.5 microns beads. For the 60% hematocrit and small beads, however, the excess was less than twice the central concentration in two of five trials. These findings are discussed in the context of previous experiments.

Presentations

• Koleski, J. (2020, September). Coming Home, More Difficult than Leaving. AAFP Global Health Workshop. Online Conference: American Academy of Family Practice.
• Aldulaimi, S., & Koleski, J. (2019, July). From Dehydration to Fractures: Medical Issues faced by People Crossing the US-MX Border. Grand Rounds: University of Arizona-Department of Family and Community Medicine.
• Aldulaimi, S., & Koleski, J. (2019, july). From Dehydration to Fractures: Medical Issues faced by People Crossing the US-MX Border. Grand Rounds: University of Arizona-Department of Family and Community Medicine.
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  An analysis of patients brought to the ED at University of Arizona South Campus, bills paid by the US Customs and Border Patrol (CBP). Thirty-five percent of patients had musculo-skeletal injuries. Other problems often related to dehydration/ heat stroke/ rhabdomyolysis.
• Koleski, J., & Aldulaimi, S. (2018, August). Refugee Clinic: An Example from Tucson. Arizona Refugee Summit. Phoenix, AZ: Arizona Department of Economic Services - Office of Refugee Reseetlement.
  More info

  Described how the Department of Family and Community Medicine at South Campus developed a clinic to give refugees more time with a physician than a normal clinic allowed, and at the same time made the lower volume financially viable.
• Koleski, J. F. (2017, January). Globalization and Other Misconceptions of Global Health. Student Global Health Conference. University of Arizona: UACOM Global Health Track.
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  My Misconceptions of Global Health before and after I served as an International physician in the clinics and hospitals in Ecuador and Malawi.
• Koleski, J., Johnston, E., & Bias, T. (2017, October). Coming Home: Readjustment when Returning from the Field. AAFP Global Health Conference. Houston, TX: AAFP.
  More info

  Discussion of readjustment to the passport country after a medium or long term assignment overseas.
• Koleski, J. F. (2016, January). Keynote Address - "So, You Want to be an International Healthcare Worker?". Annual Global Health Forum. UACOM, Tucson, AZ: Global Health Distinction Track - University of Arizona COM.
  More info

  Key note Address for Annual Global Health conference sponsored and run by the UACOM Global Helath Distinction Track"So You Want to be an International Healthcare Worker?" describes what many students think one needs to know to provide healthcare in a low resource setting, based on my eight years of Global Health experience in Ecuador, India and Malawi.
• Koleski, J. F., Aldulaimi, S., & Moran, E. A. (2016, sept/2016). Dehydration, Exposure, Fractures, and Trauma: Issues Faced by Practitioners Caring for Border Crossers on the United States – Mexico Border. AAFP Global Health Worskshop.
• Koleski, J. F., El Rayess, F., & Johnston, E. (2016, Fall). Coming Home: Challenges and Opportunities for the Returning Global Health Physician. AAFP Global Health Workshop 2016. Atlanta, GA: AAFP - American Academy of Family Practice.
• Koleski, J. F. (2015, June). Community Health Outreach in Malawi. CCIH 29th Annual Conference. Arlington, VA: Christian Coalition for International Health.
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  Breakout 1A - Addressing HIV/AIDS to Strengthen Individuals and CommunitiesCommunity Health Outreach integrated into inpatient and outpatient HIV care improves outcomes measured by a decrease in admissions from the free HIV clinic.
• Koleski, J. F., Master, M., Koleski, E. L., & Fielder, J. (2015, October). Tigwirane Manja(We Should Hold Hands):Community Outreach as part of Outpatient and Inpatient Care. AAFP Global Health Workshop. Denver, CO: American Academy of Family Medicine.
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  Community Health Outreach integrated into an free HIV clinic in Malawi, Africa seems to increase ARV adherence and reduce inpatient admissions.
• Moran, E. A., & Koleski, J. F. (2015, October). Global Health in Our Own Backyard: Comparing and contrasting global health service in several Arizona sites with more traditional sites abroad. AAFP Global Health Workshop. Denver,Colorado: AAFP.
• Moran, E. A., & Koleski, J. F. (2014, September). Starting a global health track: Learning from each other’s experiences.. AAFP Global Health Workshop. San Diego, CA: AAFP.
• Moran, E. A., Koleski, J. F., & Pust, R. E. (2014, September). Does duration make a difference? The long and the short of global service.. AAFP Global Health Workshop. San Diego, CA.

Poster Presentations

• Aldulaimi, S., Koleski, J., & Teeple, S. P. (2023, July). Starting an Interdisciplinary Complex Care Refugee Clinic in an Existing Academic Clinic. North American Refugee Health Conference 2023. Calgary, AB, Canada: Society of Refugee Healthcare Providers.
• Koleski, J., & Aldulaimi, S. (2021). “Improving the Care of Refugees in Resettlement Countries.”. World WONCA Conference.
• Koleski, J., Aldulaimi, S., Aldulaimi, S., & Koleski, J. (2019, oct). Training Rural Physicians: One Urban-Based Residency Program’s Success Story,. WONCA World Rural Conference.
• Aldulaimi, S., & Koleski, J. (2018, Spring 2018). Family Medicine Residency Rural Rotations. STFM Annual Spring Conference. Washington DC.
• Koleski, J. F., & Aldulaimi, S. (2017, spring). “Starting a Successful Global Health Track at a Family Medicine Residency”.. National STFM Annual Spring Conference.
• Koleski, J. F., Aldulaimi, S., & Kaitlyn, L. (2017, fall). “Refugee Health: Creating a clinic model for the successful integration of refugees into the U.S. healthcare system”.. National AAFP Global Health Workshop..
• Aldulaimi, S. (2016, Sept). Creating a Global Health Track at a Family Medicine Residency. AAFP Global Health Workshop. Atlanta, GA.