School of Pharmacy - Rx Times - October 2020

Dean’s Message

Since our last publication seven months ago, the world as we knew it changed, and our normal way of living was disrupted. The COVID-19 pandemic has affected all of us personally and professionally. For those that have been ill or have lost loved ones due to this virus, our prayers are with you.

Despite these challenges, the School of Pharmacy has risen to the occasion.

The faculty, staff, students, and alumni have come together and thrived in the midst of a crisis. I am proud of the innovative approaches they have used to educate and serve our community.

I am excited to share how our students have embraced technology to advance health education. Their original video series “Over the Counter” informs the lay public on topics relevant to the Eastern Shore. The first two videos educate on the dangers of e-cigarettes and sexually transmitted infections. In addition, SP-3 student Amna Paracha helped organize a COVID-19 interdisciplinary virtual conference of students and faculty from fifty U.S. and international universities.

I am grateful for the faculty’s resilience, creativity and selfless service to our program and the community. Faculty quickly and purposefully transitioned to remote teaching to ensure the seamless delivery of a quality curriculum.

Several developed and donated face shields to Coastal Hospice and secured a contract with the Maryland Department of Health to expand Medication Therapy Management services in our state. A Pharmacy Practice Department faculty team was awarded $249,000 in national CARES Act Coronavirus Relief and Rural Maryland Council funding to study COVID-19 exacerbated anxiety and depression among rural nursing home residents. These funds will also help us establish our first fellowship in rural health and health inequities.

Likewise, I appreciate and value our alumni who contribute their time and talents in our efforts. Alumni recently joined faculty and students to conduct COVID-19 testing and provide flu shots for the campus community. Over 2,000 people were COVID tested and 350 flu vaccines administered.

As we celebrate American Pharmacists Month, we also honor our recent graduates, the Class of 2020. We recognize their awards and accomplishments.

They will represent us well and we look forward to them sharing their successes, achievements and service to their patients and communities.

Clearly, the School of Pharmacy is adapting and responding to these challenging times. Rx Times reflects our commitment to effectively communicate with our stakeholders. I invite you to contact me to share your achievements, suggestions and feedback as we continue to educate the next generation of pharmacy professionals.

As always, thank you for your commitment to the UMES Pharmily.

With Hawk Pride,

Rondall E. Allen, B.S., Pharm.D. Dean and Professor

List of Administrators Dr. Heidi M. Anderson President Dr. Nancy Niemi Provost and Vice President of Academic Affairs Dr. Rondall E. Allen Dean, School of Pharmacy and Health Professions Dr. James Bresette Associate Dean for Development and External Relations, School of Pharmacy and Health Professions

TABLE OF CONTENTS

2 Virtual Pomp and Circumstance

4 Award Descriptions

5 Class of 2020 Celebration

6 Alumni Highlights

7 Post-Graduate Training Opportunities for the Class of 2020

Dr. Sean Vasaitis Assistant Dean for Student Affairs

8 New Faculty Spotlight

9 Our Student Exchange Program to India

Dr. Victor Hsia Department Chair, Pharmaceutical Sciences

10 COVID Decoded: An Interdisciplinary Student-Led Conference

Dr. Timothy Gladwell Associate Dean for Academic Affairs and Assessment Dr. Lana Sherr Assistant Dean for Professional Affairs Dr. William Harbester Assistant Dean for Experiential Education

Dr. Miriam Purnell Department Chair, Pharmacy Practice and Administration Communications Committee Dr. Yen Dang Dr. Bill Harbester Dr. Frederick Tejada Mrs. Nancy Rodriguez Weller Alumni Affairs Co-Directors Dr. Patrice L. Jackson-Ayotunde Dr. Frederick Tejada Dr. Hoai-An Truong This magazine is a publication of the School of Pharmacy. To update your mailing information, send an email to pldouglas@umes.edu or call 410-651-8327.

For more information about the School, visit our website www.umes.edu/shp.

3 SOP Graduates and Awards

11 UMES’ Pharmacy School fills a Need with 3D Printer Face Shield Parts 12 UMES SOP Participates in COVID-19 Screenings and Flu Clinics 14 UMES to Benefit From a National Science Foundation Technology Upgrade Grant 15 Expanding Pharmacy Services through Medication Therapy Management: A Partnership with the Maryland Department of Health 16 The Experiential Education Corner Rotation Highlights: Bristol Myers Squibb

17 UMES SOP Steps into Media Production

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&

Virtual Pomp Circumstance by students, faculty,and staff for the Class of 2020!

The University of Maryland Eastern Shore School of Pharmacy found a virtual way to celebrate the graduating Class of 2020 this past spring. A Celebration and awards ceremony was held for the 42 new Doctor of Pharmacy graduates on May 15th, 2020. The celebration included recognition of each graduate, distribution of honors and awards, and words of wisdom from Dean Allen and Class President Ralphaelia Atelefack. Faculty, staff, and students included pictures and words of encouragement in slide show formats as the class progressed to the next phase of their pharmacy careers. Additionally, a “Class of 2020 Memories Slideshow” was created that showcased each pharmacy graduate and highlighted their fondest memories at UMES. Below are some of the unforgettable experiences that our graduates mentioned during their time at UMES:

Milanni Bushrod who plans to work at CVS after graduation says that her favorite memory was “putting together the 5K epilepsy race, going to South Africa for a medical mission, and long study nights at the engineering building.”

Obinna Nwaudo, a Maryland native, reports his favorite UMES memory to be helping raise $1,000 for the Salisbury Alzheimer’s Foundation.

Adit Shah, a local of the Eastern Shore, says that his favorite memory is “catching up on sleep after Friday assessments, the White Coat Ceremony, and actively participating in the PDC student organization.”

Sandra Nzounkwelle from Laurel, Maryland, says that her favorite memory is SNPhA’s cultural day and going to the ASHP Midyear meeting in Las Vegas.

Nancy Wambi who plans to be a community pharmacist in Delaware states her favorite memory was “driving home to my family every Friday after class and fun moments with my mentor groups and classmates.”

UMES School of Pharmacy congratulates the Class of 2020 for completing their pharmacy education and wishes them best of luck in their pharmacy careers.

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CLASS OFFICERS

UMES SOP Graduation Awards 2020

President

Raphaelia Atelefack

Vice President

Ludovic Azafack Tsague

Name of Award

Recipient(s)

Secretary

Adit Shah

Class Valedictorian

Nancy Wambi

Treasurer

Relindis Ngwa

Class Salutatorian

Taylor Jackson

PSGA Liaison

Adit Shah

American Institute of the History of Pharmacy Award

Elizabeth O. Sotubo

American Society of Consultant Pharmacy Award

Kiersten Schreiber

Apple Discount Drugs Community Pharmacy Award

Kiersten Schreiber

CARE Oncology Award

Annah J. Brittingham Elizabeth O. Sotubo

Complementary and Alternative Medicine

Devanshi Ghandi

Facts and Comparisons Award of Excellence in Clinical Communication

Sabrina Staas

Kappa Psi Brother of the Year

Ralphaelia Atelefack

Lilly Achievement Award

Nancy Wambi

Maryland Pharmacists Association Award

Jackie Phan

Maryland Society of Health Systems Pharmacy Student Achievement Award

Malav Gadani

Merck Manual Awards

Joshua Green Taylor Jackson

DOCTOR OF PHARMACY GRADUATES Ahmed, Sherif *, ΦΛΣ Atelefack, Ralphaelia ΦΛΣ Azafack Tsague, Ludovic Besong, Julius Brittingham, Annah *, Px, ΦΛΣ Bushrod, Milanni ΦΛΣ Carter, Briana ΦΛΣ Chi, Elvis Chofong, Sylvia Doan, Frank ΦΛΣ Elgndy, Shadey Fuh, Lorette Gadani, Malav ΦΛΣ Ghandi, Devanshi ΦΛΣ Green, Joshua Tyler **, Px Jackson, Tayler ***, Px, ΦΛΣ Kirubakaran, Kevin Koene, Satchi Luong, Bich Malinowski, Laura ΦΛΣ Mejang Epse Che, Loveline Px Metzman, Michael Ndingsa, Kuele Ndingwan, Newtin Ngwa, Relindis Niazi, Rimsha Njoh, Hannah **, Px Ntiege Kang, Ntiege Nwaudo, Obinna Nzounkwelle, Sandra Esidie Phan, Jackie ΦΛΣ Pinto, Marin, Alexia Suzette, Rozario Schrieber, Kiersten Shah, Adit ΦΛΣ Shah, Ankit ΦΛΣ Sotubo, Elizabeth *, Px Stass Patel, Ruthanne * Tsuala Maufor, Marianne Wambi, Nancy ***, Px Webster, Sean Luke Px Wienchedji, Douglas

Mylan Pharmaceuticals Excellence in Pharmacy Award Lorette Maufor National Community Pharmacy Award

Ludovic Azafack Tsague Joshua Green

Peggy Naleppa Award

Ralphaelia Atelefack

Pharmaceutical Research and Innovation Award

Relindis Ngwa

Phi Delta Chi Tom Sisca Cup

Jackie Phan

USPHS Excellence in Public Health Pharmacy Award

Milanni Bushrod

CVS Health Foundation Community Scholarship

Newtin Ndingwan

Walgreens Diversity and Inclusion Award

Lorette Maufor Douglas Wienchedji

Academic Achievement

Academic Honor Society

Summa Cum Laude - ***

Rho Chi - Px

Magna Cum Laude - **

Leadership Honor Society

Cum Laude - *

Phi Lambda Sigma - ΦΛΣ

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AWARD DESCRIPT Academic Achievement Awards

External Awards

Latin honors are awarded to students who are in the top 20% of the class. The class valedictorian holds the distinction of having the highest cumulative grade point average (GPA) in the class. The salutatorian has the second highest GPA.

American Institute of the History of Pharmacy Award

UMES Internal & Organizational Awards American Pharmacists Association Graduate Award This award recognizes the graduating senior from each College or School of Pharmacy who has made the greatest professional contribution to his/ her American Pharmacists Association-Academy of Student Pharmacists (APhA-ASP) chapter, with a Senior Recognition Certificate. In addition, APhA will nationally recognize all of the honored seniors through its publications. The award consists of a certificate of recognition.

American Society of Consultant Pharmacy Award

This award recognizes a student who has contributed to the profession of pharmacy in one or more of the following ways: completed a project pertaining to pharmacy history, documented UMES SOP history through school or organizational service (i.e. organizational historian), has contributed to documenting UMES SOP history through school or organizational service (i.e. organizational historian), participated in community outreach events to educate the public on the many roles of the pharmacist, or has shown dedication in advocating for the profession of pharmacy and provider status.

Apple Discount Drugs Community Pharmacy Award This award recognizes a graduating student who has contributed positively to pharmacy/clinical services at Apple Discount Drugs. The recipient receives a $500 financial award and a certificate.

This award is presented to a graduating student who is committed to serving older adults. The student must be a member of the ASCP Organization, has leadership skills, has presented a poster or done research on a geriatric-related topic either at the ASCP Mid-Atlantic Conference or other professional organization, participated in a rotation with a geriatric focus and attended GAIT events.

CARE Oncology Awards

Kappa Psi Brother of the Year

This scholarship is given to encourage students with a desire to have a career in community pharmacy practice.

The Brother of the Year Award is presented to the graduating Brother of Kappa Psi Epsilon Nu who best personified the meaning of brotherhood and fraternity in the eyes of the chapter.

National Community Pharmacy Award This award is presented to students who have demonstrated excellent dedication to the NCPA chapter through consistent engagement in the chapter meetings and events, holding an officer position or multiple positions, and being a positive role model and voice for independent community pharmacy.

Pharmaceutical Research and Innovation This award is presented to a graduating student who has excelled in research areas including drug discovery and development and health outcomes studies. The award consists of an award certificate.

Phi Delta Chi Sisca Cup “Brother of the Year�

This award is named in honor of the first UMES colony and the first chapter advisor, Dr. Tom Sisca. It is presented to a Phi Delta Chi Gamma Omicron brother who has demonstrated leadership, scholarship, and service.

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This award presented to a graduating student who has participated in an academic or community project that has impacted the cancer community and who has expressed interest in oncology and/or clinical practice.

CVS Health Foundation Community Scholarship

Facts and Comparisons Award of Excellence in Clinical Communication This award is presented to a graduating student in the top 25% of his/ her class who has demonstrated superior verbal and written clinical communication skills. The award consists of a certificate, a 1 year subscription to Facts and Comparisons and a one year subscription to Lexi-COMPLETE. Lilly Achievement Award This award is given to a graduating student for superior scholarship and professional achievement. Leadership qualities as well as professional attitude are considered along with academic performance in the selection of the individual for this honor. The award consists of a Drug Information reference book and certificate.

Merck Manual Awards The award recognizes outstanding scholastic achievement as determined by the awards and scholarship committee. To be eligible, a student must be in the top 10% of their class. The award consists of a special edition of the Merck Manual of Diagnosis & Therapy engraved with Merck Academic Excellence Award on the front cover.

IONS Mylan Pharmaceuticals Excellence in Pharmacy Award Presented to a graduating student who is in the top 25% of his/her class, intends to enter practice upon graduation, demonstrates high professional motivation and possesses a unique ability to communicate drug information. The award consists of a framed, limited edition lithograph and a certificate.

Peggy Naleppa Outstanding Citizenship Award This award was named in honor of Dr. Peggy Naleppa, a leader in the Maryland Eastern Shore medical community, at the inaugural School of Pharmacy Hooding & Awards ceremony in May 2013. It is awarded to the graduating student who best represents the University of Maryland Eastern Shore School of Pharmacy through a combination of demonstrated leadership and service. This award consists of a plaque and a monetary award.

Walgreens Diversity Scholarship This scholarship is presented to a graduating student who is from an underrepresented minority group, has demonstrated interest in community pharmacy as observed by work experience on their curriculum vitae, and has demonstrated passion for a future career in community pharmacy as evidenced through a submitted scholarship essay.

State & National Awards Maryland Pharmacists Association Award This award is given to a graduating student who has been significantly involved with the Maryland Pharmacists Association (MPhA). The student must be a member of the MPhA and have represented the University of Maryland Eastern Shore at MPhA functions. The award consists of a $250 dollar check compliments of the Maryland Pharmacist Association Maryland Society of Health System Pharmacy Student Achievement Award Nominations for this award traditionally come from the advisors of the UMES American Society of Health System Pharmacists (ASHP) chapter.

The award is presented to a student who has excelled through their didactic and experiential coursework and has intentions of practicing in hospital pharmacy after graduation.

USPHS Excellence in Public Health Pharmacy Award This award is presented to students who have created or developed a local clinic, program or initiative with demonstrated impacts on domestic and/or global public health.

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Alumni Highlights Inaugural Virtual Alumni Continuing Pharmacy Education and Social Networking Hour

Tawes Harper (2nd from left, front row) shown here in 2014 with Dr. Patrice JacksonAyotunde receiving the UMES “Invention of the Year Award” at the University of Maryland College Park’s Division of Research

UMES Alumnus of the First Graduating Class’s Pharmacy Journey: Dr. Tawes Harper, Class of 2013 Speakers: Dr. Killian (Vice President of Clinical Operations TidalHealth Peninsula Regional and Faculty, University of Maryland Eastern Shore School of Pharmacy) and Dr. von Waldner (Director, Continuing Professional Development and Outreach, University of Georgia College of Pharmacy)

On June 13, 2020, the SOP Alumni Affairs Co-Directors organized the Inaugural Virtual Alumni Continuing Pharmacy Education event. The speakers, Dennis M Killian, PharmD, PhD and Trina von Waldner, PharmD, presented “Assuring Patient and Provider Safety During Emergencies and Disasters,” which provided an overview of local, state, and national level strategies that ensure medication and patient safety in the COVID-19 setting. There were 38 registered participants, including 25 alumni from the classes of 2013 to 2015 and 2018 to 2020, as well as current and former faculty. To date, it was the largest gathering of our alumni. After the CPE, SOP alumni and faculty reconnected during the virtual social hour, hosted by the Alumni Affairs Co-Directors. Several alumni, including Dr. McSwain (2013), Dr. Cordrey (2014), Dr. Murphy (2014), and Dr. Franklin (2018), shared their stories and experiences as student pharmacists. We also reminisced about good times with two of our founding and former faculty members, Dr. David Webster and Dr. James Junker.

After graduating from the University of Maryland College Park with a B.S. in Biochemistry, I worked full-time in analytic chemistry departments for two companies, one focusing on small molecule safety and efficacy validation while the other developed vaccines and monoclonal antibodies to target a wide-range of disease processes.

Following this period of post-graduate work, I returned to school and enrolled at the University of Maryland Eastern Shore School of Pharmacy and Health Professions as a member of the inaugural class (Class of 2013). While working towards my degree, I had the opportunity to participate in the laboratory of Dr. Patrice Jackson-Ayotunde, one of several classmates which assisted with the early development of her work with enaminones, and derivatives thereof, as potential treatments for therapy-resistant epilepsy at UMES. This work has led to many accolades, including the 2014 “Outstanding Invention Award” from The University of Maryland, Office of Technology Commercialization and an official U.S. patent awarded in 2018.

With the conclusion of my academic career at UMES, I completed a PGY-1 pharmacy practice residency at the Lebanon VA Medical Center in Pennsylvania and returned to Maryland to begin my new career. Since 2015, I have been a part of the University of Maryland Shore Regional Health’s clinical pharmacy department, focusing on acute care and protocol development. Duties as a clinical pharmacy specialist can vary but my current focus is on infectious diseases, operating as the pharmacy chair for our local antimicrobial stewardship program as well as involvement with our local infection control department and system-level antimicrobial stewardship committee, among other professional activities in and out of the hospital. During this time, I have also obtained BPS certifications in pharmacotherapy and critical care as well as became a Certified Anticoagulation Care Provider through NCBAP. Finally, so as not to lose my proficiency with community pharmacy, I work per diem for an independent store in Delaware.

While in my current position, I have also tried to remain a part of the UMES community.

Since graduation, my involvement includes being a member of the UMES SOP alumni committee, working with SP1 through SP3 students via IPPE and APPE rotations and intermittently guest lecturing. As a graduate, it is vital to maintain the pipeline from past, present and future to ensure the robustness of the program for everyone.

As with any career, it is important to also make time for activities and pursuits outside of work. Currently, I am a member of the Board of Directors for Mid-Shore Pro Bono, a non-profit organization that provides civil legal assistance to low income individuals and families within the counties of Caroline, Dorchester, Kent, Queen Anne’s, Talbot and Wicomico. I am also a novice art collector and facilitate a book club with my former roommate. Finally, I maintain my status of uncle to Makayla Custis (NYU, class of 2024) and Henry Taboh (Georgia Tech, class of 2023); order of names is alphabetical and does not reflect preference.

For upcoming SOP Alumni Affairs events, visit our website https://umes.edu/Pharmacy/Content/Alumni-Events/

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Post-Graduate Training Opportunities for the

Class

Shadey Elgndy Tiffanie Taylor (Class of 2016) was offered a position at the FDA as a Consumer Safety Officer and looking to serve as a preceptor. As an FDA Consumer Safety Officer (CSO), she will be responsible for coordinating and managing the review process of Investigational New Drug (IND) applications and New Drug Applications (NDAs) within a specific drug class. She will work alongside a review team to include medical reviewers, pharmacologist, toxicologist, and chemist. She will also serve as the point of contact regarding all drug applications within a specific drug class and provide regulatory insight to industry stakeholders.

While a pharmacy student, Dr. Taylor enrolled in Dr. JacksonAyotunde’s medicinal chemistry research elective course. She worked on the synthesis of a novel anticonvulsant analog as potential agents for the treatment of drug-resistant epilepsy. After completing her research rotation in the summer of 2014, Dr. Taylor enrolled in the Research and Academic APPE rotation to continue her research project as well as to learn about pharmacy education and the day-to-day activities for professors. Dr. Taylor has done some impressive work since graduating from UMES SOP in 2016. She has worked at Rite Aid Pharmacy as a staff pharmacist, a consultant pharmacist for an assisted living facility, and finishing her PGY-1 Community Pharmacy Residency with Walgreens and Howard University.

Accepted into the Rutgers Pharmaceutical Industry Fellowship Program

of

2020

Malav Gadani Accepted into University of North Carolina’s Master’s in Pharmaceutical Sciences with a concentration in Health-Systems Pharmacy Administration

The following students obtained residency training positions CLASS

OF

2020

(PGY-1

RESIDENCY)

Sherif Ahmed Peninsula Regional Medical Center

Kiersten Schreiber Option Care, Newark DE

Ruthanne Staas Frederick Health Hospital

Annah Brittingham Albany Medical Center

Kevin Kirubakaran Anne Arundel Medical Center

Tayler Jackson The Johns Hopkins Hospital

CLASS OF 2019 PGY-2 RESIDENCY PGY-1 RESIDENCY

Emily Diseroad The Johns Hopkins Hospital

Mabele Madiba MedStar Harbor Hospital UMES RxTIMES > Oct. 2020

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NEW FACULTY SPOTLIGHT PGY-1 Apple Discount Drugs – University of Maryland Eastern Shore Community Pharmacy Resident Dr. Seohwee Chloe Ahn is the 2020-2021 PGY-1 Community Pharmacy Resident. She was born in South Korea and has lived in several areas since moving to the United States at a young age including Boston, Rhode Island, and Maryland. Dr. Ahn earned her Doctor of Pharmacy Degree from the University of Maryland School of Pharmacy in Baltimore, Maryland, in May of 2020. Her professional interests include ambulatory care, community pharmacy, and chronic disease state management. Dr. Ahn’s residency research project explores factors of COVID-19 vaccine hesitancy among older adults in a medically underserved community. In her free time, Dr. Ahn enjoys working out, longboarding, and watching comedy shows.

Assistant Professor of Pharmacy Practice and Administration Dr. Lauren Antal is an Assistant Professor with the Pharmacy Practice and Administration department. Her clinical practice site is in acute care at Peninsula Regional Medical Center. Dr. Antal graduated from the University of Maryland Eastern Shore School of Pharmacy in May 2019. She completed her PGY-1 Residency at Holy Cross Hospital in Silver Spring, Maryland. She has a publication in Cancers entitled “T-type Calcium Channels in Cancer.” Dr. Antal has also given several accredited continuing pharmacy education presentations locally. Her areas of interest include critical care, pain and palliative care, and oncology. Dr. Antal is also passionate about providing healthcare to underserved communities and helping with medical mission trips.

Director of Experiential Education Starting in July, Dr. Tyler Stevens joined the UMES School of Pharmacy as the new Director of Experiential Education. Dr. Stevens received his BS in biology from the University of Kentucky. Following his undergraduate studies, he received his Pharm.D. from Virginia Commonwealth University, in Richmond, VA. After pharmacy school, Dr. Stevens completed a PGY1, Community Pharmacy Practice Residency with VCU and Buford Road Pharmacy.

Following his residency, he worked as the clinical services director at Buford Road Pharmacy. From 2008 to 2016, Tyler served as an assistant professor at the VCU School of Pharmacy. While at VCU he predominately taught and coordinated the Foundations of Pharmacy Practice (Skills) Labs in addition to teaching other Community practice related areas such as communications & pharmaceutical calculations. From 2016 to 2020, Dr. Stevens served as a clinical assistant professor at the University of Kentucky College of Pharmacy. While at UK he was course coordinator for the Ambulatory Care Labs.

During his career, Tyler has precepted over 40 IPPE / APPE students, served as the faculty advisor for multiple student organizations (Phi Delta Chi, Kentucky Association of Pharmacy Students, and NCPA), and has been active in both the Virginia & Kentucky State Pharmacists Associations.

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Building Bridges Between Cultures: Our Student Exchange Program to India

By Briana Carter and Frank Doan, PharmD Students of the Class of 2020 In February 2020, we had the opportunity to complete a twoweek student exchange program in Southern India. We were invited to Chalapathi Institute of Pharmaceutical Sciences (CIPS) to explore the culture, healthcare infrastructure, and School of Pharmacy in Lam Guntur, India. This student exchange program was established in 2016 with Drs. Yen Dang and Rondall Allen as a method to foster collaborations between teaching and research between the two universities. Upon arrival to the Chalapathi Institute of Pharmaceutical Sciences, we were welcomed by the Principal of the school and several pharmacy professors. In comparison to our School of Pharmacy at UMES, there were several notable similarities and differences. Most of the students live in a hostel on campus separated by gender. Female students must wear a kurti uniform which is differentiated by program of study, and female professors must wear a traditional Indian saree.

Daily experiential rotation attendance is not mandatory by the government, a 6 day work or school week is typical, and classroom seating is separated by gender. Some similarities included having a pharmacy museum at the school, 8-hour class days, and mandated professional attire in all pharmacy settings. The class sizes were small, students had positive relationships with pharmacy professors, and professors taught with similar teaching styles such as Powerpoints and active learning like in the USA. During our visit at the Government General Hospital, we learned a lot about the structure of a universal healthcare system in a rural setting. Similar to the Medicare/Medicaid system in the United States, eligible patients can apply for healthcare insurance and receive free medications and professional services. A noteworthy difference in this hospital is the lack of proper sanitation protocols and resources. Many of the hospital’s corridors were open to the smog outside. There were piles of broken hospital equipment and rubbish blocking walkways, and the walls within most wards were growing mold. The majority of the wards contained 20 or more patient beds. Bed linens were only changed once a day even if multiple patients needed to use them. Large, lidless plastic drums were located throughout the hospital and supplied community drinking water. Sanitation resources such as hand sanitizer, alcohol swabs, and facial masks were not available for public use, and most patients did not have proper footwear or access to showers.

We also noticed that most outpatient settings were overcrowded and

patients pushed their way to get reviewed by the medical team. Since multiple patients were in an exam room, there was minimal patient privacy. Despite these limitations, doctors and other healthcare professionals work hard to make sure that the patient is taken care of on a timely basis.

Despite being continents apart, our two healthcare systems were comparable in many aspects. Providers in India used practice guidelines to manage the chief complaint and other comorbid conditions based upon their patient population. The pediatrics, neurology, oncology, gynecology, and general medicine wards were divided by inpatient and outpatient designations. The healthcare teams work around their barriers even with the roadblocks. For example, Doctor of Pharmacy (PharmD) students in India were utilized in the hospital to aid the medical team. They were well-equipped to advise physicians about the medication administration and participated in patient counseling. They even had the ability to take vital signs, conduct physical examinations, and were allowed to insert intravenous cannulas and urinary catheters. Although pharmacy practice is not well defined in India, these PharmD students are paving the way towards clinical pharmacy and the recognition of the pharmacist as an important part of the medical team.

This student exchange program was a humbling and eye-opening experience. Coming from a developed country, we recognize that there is a lot we consistently take for granted after returning from India. Something as seemingly minute as clean drinking water, disinfectant, or a garbage disposal would be considered luxuries in other countries. Despite the similarities and differences between our countries, one thing is for certain. No healthcare system is perfect. There are a lot of influential healthcare providers, especially pharmacists, who are determined to make strides towards improvement. Our goals as pharmacists include ensuring that our patients leave with a solid understanding of their care, manage the whole patient as a unit, and be up-to-date on the most recent advances in our profession. As upcoming healthcare professionals, we will abide by the oath of a pharmacist and orient ourselves to lifelong learning, dedicating our expertise to providing the most efficient patient care, and serving the underserved.

From Top Clockwise: Pharmacy students completing health screenings and disease state counseling.

Frank Doan (left) Discussing a case presentation to Doctor of Pharmacy students.

Briana Carter (right) Administering a chemotherapy medication to a breast cancer patient.

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C O V I D :

An Interdisciplinary Student-Led Conference

D E C O D

Amna Paracha, PharmD Candidate, Class of 2021 In late May, the Eastern Shore Area Health Education Center (AHEC) presented an opportunity on behalf of HRSA’s Geriatrics Workforce Enhancement Program (GWEP) asking for student volunteers to assist in hosting a virtual conference on COVID-19. The idea originally came from Dr. John Morley, Professor at Saint Louis University, after he attended a webinarbased conference on COVID-19 that was organized by students in Europe. Since COVID-19 affects all aspects of life, we wanted to create a conference to enhance knowledge of COVID-19 in students ready to enter practice through various professional viewpoints. Upon expressing interest, I was introduced to twelve other students across the nation each studying a different discipline. This conference became a joint initiative between University of Maryland Eastern Shore School of Pharmacy and Health Professions, SLU Geriatric Education Center, A.T. Still University of Health Sciences Kirksville College of Osteopathic Medicine, University of Texas Rio Grande Valley, University of Utah Health, and Louisiana State University Health Sciences Center New Orleans.

Designing the conference was no easy feat. The preparation for the conference was done virtually across multiple time zones. The planning and implementation of the webinar was accomplished entirely by the students on the committee, from selecting topics, identifying and inviting speakers, setting up a website, marketing, hosting, and evaluating results. Discussion for the design of our conference started in late June through weekly meetings held on Zoom. We made a prioritized list of tasks to complete within certain deadlines and provided updates each meeting. Our goal was to educate and inform students about the impact and projections of COVID-19 from an interdisciplinary perspective.

We set up various subcommittees to oversee logistics, advertising, and communications. An advantage of utilizing an interdisciplinary team

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The program is shown below: TOPIC SPEAKER Keynote

Dr. Michael Dobbs Vice-dean of Clinical Affairs, Professor and Chair of Neurology at University of Texas Rio Grande Valley

Background and Microbiology

Dr. John Thomas Assistant Professor, University of Texas Rio Grande Valley School of Medicine

Treatment & Vaccine Development

Dr. Yen Dang Associate Professor of Pharmacy Practice and Administration and Director of Global Health, UMES

Personal Protective Equipment Video Student Organizers Economics

Dr. Kathyrn Edwards Economist at the RAND Corporation and Professor at the Pardee RAND Graduate School

Gerontology Dr. John Morley

Professor, Saint Louis University School of Medicine Dr. Shannon Copper-Sadlo Social Work

Associate Clinical Professor, Saint Louis University Education

Dr. Rebekah E. Gee Obstetrician/Gynecologist and CEO of Health Care Services for LSU Health

Mental Health

Mrs. Valerie M. Rivera Clinical Social Worker, University of Texas Rio Grande Valley

E D of students was each student brought a unique perspective which ensured that every detail was taken into consideration and completed in a timely manner. We established a list of speakers, each an expert in their field, to go into depth about COVID-19’s impact on the economy, mental health, social work, education, virology, and the current status of treatments and vaccine development.

We then created a video which featured students in the planning committee demonstrating proper usage and storage of a mask.

Our efforts in hosting this live webinar on August 29th were a success as we included eight interdisciplinary speakers, over 250 registrants from 43 universities across the United States, and participants from 7 international countries.

Other attendees included hospital staff, high school students, and teachers.

Currently we are analyzing the pre-registration and post-registration survey results to assess the impact of the COVID:Decoded virtual conference and are working on an editorial for the Journal of Nutrition, Health & Aging.

Partaking in this educational event was an opportunity I am grateful to AHEC for. A recording of the conference can be found at: http://www.youtube.com/ watch?v=ngRMh7fYv5U

Stationery & technology take on COVID-19 UMES’ pharmacy school fills a local need with 3D printer face shield parts Left to right: Dr. Sean Vasaitis, Assistant Dean of Student Affairs; Alane Capen, Costal Hospice President; Dr. Rich DeBenedetto, Assistant Professor of Pharmacy Practice; and Dr. Rondall Allen, Dean of the School of Pharmacy and Health Professions A 3D printer the University of Maryland Eastern Shore’s pharmacy school uses to manufacture nasal spray bottles for narcotic-overdose training is cranking out adjustable headbands for mounting plastic report covers with elastic straps to create face shields.

The first batch of 50 produced by Dr. Richard De Benedetto has been donated to Coastal Hospice, a Salisbury-based organization of some 190 people who provide specialized care for the gravely and terminally ill in supervised settings and at home.

De Benedetto said he was motivated professionally and personally to support front-line healthcare givers.

His wife, Suzannah, is a spiritual consultant who counsels patients and works alongside hospice staffers.

“I thought maybe there was something a little extra I could possibly do to keep her and her colleagues safe,” he said.

De Benedetto teaches UMES pharmacy students about the dangers of opioid abuse and trains them on how to administer naloxone, an overdose antidote administered in spray form.

He did some online research and found a template he adapted to his 3D printer to create headbands to which a plastic shield and elastic can be affixed. The 8½-by-11 inch clear plastic is actually the same material used for covers of hard copy reports commonly used by commercial printers.

A single headband takes about two hours to make using the 3D printer.

Alane Capen, Coastal Hospice’s president, was unaware the donation was in the works when De Benedetto and faculty colleagues Rondall Allen and Sean Vasaitis showed up Thursday to make the presentation. Capen called the donation “joyous. It affords us to be better prepared if this pandemic worsens in our community.”

Vasaitis, an associate professor of pharmacology and U.S. Patent holder, got UMES involved when a distant relative reached out several weeks ago inquiring if the university might have interest in helping produce protective gear for hard-hit northern New Jersey, where COVID-19 cases were overwhelming healthcare workers. Before a modest supply of filament was exhausted, UMES aviation science instructor Chris Hartman voluntarily produced about 40 headband frames for shields that were sent to Vasaitis’ relative to help those most in need.

De Benedetto estimated each ready-to-wear face shield was produced with no more than a dollar’s worth of material. Each headband took about two hours to create.

Capens said the face shields wear out quickly because constantly sanitizing them eventually makes the plastic cloudy like headlights on old automobiles.

“There’s definitely a need,” she said. “I’m not sure we’ve experienced the worst of (the pandemic) yet.”

Bob Miller, Coastal Hospice’s business development director, said, “This (gesture) is what we’re about paying it forward to help someone in need. UMES stepped up.”

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Pharmacists on the Front-Lines: UMES SOP Participates in COVID-19 Screenings and Flu Clinics

Dr. Ryan Fillis from UMES’s first pharmacy class performs COVID-19 testing.

Page 13: Pharmacy team made of students and faculty prepare for COVID-19 sample collection and flu clinic.

Brittany Jackson, Class of 2021, gives President Anderson her flu shot. Great injection technique, Brittany!

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In May, Governor Hogan signed an executive order authorizing COVID-19 testing by licensed pharmacists. Pharmacists are one of the most accessible professions and under this legislation are allowed to order and collect COVID-19 tests to support Maryland’s long-term testing strategy. While Somerset County harbors a stable rate of COVID-19 positive cases, COVID-19 infections in surrounding areas, including Worcester County, are on the rise. UMES has students and personnel from all over Maryland, with some having traveled out of the state or country during the summer. Since the university started back its in-person teaching, the campus has mandated that all faculty, staff, and students be tested regularly to identify COVID-19 infections.

There have been approximately 2,000 faculty, staff, and students who were screened during each COVID-19 testing event. Thus far, UMES has a COVID-19 positivity rate less than 1% compared to 2.7% in Somerset County. Pharmacists at UMES SOP have been instrumental in administering the coronavirus tests alongside nurses. Pharmacy faculty and students have been trained in how to perform the nasopharyngeal swabs to collect the sample while donning personal protective equipment.

Dr. Richard DeBenedetto, lead organizer of the pharmacy-led testing initiative, explains that “As the most accessible healthcare practitioner, pharmacists are always on the front lines. When the majority of places shut down, pharmacies stay open and figure out ways to get patients the care and medications they need. This is true in blizzards, hurricanes, and now in a viral pandemic that is affecting us all. My hope is that patients and pharmacists alike are encouraged by the grand scope of things we are already able to do. We utilize our hard work to demonstrate yet again that pharmacists should

be recognized as healthcare providers and be reimbursed for services. Pharmacists repeatedly show they save the system money and improve outcomes when effectively spread throughout the healthcare system. Ensuring reimbursement for our services, not only medications, will improve our medical system and healthcare in America.”

In addition, the Department of Health and Human Services have given pharmacists authority to administer COVID-19 vaccines to the public when it becomes available. Pharmacists are also allowed to administer vaccines to children between 3 to 18 years. This will ensure that the immunization rates remain high during the pandemic and ultimately prevent the emergence of a second wave. This action, particularly in medically underserved communities, will reduce the risk of vaccine-preventable disease outbreaks as children return to school.

UMES has provided all employees and students free flu-shots during the month of October to reduce co-infections with COVID-19. Thus far, there have been 350 flu shots administered at UMES by pharmacy students and faculty.

Among the alumni who participated in the COVID-19 testing and immunization event were Dr. Emily Biskach, Class of 2019, and Dr. Ryan Fillis, Class of 2013. Fillis who works at Walmart Pharmacy reports that “we track the disease by testing the public, so events like this one held at UMES are part of the public health that is so vital to all Delmarva residents. Pharmacists stand at the ready to test patients, immunize, educate, and to assist with medication usage.” Biskach who works at Apple Discount Drugs states “Being an Eastern Shore native and UMES SOP alum, I was grateful for the opportunity to come back and assist for the campus wide COVID-19 testing and provide patients with additional education to ease their minds during this crazy time.”

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Big data’ boost a big deal UMES to benefit from a National Science Foundation technology upgrade grant University of Maryland Eastern Shore graduate programs stand to benefit from a federal grant that will be used to provide access to a world-class high-speed data network.

UMES’ share of nearly $800,000 awarded by the National Science Foundation will support instruction and research in the School of Pharmacy and Health Professions, cybersecurity engineering technology and marine sciences.

The Maryland Research and Education Network, a technology service provider for the University System of Maryland, coordinated the application on behalf of a consortium of institutions that also included Frostburg State and Salisbury universities, labs operated by the University of Maryland Center for Environmental Science, the University of Maryland medical school’s psychiatric research center and Morgan State University.

The hardware and software upgrade will “allow researchers … to reliably connect to ‘big data’ repositories and increase interinstitution collaboration,” according to Jerome F. Waldron, UMES’ chief information (technology) officer.

Dr. Ray Barghi, the Maryland Research and Education Network’s executive director, said the network upgrade will primarily benefit science, technology, engineering and math researchers at the six institutions named in the grant application.

“STEM educators work with and generate lots of data,” Barghi said. “So their needs for speed are different. The National Science Foundation wants to make sure the researchers are taken care of.”

UMES identified three academic / research areas that need the ability to access and transmit data via a high-speed network:

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Cybersecurity Engineering Technology This program involves access to large amounts of log and network traffic data to be used in assignments and projects. Students need to download and explore several terabytes of large-scale data models and logs. These datasets and files currently take days to download, hampering construction of analytics models. A bandwidth increase will dramatically improve the delivery of the class material and make a significant difference in the success of this program.

Marine-Estuarine-Environmental Sciences UMES’ marine science graduate program works closely with other institutions and the federal government, which amass vast amounts of data that guide complex research projects. Access to a high-speed network will enable UMES to step up its ongoing collaborative efforts in research and education, especially those related to the Chesapeake Bay and its ecosystem.

Pharmacy and Health Professions’ simulation lab Through use of smart, life-like mannequins, and setting equipment, the new network will provide real-time simulation of various health care conditions. It will be supported by an electronic monitoring room and a briefing room in the new health professions building being built to house pharmacy, physical therapy and physician assistant instructional space.

To manage the volume of audio and video content that will be stored on the cloud, the university must transport large amounts of

data in real time. This content, along with education data, will need to be accessed efficiently during class and critiques.

Dr. Tosin David supervises the current simulation lab in a portable classroom building used by pharmacy students and says the grant will be a welcome addition to UMES’ teaching tool box.

“School of Pharmacy (students) need to be trained and exposed to various software systems and technology,” David said. “These databases and systems require a tremendous amount of (information technology) support and maintenance.

“Enhanced high-speed data networks,” she said, “will allow students to seamlessly use electronic health records, pharmacy dispensing software, and provide access to simulated healthcare environments.”

Under the current technology set up, it may take a UMES faculty member nine days non-stop to download 10 terabytes of data, which would be commonplace for a health care simulation lab. The new system would cut that down to about 4½ hours, Barghi said.

“Transfer in real-time is important in certain applications,” he said.

Terms of the National Science Foundation’s grant call for upgrades to begin starting this month and to be completed over the next two

Expanding Pharmacy Services through Medication Therapy Management: A Partnership with the Maryland Department of Health

years. That also includes installing a security system to ensure the integrity of data collected, transmitted and downloaded.

“To keep it safe,” Barghi said, “you have to have a DMZ (demilitarized zone) component to … take care of security and high-performance requirements for science applications. You want to make sure there are no bad actors” intercepting data.

A high-speed data-sharing network should help UMES be competitive in vying to recruit top-flight faculty-researchers and graduate students as well as procuring future grants to support their work.

“When it comes to research, this is super important,” Barghi said.

“Once you can say ‘the National Science Foundation has endorsed the upgrade (and) now that we have this we are able to do things we are proposing’.”

The new network should benefit undergraduates, too, Barghi noted, because universities will be “training the next generation of scientists and researchers, and this will give them increased connectivity.”

“This will help make UMES more competitive,” he said.

Long-term, the NSF-funded network upgrade “may open up opportunities for collaboration with local businesses and schools,” said UMES’ Waldron, who cautioned “this is still to be determined.

“We have started talking (preliminarily) about a rural internet initiative, but this grant may just provide the start and lead to a larger grant to reach out into the community,” Waldron said.

The UMES School of Pharmacy (SOP) has been working with the Maryland Department of Health (MDH) on a contract to carry out the Pharmacists’ Engagement for Sustainable Medication Therapy Management (MTM) to Improve Hypertension, Diabetes, Cholesterol, and Cardiovascular Disease Outcomes project. This initiative, the first collaboration of its kind with MDH, will increase the MTM capacity in the state of Maryland and monitor the effect of increased pharmacist MTM engagement on health outcomes. Ultimately, this project will increase the number of qualified pharmacists participating in chronic disease state management to optimize patient well-being. The 2-year partnership will continue until 2021.

Several UMES SOP faculty members have been trained to provide the APhA Delivering MTM Services certificate program including Dr. Yen Dang, Dr. Tosin David, Dr. Richard DeBendetto, Dr. Dana Fasanella, and Dr. Nkem Nonyel. Maryland Pharmacists as well as UMES pharmacy students have also received the APhA Delivering MTM Services certificate training and are in the practical portion of the certificate which requires documentation of the provision of MTM services for five patients.

In the coming year, training will be scaled up with the introduction of a MTM elective for UMES pharmacy students that will require completion of the APhA Delivering MTM Services certificate program for academic credit. Additionally, a survey will be created to evaluate statewide MTM practices to better understand MTM challenges and reimbursement models.

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The Experiential Education Corner The Office of Experiential Education would like to thank all of our Faculty, Alumni, and External preceptor partners that have continued to contribute to the program during the ongoing pandemic. Through the efforts of these fantastic educators, we were able to ensure that our Class of 2020 stayed on track while many students were displaced due to sites closing during the shutdown. Additionally, your precepting has allowed our subsequent classes to remain on track through APPE availability for the Class of 2021 and IPPE availability for the Class of 2022 and 2023. Now more than ever, thank you for your dedication to developing our future pharmacy leaders. Your efforts are appreciated every day.

With the May Awards ceremony going virtual this past spring, we were unfortunately unable to recognize our 20192020 Preceptor of the Year awardees in person. The Office of Experiential Education would like to recognize both the recipient of the External Preceptor of the Year and the Faculty Preceptor of the Year. Both were selected by the graduating Class of 2020.

The External Preceptor of the Year for 2020 is Dr. Bereket Shimeles at Bridgepoint Hospital in Washington, D.C. Students said the following about him in this year’s nominations: “He is patient, uplifting, challenges my knowledge, creates a fun learning environment, and gives an honest perspective of the future of the profession.”

“He is very friendly and welcoming. He always gives feedback that is very beneficial and makes sure you understand every bit of the material.”

“I wish to be like this preceptor as I progress through my pharmacy career.”

Our Faculty Preceptor of the Year is Dr. Michael Miller at TidalHealth Peninsula Regional in Salisbury, MD. Students made the following comments regarding Dr. Miller: “Dr. Miller is a well-rounded pharmacist. I had a great learning experience.”

“Dr. Miller was very understanding and personable, and gave timely feedback on my performance. I would recommend him to any student looking to have patient care rotation. He is awesome!”

“My Preceptor helped enhance my critical thinking and problem solving skills. I feel more confident now than I did when I started the rotation and I would consider clinical pharmacy as a career path.”

Congratulations to Dr. Miller and Dr. Shimeles, and thank you to all of our outstanding School of Pharmacy Preceptors!

Sincerely, Dr. Bill Harbester Assistant Dean of Experiential Education

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R o tat i o n H i g h l i g h t s

Bristol Myers Squibb Amna Paracha, PharmD Candidate Class of 2021

I wanted to share details of my virtual rotation experience with the Policy and Advocacy team at Bristol Myers Squibb (BMS). Dr. Mark Peters, Executive Director of Policy and Advocacy, is my preceptor. This rotation has been an amazing experience thus far and I would recommend this specific area of focus if students are interested in learning more about what BMS does in collaboration with non-profit organizations and advocacy groups for patients in terms of increasing access to care, developing research, and improving overall patient outcomes.

My day-to-day routine in this rotation consists of daily meetings with my preceptor and if applicable, other students on rotations. We generally discuss any open action items and findings from our previous day’s work.

This rotation has a substantial amount of readings that include relevant news articles, annual fiscal reports for different organizations, and journal articles. Although other students are on this rotation, all work is completed independently.

I meet with employees of BMS regularly. BMS provides a lot of opportunity to network within their company with experienced team members, current fellows, and leaders in patient advocacy groups. Once, I had about ten 1-on-1 meetings with different members to discuss their roles and current projects. I plan for these meetings by preparing a list of questions to ask which gives me a starting point, adapt accordingly in the meeting, and take written notes of what we discuss. I also attend team meetings and actively participate in discussions. During the course of the 5 week rotation, I completed a final project on health equity initiatives which I presented to the entire team.

I would suggest a rotation at BMS if you are a self-starter and innovative in your thinking. Researching things on your own, reaching out to people to connect, and what you hope to achieve in your rotation all depends on you.

Your preceptor is essentially facilitating your experience. BMS is considering staying remote for an unforeseeable amount of time so time management and being organized is important. Essential skills such as being able to communicate effectively, both written and verbally, being personable and open to new opportunities, and staying actively engaged are key. Other skills such as being punctual and professional are important in all rotations.

Something I have learned during my BMS experience is that opportunities are always present and available. One just has to be willing to take them.

I would encourage students to actively participate in opportunities around them or establish their own. I know UMES’s accelerated didactic curriculum limits the amount of free time students have, but it really makes a difference to future employers when students are actively engaged in extracurricular activities and go beyond the requirements of school.

PICTURE PERFECT

UMES SOP Steps into Media Production

The Digital Media Program in the University’s Engineering and Aviation Sciences Complex contains state-of-the-art audio and video production facilities.

Mr. Bill Brophy, Coordinator Digital Media Production, oversees its three television studios, two radio studios, and fully-equipped audio and video edit suites. It contains equipment found in professional media offices including a Ross Carbonite video production switcher, ChyronHego Lyric Graphics Generator, two Newtek Tricaster460s, high definition television cameras, and multiple studios with chroma key capability and teleprompters. In 2020, Dr. Sean Vasaitis, Assistant Dean of Student Affairs, and Dr. Yen Dang, Associate Professor of Pharmacy Practice, have partnered with Digital Media Program to allow pharmacy students to create a series of entertainment programs for the campus community.

The idea of creating a studentcentric video series began as an innovative method to educate and inform the public of pharmacy-related topics. While UMES SOP does many health outreach activities during the course of the year in Delmarva, these initiatives do not utilize digital or high-technology platforms to engage the community. UMES pharmacy students developed an original series called “Over the Counter” to educate the public about hot topics affecting residents on the Eastern Shore. The program introduces information in a news format and allows pharmacy students to discuss topics as experts in the field. Guided by Mr. Brophy with over 40 years of production experience, students learned how to shoot and edit a news

segment that engaged viewers. The first video production highlighted the dangers of e-cigarettes and hookah usage. This was due to the higher rates of alternative tobacco products in Somerset County youth compared to the rest of Maryland.

The second video focused on the consequences of sexually transmitted diseases among college students and methods to have safe sexual practices. “We are excited about the possibilities of this collaboration between the pharmacy and digital media program”, Dr. Dang replies. “There is a technological revolution occurring where many people rely solely on digital and electronic mediums to receive their information.

We believe that this ‘Over the Counter’ series will allow our student’s drug expertise to be showcased to a larger community and allow information to flow to the public so that they can remain actively informed about their health.”

Photos from top, left to right: The UMES Digital Media Production Team at work.

Class of 2020 pharmacy students Briana Carter and Frank Doan speak to host Benjamin Peckman about teenage pregnancies and associated consequences of sexual activity in Somerset County.

Dr. Emily Biskach, PGY-1 Community Pharmacy Resident, talks to “Over the Counter” host Benjamin Peckman, Class of 2022 pharmacy student, about the increased usage of e-cigarettes and hookah in youth.

Jeremy Wirick, Class of 2022 pharmacy student and assistant producer of the “Over the Counter” series.

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October is American Pharmacists Month!

Thank you to our pharmacists who work hard to provide quality care and make a difference in our patients’ lives.

We want to stay up-to-date on what you’re doing, your achievements, and your significant life events. Please use this link to share your news with us. https://www.umes.edu/Pharmacy/Content/Contact-Us/

J.T. Williams Hall, Suite 2104 • Princess Anne, MD 21853

umes.edu Follow us on Facebook on the ‘University of Maryland Eastern Shore School of Pharmacy’ page at https://www.facebook.com/University-of-Maryland-Eastern-Shore-School-of-Pharmacy-100618791778420