AAA Screening for New Medicare Patients Winter/Spring, 2007

Transcription

AAA Screening for New Medicare Patients Winter/Spring, 2007
Winter/Spring, 2007
AAA Screening for New Medicare Patients
New Medicare Part B health insurance enrollees are now eligible for a preventive abdominal
aortic aneurysm (AAA) screening by UC Surgeons. According to the American Vascular
Association, more than 15,000 Americans die of ruptured AAA each year. Men over 60 who
smoke and have high blood pressure are at the greatest risk.
“Many people are unaware that they have
an abdominal aortic aneurysm and are at
risk for rupture and death,” says Joseph
Giglia, MD, the interim director of UC’s
Division of Vascular Surgery. “Men over 60
who have ever smoked are at a much higher risk for this condition than others.
Preventive AAA screening exams to detect
a bulge in the aorta could literally mean the
difference between life and death for some
people.”
Dr. Joseph Giglia monitors AAA screening.
Upon completion of a physical exam, which is mandatory for new Medicare patients, male
patients who have smoked at least 100 cigarettes during their lifetime or have family history of
vascular disease can request the AAA screening exam. The test is done using ultrasound. If vascular problems are found, the patient may be referred for additional screening exams to monitor
or further diagnose risk of rupture.
UC Surgeons now accept patient appointments for this one-time screening at our vascular clinics
throughout Cincinnati and West Chester. Appointments must be made in advance by calling
(513) 241-9929, and patients will be required to show a current Medicare insurance card. This
benefit is effective as of January 1, 2007, for new Medicare Part B enrollees. If patients are not
enrolled in Part B and meet risk factors, they should speak with their primary care providers for
screening referral.
Burn Researchers Create Improved Skin Cells
Burn researchers at the University of Cincinnati and
Shriners Hospital for Children have created genetically modified skin cells that, when added to cultured
skin substitutes, may help fight off potentially lethal
infections in patients with severe burns.
Dorothy Supp, PhD, and her team found that skin
cells that were genetically altered to produce higher
levels of a protein known as human beta defensin 4
(HBD4) killed more bacteria than normal skin cells.
Dr. Dorothy Supp
(Photo by Dan Davenport/Academic Health
Center Communications Services)
Please see inside for more information.
Burn Researchers Create Improved
Skin Cells (continued from front)
"If we can add these genetically modified cells to bioengineered skin
substitutes, it would provide an important defense system boost during
the initial grafting period, when the skin is most susceptible to infection," Dr. Supp said.
In a three-year study, Dr. Supp isolated the HBD4 gene from donated
tissue samples and transferred it to surface skin cells to enhance the
skin's infection-fighting abilities. The test cells were then infected with
a type of bacteria commonly found in hospitals and allowed to incubate. Analysis demonstrated that the genetically altered cells with
HBD4 were more resistant to microbial infection.
Dr. Supp, an adjunct research associate professor at UC and researcher
at Cincinnati Shriners Hospital for Children, believes that defensins
could become an effective alternative method for burn wound care and
infection control. Using them in cultured skin substitutes could also
decrease a patient’s risk for infection, improve skin graft survival and
reduce dependence on topical antibiotics.
Research Graduate Student is
Awarded Training Award to Study
Biology of Prostate Cancer
Megan Thobe, a graduate student in Cell and Cancer Biology who is
performing her thesis project in the laboratory of Susan Waltz, PhD,
was recently awarded a Predoctoral Prostate Cancer Training Award
from the Department of Defense Prostate Cancer Research Program
(PCRP) of the Office of the Congressionally Directed Medical
Research Programs. This grant will provide Megan with $92,000 to
test the hypothesis that a novel cell surface receptor tyrosine kinase,
named Ron, promotes prostate tumorigenesis and angiogenesis by
regulating a vital transcription factor called NF-κB and tumor angiogenesis. If successful, these studies may suggest a new avenue for the
treatment of prostate cancer. Moreover, the goals of the PCRP are to
develop the careers of junior scientists to continue to work in this
area of cancer biology.
Cultured skin substitutes for patients with large-scale burns have been
in use since the 1980's. Patients with burns covering large areas of their
bodies are very difficult to treat because skin grafts must be taken from
the patient's intact skin area. The smaller the area of intact skin, the less
skin is available for harvesting and subsequent grafting. Cultured skin
substitutes are grown apart from the patient in the lab, using cells from
the patient's own skin to guard against rejection by the body. The cells
multiply and are combined with a collagen matrix consisting of a
spongy sheet and gel. The resulting "skin" is grafted directly onto the
patient.
Dr. Supp's findings appeared in the Journal of Burn Care and Research,
January/February 2007, vol. 28, pp. 127-132 -- “Expression of Human
Beta Defensin 4 in Genetically Modified Keratinocytes Enhances
Antimicrobial Activity.” The authors are Andrea K. Smiley, MS; Jason
Gardner, BS; Jennifer M. Klingenberg, BS; Alice N. Neely, PhD; and
Dorothy M. Supp, PhD.
Megan Thobe at the bench.
Trauma Surgeon Receives Grant
from the Shriners Hospital
Timothy A Pritts, MD, PhD, Assistant
Professor of Surgery, Division of Trauma
and Critical Care, is Principal Investigator
of a grant from the Shriners Hospitals for
Children to study “Effect of Thermal
Injury on Intestinal Toll-Like Receptor
Mediated Inflammation.” The research
project runs from January 2007 through
December 2010.
Cells that were genetically modified to produce higher levels of a protein known
as human beta defensin 4 are shown in green. (Photo by Dan Davenport/ Academic Health Center Communications Services)
Dr. Pritts also serves as Director, Division
of Education, and Associate Director,
Residency Program in General Surgery.
Timothy Pritts, MD, PhD
Urology Division Adds Minimally Invasive Cincinnati Shriners Hospital for Children
Specialist
Wins National Customer Service Award
Krishnanath Gaitonde, MD, has
joined UC Surgeons as Clinical
Assistant Professor of Urology. Dr.
Gaitonde is fellowship trained and a
specialist in minimally invasive treatment of urological disease, including
endourology, laparoscopy and robotassisted urologic surgery.
Dr. Gaitonde completed his urology
residency in India and is a Diplomate
of the National Board of Urology,
India.
He completed his Urology
Krishnanath Gaitonde, MD Fellowship at Mater Misericordiae
Hospital in Brisbane, Australia;
Endourology and Laparoscopic Urology Fellowship at Klinikum
Heilbronn, Germany; Laparoscopic Urology Fellowship at Royal
Brisbane Hospital, Australia; and a Fellowship in Endourology,
Laparoscopy & Robotic Surgery at the University of Cincinnati. Dr.
Gaitonde is a certified Fellow of the European Board of Urology.
The Cincinnati Shriners Hospitals for Children was named a 2006
Summit Award Winner by Press Ganey Associates, a nationally recognized company that partners with health care facilities to measure the
level of customer satisfaction and improve their quality of health care
delivery. The Cincinnati Shriners Hospital for Children's Outpatient
Services was one of 61 health care organizations in the country to win
this coveted customer service award that recognizes top performing
facilities that sustain the highest level of customer satisfaction for three
or more consecutive years.
Burn and Plastic Surgeons from China Visit
Cincinnati to Observe Burn Care
Two surgeons from the Department of Burn and Plastic Surgery at the
Guangzhou Red Cross Hospital in Guangzhou, People’s Republic of
China, visited the Shriners Hospital for Children and the Adult Burn
Unit at the University Hospital in Cincinnati from January 2-22, 2007.
They came to Cincinnati to observe the day-to-day workings of a stateof-the-art burn hospital.
Dr. Gaitonde has won several academic and research awards. He is a
member of the American Medical Association, American Urological
Association (North Central Section), Ohio Urological Society and the
Endourological Society. Dr. Gaitonde has published several articles
and given presentations at both national and international meetings on
laparoscopic and other urologic procedures.
Dr. Gaitonde will see patients at the Medical Arts Building and at
University Pointe. He may be reached at (513) 475-8787.
UC Surgeons Host Free Vascular Screening
Joseph S. Giglia, MD, Interim Chief of the Division of Vascular
Surgery, and Amy B. Reed, MD, Assistant Professor of Surgery, participated at a free vascular screening hosted by UC Surgeons at the
Fraternal Order of Police building for the Association of Retired
Cincinnati and Hamilton County Police Officers on March 5, 2007.
Drs. Petra Warner, Kevin Yakuboff, Richard Kagan and Kevin Bailey
with guests from China (far left and second from right), Drs. Li Xiaojian
and Liang Darong
Other Burn Division News
Dr. Amy Reed confers with participant at vascular screening
“We deeply appreciate all that Dr. Reed, Dr. Giglia and the staff of
Midwest Ultrasound did during the screening. Knowing that this
one day may have saved some of our members from serious future
problems is very gratifying. We cannot thank you enough.”
William Bennett, President, Association of Retired Cincinnati and
Hamilton County Police Officers
Dr. Richard Kagan, Chief of the Division of Burn Surgery and Chief
of Staff at the Shriners Hospital, was the recipient of the American
Association of Tissue Banks’ Jeanne C. Mowe Distinguished Service
Award which was presented at its annual meeting in San Diego,
September 8-12, 2006. Dr. Kagan was also invited to give three lectures
at the International Society for Burn Injuries biennial meeting in
Fortaleza, Brazil, and another lecture at the Brazilian Burns Society
meeting, also in Fortaleza, September 25-29, 2006.
The Shriners Hospital and the Division of Burn Surgery had 22 of 26
submitted abstracts accepted for presentation at the American Burn
Association for its annual meeting in March, 2007.
“Out of the Crossfire” Program Takes Aim at Violence
Helps Victims of Violent Crimes to Avoid Repeat Occurrences
“Out of the Crossfire” was
established in May 2006 after
many years of effort by UC
trauma surgeons Drs. Jay
Johannigman and Kenneth Davis, Jr., and a seed grant from the
Cincinnati Bar Foundation. Since announcing the program,
“Out of the Crossfire” has hired a program manager, developed
a community advisory board, and begun to connect with
community agencies and resources. The program continues to
need mental health counselors, job opportunities and volunteer
mentors for patients.
Speakers on a panel about violence in the community presented to local teens are,
from left, Dr. Kenneth Davis, UC surgery professor; Pamela Carter of Cincinnati
Public Schools; Rufus Johnson, a former member of the Vice Lords gang in
Chicago, an expert in gang culture and founder of Real Truth, Inc.; City
Councilmember Laketa Cole; and Clinton Johnson, Cincinnati-Hamilton County
Community Action Agency community services director.
At present, “Out of the Crossfire” is engaging 3-5 survivors of
gun shot and stab wounds each week, hosting a weekly Life Skills
training and support group for inpatients and clients who have
been discharged, and identifying life affirming services for them
from the community.
Jennifer E. Williams, Ed.D, PC, NCC, Program Manager, 'Out of the
Crossfire', confers with a client at University Hospital.
Contact: Jennifer E. Williams, EdD, NCC, PC, Manager, by phone
at 513-584-7007 or email [email protected].
Trial Uses Genetic Test for Breast
Cancer Treatment
While many patients with early stage breast cancer are given
both hormones and chemotherapy, research suggests that the
effectiveness of chemotherapy in patients with less-aggressive
cancers with unknown risk for recurrence is unclear.
A major phase-3 trial at UC is using a genetic test to determine
whether less aggressive therapy may be used following surgery
for breast cancer. The National Cancer Institute-sponsored
trial—known as TAILORx—uses genetic tests to assess the likelihood of recurrence of the patient’s breast cancer. The study is
led at UC by Elizabeth Shaughnessy, MD, PhD, and Jennifer
Manders, MD, in the Division of Surgical Oncology.
Dr. Jennifer Manders
Dr. Elizabeth Shaughnessy
Women who have undergone surgery for localized stage 1 or 2
hormone receptor-positive breast cancer may be eligible for this
trial. Study participants are placed into one of four treatment
arms, based on their recurrence scores. Women considered at
low risk (10 or less) will receive hormone therapy, while women
on the other end of the scale (26 or more) will get both
chemotherapy and hormone therapy. The remaining women
falling into the intermediate risk group will be randomized to
receive either hormone therapy alone or a combination of
chemotherapy plus hormone therapy.
Some insurance providers, including Medicare, provide coverage
for participation in this genetic testing. Patients who qualify will
receive the genetic testing and corresponding treatment visits at
no cost. For enrollment information, call Ruth Steele at (513)
584-2951.
Cincinnati Sea Cadets
Visit C-STARS
Trauma Surgeon in Iraq
Sends Thanks to C-STARS
The Cincinnati Sea Cadets paid a visit to the University Hospital as
part of their December drill. Part of their visit included exposure to
the C-STARS (Center for Sustainment of Trauma and Readiness
Skills) program which trains doctors, nurses and medics how to
practice medicine under extreme conditions prior to serving in combat areas overseas. Their favorite part of the visit was a mock-up of
a C-17 cargo hold that simulates the transport of injured soldiers.
“I wanted to thank you for giving me the opportunity to work with
your team at UC hospital. I was at your hospital one year ago this
month. I was a 3rd year family medicine resident at the time from Ft.
Bragg. Today I am in Baghdad, Iraq, as the Squadron Surgeon for the
1-40 Cavalry Squadron, 4th Brigade Combat Team Airborne 25th
Infantry Division. A few days ago I had to for the first time put my
skills to the test. An IED hit an Iraqi Army truck and killed 2 instantly and 5 patients were taken to the Troop Medical Clinic at my FOB
(forward operating base). My patient had an open left ankle fracture,
open left wrist, left humeral fracture, and penetrating abdominal
wound.
The Cincinnati Sea Cadets are young men and women (ages 11-17)
who are thinking about going into the military after high school or
college. Among the cadets are Matthew and Andrea Romito, the
children of Patricia Romito, and Chad Richman, son of Cathy
Richman, both staff in the UC Surgeons finance office.
Cincinnati Sea Cadets with Major Peron (far left) and Dr. Jay Johannigman
(far right) at C-STARS.
Surgical Resident Receives “Leader
for the Future” Award
Surgical resident Callisia Clarke, MD, received a Reaching for the
Stars Program "Leaders For The Future" Award on March 1, 2007, at
the luncheon held in conjunction with The African-American
Professional Development Symposium.
L-R: Medical photographer Roger West, surgery clerkship coordinator Elaine Zumeta,
surgery clerkship director Dr. Richard Stevenson, surgical resident Dr. Callisia Clarke,
UC College of Medicine Assistant Dean for Diversity and Community Relations Dr.
Ken Davis Jr., surgical education administrative manager Gilda Young, and surgical
residency coordinator Andrea Anderson at the “Reaching for the Stars” luncheon.
I did not have the initial shock of ‘oh my god look at his...’ since I had
seen trauma before at your hospital. I immediately triaged the
patient as urgent surgical due to his penetrating abdominal wound
and called for a medevac. I was a bit scared about having his life in
my hands for the first time, but I was able to stabilize the patient for
transport to the Combat Support Hospital. We could not immediately get vascular access, so I felt confident enough to attempt a
femoral line. Even though I did not have time to complete the line,
we did have time to get a Fastone IO line. The helicopter arrived in
less than 15 minutes to take the patient to the 28th CSH in Baghdad.
The first time was not perfect but I was able to stabilize the patient.
I did not panic and I owe it to what I learned from your residents and
especially your staff. Thanks so much for the learning experience!!
The time your residents and staff took to point out various teaching
points applicable to trauma and military medicine were invaluable.
Hopefully I will not need to use it too much, but I am confident I will
not panic and I will be able to stabilize the patient until the medevac
arrives. Thanks for everything!”
Daniel Joyce, CPT, MC USA
1-40 CAV Surgeon
FOB Falcon, Iraq
C-STARS Personnel are Honored
Members of C-STARS were honored at
a ceremony on February 8, 2007, in the
Surgical Amphitheater. Brig. General
(Dr.) Byron C. Hepburn, Command
Surgeon, Air Mobility Command,
United States Air Force (at left in photo),
presented the Commendation Medal to
UC trauma surgeon Major (Dr.)
Stephen Barnes (at right in photo) for
actions during his deployment to Balad
AB Iraq. MSgt. Dario Rodriquez
received the Meritorious Service Medal
for his actions during assignment at
Eglin Air Force Base, and trauma nurse
Mr. Dan Donegan received the
Commendation Medal for actions over
his Air Force career upon his retirement
from the Air Force Reserve.
Transplant News Story
Among Top 5 in 2006
A story from the Division of Transplantation on steroid withdrawal was #5 in Medscape's Top Transplantation News
Stories of 2006. The report shows that rejection risk in
African Americans is much lower with modern immunosuppression regimens and provides the first evidence that cardiovascular risk benefits in African Americans are greater than
those experienced by Caucasians. Traditionally, African
Americans have not been considered candidates for steroid
elimination because they are at high risk for acute rejection.
Division of Colon and Rectal
Surgery News
Bradley Davis, MD, Assistant Professor of Surgery, Division of
Colon and Rectal Surgery, will be instructing the laparoscopic
colectomy course at the SAGES (Society of American
Gastrointestinal Endoscopic Surgeons) meeting in April, 2007.
Go to http://www.medscape.com to find the artice (“Early
Corticosteroid Withdrawal After Kidney Transplant May
Benefit Blacks More Than Whites”).
Visiting Professor Advises
Women Surgeons
Dr. Bradley Davis (center) teaches laparoscopic surgery to chief residents Drs.
Konstantin Umanskiy and Grace Mak in the Center for Surgical Innovation.
Carolyn E. Reed, M.D., served as the Eleventh Annual J.
Rawson Collins Visiting Professor on Wednesday, February 7,
2007. Dr. Reed is Section Chief, General Thoracic Surgery,
Division of Cardiothoracic Surgery, Medical University of
South Carolina, Charleston, SC.
In addition to giving lectures at Surgical Grand Rounds and
the Cincinnati Surgical Society, Dr. Reed spoke to Department
of Surgery women surgeons (faculty and residents).
Dr. Janice Rafferty, Chief of the Division of Colon and Rectal Surgery, at The
Women's Health Experience at the Kenwood Country Club sponsored by the
Foundation For Female Health Awareness.
Thoracic Surgery Chief Speaks in Saudi Arabia
Visiting Professor Dr. Carolyn Reed (far right) speaks to women surgeons.
UC Surgeon is Keynote Speaker at
Women’s Leadership Conference
Amy B. Reed, MD, Assistant Professor of Surgery and
Director of the Vascular Surgery Fellowship Program, was the
keynote speaker at UC’s 2007 Women’s Leadership
Conference on March 2, 2007, at UC’s Tangeman University
Center. She spoke on “Women in Surgery: Cutting into the
Glass Ceiling.”
Dr. John Howington, Associate Professor of Surgery and Chief, Division of
Thoracic Surgery (third from right) at the 2007 Oncology Update put on by
the King Faisal Hospital Department of Oncology, held in Jeddah, Saudi
Arabia, February 27-28, 2007. Dr. Howington also presented a talk entitled
“Minimally Invasive Thoracic Surgery: Its Role in Early Lung Cancer.”
ACTSI Established with Setup Grant
NEEMO 12 Mission is Announced
University of Cincinnati’s Department of Surgery has recently been
awarded a grant from the US Army Telemedicine and Advanced
Technology Research Center (TATRC) for the creation of the
Advanced Center for Telemedicine and Surgical Innovation (ACTSI).
This has been a long-time in the works and is part of a congressional
appropriation through the Department of Defense. The grant builds
on existing military partnerships and research within the Department
of Surgery. The solicitation of this award was spearheaded by Dr.
Timothy Broderick, Mr. Chuck Doarn, and Mr. Brett Harnett.
NASA's 12th underwater Extreme Environment Mission Operation,
NEEMO 12, was announced on March 6, 2007, at UC’s Engineering
Research Center. Among the crew is Timothy J. Broderick, MD.
NEEMO 12, partly funded by ACTSI, will take place May 7-18, 2007, in
the Aquarius habitat off the coast of Key Largo, Florida. For more
information, visit www.nasa.gov/mission_pages/NEEMO.
ACTSI is focused on research initiatives in the area of telesurgery and
advanced medical technologies that will enable better surgical and
medical care of our men and women serving in the military. ACTSI is
an independent center poised to leverage partnership across the entire
university, including partnerships with DAAP, College of Engineering,
and department of biomedical engineering. The initial award of $1.0M
is to organize ACTSI and to begin to develop a portfolio of research
projects based on government needs. This portfolio includes evaluation of surgical technologies in extreme environments, surgical simulation, and telerobotic surgical systems. The NEEMO 12 project that was
announced March 6 is one example of ACTSI’s projects.
Dr. Timothy J. Broderick has been named director of ACTSI. Mr.
Charles R. Doarn will serve as the Deputy Director. In order to focus
his attention on growth of ACTSI and other NASA research, Dr.
Broderick will step down as division director of GI/Endocrine Surgery.
He will continue a limited surgical practice in the Division. Dr. David
Fischer will be Interim Director of the GI/Endocrine Surgery Division.
The NEEMO 12 crew (l-r): Dr. Timothy Broderick, Dominic Landucci, James
Talacek, José Hernandez, Dr. Josef Schmid, Heidemarie Stefanyshyn-Piper, and
William Todd [not pictured]
Jane Henney, MD, Provost for Health Affairs at UC, introduces the Exploration:
Sea, Space, & Science Symposium panel (l-r): Jon Bowersox, MD, PhD; John
Carlson; William S. Ball, MD; Col (Dr.) Christian Macedonia, MC. Not seen in
this photo are Carlo Montemagno, PhD; Joe Schmid, MD; Heidi StefanyshynPiper; and William Todd.
Education and Outreach
Local Cincinnati outreach includes a partnership with the Cincinnati
Museum Center on May 9, 2007, emceed by a NASA astronaut. During
a morning session, 300 elementary school students (grades 1-5) and
their teachers are invited to tour the Museum Center and participate in
a live video teleconference with the NEEMO 12 crew in the Aquarius
habitat. An afternoon video teleconference is open to the general public and will feature five local junior high (grades 6-8) school students.
These “student-surgeons” will drive the robotic controls at Cincinnati
Museum Center, telesurgically moving the arms of the robot in the
undersea habitat. We wish to schedule visits
to the CSI for your class in March or April,
leading up to the finale on May 9, 2007. To
schedule a visit for your class, or for more
information, contact Elyssa Westrich,
Events Coordinator, 513-558-5334 or
[email protected]. You may also
visit www.surgery.uc.edu/csi for further
information on the CSI.
Urology Division Receives Education Gift from P&G
The Division of Urology received a donated set of the textbook,
Campbell's Urology, which is the text used by urology residents
to study all aspects of urology and to study for the In-Service
exam and the Urology Boards.
The textbooks were presented on February 2, 2007, by Mr. Jim
Foley, a Hospital Specialist with P&G Pharmaceuticals, Inc., a
division of the Procter & Gamble Company.
Shown in the photo at left are Mr. Foley (far left) with Urology
residents Drs. Alex Caillat, Eric Giesler and Sundeep Deorah,
with Urology Division Chief, Dr. James F. Donovan, Jr. (center).
Recent Presentations
Alexander JW: “Bariatric surgery for transplant and dialysis patients.”
Invited Speaker, 10th Congress of the Middle East Society for Organ
Transplantation, Kuwait, November 27, 2006.
Alexander JW: “Surgical infections: Past, present and future.” Invited
Speaker, Japanese Society for Surgical Infection Annual Congress,
Tokyo, November 30, 2006.
Bernabe KQ, Sheng G, Guo J, Erwin CR, Warner BW: “Intestinal
epithelial cell proliferation is influenced by smooth muscle cell production of amphiregulin." American Academy of Pediatrics - Surgical
Section, October 6-8, 2006, Atlanta, GA.
Broderick TJ: “Advanced surgical technologies.” American
Telemedicine Association and Telemedicine and Advanced
Technology Training Center Advanced Briefing for Industry,
Washington, DC: December 2006.
Broderick TJ: “Mobile robotic telesurgery.” Office of Spectrum
Management Speaker Series: Unmanned Systems & 21st Century
Spectrum Policy, Washington, DC, October 2006.
Broderick TJ: “Robotic surgery.” Session: GS89 Modeling, Simulation,
and Virtual Reality: What’s Proven, What’s Not. American College of
Surgeons Annual Clinical Congress, Chicago, IL, October 2006.
Broderick TJ: “Recent progress in robotic telesurgery.” Cincinnati
Surgical Society, Cincinnati, OH, October 2006.
Doarn CR, Broderick TJ: “Center for Surgical Innovation.” UC
Department of Surgery Symposium, Mason, OH, October 2006.
Doarn CR: “Surgery in space: Robotics and nanotechnology.” iSPACE
– FIRST Robotics Competition. Loveland Middle School, Loveland,
OH, December 2006.
Doarn CR: “Advances in surgical simulation and robotics in surgical
training (emphasizing ENT).” Tripler Army Medical Center: ENT
Grand Rounds. Honolulu, HI, November 2006.
Doarn CR: “Business models for centers of surgical innovation.”
University of Hawaii, Honolulu, HI, November 2006.
Doarn CR: “Surgery in 2021: Where are we going to be?” UC Dual
Admissions Program Workshop. Cincinnati, November 2006.
Harnett B: “Technical opportunities in today’s modern health environment.“ 2006 Healthcare Symposium, Eastern Connecticut State
University Alumni Association. Willmantic, CT, December 2006.
growth factor receptor stimulation" American Academy of Pediatrics
- Surgical Section, Atlanta, GA, October 6-8, 2006.
Wolf RK: (1) “Surgical approaches to cure atrial fibrillation” (plenary
session. (2) “How to start a robotics program in cardiac surgery;” (3)
“Ablation for lone AF: Does surgery have a role?” American Heart
Association, Chicago, IL, November 12-15, 2006.
Wolf RK: “Update on atrial fibrillation surgery.” The Royal Society of
Medicine, London, UK, November 17, 2006.
Recent Publications
Alexander JW, Goodman HR, Cardi M, Austin J, Goef S, Safdar S,
Huang S, Munda R, Fidler JP, Buell J, Hanaway M, Suskind B, RoyChaudhury P, Trofe J, Alloway R, Woodle ES. Simultaneous corticosteroid avoidance and calcineurin inhibitor minimization in renal
transplantation. Transplant Int 19(4):295-302, 2006.
Alexander JW, Goodman HR. Gastric bypass in chronic renal failure
and renal transplant. Nutr Clin Pract 22:16-21, 2007.
Alsabrook GD, Goodman HR, Alexander JW. Gastric bypass surgery
for morbidly obese patients with established cardiac disease. Obesity
Surg 16:1272-1277, 2006.
Anvari M, Williams D, Thirsk R, Morin L, McKinley C, Broderick T,
Kapoor A, Sebajang H, Hall G, Adili A, Dobranowski J. Telesurgery in
an extreme environment in the absence of a local physician-the
NEEMO 7&9 Missions. Surg Endosc 20(Suppl 1):S278, 2006.
Archer L, Billmire DA, Falcone RA Jr., Warner BW. Reconstruction of
an acquired abdominal wall defect in a neonate using human acellular dermis. Plastic Reconstruct Surg 18:163e-166e, 2006.
Doerr H, Murray WB, Cuttino M, Broderick TJ. Training astronauts
to manage trauma (emergencies): Integrating human patient simulation into medical operations for National Aeronautics and Space
Administration (NASA). Int TraumaCare (ITACCS)16:26-30, 2006.
Merrell RC, Doarn CR. Telehomecare: Where are we? FormaMente
Rivista Internazionale di Ricerca sul Futuro Digitale 1(1-2):109-110,
2006. [Reprint from Telemed and E Health 12(2):79-80, 2006.]
Merrell RC, Doarn CR. An abundance of activities: The broad spectrum of telemedicine [Editorial]. Telemed and E Health 12(6):609610, 2006.
Panait L, Merrell RC, Rafiq A, Dudrick SJ, Broderick TJ. Virtual reality laparoscopic skill assessment in microgravity. J Surg Res 136: 198203, 2006.
Sheng G, Warner BW: "Epidermal growth factor receptor inhibition
mediated increase in intestinal epithelial cell apoptosis requires p38
MAP kinase dependent Bax activation." American Academy of
Pediatrics - Surgical Section, Atlanta, GA, October 6-8, 2006.
Sheng G, Bernabe KQ, Guo J, Warner BW. Epidermal growth factor
receptor mediated proliferation of enterocytes requires p21waf1/cip1
expression. Gastroenterology 131: 153-164, 2006.
Sheng GS, Warner BW: "Intestinal epithelial cell apoptosis requires
Bax activation via p38 MAP kinase" American College of Surgeons
Surgical Forum, Chicago, IL, October 8-12, 2006.
Warner BW, Erwin CR. Critical roles for EGF receptor signaling during resection-induced intestinal adaptation. J Pediatr Gastroenterol
Nutr 43: S68-S73, 2006.
Taylor JA, Bernabe KQ, Guo J, Warner BW: “Nuclear beta-catenin is
not involved in the enterocyte proliferation response to epidermal
Wolf RK. Invited commentary. Ann Thorac Surg 82(4):1456-1457,
2006.
UC Surgery Residents and Faculty are Prominent
at American College of Surgeons Meeting
Drs. Syed Ahmad, Stephen Barnes,
David Fischer, Likith Reddy and
Timothy Pritts became Fellows of the
ACS. Dr. Reddy is one of very few oral
and maxillofacial surgeons elected to
fellowship in the ACS.
Fifteen faculty members participated
at the ACS as speakers, moderators,
panelists, discussants, and instructors.
Dr. Syed Ahmad
Several surgical residents presented at the Surgical Forum:
Ian F. Lytle, MD (currently a Research Fellow at the University
of Michigan) made a 2006 Excellence in Research Award
Presentation: “Neurotization Improves Force in Engineered
Skeletal Muscle.”
L-R: Drs. Drs. Timothy Pritts, Stephen Barnes and David Fischer at their ACS
Fellowship inauguration.
George Sheng, MD (co-author: Brad W. Warner, MD):
“Intestinal Epithelial Cell Apoptosis Requires Bax Activation via
p38 Mitogen-Activated Protein Kinase.”
Mubeen A. Jafri, MD (co-authors: Bryan Donnelly; Steve Allen,
MD; Greg Tiao, MD): “Ribonucleic Acid Interference of
Cholangiocyte Expression of the Alpha2Beta1 Integrin Reduces
Susceptibility to Rhesus Rotavirus Infection.”
Kelly M. McLean, MD (co-authors: Prakash Pandalai, MD;
Jeffrey Pearl, MD; Shahab Akhter, MD; Christian Bulcao, MD;
Connie Wagner; Jodie Duffy, PhD): “Beta-Adrenergic Receptor
Antagonism Prior to Brain Death Preserves Myocardial
Function in a Porcine Model.”
Ryan M. Thomas, MD (co-author: Andrew M. Lowy, MD):
“CXCR4 Signaling Regulates Proliferation in Pancreatic Cancer
Precursors.”
Dr. Likith Reddy (far right) with Discovery Channel crew at University
Hospital. Dr. Reddy was featured on the Discovery Channel on January 18-19
and February 4-5, 2007. “The Face Saver” episode is part of the series "Surgery
Saved my Life” and shows Dr. Reddy’s voluntary surgical work in India.
Nussbaum Presents Fegelman Lecture
Michael S. Nussbaum, MD, Interim Chairman, UC Department
of Surgery, presented the 18th Annual Ronald H. Fegelman,
M.D., Memorial Lecture on Monday, January 22, 2007, at The
Jewish Hospital in Kenwood. His topic was “The Jewish Hospital
& The University Of Cincinnati: Strong Traditions In The
History Of Surgical Education.”
Jewish Hospital resident, Steve Conkel, MD, was the winner of
the Ronald H. Fegelman, MD, Memorial Lectureship Award.
L-R: Drs. Creighton Wright, Michael Nussbaum, Steve Conkel, Elliott Fegelman
Rapid Response Team is Honored
In December 2006, Dr. Mary Clare Hill, Chair of the Rapid
Response Team Committee and founder of Rapid Response at
The University Hospital, received the Certificate of
Achievement for "Inspiring Your Peer Healthcare Facilities
With Innovative and Resourcful Ideas and Strategies To
Improve Patient Safety. “
This award was granted at the third Rapid Response
Collaborative. Some of the hospital and faculty voting were:
Baylor, Creighton, Johns Hopkins, University of Pennsylvania,
Penn State, Thomas Jeffereson, and University of Michigan.
This collaborative is hosted by the Delmarva Foundation and
the Association of American Medical Colleges. Many of the
materials have been provided by the Institute for Healthcare
Improvement (IHI) through the IHI 100,000 Lives Campaign.
Trauma Surgeons Participate in
National Surgeons Exhibition
Drs. Karyn Butler and Kenneth Davis, Jr., faculty in the
Division of Trauma/Critical Care, were invited participants in
the Reginald F. Lewis Museum exhibition “Opening Doors:
Contemporary African American Academic Surgeons” held at
the National Library of Medicine in Bethesda, Maryland, by the
James Earl Hart Foundation on February 9, 2007, in support of
its violence prevention efforts.
This achievement is due to the expert skills of the Medicine
Team Physicans, Hospitalists, Respiratory Therapists, ICU
Nurses and Nursing Supervisors, as well as SICU nurses and
fellows.
Elementary Class Gets Holiday
Cheer from Trauma Division
Members of the Division of Trauma/Critical Care adopted the
4th grade elementary class at Whittier Elementary in Price
Hill this past holiday season and used more than $1,500 in
donations from the Division to buy school supplies, winter
coats and other welcome gifts, including Cincinnati Bengal
jerseys. Dr. Kenneth Davis, Jr., Rich Branson, and Julie
Zapkowski took the gifts to the class Tuesday, December 20th,
2006.
Participants at the “Opening Doors” exhibition included Drs. Karyn
Butler and Ken Davis, Jr. (upper two rows, far right).
Dr. Butler is an Associate Professor of Surgery and NIH-funded
researcher. Dr. Davis is Professor of Surgery and Clinical
Anesthesia, Assistant Dean for Diversity and Community
Relations, UC College of Medicine, and Vice Chairman for
Faculty Development and Diversity, Department of Surgery.
C-STARS Director Honored Upon
Retirement from Air Force
Peter C. Muskat, MD, Col., USAF, MC, was honored at a retirement ceremony held March 6, 2007, at the Shriners Children’s
Hospital Auditorium. Dr. Muskat is Associate Professor of
Surgery, Division of Trauma/Critical Care, and currently the
Director of C-STARS (Center for the Sustainment of Trauma
and Readiness Skills) at The University Hospital.
Dr. Kenneth Davis with students at Whittier Elementary School
Peter Muskat, MD, Col., USAF, MC (far right), is honored at his retirement ceremony.
Awards and Achievements
Timothy J. Broderick, MD, Associate Professor of Surgery, Director of the
Advanced Center for Telemedicine and Surgical Innovation (ACTSI), and Medical
Director of the Center for Surgical Innovation (CSI), was recently named to NASA’s
National Space Biomedical Research Institute (NSBRI) External Advisory
Committee. This committee provides extramural advice to the NSBRI in the
conduct of its multidisciplinary science mission for NASA. Dr. Broderick recently
traveled to Japan as an invited participant in the 2006 Japan-American Frontiers of
Engineering Symposium. Dr. Broderick also was recently named Associate Editor
of the Journal of Robotic Surgery (JRS).
Dr. Tim Broderick
Tipton Ford, BS, FACMPE, Director of Business Affairs for the Department of
Surgery, was awarded a secondary appointment as Field Service Assistant Professor
at the University of Cincinnati on November 1, 2006, in recognition of his collaboration with the UC College of Medicine. Mr. Ford designed and delivers a “Business
of Medicine” course that teaches medical students, residents and fellows the business
aspects of running a medical practice.
Mr. Tip Ford
Surgical resident Jaime Lewis, MD, won the Women in Thoracic Surgery
Scholarship to attend the Society of Thoracic Surgeons meeting. The $1500 scholarship allowed Dr. Lewis to attend the meeting in San Diego, CA, in January, 2007.
Dr. Jaime Lewis
Jennifer Manders, MD, Assistant Professor of Surgery in the Division of Surgical
Oncology, was accepted as a participant in the YWCA Rising Star Board Leadership
Program. This program, developed by the Cincinnati Academy of Career Women
of Achievement, will focus on leadership skills, political savvy, preparation for service on not-for-profit boards, and ability to positively influence gender and racial
equity. The first session met on February 22, 2007.
Dr. Jennifer Manders
Amy B. Reed, MD, Assistant Professor of Surgery and Director of the Vascular
Surgery Fellowship Program in the Division of Vascular Surgery, is Chair of the
Ohio ACS Women’s Committee and the Vice-Chair of the Association of Women
Surgeons Academic Practice Committee. Dr. Reed has been an invited speaker at
Miami University in Oxford, OH, to speak on “Women in Medicine” and was the
keynote speaker at UC’s 2007 Women’s Leadership Conference. She recently won a
UC Faculty Development Council award that included coverage of expenses for the
ACS Outcomes Course she attended.
Surgical resident Ryan M. Thomas, MD, was selected as a 2006 inductee into Alpha
Omega Alpha, Beta Chapter of Ohio, University of Cincinnati.
Dr. Amy Reed
Dr. Brad Warner
Brad W. Warner, MD, Professor of Surgery, Division of Pediatric Surgery, was
appointed to the membership committee of the American Surgical Association. Dr.
Warner also became a standing member of National Institutes of Health Study
Section - NIDDK-C for a 4-year term.
Randall K. Wolf, MD, Professor of Surgery and Bio-Medical Engineering and the
Director of the Center for Surgical Innovation (CSI), is President Elect of the 21st
Century Cardiac Surgery Club. He will also serve as Program Director of 21st
Century Cardiac Surgery Club for 2007. Dr. Wolf will serve as president elect of the
Robert E. Berry Society for 2007-2008. Dr. Berry is a Professor of Surgery Emeritus
at the University of Virginia. Dr. Wolf was recently named an honorary professor
and honorary advisor to the hospital and Atrial Fibrillation Center at Capital
University and Beijing Anzhen Hospital in Beijing, China. During Dr. Wolf ’s recent
trip to Beijing, he conducted a live telemedicine link between the operating room
and a cardiac conference with approximately 100 surgeons in attendance. The
telemedicine link was on Atrial Fibrillation Surgery.
Dr. Ryan Thomas
Dr. Randall Wolf
Grand Rounds
Rounds Schedule
Schedule
Surgical Grand
March 28, 2007
Resident Research Competition – 4 finalists will present research.
Upcoming Visiting Professors & Guest Lecturers:
April 4, 2007
Seventh Annual Fischer Visiting Professor -- Steven C. Stain, MD, Professor and Chairman,
Department of Surgery, Meharry Medical College: “Disparities in the Treatment and Survival of
Colorectal Cancer Patients”
May 2, 2007
Guest Lecturer (Trauma/Critical Care) -- Carnell Cooper, MD, Associate Professor of Surgery,
University of Maryland; Chief, Trauma Services, Prince George’s Hospital Center: “Hospital
Based Violence Intervention Programs Do Work”
May 16, 2007
Seventh Annual Kempczinski Visiting Professor (Vascular Surgery) -- Lazar Greenfield, MD,
Executive Vice President for Medical Affairs, University of Michigan
May 30, 2007
Eleventh Annual McDonough Visiting Professor (Education) -- M. Margaret Knudson, MD,
Professor, San Francisco General/UCSF Hospitals
Mont Reid Surgical Society Alumni Reunion
The Mont Reid Surgical Society will hold its Alumni Reunion on May 3-4, 2007, in Cincinnati. For more
information, email [email protected].
September-October,
2004 Inc.
The University Surgeon is published
quarterly by UC Surgeons,
Written by Steve Wiesner, 558-4207, [email protected]
Edited by Elizabeth Pierce, 558-1321, [email protected]
June - July, 2003
Winter/Spring,
2007