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
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