New hospital opens PHHP names new dean - University of Florida
New hospital opens PHHP names new dean - University of Florida
New hospital opens PHHP names new dean - University of Florida
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<strong>New</strong><br />
<strong>hospital</strong> <strong>opens</strong><br />
4 7<br />
23<br />
<strong>PHHP</strong> <strong>names</strong><br />
<strong>new</strong> <strong>dean</strong><br />
Healthy churches,<br />
healthy families<br />
DENTISTRY MEDICINE NURSING PHARMACY PUBLIC HEALTH AND HEALTH PROFESSIONS<br />
11 09<br />
VETERINARY MEDICINE
UP FRONT<br />
CONTENTS<br />
PHOTO BY SARAH KIEWEL<br />
2 POST<br />
11 09<br />
On the Cover<br />
The HSC has received 75 grants totaling<br />
$72 million from the National Institutes<br />
<strong>of</strong> Health as part <strong>of</strong> the federal stimulus<br />
package. This month, The POST T takes a<br />
closer look at how some scientists are<br />
using the one-time-only opportunity to<br />
grow their research and what the funding<br />
means for science and for the community.<br />
10<br />
11<br />
DISCOVERY BBY<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events.<br />
4<br />
Table <strong>of</strong> Contents<br />
3<br />
4<br />
6<br />
7<br />
10<br />
11<br />
12<br />
16<br />
17<br />
19<br />
20<br />
21<br />
22<br />
23<br />
POST-it<br />
<strong>New</strong> Hospital: Shands, next generation<br />
Patient Care: Tribute to AGH<br />
Administration: <strong>New</strong> <strong>PHHP</strong> <strong>dean</strong><br />
Patient Care: Horses helping people<br />
Education: CPR training<br />
Cover Story: Stimulus grants at the HSC<br />
(Extra)ordinary Person: Slande Celeste<br />
Research: Veggie science<br />
Jacksonville: H1N1 trials<br />
Jacksonville: Breast Health Center<br />
Distinctions<br />
In Memoriam: James Seeger<br />
Pr<strong>of</strong>i le: Carolyn Tucker<br />
MRI M<br />
UF anesthesiologist Mark J.<br />
Rice, M.D., and radiologist<br />
Lori Deitte, M.D., were<br />
among a team <strong>of</strong> researchers who<br />
confi rmed the effectiveness <strong>of</strong> a<br />
longstanding medical procedure<br />
used when anesthesia is<br />
administered to patients. The<br />
procedure, known as Sellick’s<br />
maneuver, has come under fi re by<br />
critics in recent years, but UF<br />
scientists have used magnetic<br />
resonance imaging to show that it<br />
works and that doubts about its<br />
effectiveness are based on a<br />
misunderstanding <strong>of</strong> what physical<br />
changes happen in the neck during<br />
the procedure. P
WE JUST LIKED THIS PICTURE<br />
A gold-covered Dental Heisman winner holding a toothbrush<br />
instead <strong>of</strong> a football. The Mighty Molar at the reins. A Gator<br />
with braces. Ahh, what’s not to like about this well-designed<br />
fl oat the College <strong>of</strong> Dentistry’s Dental College Council built<br />
to grace UF’s Homecoming Parade Oct. 16? Dental student<br />
Josh Perry y is the smiling guy in gold.<br />
CLEAN OUT YOUR CLOSETS<br />
The <strong>PHHP</strong> Health Science Student Organization and Kaplan Test Prep and<br />
Admissions are sponsoring a used clothing and backpack drive until Nov. 18.<br />
Items will be donated to children served by the Micanopy Collaborators for<br />
Educational Excellence, a program that provides free one-on-one tutoring<br />
for school children from families with low incomes. Please drop <strong>of</strong>f used<br />
clothing for boys or girls, ages fi rst through 10th grade, backpacks, school<br />
supplies, winter coats and unopened toys at one <strong>of</strong> the following locations:<br />
the advising <strong>of</strong>fi ce on the ground fl oor <strong>of</strong> the HPNP Complex, Kaplan at the<br />
Reitz Union or Kaplan’s downtown location, 409 S.W. 2nd Ave. For more<br />
information, please e-mail Gaura Mehta at gaura55@ufl .edu.<br />
GET FIT<br />
WHAT STUDYING DID TO THEIR BRAINS …<br />
Pr<strong>of</strong>essor Orit Shechtman, Ph.D., (center) poses with Bachelor <strong>of</strong> Health Science<br />
program seniors Sammi Willis, Melissa Milroy, Bethany Rivera, Brooke Richardson,<br />
Alyssa Triacca and Michelle Dubreuil. The students donned their <strong>new</strong> ‘dos for their<br />
brain lab on the day after the fi rst exam in Shechtman’s class, Nervous Systems and<br />
Disorders. Rivera said the idea came to the group while celebrating after the test.<br />
One <strong>of</strong> the girls fl ipped her head over and put the base <strong>of</strong> a water bottle on top <strong>of</strong> her<br />
head and tied her hair around the neck <strong>of</strong> the bottle with a ribbon. Depending on the<br />
length <strong>of</strong> hair, she said, different heights <strong>of</strong> bottles can be used to achieve the style<br />
— no hairspray necessary!<br />
Starting in January, employees <strong>of</strong> the Health Science Center and Shands HealthCare<br />
will have another way to stay fi t. The Shands Fitness and Wellness Center will open in<br />
the South Campus parking garage, located on Southwest 13th Street. The center will<br />
feature cardio and strength training equipment and will <strong>of</strong>fer personal training and<br />
medical fi tness programs. Memberships are available for one-, three- and six-month<br />
periods. Employees’ spouses and domestic partners also may purchase memberships.<br />
For more information, visit http://shands.org/fi nd/outpatient/rehab/wellnesscenter/<br />
default.asp or call 352-273-7117.<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events. 11 09<br />
POST<br />
3
PHOTO BY SARAH KIEWEL<br />
NEW HOSPITAL<br />
Shands,<br />
the next t generation<br />
On Nov. 1, Shands HealthCare opened the <strong>new</strong><br />
500,000-square-foot, $388-million Shands Cancer<br />
Hospital at UF. An extension <strong>of</strong> the Shands at UF academic<br />
medical center, the <strong>new</strong> tower features 192 private<br />
beds b and also houses the Shands Critical Care Center<br />
for emergency and trauma services. This month, The<br />
POST T brings you some tidbits about the <strong>new</strong> addition.<br />
4 POST<br />
11 09<br />
By Elizabeth Connor<br />
If the <strong>new</strong> Shands Cancer Hospital at UF were a<br />
person, it would be a woman. From the undulating<br />
lines <strong>of</strong> the foyer — marketed as “The Sail” by the<br />
building’s architects — to the s<strong>of</strong>t, secondary colors used<br />
throughout, this building wants to comfort and nurture.<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events.<br />
What you’ve read about the <strong>new</strong> Shands Cancer Hospital undoubtedly focuses on<br />
what the facility has — the 192 private beds, the snazzy glassed-in exterior stairwell,<br />
the Aquilion One 320-detector row CT scanner. But as the <strong>hospital</strong> propels itself into<br />
the 21st century, it is also defi ned by what it left behind:<br />
Operating ampitheather<br />
ampitheather. Forget those television vignettes with concerned<br />
physicians looking over a surgery from on high. The 12 operating rooms at the Shands<br />
Cancer Hospital provide unprecedented ability for the clinicians to share and save<br />
almost any clinical event <strong>of</strong> a typical surgery.<br />
Flat-screen monitors and at least two mobile computer workstations can capture a<br />
real-time overview <strong>of</strong> the operating room and the surgical fi eld, endoscopic and similar<br />
images, patient vital signs and other clinical data. Up to four images can be captured<br />
and displayed on a single screen simultaneously, allowing physicians to process<br />
disparate information quickly and eliminating the need for separate computers.<br />
A conventional <strong>hospital</strong> kitchen. For the fi rst several months <strong>of</strong> operation, the<br />
Shands Food and Nutrition Services team at Shands Cancer Hospital will plate patient<br />
meals with food prepared at the main kitchen on the Shands at UF North Campus.<br />
Starting July 1, patients in the <strong>new</strong> building will be able to order meals from the<br />
Shands Cancer Hospital’s own kitchen as they would from room service at a hotel —<br />
from a broad menu during kitchen hours <strong>of</strong> 7 a.m. to 7 p.m. The kitchen staff will have<br />
real-time electronic access to information showing each patient’s dietary needs; they<br />
will even be alerted when a patient fails to order a meal as expected.<br />
The Shands at UF kitchen was designed to enable staff to prepare 1,200 patient<br />
meals per day for 400 patients, allowing them to expand with the growth <strong>of</strong> the Shands<br />
at UF South Campus. Eventually, Shands plans to build additional towers on the <strong>new</strong><br />
campus to serve a total <strong>of</strong> 1,200 patients.<br />
Franchised restaurants for staff and visitors. The 122-seat Terrace Market Cafe on<br />
the third fl oor <strong>of</strong> the Shands Cancer Hospital is run by the same vendor company that<br />
operates the Shands at UF food court. This will <strong>of</strong>fer the food service teams the<br />
fl exibility to switch out menu items to refl ect the season or customer preferences,<br />
Shands Food Service Director Bill Notte said.<br />
Overhead fl uorescent lights. In corridors where patients will be transported across<br />
the <strong>hospital</strong>, architects have banished glaring overhead lights whenever possible in<br />
favor <strong>of</strong> s<strong>of</strong>ter, indirect lighting. Instead, patients will see art on the ceiling, at least in<br />
the elevators.<br />
Tiny windows. Current technology makes possible the oversized energy-effi cient<br />
windows and shades at the Shands Cancer Hospital, but the decision to install them is<br />
driven by a desire to bring as much light into a patient’s room as possible, said Brad<br />
Pollitt, Shands HealthCare’s vice president for facilities. The shank <strong>of</strong> the building sits<br />
close to Archer Road, but the windows’ coating will refl ect heat and light without<br />
blinding nearby drivers and pedestrians.<br />
To ensure that nurses have visual access to each patient, a glassed-in charting area<br />
<strong>of</strong>f the corridor straddles every two rooms.<br />
All <strong>of</strong> the features <strong>of</strong> the <strong>hospital</strong> were designed for the eventual transition <strong>of</strong> all<br />
patient care in Shands at UF to the South Campus. The North Campus would focus on<br />
teaching and academic activities, Pollitt said. P
The evolution <strong>of</strong><br />
EMERGENCY MEDICINE<br />
PHOTO BY SARAH KIEWEL<br />
Dr. Joseph Adrian Tyndall stands in the <strong>new</strong> emergency department at the<br />
Shands Critical Care Center.<br />
By April Frawley Birdwell<br />
The emergency department at Shands at UF was built to handle about 25,000<br />
patients a year. The problem was about 55,000 people were coming.<br />
“We have a huge catchment, 13 counties. We provide care for a lot <strong>of</strong> people,”<br />
said Joseph Adrian Tyndall, M.D., chair <strong>of</strong> the College <strong>of</strong> Medicine department <strong>of</strong><br />
emergency medicine. “We were at 55,000 patient visits a year in essentially the same<br />
square footage. That led to problems <strong>of</strong> crowding and throughput. We were doing this<br />
while trying to advance teaching and academics in that clinical space.”<br />
Before 1984, the <strong>hospital</strong>’s emergency department had been tucked in an even<br />
smaller space near what are now the <strong>hospital</strong>’s loading docks. So, the idea <strong>of</strong> moving to<br />
a center three times the size with double the number <strong>of</strong> patient spaces — quadruple if<br />
needed — wasn’t just an ordinary, let’s-pack-the-stethoscopes-and-go kind <strong>of</strong> moment<br />
for the department. Its Nov. 1 move to the Shands Critical Care Center, which houses<br />
emergency and trauma services, was a colossal shift and huge step forward in the<br />
advancement <strong>of</strong> emergency medicine at UF.<br />
During the past two decades, emergency medicine at UF has evolved from a division<br />
within the department <strong>of</strong> surgery to a full-fl edged department with a residency<br />
program, a Level 1 trauma center and a staff <strong>of</strong> physicians board-certifi ed in providing<br />
emergency care.<br />
Now, the department has a space where doctors can see 100,000 patients a year. Also,<br />
it’s probably the only emergency department in the country with a 320-detector row<br />
CT scanner — a powerful imaging device that can help doctors diagnose conditions in<br />
minutes instead <strong>of</strong> hours or even days — just down the hall.<br />
“A lot <strong>of</strong> communities don’t have this kind <strong>of</strong> advanced care,” Tyndall said. “I am<br />
proud <strong>of</strong> it.”<br />
The department began working with management engineers a year and a half ago to<br />
walk them through how patients are seen, information that was used to help design<br />
the space and plan staffi ng.<br />
Because the <strong>new</strong> emergency department is bigger than the old Shands at UF and the<br />
Shands AGH emergency areas combined — and because Shands AGH closed — the<br />
nursing and ancillary staff was almost doubled to meet the needs <strong>of</strong> patients. Several<br />
<strong>new</strong> faculty members have joined the department as well, and more could be<br />
recruited next year, Tyndall says.<br />
“I look at this as the beginning step <strong>of</strong> being able to take even better care <strong>of</strong><br />
patients,” Tyndall said. “It’s not just the physical space or the equipment. It is the<br />
people involved. It is the process <strong>of</strong> making sure the entire institution focuses on<br />
throughput so patients can be quickly seen and moved to where they need to be. It is<br />
the recognition <strong>of</strong> all <strong>of</strong> that. This move is just the beginning.” P<br />
PHOTO BY SARAH KIEWEL<br />
The Sanctuary <strong>of</strong> Peace in the <strong>new</strong> <strong>hospital</strong> incorporates<br />
novel design concepts and overlooks the Garden <strong>of</strong> Hope.<br />
Goinggreen<br />
By Kimberly Rose<br />
So, you’ve read about the 192 beds, the fancy 320-slice<br />
scanner and the other advances <strong>of</strong> the <strong>new</strong> <strong>hospital</strong>.<br />
Did we mention it’s pretty green, too?<br />
The commitment to use environmentally sustainable<br />
construction methods to build the <strong>hospital</strong> earned Shands<br />
HealthCare the silver Leadership in Energy and<br />
Environmental Design designation per the U.S. Green<br />
Building Council rating system.<br />
“We used insulated windows that are treated to reduce<br />
solar glare and white ro<strong>of</strong>tops designed to refl ect heat,” said<br />
Brad Pollitt, Shands HealthCare vice president for facilities.<br />
“The facility’s air-conditioning heat wheels help to recover<br />
lost energy, and irrigation and drainage systems use<br />
reclaimed water. We provide showers for employees who bike<br />
to work and special parking for hybrid cars.”<br />
Pollitt says Shands is now being considered for gold-level<br />
LEED certifi cation and could be one <strong>of</strong> a few academic<br />
medical centers nationwide to achieve this rating.<br />
Shands also partnered with Gainesville Regional Utilities<br />
to establish the GRU South Energy Center to provide 100<br />
percent <strong>of</strong> the <strong>hospital</strong>’s energy needs. The on-site power<br />
plant will ensure uninterrupted power, independent <strong>of</strong> the<br />
city’s energy grid, regardless <strong>of</strong> a prolonged outage elsewhere<br />
in the community. It will effi ciently convert fuel into<br />
electricity and provide 46 percent savings compared with<br />
traditional fossil fuel-burning generations. Offi cials estimate<br />
this will save 27 million kilowatts per year, enough to power<br />
about 3,000 homes. P<br />
Shands Critical Care Center facts:<br />
Breakaway doors in treatment rooms for fast access<br />
A 9-second elevator ride from the helicopter pad<br />
Radiology on site for quicker access to scans<br />
Special rooms and waiting area for children<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events. 11 09<br />
POST<br />
5
PATIENT CARE<br />
Community, munity employees say goodbye to Shands AGH<br />
PHOTO HOTO<br />
BY SARAH KKIEWEL<br />
By April Frawley Birdwell<br />
The contractions started in<br />
the middle <strong>of</strong> the movie.<br />
Surprised her baby might<br />
actually arrive on its due date, the<br />
mother quickly gathered her two<br />
daughters to leave, abandoning<br />
the fi lm, Ironically, it was titled<br />
“Born Free.”<br />
They rushed to Alachua General Hospital. Thirteen<br />
minutes later, Pegeen Hanrahan was born. Thirtynine<br />
years later, Hanrahan, now Gainesville’s mayor,<br />
would have her own daughter at the <strong>hospital</strong>.<br />
But on a steamy October day, Hanrahan said<br />
goodbye to the place where she and her daughter<br />
entered the world during a tribute to honor the<br />
<strong>hospital</strong>, which closed its doors after 81 years Nov. 1.<br />
“It is like anything in life, you have to work past the<br />
grief for a rebirth,” said Hanrahan, her voice cracking<br />
with emotion as she addressed the 300 people who<br />
gathered at the <strong>hospital</strong> for the tribute. “God bless<br />
you, all <strong>of</strong> you, who have helped everyone get through<br />
the moments <strong>of</strong> their lives here at AGH.”<br />
On March 15, 1928, Alachua County’s ys fi rst st <strong>hospital</strong> hosp <strong>hospital</strong> ospital ta al<br />
opened with 25 nurses, 12 doctors, 58 beds and two<br />
operating rooms. The cost <strong>of</strong> a <strong>hospital</strong> stay was $2.50<br />
6 POST PO POST<br />
11 09<br />
Thanks for the<br />
he<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events.<br />
Gainesville Mayor Pegeen Hanrahan recalls<br />
her birth and her daughter’s birth at Shands<br />
AGH during a tribute to the <strong>hospital</strong> in<br />
October. Shands AGH, Alachua County’s<br />
oldest <strong>hospital</strong>, closed Nov. 1. (Below) The<br />
AGH Auxiliary had been a lasting tradition at<br />
AGH since 1953. Members <strong>of</strong> the Auxiliary<br />
opened the <strong>hospital</strong>’s c<strong>of</strong>fee and gift shops,<br />
established its volunteer program and helped<br />
furnish units during the <strong>hospital</strong>’s growth.<br />
a day and a major surgical procedure cost about $15,<br />
said Jodi Mansfi eld, chief operating <strong>of</strong>fi cer for Shands<br />
HealthCare, whose children also were born at AGH.<br />
“They had a gala party that the entire community<br />
came to,” said Timothy Goldfarb, CEO <strong>of</strong> Shands<br />
HealthCare. “Interesting enough, exactly nine months<br />
later the fi rst baby was born at AGH.”<br />
The <strong>hospital</strong> grew, admitting as many as 3,600<br />
patients a year during the 1930s and 1940s, and its<br />
name was changed from Alachua County Hospital to<br />
Alachua General Hospital in 1949. By the 1950s, the<br />
<strong>hospital</strong> had 176 beds and its own nursing school,<br />
Mansfi eld said. The nursing school, in operation from<br />
1945 to 1957, disbanded when the UF College <strong>of</strong><br />
Nursing opened.<br />
In 1996, Shands bought the <strong>hospital</strong>, which by the<br />
time <strong>of</strong> its closing had grown to be a 377-bed facility<br />
with 1,150 employees. But because <strong>of</strong> declining<br />
revenues and budget shortfalls, the decision was made<br />
last year to close the <strong>hospital</strong>, relocating its services to<br />
Shands at UF as well as the <strong>new</strong> Shands Cancer<br />
Hospital and Shands Critical Care Center.<br />
All but a few <strong>of</strong> the <strong>hospital</strong>’s employees have<br />
transferred to positions within Shands HealthCare.<br />
“A community is stitched with 1,000 threads,” said<br />
UF President Bernie Machen. “Alachua General<br />
Hospital was a place where those threads came<br />
together in a safe, seamless and sturdy line.<br />
“We owe much to this <strong>hospital</strong> for (Gainesville’s)<br />
development as a great place to live and work.” P
It’s <strong>of</strong>fi cial <strong>of</strong>fi cial<br />
Interim <strong>dean</strong> earns top job in <strong>PHHP</strong><br />
By Jill Pease<br />
Michael G. Perri, Ph.D., has been named <strong>dean</strong> <strong>of</strong> the UF<br />
College <strong>of</strong> Public Health and Health Pr<strong>of</strong>essions.<br />
Perri joined the college’s faculty in 1990 and has served as the interim <strong>dean</strong> since June<br />
2007. A pr<strong>of</strong>essor in the department <strong>of</strong> clinical and health psychology, Perri has held several<br />
administrative positions in the college including associate <strong>dean</strong> for research and head <strong>of</strong> the health<br />
psychology division.<br />
“Under the leadership <strong>of</strong> (nursing <strong>dean</strong> and associate provost) Kathleen Long, Ph.D., R.N., as chair <strong>of</strong><br />
the search committee, we conducted a vigorous national search for this critical position at the Health<br />
Science Center and <strong>University</strong> <strong>of</strong> <strong>Florida</strong>,” said Joseph Glover, Ph.D., provost and senior vice president for<br />
academic affairs. “After reviewing an extremely strong fi eld <strong>of</strong> fi nalists, the search committee was<br />
uniformly supportive <strong>of</strong> Dr. Perri as the best fi t for the next <strong>dean</strong> <strong>of</strong> the College <strong>of</strong> Public Health and<br />
Health Pr<strong>of</strong>essions. I enthusiastically concur.”<br />
Perri’s research fi ndings have had a signifi cant impact on theory, research and clinical care related to<br />
behavioral treatment <strong>of</strong> obesity. He has contributed to more than 120 scientifi c publications and has served<br />
as principal investigator or co-investigator for more than $30 million in research grants and contracts<br />
from the National Institutes <strong>of</strong> Health, the Department <strong>of</strong> Veterans Affairs and private industry. His<br />
current studies involve the development <strong>of</strong> effective programs for the management <strong>of</strong> obesity in<br />
underserved rural communities. In 2008, Perri received the American Psychological Association’s Samuel<br />
M. Turner Award for Distinguished Contributions to Applied Research in Clinical Psychology.<br />
“UF and its Health Science Center will benefi t greatly from Dr. Perri as the <strong>dean</strong> <strong>of</strong> the College <strong>of</strong><br />
Public Health and Health Pr<strong>of</strong>essions,” said David S. Guzick, M.D., Ph.D., senior vice president for health<br />
affairs and president <strong>of</strong> the UF&Shands Health System. “During his tenure as interim <strong>dean</strong>, Dr. Perri<br />
successfully spearheaded the college’s public health accreditation. He also stabilized a shaky fi nancial<br />
foundation and launched several initiatives to foster collaboration across public health and the health<br />
pr<strong>of</strong>essions disciplines, including the establishment <strong>of</strong> a funding program for interdisciplinary pilot<br />
studies and the founding <strong>of</strong> the <strong>Florida</strong> Trauma Rehabilitation Center for Returning Military Personnel.”<br />
Perri is a diplomate <strong>of</strong> the American Board <strong>of</strong> Pr<strong>of</strong>essional Psychology and a fellow <strong>of</strong> the American<br />
Psychological Association, the Society <strong>of</strong> Behavioral Medicine and the Obesity Society. He was recently<br />
appointed associate editor <strong>of</strong> the Journal <strong>of</strong> Consulting and Clinical Psychology, the leading peer-reviewed<br />
journal in the fi eld <strong>of</strong> clinical psychology.<br />
Perri earned his doctorate in clinical psychology from the <strong>University</strong> <strong>of</strong> Missouri - Columbia. Before<br />
arriving at UF he served on the faculty at the <strong>University</strong> <strong>of</strong> Rochester, Indiana <strong>University</strong> and Fairleigh<br />
Dickinson <strong>University</strong>.<br />
“I am honored and excited about the opportunity this appointment presents,” Perri said. “The college<br />
has accomplished a tremendous amount over the past fi ve years. We are now at the starting point to go on<br />
to more signifi cant achievements through our collaborative efforts in education, research and service.” P<br />
PHOTO BY SARAH KIEWEL E<br />
MICHAEL G. PERRI, PH.D.<br />
ADMINISTRATION<br />
College <strong>of</strong> Medicine<br />
<strong>dean</strong> candidates<br />
UF ha has se sele lect cted ed nnin<br />
ine ca cand ndid idat ates es to t<br />
interview to become the next College<br />
<strong>of</strong> Medicine <strong>dean</strong>. The interviews will<br />
take place in mid-November. The candidates<br />
are: Valerie P. Castle, M.D., chair <strong>of</strong> the<br />
department <strong>of</strong> pediatrics and communicable<br />
diseases at the <strong>University</strong> <strong>of</strong> Michigan; David<br />
L. Epstein, M.D., M.M.M., chair <strong>of</strong> the<br />
department <strong>of</strong> ophthalmology at Duke<br />
<strong>University</strong>; Arthur M. Feldman, M.D., Ph.D.,<br />
the Magee pr<strong>of</strong>essor and chair <strong>of</strong> the<br />
de depa part rtme ment nt <strong>of</strong> o me medi dici cine ne at a Je Jeff ffer erso son Me Medi dica cal<br />
College; Francisco A. Gonzalez-Scarano,<br />
M.D., chair <strong>of</strong> the department <strong>of</strong> neurology at<br />
the <strong>University</strong> <strong>of</strong> Pennsylvania; Michael L.<br />
Good, M.D., interim <strong>dean</strong> at the <strong>University</strong> <strong>of</strong><br />
<strong>Florida</strong>; Gabriel G. Haddad, M.D., chair <strong>of</strong><br />
the department <strong>of</strong> pediatrics at the <strong>University</strong><br />
<strong>of</strong> California, San Diego; Thomas A. Pearson,<br />
M.D., Ph.D., M.P.H., senior associate <strong>dean</strong> for<br />
clinical research and director <strong>of</strong> the Rochester<br />
Clinical and Translational Science Institute at<br />
th the Un Univ iver ersi sity ty o<strong>of</strong><br />
Ro Roch ches este ter; r; Rob Rober<br />
ert C.<br />
Robbins, M.D., a pr<strong>of</strong>essor and chair <strong>of</strong><br />
cardiothoracic surgery at Stanford <strong>University</strong>;<br />
and David S. Stephens, M.D., vice president<br />
for research at Emory <strong>University</strong>.<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events. 11 09<br />
POST<br />
7
PATIENT CARE<br />
Room with a view<br />
UF vets fi rst to use <strong>new</strong> MRI unit to get better look k inside animals<br />
By Sarah Carey<br />
A<br />
<strong>new</strong> clinical imaging system now in place at the UF Veterinary<br />
Medical Center will enable veterinarians to obtain diagnostic<br />
images <strong>of</strong> previously inaccessible and larger parts <strong>of</strong> the body,<br />
such as the upper legs <strong>of</strong> horses, veterinarians say.<br />
The <strong>new</strong> 1.5 Tesla Titan MR, made by Toshiba,<br />
has never previously been used by any academic<br />
veterinary medical center in the United States and<br />
will provide private practitioners and pet owners<br />
with a highly sophisticated tool for pinpointing and<br />
treating disease in their animals.<br />
“There are many advantages to the Titan,<br />
notably its 71-centimeter patient aperture — known<br />
as the open bore — which will be a benefi t in<br />
examining large animals,” said Clifford “Kip”<br />
Berry, D.V.M., a pr<strong>of</strong>essor <strong>of</strong> radiology at UF and<br />
chief <strong>of</strong> the VMC’s radiology service.<br />
Magnetic resonance imaging, or MRI, is used in<br />
veterinary medicine to look inside an animal’s body<br />
to evaluate diseases and other problems. The <strong>new</strong><br />
MR will provide veterinarians with a more detailed<br />
anatomic picture through high-resolution imaging<br />
and will enable them to image arterial and venous<br />
blood fl ow with the injection <strong>of</strong> an intravenous<br />
contrast medium, UF veterinarians said.<br />
Berry said the <strong>new</strong> equipment is “faster, bigger<br />
and better” than what has previously been available<br />
8 POST<br />
11 09<br />
and provides UF with one more powerful tool to<br />
give veterinarians and their clients the most<br />
advanced imaging services.<br />
“There is more space available inside the<br />
machine to accommodate patients, which should<br />
allow for better imaging <strong>of</strong> the mid to upper<br />
extremity <strong>of</strong> horses,” Berry said. “The Titan also is<br />
quieter than existing MR equipment, making it less<br />
likely that acoustic noise will awaken patients<br />
during diagnostic examinations.”<br />
The equipment is designed so animals should not<br />
have to be repositioned during an MR study.<br />
Veterinary technologists also have the fl exibility to<br />
load large animal patients into the equipment from<br />
the back end.<br />
The VMC’s <strong>new</strong> MR unit and the 8-slice<br />
multidetector row Toshiba Acquilion CT unit now<br />
available at UF are among the most powerful<br />
imaging tools currently available for veterinary<br />
diagnostics in the Southeast.<br />
The MR unit allows highly detailed images to be<br />
obtained in multiple planes <strong>of</strong> bone and s<strong>of</strong>t tissue<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events.<br />
in all species. Foot, fetlock, suspensory ligaments,<br />
carpus, hock and heads can be examined through<br />
MRI in the horse, while spiral CT may be used for<br />
3-dimensional reconstruction in complex fracture<br />
repair planning <strong>of</strong> the extremity or stifl e in large<br />
animals. In small animals, both modalities are<br />
routinely applied to neurologic and orthopedic<br />
cases at the VMC, with additional studies<br />
performed for radiation planning and metastasis<br />
evaluations.<br />
“MR allows for exquisite distinction between<br />
normal and abnormal tissues,” Berry said. “The use<br />
<strong>of</strong> specialized sequences further increases the<br />
ability to distinguish between different types <strong>of</strong><br />
pathology ranging from hemorrhagic infarctions to<br />
primary brain tumors and infl ammatory<br />
disorders.”<br />
Matthew Winter, D.V.M., an assistant pr<strong>of</strong>essor<br />
<strong>of</strong> diagnostic imaging at UF’s VMC, added that<br />
MR also reveals bone, tendon and ligament<br />
pathology and can show bone bruising, meniscal<br />
damage and ligament tears that go undetected<br />
when using traditional radiography.<br />
“All <strong>of</strong> our radiologists have strong interests in<br />
cross-sectional imaging, which gives UF a unique<br />
ability to serve the advanced imaging needs <strong>of</strong><br />
<strong>Florida</strong> veterinarians,” Winter said. P
Honoring artists<br />
History wall dedicated to Shands Arts in Medicine artists<br />
By Kim Libby<br />
Nineteen years ago, the Shands Arts in Medicine program began with just two artists and<br />
one bone marrow transplant unit. Today, it has grown to include visual, literary and<br />
performing artists and designers serving the entire Shands HealthCare community.<br />
The program has helped hundreds <strong>of</strong> people feel better, which made Allison Wickham and<br />
other volunteers decide to say thank you to those who make it happen.<br />
Wickham, a former intern and current employee <strong>of</strong> the program, coordinated the fi rst Artists<br />
Appreciation Day in 2008 as a way to celebrate and honor the artists and administrators. It included<br />
a half-hour long show and small trophies along with baskets <strong>of</strong> gifts. But as the program<br />
grew another year stronger, she k<strong>new</strong> the festivities had to grow with it.<br />
The second annual event was held Sept. 24 as a luncheon for 12 artists, program administrators<br />
and infl uential volunteers. At the event, an oral history wall was unveiled and dedicated to<br />
the artists. It includes biographies <strong>of</strong> everyone from the program’s founders to current staff,<br />
with quotes and messages from volunteers and administrators about their work.<br />
The wall, currently on display outside the AIM <strong>of</strong>fi ce, will be preserved on a 30-by-60-inch<br />
piece <strong>of</strong> Plexiglas and moved to a <strong>new</strong> location at Shands.<br />
For artist Paula Patterson, a dramatist in residence, the wall was a chance for her work to be<br />
immortalized.<br />
“Someday when I’m gone, my grandchildren can bring their kids to Shands <strong>hospital</strong> and see<br />
what a great program their grandmother was a part <strong>of</strong>,” she said.<br />
Wickham hopes the event will grow each year with increasing support and is already brainstorming<br />
ideas with fellow volunteers for 2010.<br />
“This year, the wall was a great chance for everyone to walk down memory lane,” she said. P<br />
A <strong>new</strong> leash on life<br />
College <strong>of</strong> Veterinary Medicine cardiology resident<br />
Dr. Mandi Schmidt, left, and student Heather<br />
Rogers, right, pose with Anne Liebermann and<br />
Tucker in September.<br />
By Sarah Carey<br />
PHOTO BY APRIL FRAWLEY BIRDWELL<br />
Thanks to a grant from a Good Samaritan and<br />
UF Veterinary Medical Center cardiologists,<br />
Tucker, a 2-year-old golden retriever with<br />
severe heart disease and no other chance for help, is<br />
back home in Fort Myers, Fla., with a <strong>new</strong> leash, er,<br />
lease, on life.<br />
“Today I walked him and he walked me 70 percent<br />
<strong>of</strong> the time,” said Anne Liebermann, Tucker’s<br />
owner. “He was really raring to go. When we fi rst<br />
got him at the age <strong>of</strong> 4 months, he could do about a<br />
block and that was it.”<br />
His condition worsened to the point that he<br />
showed increasing signs <strong>of</strong> stress, including fainting,<br />
with minimal exercise and exertion.<br />
“We k<strong>new</strong> when we got him that he was sick,”<br />
Liebermann said. “We didn’t have the cash or the<br />
funds to do anything other than normal maintenance<br />
but just decided we would give him as good a<br />
life as we could while he was with us.”<br />
Liebermann brought Tucker to Gainesville in<br />
mid-September on the advice <strong>of</strong> her veterinarian,<br />
who had learned about a congenital heart disease<br />
study underway at the VMC. The veterinarian believed<br />
Tucker might be a candidate.<br />
After examining the dog, however, Amara<br />
Estrada, D.V.M., an assistant pr<strong>of</strong>essor <strong>of</strong> cardiolo-<br />
PATIENT CARE<br />
Shands Arts in Medicine volunteers Kelly Cuddihy and Jessica<br />
McElroy paused to check out the oral history wall on display outside<br />
the AIM <strong>of</strong>fi ce near the Shands at UF cafeteria.<br />
Good Samaritan helps golden retriever get<br />
heart treatment<br />
gy, and her team determined Tucker did not qualify<br />
because his particular heart disease did not meet<br />
the study’s criteria.<br />
“He not only had really bad heart disease, his<br />
owner also was unable to afford an interventional<br />
procedure to treat him,” Estrada said.<br />
About two years ago, however, an anonymous client<br />
generously donated $4,000 to the cardiology<br />
service to help the owners <strong>of</strong> cats that suffered from<br />
heart disease but who could not afford care.<br />
Although Tucker was a dog, the funds had not<br />
been spent because there have not been any viable<br />
feline candidates, Estrada said. Cardiology resident<br />
Mandi Schmidt, D.V.M., contacted the donors to<br />
ask if they would allow Tucker’s medical expenses<br />
to be covered. The owners agreed. Soon thereafter,<br />
cardiologists performed a cardiac catheterization<br />
and effectively ballooned his pulmonary valve.<br />
A week after the procedure, Tucker was no longer<br />
fainting and his owner described him as “like a <strong>new</strong><br />
dog,” Schmidt said.<br />
Liebermann added she had not realized how<br />
much Tucker’s illness had taken out <strong>of</strong> him.<br />
“If we hadn’t heard about the study at UF we<br />
never would have taken him up, so everything really<br />
fell into place,” she said. P<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events. 11 09<br />
POST<br />
9
PATIENT CARE<br />
Helping h ves<br />
HSC students, faculty involved in program that uses horses for occupational therapy<br />
By Jessica Metzger and Laura Mize<br />
Christopher Williams, 7, loves trotting along on<br />
P.J., short for Princess Jasmine. He squeals<br />
in excitement when the volunteers and<br />
occupational therapist Cathi Brown, M.Sc., O.T.R./L<br />
coax the horse to trot faster. Once P.J. slows down<br />
again, Brown has Christopher place his hands on his<br />
helmet to work on his balance.<br />
Christopher hardly realizes he is doing therapy. He just thinks it’s fun.<br />
Christopher has autism. Bryan Williams, the boy’s father, said they have been<br />
coming to Horses Helping People, or HOPE, an organization that specializes in<br />
serving people with disabilities through equine-assisted therapy, since April.<br />
Sessions at HOPE have replaced the at-home therapy Christopher used to<br />
receive. Bryan Williams says his son is more alert and responsive than before he<br />
started going to HOPE.<br />
Started in 2000, HOPE relies solely on donations and help from volunteers,<br />
10POST POST<br />
11 09<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events.<br />
PHOTO BY SARAH KIEWEL<br />
including many from UF’s Health Science Center.<br />
Amy Anderson, a riding instructor at HOPE, is a student in the College <strong>of</strong><br />
Public Health and Health Pr<strong>of</strong>essions’ Master’s in Occupational Therapy<br />
program. Brown is a graduate <strong>of</strong> the program.<br />
Numerous members <strong>of</strong> the organization’s board <strong>of</strong> directors and advisory<br />
committee also work at the Health Science Center.<br />
Kristen Shimeall, HOPE’s executive director, says these people make a big<br />
difference for the people receiving therapy at HOPE.<br />
“Our riders get attached to our volunteers and look forward to seeing them<br />
every week,” Shimeall said. “For our riders, it’s not just coming out and riding a<br />
horse, they are developing bonds with both the volunteers and the horses.”<br />
HOPE operates at a 40-acre farm in Archer, Fla.<br />
Patients like Christopher benefi t from equine therapy because it focuses on<br />
improving their balance, coordination and fl exibility. Brown and volunteers play<br />
games with the patients and have them perform certain exercises while they ride<br />
the horses. Throwing a ball back and forth while atop the horse, for example,<br />
works on balance.<br />
Patients begin their therapy sessions by brushing and dressing the horse for 30<br />
minutes, with help from an occupational therapist. Shimeall said the repetitive<br />
actions involved help improve sensory perception and memory.<br />
Stephanie Helinger, 21, an animal science major in UF’s College <strong>of</strong><br />
Agriculture, began volunteering at HOPE in May. She prepares the horses and<br />
leads them during therapy sessions.<br />
“I know how much horses have really helped me in my life, and I can really<br />
imagine how much help they are to those with disabilities,” said Helinger, who<br />
began riding lessons when she was 10. “At fi rst the kids are quiet, but they really<br />
get into it. They make me more thankful for my life.”<br />
Dale Ginder, 7, comes to HOPE because he has Duchenne muscular dystrophy,<br />
the most common and fatal form <strong>of</strong> the disease. Dale’s muscles don’t produce<br />
dystrophin, which is what the muscles need to fi x themselves after even daily use.<br />
As he damages his muscles, they are being replaced with fat.<br />
“Ultimately, these boys die from heart and or lung failure since these are also<br />
muscles,” explained Rick Ginder, Dale’s father. “(For children with Duchenne),<br />
the progression is typically in a wheelchair by 10 or 12 and death in their early<br />
20s, sometimes younger and in some cases older. Later in life he will lose the use<br />
<strong>of</strong> most muscles and will need assistance with almost everything.”<br />
Riding horses at HOPE is one way Dale is making the most <strong>of</strong> his youth.<br />
“It is supposed to be one <strong>of</strong> the fun ways to maintain their core strength,” said<br />
Rick Ginder. “He sees it as learning to ride a horse rather than therapy. While<br />
his older brother does basketball and football, Dale gets to ride.<br />
“As parents we are trying to make his life as much like his friends so that he<br />
has memories to look back on when he won’t be able to do even these things.” P<br />
Horses Helping People helps people with disabilities using equine therapy.
Saving lives in<br />
22<br />
2 minutes or less …<br />
UF CPR & Safety Training Center<br />
expands to reach community<br />
By Kim Libby<br />
Training to save a life can now be accomplished<br />
in record time — just 22 minutes — thanks to<br />
a <strong>new</strong> course <strong>of</strong>fered by the UF CPR & Safety<br />
Training Center.<br />
A part <strong>of</strong> the College <strong>of</strong> Medicine since July 1, the center is now <strong>of</strong>fering “CPR<br />
Anytime” to anyone in the Gainesville community.<br />
Participants attend a live class for 20 minutes to learn the correct way to perform<br />
breaths, compressions and cycles, and leave with a kit to practice at home. The<br />
package includes an instructional video, a booklet from the American Heart<br />
Association and a personal CPR Mini Anne Manikin. The manikin features a tab for<br />
an adult or child and audible clicking during compressions to ensure the student is<br />
pressing hard enough into the sternum. The cost for the adult CPR course and kit is<br />
$30, while the cost for infant CPR is $35.<br />
“The goal with this program is for people to feel comfortable about giving bystander<br />
CPR,” said Victor Martinez, the program’s community outreach coordinator. “That<br />
way, if you ever feel unsure, you can just pop in the DVD and refresh your skills.”<br />
Even though the program does not certify a student in CPR, the training will<br />
ensure you are equally prepared, said Wes Henderson, program development<br />
coordinator. After a person becomes unresponsive for four to six minutes, brain<br />
damage is possible. The response time for emergency services can be seven minutes or<br />
longer, so taking action could save someone’s life, he said.<br />
The center plans to use the 20-minute program as part <strong>of</strong> their Gator Saver<br />
Initiative, which includes six events in the upcoming year throughout the community.<br />
The largest program is “CPR in the Schools.” The center plans to provide adult/child<br />
CPR Anytime kits to 2,000 graduating seniors <strong>of</strong> the Alachua County Public School<br />
System and <strong>of</strong>fer them extra credit if they train fi ve family members, bringing the<br />
total to 10,000 people trained.<br />
The next main Gator Saver Initiative event is the Gator Saver Day, which will be<br />
held from 10 a.m. to 1 p.m. April 24. During this event, organizers will bring the<br />
20-minute CPR Anytime kits to participants throughout the Gainesville community<br />
in a mass training session. The center is hoping to raise $128,000 to cover the cost <strong>of</strong><br />
all <strong>of</strong> the events it has planned for the year.<br />
“Right now, the national survival rate from sudden cardiac arrest outside <strong>of</strong> a <strong>hospital</strong><br />
is 6 percent,” Henderson said. “Our goal is to increase that percentage so that individuals<br />
can be responsible and Gainesville can become a heart-safe community.” P<br />
PHOTO BY SARAH KIEWEL<br />
The UF CPR Safety &<br />
Training Center is now<br />
part <strong>of</strong> the College <strong>of</strong><br />
Medicine and is <strong>of</strong>fering<br />
courses geared toward<br />
the community.<br />
EDUCATION<br />
EDUCAT<br />
Interested rested in clas classes?<br />
The e CPR & Safety Training Center <strong>of</strong>fer <strong>of</strong>fers courses in a<br />
wide variety <strong>of</strong> areas, including:<br />
Adult, Child and Infant CPR, PR, Advanced Cardiac Life<br />
Support (ACLS,) Healthcare Provid Provider (BLS), Airway<br />
Management, Bloodborne Path athogens, AED and First Aid<br />
Training, Disaster Prepared edness, First Responder, Wilderness<br />
First Responder, Advanceed<br />
Wilderness First Responder,<br />
Wilderness First Aid, Liffeguarding,<br />
Low-tech Navigation and<br />
Pet First Aid. The center is in the process <strong>of</strong> adding classes in<br />
Maritime First Aid, Maritime First Responder and Coast<br />
Guard Certifi cation cation for MMedical<br />
Person on Duty.<br />
For any <strong>of</strong> the training courses <strong>of</strong>fered, the staff is able to<br />
hold classes in doctors’ <strong>of</strong>ffi<br />
ces and large groups as well as at<br />
the center. For more inforrmation,<br />
visit the Web site at<br />
http://cpr.med.ufl .edu or call c<br />
Wes Henderson at 352-682-5259.<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events. 11 09<br />
POST<br />
11
COVER STORY<br />
By April Frawley Birdwell<br />
The HSC has received 75 grants totaling<br />
$72 million from the National Institutes<br />
<strong>of</strong> Health as part <strong>of</strong> the federal stimulus<br />
package. First, yay! But exactly how will<br />
this infusion <strong>of</strong> money help UF scientists in<br />
the long term and what does it mean for<br />
the community? This month, The POST<br />
explores these issues and shows how<br />
some scientists are using the one-timeonly<br />
opportunity to grow their research.<br />
oney doesn’t grow in Petri dishes. If it did, scientists would all drive fi re-engine<br />
red convertibles and the stagnating National Institutes <strong>of</strong> Health budget<br />
for research funding wouldn’t have hit science as hard as it did during the past<br />
few years.<br />
But after several years <strong>of</strong> heightened competition for dwindling health research dollars<br />
— a cut-throat environment that has made it particularly diffi cult for fl edgling scientists<br />
to get established — science got a bit <strong>of</strong> a welcome change this year. In February,<br />
Congress passed the American Recovery and Reinvestment Act <strong>of</strong> 2009 (ARRA), part <strong>of</strong><br />
which promised several billion to the NIH and other agencies to dole out to scientists.
PHOTO BY SARAH KIEWEL<br />
“It was like opening the spigot <strong>of</strong> a fi re hydrant,” says David Guzick,<br />
M.D., Ph.D., UF’s senior vice president for health affairs and president <strong>of</strong><br />
the UF&Shands Health System. “We went from a very dry situation to one<br />
where all <strong>of</strong> a sudden we had to drink from the fi re hose <strong>of</strong> ARRA without<br />
leaving valuable opportunities scattered around us.”<br />
So far, about $5 billion in these one-time-only funds have been allotted<br />
to scientists across the country for research. Of that, UF Health Science<br />
Center researchers have received about $72 million from the NIH. The<br />
window <strong>of</strong> opportunity was small, too. After the NIH announced the availability<br />
<strong>of</strong> these funds, researchers had about 10 weeks to submit proposals.<br />
HSC faculty quickly submitted about 400 grant applications.<br />
“Our faculty were extraordinarily active in their grant submissions,”<br />
Guzick says. “And judging from the $72 million <strong>of</strong> results so far, they were<br />
extraordinarily meritorious in the quality <strong>of</strong> their science. And there are<br />
some grants that are still in the review process, so the fi nal fi gures could be<br />
a lot higher.”<br />
Aside from keeping scientists on the path toward discovery, this infusion<br />
<strong>of</strong> dollars to labs across campus could generate as many as 1,100 <strong>new</strong> jobs in<br />
the community, Guzick says. An investment in science here can have a multiplier<br />
effect down the road as innovation travels from the lab to companies<br />
that turn discoveries into commercial products and eventually to society,<br />
which benefi ts from better medicine and technology, he added.<br />
Seventy-fi ve NIH grants have been funded in the HSC alone, more than<br />
anywhere else in <strong>Florida</strong>. The money will help UF researchers study everything<br />
from diabetes and HIV to ethnic differences in pain and biomarkers<br />
for various diseases. The largest <strong>of</strong> these grants was awarded to investigator<br />
Marco Pahor, M.D., the director <strong>of</strong> UF’s Institute on Aging. Pahor’s grant is<br />
the largest federal award ever given to study the prevention <strong>of</strong> movement disability<br />
in older adults.<br />
In Pahor’s case, funding for his study will continue from other federal<br />
sources after the stimulus funds expire in two years. But for many researchers,<br />
the biggest question is what happens next? The stimulus funds were a<br />
one-time shot in the arm. Unless more federal dollars are pumped into<br />
funding science, many research projects started now might not continue.<br />
“In 2011, we might be in jeopardy,” says Stephen Sugrue, Ph.D., senior<br />
associate <strong>dean</strong> for research affairs in the College <strong>of</strong> Medicine. “Once you<br />
fi re up the engines to higher rpm’s it’s very diffi cult to downshift. When<br />
you downshift, you are laying people <strong>of</strong>f, which causes many problems, and<br />
science suffers.”<br />
In an average year, for example, about one quarter <strong>of</strong> College <strong>of</strong> Medicine<br />
grants expire and only about 20 percent <strong>of</strong> those are re<strong>new</strong>ed without interruption<br />
to funding, Sugrue says. With the extra competition sparked by the<br />
ARRA grants, re<strong>new</strong>als could become even tougher to get, too.<br />
Apart from what the future funding outlook holds, two other more immediate<br />
grant concerns could affect researchers’ chances <strong>of</strong> getting their<br />
grants funded in the upcoming year, Sugrue says. First, the NIH has<br />
changed how it scores popular R01 proposals. Instead <strong>of</strong> scoring the overall<br />
grant, review panels are now specifi cally scoring on fi ve individual categories:<br />
signifi cance, approach, innovation, investigator and environment.<br />
The NIH has also scaled down how long it wants grant proposals to be.<br />
Instead <strong>of</strong> 25 pages, proposals are required to be 12 pages starting in<br />
January.<br />
“Their goal is to really get away from the minutia <strong>of</strong> methodology and<br />
highlight the impact <strong>of</strong> the science and the training background <strong>of</strong> the researcher,”<br />
Sugrue says. “This is one <strong>of</strong> the big problems in science, we want<br />
to communicate in detail, but in doing so we may lose the big picture.”<br />
And getting all people to understand the big picture and what makes a<br />
scientifi c proposal signifi cant also could help government leaders appreciate<br />
why such projects should be funded, too.<br />
“The goal is anybody should be able to read the fi rst few pages <strong>of</strong> your<br />
proposalandgetit”Sugruesays proposal and get it,” Sugrue says. P<br />
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20 2009 09 09. Fo F r ol olde de d r ad adul ul ults ts ts, st stav av avin in ing g <strong>of</strong> <strong>of</strong>f f di d sa sabi bi bili li l ty c ccou<br />
ou o ld hel el elp p th them em mmai<br />
m ai a nt n ai ain n<br />
th thei ei eir r ph phys ys ysic ic ical al a ind nd n ep e en e de denc nc nce an a d en enha ha hanc nc nce e th the qu q al a it ity y <strong>of</strong> the he h ir lat at ater er yea e rs.<br />
“W “We all l kn know tha ha h t ph physic ic i al act c iv ivit it ity y is i good d fo for r our he heal al alth, h,<br />
bu but th t e defi fi fini ni nitive iv<br />
eviden e ce c whether e it ca c n prev e en e t disa s bility ty in n ol older r pe p ople — whe<br />
h ther you o<br />
ca can pr p ev e en ent th them em ffrom<br />
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di dire re r ct ctor or <strong>of</strong> f th the e UF I IIns<br />
ns nsti ti titu tu tute te t on n Ag A in ing g an and d pr p in inci ci cipa pa p l in inve ve vest st stig ig igat at ator or o o<br />
<strong>of</strong> f th the e<br />
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s tu t dy dy, , ca call ll lled ed e t tthe<br />
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if ifes es esty ty t le Int nt n er erve ve vent nt ntio io i ns n and nd n I IInd<br />
nd ndep ep epen en ende de d nc n e<br />
fo for r El E de ders, , or LIF IF I E st stud ud udy, is i a ph phase e 3 rand nd ndom om omiz iz i ed con ontr tr trol ol o le l d tr tria i l <strong>of</strong> 1,6 1 ,6 ,600 00<br />
sede d nt n ar a y adul d ul u ts age g 70 to t 889<br />
wh w o are at a risk k <strong>of</strong> d ddis<br />
is isab ab abil i it ity an a d wi will be<br />
conducte t d at eig<br />
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t tions around the h count n ry ry. — Cz C er e ne M. Re R id<br />
Marco Pahor, M.D.<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events. 11 09<br />
PHO PHOTO OTO<br />
TTT BY SAR SA SAR A AH KIE KI WEL<br />
POST<br />
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(EXTRA)ORDINARY PERSON<br />
su sunshine<br />
A little bit <strong>of</strong><br />
Haitian n M.P.H. staff member gives<br />
back to homeland, commu community<br />
By Alyssa LaRenzie<br />
Slande Celeste is busy being fabulous.<br />
The line borrowed from The Eagles sums up the Haitian-born<br />
Master <strong>of</strong> Public Health internship coordinator to a T. She stays<br />
busy with her volunteer and public health education work, but it isn’t really<br />
work to her. It’s just fabulous.<br />
With a big smile and a hearty laugh, Celeste, whose fi rst name means<br />
“sunshine” in Creole, describes almost every aspect <strong>of</strong> her life as “fabulous.”<br />
Though she’s lived in the United States for most <strong>of</strong> her life, Celeste has<br />
traveled back to Haiti many times, most recently with a group <strong>of</strong> UF faculty<br />
and staff as part <strong>of</strong> the Sante pou Lavi project. Sante pou Lavi, which means<br />
“Health for Life” in Creole, hopes to set up a sustainable base for student<br />
learning, community service and research in Haiti. As the internship<br />
coordinator, Celeste is thrilled students will have the opportunity for<br />
international work in a location where help is needed.<br />
“We don’t want to go and do one-week trips because that only benefi ts the<br />
students,” Celeste said. “We want to be able to make a difference in the<br />
community as well as allow the M.P.H. students to develop practical skills.”<br />
As a Haitian-American, Celeste plays an important role in the group. On<br />
the last trip, she performed needs assessments for the communities and<br />
provided a great deal <strong>of</strong> translation assistance.<br />
Celeste’s knowledge <strong>of</strong> culture, language and health education makes her<br />
an invaluable member <strong>of</strong> the team, said Gina Murray, a member <strong>of</strong> Sante<br />
pou Lavi and the educational coordinator for the Program for<br />
Interdisciplinary Education.<br />
During her time as a UF student, Celeste was chosen for the Coca-Cola<br />
World Citizenship Program, working with the humanitarian organization<br />
World Vision International. Her knowledge <strong>of</strong> English, French and Creole<br />
allowed her to translate many important documents and conduct numerous<br />
assessments as she stayed in Haiti working for an extra year with the group.<br />
Seeking economic opportunities, Celeste’s parents moved to the U.S.<br />
16 POST<br />
11 11 09 09<br />
SLANDE CELESTE<br />
when she was a child, leaving her and her sister, Manoucheka, with their<br />
grandmother. As a Haitian child during the violent era <strong>of</strong> Jean-Claude<br />
Duvalier, known as Papa Doc’s son, Celeste can remember her grandma<br />
hiding her and her sister under the bed amid gunshots.<br />
Celeste followed her parents to the United States at 6 years old, fl ying into<br />
the John F. Kennedy Airport and experiencing frightening escalators and<br />
parking garages for the fi rst time.<br />
Celeste said she didn’t develop such a great appreciation for her culture<br />
until she moved away from her family’s home in Altamonte Springs, Fla., to<br />
Gainesville for school, where she earned her bachelor’s degree in health<br />
science education and her master’s <strong>of</strong> public health. Seeing so many<br />
different cultures opened her up to the importance <strong>of</strong> celebrating her own<br />
background. Eventually, her interests in public health and her heritage<br />
would merge and bring her back to her homeland.<br />
“That’s a huge part <strong>of</strong> our identity,” Manoucheka Celeste said. “To be able<br />
to do something positive rather than just going and vacationing. I think it’s<br />
a no-brainer for her.”<br />
Manoucheka said her sister, the oldest child, was always the leader <strong>of</strong> the<br />
pack when they were growing up. Now, the “worker bee” chooses how to<br />
spend her time carefully to spread the sunshine across many causes.<br />
Though many <strong>of</strong> her public health efforts focus on Haiti, Celeste keeps<br />
busy in her own community, too. A self-described “avid wannabe gardener,”<br />
Celeste volunteers with the Edible Plant Project, a nonpr<strong>of</strong>i t nursery and<br />
collective. She also started two school gardens and one community garden<br />
during her time working as a health educator consultant for the Levy<br />
County Health Department.<br />
Celeste continues to work on the Sante pou Lavi project and is looking<br />
forward to the next trip later this fall.<br />
“She’s very positive. She never has anything negative to say. She’s always<br />
so gracious and complimentary,” Murray said. “She’s fabulous, what can I<br />
say?” P<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events.<br />
PHOTO BY Y SARAH KIEWEL
Eat your vegetables s (first)<br />
Compounds in plant-based foods help fi ght obesity, disease<br />
By April Frawley Birdwell<br />
The cheeseburger and French fries might look<br />
tempting, but eating a serving <strong>of</strong> broccoli or leafy<br />
greens fi rst could help people battle metabolic<br />
processes that lead to obesity and heart disease, a <strong>new</strong><br />
UF study shows.<br />
Eating more plant-based foods, which are<br />
rich in substances called phytochemicals,<br />
seems to prevent oxidative stress in the<br />
body, a process associated with obesity and<br />
the onset <strong>of</strong> disease, according to fi ndings<br />
published online in advance <strong>of</strong> the print<br />
edition <strong>of</strong> the Journal <strong>of</strong> Human Nutrition<br />
and Dietetics.<br />
To get enough <strong>of</strong> these protective<br />
phytochemicals, researchers suggest eating<br />
plant-based foods such as leafy greens,<br />
fruits, vegetables, nuts and legumes at the<br />
start <strong>of</strong> a meal. Using what is known as a<br />
phytochemical index, which compares the<br />
number <strong>of</strong> calories consumed from plantbased<br />
foods with the overall number <strong>of</strong><br />
daily calories, could also help people make<br />
sure they remember to get enough<br />
phytochemicals during their regular meals<br />
and snacks, said Heather K. Vincent, Ph.D.,<br />
the lead author <strong>of</strong> the paper.<br />
“We need to fi nd a way to encourage<br />
people to pull back on fat and eat more<br />
foods rich in micronutrients and trace<br />
minerals from fruits, vegetables, whole<br />
grains and soy,” said Vincent, an assistant<br />
pr<strong>of</strong>essor in the UF Orthopaedics and<br />
Sports Medicine Institute. “Fill your plate<br />
with colorful, low-calorie, varied-texture<br />
foods derived from plants fi rst. By slowly<br />
eating phytochemical-rich foods such as<br />
salads with olive oil or fresh-cut fruits<br />
before the actual meal … you’re ensuring<br />
that you get the variety <strong>of</strong> protective,<br />
disease-fi ghting phytochemicals you need<br />
and controlling caloric intake.”<br />
The researchers studied a group <strong>of</strong> 54<br />
young adults, analyzing their dietary<br />
patterns over a three-day period, repeating<br />
the same measurement eight weeks later. The<br />
participants were broken into two groups:<br />
normal weight and overweight-obese.<br />
Although the adults in the two groups<br />
consumed about the same amount <strong>of</strong><br />
calories, overweight-obese adults consumed<br />
fewer plant-based foods and subsequently<br />
fewer protective trace minerals and<br />
phytochemicals and more saturated fats.<br />
They also had higher levels <strong>of</strong> oxidative<br />
stress and infl ammation than their normalweight<br />
peers, Vincent said. These processes<br />
are related to the onset <strong>of</strong> obesity, heart<br />
disease, diabetes and joint disease, she<br />
added.<br />
“Diets low in plant-based foods affect<br />
health over the course <strong>of</strong> a long period <strong>of</strong><br />
time,” Vincent said. “This is related to<br />
annual weight gain, low levels <strong>of</strong><br />
infl ammation and oxidative stress. Those<br />
are the onset processes <strong>of</strong> disease that<br />
debilitate people later in life.”<br />
Oxidative stress occurs when the body<br />
produces too many damaging free radicals<br />
and lacks enough antioxidants or<br />
phytochemicals to counteract them.<br />
Because <strong>of</strong> excess fat tissue and certain<br />
enzymes that are more active in overweight<br />
people, being obese can actually trigger the<br />
production <strong>of</strong> more free radicals, too.<br />
Because many phytochemicals have<br />
antioxidant properties, they can help<br />
combat free radicals, Vincent said.<br />
Phytochemicals include substances such as<br />
allin from garlic, lycopene from tomatoes,<br />
is<strong>of</strong>l avones from soy, beta carotene from<br />
orange squashes and anythocyanins from<br />
red wine, among others.<br />
“People who are obese need more fruits,<br />
vegetables, legumes and wholesome<br />
unrefi ned grains,” she said. “In comparison<br />
to a normal-weight person, an obese person<br />
is always going to be behind the eight ball<br />
because there are so many adverse<br />
metabolic processes going on.”<br />
Instead <strong>of</strong> making drastic changes, people<br />
could substitute one or two choices a day<br />
PHOTO BY SARAH KIEWEL<br />
HEATHER K. VINCENT, PH.D.<br />
with phytochemical-rich foods to make a<br />
difference in their diets, Vincent said. For<br />
example, substituting a cup <strong>of</strong> steeped plain<br />
tea instead <strong>of</strong> c<strong>of</strong>fee or reaching for an<br />
orange instead <strong>of</strong> a granola bar could<br />
increase a person’s phytochemical intake for<br />
the day without even changing the feeling<br />
<strong>of</strong> fullness. Over time, replacing more<br />
pre-packaged snacks with fresh produce or<br />
low-sugar grains could become a habit that<br />
fi ghts obesity and disease, Vincent said.<br />
“We always want to encourage people to<br />
go back to the whole sources <strong>of</strong> food, the<br />
nonprocessed foods if we can help it,”<br />
Vincent said. “That would be the bottom<br />
line for anyone, regardless <strong>of</strong> age and body<br />
size, keep going back to the purer plantbased<br />
foods. Remember to eat the good<br />
quality food fi rst.” P<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events. 11 09<br />
RESEARCH<br />
POST<br />
17
GRANTS<br />
RESEARCH<br />
18POST 18POST POST<br />
A trigger for colon cancer?<br />
UF fi nding sheds light on cells’ transition from colitis to cancer<br />
EMINA HUANG, M.D.<br />
By Elizabeth Connor<br />
UF is one <strong>of</strong> three academic medical centers in <strong>Florida</strong> that will provide screening and care for colorectal<br />
cancer under a <strong>new</strong> $850,000 grant from the Centers for Disease Control and Prevention.<br />
“Only a minority <strong>of</strong> Floridians ever receives colon cancer screening,” said Thomas George, M.D.,<br />
director <strong>of</strong> UF’s gastrointestinal oncology program and a member <strong>of</strong> the UF Shands Cancer Center. “We are<br />
targeting people with the most to gain. For them, this screening could mean the difference between life and<br />
death.”<br />
Colon cancer screening under the grant is targeted at those ages 50 to 64 with little or no health insurance<br />
coverage, said Susan Fleming, R.N., a cancer program administrator with the <strong>Florida</strong> Department <strong>of</strong> Health.<br />
Shands at UF, along with grant partners Jackson Memorial Hospital at the <strong>University</strong> <strong>of</strong> Miami and M<strong>of</strong>fi tt<br />
Cancer Center in Tampa, will provide follow-up care at no charge for any cancers detected in the screening.<br />
Program organizers are working with local county public health units, the College <strong>of</strong> Medicine Equal Access<br />
Clinic and selected faculty practices to help identify people who may be eligible for the screening at UF.<br />
The fi ve-year program began July 1 and services are slated to begin Jan. 1.<br />
Part <strong>of</strong> the grant funds will be used for colorectal cancer education and awareness. Other grant efforts will<br />
seek to identify the cultural, geographic and other barriers that can deter people from getting screened for colon<br />
cancer.<br />
In 2009, colorectal cancer will claim about 50,000 lives in the United States, about evenly divided between<br />
men and women, according to the American Cancer Society. <strong>Florida</strong> colorectal cancer deaths during 2009 are<br />
estimated to be about 3,500. P<br />
11 11 09 09<br />
By Jennifer Brindise<br />
UF researchers have grown tumors in mice using cells from infl amed but noncancerous colon<br />
tissue taken from human patients, a fi nding that sheds <strong>new</strong> light on colon cancer and how it<br />
might be prevented.<br />
Scientists observed that cancer stem cells taken from the gastrointestinal system in patients with a<br />
chronic digestive disease called ulcerative colitis will transform into cancerous tumors in mice.<br />
The fi nding, featured on the cover <strong>of</strong> the Oct. 15 issue <strong>of</strong> Cancer Research, may help explain why<br />
patients with colitis have up to a 30-fold risk <strong>of</strong> developing colon cancer compared with people without<br />
the disease.<br />
<strong>New</strong> understanding <strong>of</strong> the link between colitis and cancer could lead to diagnostic tests that would<br />
evaluate tissue taken from patients with colitis for signs <strong>of</strong> cancer stem cell development, thereby<br />
identifying patients who may be at greater risk for cancer.<br />
“Ultimately it would be great if we could prevent colitis or treat colitis so it never gets to the<br />
cancerous stage,” said UF College <strong>of</strong> Medicine colorectal surgeon Emina Huang, M.D., who is a<br />
member <strong>of</strong> the Program in Stem Cell Biology and Regenerative Medicine at UF’s McKnight Brain<br />
Institute.<br />
Although colonoscopy is very effective in screening and preventing colon cancer for most people, for<br />
patients with colitis no diagnostic tests work well because the infl amed tissue makes identifi cation <strong>of</strong><br />
precancerous changes diffi cult.<br />
According to the Crohn’s and Colitis Foundation <strong>of</strong> America, approximately 700,000 people have colitis in the United States.<br />
The National Cancer Institute estimates that cancer <strong>of</strong> the colon and rectum will claim the lives <strong>of</strong> about 50,000 people this year.<br />
UF scientists gathered colitic tissue from humans and chemically screened it for colon cancer stem cells, also called tumorinitiating<br />
cells. These cells were then isolated and monitored in mice to see if tumors would grow.<br />
Huang said these fi ndings shed light on that fact that it may not be just the cancer “seed” cell, but the “soil” — in this case<br />
infl amed colon tissue — that plays a role in the development <strong>of</strong> cancer.<br />
“Is it the seed, is it the soil or is it their interaction?” she said. “We think probably both, but now we have a <strong>new</strong> way to look at it<br />
and a <strong>new</strong> method <strong>of</strong> attack.” P<br />
The need for screening<br />
Grant to help UF doctors deliver cancer care to needy Floridians<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events.<br />
THOMAS GEORGE, M.D.
TESTING<br />
H1N1<br />
UF part <strong>of</strong> trials to test H1N1 vaccine<br />
in HIV-infected women, children<br />
PHOTO BY SARAH KIEWEL<br />
MOBEEN RATHORE, M.D.<br />
By Czerne M. Reid<br />
The UF Center for HIV/AIDS Research, Education and Safety in<br />
Jacksonville is taking part in national clinical trials <strong>of</strong> the 2009<br />
H1N1 infl uenza vaccine among children, youth and pregnant<br />
women who are infected with HIV.<br />
The trials’ aim is to determine how well higherthan-usual<br />
doses <strong>of</strong> the vaccine trigger a protective<br />
immune response in the study populations. The<br />
trials will help clarify whether candidates need one<br />
or two doses and will allow continued evaluation <strong>of</strong><br />
the vaccine’s safety. The strength <strong>of</strong> the response<br />
— and how long it lasts — also will be evaluated.<br />
Clinical trials have shown that a 15-microgram<br />
dose <strong>of</strong> the 2009 H1N1 vaccine protects healthy<br />
adults and older children. But children, youth and<br />
pregnant women who have HIV might not be as<br />
well-protected by the same doses. Trial participants<br />
will receive two 30-microgram doses <strong>of</strong> vaccine by<br />
injection 21 days apart.<br />
“In the immune-suppressed population there is<br />
always a concern that they may not be able to<br />
respond to the vaccine,” said Mobeen Rathore,<br />
M.D., director <strong>of</strong> the UF Center for HIV/AIDS<br />
Research, Education and Safety — also known as<br />
UF CARES — who is leading the UF trials. “We<br />
give the vaccine realizing that it may or may not<br />
work — provided it is safe.”<br />
The FDA-approved study vaccine contains<br />
inactivated 2009 H1N1 infl uenza virus and cannot<br />
cause infection.<br />
HIV compromises the immune system, making<br />
people more vulnerable to attack from diseasecausing<br />
agents. Pregnant women who have HIV are<br />
at increased risk because <strong>of</strong> their pregnancy in<br />
addition to a suppressed immune system. The 2009<br />
H1N1 infl uenza appears to cause a much higher<br />
mortality rate among pregnant women than among<br />
others. But even with the “regular” seasonal fl u,<br />
pregnant women are at increased risk <strong>of</strong> sickness<br />
and death, including fetal death.<br />
Children generally are at higher risk from H1N1<br />
infl uenza because their immune systems are not as<br />
well-developed as those <strong>of</strong> older persons. In<br />
addition, adults have some level <strong>of</strong> protection<br />
against the 2009 H1N1 fl u virus because <strong>of</strong> previous<br />
exposure to similar fl u viruses, something young<br />
children generally lack.<br />
One trial will enroll 130 pregnant women age 18<br />
to 39 who are in their second or third trimester.<br />
Women will take part in the study until six months<br />
after delivering their babies. Their <strong>new</strong>borns will<br />
be studied during the fi rst six months <strong>of</strong> life.<br />
The other trial will involve 140 children and<br />
youth age 4 to 24 who were infected with HIV from<br />
birth. They will be followed for seven months from<br />
JACKSONVILLE<br />
enrollment.<br />
Blood samples from subjects will be analyzed to<br />
determine the level <strong>of</strong> antibodies produced against<br />
the 2009 H1N1 fl u virus and how those levels<br />
change over time. <strong>New</strong>borns will be tested to see<br />
how many maternal antibodies were transferred to<br />
them from their mothers.<br />
Participants at UF’s study site will come from<br />
existing patient groups with which UF CARES<br />
works. The organization is the largest<br />
comprehensive HIV education program in North/<br />
Central <strong>Florida</strong> and performs NIH-funded HIV/<br />
AIDS research in infants, children, adolescents and<br />
women — including pregnant women. The program<br />
is staffed by a multidisciplinary team <strong>of</strong> researchers,<br />
physicians and other health pr<strong>of</strong>essionals.<br />
The vaccine trials are being conducted at 35 sites<br />
and eight sub-sites around the United States and<br />
Puerto Rico that are members <strong>of</strong> the International<br />
Maternal Pediatric Adolescent AIDS Clinical Trials<br />
Group. The National Institute <strong>of</strong> Allergy and<br />
Infectious Diseases and the Eunice Kennedy<br />
Shriver National Institute <strong>of</strong> Child Health and<br />
Human Development, both part <strong>of</strong> the National<br />
Institutes <strong>of</strong> Health, are sponsoring and funding<br />
the trials.<br />
But Rathore, who is trained as a vaccinologist,<br />
isn’t just concerned about people who are in the<br />
trial population.<br />
“Whether one is participating in the study or not,<br />
I think it’s important that everybody get the H1N1<br />
vaccine to protect ourselves,” he said. P<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events. 11 09<br />
POST<br />
19
JACKSONVILLE<br />
Jacksonville center focuse<br />
on patients battling breast cancer<br />
By Kandra Albury<br />
Danielle Horsley noticed the lump<br />
in her left breast when she was<br />
laying on her back in bed.<br />
Horsley, 37, k<strong>new</strong> there was a possibility that the lump could<br />
be the unthinkable — breast cancer. Just a year earlier, one <strong>of</strong><br />
her sisters had been diagnosed with the disease at age 29.<br />
The next morning, Horsley contacted her gynecologist, Brent<br />
Seibel, M.D., a UF College <strong>of</strong> Medicine-Jacksonville assistant<br />
pr<strong>of</strong>essor <strong>of</strong> obstetrics and gynecology.<br />
“I found it on a Wednesday night, called Thursday morning,<br />
and Dr. Seibel saw me on Friday at 11 a.m.,” Horsley said.<br />
Within 24 hours <strong>of</strong> her call, a treatment plan was quickly put<br />
into action. Seibel, who sees patients at Emerson Medical Plaza,<br />
referred Horsley to a multidisciplinary team <strong>of</strong> physicians at the<br />
Breast Health Center, located in the same building.<br />
The Breast Health Center is focused on the prevention, diagnosis<br />
and treatment <strong>of</strong> breast cancers. The center’s collaborative<br />
team <strong>of</strong> physicians includes specialists in oncology, radiation<br />
therapy and breast surgery. The team also includes one <strong>of</strong> only<br />
two fellowship-trained breast surgeons in the Jacksonville area,<br />
Laila Samiian, M.D.<br />
After a mammogram and ultrasound confi rmed an abnormality<br />
was present, Horsley met with Samiian, a UF assistant pr<strong>of</strong>essor<br />
<strong>of</strong> surgical oncology who specializes in treating breast<br />
cancer. Samiian evaluated Horsley and performed a biopsy on<br />
the same day to rule out cancer in the lymph nodes. By the time<br />
her pathology results were back, Horsley had an appointment<br />
scheduled with Samiian as well as a plastic surgeon.<br />
“Her biopsy showed that she had a very aggressive, fast-growing<br />
breast cancer,” Samiian said. “We had to move as quickly as<br />
possible to improve her outcomes.”<br />
Because her younger sister had been treated for breast cancer<br />
and tested positive for BRCA mutation — the gene that increases<br />
a woman’s risk <strong>of</strong> developing breast cancer — Samiian felt<br />
that Horsley would be at high risk for developing additional<br />
breast cancers in the future. So she recommended a prophylactic<br />
bilateral mastectomy, which involves removal <strong>of</strong> the diseased<br />
breast as well as the unaffected breast.<br />
Five weeks after Horsley discovered the lump, surgeons removed<br />
both <strong>of</strong> her breasts at Shands Jacksonville. During the<br />
same operation, the breast reconstruction process began.<br />
Surgeon Christopher Vashi, M.D., placed expanders in Horsley<br />
to prepare for her permanent implants, an operation that would<br />
be performed months later.<br />
Samiian said surgical removal <strong>of</strong> both breasts is more common<br />
now than it was several years ago due to advances in technology<br />
such as MRI, genetic testing and breast reconstruction<br />
options.<br />
“Some women may have had a previous breast cancer treated<br />
20POST POST<br />
11 09<br />
by lumpectomy and radiation and end up developing a second<br />
breast cancer,” Samiian said.<br />
In some cases, patients cannot have radiation a second time<br />
and undergo mastectomy. They may choose to have the unaffected<br />
breast removed as a preventive measure to reduce the risk<br />
<strong>of</strong> another breast cancer and to achieve better symmetry during<br />
plastic surgery reconstruction.<br />
Horsley underwent eight rounds <strong>of</strong> chemotherapy during the<br />
16 weeks following her surgery. On Sept. 1, seven months after<br />
fi nding the lump, she returned to Shands Jacksonville to have the<br />
expanders removed and the permanent implants put in by Vashi.<br />
“In several months, we will raise a mound <strong>of</strong> tissue to create a<br />
nipple,” Vashi said. “Once that has healed, we will then tattoo<br />
the areolas and this will hide the scar from the nipple fl ap.”<br />
Vashi said the reconstruction process from start to fi nish<br />
takes about a year, giving the patient a break between procedures<br />
to heal.<br />
After the areola is tattooed, a fi nal touch-up procedure follows<br />
that could include anything from scar revision to aesthetics.<br />
These are usually short, small procedures that can be done<br />
in the physician’s <strong>of</strong>fi ce.<br />
In the meantime, Horsley is resting and slowly getting back into<br />
the swing <strong>of</strong> things as she waits to schedule her fi nal procedures.<br />
“It was just over two weeks from me fi nding it to diagnosis,<br />
with ultrasound, mammogram and biopsy in between,” said the<br />
mother <strong>of</strong> three. “I’m just truly grateful for all <strong>of</strong> my physicians<br />
at Shands and everyone who helped me through this.” P<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events.<br />
Danielle Horsley — with<br />
husband Todd and<br />
children Emily, 15,<br />
Shelby, 4 and Parker, 12<br />
— is recovering after<br />
doctors with UF’s Breast<br />
Health Center in<br />
Jacksonville removed<br />
both her breasts to treat<br />
a fast-moving cancer.
COLLEGE OF MEDICINE<br />
KENNETH I. BERNS, M.D.,<br />
Ph.D., the director <strong>of</strong> the UF<br />
Genetics Institute, has been<br />
named to the National Science<br />
Advisory Board for Biosecurity,<br />
a key federal panel that advises<br />
on matters <strong>of</strong> national security<br />
and public health. Berns<br />
accepted an invitation to serve<br />
on the board for a term ending<br />
June 14, 2012, according to the Department <strong>of</strong><br />
Health and Human Services. As one <strong>of</strong> a group <strong>of</strong><br />
advisers to Health and Human Services Secretary<br />
Kathleen Sebelius and National Institutes <strong>of</strong> Health<br />
Director Francis S. Collins, Berns will provide<br />
security oversight <strong>of</strong> what is termed “dual-use”<br />
research — legitimate biological research that<br />
could be misused to pose a biologic threat to<br />
public health or national security.<br />
MILDRED MALDONADO-MOLINA, Ph.D., an<br />
assistant pr<strong>of</strong>essor <strong>of</strong> epidemiology and health<br />
policy research, received the 2009 National Award<br />
<strong>of</strong> Excellence in Research by a <strong>New</strong> Investigator<br />
from the National Hispanic<br />
Science Network. The award<br />
recognizes Maldonado-<br />
Molina’s work related to<br />
methodology applications to<br />
drug and alcohol prevention<br />
science. In May, she also<br />
received the ECPN Early Career<br />
Award from the Society for<br />
Prevention Research.<br />
GREGORY SCHULTZ, Ph.D., a pr<strong>of</strong>essor <strong>of</strong><br />
obstetrics and gynecology and director <strong>of</strong> the<br />
Institute for Wound Research, has been named<br />
director <strong>of</strong> the college’s Medical<br />
Sciences Research Program. In<br />
his <strong>new</strong> role, Schultz will be in<br />
charge <strong>of</strong> the administration <strong>of</strong><br />
the college’s research track, will<br />
control the program’s funding<br />
and will select students who<br />
are eligible for graduation with<br />
honors.<br />
Great nurses<br />
COLLEGE OF DENTISTRY<br />
HENRIETTA L. LOGAN,<br />
Ph.D., a pr<strong>of</strong>essor <strong>of</strong><br />
community dentistry and<br />
behavioral science and<br />
director <strong>of</strong> the Southeast<br />
Center for Research to Reduce<br />
Disparities in Oral Health,<br />
was one <strong>of</strong> 30 UF faculty<br />
members who received a UF<br />
Research Foundation Pr<strong>of</strong>essor<br />
award. Logan was selected for her notable record<br />
<strong>of</strong> research and strong research agenda likely to<br />
lead to further distinction in her fi eld. This threeyear<br />
award includes a $5,000 annual salary<br />
supplement and a $3,000 grant.<br />
COLLEGE OF VETERINARY MEDICINE<br />
ROWAN J. MILNER, B.V.Sc.,<br />
an associate pr<strong>of</strong>essor <strong>of</strong><br />
oncology, was appointed<br />
associate chief <strong>of</strong> staff <strong>of</strong> UF’s<br />
small animal <strong>hospital</strong>. Milner,<br />
who is board certifi ed in both<br />
small animal internal medicine<br />
and in oncology, will be in<br />
charge <strong>of</strong> the <strong>hospital</strong>’s dayto-day<br />
operations. Milner joined<br />
UF’s veterinary faculty in 2001. He was associate<br />
chair <strong>of</strong> the department <strong>of</strong> small animal clinical<br />
sciences in 2008 and was oncology service chief<br />
until assuming his <strong>new</strong> position in July.<br />
COLLEGE OF PHARMACY<br />
BIN LIU, Ph.D., an<br />
assistant pr<strong>of</strong>essor <strong>of</strong><br />
pharmacodynamics, was one<br />
<strong>of</strong> 10 UF faculty members to<br />
receive the Howard Hughes<br />
Medical Institute Distinguished<br />
Mentor Award for 2009-2010.<br />
The two-year, $10,000 award recognizes faculty<br />
members who are actively engaged with training<br />
<strong>of</strong> undergraduate students in research. Liu has<br />
mentored 21 undergraduate students, including 10<br />
at UF.<br />
DISTINCTIONS<br />
Several College <strong>of</strong> Nursing faculty members were recently honored by the <strong>Florida</strong> Nurses Association as a part<br />
<strong>of</strong> their Centennial Great 100 Nurses. The Great 100 Nurses were nominated by their peers and selected as<br />
representing excellence in diverse areas <strong>of</strong> nursing practice. Among the College’s faculty honorees were: Andrea<br />
Gregg, D.S.N., R.N., an associate pr<strong>of</strong>essor and Jacksonville campus director, for nursing advocacy; Pamela<br />
Pieper, r M.S.N., A.R.N.P., a clinical associate pr<strong>of</strong>essor and pediatric surgery nurse practitioner/clinical nurse<br />
specialist for the department <strong>of</strong> surgery at Shands Jacksonville, for clinical nursing; Joan Castleman, M.S.N., R.N.,<br />
a clinical associate pr<strong>of</strong>essor, for community nursing; Jo Snider, r Ed.D., R.N., an associate pr<strong>of</strong>essor, for nursing<br />
education; Jennifer Elder, r Ph.D., R.N., a pr<strong>of</strong>essor and department chair, for research; and Kathleen Long,<br />
Ph.D., R.N, <strong>dean</strong> and a pr<strong>of</strong>essor, for role model in nursing advocacy, research and education. Those selected were<br />
honored at the FNA Centennial Celebration banquet held in late September.<br />
Kenneth I. Berns<br />
Mildred Maldonado-Molina<br />
Gregory Schultz<br />
Henrietta L. Logan<br />
Rowan J. Milner<br />
L. DOUGLAS RIED, Ph.D., an<br />
associate <strong>dean</strong> for the college,<br />
has been named <strong>dean</strong> <strong>of</strong> the<br />
Southwest Oklahoma State<br />
<strong>University</strong> College <strong>of</strong> Pharmacy.<br />
Ried came to UF in 1990 as<br />
an associate pr<strong>of</strong>essor and<br />
served as an assistant <strong>dean</strong><br />
from 2000-06. Ried also<br />
served as a pr<strong>of</strong>essor in the<br />
colleges <strong>of</strong> Public Health and Health Pr<strong>of</strong>essions<br />
and Medicine. Diane Beck, Pharm.D., a pr<strong>of</strong>essor<br />
in the college, has been appointed as interim<br />
associate <strong>dean</strong> for curriculum and assessment in<br />
Ried’s absence.<br />
College <strong>of</strong> Pharmacy honors<br />
Three UF College <strong>of</strong> Pharmacy faculty members<br />
were named to leadership positions for the the<br />
<strong>Florida</strong> Pharmacy Association in July during its<br />
annual meeting in St. Augustine, Fla. Karen<br />
Whalen, Pharm.D., a clinical associate<br />
pr<strong>of</strong>essor and assistant director <strong>of</strong> the UF<br />
College <strong>of</strong> Pharmacy St. Petersburg campus,<br />
was installed as the 2009-2010 president <strong>of</strong> the<br />
FPA; William Riffee, Ph.D., a pr<strong>of</strong>essor and<br />
<strong>dean</strong> <strong>of</strong> the College <strong>of</strong> Pharmacy, was named<br />
speaker–elect <strong>of</strong> the FPA; Carol Motycka,<br />
Ph.D., a clinical assistant pr<strong>of</strong>essor and<br />
assistant <strong>dean</strong> and director <strong>of</strong> the UF College<br />
<strong>of</strong> Pharmacy Jacksonville campus, was elected<br />
chair <strong>of</strong> the education council <strong>of</strong> the FPA.<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events. 11 09<br />
Bin Liu<br />
L. Douglas Ried<br />
Karen Whalen Carol Motycka William Riffee<br />
POST<br />
21
IN MEMORIAM<br />
DISTINCTIONS<br />
SENIOR VICE PRESIDENT, HEALTH AFFAIRS<br />
MELANIE FRIDL ROSS,<br />
M.S.J., E.L.S., has been named<br />
director <strong>of</strong> the Health Science<br />
Center Offi ce <strong>of</strong> <strong>New</strong>s &<br />
Communications. After serving<br />
as interim director for the past<br />
year, Ross will continue to lead<br />
the <strong>of</strong>fi ce’s communication<br />
efforts, working in cooperation<br />
with Shands HealthCare and UF<br />
<strong>University</strong> Relations.<br />
JACKSONVILLE<br />
Three College <strong>of</strong> Medicine-Jacksonville emergency<br />
medicine residents won the fi rst annual Emergency<br />
Medicine Residents’ Association Resident SimWars<br />
Competition Oct. 6. Emergency medicine residents<br />
Jack Forrest, M.D., Mark Laperouse, M.D., and<br />
John Lissoway, M.D., battled fi ve other residency<br />
teams from around the country in this interactive<br />
simulation competition. The teams challenged each<br />
other on simulated patient care, as an expert panel<br />
rated their teamwork, communication, leadership,<br />
medical care and management <strong>of</strong> the patient.<br />
22POST POST<br />
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11 09<br />
Melanie Fridl Ross<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events.<br />
Cancer Center <strong>names</strong> <strong>new</strong> director<br />
Paul Okunieff, M.D., has been named director <strong>of</strong> the UF Shands Cancer<br />
Center and chair <strong>of</strong> the College <strong>of</strong> Medicine department <strong>of</strong> radiation<br />
oncology, effective Dec. 1. A graduate <strong>of</strong> Harvard Medical School,<br />
Okunieff is currently the Philip Rubin pr<strong>of</strong>essor in radiation oncology<br />
and chair <strong>of</strong> the department <strong>of</strong> radiation oncology at the <strong>University</strong> <strong>of</strong><br />
Rochester School <strong>of</strong> Medicine and Dentistry, where he leads a successful<br />
radiation oncology clinical practice and research program. He also is<br />
director <strong>of</strong> the university’s Robert A. Flavin Radiosurgery Center. Prior to<br />
his appointment at Rochester in 1998, Okunieff served as branch chief <strong>of</strong><br />
radiation oncology at the National Cancer Institute, overseeing clinicaltranslational<br />
research for the intramural NCI program. Okunieff succeeds<br />
Joseph V. Simone, M.D., an internationally recognized leader in cancer<br />
care, research and education who headed the Cancer Center and helped<br />
to advance an alliance with UF, Shands HealthCare and the M<strong>of</strong>fi tt Cancer<br />
Center that was forged in 2008, and Robert J. Amdur, M.D., a pr<strong>of</strong>essor<br />
and interim chair <strong>of</strong> the department <strong>of</strong> radiation oncology since 2006.<br />
“Dr. Okunieff is a perfect match for the <strong>University</strong> <strong>of</strong> <strong>Florida</strong> and Shands<br />
HealthCare,” said David S. Guzick, M.D., Ph.D., senior vice president for health affairs at UF’s Health<br />
Science Center and president <strong>of</strong> the UF&Shands Health System. “At a time when we are opening a <strong>new</strong><br />
Cancer Hospital, developing our already world-renowned Proton Beam Therapy Institute in Jacksonville<br />
with a plan to add a radiosurgery center at that site, enhancing our research program with a focus on<br />
translational and clinical research, and establishing a National Cancer Center consortium arrangement<br />
with M<strong>of</strong>fi t Cancer Center, Paul’s extensive background in all <strong>of</strong> these areas and his extraordinary record<br />
<strong>of</strong> achievement are just what we need in <strong>Florida</strong>.”<br />
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PHOTO BY SARAH KIEWEL<br />
By Jessica Metzger<br />
As Carolyn Tucker, Ph.D., takes the stage,<br />
she invites everyone to stand and sing<br />
with her, “One love, one heart. Let’s get<br />
together and feel alright.”<br />
She uses this song as a motivational tool in her <strong>new</strong> Health-Smart Church<br />
Program, which brings church members, pastors, communities and families<br />
together to help improve African American health. The pilot program targets<br />
African-American women facing issues such as obesity or hypertension to<br />
both identify barriers to healthy behaviors and fi nd ways to help them adopt<br />
healthier lifestyles. Why target women? In African-American families, the<br />
woman is <strong>of</strong>ten the center <strong>of</strong> the household; if she changes her behaviors, the<br />
family will follow, Tucker said.<br />
“It is a sad fact that most <strong>of</strong> chronic diseases that occur in <strong>Florida</strong> and the<br />
U.S. have the highest prevalence among African-Americans, followed by<br />
Hispanics/Latinos,” said Tucker, a UF pr<strong>of</strong>essor <strong>of</strong> psychology and<br />
community health and family medicine, and an endowed term pr<strong>of</strong>essor <strong>of</strong><br />
health disparities in the College <strong>of</strong> Medicine. “We African Americans are<br />
over-represented with regard to seemingly every chronic disease, and that has<br />
to change.”<br />
The program was recently developed into a DVD that outlines Health-<br />
Smart Behaviors and how to overcome barriers like not having a safe place to<br />
exercise or time to prepare a healthy breakfast. Aside from directly teaching<br />
participants, the program also involves turning churches into health<br />
promotion centers, with church leaders and pastors receiving training to be<br />
health empowerment coaches.<br />
“Some people believe they can’t exercise because they’re too fat to exercise<br />
and they feel embarrassed. This is a barrier,” Tucker said. “That’s one <strong>of</strong> the<br />
reasons we are focusing on having churches become health promotion<br />
centers — people <strong>of</strong>ten feel more comfortable in their church setting, as<br />
opposed to going to a gym or a public place.”<br />
Kendall Campbell, M.D., an assistant <strong>dean</strong> <strong>of</strong> minority affairs for the<br />
College <strong>of</strong> Medicine and director <strong>of</strong> UF’s Eastside Community Practice, is a<br />
co-investigator <strong>of</strong> the Health-Smart Church Program. Participants come by<br />
his clinic and he keeps track <strong>of</strong> their blood pressure, body-mass index,<br />
How one UF pr<strong>of</strong>essor and<br />
her team are reducing health<br />
disparities one church at a time<br />
CAROLYN TUCKER, PH.D.<br />
PROFILE<br />
triglycerides and cholesterol levels.<br />
“It’s a way to infi ltrate the community, especially underserved minorities.<br />
Churches are the core hub <strong>of</strong> these communities; it’s the way to get access to<br />
the people,” Campbell said. “I’m a physician, I fi ght health disparities every<br />
day. The Health-Smart Church Program and its focus on Health-Smart<br />
Behaviors is just one component. It’s a good start and a <strong>new</strong> approach.”<br />
Each participating church was given a treadmill and a balance beam scale,<br />
and with the help <strong>of</strong> graduate and undergraduate students, each is<br />
implementing a walking group, cardio-dance class and other physical exercise<br />
classes, Tucker said.<br />
In addition to the health empowerment coaches, each family is assigned<br />
one student member from Tucker’s research team. These coach consultants<br />
call the family weekly and discuss their progress and any problems they may<br />
be facing. Soon, church members will take over these roles and will<br />
implement all aspects <strong>of</strong> the program.<br />
“Being a part <strong>of</strong> an African-American church, I see the problem fi rsthand,”<br />
said Deloris Rentz, a community research coordinator for the program. “I<br />
think getting the churches involved is a good way to research some <strong>of</strong> the<br />
health issues. I think Dr. Tucker has the right idea in that the African-<br />
American church has a tremendous impact on the community. It’s one <strong>of</strong> the<br />
best ways historically to get the African-American community involved in<br />
promoting their own health.”<br />
Rosa Williams, a community member partner who makes contacts with<br />
community groups and recruits participants, said she has known Tucker for a<br />
long time and respects her methods, dedication and manner.<br />
“I got involved because I like her and I like what she does. She’s very<br />
concerned about people, especially minority health,” Williams said. “She’s a<br />
very unique person. She keeps going when most would stop.”<br />
Tucker said her two goals are to train the next generation <strong>of</strong> researchers<br />
interested in community health promotion and to reduce health disparities by<br />
empowering communities and families to take charge <strong>of</strong> their health. To do<br />
this, she typically works 14- to 16-hour days, but it’s worth it, she says.<br />
“When people ask what inspires me, I am reminded that a major part <strong>of</strong> my<br />
inspiration comes from the words <strong>of</strong> my grandfather, who always told me,<br />
‘Anything worth doing ain’t easy, and anything worth having is worth<br />
working hard to achieve.’ I think that reducing health disparities and<br />
promoting health are both worth doing.” P<br />
Visit us online @ http://<strong>new</strong>s.health.ufl .edu for the latest <strong>new</strong>s and HSC events. 11 09<br />
POST<br />
23
PHOTO BY SARAH KIEWEL<br />
PHOTO BY SARAH KIEWEL<br />
SEE YA!<br />
The helicopter pad atop the <strong>new</strong> Shands Cancer Hospital at UF is<br />
a mere 9-second elevator ride to the Shands Critical Care Center<br />
on the fi rst fl oor.<br />
Published by<br />
UF Health Science Center<br />
Offi ce <strong>of</strong> <strong>New</strong>s & Communications<br />
Senior Vice President,<br />
Health Affairs; President,<br />
UF&Shands Health System<br />
David S. Guzick, M.D., Ph.D.<br />
Director, <strong>New</strong>s &<br />
Communications<br />
Melanie Fridl Ross<br />
Editor<br />
April Frawley Birdwell<br />
afrawley@ufl .edu<br />
THE<br />
Senior Editors<br />
Melanie Fridl Ross, John Pastor<br />
Designer<br />
Mickey Cuthbertson<br />
PHOTO BY SARAH KIEWEL<br />
Staff Writers<br />
April Frawley Birdwell, Jennifer<br />
Brindise, Tracy Brown Wright, Sarah<br />
Carey, Elizabeth Connor, Karen<br />
Dooley, Linda Homewood, Laura<br />
Mize, John Pastor, Jill Pease, Betty<br />
Poole, Czerne M. Reid, Karen<br />
Rhodenizer, Melanie Fridl Ross,<br />
Priscilla Santos, Christine Velasquez<br />
11 09<br />
Contributing Writers<br />
Alyssa LaRenzie, Kim Libby, Jessica<br />
Metzger, Kimberly Rose<br />
Photo Editor<br />
Sarah Kiewel<br />
Shoulder pads designed by College <strong>of</strong> Medicine<br />
researchers are helping players at the high school,<br />
college and pr<strong>of</strong>essional levels keep their cool during<br />
those steamy early season football games. Dr. Nik<br />
Gravenstein (far left) and Sem Lampotang, pr<strong>of</strong>essors<br />
in the department <strong>of</strong> anesthesiology, were part <strong>of</strong> the<br />
team that came up with the idea that led to the<br />
Temperature Management System, which blows cool air<br />
through football pads. Marybeth Horodyski, director <strong>of</strong><br />
research at the UF Orthopaedics and Sports Medicine<br />
Institute, oversees testing <strong>of</strong> the equipment.<br />
Support Staff<br />
Cassandra Mack, Beth Powers,<br />
Kim Smith<br />
The POST is the monthly internal<br />
<strong>new</strong>sletter for the <strong>University</strong> <strong>of</strong><br />
<strong>Florida</strong> Health Science Center, the<br />
most comprehensive academic<br />
health center in the Southeast,<br />
with campuses in Gainesville<br />
Dr. Copper Aitken-Palmer, a second-year zoological<br />
medicine resident at the UF Veterinary Medical Center,<br />
holds an 8-month-old giraffe named Ge<strong>of</strong>frey on Nov. 5<br />
while veterinary technician Sarah Purcell, right, feeds him<br />
a bottle. Ge<strong>of</strong>frey is recuperating from arthroscopic<br />
surgery performed on his right front hock.<br />
and Jacksonville and affi liations<br />
throughout <strong>Florida</strong>. Articles feature<br />
<strong>new</strong>s <strong>of</strong> interest for and about HSC<br />
faculty, staff and students and<br />
Shands HealthCare employees.<br />
Content may be reprinted with<br />
appropriate credit. Ideas for stories<br />
are welcome. The deadline for<br />
submitting items to be considered<br />
for each month’s issue is the 15th<br />
<strong>of</strong> the previous month. Submit to<br />
the editor at afrawley@ufl .edu<br />
or deliver to the Offi ce <strong>of</strong> <strong>New</strong>s<br />
& Communications in the<br />
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C3-025.