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Dalhousie University - Dalhousie Medical School Surgery Research

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<strong>Dalhousie</strong> <strong>University</strong>Faculty ofMedicineAnnual<strong>Research</strong>Report2011


Table of Contents123468101214151618Investing in the FutureDr. David Kirkpatrick, Head, Department of <strong>Surgery</strong>The Impact of <strong>Research</strong> Continues to GrowDr. Greg Hirsch, Director of <strong>Research</strong>, Department of <strong>Surgery</strong>Striving for the Best Possible Learning ExperienceDr. Guy Brisseau, Assistant Dean, Post Grad <strong>Medical</strong> Education, <strong>Dalhousie</strong> <strong>Medical</strong> <strong>School</strong>The Economics of <strong>Research</strong>Dr. Adrian Levy and Lynn Lethbridge, Clinical Health and EpidemiologyWide-Awake Hand <strong>Surgery</strong>Dr. Don Lalonde, Professor, Division of Plastic <strong>Surgery</strong>Mandible Tumours and Walking? What is the Connection?Dr. Rob Hart, Division of OtolaryngologyNeural Circuits and Restoring Coordinated MovementDr. Rob Brownstone, Assistant Dean, <strong>Research</strong>, <strong>Dalhousie</strong> <strong>Medical</strong> <strong>School</strong>Preventing TragedyDr. Natalie Yanchar, Professor, Division of Pediatric <strong>Surgery</strong>Academic Medicine – Young Clinician ScientistDr. Lara Williams, Assistant Professor, Division of General <strong>Surgery</strong><strong>Dalhousie</strong> <strong>Surgery</strong> <strong>Research</strong> Offices<strong>Research</strong> Productivity: Growth IndicatorsAccomplishments : AppendicesCover Photo: Dr. Camille Hancock Friesen, pediatric cardiac surgeon.Department of <strong>Surgery</strong> Annual <strong>Research</strong> and Education Report 2011 is an annual publication of the Dal <strong>Surgery</strong> <strong>Research</strong>Office. Production: Elaine Marsh Editors: Dr. Greg Hirsch and Dr. David Kirkpatrick, Dr. Ian Alwayn, Elaine MarshContributors: Melanie Jollymore and Betsy Chambers Photography: Leigh KirkpatrickPrinting: The Printer Ltd.


<strong>Dalhousie</strong> <strong>University</strong> | 1Investing in the FutureDr. David Kirkpatrick, Head,Department of <strong>Surgery</strong>It is our quest to constantly improve thequality of patient care that we provide. Todo so, we must continually advance ourmethods and approaches, through researchand education. This requires ongoingcommitment, effort and investment.On the research front, our investment inthe Clinician Investigator Program (CIP)is yielding powerful results. Our earliestCIP graduates are now leading theirown productive and innovative researchprograms here at <strong>Dalhousie</strong> and otherleading universities, while current CIPtrainees are contributing to our increasinglyvibrant research culture.Our research culture has become so strongover the past few years, that we mustinvest more in our internal research fund.Due to the high level of interest in researchand well-honed abilities to prepare strongresearch proposals, we are now fieldingmore high-quality applications than we areable to fund. We are actively seeking newstrategies and sources of revenue so thatwe can fund all deserving proposals, in ourcontinued efforts to nurture research talentand potential in the department.We have an important new tool in ourfundraising efforts, thanks to the work ofDr. Greg Hirsch, our Director of <strong>Research</strong>,and our colleagues in the Departmentof Community Health & Epidemiology.They have produced the Department of<strong>Surgery</strong>’s first economic impact report.You’ll read more about their findingselsewhere in this report but, suffice it tosay, we can now back up a compellingcase about the economic benefits of ourresearch, the importance of investing inresearch, and the returns onthat investment.With the establishment of<strong>Dalhousie</strong> Medicine NewBrunswick, we have a strongpartner in the New Brunswickgovernment. They are particularlyinterested in outcomes research that willhelp them plan their clinical programs. Welook forward to working with the NewBrunswick government and our colleaguesin New Brunswick to identify and pursuenew opportunities for collaborativeresearch in the coming years.On the education front, we’re investingin surgical simulation technology forprocedural training. We’re working withour colleagues in the Faculty of Medicine todevelop a new multi-disciplinary simulationtraining centre that will expand far beyondwhat’s offered in the Skills Centre. This willpave the way to new opportunities for localtechnological innovation and for researchon the effectiveness of simulation-basedsurgical training. Many surgical simulationtechnologies are in their infancy. We aimto play a leadership role in advancing,adopting and assessing these technologies,to improve the efficiency and effectivenessof surgical training at <strong>Dalhousie</strong> and beyond.Through continued investment, hard workand partnership, I am confident that we canrealize the potential of this department – forthe good of the people and the economy inthis region.Dr. Kirkpatrick isa graduate from<strong>Dalhousie</strong> <strong>Medical</strong><strong>School</strong>. He is aPracticingOtolaryngologistand was the Head ofOtolaryngology from1999-2009.In September 2011,Dr. Kirkpatrick wasofficially named theHead of theDepartment of<strong>Surgery</strong>.


2 | Department of <strong>Surgery</strong>Dr. Hirsch is agraduate of MountSinai <strong>School</strong> ofMedicine in NewYork,NY. A cardiovascularsurgeon, Dr. Hirschalso was a researchfellow inPathology and VascularBiology at Harvard<strong>University</strong>.Since 2005, Dr. Hirschhas been the Head ofthe Division of Cardiac<strong>Surgery</strong> and in 2006became the Directorof <strong>Research</strong> in theDepartment of<strong>Surgery</strong>.The Impact of <strong>Research</strong>Continues to GrowDr. Greg Hirsch,Director of <strong>Research</strong>As surgeons engaged inresearch, our facultymembers are driven bya strong desire to improve thelives of the people in our care.Everything we do is ultimatelydirected to achieving bettersurgical outcomes andbetter lives for our patients.At the same time, we recognize thatour research activities have many otherimportant impacts. Not the least of theseis a substantial impact on the economy ofNova Scotia.This past year, we embarked on a studyto quantify the economic impact of ourresearch activity, with Lynn Lethbridge,Samuel Grover and Dr. Adrian Levy of<strong>Dalhousie</strong>’s Department of CommunityHealth & Epidemiology. Their expertanalysis revealed that the Departmentof <strong>Surgery</strong> attracted more than $27million in research funding from 2005 to2009, generating a remarkable economicoutput of $60.5 million. Meanwhile, ourresearch activity created 611 new jobs – inacademia, our affiliated teaching hospitals,and in firms that supply products andservices to research. That is a lot of jobs!While impressive, these figures representonly a portion of the true impact of ourresearch. The study couldn’t capture theeconomic and social impact of saving livesand improving the quality of people’s lives,increasing the efficiency and effectiveness ofthe health care system, and commercializinggroundbreaking new technologies.The study did reveal how highlycompetitive <strong>Dalhousie</strong>’s surgery researchersare on the national scene. Comparedto top universities of a similar size, weranked Number One in Canadian Institutesof Health <strong>Research</strong> grant capture. Thisis a phenomenal accomplishment thatunderlines the talent and innovation of ourresearchers.As you’ll see in this report, we’re leadingthe globe in many transformational researchefforts, such as Dr. Don Lalonde’s wideawakehand surgery technique and Dr.Rob Brownstone’s explorations of spinalcord wiring. Some of our members, likeDr. Natalie Yanchar, even play a role ingovernment legislation.<strong>Research</strong> generates a ripple effectthroughout the department, creating aculture that encourages people to askquestions and seek answers. This culture,in turn, attracts talented surgeons. We’revery excited to welcome four new facultymembers: otolaryngologist Dr. PaulHong, who joins us from the <strong>University</strong>of California in San Diego; orthopaedicsurgeon Dr. Ivan Wong, fresh from afellowship at the Southern CaliforniaOrthopedic Institute; colorectal surgeonDr. Lara Williams, a CIP graduate who hasreturned to <strong>Dalhousie</strong> after a fellowship atthe <strong>University</strong> of Ottawa; and Dr. MichaelBezuhly, also a CIP graduate, who returnsto us following a fellowship in pediatriccraniofacial surgery at l’Hôpital Necker inParis, France. All are embarking on clinicalresearch programs that will make a lastingimpact on patient care in our region.As we continue to invest in research andthe next generation of researchers, theimpact of our efforts will continue to grow.


<strong>Dalhousie</strong> <strong>University</strong> | 3Dr. Guy Brisseau Strives forBest Possible Learning at AllLevels of <strong>Medical</strong> EducationSince returning to <strong>Dalhousie</strong> <strong>Medical</strong><strong>School</strong> in 2005 – after a five-year stintheading the trauma program at theChildren’s Hospital of Buffalo – pediatricgeneral surgeon Dr. Guy Brisseau hasadded layer after layer to his role in medicaleducation. On top of helping undergraduatemedical students with their case studiesand teaching hands-on skills to surgeryresidents, Dr. Brisseau soon took on theleadership of the Surgical Foundations andPediatric <strong>Surgery</strong> residency programs. In2009, he added a new and far-reachingrole: assistant dean of Postgraduate <strong>Medical</strong>Education (PGME).“I see a distinction between my rolesas a teacher and educator,” notes Dr.Brisseau. “As a teacher, I work face to facewith students and residents, to personallyhelp them develop their knowledge andskills… as an educator, I make sure thebest curriculum and systems are in place tosupport their learning.”As assistant dean of PGME, Dr. Brisseauand his staff help the medical school’s56 residency training programs teachand evaluate their residents according toCanMED’s requirements. “One of ourbiggest challenges is designing programsthat provide all residents with equivalentlearning opportunities, regardless oflocation,” he says, noting that <strong>Dalhousie</strong> isthe only medical school that spans threeprovinces. “We’ve responded by embracingtechnology, such as webinars and onlinelearning modules that allow residents toaccess the material from any place, at anytime of day.”Dr. Brisseau has also helped integratetechnology into the Surgical Foundationsprogram, which provides baseline trainingon topics that are fundamental to all surgicaldisciplines – such as how to position apatient on the operating table,how to suture an incision,and how to ensure the bestpossible wound healing.“We use the best evidenceavailable to guide us in thedesign and delivery of all oureducation programs,” he says.“That means fewer didacticsessions, where one personlectures to a group, and moresimulator-based training, group learning andasynchronous online learning.”In his own specialty of pediatric generalsurgery, Dr. Brisseau is responsible forensuring the quality and appropriateness ofthe residency training. <strong>Dalhousie</strong> and theIWK Health Centre accommodate oneresident at a time in this highly competitivetwo-year program.“In all our programs, we emphasize theneed for daily reflection,” says Dr. Brisseau.“Reflecting on your day, what went well,what didn’t, what you could do better…this is a powerful tool to solidify learning.”Trainees are not the only ones whoshould reflect on their practice and seekconstantly to improve – Dr. Brisseau urgesexperienced physicians to do the same.“We share a privilege, granted by society,to practice medicine,” he says. “We needto recognize that we are here to serve andwork hard to earn the trust that’s beenplaced in us.”For Dr. Brisseau, the most satisfying partof his role in medical education is seeingthe look in a resident’s eye when he orshe grasps a skill and performs it perfectlyfor the first time: “You can see that glint,that look of triumph in their eyes. It’sphenomenal.”A native ofDartmouth, NovaScotia, Dr. GuyBrisseau completedhis MD at <strong>Dalhousie</strong><strong>Medical</strong> <strong>School</strong>,followed by a generalsurgery residencyat the <strong>University</strong> ofToronto and pediatricsub-specialty trainingat the <strong>University</strong> ofWestern Ontario.He returned to<strong>Dalhousie</strong> in 2005,after five years at atop institution in theUnited States.


4 | Department of <strong>Surgery</strong>Dr. Adrian Levy(Right), is the Head,Department ofClinical Health andEpidemiology in theFaculty of Medicine.Dr. Levy spearheadedthe <strong>Research</strong> MethodUnit within theCapital Health DistrictAuthority.Lynn Lethbridge (left)is a <strong>Research</strong> Associatewith the Departmentof Community Healthand Epidemiologyand <strong>School</strong> of HealthAdministration.She earned herMaster’s degree atthe Departmentof Economics at<strong>Dalhousie</strong> where sheworked for fifteenyears before taking hercurrent position.<strong>Research</strong> byacademic surgeonsat <strong>Dalhousie</strong><strong>University</strong> has helped contribute tothe development of pioneering clinicaltechniques to improve health outcomes.To successfully develop and implementsuch innovations, it is generally recognizedthat ample research funding is essential.Less understood, however, is the impact ofsurgical research funding on the provincialeconomy. Dr. Greg Hirsch, Director of<strong>Research</strong> in the Department of <strong>Surgery</strong>,wanted to find out.Dr. Hirsch commissioned the DepartmentCommunity Health & Epidemiology at<strong>Dalhousie</strong> to evaluate the economicimpacts of research funding generated bythe Department of <strong>Surgery</strong>.<strong>Research</strong> expenditures administered by<strong>Dalhousie</strong> over the 2005-2009 periodwere analyzed, which included awards to50 surgical researchers. Funding sourcesconsisted of the federal and provincialgovernment, the business sector aswell as charities and other not-for-profitorganizations.Economic Impacts of<strong>Dalhousie</strong>’s Department of<strong>Surgery</strong> <strong>Research</strong> FundingLynn Lethbridge, SamuelGrover and Adrian LevyDepartment of CommunityHealth & Epidemiologydepartment. At the same time, theextensive range of interests by theresearchers is reflected in the diversity offunding sources.Results showed the department generated$27.1 million over the study period,which translated into an increase of $31.6million in provincial wealth and 611 fulltimejobs (see table 1). These impactsresulted from the direct expenditures fromthe various research projects, increasedactivity by industries used to support theresearch sector, and the ripple effects ofthe spending by individuals employed as aresult of research projects. Growth was notrestricted to the local community only, asa broad range of industries are required tosupport surgical research. The analysis alsoshowed $2.8 million was returned to theprovince in tax revenues as a result of thisfunding.Distribuon of Typical FundingFigure 1 illustrates the distributionof funding received across variouscategories. The largest proportiontypically comes from the federalgovernment indicating the solidfoundation of nationally-recognizedresearch contributions by theFigure 1


<strong>Dalhousie</strong> <strong>University</strong> | 5Table 1Wealth generation andemployment from researchImpact of direct expenditureson surgical research projectsImpact of industries whichsupply to researchImpact of spending by thoseemployed through researchfundsValue added GDP*or wealth (2009 $)20,390,413 449.71,877,489 49.89,387,449 111.5Total (all 3) 31,655,352 611.0It is noteworthy that these results very likely underestimatethe total impacts. In some cases, department membersare co-investigators on awards administered outside theprovince, yet still involved local expenditures. Also, thereare projects which involve collaborations with industrywhere expenses contribute to the local economy but theadministration of expenditures is not through <strong>Dalhousie</strong>.Finally, salaries for some research staff as well as otheroffice expenses are not paid from grant or contract moneyso these amounts are not included in the study totals.To put the contribution of <strong>Dalhousie</strong>’s surgeons toresearch in context, the study included comparisonsto other Canadian academic surgical departments.Unfortunately, full funding details for other universitieswere not readily available; however, data were accessiblefrom the primary medical research resource in the country.The Canadian Institutes for Health <strong>Research</strong> (CIHR) hasconsistently been the largest single source for biomedicaland health care research funding for faculties of medicinein Canada. CIHR opportunities are highly competitiveand submissions are rigidly reviewed. Details of successfulCIHR proposals are publicly-available through theirwebsite, which enabled a comparison of awards acrossinstitutions. In the most recent year available, <strong>Dalhousie</strong>academic surgeons attracted $4.4 million in funding fromCIHR, the third-highest total of the eight universitiesanalyzed (see Figure 2). Since some departments arelarger than others, the analysis included totals adjusted fordepartment size. Using this measure, <strong>Dalhousie</strong> ranks firstin funding per researcher over the 2010-2011 period (seeEmployment(Full TimeEquivalent)$8,000,000$7,000,000$6,000,000$5,000,000$4,000,000$3,000,000$2,000,000$1,000,000$0$60,000$50,000$40,000$30,000$20,000$10,000$0Figure 3).While significant, wealth and jobcreation are just one aspect of thepotential gains from investmentin research. Clinical care and jobsatisfaction of the surgical faculty hasbeen shown to be enhanced by anactive research program. As well,knowledge generated can help decisionmakerschoose evidence-based policyoptions leading to a healthier, moreproductive society. As the number ofpotential funding agencies for healthresearch is considerable, includingnational and international sources,with support, academic surgeons at<strong>Dalhousie</strong> can continue to leveragelocal investment to attract and expandresearch revenues.Total CIHR Funding for SurgicalDepartments 2010-2011Figure 2CIHR Funding per Surgical <strong>Research</strong>er2010-2011Figure 3


6 | Department of <strong>Surgery</strong>Wide -Awake Hand <strong>Surgery</strong>Dr. Don Lalonde, Professor,Division of Plastic <strong>Surgery</strong>From his base at the SaintJohn Regional Hospital inNew Brunswick, Dr. DonLalonde is pioneering a wideawakehand surgery methodbecoming known aroundthe world as ‘the Canadiantechnique.’ It involves injectingadrenaline into the hand andfingers to drive blood awayfrom the skin so the surgeon can operate in abloodless environment without the tourniquetwhich was previously used to block the flow ofblood to the hand.“The tourniquet was so uncomfortablethat patients needed sedation or generalanesthesia,” notes Dr. Lalonde. “With theadrenaline injections, we can simply use a localanesthetic. The patient stays wide awake anddoesn’t feel a thing.”The revolutionary technique is saving billionsof dollars worldwide, while providing patientswith superior results.“Because patients are awake, I can ask themto move their hand during the surgery – forexample, to test the tension of a tendontransfer,” Dr. Lalonde explains. “I can thenmake adjustments before I close the incision.There’s no way you can do this kind offunctional testing when a patient is undergeneral anesthesia.”Dr. Lalonde performs about 200 carpal tunnelrelease procedures a year, along with tendontransfers and repairs, hand fractures, thumbarthritis, and other hand surgeries. He uses theCanadian technique for 95% of hand surgeries.“We can perform twice as many carpal tunnelrelease procedures in the same amount oftime at half the cost in minor procedure rooms– not including savings from not needing ananesthetist or nursing care in the recoveryroom,” says Dr. Lalonde. “And it’s a lot easieron patients.”As Dr. Lalonde explains, people with healthproblems must undergo a series of teststo undergo general anesthesia. These areinconvenient for the patient and costly for thesystem. And, after general anesthesia, manypatients experience side effects like nausea,vomiting and a sore throat.Before he could get wide-awake hand surgeryoff the ground, Dr. Lalonde had to debunk thelongstanding myth that injecting adrenaline infingers could cause them to fall off. Dr. Lalondeand 17 other <strong>Dalhousie</strong>-trained hand surgeonsput the myth to the test. “We injected ourown fingers with adrenaline in both handsat an alumni meeting in Halifax in 2001,” herecalls. “We proved that phentolamine reliablyreverses adrenaline vasoconstriction in thehuman finger and established the safety of thetechnique.”This test set the stage for more than 20<strong>Dalhousie</strong>-led clinical studies and papers thathave further proven the safety and effectivenessof wide-awake hand surgery. Dr. Lalonde hasbeen teaching the technique around the worldever since. Many international hand surgeonshave visited Saint John to learn the techniquestaught to <strong>Dalhousie</strong> residents there.Dr. Don Lalonde is the first Canadian ever to be elected chairman of the American Board of Plastic <strong>Surgery</strong>. He is alsopresident-elect of the American Association for Hand <strong>Surgery</strong>. Dr. Lalonde has taught wide-awake hand surgery to handsurgeons in Argentina, Australia, Brazil, China, Ecuador, England, Germany, Greece, India, Italy, Panama, Qatar, South Africa,South Korea, and the United States. He’s also a leading teacher in the art of almost-painless local anesthesia.


<strong>Dalhousie</strong> <strong>University</strong> | 7Plastic <strong>Surgery</strong>: Safer, better,less costly proceduresThearthritisinDr. CarolineRunyon’shands was sopainful shewas barelyable to holda scalpelto performsurgery onher caninepatients. “Ichanged theway I hold instruments so I could continue operating,but the pain was so excruciating I couldn’t sleep atnight,” recalls Dr. Runyon, a veterinarian orthopedicsurgeon and professor at the Atlantic VeterinarianCollege in Charlottetown, Prince Edward Island.Thanks to wide-awake hand surgery from <strong>Dalhousie</strong>plastic surgeon Dr. Don Lalonde, Dr. Runyon is backin the OR, repairing dogs’ hips, shoulders and knees.“It was a fascinating procedure,” she says of thefour-hour operation, in which Dr. Lalonde removeda small bone at the base of her thumb to relievethe bone-on-bone contact between the carpal andmetacarpal bones. “I watched every step, in awe ofhis precision.”time to time, to ensure there was no bone-on-bonecontact,” she recalls. “When he was satisfied, hestitched me back up.”Now Dr. Runyon has full, pain-free use of her hands– essential to the physically demanding handwork ofre-positioning broken bones, removing pins, suturingincisions, and so on. Only now she has a newprocedure in her repertoire. Like Dr. Lalonde usesadrenaline injections to move blood away from thehands to perform wide-awake surgeries on humans,Dr. Runyon is using adrenaline injections to performbloodless surgeries on dogs.“We have to tranquilize the dogs, but we don’t needa tourniquet or a general anesthesia,” Dr. Runyonexplains. “This prevents the terrible post-operativeswelling that dogs get when we use a tourniquet.Because they don’t have a lot of padding on theirlimbs, they swell much more than people.”It was through dogs that Dr. Runyon and Dr. Lalondemet. “He and his wife Jan rescue Labrador retrieversand frequently bring them to me for surgery,”Dr. Runyon says. “It seems appropriate that hisintervention is enabling me to continue working ondogs.”Because Dr. Runyon was awake, Dr. Lalonde wasable to test the effectiveness of the surgery partwaythrough. “He asked me to move my thumb fromDr. Caroline Runyan, Veterinariansurgeon - back to work!


8 | Department of <strong>Surgery</strong>Mandible Tumors and Walking?What is the Connection?Dr. Rob Hart, Division ofOtolaryngologyDr. Robert Hart confirms walkingability returns after fibula lossThanks to his research,head and neck surgeonDr. Robert Hart cannow confidently assurepatients that they will regaintheir former mobility if they have to have afibula bone removed from one of their lowerlegs to rebuild a cancerous jawbone.“What patients really want to know is, ‘Is thisgoing to affect my walking? Can I do whatI did before?’,” Dr. Hart says. “In the past,we’ve only been able to say, ‘As far as wecan tell, it doesn’t make any difference. Youshould be fine after three or four months.’ ”Now Dr. Hart and his colleagues have proofthat allows them to make more definitivestatements. Using the gait belt, developedby pediatric orthopedic surgeon Dr. LorneLeahey for the orthopedics division, Dr.Hart collected baseline data on his patients’walking patterns, or gait, before surgery.After removing their tumors and rebuildingtheir jaws with a section of their own fibulabones – called the free-flap technique – hecharted their progress in regaining theirformer walking ability one month, threemonths and 12 months later. “At the endof the year, the gait is essentially back tonormal,” he says.For the 20 to 30 Maritime cancer patients ayear who have large tumours invading theirmandibles, and the surgeons who deal withthe condition, the scientific data offer greaterassurance of a return to full function.In his field, Dr. Hart says, “The biggestadvances in the last 10 to 20 years arereconstructive. You can take a cancer out ofsomebody and perhaps cure them. That’sobviously the first goal. But the second goalis to restore their previous level of function– or improve it even.” In the case of freeflapjaw reconstruction, this includes walkingability as well as jaw function.As Dr. Hart explains, the surgery can take20 hours or more. It typically involves threesurgeons from the otolaryngology division –Drs. Hart, Mark Taylor and Jonathan Trites– working in concert. Depending on theinvasiveness of the tumour, its removal caninclude part or all of the jaw. In extremecases, “they have nothing below their midfaceessentially,” says Dr. Hart, “and youneed to rebuild that to restore their functionand appearance.”Dr. Hart and a group of National <strong>Research</strong> Council scientists are searching for a definitive blood test for thyroid cancer.Today’s biopsies on thyroid tissue can be inconclusive, leading to the surgical removal of tumours that later prove to bebenign. Dr. Hart and his colleagues aim to prevent such unnecessary surgeries and their associated risks.Dr. Hart is leading the Halifax arm of a national Phase III trial of fluorescence visualization, also known as blue light. Itsdevelopers hope to learn if blue light’s ability to detect the margins of oral cancer with greater precision than conventionalwhite light translates into better outcomes. About $400,000 of the $4.7 million trial, backed by the Terry Fox <strong>Research</strong>Institute, is earmarked for the Halifax study.


<strong>Dalhousie</strong> <strong>University</strong> | 9Earl Lovett Suffers NoLoss of Function AfterComplex Facial <strong>Surgery</strong>The esthetic and functional resultsof the complex facial surgery thatremoved the cancer burrowing intohis lower left jaw still impress Earl Lovett.“It looks great,” he says, appraising hisreconstructed jawbone. “You can’t tell untilyou look really close. You can see the scars– you know, like Kirk Douglas – but you’dnever know what it was from.”More important, he reports, “I have notrouble eating or swallowing.” Nor does hehave difficulty talking – even though he lostfeeling on the left side of his tongue andlower left side of his face, due to nervessevered in the surgery, and lacks teeth inthe reconstructed part of his jaw. “Thoseare some of the downfalls of the wholething, but I’m still alive,” says Mr. Lovett.The Antigonish resident says the outcomeof the surgery was a relief, given theconcern voiced to him by a local physician.“I think he was surprised at the way thisturned out,” Mr. Lovett says. At thatstage he was a consultant doing disabilitymanagement for Michelin’s Grantonplant, after retiring as the company’s areapersonnel andemployeeservicemanager.When jawpain led tothe discovery of cancer, Mr. Lovett wasreferred to head and neck surgeon Dr.Robert Hart. “One of the first things I askedDr. Hart was ‘what am I going to looklike when this is all done?’” Reassured, heunderwent a free-flap operation close to14 hours long.“I can tell you what they did,” Mr. Lovettsays. “They split my bottom lip down tomy chin, across my throat and up behindmy ear… They went in and removed mylower jaw and teeth on the left side. Thenthey split my right leg from kneecap toankle, took out a piece of bone and muscleand rebuilt the jaw with that. Then theyclosed it all back up. Unbelievably, with Dr.Hart’s technique, all the stitches were onthe inside and couldn’t be seen.”Mr. Lovett used a walker in the early daysof his recovery. Due to the missing fibula,it was a month before he could put hisweight on his right leg. Yet, he was walkingnormally again in less than a year.Five years later and cancer-free, he says, “Ifeel great.” And he is grateful to his surgicalteam “for giving me a chance to see mygrandchildren – two born in the past yearand another on the way.”Earl Lovett - back to the life of enjoyinggrandparenting and farming


10 | Department of <strong>Surgery</strong>Neurosurgery: UnderstandingNeural Circuits - Dr. RobBrownstone, Assistant Dean,<strong>Research</strong>, <strong>Dalhousie</strong> <strong>Medical</strong> <strong>School</strong>Dr. Rob Brownstone seeks to restorecoordinated movementWhether he’s probinga person’s brain inthe operating roomor examining isolated neuronsin the lab, Dr. Rob Brownstonehas the same ultimate goalin mind – to restore the ability to movein a smooth and coordinated way. As asurgeon, he implants deep-brain stimulationdevices in people with Parkinson’s disease,tremor, and other movement disorders.As a scientist, he explores the fundamentalnature of the neural circuits that control ourability to move.“To understand neurological diseasesaffecting movement, you have tounderstand neurons and how they’re wiredto produce movement,” Dr. Brownstonesays. “In the lab, we’re learning howneurons arise and organize themselves intoelectrical circuits in the nervous system. Inthe hospital, I want to know what’s goingwrong with those circuits and intervene withelectrical stimulation to improve people’sfunction.”Dr. Brownstone and his team are learninghow neural circuits control movement andwhat transpires when they’re damaged. Allthis is happening in new laboratory spacein the Life Sciences <strong>Research</strong> Institute,equipped through a $14 million award fromthe Canada Foundation for Innovation andNova Scotia <strong>Research</strong> and Innovation Trust.“We’re examining three crucial circuitsthat control movement: those that sendmessages from the brain to the spinal cord,those within the spinal cord that processthese messages to coordinate movement,and those between the spinal cord andthe muscles,” says Dr. Brownstone, whoholds over $2 million from the CanadianInstitutes of Health <strong>Research</strong> for this work.“We’re learning what functions the brain hasdelegated to the spinal cord, and how thespinal cord could be trained to regain thesefunctions.”Dr. Brownstone and his team have recentlyfound that the circuit controlling our abilityto grasp objects with our hands resideswithin the spinal cord. This opens the doorto potential strategies – such as electricalstimulation of the spinal cord – to helppeople with neurological disorders thataffect their grasp. “Most of us take suchthings as feeding and dressing ourselvesfor granted, but if you can’t control yourgrasp, these simple achievements are out ofreach,” he says. “Ultimately, this research isabout improving quality of life.”Dr. Rob Brownstone is working with <strong>Dalhousie</strong> neuroscientist Dr. Vic Rafuse, neurosurgery resident Dr. Phillip Magown,and a team of graduate students to engineer stem cells into functional motor neurons. The researchers have successfullyguided the motor neurons to connect with the appropriate muscles and are now exploring how this strategy could beused to restore hand movement following peripheral nerve injury.Dr. Brownstone has joined forces with colleagues in neurosurgery and neuroscience – as well as physical medicine,physiotherapy, kinesiology, biomedical engineering and other fields – to form the Atlantic Mobility Action Project (MobilityProject). Together the researchers are taking a comprehensive approach to understanding and solving mobility problemscaused by injury and disease. For more information, visit www.amap.ca


<strong>Dalhousie</strong> <strong>University</strong> | 11Deep-BrainStimulation GivesArt Baker a NewLease on LifeArt Baker used to start shaking the momenthe opened his eyes in the morning. “Iwould have to take my pills right away andthen lie back down and wait half an hourfor the shaking to settle down,” says the63-year-old resident of MusquodoboitHarbour, Nova Scotia. Now Mr. Bakerwakes up feeling fine and is able to get onwith his day, free from the intense shakingof Parkinson’s disease.Thanks to deep-brain stimulation, Mr.Baker’s life has been transformed.Diagnosed with Parkinson at the age of 47,his ability to function slowly declined to thepoint that he had to retire early from hisjob at Nova Scotia Power, give up driving,put away his treasured paintbrushes, andget help with simple daily tasks like eatingand getting dressed. But that has radicallychanged since Dr. Rob Brownstone placeda neurostimulation device inside Mr.Baker’s brain in 2011. Sometimes calleda ‘brain pacemaker,’ the device regulatesthe electrical activity of cells that have beendamaged by Parkinson’s disease. This easestroublesome symptoms like tremor andinvoluntary body movements.“My body would do uncontrollable things,”Mr. Baker recalls. “An arm would fly out, ora leg would kick, or my head would nod,and I wouldn’t be able to stop it.”Art Baker, day-to-day operations restored!Since receiving the neurostimulator, Mr.Baker has regained control of his body.“I’m back to driving again and can do all mylocal errands,” he says. “I’m able to mowthe lawn and look after our property, andrecently put away six cords of wood.”He’s also able to work more effectivelywith his hands, although he hasn’t regainedenough fine motor control to paint orwrite. “I was an artist,” he explains, notingthat his paintings are on display in galleriesacross the country. He misses painting, butcontents himself with yard work and otherprojects, such as building a swing set for hisgranddaughter.Without the device, Mr. Baker says hecouldn’t do much more than sit in a chairand watch television. “I had no energy andwas struggling with depression before…I still tire easily, but I’m able to keep goingand get things done. Now my wife Barbaraand I are able to enjoy our time.”


12 | Department of <strong>Surgery</strong>General <strong>Surgery</strong>: PreventingPediatric TraumaDr. Natalie Yanchar, Professor,Division of Pediatric <strong>Surgery</strong>Dr. Natalie Yanchar leads the wayto injury-prevention policy changeAs a pediatric generalsurgeon and medicaldirector of trauma careat the IWK Health Centre,Dr. Natalie Yanchar is all-toofamiliarwith the heartbreakingconsequences of motor vehiclecollisions. “We see 40 to 50 cases of majortrauma a year, which often result in severedisability and sometimes the death of thechild,” she says. “These include children whoare in car crashes, who are hit by motorvehicles while walking or riding a bike, or whoare injured while driving all-terrain vehicles, orATVs.”Dr. Yanchar works tirelessly to protectchildren from motor vehicle-related injuries.As she notes, “It’s our responsibility to doeverything we can to protect the mostvulnerable members of our society.” To thatend, she played a key role in advocating forNova Scotia’s 2005 legislation restricting theuse of ATVs by children under the age of 16.Her research has shown that, since that time,ATV-related injuries and hospitalizations havedeclined dramatically in this age group.More recently, Dr. Yanchar has turned herattention to child motor vehicle restraints,helping to bring new legislation and publiceducation programs to Nova Scotia.“We did a study in 2004 that found manyparents were prematurely moving theirchildren from one form of restraint to the next– for example, from a rear-facing car seat toa front-facing car seat before the age of one,”Dr. Yanchar says. “The biggest problem wefound was lack of booster seat use. Only 49%of children who should have been in boosterseats were.” Those findings helped push thenew laws ahead.After the legislation was introduced, Dr.Yanchar and her collaborators in the provincialgovernment did a follow-up study to assessthe impact of the legislation and awarenesscampaigns. The results were heartening:“Reported use of booster seats went from58% to 95%,” she notes, adding that “correctuse of front-facing car seats also increased.”But there’s still work to be done, Dr. Yancharsays. “Most parents realize children shouldremain in a booster seat until the age of nine,but many do not know the child must alsobe at least 4’9”,” she says, citing the resultsof an observational study by Dr. Beth Bruce,a <strong>Dalhousie</strong> researcher with an adjunctappointment in the Department of <strong>Surgery</strong>.“We have to keep promoting the messagethat children under 4’9” are vulnerable toserious injuries from the seat belt.”Dr. Natalie Yanchar has won awards from the Canadian Pediatric Society and Doctors Nova Scotiafor her advocacy on behalf of injury prevention. She has worked with countless provincial, regionaland national task forces and groups, including Safe Kids Canada and the Trauma Association ofCanada, and is president and a founding member of Injury Free Nova Scotia.Dr. Yanchar is currently involved in several CIHR-funded collaborative research projects, includingstudies of injury prevention, trauma systems and children’s pain. She is also working to advancescreening tools for blunt abdominal and thoracic trauma in children and to improve pediatrictrauma management.


<strong>Dalhousie</strong> <strong>University</strong> | 13<strong>Research</strong> Informs and Inspires BoosterSeat EducationDr. Natalie Yanchar’s research into parents’knowledge and use of child motor vehiclerestraints is having a lasting impact in NovaScotia.“Dr. Yanchar’s 2004 study underlined the fact thatthe four to nine-year-old age group needed the mostattention in terms of public education,” says KimMundle, car seat safety specialist at Child Safety Linkat the IWK Health Centre in Halifax. “While parents’knowledge of the existence of booster seats was high,their reported use of booster seats was low.”New legislation – requiring children under theage of nine and under the height of 4’9” (145 cm)to be restrained in a booster seat – was one partof the solution. Public education was the other.Once the legislation was in place, Child Safety Linkteamed up with the Nova Scotia Department ofTransportation and Public Works (now Transportationand Infrastructure Renewal) to launch a major publiceducation campaign. In addition to website contentand multi-media advertising, the campaign involvedpolice, public health officials and parent resourcecentres in distributing some 40,000 postcards acrossthe province. In Cape Breton, young people receivedtraining to deliver workshops on booster seat use inall of the elementary schools in Sydney and Glace Bay.Across the province, 200 car seat technicians continueto educate parents and children about proper boosterseat use.“Booster seats are critical for children under 4’9”because, without that extra height, the seatbelt goesacross their belly instead of their hip bones and acrosstheir neck instead of their chest,” Ms. Mundle explains.“These soft areas can be seriously injured in the event ofa car crash.”Ms. Mundle and her colleagues eagerly awaited theresults of Dr. Yanchar’s 2010 follow-up survey, whichshowed that reported use of booster seats was wayup in the province. “Dr. Yanchar’s work has showneveryone involved that their efforts have made adifference,” she says. She notes, however, that there isstill work to be done to ensure the safety of all childrentravelling in motor vehicles.“Our partners are beginning to plan such activities asroadside checks with local police forces to heightenawareness of the law,” says Ms. Mundle. “<strong>Research</strong>we’ve done with Dr. Beth Bruce has shown that parentsare motivated by the perception that the law is beingenforced. It’s all part of a multi-faceted effort.”


14 | Department of <strong>Surgery</strong>Academic Medicine YoungClinician Scientist Dr. LaraWilliams, Assistant Professor,Division of General <strong>Surgery</strong>Dr. Lara Williams returns withTEM and a commitment toacademic medicineTransanal Endoscopic Microsurgery(TEM) is now available at CapitalHealth, thanks to extra training Dr.Lara Williams added to her fellowship inOttawa, before returning to Halifax as acolorectal surgeon last year.“I’m proud that we’re able to bring TEMtechnology to Capital Health,” says Dr.Williams. “Not only is it going to improvepatient care, but it will also decrease costsfor the health care system and provide anopportunity to conduct novel research.”For patients TEM has huge benefits.“Basically it provides minimally invasivetechniques for gaining access to tumoursor polyps in the mid to upper rectum,” sheexplains. “These tumours would otherwisehave to be treated with radical surgery,including a possible need for a temporaryor permanent stoma.”Dr. Williams’ road back to <strong>Dalhousie</strong>’sDepartment of <strong>Surgery</strong> began, in part, withthe Clinical Investigator Program (CIP).It enabled her to conduct research andobtain an MSc while training in generalsurgery at <strong>Dalhousie</strong>. The experience – inwhich she identified molecules that couldbe used to help predict survival in patientswith esophageal cancer – confirmedher inclination to a career in academicmedicine.“To be honest, I felt I would fit more inan academic setting, being challenged onmultiple different fronts and being able tolead research initiatives, teach residents,and have access to leading-edge mentorsand research,” she says. “The CIP solidifiedthat feeling and gave me some groundworkfor laying down an academic-surgicalcareer.”Since her CIP days, Dr. Williams’ researchinterests have shifted from bench researchto clinical outcomes and health servicesrelatedinitiatives. “I’m particularly interestedin developing health care models toimprove quality of surgical care, specificallyfor managing colorectal cancer,” she says.Also on her list: developing guidelines andstandards, implementing clinical pathwaysto expedite care, and evaluating how wellthese initiatives work.“I saw an opportunity here at Dal in adepartment that’s supportive of their facultyand provides a positive and nurturingenvironment for new surgeon-scientists,”she says. “I love what I do. I’m happythat I’m here. I see real opportunities toimprove patient care, to expand researchinitiatives, and to put Dal on the map.”Dr. Lara Williams’ MSc thesis, under the Clinician Investigator Program: Expression of B-Catenin, CDX1 and CDX2, in themolecular pathogenesis of esophageal adenocarcinoma: association with survival after esophageal resection


<strong>Dalhousie</strong> <strong>University</strong> | 15The Dal <strong>Surgery</strong> <strong>Research</strong> OfficeDal <strong>Surgery</strong> <strong>Research</strong> Fund: Our Departmentcontinues to support the research efforts ofour faculty members and residents. This is anessential part of our mandate that serves toexpand our research capacity and productivity.In 2011 Dal <strong>Surgery</strong> invested $600,000.00towards the mission of the Department.Administration (Salary, promotion) ProgrammeFunding, Bridge Funding and Resident Supportmade up much of the budget:Resident Salary AwardsDr. Jon Bailey, resident in General <strong>Surgery</strong>enrolled in the Clinical Investigator Program. Dr.Bailey’s supervisor is Dr. Paul Johnson and hisproject is entitled, “The Association betweenFrailty and Healthcare Costs in the Elderly PatientUndergoing Non-Elective General <strong>Surgery</strong>.”Dr. Richard Liu is enrolled in the ClinicalInvestigator Program, supervised by Dr. GeoffPorter in General <strong>Surgery</strong>, Dr. Liu’s Master’s Thesisis entitled, “Regionalization of Cancer <strong>Surgery</strong> inCanada.”• Dr. Liu was successful in obtaining a Bantingand Best CIHR Award of $17,500.00.Dr. Phil Davis is supervised also by Dr. PaulJohnson in General <strong>Surgery</strong>. Dr. Davis is enrolledin the Clinical Investigator Program and his researchproject title is, “Is Frailty a Predictor of Short-Term Morbidity and Mortality in Geriatric PatientsUndergoing Non-Elective General <strong>Surgery</strong>?”Faculty AwardsProgramme Support continues this year($50,000.00/year x 3 years) for the followingFaculty:Dr. Michael Dunbar in Orthopaedics workingwith Biomedical Engineering: “Conservative andSurgical Management of Knee Osteoarthritis basedon an Objective Patho-mechanical Framework.”Dr. Manohar Bance, an Otolaryngologistworking with Biomedical Engineering and thePhysics Department. “Prototyping <strong>Medical</strong> Devisedfor Hearing and Balance <strong>Research</strong>.”Dr. Tim Lee, Heads the Atlantic Transplant laband works with notable faculty in Cardiac andTransplant <strong>Surgery</strong>. “ <strong>Research</strong> Capacity in theAtlantic Centre for Transplantation.”Dr. Stacy O’Blenes: Cardiac Surgeon, he headsthe CVRG (Cardiovascular <strong>Research</strong> Group) inthe Faculty of Medicine. “Building a Capacity forMultidisciplinary Translational <strong>Research</strong> within theCardiovascular <strong>Research</strong> Group.”Bridge Funding: $50,000.00.Dr. Michael Dunbar, “Multivariate Modelingof Functional Outcomes of Severe OsteoarthritisClinical Management.”


16 | Department of <strong>Surgery</strong><strong>Research</strong> Productivity –Report from the Dal <strong>Surgery</strong> <strong>Research</strong> OfficeDal <strong>Surgery</strong> is charged with a series of formidable challenges. Not only must we deliver thehighest-quality clinical care, we must play a leadership role in defining what this means. Thistask demands constant questioning, discovery, innovation, and testing to determine what trulymakes the most effective evidence-based care. And, to ensure that evidence continues to guide andrefine clinical practice in the future, we must foster the next generation of researchers.In addition to our dedication to research, we must devote ourselves to our stewardship of the nextgeneration of physicians and surgeons. We feel a deep sense of responsibility and commitment totransferring our knowledge of skills, and clinical wisdom gained through experience, to our surgicalresidents and undergraduate medical students.By tracking our accomplishments in the areas of research productivity and teaching activities, wehave established a concrete record of our performance in these vital domains.RESEARCH DELIVERABLESPeer-reviewed manuscripts: Our peer-reviewedtrack record establishes us as investigators, research teamsand as an academic department of surgery. In 2011, wepublished 170 peer-reviewed manuscripts. Dal <strong>Surgery</strong>’snumber of peer-reviewed publications has steadilyincreased, as support for research within the department’sbudget allows for investigator-driven research.5 Year Publicaon Record159172 170128 1222007 2008 2009 2010 2011Abstracts and presentations: Abstracts are tied to presentations at national and internationalmeetings. They remain the key to translating the latest discoveries or findings to new observers andother investigators. In 2011 our abstracts/presentations numbered 335.International 138National 110Local 87Participation in peer-review work: Taking part in peer-review work provides essentialsupport to the wider academic enterprise, while raising the stature of the researchers involved.Our investigators give freely of their time to review research grant applications and manuscriptssubmitted for publication. Dal <strong>Surgery</strong> faculty members act as peer reviewers or editors of morethan 45 high-quality journals.


<strong>Dalhousie</strong> <strong>University</strong> | 17Grant capture: In 2011, faculty in Dal<strong>Surgery</strong> were awarded 32 new grants,totalling $9,880,595. This influx of newgrants brought the total number of grants—held by faculty as primary investigators, coapplicantsor members of multi-institutionalstudies or teams—up to 72. The totalvalue of these grants is approximately$61,894176.<strong>Research</strong> grants fuel the engines of researchhere in Dal <strong>Surgery</strong>. They also stimulatethe local economy by funding good-qualityjobs. Dal <strong>Surgery</strong> research-driven programsemploy more than 134 Nova Scotians, insuch roles as research technician, analyst,research nurse, research coordinator,graduate student and administrative support.Clinical trials: Dal <strong>Surgery</strong> investigators and research support staff are currently engaged in more than65 clinical trials. These rigourously designed and conducted studies often involve multiple centresacross Canada or around the world.Clinician Investigator Program: Supporting surgery residents’ research studies sets them on thepath to becoming clinician scientists in their future careers. Such investigators are poised to ask themost clinically relevant questions and pursue research that makes significant impacts on patient careand outcomes. Dal <strong>Surgery</strong> embraces the multi-faceted role of the clinician scientist, both by recruitingthese in-demand professionals, and by training the next generation of clinician scientists. Seven surgeryresidents were enrolled in our Clinician Investigator Program in 2011:Dr. Christine Herman Dr. Phillipe Magown Dr. Jon BaileyDr. Phil DavisDr. Richard Liu


18 | Department of <strong>Surgery</strong>AppendixPublications 2011Rampersaud YR, Wai EK, Fisher CG, Yee AJ, Dvorak MF, Finkelstein JA,Gandhi R, Abraham EP, Lewis SJ, Alexander DI, Oxner WM, DaveyJR, Mahomed N. Postoperative improvement in health-related quality oflife: a national comparison of surgical treatment for focal (one- to twolevel)lumbar spinal stenosis compared with total joint arthroplasty forosteoarthritis. Spine Journal. 2011. Nov. 11(11):1033-41.Deroose JP, Kazemier G, Zondervan P, Ijzermans JN, Metselaar HJ, AlwaynIP. Hepatic steatosis is not always a contraindication for cadaveric livertransplantation. HPB (Oxford). 2011. Jun:13(6):417-25.Kiberd B, Skedgel C, Alwayn IP, Peltekian K. Simultaneous liver kidneytransplantation: a medical decision analysis. Transplantation. 2011.Jan:15:91(1):121-7.Makki FM, Amoodi HA, van Wijhe RG, Bance M. Anatomic analysis ofthe mastoid tegmen: slopes and tegmen shape variances. OtolaryngologyNeurotology. 2011. Jun:32(4):581-8.Amoodi HA, Makki FM, McNeil M, Bance M. Transmastoid resurfacingof superior semicircular canal dehiscence. Laryngoscope. 2011.May:121(5):1117-23.Hagr A, Bance M. Otalgia pain syndrome, the anterero-lateral tip ofmastoid syndrome (atoms): Diagnosis and response to treatment. Journal ofOtolaryngology. 2011. 40:359-366.Pennings RJ, Morris DP, Clarke L., Allen S, Walling S, Bance ML. Naturalhistory of hearing deterioration in intracanalicular vestibular schwannoma.Neurosurgery. 2011. Jan:68(1):68-77.McNeil ML, Gulliver M, Morris DP, Bance M. Quality of life improvementfor BAHA users and their partners. Journal of Laryngology Otology. 2011.Mar:29:1-7.Amoodi HA, Makki FM, McNeil M, Bance M. Transmastoid resurfacingof superior semicircular canal dehiscence. Laryngoscope. 2011.May;121(5):1117-23.Kalvrouziotis D, Buth K, Cox J, Baskett R. Should all patients be treatedwith an angiotensin-converting enzyme inhibitor after coronary artery bypassgraft surgery? The impact of angiotensin-converting enzyme inhibitors, statinsand B-blockers after coronary artery bypass graft surgery. American Heart.2011. Nov. 162.Komatsu T, Bethune D. Platypnea orthodeoxia syndrome andbronchopleural fistula following right pneumonectomy: the first case ofdouble misfortune following pneumonectomy. International Journal ofSurgical Case Rep. 2011. 2(4):47-8.Stuart DG, Clarac F, Barbara JG, Brownstone RM, Duchateau J, EnokamRM. Paths of discovery in motoneuron neurobiology. Brain <strong>Research</strong>. 2011.Aug 29;1409:1-2.Stuart DG, Brownstone RM. The beginning of intracellular recording inspinal neurons: Facts, reflections, and speculations. Brain <strong>Research</strong>. 2011.Aug 29;1409:62-92.Bretzner F, Gilbert F, Baylis F, Brownstone RM. Target populations for firstin-humanembryonic stem cell research in spinal cord injury. Stem Cell Stem.2011. May 6;8(5):468-73.Brownstone RM, Krawitz S, Jordan LM. Reversal of the late phase of spikefrequency adaptation in cat spinal motoneurons during fictive locomotion.Journal of Neurophysioly. 2011 March;105(3):1045-50.Christie S. Thibault-Halman G, Casha S. Acute pharmacological DVTprophylaxis after spinal cord injury. Journal of Neurotrauma. 2011. 28(8):1509-14.Nickerson PEB, Myers T, Clarke DB, Chow RL. Changes in Musashi-1subcellular localization correlate with cell cycle exit during postnatal retinaldevelopment. Experimental Eye <strong>Research</strong>. 2011. 92:344-352.Nickerson PEB, McLeod MC, Myers T, Clarke DB. The effects of epidermalgrowth factor and erythropoitin on muller glial activation and phenotypicplasticity in the adult mammalian retina. Journal of Neuroscience <strong>Research</strong>.2011. 89:1018-1030.Agu R, MacDonald C, Cowley E, Shao D, Renton K, Clarke DB. Differentialexpression of organic cation transporters in normal and polyps human nasalepithelium: Implications for in vitro drug delivery studies. InternationalJournal of Pharmaceutics. 2011. 406:49-54.Arnason T, Clarke DB, Imran SI. Hyperthyroidism caused by a pituitaryadenoma. Canadian <strong>Medical</strong> Association Journal. 2011. 183(11):E757.Imran SA, Pelkey M, Clarke DB, Clayton D, Trainer P. Spuriously elevatedserum IGF-1 in individuals with delayed puberty-a diagnostic pitfall. Epilepsia.2011. 52 Suppl. 4:4:43-6.McGrath B, Maloney W, Wolfsberger S, Hill R, Massoud E, Imran S, ClarkeDB. Carotid artery visualization during anterior skull base surgery: A novelprotocol for neuronavigation. Pituitary. 2011. 3(3):215-22, Sep 2011Cole C. (P.R.A.I.S.E Investigators). The prevalence of intimate partnerviolence across orthopaedic fracture clinics in Ontario. Journal of Bone Joint<strong>Surgery</strong> Am. 2011. Jan 19: 93(2): 132-141.Cole C. (TRUST Investigators). The impact of clinical data on the evaluationof tibial fracture healing. Trials. 2011. Nov 3: 12: 237.Cole C. FOCUS Investigators. Liberal or restrictive transfusion in high-riskpatients after hip surgery. New England Journal of Medicine. 2011. Dec 29:365(26): 2453-62.Cole C. FLOW Investigators. Fluid Lavage of Open Wounds (FLOW): Amulticenter, blinded, factorial pilot trial comparing alternative irrigatingsolutions and pressures in patients with open fractures. Journal of Trauma.2011. Sep 71(3): 596-606.Corsten g. Canadian Paediatric Surgical Wait Times Study Group. Waitingfor children’s surgery in Canada: The Canadian Pediatric Surgical Wait TimesProject. 2011. Canadian <strong>Medical</strong> Association Journal. June 14: 183-9.Dunbar MJ, Richardson G, Robertson O. Rethinking patellar replacement:Is it really necessary? 2011. Seminars in Arthroplasty. 22:173-175.Wilson DJ, Corkum JP, Teeter MG, Holdsworth DW, Dunbar MJ. Earlyfailure of a plyethylene acetabular liner cemented into a metal cup: A casereport. Journal Arthoplasty. Oct 2011.Conner-Spady B, Marshall D, Bohm E, Dunbar MJ, Frank C, Hawker G andNoseworthy T. Eliciting patient views on choosing the next available surgeonto reduce waiting times for joint replacement surgery: On the need toconsider individual patient preferences and information needs. InternationalJournal of Person-Centered Medicine. 2011. Volume 1 Issue 2 pp 1-8.Astephen Wilson JL, Deluzio KJ, Dunbar MJ, Caldwell GE, Hubley-KozeyCL. The association between knee joint biomechanics and neuromuscularcontrol and moderate knee osteoarthritis radiographic and pain severity.Osteoarthritis and Cartilage. 2011. 19(2):186-93.


<strong>Dalhousie</strong> <strong>University</strong> | 19Hatfield G, Hubley-Kozey CL, Dunbar MJ, Astephen Wilson JL. The effectof total knee arthroplasty on knee joint kinematics and kinetics during gait.Journal of Arthoplasty. 2011. 26(2):309-18.Dunbar MJ, Richardson G. Minimizing infection risk: fortune favors theprepared mind. Orthopedics. 2011. Sep 9;34(9):e467-9.Kim PR, Beaulé PE, Dunbar MJ, Lee JK, Birkett N, Turner MC, YenugadhatiN, Armstrong V, Krewski D. Cobalt and chromium levels in blood and urinefollowing hip resurfacing arthroplasty with the conserve plus implant. Journalof Bone Joint <strong>Surgery</strong> Am. 2011. May;93 Suppl 2:107-17.Rutherford DJ, Hubley-Kozey CL, Stanish WD, Dunbar MJ.Neuromuscular alterations exist with knee osteoarthritis presence andseverity despite walking velocity similarities. Clinical Biomechanics (Bristol,Avon). 2011 May;26(4):377-83. Epub 2010 Dec 24.MacNeil JA, Francis A, El-Hawary R. A systematic review of rigid, locked,intramedullary nail insertion sites and avascular necrosis of the femoralhead in the skeletally immature. Journal of Pediatric Orthopedics. 2011.Jun:31(4):377-80.Camus T, MacLellan B, Cook PC, Leahey JL, Hyndman JC, El-Hawary R.Extension type II pediatric supracondylar humerus fractures: a radiographicoutcomes study of closed reduction and cast immobilization. Journal ofPediatric Orthopedics. 2011. Jun;31(4):366-71.Michael J, MacNeil A, El-Hawary R. A systematic review of rigid, locked,intramedullary nail insertion sites and avascular necrosis of the femoral headin the skeletally immature. Journal of Paediatric Orthopaedics. 2011. Jun;31(4):377-80.Gould J, Ellsmere J, Fanelli R, Hutter M, Jones S, Pratt J, Schauer P, SchirmerB, Schwaitzberg S, Jones D. Panel report: best practices for the surgicaltreatment of obesity. Surgical Endoscopy. 2011. Jun: 25(6): 1730-1740.Madureira PA, Hill R, Miller VA, Giacomantonio C, Lee PW, WaismanDM. Annexin A2 is a novel cellular redox regulatory protein involved intumorigenesis. Oncotarget. 2011. Dec. 2(12):1075-93.Marcato P, Dean CA, Giacomantonio C, Lee PW. Aldehyde dehydrogenase:its role as a cancer stem marker comes down to the specific isoform. CellCycle. 2011. May 1:10(9):1378-84.Fong J, Vekjkovic A, Dunbar MJ, Wilson D, Hennigar A, Glazebrook M.Validation and precision of model-based radiostereometric analysis (MBRSA)for total ankle arthroplasty. Foot & Ankle International. 2011. Vol 32: 12.Devitt JJ, King CL, Lee TD, Hancock Friesen CL. Early innate immuneevents induced by prolonged cold ischemia exacerbate allograft vasculopathy.Journal of Cardiothoracic <strong>Surgery</strong>. 2011. Jan 6:6:2.Robertson M, Liu D, Burton H, Fleming K, Jackson S, Warren A, HancockFriesen C. Follow up of tetralogy of fallot patients: Tertiary center vs.satellite clinic. Cardiology in the Young. 2011. 21:444-453.Spencer R, Bower J, Hoyt J, Miller J, Yates G, Kirk S, Hancock Friesen C.Scaling up a school-based pilot: H2K – The Heart Healthy Kids Program.CIHR Institute of Population and Public Health Initiative-Population HealthIntervention <strong>Research</strong> Casebook. 2011. 31-35.Macdonald KI, Taylor MS, Trites JR, Fung EW, Barnsley PG, Dunbar MJ,Leahey L, Hart RD. Effect of fibula free flap harvest on the gait of head andneck cancer patients: preliminary results. Journal of Otolaryngology- Headand Neck <strong>Surgery</strong>. 2011. Feb;40 Suppl 1:S34-40.Lee DH, Williams B, Taylor SM, Bullock M, Trites JR, Hart RD. Low-grademyofibroblastic sarcomas of the soft palate and oral tongue. Journal ofOtlaryngology- Head and Neck <strong>Surgery</strong>. 2011. Aug;40(4):E31-4.Williams B, Gilani M, Trites J, Taylor SM, Bullock M, Hart RD.Intraoperative predictors of morbidity and mortality in the free flapreconstruction for head and neck cancers. Journal of Otolarynoglogy – Headand Neck <strong>Surgery</strong>. 2011. Oct: 40(5): 396-400.Jaggi R, Taylor SM, Trites J, Anderson D, MacDougall P, Hart RD. Reviewof thrombophrophylaxis in otolarnyngology-head and neck surgery. Journalof Otolaryngology- Head and Neck <strong>Surgery</strong>. 2011. June 1;40(3):261-5.Atzema C, Austin P, Huynh T, Hassan A, Chiu M, Want J, Tu J. Effectof marriage on duration of chest pain associated with acute myocardialinfarction before seeking care. Canadian <strong>Medical</strong> Association Journal. 2011.Sept 20: 183(13): 1482-91.Hassan A: Canadian Cardiovascular Outcomes <strong>Research</strong> Team. Thepotential economic impact of restricted access to angiotensin-receptorblockers. Canadian <strong>Medical</strong> Association Journal. 2011. Feb 22: 183 (3):E180-6.Mahar A, Brar SS, Coburn N, Law C, Helyer L. Surgical management ofgastric perforation in the setting of gastric cancer. Gastric Cancer. 2011. Oct8.Mahar A, Brar S, Coburn N, Law C, Helyer L. A systematic review ofsurgery for non-curative gastric cancer. Gastric Cancer. 2011. Oct. 28.Brar S, Seevaratnam R, Cardoso R, Law C, Helyer L, Coburn N. Asystematic review of spleen and pancreas preservation in extendedlymphadenectomy for gastric cancer. Gastric Cancer. 201. Sep 14.Roberts P, Seevaratnam R, Cardoso R, Law C, Helyer L, Coburn N.Systematic review of pancreaticoduodenectomy for locally advanced gastriccancer. Gastric Cancer. 2011. Aug 26.Leake P, Cardoso R, Seevaratnam R, Lourenco L, Helyer L, Mahar A,Rowsell C, Coburn NG. A systematic review of the accuracy and utility ofperitoneal cytology in patients with gastric cancer. Gastric Cancer. 2011. Aug2.Brar SS, Seevaratnam R, Cardoso R, Yohanathan L, Law C, Helyer L, CoburnNG. Multivisceral resection for gastric cancer: a systematic review. GastricCancer. 2011. Jul 23.Mahar A, Coburn N, Karanicolas P, Viola R, Helyer L. Effective palliationand quality of life outcomes in studies of surgery for advanced, non-curativegastric cancer: a systematic review. Gastric Cancer. 2011. Jul 5.Leake P, Cardoso R, Seevaratnam R, Lourenco L, Helyer L, Mahar A, LawC, Coburn NG. A systematic review of the accuracy and indications fordiagnostic laparoscopy prior to curative-intent resection of gastric cancer.Gastric Cancer. 2011. Jun 11.Marcato P, Dean CA, Pan D, Araslanova R, Gillis M, Joshi M, Helyer L, Pan L,Leidal A, Gujar S, Giacomantonio CA, Lee PW. Aldehyde dehydrogenaseactivity of breast cancer stem cells is primarily due to isoform ALDH1A3 andits expression is predictive of metastasis. Stem Cells. 2011. Jan;29(1):32-45.McQuarie E, Helyer L, Merriman J. Pseudoglandular pattern in a myxoidadrenocortical adenoma. Canadian Journal of Pathology. 2011. Fall.Raziee H, Cardoso R, Seevaratnam R, Mahar A, Helyer L, Law C, CoburnN. Systematic review of the predictors of positive margins in gastric cancersurgery and the effect on survival. Gastric Cancer. 2011. Dec. 3.Seevartnam R, Bocicariu A, Cardoso R, Mahar A, Kiss A, Helyer L, Law C,Cobrun N. A meta-analysis of D1 vs. D2 lymph node dissection. GastricCancer. 2011. Dec. 3.


20 | Department of <strong>Surgery</strong>Henteleff H, Ellsmere J, Rizk N. CAGS and ACS evidence based reviewsin surgery. Guidelines for the management of Barrett esophagus with highgradedysplasia. Canadian Journal of <strong>Surgery</strong>. 2011. Oct:54(5): 352-354.Maitland A, Hirsch GM, Pascoe EA. Emodynamic performance of theSt. Jude <strong>Medical</strong> Epic Supra aortic stented valve. Journal of Heart ValveDisease. 2011. May;20(3):327-31.Wunderink RG, et al. (Hirsch G), CAPTIVATE Trial Group. Recombinanttissue factor pathway inhibitor in severe community-acquired pneumonia: arandomized trial. American Journal of Respiratory Critical Care Medicine.2011. Jun 1;183(11):1561-8.Guertin JR et al. (Hirsch G), Canadian Cardiovascular Outcomes <strong>Research</strong>Team. The potential economic impact of restricted access to angiotensinreceptorblockers. Canadian <strong>Medical</strong> Association Journal. 2011 Feb22;183(3):E180-6.Hong P, Johnson LB, Smith N, Corsten g. A randomized double-blindcontrolled trial of phosphorylcholine-coated tympanostomy tube versusstandard tympanostomy tube in children with recurrent acute and chronicotitis media. Laryngoscope. 2011. 121: 214-9.Brake M, Jewer K, Flowerdew G, Cavanagh J, Cron C, Hong P. Thetympanocentesis results of a Canadian pediatric myringotomy population:2008-2010. Journal of Otolaryngology – Head and Neck <strong>Surgery</strong>. In Press.MacDonald K, Magit AE, Gipsman A, Massoud E, Witterick I, Hong P.Endoscopic sinus surgery in patients with cystic fibrosis: A systematic review.Rhinology.Cavanagh J, Brake M, Kearns D, Hong P. Work environment discomfortand injury: An ergonomic survey study of the American Society of PediatricOtolaryngology members. American Journal of Otolaryngology. Epub aheadof print.Hong P. A clinical narrative review of mandibular distraction osteogenesisin neonates with Pierre Robin sequence. International Journal of PediatricOtorhinolaryngology. 2011. 75: 985-91.Forward N, Conrad M, Power Coombs M, Doucette C, Furlong S, Lin T,Hoskin D. Curcumin blocks interleukin (IL)-2 signaling in T-lymphocytesby inhibiting IL-2 synthesis, CD25 expression, and IL-2 receptor signaling.Biochemistry Biophysics. 2011. Res. Commun. 407: 801-806.Hilchie A, Doucette C, Pinto D, Patrzykat A, Douglas S, Hoskin D.Pleurocidin-family cationic antimicrobial peptides are cytolytic for breastcarcinoma cells and prevent growth of tumor xenografts. Breast Cancer<strong>Research</strong>. 2011. 13: R102 (Editor’s Pick).Yang Y, Junkins R, Carrigan S, Tang J, Forward N, Hoskin D, Berman D,Lin T. Regulator of calcineurin 1 (Rcan1) is required for the development ofpulmonary eosinophilia in allergic inflammation in mice. American Journal ofPathology. 2011. 179: 1199-1210.Aleissa S, Parsons D, Grant J, Harder J, Howard J. Deep wound infectionfollowing pediatric scoliosis surgery: incidence and analysis of risk factors.Canadian Journal of <strong>Surgery</strong>. 2011. Aug;54(4):263-9.Comstock SA, Cook PC, Leahey JL, El-Hawary R, Hyndman JC.Posterior kyphectomy for myelomeningocele with anterior placement offixation: a retrospective review. Clinical Orthopedic Related <strong>Research</strong>. 2011.May;469(5):1265-71.Issekutz A, Quinn P, Lang B, Ramsey S, Huber A, Rowter D, Karkada M,Issekutz T. Coexpresssion of chemokine receptors CR5, CXCR3, and CCR4and ligands for P- and E-selectin on T lymphocytes of patients with juvenileidiopathic arthritis. Arthritis Rheumatology. 2011. Nov.: 63(11): 3467-76.Richardson DP, deMontbrun S, Johnson PM. Surgical management ofulcerative colitis: a comparison of Canadian and American colorectalsurgeons. Canadian Journal of <strong>Surgery</strong>. 2011. 54:257-262.van den Heuvel B, Dwars BJ, Klassen DR, Bonjer HJ. Is surgical repair of anasymptomatic groin hernia appropriate? Hernia. 2011. Jun;15(3):251-9Lalonde DH. An evidence-based approach to flexor tendon lacerationrepair. Plastic Reconstructive <strong>Surgery</strong>. 2011. 127(2):885.Lalonde DH, Book Review, Hand and Upper Extremity. Aesthetic Plastic<strong>Surgery</strong>. 2011. 31(2):261.Lalonde DH, Kozin S. Tendon disorders of the hand. Plastic Reconstructive<strong>Surgery</strong>. 2011. 128(1):1e-14e.Lalonde DH. A systematic review of the outcomes of replantation of distaldigital amputation. Plastic Reconstrive <strong>Surgery</strong> Video Discussion. 2011.128(9).Lalonde DH. Reconstruction of the hand with wide awake surgery. ClinicalPlastic <strong>Surgery</strong>. 2011. 38(4):761-9.Lalonde DH. How the evidence has changed my practice. PlasticReconstrive <strong>Surgery</strong>. 2011. 128(6):1312.Farhang-khoee H, Lalonde J, Lalonde DH. Wide-awake trapeziectomy:video detailing local anesthetic injection and surgery. HAND. 2011. 6(4);466.Chung KC, Clapham PJ, Lalonde DH. Maintenance of certification,maintenance of public trust. Plastic Reconstructive <strong>Surgery</strong>. 2011.127(2):967.Tahiri Y, Tran DQH, Bouteaud J, Xu L, Lalonde D, Luc M, Nikolis A. Generalanaesthesia versus thoracic paravertebral block for breast surgery: A metaanalysis.JPRAS. 2011. 64(10):1261.Leblanc MR, Lalonde DH, Thomas A, Bell M, Wells N, Allen M, Chang P,Mckee D, Lalonde J. Is main operating room sterility really necessary in carpaltunnel surgery? A multicenter prospective study of minor procedure roomfield sterility surgery. HAND. 2011. 6(1);60-63.Leontyev S, Borger MA, Battellini R, Seeburger J, Lehmann S, Légaré JF,Mohr FW. Embolic occlusion of the left main coronary artery followingan isolated aortic valve replacement. Journal of Cardiac <strong>Surgery</strong>. 2011.Mar;26(2):168-70Gelinas L, Falkenham A, Oxner A, Sopel M, Lee TDG, Légaré JF. Humanperipheral blood monocytes produce IL-6 in response to AngII. Journal ofRenin Angiotensin Aldosterone Syst. 2011. Sep;12(3):295-303. Epub 2011Mar 10.Sopel M, Rosin NL, Lee TDG, Légaré JF. Myocardial Fibrosis in Responseto Angiotensin II is Preceded by the Recruitment of Mesenchymal ProgenitorCells. Lab Invest. 2011. Apr;91(4):565-78.FOCUS Investigators: Leighton R. Liberal or restrictive transfusion in highriskpatients after hip surgery. New England Journal of Medicine. 2011.29:365 (26): 2453-62.FLOW Investigators: Leighton R. Fluid lavage of open wounds: Amulticenter, blinded, factorial pilot trial comparing alternative irrigatingsolutions and pressures in patients with open fractures. Journal of Trauma.2011. 71(3): 596-606.Leighton R. The impact of clinical data on the evaluation of tibial fracturehealing. Trials. 2011. Nov 3;12:237.


<strong>Dalhousie</strong> <strong>University</strong> | 21Conlin AE, Massoud E, Versnick E. Tinnitus: identifying the ominous causes.Canadian <strong>Medical</strong> Association Journal. 2011. Dec 13; 183 (18):2125-8.Agu R, Cowley E, Shao D, Macdonald C, Kirkpatrick D, Renton K,Massoud E. Proton-coupled oligopeptide transporter (POT) familyexpression in human nasal epithelium and their drug transport potential.Molecular Pharmacology. 2011. Jun 6; 8 (3):664-72.Agu R, MacDonald C, Cowley E, Shao D, Renton K, Clarke DB, MassoudE. Differential expression of organic cation transporters in normal andpolyps human nasal epithelium: implications for in vitro drug delivery studies.International Journal of Pharmacology. 2011. Mar 15; 406 (1-2):49-54.Cox A, Breau L, Connor L, McNeely PD, Anderson PA. Transition of careto an adult spina bifida clinic: patient perspectives and medical outcomes.Journal of Urology. 2011. 185(4 Suppl): 1590-1594.Baghbaderani BA, Mukhida K, Hong M, Mendez I, Behie LA. A reviewof bioreactor protocols for human neural precursor cell expansion inpreparation for clinical trials. Current Stem Cell <strong>Research</strong> & Therapy. 2011.6(3):229-54.Baghbaderani BA, Mukhida K, Hong M, Mendez I, Behie LA. Newbioengineering insights into human neural precursor cell expansion in culture.Biotechnology Progress. 2011. 27(3):776-87Renfrew PD, Quan H, Doig CJ, Dixon E, Molinari M. The model forend-stage liver disease accurately predicts 90-day liver transplant wait-listmortality in Atlantic Canada. Canadian Journal of Gastroenterology. 2011.Jul;25(7):359-64.Renfrew PD, Molinari M. Rural residency and the risk of mortality whilewaiting for liver transplantation. Clinical Transplantation. 2011. 28 Dec:DOI. 10.1111/j.1399-0012.2011.01576.Molinari M, Renfrew P, Petri N, Walsh M, Peltekian K, Alwayn I. Clinicalepidemiological analysis of the mortality rate of liver transplant candidatesliving in rural areas. Transplant International. 2011.(24): 292-299.Sharma C, Eltawil KM, Renfrew PD, Walsh MJ, Molinari M. Advances indiagnosis, treatment and palliation of pancreatic carcinoma: 1990-2010.World Journal of Gastroenterology. 2011. Feb 21;17(7): 867-97.Aljiffry M, Renfrew PD, Walsh MJ, Laryea M, Molinari M. Analytical reviewof diagnosis and treatment strategies for dominant bile duct strictures inpatients with primary sclerosing cholangitis. HPB (Oxford). 2011. Feb;13(2):79-90.Molinari M, Renfrew PD, Petrie NM, De Coutere S, Abdolell M. Clinicalepidemiological analysis of the mortality rate of liver transplant candidatesliving in rural areas. Transplant International. 2011. Mar:24(3):292-9.Pennings RJ, Gulliver M, Morris DP. The importance of an extendedpreoperative trial of BAHA in unilateral sensorineural hearing loss: aprospective cohort study. Clinical Otolaryngology. 2011. Oct:36(5):442-9.Appleton, SE, Kent, B., Morris, SF. Risk factors influencing transfusion ratesin DIEP flap breast reconstruction. Plastic and Reconstructive <strong>Surgery</strong>. 2011.127: 1773-1782.Hallock GG, Morris, SF. Skin grafts and local flaps. Plastic andReconstructive <strong>Surgery</strong>. 2011. 127: 5e-22e.Tang, M., Almutairi, K., Morris, SF. Three-dimensional angiography ofthe submental artery perforator flap. Journal of Plastic Reconstructive andAesthetic <strong>Surgery</strong>. 2011. 64: 608-613.Yang, D., Yang, J, Morris, SF. The radial artery pedicle perforator flap:Vascular analysis and clinical implications. Plastic and Reconstructive <strong>Surgery</strong>.2011.127: 1392-1393.Yang, D., Morris, SF., Tang, M., Nie, C. Medial plantar artery perforator flapfor soft-tissue reconstruction of the heel. Annals of Plastic <strong>Surgery</strong>. 2011. 20: 3-5.Yang, D., Morris, SF. The fascial planes of the temporal region related to thefrontal branch of the facial nerve. Plastic and Reconstructive <strong>Surgery</strong>. 2011.127: 991-992.O’Blenes SB, Hancock Friesen C, Ali A, Howlett S. Protecting the agedheart during cardiac surgery: the potential benefits of del Nido cardioplegia.Journal of Thoracic Cardiovascular <strong>Surgery</strong>. 2011. Mar;141(3):762-70.Porter G, Urquhart R, Bu J, Johnson P, Grunfeld E. The impact of auditand feedback on nodal harvest in colorectal cancer. BMC Cancer. 2011. 11:2Porter GA, Urquhart R, Bu J, Johnson P, Grunfeld E. Improving NodalHarvest in Colorectal Cancer: So What? Annals of Surgical Oncology. 2011.Oct 4.Urquhart R, Porter GA, Grunfeld E. Reflections on knowledge brokeringwithin a multidisciplinary research team. Journal of Continuing EducationalHealth Professional. 2011. 31(4):283-90.Urquhart R, Sargeant J, Porter GA. Factors related to the implementationand use of an innovation in cancer surgery. Current Oncology. 2011.18(6):271-9.Sullivan M, Tanzer M, Reardon G, Amirault D, Dunbar M, Stanish W.The role of presurgical expectancies in predicting pain and function one yearfollowing total knee arthroplasty. Pain. 2011 Oct;152(10):2287-93. Epub2011 Jul 18.Rutherford D, Hubley-Kozey C, Stanish W. Maximal voluntary contractionexercises: a methodological investigation in knee osteoarthritis. Journal ofElectromyography and Kinesiology. 2011. 21(1): 154-160.Belyea J, Rigby M, Jagg R, Hart RD, Trites J, Taylor MS. Wait timesfor head and neck cancer patients in the Maritime provinces. Journal ofOtolaryngology- Head and Neck <strong>Surgery</strong>. 2011. Aug:40(4):318-322.Brake MK, Bartlett C, Hart RD, Trites J, Taylor SM. Complementary andalternative medicine use in the thyroid patients of a head and neck practice.Journal of Otolaryngology- Head and Neck <strong>Surgery</strong>. 2011. Aug:145(2):208-12.Makki FM, Williams B, Rajaraman M, Hart RD, Trites J, Brown T, TaylorSM. Current practice patterns in the management of glottis cancer inCanada: results of a national survey. Journal of Otolaryngology- Head andNeck <strong>Surgery</strong>. 2011. Jun:1;40(3):205-210.Cavanagh JP, Bullock M, Hart RD, Trites JR, MacDonald K, Taylor SM.Incidence of parathyroid tissue in level VI neck dissection. Journal ofOtolaryngology- Head and Neck <strong>Surgery</strong>. 2011. Feb;40(1):27-33.Rigby MH, Taylor SM. Review of transoral laser microsurgery for cancer ofthe upper aerodigestive tract. Journal of Otolaryngology- Head and Neck<strong>Surgery</strong>. 2011. Apr;40(2):113-121.Lester SE, Rigby MH, Taylor SM. Transoral laser microsurgery outcomeswith early glottis cancer; the <strong>Dalhousie</strong> <strong>University</strong> experience. Journal ofLaryngology Otolaryngology. 2011. May;125(5):509-12.Lester SE, Rigby MH, Maclean M, Taylor SM. How does that sound?Objective and subjective voice outcomes following CO2 laser resectionof early glottis cancer. Journal of Laryngology Otolaryngology. 2011.Dec;125(12): 1251-5.Wheelock ME, Leblanc M, Chung B, Williams J, Lalonde DH. Is it truethat injecting palmar finger skin hurts more than dorsal skin? New level Ievidence. HAND. 2011. 6:47-49.


22 | Department of <strong>Surgery</strong>Simpson A, Graham M, Williams J. Chronic plantar ulcer secondary tocongenital indifference to pain. Journal of Wound Care. 2011. 20(11):540-542.Gillis J, Calder K, Williams J. Review of thumb carpometacarpal arthritis:classification, treatment and outcomes. Canadian Journal of Plastic <strong>Surgery</strong>.2011, Volume 19 Issue 4: 134-138.Phillips T, Williams J. A brief history of breast reconstruction and adiscussion of two common autologous breast reconstruction surgeries: Thefree deep inferior epigastric perforator flap and the free transverse rectusabdominis musculocutaneous flap. <strong>Dalhousie</strong> <strong>Medical</strong> Journal. 2011. Vol38(1): 21-26.Burns E, Yanchar N. Using c-spine clearance guidelines in a pediatricpopulation: A survey of physician practices and opinions. Canadian Journalof Emergency Medicine. 2011. 13(1): 1-6.Chung S, Mikrogianakis A, Wales PW Yanchar N et al. Trauma Associationof Canada Pediatric Subcommittee National Pediatric Cervical spineevaluation pathway: Consensus guidelines. Journal of Trauma. 2011. 70(4):873-884.Oliveira C, Himidan S, Pastor A, Nasr A, Manson D, Taylor G, YancharN, Brisseau G, Kim PCC. Discriminating preoperative features ofpleuropulmonary blastomas (PPB) from congenital cystic adenomatoidmalformations. European Journal of Pediatric <strong>Surgery</strong>. 2011. 21(1): 2-7.Durham DR, Gardner HG, Yanchar N, et al. Child passenger safetycommittee of injury, violence and poison prevention. Pediatrics. 2011. Apr:127(4): e1050-66.AppendixGrants Currently Held2011* Grants awarded in 2011* Grants awarded in 2011 over $1MAlwayn, I. Faculty of Medicine Clinical Scholar Award. $400,000.00. 2008-2013.Alwayn, I. Optimizing Steatotic Livers for Transplantation using a NovelGene Therapeutic Approach. Canadian Innovation Fund. $277,000.00.2010-2011.Alwayn, I. Optimizing Steototic Livers for Transplantion using CellPenetrating Peptide Delivered Therapy. CDHA. $15,000.00. 2010-2011.Bance M. An Implantable, Subcutaneous, Piezoelectric Hearing Aid. NSHRF.$150,000.00. 2010-2013.Bance M. A High Resolution Endoscopic Ultrasound for the Ear. CIHRPOP1. $118,600.00 2010-2011.Bance M, Morris DP. New Bone Conduction Technologies. AtlanticInnovation Fund. $3.1 Million. 2006-2011.Bance M. XIAP Transfection Protection against Age Related Hearing Loss.CIHR. $ 587,000.00. 2008-2013.Bance M. Dunbar M, Kozey C, Ellsmere J. Biomedical Devices InnovationCREATE NSERC application. NSCERC. $2.1 million. 2009-2014.*Bance M. High Resolution Imaging of the Ear, New Clinical Tools UsingHigh Frequency Ultrasound and Optical Coherence Tomography. AtlanticInnovation Fund. $3.8 Million. 2011-2016.*Bance M. Rehabilitation and Diagnostic Innovation in AdvancedNeurotechnologies (RADIANT). $1.65 Million. NSERC CREATE Program.2011-2016.Bance M. Program Support Competition: Otology <strong>Research</strong> Program. Dal<strong>Surgery</strong> <strong>Research</strong> Fund, <strong>Dalhousie</strong> <strong>University</strong>. $150,000.00. 2009-2012.Bance M. Predicting Cochlear Implant Outcomes. MEDEL <strong>Research</strong>Grants in the Basic Sciences. $135,000.00. 2012-2014.Bance M. A High-Efficiency Ultrasonic Power Link for Implantable <strong>Medical</strong>Devices. CHRP (Collaborative Health <strong>Research</strong> Projects) NSERC/CIHR.$434,000.00. 2012-2015.Brownstone R. Control of Movement: Regulation of Spinal Circuits. CIHR.$833,775.00. 2010-2015.Brownstone R. Control of Movement: Regulation of the Pattern ofLocomotion. CIHR. $773,392.00. 2009-2014.Brownstone R. Control of Movement: Brain Stem Control of Locomotion.CIHR. $643,654.00. 2008-2013.*Buduhan G, Bethune D, Henteleff H, Johnston M. NeoadjuvantChemotherapy vs Neoadjuvant Chemoradiation in Patients with SurgicallyResectable Esophageal Carcinoma – A Pilot Randomized Study. CDHA.$15,000.00. 2011.Casha S. A Translational Approach to Neuro-inflammation and FunctionalOutcomes after Human Spinal Cord Injury. CIHR. $351,444.00. 2009-2012.Casha S. Minocycline in Acute Spinal Cord Injury – A Canadian MulticentreStudy (MASC). The Spinal Cord Injury Solutions Network Translational<strong>Research</strong> Program. $140,000.00. 2010-2012.Casha S. Cerebrospinal Fluid and MRI Determinants of Recovery fromAcute Spinal Cord Injury in Humans. Alberta Paraplegic Foundation.$200,000.00. 2010-2012.*Christie S. Spinal Cord Injury and Rehabilitation Information Management.Rick Hansen Foundation. $5,600.00. 2011.*Christie S. Utility of Synoptic Reporting to Improve Operative Reports forSpinal Cord Injury Patients. Rick Hansen Institute. $10,500.00. 2011.*Christie S. Spinal Cord Injury Rehabilitation Scan (E0Scan). Rick HansenInstitute. $2,000.00. 2011.Clarke DB. Influence of Cell Adhesion Molecules on Neuron Survival andPlasticity on the Adult Central Nervous System. NSERC. $132,500.00.2006-2011.*Clarke DB and Walling S. Operation Headway/Noggin KnowledgeHelmet Program for Families in Need. Department of Health and Wellness.$6,000.00. 2011-2012.Clarke DB and Walling S. Brain Injury Prevention and Education Grant;Design and Dissemination of Concussion Cards and Helmet Booklets. IWKCommunity Grant. $10,000.00. 2010-2011.Clarke DB. Clinical Scientist Program. <strong>Dalhousie</strong> <strong>University</strong>. $50,000.00.2011-2012.*Clarke DB. Qualitative and Quantitative Analysis of Ski and SnowboardHelmet Use in Nova Scotia. Nova Scotia Health Promotion and Protection.$20,000.00. 2011-2012.


<strong>Dalhousie</strong> <strong>University</strong> | 23*Clarke DB. NCAM Influences in RGC Numbers: Mechanisms andImplications for Vision. NSERC. $150,000.00. 2011-2016.Cole C with FAITH (Fixation using Alternative Implants for the Treatmentof Hip fractures): A Multi-Centre Randomized Trial Comparing Sliding HipScrews and Cancellous Screws on Revision <strong>Surgery</strong> Rates and Quality of Lifein the Treatment of Femoral Neck Fractures. CIHR grant MOP-106630.$1,080.104.00. 2010-2014.Dunbar M. Conservative and Surgical Management of Knee OsteoarthritisBased on an Objective Pathomechanical Framework. Dal <strong>Surgery</strong> <strong>Research</strong>Fund. $150,000.00. 2009-2012.Dunbar M. Co- Investigator. Access to Appropriate Care Acrossthe Continuum: Strategic Management for Timely Treatment. CIHR.$2,500,000.00. 2008-2013.Dunbar M. Development of a Clinical Diagnostic System for AssessingOrthopaedic Implant Stability. AIF. $5,000,000.00. 2008-2013.Dunbar M. Extended Prophylaxis in Total Hip Replacements. CIHR.$2,900,000.00. 2006-2011.Dunbar M. Psychosocial Predictors of Prolonged Pain and DisabilityFollowing Total Knee Arthroplasty. CIHR. $275,442.00. 2006-2011.Dunbar M. An Integrated Training Program in Biomedical DeviceInnovation. NSERC. $2.0 Million. 2009-2014.*Dunbar M. Multivariate Modeling of Functional Outcomes of SevereOsteoarthritis Clinical Management. Department of <strong>Surgery</strong> Bridge Funding.$50,000.00. 2011.Dunbar M. Minimially Invasive Systems for Bone Augmentation. AtlanticInnovation Fund. $2.7 Million. 2011-2016.*Dunbar M. Inter-relationship Among Physical Activity, Biomechanical andNeuromuscular Characteristics in Knee Osteoarthritis Development andProgression. CIHR. $180,000.00. 2011-2014.El-Hawary R, Howard J. Pain at Home in Children Following Major<strong>Surgery</strong>: Physical, Psychological, and Economic Consequences. CIHR.$878,775.00. 2010-2015.*El-Hawary R. Canadian Pediatric Spinal Deformities Study Group(CPSSG). Orthopaedic <strong>Research</strong> and Education Foundation. $15,000.00.2011.Fawcett J. Defining a Role for CAPOM in the Synapse. EJLB Foundation.$350,000.00. 2009-2012.Fawcett J. Developing Specific Motoneuron Subtypes from Embryonic StemCells and Induced Pluripotent Stem Cells to Treat Neuromuscular Disordersand Paralysis due to Injury. CIHR. $653,700.00. 2010-2015.Fawcett J. Elucidating the Development of Neural Circuits Involved inLocomotion. CIHR. $804,170.00. 2010-2015.Giacomantonio C. Faculty of Medicine Clinical Scholar Award.$400,000.00. 2009-2014.Giacomantonio C. Determining the Role of Cancer Stem Cells in BreastCancer. Canadian Breast Cancer Foundation: Atlantic Chapter. $120,000.00.2009–2011.Giacomantonio C. Incisional Biopsies May Increase Metastatic Riskin Breast Cancer Patients. Beatrice Hunter Cancer <strong>Research</strong> Institute.$39,700.00. 2010 –2011.Giacomantonio C. MK2 Signaling in Stat3-Driven Breast Cancer. CanadianBreast Cancer Foundation. $180,000.00. 2010–2012.*Giacomantonio C. Determining the Role of Cancer Stem Cells in BreastCancer. Canadian Breast Cancer Foundation: Atlantic Chapter. $150,000.00.2011–2014.Hancock Friesen C. HSK. The Role of Peer Mentors in Enhancing <strong>School</strong>Based Physical Activity. NSHRF. $147,460.00. 2009-2012.Hancock Friesen C. Faculty of Medicine Clinical Scholar. $405,000.00.2007-2012Hancock Friesen C. Follow-up of Tetralogy of Fallout Patients. Transitionfrom Pediatric to Adult Care. IWK Health Centre. $3,430.00/year, ongoing.*Hancock Friesen C. The Role of Peer Mentors in Enhancing <strong>School</strong>-BasedPhysical Activity. IWK Health Centre. $15,000.00. 2011.*Hancock Friesen C. A Tailored Myocardial Protection Strategy for AgedHearts. CIHR. $137,123.00 2011-2013.*Hart RD, Taylor SM, Trites J. Efficacy of Optically-Guided <strong>Surgery</strong> inthe Management of Early Stage Oral Cancer. Terry Fox <strong>Research</strong> Institute.$400,000.00 (SITE). 2011-2016.Hart RD, Taylor SM, Trites J, Bullock M, Douglas S, Karakach T,Walter J, Soo E, Reith M, Singh R, Pinto D. Biomarkers for humanhealth and wellness: Thyroid Cancer. NRC. $210,000.00. 2011-2012.*Hong P. Tissue Engineering of Auricular Cartilage with a NovelDecellularized Auricular Cartilage Matrix Scaffold. IWK Health CentreGrant. $47,000.00. 2011-2012.Hoskin D. Treatment of Intestinal Inflammation with Piperine, a DietaryPhytochemical with Immune-Modulating Activity. CIHR. $239,781.00.2008-2011.Hoskin D, Porter G, Johnson M. Cancer <strong>Research</strong> Training Program:A <strong>Research</strong> Legacy for Atlantic Canada. The Terry Fox FoundationStrategic Health <strong>Research</strong> Training Program in Cancer <strong>Research</strong> at CIHR.$1,950,000.00. 2009-2015.*Hoskin D. Modulation of Regularity T-Cell Function by Histamine and IL-6.NSERC. $285,000.00. 2011-2016.*Hoskin D. Preclinical Evaluation of Anti-Breast Cancer Cell Activity bythe Dietary Phytochemical Piperine. Canadian Breast Cancer Foundation.$50,000.00. 2011-2012.*Hoskin D. Role of IL-17/IL-17R in Regulating Breast Tumorigenesis.Canadian Breast Cancer Foundation. $150,000.00. 2011-2014.*Hoskin D. In Vitro and In Vivo Studies on the Antimalarial Drug Artesunateas a Potential Adjunct Treatment for Advanced Breast Cancer. Breast CancerSociety of Canada/QE2 Foundation. $20,000.00. 2011.*Hoskin D. Evaluating Therapeutic Effects of IL-17 Receptor Antagonism inPrevent Breast Cancer Progression and Metastasis in Murine Breast CancerModels. Breast Cancer Society of Canada/QE2 Foundation. $20,000.00.2011.Johnston, M. (Halifax site PI) Pan-Canadian Early Lung Cancer DetectionStudy. Terry Fox <strong>Research</strong> Institute. $6,500,000.00. 2008-2013.*Johnston P, Molinari M. The Association between Frailty and Short-TermMortality, Morbidity and Cost of Care in Elderly Patients Undergoing Non-Elective Abdominal <strong>Surgery</strong>. CDHA. $4,722.00. 2011.


24 | Department of <strong>Surgery</strong>Lee, T. CD8+ T Cell Activation and Effector Mechanisms NSERC.$250,000.00. 2009-2014.Lee, T. Role of Antibody in Allograft Vasculopathy. Heart and StrokeFoundation of Canada HSFC. $150,000.00. 2009- 2012.Lee, T & Legare, JF. The Role of Angiotensin II in Myocardial Inflammation.NSHRF. $150,000.00. 2008 – 2011.Lee, T. Etiology of Allograft Vasculopathy after CardiacTransplantation: Roleof Pre-Existing Disease. HSFC. $150,000.00. 2008 -2011.Lee, T. (Alwayn, I, Hirsch G, Hancock Friesen C, Legare jf) Building<strong>Research</strong> Capacity at the Atlantic Centre for Tranplantation <strong>Research</strong>. DOSProgramme Support Grant. $150,000.00. 2009-2011.*Légaré JF. Role of CTGF in Fibrogenesis. CIHR. $240,000.00. 2011-2014.Légaré JF. Role of Angiotensin II in Myocardial Inflammation. NSHRF.$150,000.00. 2009-2011.*Légaré JF. Impact of Obesity on Transplantation. NSHRF Team BuildingGrant. $10,000.00. 2011.Légaré JF. SIRS Steroids in Cardiac <strong>Surgery</strong> RCT. CIHR. $1,500,000.00.2010-2014.Légaré JF. Mobilization of Fibrocytes after Cardiac <strong>Surgery</strong>. CDHA .$15,000.00. 2010-2011.Mendez, I. Developing Innovative Brain Repair Services and Technologies.ACOA- AIF. $2,829,631.00. 2010-2015.Mendez I. Brain Repair Centre: An Integrative Approach to FunctionRestoration. CFI. $5,577,471.00. 2006-2011.Molinari, M. Measuring Patients’ Inclinations towards the Risks and Benefitsof Duodenopancreatectomy for Adenocarcinoma of the Pancreas. PrivateDonor. $100,000.00. 2010-2012.Morris DP. Faculty of Medicine Clinical Scholar Award. $300,000.00.2006-2011.Morris DP. Clinical Applications of 3D Laser Doppler Vibrometer inEar <strong>Surgery</strong>. CFI for Innovation. Leaders’ Opportunity Fund Award.$150,000.00. 2006-2011.O’Blenes, S. Building a Capacity for Multidisciplinary Translational <strong>Research</strong>with the Cardiovascular <strong>Research</strong> Group. DOS Programme Grant.$150,000.00. 2010-2013.*Porter, G, Bethune G, Johnson P. How Do Surgeons Decide to ReferPatients for Adjuvant Cancer Treatment? A Qualitative Study. CIHR.$82,348.00. 2011-2012.Porter, G. CIHR: Towards Improving Access to Quality Colorectal CancerServices across the Cancer Control Continuum: CIHR. $1,497,513. 2007-2012.Porter, G. A Randomized Trial of a Patient-Centered Strategy to FacilitateTransition of Breast Cancer Survivor’s Routine Follow-up From Specialistto Primary Care. Canadian Breast Cancer <strong>Research</strong> Alliance. $740,662.00.2006-2011.*Porter G. Surgical Synoptic Reporting: Improving Clinical ProgramManagement and <strong>Research</strong> Opportunities. Canadian Health Infoway (CHI).$169,297.00. 2011-2013.*Porter G. Colorectal Cancer <strong>Research</strong> in Nova Scotia. NSHRF.$11,500.00. 2011.*Porter G. Moving Forward with Colorectal Cancer <strong>Research</strong> in NovaScotia. CIHR. $11,500.00. 2011.Porter G. Towards Understanding and Improving Cancer ScreeningPractices in Cancer Survivors: Systematic Review and Meta-Analysis. CIHR.$31,990.00. 2010-2011.*Porter G. Advanced Breast Cancer – Supportive Care. Breast CancerSociety. CIHR. $57,475.00. 2011-2012.*Porter G. Exploring Factors that Influence the Use of an Innovation –Synoptic Reporting in Cancer Care. NSHRF. $19,030.00. 2011.Stanish W. Follow-up Study Evaluating the Long-Term Safety and Efficacy ofBST-CarGel and Microfracture in Repair of Focal Articular Cartilage Lesionson the Femoral Condyle. Anonymous Donor. $32,000.00. 2010-2013.Stanish W. Determinants of Physical and Psychological Health DeclineWhile Waiting for Joint Replacement <strong>Surgery</strong>. CIHR. $246,816.00. 2010-2013.Stanish W. The Role of Obesity and Female Sex in the Progression of KneeOsteoarthritis. CIHR. $148,708.00. 2010-2013.*Stanish W. Integrated Knowledge Transfer Workshop. A CriticalComponent in the Development of a Relevant Multidisciplinary Approach toLow Back Injury Recovery. NSHRF. $2,000.00. 2011.Stanish W. Integrated Knowledge Transfer: A Critical Component in theDevelopment of a Relevant Multidisciplinary Protocol to Study the Effects ofWork Duration on Recovery of Low Back Injury. WorkSafeBC . $30,000.00.2010-2011.Stanish W. Psychosocial Predictors of Prolonged Pain and DisabilityFollowing Total Knee Arthroplasty. CIHR. $345,060.00. 2006-2011.Yanchar N. Canadian Injury Indicators Development Team: Policy Indicatorsfor Children and Youth. CIHR Operating Grant: Partnerships for Child andYouth Health Indicators. $150,000.00. 2008-2011.Yanchar N. Faculty of Medicine Clinical Scholar Award. $400,000.00.2008–2013.AppendixPresentations 2011Abraham E and Manson N. Traditional open versus minimally invasivedecompression and fusion of the lumbar spine: a retrospective analysis.North American Spine Society Meeting. Chicago, IL.Abraham E and Manson N. Traditional open versus minimally invasivedecompression and fusion of the lumbar spine: a retrospective analysis.Interprofessional Health <strong>Research</strong> Meeting. Saint John, NB.Abraham E and Manson N. The Incidence of Adjacent SegmentBreakdown in Posterolateral Thoracolumbar Fusions of Three or MoreLevels. Interprofessional Health <strong>Research</strong> Meeting. Saint John, NB.Abraham E and Manson N. Traditional open versus minimally invasivedecompression and fusion of the lumbar spine: a retrospective analysis.Canadian Spine Society Meeting. Quebec City, QC


<strong>Dalhousie</strong> <strong>University</strong> | 25Abraham E and Manson N. Do flexion-extension radiographs affect presurgicalplanning in patients suffering from lumbar compressive pathologies?Canadian Spine Society Meeting. Quebec City, QC.Abraham E and Manson N. Comparison of patients that do and do notreturn for their one year follow-up. Canadian Spine Society Meeting.Quebec City, QC.Abraham E and Manson N. Variations in patients and surgical managementbetween two Canadian spine centers: A preliminary study from the CSSsurgical registry. Canadian Spine Society Meeting. Quebec City, QC.Bance M. White Matter Connectivity in Bilaterally Deaf Individuals vs.Hearing Controls. OHBM Conference. Quebec City, QC.Bance M. Shifts of perceived lateralization of bone conducted soundwith frequency. 3rd International Bone Conduction Hearing-CraniofacialOsseointegration. Sarasota, FL.Bance M. Finite Element Modal Extraction of a Human Dry Skull. 3rdInternational Bone Conduction Hearing-Craniofacial Osseointegration.Sarasota, FL.Bance M. Experimental verification of a Split-aperture TransmitBeamforming Technique for Suppressing Grating Lobes in Large Pitch PhasedArrays, Proc. IEEE International Ultrasonics Symposium. Orlando, FL.Bance M. Direct Measurements of Basilar Membrane Motion UsingPulsed-wave Doppler High-Frequency Ultrasound. Mechanics of HearingWorkshop. Williamstown, VG.Bance M. Finite Element Model Extraction of Human Dry Skull.International Symposium on Bone Conduction Hearing-CraniofacialOsseointegration, Sarasota, FL.Bance M. Transmit beamforming techniques for suppressing grating lobesin large pitch ultrasonic phased arrays. SPIE medical Imaging. Lake BuenaVista, FL.Bance M. Ultrasound Based Approaches to Bone Conduction Hearing.3rd International Conference on Osseointegration and Bone ConductionHearing. Sarasota, FL.Bance M. Systematically Shifting the Phase of Bilateral Bone ConductedSound Changes Perceived Loudness. 3rd International Conference onOsseointegration and Bone Conduction Hearing. Sarasota, FL.Bance M. Review of Middle Ear Mechanics in Ossiculoplasty: CartilageTympanoplasty, Mechanics and Function: Stapedotomy Piston Failure,Mechanical Aspects. Politzer Society Meeting. Athens, Greece.Bance M. Pitfalls in Stapedotomy: Canadian Society of Otolaryngology,Panel on Stapedotomy. Victoria, BC.Bance M. Future of Otology: Bone conduction Hearing. Baxter VisitingProfessor, McGill <strong>University</strong>. Montreal, QC.Bance M. Ossiculoplasty. Visiting Professor, 7th Annual Temporal BoneCourse, <strong>University</strong> of Montreal. Montreal, QC.Bance M. Bilateral Cochlear Implants: Cost-Effectiveness: BilateralCochlear Implants. Symposium, King Saud <strong>University</strong>. Riyadh, Saudi Arabia.Bance M. Presentation Skills: Statistical Analysis: Hurdles in researchimplementation. Preconference workshop on <strong>Research</strong> Methods. All IndiaConference on Otolaryngology. Chennai, India.Bance M. Implantation Otology and Bone Anchored Hearing Aids. All IndiaConference on Otolaryngology. Chennai, India.Bance M. Superior Canal Dehiscence (1 hour workshop). All IndiaConference on Otolaryngology. Chennai, India.Bance M. Eustachian Tube Dysfunction. All India Conference onOtolaryngology. Chennai, India.Bance M. Lecture for Workshop presentation – Muscle Tension Dysphonia.Canadian Society of Otolaryngology, Head & Neck <strong>Surgery</strong> 65th Annualmeeting. Victoria, BC.Brown T. Muscle Tension Dysphonia. Canadian Society of Otolaryngology,Head & Neck <strong>Surgery</strong> 65th Annual meeting, Victoria, BC.Brownstone R. From Progenitors to Pasta- A Spinal Microcircuit Involvedin Sensorimotor Integration. <strong>University</strong> of Arizona. Tuscon, AZ.Brownstone R. Spinal Microcircuits involved in Hand Control. The NeuralBasis of Motor Control. Ashburn, VA.Brownstone R. Towards Understanding the Control of Basic HandFunction. 10th Annual Charles H. Hator-Barbara Turnbull Lectureship inSpinal Cord. Toronto, ON.Brownstone R. Spinal Microcircuits Involved in Hand Control. EMBOConcerence Series: The Assembly and Function of Neuronal Circuits.Ascona, Switzerland.Brownstone R. Survival Against Adversity: Keeping Motorneurons Alive.International Centre Biocybernetics. Warsaw, Poland.Brownstone R. ALS and Spinal Microcircuits: A Hypothesis from Left Field.P2ALS Subgroup Meeting: Electrophysiological and Optical Imaging. NewYork, NY.Brownstone R. Getting a Grip on Neural Circuits Underlying Movement.Spinal Cord Networks. Kananaskis, AB.Brownstone, R. Grasping at Straws: Characterization of SpinalSensorimotor Microcircuit Involved in Movement. Department ofNeuroscience, Cell Biology and Physiology. Wright State. Dayton, OH.Buduhan G. Comparative Analysis of Toxicity and Pathologic ResponseRates Following Neoadjuvant Chemotherapy and Chemoradiation for LocallyAdvanced Esophageal Carcinoma. 2011 IHRTP Interprofessional Health<strong>Research</strong> Day. Halifax, NS.Buduhan G. DIPNECH, tumorlets, and a typical carcinoid: A spectrum ofneoplasia in a 48 year old female and review of the literature. 2011 CanadianAssociation of Pathologists Annual Meeting. Vancouver, BC.Bethune B, Henteleff H, Johnston M, Buduhan G. NeoadjuvantTherapy for Esophageal Carcinoma is not Associated with IncreasedPerioperative Morbidity or Mortality. BHCRI 3rd Annual Cancer <strong>Research</strong>Conference, Atlantic Canada. Halifax, NS.Bethune D, Henteleff H, Johnston M, Buduhan G. Sublobar ResectionCompared To Lobectomy for Early Stage Non-Small Cell Lung Cancer:A Single Institution Study. 2011 BHCRI 3rd Annual Cancer <strong>Research</strong>Conference, Atlantic Canada. Halifax, NS.Buduhan G. Controversies in Neoadjuvant Therapy for Locally AdvancedEsophageal/Gastroesophagel Junction Carcinoma. 3rd Annual AtlanticThoracic Oncology Conference. Halifax, NS.Buduhan G. Neoadjuvant Chemotherapy vs. Neoadjuvant Chemoradiationin Patients with Surgically Resectable Esophageal Carcinoma –A PilotRandomized Study. Canadian Association of Thoracic Surgeons Meeting.London, ON.


26 | Department of <strong>Surgery</strong>Buduhan G. Comparative Analysis of Toxicity and Pathologic ResponseRates Following Neoadjuvant. Chemotherapy and Chemoradiation forLocally Advanced Esophageal Carcinoma. IHRTP Interprofessional Health<strong>Research</strong> Day. Halifax, NS.Christie S. Occiput to C3 Trauma. Orthopaedic Fracture Rounds.<strong>Dalhousie</strong> <strong>University</strong>.Christie S. Approach to Surgical Decision making for ThoracolumbarTrauma a)Neuro-Intact Burst – The PLC, b) Flexion Distraction, c) Cases.6th Annual Canadian Contemporary Spinal Techniques Course. Toronto,ON.Christie S. Encoding Rick Hansen Spinal Cord Injury Data to SNOMEDCT and HL7. Innovation and <strong>Research</strong> in Health Informatics. <strong>Dalhousie</strong><strong>University</strong>.Christie S. Spinal Cord Injury. 37th Annual Refresher Course. EmergencyMedicine. <strong>Dalhousie</strong> <strong>University</strong>.Christie S. Residents Corner Section and Spinal Neuronavigations. 8thAnnual Caribbean Neurosciences Symposium & Workshop. Montego Bay,Jamaica.Christie S. Kyphoplasty Teaching Lab. Surgical Techniques with Residents.Caribbean Neurosciences Symposium. Kingston, Jamaica.Christie S. Welcoming Remarks, Meeting Objectives, Moderator. AtlanticCanadian Spine Society Meeting. Wallace, NS.Christie S. Optimal Timing of <strong>Surgery</strong> for SCI. Hands on Techniques in SCIand TBI. National Neurotrauma Society Practical Course. Hollywood, FL.Christie S. MIS TLIF. Caribbean Neurosciences Symposium. Kingston,Jamaica.Clarke D. Virtual Reality Operating Room. Adams Super-Center for BrainStudies. Tel Aviv, Israel.Clarke D. Pre-Surgical Evaluation and Epilepsy <strong>Surgery</strong>. Educational Courseon Diagnosis and Treatment in Epilepsy for CDHA. Halifax, NS.Dunbar M. Phased Innovation in Arthroplasty. 30th Annual William ErsilResident <strong>Research</strong> Day. Kingston, ON.Dunbar M. Evolution in TKA- From Jigs to MRI. 30th Annual William ErsilResident <strong>Research</strong> Day. Kingston, ON.Dunbar M. High Resolution Metrics in TKR. The Holland Musculoskeletal<strong>Research</strong> Day. Toronto, ON.Dunbar M. Faculty Surgical Demonstration: Femoral Bone Preparation-Anatomical Landmarks and Gap Balancing. AAOS/AAHKS AdvancedSurgical Techniques for Management of Knee Arthritis. Rosemont, IL.Dunbar M. Debate Session: Surgical Technique – What Works Best?Navigation/CAOS for TKA. AAOS/AAHKS Advanced Surgical Techniques forManagement of Knee Arthritis. Rosemont, IL.Dunbar M. Video Demonstration: Static and Articulating AntibioticSpacers. AAOS/AAHKS Advanced Surgical Techniques for Management ofKnee Arthritis. Rosemont, IL.Dunbar M. Case Discussions: Failed TKA and Revision TKA. AAOS/AAHKSAdvanced Surgical Techniques for Management of Knee Arthritis. Rosemont,IL.Dunbar M. Moderator: Arthroplasty Session. APOS (Atlantic ProvincesOrthopaedic Society). Halifax, NS.Dunbar M. DVT Prophylaxis in TJA: Results from the EPCAT Study. APOS(Atlantic Provinces Orthopaedic Society). Halifax, NS.Dunbar M. Fixation of a Trabecular Metal Knee Arthroplasty Component:Five Year Results of a Prospective Randomized Study. The Knee Society 2011Members Meeting. London, ON.Dunbar M. Skin Preparation and Surgical Scrub. Vumedi Webinar.Dunbar M. Symposium Moderator: Common Problems in 2011. What isNew? Canadian Orthopaedic Association. St. John’s, NL.Dunbar M. Paper Session Moderator: Hip Reconstruction. CanadianOrthopaedic Association. St. John’s, NL.Dunbar M. Symposium Moderator: Component Positioning in PrimaryTotal Knee Arthroplasty: What’s the Target and How do We Hit it? CanadianOrthopaedic Association. St. John’s, NL.Dunbar M. Computer Navigation – Does Hitting the Bull’s-Eye Matter?2011 National Capital Knee Symposium. Ottawa, ON.Dunbar M. Cross Linked in TKR. 2011 National Capital Knee Symposium.Ottawa, ON.Dunbar M. Rethinking Patella Replacement: It Really Isn’t Necessary-Affirms.Current Concepts in Joint Replacement. Las Vegas, NV.Dunbar M. Cemented Femoral Fixation: Back to the Future. CurrentConcepts in Joint Replacement. Las Vegas, NV.Dunbar M. Performing a Primary Hip Arthroplasty. Current Concepts inJoint Replacement. Las Vegas, NV.Dunbar M. Moderator: Management Factorials in Primary TKA: Ensuring aWinner. Current Concepts in Joint Replacement. Las Vegas, NV.Dunbar M. Surgical Navigation as it Relates to Shape Matching.Orthopaedic Grand Rounds. <strong>Dalhousie</strong> <strong>University</strong>.Dunbar M. Phased Innovation. Department of <strong>Surgery</strong> Grand Rounds.McMaster <strong>University</strong>. Hamilton, ON.Dunbar M and Gross M. Tibial Bone Density is Associated with TotalKnee Implant Migration. Second International RSA Meeting. Leiden, TheNetherlands.Dunbar M and Richardson G. Patient Characteristics and PreliminaryMigration Results of Hydroxyapatite-Coated Uncemented TibialComponents in a Multi-Center RSA Study. Second International RSAMeeting. Leiden, The Netherlands.Dunbar M. North-American Perspective. Second International RSAMeeting. Leiden, The Netherlands.Dunbar M and Richardson G. Fixation of a Trabecular Metal KneeArthroplasty Component: Five Year Results of a Prospective RandomizedStudy. Second International RSA Meeting. Leiden, The Netherlands.Dunbar M. Optimizing RSA for Spinal Fusion Assessment. SecondInternational RSA Meeting. Leiden, The Netherlands.Dunbar M, Gross M and Amirault D. Two-year Results of an RCT UsingRSA to Compare Minimally Invasive <strong>Surgery</strong> (MIS) to Standard Exposure inPrimary Uncemented Ceramic Modular THA. Second International RSAMeeting. Leiden, The Netherlands.Dunbar M. Triathlon Navigation – What Have We Learned. TriathlonCustom Fit Knee Product Training. Fort Lauderdale, FL.


<strong>Dalhousie</strong> <strong>University</strong> | 27Dunbar M. Shape Matching – The Technology. Triathlon Custom Fit KneeProduct Training. Fort Lauderdale, FL.Dunbar M. Shape Matching Case Studies. Triathlon Custom Fit KneeProduct Training. Fort Lauderdale, FL.Dunbar M. RSA, Computer Assisted Knee <strong>Surgery</strong> and Otis Knee.Orthopaedic Perioperative Nursing In-service. <strong>Dalhousie</strong> <strong>University</strong>. Halifax,NS.Dunbar M. Clinical Issues in Primary THA- Case-based Discussion.Canadian Orthopaedic Association. St. John’s, NL.Dunbar M. Clinical Realities of Computer Assisted Orthopaedic <strong>Surgery</strong>:Lessons Learned From Computer Navigation in Total Knee Arthroplasty.Canadian Orthopaedic Association. St. John’s, NL.Dunbar M. Clinical Issues in Primary TKA- Case-based Discussion.Canadian Orthopaedic Association. St. John’s, NL.Dunbar M. Clinical Issues in Revision THA and TKA- Case-basedDiscussion. Canadian Orthopaedic Association. St. John’s, NL.Dunbar M. When to Resurface the Patella in Primary TKA. CanadianOrthopaedic Association. St. John’s, NFLD.Dunbar M. Common Problems in 2011. What is New? DVT Prophylaxis inTotal Joint Replacement. Canadian Orthopaedic Association. St. John’s, NL.Dunbar M. Component Positioning in Primary Total Knee Arthroplasty:What’s the Target and How do We Hit it? Shape Matching in TKA - Is Thisthe Future? Canadian Orthopaedic Association. St. John’s, NL.Dunbar M. The Difficult Primary Total Hip: Planning and Performance.Annual Meeting of the American Academy of Orthopaedic Surgeons. SanDiego, CAL.Dunbar M. The High-Performance Modular Hip: Curse or Comfort?Annual Meeting of the American Academy of Orthopaedic Surgeons. SanDiego, CAL.El-Hawary R. Newer Approaches in Spinal Scoliosis. Conceptos Basicos,Tendencias y Desafiols en el Desempeno de la Atencion Espinal. Havana,Cuba.El-Hawary R, Howard J. Comparison of Current Trends in the Treatmentof Neuromuscular Scoliosis: Results From the Canadian Paediatric SpinalDeformities Study Group. IMAST 2011 - The 18th International Meeting onAdvanced Spine Techniques. Copenhagen, Denmark.El-Hawary R, Sagittal Spinopelvic Parameters Help Predict the Risk ofProximal Junctional Kyphosis for Children Treated with Posterior DistractionBased Implants. IMAST 2011 - The 18th International Meeting on AdvancedSpine Techniques. Copenhagen, Denmark.El-Hawary R. Does the Type of Distraction Based Growing System for EarlyOnset Scoliosis Affect Post-Operative Sagittal Alignment? IMAST 2011 - The18th International Meeting on Advanced Spine Techniques. Copenhagen,Denmark.El-Hawary R. Use of S-Hook as Pelvic Foundation as Part of Rib BasedDistraction Construct. 66th Annual Meeting of the Canadian OrthopaedicAssociation. St. Johns’s, NL.El-Hawry R. Sagittal Spinopelvic Parameters of Children with Early OnsetScoliosis. 66th Annual Meeting of the Canadian Orthopaedic Association. St.John’s, NL.El-Hawary R. Instructional Course Lecture - Recent Advances in theTreatment of Early Onset Scoliosis. 66th Annual Meeting of the CanadianOrthopaedic Association, St. John’s, NL.El-Hawary R. Paediatric Symposium – A Case from My First Five Years inPractice. 66th Annual Meeting of the Canadian Orthopaedic Association. St.John’s, NL.El-Hawary R. Sonographic Hepatic and Portal Blood Flows in Patients withAdolescent Idiopathic Scoliosis: The Effect of Prone Positioning. 6th Congressand Exhibition of the joint Societies of Paediatric Radiology. London, England.El-Hawary R. Early Onset Scoliosis Treatment with DistractionLengthenable Rods: Normal Appearance and Early Results. 6th Congress andExhibition of the joint Societies of Paediatric Radiology. London, England.El-Hawary R. Sagittal Spinopelvic Parameters of Children with Early OnsetScoliosis. The 12th International Phillip Zorab Symposium. London, UK.El-Hawary R. Sagittal Spinopelvic Parameters of Children with Early OnsetScoliosis. The 12th International Phillip Zorab Symposium. London, UK.El-Hawary R. Use of S-Hook as Pelvic Foundation as Part of Rib BasedDistraction Construct. The 12th International Phillip Zorab Symposium.London, UK.El-Hawary R. Sagittal Spinopelvic Parameters of Children with Early OnsetScoliosis. 11th Annual Scientific Conference of The Canadian Spine Society.Quebec City, QC.El-Hawary R and Howard J. Variability in the Measurement of SagittalSpinopelvic Parameters in Children with Early Onset Scoliosis. 11th AnnualScientific Conference of The Canadian Spine Society. Quebec City, QC.El-Hawary R. Use of S-Hook as Pelvic Foundation as Part of Rib BasedDistraction Construct. 11th Annual Scientific Conference of The CanadianSpine Society. Québec City, QC.Fawcett J. Scribble and the Met Receptor Tyrosin. McGill <strong>University</strong>.Montreal, QC.Glazebrook M and Dunbar M. Longitudinal Migration and InducibleDisplacement of a Mobile Bearing Total Ankle Arthroplasty System. SecondInternational RSA Meeting. Leiden, The Netherlands.Glazebrook M. The Outcome of Total Ankle Arthroplasty in Patients withRheumatoid Arthritis. 2011Canadian Orthopedic Annual Meeting Annual66th Annual Summer Meeting. St, John’s, NL.Glazebrook M. Mobility TAR : The Canadian Experience. 2011 CanadianOrthopedic Annual Meeting Annual 66th Annual Summer Meeting. St, John’s,NFLD.Glazebrook, M. Surgical vs. Non-Surgical Treatment of Acute AchillesRuptures: a Meta-Analysis of Randomized Trials Podium 503. 2011 AmericanAcademy of Orthopedics Surgeons (AAOS) Annual Meeting. San Diego, CAL.Glazebrook M. Achilles Reattachment: How and When Do I Do This(Cover 2 birds with one stone). 2011 Canadian Orthopaedics AssociationAnnual Meeting. St. John’s, NL.Glazebrook M. The outcome of total ankle arthroplasty in patients withrheumatoid arthritis. 2011 Canadian Orthopedic Annual Meeting Annual 66thAnnual Summer Meeting. St, John’s, NL.Glazebrook M. Rupture of the Achilles Tendon: What to do with thepatient that wants surgery? 2011 Canadian Orthopaedics Association AnnualMeeting. St. John’s, NL.Glazebrook M. Rupture of the Achilles Tendon: EBM Operative Vs NonOperative Rx. 2011 Canadian Orthopaedics Association Annual Meeting. St.John’s, NL.


28 | Department of <strong>Surgery</strong>Glazebrook M. Evidence-Based Medicine in Foot and Ankle: Benefitsand Challenges. 2011 Canadian Orthopaedics Association Annual MeetingSt.John’s, NL.Glazebrook M. How to Treat Achiles Tendon Rupture: Review of Evidencefrom AAOS and Best RCTs. 56th Congreso Colombiano de OrtopediyTraumatologia XXI Congreso Latinoamericano de Ortopedia Traumatologia.Centre de Convenciones Julio Cesar. Turbay, Ayala.Glazebrook, M. Ankle Arthritis: Current Treatment: Ankle Arthroscopy:Treatment of Osteochondral Lesions. 56th Congreso Colombiano deOrtopediy Traumatologia XXI Congreso Latinoamericano de OrtopediaTraumatologia. Centre de Convenciones Julio Cesar. Turbay, Ayala.Glazebrook M. MTP Arthritis: Fusion vs Replacement. 56th CongresoColombiano de Ortopediy Traumatologia XXI Congreso Latinoamericanode Ortopedia Traumatologia. Centre de Convenciones Julio Cesar. Turbay,Ayala.Glazebrook M. Hallux Valgus: Randomized Control Trial of ProximalChevron vs. Medial Opening Wedge Osteotomy. 56th CongresoColombiano de Ortopediy Traumatologia XXI Congreso Latinoamericanode Ortopedia Traumatologia. Centre de Convenciones Julio Cesar. Turbay,Ayala.Glazebrook M. Ankle Arthrodesis: Role of Platelet Derived GrowthFactors as Bone Graft substitute. 56th Congreso Colombiano de OrtopediyTraumatologia XXI Congreso Latinoamericano de Ortopedia Traumatologia.Centre de Convenciones Julio Cesar. Turbay, Ayala.Glazebrook M. Ankle Arthrodesis: Role of Platelet Derived GrowthFactors as Bone Graft substitute. 56th Congreso Colombiano de OrtopediyTraumatologia XXI Congreso Latinoamericano de Ortopedia Traumatologia.Centre de Convenciones Julio Cesar. Turbay, Ayala.Glazebrook M. End Stage Ankle Arthritis Total Ankle Arthroplasty VsFusion. . 56th Congreso Colombiano de Ortopediy TraumatologiaXXI Congreso Latinoamericano de Ortopedia Traumatologia. Centr deConvenciones Julio Cesar. Turbay, Ayala.Glazebrook M. Arthroscopic Fusions of the Hindfoot . 2011 AmericanArthroscopy Association of North America (AANA) Annual Meeting Course.San Francisco, CAL.Glazebrook M. Disorders of Tendons. Symposium Current Concepts inSport Medicine. The Westin Nova Scotia, Halifax, NS.Glazebrook M. Contemporary Management of Ankle Sprain. SymposiumCurrent Concepts in Sport Medicine. The Westin Nova Scotia, Halifax, NS.Glazebrook, M. Canadian Orthopedic Foot and Ankle Society AnnualMeeting (COFAS). Update on Treatment of Achilles Tendon Rupture.Vancouver, BC.Glazebrook M. Evidence Based Indications Ankle Arthroscopy and SurgicalTechnique. Canadian Orthopedic Foot and Ankle Society Annual Meeting(COFAS). Vancouver, BC.Glazebrook M. End Stage Ankle arthritis Canadian Experience . CanadianOrthopedic Foot and Ankle Society Annual Meeting (COFAS). Vancouver,BC.Glazebrook M. Posterior Ankle Arthroscopy Surgical Technique. CanadianOrthopedic Foot and Ankle Society Annual Meeting (COFAS). Vancouver,BC.Glazebrook M. Proximal Osteotomy for Hallux Valgus with IncreasedIM Angle. Canadian Orthopedic Foot and Ankle Society Annual Meeting(COFAS). Vancouver, BC.Glazebrook M. Operative Treatment of End Stage Ankle Arthritis withAnkle Arthrodesis. 2011 American Academy of Orthopedics Surgeons(AAOS) Annual Meeting. San Diego, CAL.Glazebrook M. Introduction: Ligaments From Birth to Death: Anatomyand Pathophysiology in Health and Injury. 2011 American Academy ofOrthopedics Surgeons (AAOS) Annual Meeting San Diego, CAL.Glazebrook M. Surgical vs Non-Surgical Treatment of Acute AchillesRuptures: a Meta-Analysis of Randomized Trials Podium 503. 2011 AmericanAcademy of Orthopedics Surgeons (AAOS) Annual Meeting. San Diego,CAL.Glazebrook M. Etiology, Classification, and Natural History ofOsteochondral Lesions of the Talar Dome. 2011 American Academy ofOrthopedics Surgeons (AAOS) Annual Meeting. San Diego, CAL.Glazebrook M. Best Article I Read Journal-club Discussion. 2011 AmericanOrthopedic Foot & Ankle Society (AOFAS) Sub Specialty Day. AAOSSSpecialty Day. San Diego, CAL.Glazebrook M. Total Ankle Arthroplasty vs. Distraction Arthroplasty forTreatment of Ankle Arthritis. Limb Lengthening Reconstruction SocietySpecialty Day (LLRS) Sub Specialty Day at AAOS. San Diego, CAL.Hancock Friesen C and O’Blenes S. Prospective Capture of PediatricCardiac <strong>Surgery</strong> Program Complications. <strong>Dalhousie</strong> <strong>University</strong> Faculty ofMedicine Integrated Health <strong>Research</strong> Training Program <strong>Research</strong> Day, Halifax,NS.Hancock Friesen C. Improving and Standardizing Pediatric Cardiac SurgicalMorbidity Capture and Classification. Department of <strong>Surgery</strong> Resident<strong>Research</strong> Day. <strong>Dalhousie</strong> <strong>University</strong>. Halifax, NS.Hancock Friesen C. The Role of Peer Mentors in Enhancing <strong>School</strong>-BasedPhysical Activity: Phase 1. Department of <strong>Surgery</strong> Resident <strong>Research</strong> Day.<strong>Dalhousie</strong> <strong>University</strong>. Halifax, NS.Hancock Friesen C. Innate Immune Effectors are Necessary and Sufficientto Cause Early Post-Transplant Failure of Medial Smooth Muscle CellRecovery in Murine Aortic Allografts. Department of <strong>Surgery</strong> Resident<strong>Research</strong> Day. <strong>Dalhousie</strong> <strong>University</strong>. Halifax, NS.Hancock Friesen C. The Role of Peer-Mentors in Enhancing <strong>School</strong>-BasedPhysical Activity: Phase I. <strong>Dalhousie</strong> Departments of Cardiology andCardiac <strong>Surgery</strong> <strong>Research</strong> Day. Halifax, NS.Hancock Friesen C. Improving and Standardizing Pediatric Cardiac SurgicalMorbidity Capture and Classification. <strong>Dalhousie</strong> Faculty of Graduate StudiesCross Roads <strong>Research</strong> Day. <strong>Dalhousie</strong> <strong>University</strong>. Halifax, NS.Hancock Friesen C. The Role of Peer Mentors in Enhancing <strong>School</strong>-BasedPhysical Activity: Phase 1. <strong>Dalhousie</strong> Faculty of Graduate Studies CrossRoads <strong>Research</strong> Day. <strong>Dalhousie</strong> <strong>University</strong>. Halifax, NS.Hancock Friesen C and O’Blenes S. Monitoring and Improving PediatricCardiac <strong>Surgery</strong> Performance Using Complication Data. Integrated HealthTrainee <strong>Research</strong> Day. <strong>Dalhousie</strong> Univeristy. Halifax, NS.Hancock Friesen C. Prevalence of a Positive Screening for Attention DeficitHyperactivity Disorder in Children with Early Repair of Congenital HeartDisease. Canadian Cardiovascular Congress. Vancouver, BC.Hancock Friesen C, Hirsch G, Sullivan J, Stewart K. CompleteRevascularization is Compromised in Off Pump Coronary Artery BypassGrafting. Canadian Cardiovascular Congress. Vancouver, BC.


<strong>Dalhousie</strong> <strong>University</strong> | 29Hancock Friesen C, Lee T. Innate Immune Effectors are Necessaryand Sufficient to Cause Early Post Transplant Failure of Medial SmoothMuscle Cell Recovery in Murine Aortic Allografts. Canadian CardiovascularCongress. Vancouver, BC.Hancock Friesen C, O’Blenes S. Prospective Monitoring of PediatricCardiac <strong>Surgery</strong> Program Complications. AHA Quality of Care andOutcomes <strong>Research</strong>. Washington, DC.Hancock Friesen C, Lee T. Innate Immune Effectors are Necessary andSufficient to Cause Early Post-Transplant Failure of Medial Smooth MuscleCell Recovery in Murine Aortic Allografts. <strong>Dalhousie</strong> Departments ofCardiology and Cardiac <strong>Surgery</strong> <strong>Research</strong> Day. Halifax, NS.Hancock Friesen C, Lee T. Innate Immune Effectors are Necessaryand Sufficient to Cause Early Post Transplant Failure of Smooth MuscleCell Recovery which Predates Allograft Vasculopathy. Canadian Society ofTransplantation. Mont Tremblant, QC.Hancock Friesen C. The Role of Peer Mentors in Enhancing <strong>School</strong>-BasedPhysical Activity: Phase I. Integrated Health <strong>Research</strong> Trainee <strong>Research</strong> Day.Halifax, NS.Hart R, Taylor SM, Trites S. Accuracy and Safety of Fine NeedleBiopsy Aspiration of Parapharyngeal Space Tumours. Canadian Society ofOtolaryngology-Head and Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Hart R, Trites J, Taylor SM. Sternomastoid Flap With and Without DrainsFollowing Parotidectomy. Canadian Society of Otolaryngology-Head andNeck <strong>Surgery</strong> Annual Meeting, Victoria, BC.Hart R, Fleetwood I, Taylor SM. Bilateral Vagal Paragangliomas Presentingas Carotid Body Tumors. Canadian Society of Otolaryngology-Head andNeck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Hart R, Taylor SM, Trites J. Management of Goiter and Small NoduleDisease by the Canadian Otolaryngologist. Canadian Society ofOtolaryngology-Head and Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Hart R, Trites J, Taylor SM. T2 Glottic Carcinoma: Analysis of Recurrencein 36 Cases Undergoing Primary TLM Resection. Canadian Society ofOtolaryngology-Head and Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Hart R, Taylor SM, Trites J. Management of Goiter and Small NoduleDisease by Canadian Otolaryngologists. Canadian Society of Otolaryngology-Head and Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Hart R. Prevalence of Atrial Fibrillation in Patients on Long Term TSHSuppression for the Management of Well Differentiated Thyroid Cancer. TheAmerican Head & Neck Society Annual Meeting. Chicago, IL.Hart R, Taylor SM, Trites J. Effect of Perioperative Vasopressors on FreeFlap Survival in Head and Neck Cancer Patients. The American Head & NeckSociety Annual Meeting. Chicago, ILL.Hart R, Taylor SM, Trites J. Thyroid Cancer Biomarker Discovery byELISA and Liquid Chromatrography – Mass Spectrometry. Annual BHCRICancer <strong>Research</strong> Conference. Halifax NS.Helyer L. RAND/UCLA Appropriateness Study of Processes of Care forGastric Cancer. CSSO. Toronto, ON.Hong P. A Randomized Double-Blind Controlled Trial of Phosphorylcholine-Coated Tympanostomy Tube vs. Standard Tympanostomy Tube in Childrenwith Recurrent Acute and Chronic Otitis Media. Canadian Society ofOtolaryngology-Head and Neck <strong>Surgery</strong>, 65th Annual Meeting. Victoria, BC.Hong P. Unilateral Polypoid Tonsillar Lesion: A Case Report ofTonsillar Lymphangioma and Review of Literature. Canadian Society ofOtolaryngology-Head and Neck <strong>Surgery</strong>, 65th Annual Meeting. Victoria, BC.Hong P. Work Environment and Condition Associated Discomfort andInjury: An Ergonomics Survey Study of The American Society of PediatricOtolaryngology Members. American Society of Pediatric Otolaryngology.Chicago, IL.Hong P. Tympanocentesis Results of a Pediatric Myringotomy Population2008-2010. American Society of Pediatric Otolaryngology. Chicago, IL.Hong P. Otoplasty. Eastern Canada Otolaryngology Society Annual Meeting.Charlottetown, PE.Hong P. Pediatric Neck Masses. Georgetown Public Hospital CME.<strong>University</strong> of Guyana. Guyana.Howard J and El-Hawary R. Current Trends in the Surgical Treatmentof Adolescent Idiopathic Scoliosis in Canada. IMAST 2011 - The 18thInternational Meeting on Advanced Spine Techniques. Copenhagen,Denmark.Johnson L. Interesting Cases in Paediatric Otolaryngology. Grand Rounds,Department of Otolaryngology. <strong>Dalhousie</strong> <strong>University</strong>Johnson L. Snoozers and Snorers - Sleep Apnea in Children. 6th AnnualLeads from Paeds. Best Western Glengarry, Truro, NS.Johnson P, Porter G. Management and Survival of Recurrent RectalCancer: A Population Based Analysis. Diseases of the Colon and Rectum.American Society of Colon and Rectal Surgeons. Vancouver, BC.Johnson P, Porter G. A Population Based Assessment of OncologicOutcomes after Rectal Cancer <strong>Surgery</strong>. Diseases of the Colon and Rectum.American Society of Colon and Rectal Surgeons. Vancouver, BC.Johnson P. The Yield of the Second Colonoscopy After Elective Resectionof Colorectal Cancer. Digestive Diseases Week. Chicago, IL.Johnson P, Porter G. Surgeon Knowledge is Associated with Clinical andOncologic Outcomes in Patients with Rectal Cancer. Society of SurgicalOncology Meeting. San Antonio, TX.Johnson M, Buduhan G. Low Dose Screening CT of the Chest: LocalResults of the Pan-Canadian Early Detection of Lung Cancer Study. BHCRI3rd Annual Cancer <strong>Research</strong> Conference, Atlantic Canada. Halifax, NS.Lalonde D. Is Main Operating Room Sterility Really Necessary in CarpalTunnel <strong>Surgery</strong>? A Multicenter Prospective Study of Minor Procedure RoomField Sterility <strong>Surgery</strong>. American Association for Hand <strong>Surgery</strong>. Cancun,Mexico.Lalonde D. Is Main Operating Room Sterility Really Necessary in CarpalTunnel <strong>Surgery</strong>? A Multicenter Prospective Study of Minor Procedure RoomField Sterility <strong>Surgery</strong>. American Society of Plastic Surgeons. Denver, CO.Lalonde D. Comparison of the Sensory Modality Effects of Bupivacaine: ALevel One Study. The Atlantic Society of Plastic Surgeons. Fox Harbor, NS.Lalonde D. The Effect of Buffering on Duration of Lidocaine Effect in LocalAnesthesia for the Face. International Plastic and Reconstructive Meeting.Vancouver, BC.Lalonde D. The Effect of Buffering on Duration of Lidocaine Effect in LocalAnesthesia for the Face. The Atlantic Society of Plastic Surgeons. FoxHarbor, NS.Lalonde D. How Much Bicarb Do You Need to Neutralize Lidocaine? TheAtlantic Society of Plastic Surgeons. Fox Harbor, NS.


30 | Department of <strong>Surgery</strong>Lalonde D. How Much Bicarb Do You Need to Neutralize Lidocaine?Canadian Society of Plastic Surgeons Meeting. Halifax, NS.Lalonde D. Teaching Local Anesthetic Injections to <strong>Medical</strong> Students andResidents: Can Learners Administer it Painlessly? International Plastic andReconstructive Meeting. Vancouver, BC.Lalonde D. Teaching Local Anesthetic Injections to <strong>Medical</strong> Students andResidents: Can Learners Administer it Painlessly? The American Associationfor Hand <strong>Surgery</strong> Meeting. Las Vegas, NV.Lalonde D. Teaching Local Anesthetic Injections to <strong>Medical</strong> Students andResidents: Can Learners Administer it Painlessly? The Atlantic Society ofPlastic Surgeons. Fox Harbor, NS.Lalonde D. Wide Awake Hand <strong>Surgery</strong>. (course), and Wide Awake FlexorTendon Repair (panel.) American Association for Hand <strong>Surgery</strong>. Cancun,Mexico.Lalonde D. Presentations as Visiting Professor Washington <strong>School</strong> ofMedicine. St. Louis, MS.Lalonde D. Wide-Awake Flexor Tendon Repair, and Improving Results withRefinements in Flexor Tendon <strong>Surgery</strong> and Therapy. British Society of HandTherapists. Manchester, England.Lalonde D. Pearls in Hand <strong>Surgery</strong>, and Phalangeal Fractures, how I do it?Keynote Speaker. The British Society for <strong>Surgery</strong> of the Hand. Manchester,England.Lalonde D. Presentations as Visiting Professor Albany <strong>Medical</strong> College.Albany, NY.Lalonde D. Presentations as Visiting Professor <strong>University</strong> of Texas <strong>Medical</strong>Center. Dallas, TX.Lalonde D. Wide Awake Hand <strong>Surgery</strong>. Canadian Society of HandTherapists. Vancouver, BC.Lalonde D. Wide Awake Hand <strong>Surgery</strong>. Canadian Society of Hand <strong>Surgery</strong>(MANUS Canada).Lalonde D. Wide Awake Hand <strong>Surgery</strong>, and How to get your PaperPublished in PRS. International Confederation of Plastic Reconstructive andAesthetic <strong>Surgery</strong>. Vancouver, BC.Lalonde D. Evidence Based Breast Reduction <strong>Surgery</strong> for Maintenance ofCertification. American Society of Aesthetic Plastic <strong>Surgery</strong>. Boston, MA.Lalonde D. 4 talks in hand surgery . 10th Shanghai International Plastic<strong>Surgery</strong> Conference. Shanghai, China.Lalonde D. Dupuytren’s Contracture of the Small Finger PIP Joint:Treatment. (panel) Maximizing Efficiency in Common Hand <strong>Surgery</strong>Procedures (panel). Flexor Tendon Repair (course). CMC Arthritis (course).American Society for <strong>Surgery</strong> of the Hand. Las Vegas, NV.Lalonde D. Better Local Anesthesia for Aesthetic <strong>Surgery</strong> of the Face andBreast, and How the Evidence has Changed My Practice, and How to Geta Paper Accepted to PRS, and Hand <strong>Surgery</strong> Jeopardy. American Society ofPlastic Surgeons. Denver, CO.Lalonde D. Refinements in Flexor Tendon Repair for Consistently LowerRupture and Tenolysis Rates, and How to do Needle Aponeurotomy forDupuytren’s and Why I Like it Better than <strong>Surgery</strong>. Atlantic Society of PlasticSurgeons. Fox Harbor, NS.Lalonde D. Epinephrine in the Hand: The Key to 15 Years as a HandSurgeon without a Tourniquet. San Francisco Bay Area Hand Club InvitedSpeaker. San Francisco, CAL.Lalonde D. Epinephrine in the Hand: The Key to 15 Years as a HandSurgeon without a Tourniquet. Texas A & M <strong>University</strong>. Scott & White,Temple, TX.Lalonde D. Presentations as Visiting Professor <strong>University</strong> of McGill,Montreal, QC.Légaré JF. New Onset Post-Operative Atrial Fibrillation is Associatedwith a Long-Term Risk of Stroke Following Cardiac <strong>Surgery</strong>. CanadianCardiovascular Congress. Montreal, QC.Légaré JF. Predictors For In Hospital Mortality in Patients with Type anAortic Dissection From A 2 Center Experience. Canadian CardiovascularCongress. Montreal, QC.Légaré JF. Stem Cell Mobilization Increases Myocardial Fibrosis via CXCR4Independent Pathway in the AngII Treated Heart. Canadian CardiovascularCongress. Montreal, QC.Légaré JF. Activated Protein C (APC) Inhibits the Development of AngIIMediated Myocardial Fibrosis. Canadian Cardiovascular Congress. Montreal,QC.Légaré JF. Myocardial Fibrosis Secondary to AngII Exposure is HypertensionDependent. Canadian Cardiovascular Congress. Montreal, QC.Légaré JF. Connective Tissue Growth Factor in Extracellular Matrix ProteinDeposition in Myocardial Fibrosis Development After HTN Derived FromAngII Exposure. Canadian Cardiovascular Congress. Montreal, QC.Légaré JF, Baskett R. Long Term Ventricular Assist Devices: The MaritimeExperience. Canadian Cardiovascular Congress. Montreal, QC.Légaré JF. New Onset Post-Operative Atrial Fibrillation is Associated witha Long-Term Risk for Stroke Following Cardiac <strong>Surgery</strong>. ACS. Montreal, QC.Légaré JF. BIMA Grafting Is Superior To Other Forms of Multiple ArterialGrafting to Provide Survival Benefit After CABG <strong>Surgery</strong>. ACS. Montreal,QC.Lee T, Légaré JF. Mozobil Increases Myocardial Fibrosis via theRecruitment of Fibrocytes in the AngII Treated Heart. AHA BasicCardiovascular Sciences. New Orleans, LA.Légaré JF, Baskett R. Long Term Ventricular Assist Devices Experience ofa Single Academic Center. CST. Tremblant, QC.Leighton R. Posterolateral Antiglide vs Lateral Plating for SE Pattern AnkleFractures: A Multicenter Randomized Control Trial. Orthopaedic TraumaAssociation. San Antonio, TX.Leighton R. Durolane Study: A Multicenter Prospective Study ComparingDurolane vs Depo Medrol in Stage 2 and 3 Arthritis. Ontario OrthopedicAssociation. Toronto, ON.Leighton R. Arthroplasty vs Hemiarthroplasty in Displaced Fractured Hips.American Academy of Orthopedic Surgeons. San Diego, CA.Leighton R. The Canadian Health Care System—The Strengths and theWeaknesses. American Orthopedic Association. Boston, MA.Leighton R. Displaced Femoral Neck Fractures in the Elderly – What is thePresent Standard of Care? Ontario Orthopedic Association. Toronto, ON.Leighton R. Ceramic Hips—Where are We Now? Dewar Club. London,ON.Leighton R. Displaced femoral neck fractures – Where are we in 2011?Atlantic Provinces Orthopedic Society. Halifax, NS.


<strong>Dalhousie</strong> <strong>University</strong> | 31Mendez I. Halifax Protocol for Neuraltransplantation in Parkinson’sDisease. Stanford <strong>University</strong>. Stanford, CA.Mendez I. New Advances in Brain Repair. Institute for <strong>Medical</strong> <strong>Research</strong>Isreal-Canada. Tel Aviv, Israel.Mendez I. Remote Presence Systems. Augusta Victoria Hospital. Jerusalem,Israel.Mendez I. Neural Transplantation for Parkinson’s Disease – MethodologicalConsiderations. California Institute of Regenerative Medicine. San Francisco,CA.Mendez I. RP-Vantage. InTouch Health Headquarters. Santa Barbara, CA.Mendez I. Dialogic Session with Professor Norman Cornett. Musee desMaitres et Artisans due Quebec. Montreal, QC.Mendez I. New Developments in Remote Presence Medicine. The MexicanInstitute of Advanced <strong>Medical</strong> Technologies. Mexico City, Mexico.Mendez I. Poverty, Breakfast and Robots. Association of Nova Scotia Peri-Anesthesia Nurses Education Day and AGM. Halifax, NS.Mendez I. Deep Brain and Spinal Cord Stimulation. Memorial <strong>University</strong>.St. John’s, NL.Mendez I. Disease of Poverty. Health & Development Conference.<strong>Dalhousie</strong> <strong>University</strong>.Mendez I. Brain Repair and Robotics. Neurological Unit. Holguin<strong>University</strong> Hospital. Holguin, Cuba.Morris D. Directional Hearing, Single-Sided Deafness and BAHA – Does itExist, Can it Be Assessed Simply and Can it Be Learned? Third InternationalSymposium on Bone Conduction Hearing - Craniofacial Osseointegration.Sarasota, FL.Morris D. The Effect of Graded Temporal Bone Resections on BAHAPerformance in Dry Skulls and Surgically Fixed Cadaveric Heads. ThirdInternational Symposium on Bone Conduction Hearing - CraniofacialOsseointegration. Sarasota, FL.Morris D. Directional Hearing, Single-Sided Deafness and BAHA – Doesit Exist, Can it be Assessed Simply and Can it Be Learned? 65th AnnualMeeting of the Canadian Society of Otolaryngology-Head and Neck <strong>Surgery</strong>.Victoria, BC.Morris D. Transcranial Transmission with the BAHA After GradedTemporal Bone Resection . Pilot Data from a Human Cadaveric Study.Third International Symposium on Bone Conduction Hearing - CraniofacialOsseointegration. Sarasota, FL.Morris D, Walling S, Bance M. Cochlear Implants in NF2. 6thInternational Conference on Vestibular Schwannoma. Los Angeles, CA.Morris D, Bance M. Can Audiometric Results Predict Qualitative HearingImprovements in BAHA Recipients? Third International Symposium on BoneConduction Hearing - Craniofacial Osseointegration Sarasota, FL.Morris D, Walling S, Bance C. Cochlear Implantation in NF2.Considerations and Challenges. 2nd Iranian Congress on Cochlear Implantand Related Sciences. Tehran, Iran.Morris D. Directional Hearing, Single-Sided Deafness and BAHA – Doesit Exist, Can it Be Assessed Simply and Can it Be Learned? <strong>Dalhousie</strong> ORL-HNS Divisional Resident <strong>Research</strong> Day. Halifax, NS.Morris D. The Effect of Graded Temporal Bone Resections on BAHAPerformance in Dry Skulls and Surgically Fixed Cadaveric Heads. <strong>Dalhousie</strong>ORL-HNS Divisional Resident <strong>Research</strong> Day. Halifax, NS.Morris D. The Effect of Graded Temporal Bone Resections on BAHAPerformance in Dry Skulls and Surgically Fixed Cadaveric Heads. <strong>Dalhousie</strong>Department of <strong>Surgery</strong> Resident <strong>Research</strong> Day. Halifax, NS.O’Blenes S. Adults with Congenital Heart Disease Should be cared for in aPediatric Institution. Canadian Cardiovascular Congress. Vancouver, BC.O’Blenes S. Controversies in Pediatric Heart <strong>Surgery</strong>: DelNidoCardiolpegia. The Harvard Club, New York, NY.Oxner W and Dunbar M. Evaluation of One-Level Lumbar Fusions withPedicle Screw Instrumentation and the Trabecular Metal IntervertebralCage Using Radiostereometric Analysis. Second International RSA Meeting.Leiden, The Netherlands.Pickett G. SILK Flow Diverter: Our Experience and Lessons Learned. 11thAnnual Meeting of the World Federation of Intervention. Cape Town, SouthAfrica.Pickett G. SILK Flow Diverter: Beginner’s Perspective. 11th AnnualMeeting of the World Federation of Intervention. Cape Town, South Africa.Porter G. Results of a multicenter randomized trial to evaluate asurvivorship care plan for breast cancer survivors. ASCO Annual Meeting,Chicago, IL.Porter G. Factors related to the local implementation and use of aninnovation in surgical oncology. Canadian Association for Health Services andPolicy <strong>Research</strong> Conference. Halifax, NS.Porter G. Completeness of Dictated Operative Reports in Breast Cancer –The Case for Synoptic Surgical Reporting . Society of Surgical Oncology 64thAnnual Cancer Symposium, San Antonio, TX,Porter G. Johnson P, Grunfeld E. Improving Nodal Harvest in ColorectalCancer: So What? Society of Surgical Oncology 64th Annual CancerSymposium. San Antonio, TX.Porter G. Reflections on Knowledge Brokering within a Multidisciplinary<strong>Research</strong> Team. <strong>Research</strong> Transfer Network of Alberta. Edmonton, AB.Porter G. for the Common Methods Group of Team ACCESS: Nova Scotia(NS) Colorectal Cancer (CRC) Wait-Times (WTs) Framework: A Population-Based Study. Data Users Conference. Ottawa, ON.Porter G. Clinical Information Available to Oncologists in Rectal Cancer:Room to Improve. Canadian Cancer <strong>Research</strong> Symposium. Toronto, ON.Porter G. Adherence to Clinical Practice Guidelines for AdjuvantChemotherapy in Patients with Colorectal Cancer in Nova Scotia. ASCOAnnual Meeting. Chicago, IL.Porter G. Reporting and Using Cancer Treatment Data – <strong>Surgery</strong>. CanadianPartnership Against Cancer Workshop. Toronto, ON.Porter G. Use of Administrative Data to Evaluate Quality Cancer Systems.Canadian Cancer <strong>Research</strong> Symposium. Toronto ,ON.Porter G. Colorectal Cancer Liver Metastases – Getting the Most Outof <strong>Surgery</strong>. Annual Meeting of the Atlantic Canada Oncology Group.Charlottetown, PE.Porter G. Cancer Health Services <strong>Research</strong>. Beatrice Hunter Cancer<strong>Research</strong> Institute Mini Cancer Course. Halifax, NS.


32 | Department of <strong>Surgery</strong>Porter G. Team Access: Colorectal Cancer in Nova Scotia. Annual Meetingof CIHR Institute of Cancer <strong>Research</strong> Advisory Board. Halifax, NS.Richardson G. Meaningful Use of Health Information Technology. GrandRounds Division of Orthopaedic <strong>Surgery</strong>. <strong>Dalhousie</strong> <strong>University</strong>.Richardson G. Revision the Increasing Burden. Total Hip Solutions.Montreal, QCRichardson G. Engineering Issues with Bearing Selection, Total HipSolutions. Montreal, QC.Richardson G. Total Hip Arthroplasty in the Elderly. Department ofGeriatrics Grand Rounds. <strong>Dalhousie</strong> <strong>University</strong>.Richardson G. Navigation and Shape Matching in Total Knee Arthroplasty.APOS Annual Meeting.Richardson G. Highly Crosslinked Polyethylene in Total Knee Arthroplasty.Canadian Orthopaedic Association (COA) Annual Meeting. St. John’s, NL.Richardson G. What is New in CPD. Canadian Orthopaedic Association(COA) Annual Meeting. St. John’s, NL.Stanish W. Sport Injuries. CME Session Canada Games. Halifax, NS.Stanish W. Cruciate and Collateral Ligament Injuries/Articular CartilageInjury and Treatment. Orthopaedic Academic Rounds. <strong>Dalhousie</strong> <strong>University</strong>.Stanish W. Meniscal Injuries: New Thoughts. Symposium on CurrentConcepts in Sport Medicine. Diagnosis and Treatment. Halifax, NS.Stanish W. The Master’s Knee: Recent Advances in Management.Symposium on Current Concepts in Sport Medicine. Diagnosis andTreatment. Halifax, NS.Stanish W. The Role of Viscosupplementation: Does Artificial SynovialFluid Actually Work? Symposium on Current Concepts in Sport Medicine.Diagnosis and Treatment. Halifax, NS.Stanish W. Physical Examination of the Knee. Symposium on CurrentConcepts in Sport Medicine. Diagnosis and Treatment. Halifax, NS.Stanish W. Implications for RTW Case Management and Clinical DecisionMaking. Back Injury: New Directions Through Multidisciplinary <strong>Research</strong>Worker’s Compensation Board of Nova Scotia. <strong>Dalhousie</strong> <strong>University</strong>.Stanish W. Orthopaedic Handbook. Injury in the Worker, CurrentTrends in the Non-Operative Treatment of Osteoarthritis. Low Back Pain,Disorders of the Foot, Shoulder Disorders, Tendon Disorders: A Perspective.Veterans Review and Appeal Board. Charlottetown, PE.Stanish W. A Randomized Multicentre Clinical Trial Comparing BST-CarGelto Microfracture in Repair of Focal Articular Cartilage Lesions on the FemoralCondyle: Interim Results from 41 Patients. 8th Biennial ISAKOS Congress.Rio de Janeiro, Brazil.Stanish W. Histological Structural Endpoint Data from a RandomizedClinical Trial Interim Analysis Show Significant Improvements in TissueQuallity at 13 Months for BST-CarGel vs Microfracture. 8th Biennial ISAKOSCongress. Rio de Janeiro, Brazil.Stanish W. Effect of Microfracture Tool Shape on Subchondral BoneStructure in Ex Vivo Symptomatic OA Knee Condyles with and withoutPrior Steroid Therapy. 17th Annual Canadian Connective TissueConference. Montreal, QC.Stanish W. ACL Reconstruction – Double-Bundle Technique. AtlanticArthroscopy Course, Bio Skills Lab. Halifax, NS.Stanish W. The Effect of Knee Effusion Pressure on Periarticular MuscleFunction Furing Gait in Knee Osteoarthritis: Does it Fit an Acute EffusionModel? Canadian Orthopaedic/American Orthopaedic Association Meeting.St. John’s, NL.Taylor M. My Facelifting Tips. Invited Lecture. Canadian Academy of FacialPlastic and Reconstructive <strong>Surgery</strong>. Toronto, ON.Taylor M. Transoral Laser Microsurgery for Head and Neck Cancer.Department of <strong>Surgery</strong> Grand Rounds. <strong>Dalhousie</strong> <strong>University</strong>.Taylor M. Facelifting. Otolaryngology-Head and Neck <strong>Surgery</strong> Rounds.<strong>Dalhousie</strong> <strong>University</strong>.Taylor M. Basic Course in Facelifting. European Academy of Facial Plasticand Reconstructive <strong>Surgery</strong> Annual Meeting. Bruges, Belgium.Taylor M. Upper Lid Blepharoplasty. European Academy of Facial Plasticand Reconstructive <strong>Surgery</strong> Annual Meeting. Bruges, Belgium.Taylor M. Facial Reconstuction Following Skin Cancer Resection. EuropeanAcademy of Facial Plastic and Reconstructive <strong>Surgery</strong> Annual Meeting.Bruges, Belgium.Taylor M. Invited Chairman: Orbital Decompression. European Academy ofFacial Plastic and Reconstructive <strong>Surgery</strong> Annual Meeting. Bruges, Belgium.Taylor M. Invited Chairman. Management of Facial Paralysis. EuropeanAcademy of Facial Plastic and Reconstructive <strong>Surgery</strong> Annual Meeting.Bruges, Belgium.Taylor M. Advances in Laryngeal Cancer. Cape Breton Clinical Day inOtolaryngology-Head and Neck <strong>Surgery</strong>. Sydney, NS.Taylor M. Tracheostomy-Clinical Station. Cape Breton Clinical Day inOtolaryngology-Head and Neck <strong>Surgery</strong>. Sydney, NS.Taylor M. Challenges in Facial Reconstruction. Cancer Care Nova ScotiaRounds. Halifax, NS.Taylor M. Gold Standard Management of the Unknown Primary of the Headand Neck. Canadian Society of Otolaryngology-Head and Neck <strong>Surgery</strong>Annual Meeting. Victoria, BC.Taylor M. Thyroid Cancer- Panel Discussion. Canadian Society ofOtolaryngology-Head and Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Taylor M. Controversies in the Management of Differentiated ThyroidCancer- Postoperative Monitoring and Surveillence. Canadian Society ofOtolaryngology-Head and Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Taylor M. Head and Neck Ultrasound for the Otolaryngologist-Head andNeck Surgeon. Course Co-Director. Full day course at the Canadian Societyof Otolaryngology-Head and Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Taylor M. Canadian Society of Otolaryngology-Head and Neck <strong>Surgery</strong>Fund. Canadian Society of Otolaryngology-Head and Neck <strong>Surgery</strong> AnnualMeeting. Victoria, BC.Taylor M. Endoscopic Partial Laryngectomy: Glottic/Subglottic Larynx.Invited Faculty, Transoral Approaches to Head and Neck Cancer. Washington<strong>University</strong>. Seattle, WA.Taylor M. Case Presentations of Oropharyngeal and Laryngeal Carcinoma:Panel Discussion with Questions and Answers. Invited Faculty, TransoralApproaches to Head and Neck Cancer. Washington <strong>University</strong>. Seattle, WA.


<strong>Dalhousie</strong> <strong>University</strong> | 33Taylor M. Getting Started; The Learning Curve for TLM for Head and NeckCancer. Invited Faculty, Transoral Approaches to Head and Neck Cancer.Washington <strong>University</strong>. Seattle, WA.Taylor M. CPT Coding for TLM in Head and Neck Cancer. Invited Faculty,Transoral Approaches to Head and Neck Cancer. Washington <strong>University</strong>.Seattle, WA.Taylor M. Practical Lab Instructor. Porcine Model for Transoral Larynx, OralCavity and Pharynx Techniques. Transoral Approaches to Head and NeckCancer. Washington <strong>University</strong>. Seattle, WA.Taylor M. TLM for Head and Neck Cancer. VG Nurses Grand Rounds.Halifax, NS.Taylor M. Nasal Reconstruction. Department of <strong>Surgery</strong> Grand Rounds.<strong>Dalhousie</strong> Univeristy.Taylor M. Rhinoplasty. 4th Annual Review Course in Otolaryngology-Headand Neck <strong>Surgery</strong>. Halifax, NS.Taylor M, Hart R, Trites J, Fleetwood I. Atypical ComplicationsFollowing Surgical Excision of Carotid Body Tumors. Canadian Society ofOtolaryngology-Head and Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Taylor M, Hart R, Trites J. O2 Laser Resection of a SupraglotticRhabdomyoma: Case Report and Review. Canadian Society ofOtolaryngology-Head and Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Taylor M, Trites J, Hart R . Long-Term Forearm Donor Site Morbidity ofthe Free Radial Forearm Flap in Head and Neck Cancer Patients. CanadianSociety of Otolaryngology-Head and Neck <strong>Surgery</strong> Annual Meeting. Victoria,BC.Taylor , Hart R, Trites J. A National Survey of Practice Patterns inthe Management of Glottic Cancer in Canada. Canadian Society ofOtolaryngology-Head and Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Taylor M, Hart R, Trites J. Secondary Total Thyroidectomy FollowingLaryngopharyngectomy with Free Flap Reconstruction. Canadian Society ofOtolaryngology-Head and Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Taylor M, Hart R, Trites J. Incidence of Parathyroid Tissue in Level 6 NeckDissection. Canadian Society of Otolaryngology-Head and Neck <strong>Surgery</strong>Annual Meeting. Victoria, BC.Taylor M, Hart R, Trites J. Conjunctival Squamous Cell Carcinoma in NovaScotia: A Twenty Year Review. Canadian Society of Otolaryngology-Headand Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Walling S. Qualaitative and Quantitative Analysis of Ski and SnowboardHelmet use in NS. Trauma Association of Canada (TAC) Annual ScientificMeeting. Banff, AB.Walling S. Peds Brain Tumours. Brain Tumour Information Day. Halifax,NS.Walling S. Concussion and Post Concussion Syndrome. Neurology Update.Cape Breton, NS.Walling S. Concussion Management. Orthopaedic <strong>Surgery</strong> Sports MedicineUpdate Symposium. Halifax, NS.Walling S. Peds Brain Tumours. Pediatric Nurses Update. Halifax, NS.Wilson K, Hyndman J, El-Hawary R. The Use of Free Vascularized FibulaGrafts for the Spinal Stabilization of Pediatric Patients. Abstract. AmericanSociety for Reconstructive Microsurgery. Cancun, Mexico.Wilson K. Cleft Lip Repair. G. Ian Taylor Society Meeting. Aarhus,Denmark.Wilson K. Operation Smile Experience. TED Conference. Halifax, NS.Yanchar N. Legislating All-Terrain Access by Children: Effects on InjuryRates and Severity. American Pediatric Surgical Association Meeting. PalmDesert, CA.Yanchar N. Chest X-ray is an Excellent Screening Tool for Blunt ThoracicTrauma in Children. Trauma Association of Canada Scientific Meeting. Banff,AB.Yanchar N. Identification of Blunt Abdominal Injuries in Children. TraumaAssociation of Canada Scientific Meeting. Banff, AB.Yanchar N. Canadian Pediatric Trauma Systems: From Policy to Practice.Canadian Injury Prevention Conference. Vancouver, BC.Yanchar N: The Canadian Pediatric <strong>Surgery</strong> Network. The GastroschisisBowel Score Predicts Outcome in Gastroschisis. Surgical Section of theAmerican Academy of Pediatrics, NCE. Boston, MA.Yanhar N. Pediatric Trauma: Imaging, Algorithms and Advocacy. TraumaNursing Conference. Toronto, ON.Yanchar N. Imaging in Pediatric Trauma. Annual Refresher Course:Emergency Medicine. <strong>Dalhousie</strong> <strong>University</strong>.Taylor M. Interest in Facial Plastic and Reconstructive <strong>Surgery</strong> AmongPracticing Otolaryngologists: A Canadian Survey. Canadian Society ofOtolaryngology-Head and Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Taylor M, Hart R, Trites J. A Systematic Review of Late Free Flap Failure inHead and Neck Reconstruction. Canadian Society of Otolaryngology-Headand Neck <strong>Surgery</strong> Annual Meeting. Victoria, BC.Walling S. Qualitative and Quantitative Analysis of Ski and SnowboardHelmet use in NS. Canadian Injury Prevention and Safety PromotionConference. Vancouver, BC.Walling S. The Effects of Enforcement and Education on Helmet usein Rural and Urban Nova Scotia. Canadian Injury Prevention and SafetyPromotion Conference. Vancouver, BC.Walling S. Operation Headway-Noggin’ Knowledge: A comprehensiveBike Helmet Promotion Program. Brain Injury Association of Canada.Charolettetown, PE.


34 | Department of <strong>Surgery</strong>Dal <strong>Surgery</strong> <strong>Research</strong> Committee 2011The Dal <strong>Surgery</strong> <strong>Research</strong> Committee is comprised from representation of each Dal<strong>Surgery</strong> Division. All the members of the committee are appointed faculty and areestablished clinical scientist, or they are are cross-appointed basic scientist productivelyworking with our departmental faculty in a positive collaborative nature. The <strong>Research</strong>Committee functions in many capacities within the Department and works within thespectrum of its’ mission statement:“To enhance the research capacity and productivity of the Department of <strong>Surgery</strong> throughthe promotion of original and innovative research activities among faculty and residents,as well as research training opportunities for these individuals. A significant proportion ofthese activities should be directed toward collaborative, team approaches that result ininnovative research programs”Members of the Dal <strong>Surgery</strong> <strong>Research</strong> CommitteeDr. Greg Hirsch, Director of <strong>Research</strong> Dal <strong>Surgery</strong>: Dr. Hirsch is the Head ofCardiac <strong>Surgery</strong> and most recently is working with Dr. Stacy O’Blenes, a fellowcardiac surgeon. Together they are developing a multi-site clinical trial lookinginto variables of all-blood cardioplegia.Dr. Ian Alwayn is the Surgical Lead of the Multi Organ Transplant Programand works within the Atlantic Centre for Transplantation <strong>Research</strong>. His researchfocus is on optimizing the quality of organs prior to transplantation.Dr. Manohar Bance is the Head of Otolaryngology and continues to workcollaboratively with engineering physicists Dr. Jeremy Brown and Dr. RobAdamson continuing their work in new hearing prototypes.Dr. Rob Brownstone has recently been appointed a Tier I Canadian<strong>Research</strong> Chair in Spinal Cord Curcuits. Dr. Brownstone is a Neurosurgeonand Heads the Atlantic Mobility Action Project. His work with ALS and SpinalCord Trauma is world re-known and you can visit his research site at www.amap.caDr. Michael Dunbar is an Orthopaedic Surgeon who continues to growhis research dossier while steadfastly collaborating with Dr. Cheryl Kozey andDr. Janey Astephen in Biomedical Engineering to investigate Knee implantinnovation and technology.


Dr. James Fawcett is a Basic Scientist inPharmacology. He presently holds a TierII Canadian <strong>Research</strong> Chair in MolecularNeurobiology in Brain Repair, and works asa contributing scientist in the Atlantic MobilityAction Project. His area of research remainsconcentrated in the formation of neurons,synapses and spinal cord circuits.Dr. Mark Glazebrook is an OrthopedicSurgeon with on-going outcome studieson ankle arthritis and of foot and anklepathologies.Dr. Rob Hart is a practicing ENT Surgeonwhose clinical research strives to deliverbetter diagnostics in oral cancers and theirsurgical treatments.Dr. Paul Hong is a new member to thecommittee. He is a recently recruitedPediatric Otolaryngologist. He is startingup his research career examining facialdeformities and implementing both surgicaland medicinal advancements in clinical care.Dr. David Hoskin holds a Canadian BreastCancer Foundation Chair and is a crossappointed Pathologist who continues towork with Dal <strong>Surgery</strong> Resident researchers.His research interests primarily examinepromising cancer fighting agents found ineveryday foods.Dr. Thomas Issekutz is a member ofthe Faculty of Medicine. He is a PediatricMicrobiologist and Immunologist workingtowards better understanding inflammationdisorders.Dr. Paul Johnson is a Colorectal Surgeonworking very closely and supervising CIPresidents, Drs. Jon Bailey and Phil Davis.Their work looks at the outcomes in elderlypatients requiring emergency abdominalsurgery.Dr. Don Lalonde is a Plastic Surgeon andHead of <strong>Research</strong> for the Division of Plastic<strong>Surgery</strong>. A busy practicing surgeon, Dr.Lalonde is a leading expert in the wideawakehad surgery.Dr. J.F. Legare is a Cardiac Surgeonworking within the Atlantic Centre forTransplantation <strong>Research</strong> presentlyinvestigating the clinical implications of heartfailure and using stem cells to regeneratelost myocardium.Dr. Tim Lee is the Head of the AtlanticCentre for Transplantation <strong>Research</strong> and along standing member of the Dal <strong>Surgery</strong><strong>Research</strong> Committee. Dr. Lee is a PhD,and works very closely with all Dal <strong>Surgery</strong>Faculty in the area of organ transplant.Dr. Geoff Porter holds the Gibran andJamile Ramia Chair in Surgical Oncology.Dr. Porter is a General Surgeon with clinicaland research interests in breast cancerand their clinical outcomes. He presentlysupervises Dr. Richard Liu, a CIP resident.Dr. Greg Hirsch and Elaine Marsh would like to thankeveryone for their advice, feedback and editing. Wewould like to thank our department’s leader, Dr.David Kirkpatrick, our contributing faculty profiled inthis report, and most importantly the patients andtheir families for sharing so unselfishly their stories.Printed by The Printer, Dartmouth, NS


<strong>Dalhousie</strong> <strong>University</strong> – Faculty of MedicineDepartment of <strong>Surgery</strong> <strong>Research</strong> OfficeRM: 8-846, VG Site, 1278 Tower RoadHalifax, Nova Scotia B3H 2Y9TEL: 902-473-4615 • FAX: 902-473-7969

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