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Title: The Post
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Permanent Link: http://ufdc.ufl.edu/UF00073869/00044
 Material Information
Title: The Post
Series Title: Post
Uniform Title: Post (Gainesville, Fla. 2001)
Physical Description: v. : ill. ; 28 cm.
Language: English
Creator: Office of News and Communications, UF Health Science Center
University of Florida -- Health Science Center
University of Florida -- Health Science Center. -- Office of Public Information
Publisher: HSC Office of Public Information
Place of Publication: Gainesville Fla
Publication Date: February 2009
Frequency: biweekly
regular
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Subject: Health occupations schools -- Periodicals -- Florida   ( lcsh )
Genre: government publication (state, provincial, terriorial, dependent)   ( marcgt )
periodical   ( marcgt )
 Notes
Statement of Responsibility: The University of Florida Health Science Center.
Dates or Sequential Designation: July 27, 2001-
General Note: Title from caption.
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Bibliographic ID: UF00073869
Volume ID: VID00044
Source Institution: University of Florida
Holding Location: University of Florida
Rights Management: All rights reserved by the source institution and holding location.
Resource Identifier: oclc - 47826372
lccn - 2001229452
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Preceded by: Friday evening post (1989)

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Table of Contents
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    Table of Contents
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    Main
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More than 32,000 soldiers have been wounded in Iraq and
Afghanistan since the wars there began. Yet, the long-term task
of caring for today's wounded soldiers is still only in its infancy.
This month, The POST explains how UF Health Science Center
clinicians and researchers are involved in caring for this new
generation of veterans from battlefield to clinic. Shown here is
Dr. Robert Redfern (right photo, center), an anesthesiologist at
the UF College of Medicine who recently served in Iraq, with
fellow soldiers near the 345th Combat Support Hospital.


POST-it
In Memoriam: Joachim S. Gravenstein
Administration: Baby Gators
Education: Health care in the Gambia
Education: CSI for animals
Extraordinary Person: Gabriele Dupre
Cover Story: Military medicine
Research: Why some brain cells die
Jacksonville: Breast cancer and surgery
Distinctions
Administration: PHHP turns 50
Profile: lan Tebbett


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Sweet tooth news

UF opens dental clinic for
underserved children in Naples ........

n I )Dc. 3, the UF College of Dentistry opened a new pediatric
r!n!r, in Naples dedicated to treating underserved children
%%h.. might not otherwise receive dental care. The NCEF
Pediatric Dental Clinic, located on the Collier County campus of Edison
College, includes a new pediatric dental facility and educational space.
UF dentistry faculty and staff provide specialized pediatric dental
treatment to Collier County's Medicaid-eligible and at-risk children .
during an estimated 15,000 patient visits each year. The project is a
collaboration between the Naples Children and Education Foundation,
UF, Edison College and Collier Health Services Inc. "We are very excited
that patient care is under way and are grateful for the efforts and support
of many people who worked so hard to make this a reality," said Teresa
Dolan, D.D.S., M.P.H., dean of the UF College of Dentistry. "We are
especially grateful to the Naples Children and Education Foundation
trustees for their generosity and vision, which made this project possible." The Edison College district board of
trustees approved a long-term land lease agreement with UF to give the facility an academic home. While the first
floor of the two-story building will be dedicated to UF's clinical operations, Edison College will share use of second-
floor classrooms and laboratory space.


I 2 I http: news.health.utl.edu









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DANCING WITH THE DENTISTS
Get ready, UF College of Dentistry students, faculty and staff.
The junior class is hosting this year's Bicuspid Ball-also
known as the Premolar Prom -on Feb. 21. Come to The
Courtyard at Steve's Cafe Americain from 8 p.m. to midnight for
food,fun and dancing. The event includes dinner, select
beverages and a DJ. Attire is semi-formal. Advance tickets are
available at dental school clinics for $30 up to a week before
the event. Tickets atthe door will be more expensive.


http://news.health.ufl.edu


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/ SCIENTIST

Patriarch of UF's anesthesia department passes away


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In 2006, the year after he received the first
of two Lifetime Achievement Awards from

the UF College of Medicine, Joachim S.

"Nik" Gravenstein, M.D., sat in the quiet lab

that had just been dedicated to him on the

ground floor of UF's Communicore Building.

It was a typical sight. Gravenstein, a UF graduate research
professor emeritus and founder of UF's anesthesiology department,
was there by 7 a.m. most days to teach students and residents on the
Human Patient Simulator, the lifelike, computerized mannequin
resting on a table nearby, wired to monitors in wait of its next
contrived crisis. Gravenstein co-invented the simulator, just one of
the accomplishments that led to his name being etched across so
many plaques during his career. But not the type to brag, Gravenstein
steered the conversation toward an award he gave. To his wife.
"It occurred to me that the achievements of academicians like
myself are very fleeting," said Gravenstein, who organized an event
with his children to celebrate his wife's achievements. "I thought if
anybody deserves an achievement award it's my wife. After she is
retired, her achievements will still be running around and making
noises. This is a continuation, rather than something that is quickly
forgotten."
Gravenstein, who spent most of his career at UF and founded the
College of Medicine's department of anesthesiology in 1958, died
Jan. 16 after a battle with a colon cancer. He was 83.
"Nik Gravenstein was an exceptionally gifted and compassionate
human being," said Michael L. Good, M.D., interim dean of the
College of Medicine and a former student of Gravenstein's. "As a
physician, he healed many. As a teacher, he helped students of all
ages learn. As a mentor, he helped so many of us develop successful,
rewarding and meaningful careers and lives. Nik Gravenstein leaves
the world in a much better place than how he found it. I am so
fortunate to have had the opportunity to know and learn from this
great man."
The Human Patient Simulator, which Gravenstein developed with
Good, Sem Lampotang, Ph.D., and other UF researchers, was just
one example of his commitment to improve patient safety, said
Jerome Modell, M.D., a former UF chair of anesthesiology.
Gravenstein co-founded the Anesthesia Patient Safety Foundation
and studied ways to improve patient safety in anesthesia, writing
several books on the subject. Current national efforts in patient
safety trace back to the APSF, and from there, to Gravenstein.
"He devoted his life to patient safety," Modell said. "When Dr.
Gravenstein started the division of anesthesiology in 1958, the


unexplained death rate from anesthesia was one in 2,000 patients.
Now, it's one in 200,000. Nik didn't do it alone but he was the first
person to really push it and advocate for safety in anesthesia. I think
that is his greatest contribution."
Gravenstein was the first, and only, member of the anesthesiology
department when the teaching hospital, now Shands at UF, opened.
Technically, he was still a medical student when he was hired,
although he was working on his second medical degree. After earning
his first medical degree in 1951 in his native Germany, Gravenstein
was invited to train at Massachusetts General Hospital. There, he
noticed gaps in his medical education, so he enrolled at Harvard
Medical School while completing his residency and fellowships.
Gravenstein stayed at UF until 1969. During that time, several of
his eight children were born at Shands at UF, including Ruprecht,
the first baby born at the hospital in 1958.
After 10 years at Case Western Reserve University, he returned to
UF. In the succeeding years, his research with UF colleagues led to
numerous findings and patents, including the Human Patient
Simulator, the Virtual Anesthesia Machine and other devices to
improve anesthesia delivery and patient safety.
"His dedication to patient safety has left the world a better place
for his presence," said KayserEnneking, M.D., chair of anesthesiology.
"We will miss him and do our best to live up to the ideals that he
embodied in his daily life. It was our great privilege to have known
'The Classic' Gravenstein. He remains an inspiration to us all."
Gravenstein is survived by his wife, Alix; eight children, Nikolaus
Gravenstein, Alix Gravenstein Pastis, Frederike Gravenstein,
Dietrich Gravenstein, Stefan Gravenstein, Ruprecht Gravenstein,
Constanza Gravenstein Goricki and Katarina Gravenstein Brient;
and 16 grandchildren. Dietrich and Nik are on the College of
Medicine faculty. 0


/







Lasting gift
Anyone who wishes
to honor the
accomplishments and
memory of
Dr. Gravenstein may
do so by making
contributions to the I.
Heermann Anesthesia
Foundation Inc. (EIN
59-3349331). Checks
should be made
payable to the I.
Heermann Anesthesia
Foundation Inc. and
mailed to P.O. Box
100254, Gainesville, FL
32610-0254.


1 4 I http: news.health.utl.edu


By April Frawley Birdwell



































UF to honor College of Medicine-restored

camellia garden


Story by April Frawley Birdwell


Photos by Sarah Kiewel


he dry, winter grass crunched under Linda Luecking's feet as
she trudged along the path through the garden, pausing every

few steps to point to another landmark the stage, the winding

brick pathways. Of course, only she can see them, at least for now.


In the patch of land and trees between Mowry
Road and the Shands Cancer Center, Luecking
sees the camellias restored and healthy, a cascade
of pinks and whites. She sees a children's garden
with an earthworm farm. She sees a stage and a
meditation garden with a water fountain to dull
the sounds of Archer Road traffic.
It will be awhile before vision completely
matches reality. But Wilmot Gardens, named for
UF horticulturalist and camellia expert Royal
James Wilmot, is already a different place than it
was in 2006 when College of Medicine leaders and
a cadre of volunteers began nursing it back to
green. After years of neglect, the once-famed
camellia garden lay in near ruin. Hurricanes had
knocked down tree branches, pine beetles had
invaded and invasive vines and overgrown flora
formed a tangled twist that choked plant life in
the garden.
"It was like the land time forgot," said Luecking,
a project coordinator for Wilmot Gardens. "You
could not walk north, south, east or west."
But with thousands of volunteer hours spent
tending the land and truckloads of debris hauled
away, the garden is on the mend. And, more than
50 years after the garden was dedicated to Wilmot,
UF will honor it March 20 with the dedication of a
historical marker at the site, 175 W. Mowry Road
on the UF campus.


"All of us who have been associated with this
project from the beginning are pleased the
university has designated a historical marker for
Wilmot Gardens," said C. Craig Tisher, M.D., who
started the project during his tenure as dean of the
College of Medicine.
Founded in the 1940s, the garden once boasted
the country's largest publicly owned collection of
camellias and was a popular site for weddings. But
through the years, as budgets were cut and
ownership of the ground changed hands, the
garden was forgotten. Leaders were actually
considering the space for a new building when
Tisher decided to save it.
After hearing about plans to restore the garden
into a space for healing, Luecking knocked on
Tisher's door and asked what she could do to help.
Luecking had a special attachment to the garden.
She and her husband, a master gardener, had toyed
with the idea of holding their own wedding there in
the 1970s. And, as a survivor of breast cancer, she
loved the idea of a healing garden where patients,
staff and students could visit to think and reflect.
"What has always been our goal is to pick up
where medicine leaves off," Luecking said. "They
heal the body, and we want to heal the mind
and spirit."
The project began with $40,000 in seed money
from UF, but has mostly been sustained with


donations since then. Volunteers are doing the
bulk of the work, but the college did hire a
landscape architect to design the new layout of the
garden. The scope of the project is dependent on
how many donations the college receives for it;
bricks that will line the walkways are being sold to
raise money.
If completed according to plan, the entire
project including renovation of a small building
on the grounds would cost about $1 million,
Luecking said.
Luecking also hopes to make the garden a place
for art. She has already started an Art in the Garden
performance series with a grant from the Florida
Division of Cultural Affairs as well as a relaxation
series featuring tai chi and other activities.
Aside from the events, of course, there is always
the garden's main attraction the flowers.
"I would encourage everyone in the greater
Gainesville community to pay a visit to the garden,
especially now," Tisher said. "The camellias and
the azaleas are in bloom. It's beautiful." 0



Upcoming events at Wilmot Gardens
Historical marker dedication:
10 a.m. March 20

Lisa Lynne & George Tortorelli performance:
noon March 4

David Beede & The Cosmic Fool
performance: noon April 1


Visit us online @ http://news.health.ufl.edu for the latest news and HSC events 1 5














On the first day of school at the HSC's
Baby Gator Child Development and
Research Center, Ryan (top, left) entertains
an audience while Marcus (bottom left)
gets in some crawl time. Two weeks later, a
ribbon-cutting ceremony (bottom right)
was held at the center.


School in session for HSC's first class of 'Baby Gators'



By Christine Velasquez


Wade into one of the
classrooms tucked in an
obscure corner of the UF
Health Science Center and you'll
find yourself knee-deep in happy
toddlers and surrounded by the
clapping sound of plastic toys
being spilled onto the floor.

This isn't your average child-care center, however.
The Baby Gator Child Development and Research
Center features a play-based curriculum, its teachers
typically work with children based on their
developmental ability rather than age, and it gives
students and faculty opportunities to conduct research.


That's why Madhuri Sankuratri, M.D., a clinical
assistant professor of infectious diseases in the
College of Medicine, and her husband, Venkat,
enrolled their daughter, Srivani, 2, in UF's second
and newest Baby Gator branch months before it
opened Jan. 5.
"We (are) comfortable knowing that Srivani is in a
stable environment and receiving quality care,"
Sankuratri said.
The new center, located on the ground floor of the
Health Science Center's Human Development
Building on Newell Drive, is funded by the colleges of
Medicine and Public Health and Health Professions
and serves children ages 6 weeks to 5 years. Slots are
allotted based on each college's financial contribution:
106 slots are reserved for College of Medicine affiliates
and six for PHHP. Children of full-time students,
residents, postdocs, fellows and faculty of those
colleges can attend the center.


"Balancing parenthood and professional careers,
particularly in health care, particularly in medicine,
is more challenging than it's ever been," said Michael
Good, dean of the College of Medicine, at the center's
ribbon-cutting ceremony Jan. 20. "So the College of
Medicine is very proud to partner with Baby Gator
and to offer this safe, healthy, thriving environment
in which children can grow and learn."
Researchers are also welcome to team with Baby
Gator, says Pam Pallas, director of the Baby Gator
Child Development and Research Center. The
original Baby Gator center on Village Drive has
participated in numerous studies on child
development, disabilities, parent-child relationships
and child behavior.
For enrollment eligibility and more information,
visit www.babygator.ufl.edu or call Melinda Silver,
assistant director for enrollment, at 352-273-8000 or
e-mail mrsilver@ufl.edu. 0


16! I http: news.health.utl.edu












Lessons from Africa

Medical students study the Gambia's health system


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UF medical students spent the summer researching the Gambia's health system. Shown here are Medical Humanities
Director Nina Stoyan-Rosenzweig, Nghi Lam and medical students John Martino, Kunjal Gandhi, Menna Haider,
Archna Eniasivam, Janeen Alidina, Mariana Khawand and Ryan Gerrity.



By Anne Myers


ast summer, seven UF College of Medicine students headed to
the Gambia with 14 suitcases of supplies, ready to volunteer and

collect data for a research project. Today, they are working hard to

make that experience possible for future classes of medical students.


Last year, Menna Haider, then a first-year medical
student, became interested in creating a clinical and
research project in the Gambia when she heard
about a similar opportunity with the Shands Arts in
Medicine program. After checking the feasibility of
such a program and putting together a group of
interested students, Haider and the new group began
to work out the details of their research project and
made plans to go to the Gambia.
After months of planning and consulting with
faculty members, second-year medical students
Haider, Ryan Gerrity, Archna Eniasivam, Janeen
Alidina, John Martino, Mariana Khawand and
Kunjal Gandhi and fourth-year medical student
Raj Mehta found themselves in the Gambia. The
medical students visited a small village called
Kubuneh, a midsized hospital in Brikama, and the
Royal Victoria Teaching Hospital in Banjul to
collect data for their research.
Their project focuses mainly on trauma care in
the Third World and how triage systems work
there. And for the month they were there, the


students shadowed physicians in the hospitals and
interacted with medical students at the 5-year-old
medical school at Royal Victoria. They brought
supplies everywhere they went, and the people
seemed incredibly grateful, Haider says. They also
spent time in a small village, setting up a day clinic
to provide medications and health care to those
who came.
"We were going to a place that had never seen
any medical-related staff whatsoever so there were
just a plethora of complaints and issues that we had
to deal with," Gerrity said.
After a month, the seven students returned home
with endless data to analyze.
Although they intend for this to be an ongoing
research project available for future students to
continue studying, they already have come to some
basic conclusions. Chief among these findings,
unfortunately, is that the Gambia's triage system is
not nearly developed as it could be. The major
problem is a lack of records, the students found.
Prescriptions are written on scraps of paper and


records are kept with the patients, not the hospitals.
"They might be trained to deliver care, but they
aren't trained to record everything they need to so
that the next person to take care of that patient has
all the information they need," Haider said.
Although the triage system may be a mess, there
are some positive aspects of the Gambian health-
care system. The country has a much better
vaccination system than the United States and
offers health care at a very low cost, according to
the students' research. A trip to the doctor is only
$1, and that includes prescriptions and treatments.
The Gambian health system also provides free HIV
treatment, something that costs thousands in the
United States.
In making this a sustainable project, group
members hope to work with the contacts they made
in the Gambia. Haider said the students also plan
to share their data with UF College of Medicine
faculty and Shands at UF leaders to help craft
suggestions for improvement they can offer to the
Gambian doctors and health workers they met.
A group of Gambian medical students also are
trying to come to UF next summer for six weeks.
Many of the UF students hope to return to the
Gambia as well.
"All of the people were so accepting while we
were there," Haider said. "They still write to us by
e-mail and ask us when we are coming back." 0


Visit us online @ http://news.health.ufl.edu for the iciest news and HSC events 1 7


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Building better nurses

New program to help nurses pursue

advanced clinical education


By Tracy Brown Wright
his fall, the UF College of Nursing will begin
..llering a postbaccalaureate doctor of nursing
pi actice program, allowing people who have a
bachelor's degree in nursing to enter directly into
study for the Doctor of Nursing Practice degree. UF
is the first school in the state to begin accepting
applications for the program and the first to receive
approval from the Florida Board of Governors.
"The UF College of Nursing was the first nursing
program in Florida to offer the Ph.D. in Nursing
Science for those seeking a research career," said
Kathleen Ann Long, Ph.D., R.N., dean of the
College of Nursing "We will again be at the
forefront of a changing paradigm for nursing
education by offering the B.S.N.-to-D.N.P. as the
terminal degree for those seeking careers in
advanced practice. We are proud to have a
leadership role in offering the D.N.P. program to
baccalaureate nursing graduates."
The B.S.N.-to-D.N.P. program complements the
college's post-master's D.N.P. program started in
2006. Students with bachelor's degrees in nursing
will be able to prepare for advanced practice careers
in family, pediatric, adult or acute-care nursing.


The program will prepare student-nurses for the
future of health care and will equip them with
educational backgrounds comparable to other
health professionals. The D.N.P. degree follows a
trend toward clinical doctorates in other fields,
including pharmacy and physical therapy.
The American Association of Colleges of
Nursing has recommended that the Doctor of
Nursing Practice degree replace the Master of
Science in Nursing degree as the entry level for
advanced practice by 2015.
Until now, students in Florida who wished to
obtain a D.N.P. credential had to already hold a
master's degree in nursing. UF is one of 63
programs nationwide that offers a DNP program;
however, most programs require candidates to have
a master's degree before entering DNP study.
UF will continue to offer its master's degree
program in several specialties, including neonatal
nursing, nurse midwifery, psychiatric-mental
health nursing and public health nursing,
contingent on grant funding, for a transitional
period. By 2012, these specialties will also move to
the D.N.P. level. In keeping with national


KATHLEEN ANN LONG, PH.D., R.N.


standards, the advanced generalist Clinical Nurse
Leader program will continue as a master's degree
offering.
The B.S.N.-to-D.N.P. program consists of 93
credits and lasts four-and-a-half to five years for
part-time students, and two-and-a half years for
full-time students. The deadline for the first review
of applications is March 15. Applications will
continue to be accepted until May 31 on a space-
available basis. Those interested in applying should
visit the college's Web site, www.nursing.ufl.edu. O


Driving down under.





^^"^^^H^R^ --


-- pir older drivers safe on the road (albeit on
Ih h~ tt side, in Australia's case) was one of the
I ..p i presented by William Mann, Ph.D.,
during a six-city lecture tour in southern Australia in
November. Mann, the chair of occupational therapy in
the College of Public Health and Health Professions,
was named the Gary Andrews Visiting Fellow by the
Australian Association of Gerontology. He presented
the keynote address at the association's annual
conference in Fremantle on the role of technology,
such as assistive devices, in supporting seniors'
independence. Mann's itinerary also included stops at
universities and hospitals in Brisbane, Newcastle,
Sydney, Adelaide and Perth. While visiting the
University of Wollongong, Mann (far right) met with
Sharon Wall (from left) of the National Council of the
Australian Association of Gerontology, and Rob
Gordon and Chris Poulos of the University of
Wollongong. -Jill Pease


1 8 I 1http: news.health.utl.edu







































FOREAIVICI WITul FLR/

UF teams with ASPCA to start animal

forensic science program




By Czerne M. Reid

C all it "CSI: Animal Edition." But this
isn't television. In this real-life drama,
necropsies, assessment of skeletal
remains for abuse and trauma, and crime
scene analysis of hair, fibers and bloodstains p
are used to solve cases of cruelty to animals.

UF officials announced in January that they are partnering with BRUCE GOLDBERGER, PH.D.
the American Society for the Prevention of Cruelty to Animals to
form the first Veterinary Forensic Sciences Program dedicated to the
teaching, research and application of forensic science in the investigation and prosecution of crimes
against animals. The program will handle cases from around the country possibly up to 200 within
the first two years and provide consultancy and training.
The collaboration between the university and the ASPCA started a year ago, when the two
institutions organized a conference on the use of forensic science to investigate animal cruelty.
Coordinators expected only a few dozen attendees, but instead were met by nearly 200 people from
across the United States and nine other countries.
That unanticipated interest helped fuel the development of the new program.
"This is a newly emerging field," said forensic toxicologist Bruce Goldberger, Ph.D., director of the
William R. Maples Center for Forensic Medicine at UF. "We are translating our knowledge of forensic


science to a new field devoted to solving crimes against
animals."
The Veterinary Forensic Sciences Program will
dramatically increase the number of professionals
trained in forensic investigation of animal cruelty cases
by potentially hundreds each year, Goldberger said. In
doing so, it could also help uncover instances where the
abusers are also targeting people, experts say.
Housed at the Maples Center, the new program is
being established with an initial gift of $150,000 and a
commitment of support for the next three years from the
ASPCA.
Over the last few years, the number and stringency of
laws relating to animal cruelty has increased. Penalties
can include extended prison time, such as in the
high-profile dogfighting case involving professional
football player Michael Vick.
"That means the standards of investigations and of the
science used in documenting what has happened to
animals are much, much higher than even five years
ago," said Randall Lockwood, Ph.D., ASPCA senior vice
president for anti-cruelty field services.
There is no national tracking of animal cruelty cases
- the new Veterinary Forensics Sciences Program will
allow for better collection of such data. Each year the
ASPCA investigates more than 5,000 cruelty cases and
arrests or issues summonses to more than 300 people.
Scenarios include simple neglect, abandonment, animal
hoarding and blood sports such as dogfighting. On the
basis of media accounts, the animal advocacy Web site
pet-abuse.com reports 1,620 high profile cases in 2008.
The new program at UF will offer undergraduate and
postgraduate courses and continuing education for
veterinarians, law enforcement personnel, animal control
officers and others.
Courses include forensic entomology, buried-remains
excavation, bloodstain pattern analysis, bite-mark
analysis and animal crime scene processing. Training
will be done in classroom settings, online and through
the just-formed International Veterinary Forensic
Sciences Association.
One such course to be offered next spring through
the UF College of Veterinary Medicine will include
seminars on various forensics topics, as well as a mock
trial in which students will play the defendants in
animal-cruelty cases. Real prosecutors and media
professionals will take part to enhance the learning
experience. Often, veterinarians presented with cases of
animal abuse or neglect are not sure what to look for to
establish cause and manner of death, or to prove that a
crime was committed.
"Veterinarians are frequently asked to participate in
cruelty investigations, yet we don't receive special
training on that in veterinary school," said Julie Levy,
D.V.M., Ph.D., director of the Maddie's Shelter Medicine
Program at UF. "There is a substantial unmet need for
that training to be provided to veterinarians." Q


Visit us online @ http://news.health.ufl.edu for the latest news and HSC events 1 9

















The thin crowd

Group treatment may help children
achieve healthier weights

ByJill Pease
G roup-based treatment programs
may effectively combat
childhood obesity in rural
communities, according to a new
UF study.
Children who participated in one of two
group programs family-based or
parent-only were less overweight
compared with children in a control
group. The findings appeared in the
December issue of Archives of Pediatric and DAVID JANICKE, PH.D.
Adolescent Medicine.
The study is the first to assess the
effectiveness of a child weight-management program in a real-world,
community-based setting for families in rural areas.
"Given the scope and seriousness of obesity in America and the
limited access to services for children in rural settings, there is a
pressing need for programs that help rural families adopt healthy
dietary habits and increase physical activity," said David Janicke, Ph.D.,
lead investigator and an assistant professor in the College of Public
Health and Health Professions' department of clinical and health
psychology.
More than 16 percent of rural children are obese compared with 14
percent of urban children. Factors contributing to the disparity include
greater rates of poverty in rural areas and geographical barriers that
limit access to medical care, healthy foods and facilities for physical
activity.
The study involved 93 children and their parents from four rural
counties in Florida. The children were between the ages of 8 and 14 and
had a body mass index, or BMI, above the 85th percentile for age and
sex, based on growth charts from the Centers for Disease Control and
Prevention. Families were randomly assigned to one of three four-
month treatment groups: family-based, parent-only or a control group
made up of families on the treatment wait list.
On average, children in the weight-management programs
experienced greater decreases in BMI scores compared with children in
the control group six months after treatment. Compared with their
pre-treatment levels, children in weight-management groups were
4 percent less overweight, and children in the control group were about
3 percent more overweight at the end of the six-month period.
Although the weight changes may appear modest, they are in line
with the researchers' goal of helping children make gradual changes to
their diet and lifestyles.
"When working with children it's important to introduce lifestyle
changes slowly and make it fun, otherwise they may become resistant,"
Janicke said. "Making big changes in their diets could lead to unhealthy
habits like skipping meals, eating disorders or weight gain." 0


How UF-developed survey scores could help
docs better treat kids

By April Frawley Birdwell
pediatricians usually have about seven minutes to
sit face-to-face with patients during a typical visit.
It's barely enough time to perform an exam, let
alone assess how a child is faring at school or at home.
But understanding how well children function
emotionally and socially could help pediatricians
pinpoint health problems that might otherwise go
undetected. Now, UF researchers have developed a way
for doctors to measure and interpret quality of life to
understand how it affects a child's health, according to
findings published online last week in the journal Value
in Health. I-CHAN HUANG, PH.D.
Led by I-Chan Huang, Ph.D., a UF assistant
professor of epidemiology and health policy research,
UF researchers have established a range of scores that will allow doctors to understand
the results of a quality-of-life survey in the same way they understand a blood
pressure test.
"We believe the use of this new method allows us to expand the usefulness of the
pediatric quality of life survey to capture different aspects of health status," Huang said.
The survey, called the Pediatrics Quality of Life Inventory, is widely used by researchers
to measure whether certain treatments improve quality of life for patients, but doctors
previously had no way to do the opposite find out if quality of life could be linked to
certain health problems. Doctors could not interpret whether test results were normal or
red flags for hidden health problems because there was no baseline for normal, yet.
To establish baseline scores for the survey, the researchers interviewed 1,745 parents of
children enrolled in two state-funded health programs, pairing quality of life results
with previously recorded health information.
The survey includes questions about different aspects of children's lives, from how
well they get along with peers to whether they have trouble walking around the block.
Although it won't replace a doctor's clinical exam, the survey could arm pediatricians
with new information that could help them better treat their patients, says Lindsay A.
Thompson, M.D., a UF pediatrician who collaborated with Huang on the study.
"It's complementary information, and it's going to reveal something different than
what I can get from my clinical exam," Thompson said. "It's a new set of data that
physicians can use in an easy way." 0


I Ihttp: news.health.utl.edu


L)(V(? sok














OBLEM


Snrter

Gabriele Dupre retires after 20 years

com ing UF contracts for trouble


By Jessica Metzger

Gabriele Dupre compares reviewing contracts
to a game, using her logical mind and
attention to detail to comb through each
page. She reads each word carefully, each line
thoughtfully, searching for a word, phrase or
even punctuation that could suggest something
unfavorable for UF
"It is like going on a hunt or a chess game, trying to figure out where there's an
inconsistency," Dupre explained. "Or playing devil's advocate predicting
things that can go wrong. Every 'and,' 'or' or comma is important to the
interpretation of a contract. It was fun to make sure it couldn't be misinterpreted."
As the director of the Office of Contracts and Related Services, Dupre worked
diligently to ensure each contract for any college in UF's Health Science Center
was fair and clear. Dupre retired in January, leaving a legacy of dedication and
hard work after 20 years with UF.
With almost 90 clients, and nearly 1,500 contracts to draft, review and revise
per year, the Office of Contracts and Related Services is integral to the HSC. Each
of the six colleges and numerous centers and departments arrange contracts with
partners all over the world, generating millions of dollars for the HSC.
Long before considering law as a career, Dupre emigrated from Berlin to Miami
when she was 27. The move was a massive culture shock. It was in Miami, while
working as a mother, translator and teacher, Dupre decided to study law. She
thought becoming a lawyer would help her better learn the laws and bureaucracy
of the United States.
Dupre, who specializes in health law and health law contracts, earned her law


Gerald Kidney (left) introduces Gabriele Dupre at her retirement
party in the Health Professions/Nursing/Pharmacy Complex.
Dupre, the former director of contracts and related services for the
HSC, is retiring after 20 years at UF.



degree at UF, attending law school while her son earned his undergraduate
degree.
She had spent four years working in the UF Office of the Vice President and
General Counsel when Gerald Kidney, now interim director of contracts and
related services, hired her 16 years ago as a contract attorney for the HSC. Dupre's
then-boss, Pamela Bernard, warned Kidney that Dupre was "very intense."
"I've never regretted hiring her. She's an excellent attorney and an excellent
human being," Kidney said. "Her greatest contribution is her devotion and
dedication to works of the office and the university in general. Intensity can be
used to describe her approach, but her work was very top-notch because of it."
Isis Carbajal de Garcia, who worked with Dupre in the UF Office of the Vice
President and General Counsel, describes her longtime friend as analytical.
"Even when there were matters that I would not even consider, she was very
careful and would look closely at issues," said Carbajal, now deputy general
counsel at Florida International University. "She is so thorough and would look
into issues others might miss."
Martin Smith, the director of the HSC's Self-Insurance Program, has known
Dupre for more than 15 years and said her attention to detail made their working
relationship great.
"She understood our concerns, and she and her staff addressed them before we
had to," Smith said.
Dupre is fluent in German, English and French. She calls herself bicultural, as
an American citizen who is still very German. This bridging between cultures has
allowed for a "very different perspective," she said.
"It's all part of a multifaceted life," Dupre said. "You love both parts of it, the
bad and the good."
Dupre said she will miss her colleagues and friends at UF the most.
"I won't miss the parking hassles," she joked.
Her colleagues said they will miss her work ethic and talents.
"I won't have anyone to translate volumes written in German," Smith laughed.
"Gabriele was so easy to work with and understood our issues."
Kidney said the office will miss her integrity.
"She was very focused on doing what's right," he said.
Carbajal agreed and said UF was fortunate to have Dupre.
"She stands up for her personal values and the values of the institution,"
Carbajal said. "She has always done what's right for the university and what was
right under the given circumstances." 0


Visit us online @ http://news.health.ufl.edu for the iciest news and HSC events 1 i




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HSC CLINICIANS AND

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INVOIVEDI).


The explosion came from his left.
Black.
Silence.
Capt. Jonathan Pruden tried to steer the Humvee to a stop as it slid
along the road in Eastern Baghdad. He couldn't see through his left
eye. His left arm didn't work. His legs didn't work. He couldn't hear,
and something sprayed against the windshield. For a second, he
thought the roadside bomb must have hit the vehicle's hydraulic line
... until he remembered there wasn't a hydraulic line there. It was
him, his blood spraying the windshield.
"I have the wonderful distinction of being one of the first IED
(improvised explosive device) casualties over there," says Pruden, now
a retired U.S. Army officer who was injured July 1, 2003, just five
months after the U.S. invaded Iraq. "I was in a softskin Humvee. No
doors. I caught 173 pieces of shrapnel and one bullet."
Twenty operations and seven hospitals later, Pruden still has 153
pieces of shrapnel inside his body, including one chunk lodged near
his spine and tiny flecks embedded in his skin and eyelid. Surgeons














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he adds. "The cost of ongoing veterans' care will
pi ,bably exceed the amount it costs to fight the
war itself. If you look at the history of military
injury, up until Vietnam, the ratio of injuries did
not exceed two to one. Now, the ratio is eight
injuries to every death."
Casualties are down now in Iraq although
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blast is lying in a pool of warm liquid on the
ground outside the Humvee. Motor oil, he
thought. It was blood. Fellow soldiers placed
tourniquets around his legs to stop the bleeding


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are c,:..rn is ,inl33i::. ied init'::" t'he
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OI'PPOSITE PAGE:
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Prulen w.',rk3 ,'lth pith cal
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always thought about doing. He admires soldiers,
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World War II, and his brother spent 20 years in
the U.S. Army. With two wars and soldiers in need
of medical care, he decided it was time.
Several UF faculty members in Gainesville and


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Center who was recalled to active duty. They also
care for Iraqi soldiers, although not as often now.
"One of the benefits for me is the Army has always
been the cutting edge of trauma care," Redfern says.
"I learned some things that are going to be
applicable to patients we take care of here."
Throughout history, combat has sparked
numerous medical innovations that save lives in
battle and eventually help civilians, too. In this war,


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ubstance abue abuse Nh I! l
\ and DOD are going
spend most of their In the VA's Human Motor Performance
substance abuse, Laboratory, Linda McDonald strolls at an even pace,
woefully inadequate." smiling as her feet brush the moving treadmill and
health services is not swinging her arms wide.
if staff, oversees clinical McDonald isn't a soldier. She broke her neck when
veterans health she fell off a horse. But her participation in a trial of
r and Mark Gold, M.D., a type of therapy called locomotor training could
Sand Mark Gold, M.D., a type of therapy called locomotor training could


IELOW: Physical therapists Kristin Day arid Sarah Suter
rit:'niitt:,r Lirida lIcD:nriald i left ph':it,: as she trains
.. Liusiii a r:b.:'tic type ::i .co t.::ir::.t:,r therpy C:,liege
i of Public Health and Health Pr::fessi:: is:: researcher
A .Andrea Behrrna, studies the therapy., which elies
Son anr instinct in the spinal c::rd t: learn patterns
The ?:al is t: help patients with spinal c::rd
Sini.ines relearn ri hi'w t:o -Walk







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i rehabilitation research program in the country, Hoffman adds.
UF researchers have recently strengthened their focus on
studying rehabilitation for wounded soldiers with the formation of
the Florida Trauma Rehabilitation Center for Returning Military
Personnel. The center's research includes everything from physical
therapy researcher Andrea Behrman's studies of locomotor therapy
to treat spinal cord injury to studies examining the use of robotics
to improve hand function and exercises to relieve lower back pain.
"I think the big concept is quality of life," says William Mann,
Ph.D., chair of occupational therapy in the College of Public
Health and Health Professions. "In rehabilitation, we are looking
for ways to help people improve their quality of life and have full
participation."
Craig Velozo, Ph.D., UF's associate chair of occupational
therapy and a VA researcher, is developing a computer-adapted test
that could help doctors better assess patients for traumatic brain
injury. All soldiers are now tested for traumatic brain injury after
returning from service, but these tests often aren't applicable to
everyday life, Velozo says.
As part of a National Institutes of Health-funded study, Velozo
developed a computer-adaptive test which presents questions
based on previous answers that in five questions can pinpoint
what daily tasks people can handle according to their cognitive
capabilities. The technique was presented to Congress as part of a
report on the future of injury assessments.
"We have done this with more severe TBI; now we want to assess
on people with mild TBI, the higher-end people," Velozo says.


000

Pacing in front of a downtown Gainesville building after a long
day of meetings, Pruden talks rapid-fire on his cell phone. It's a
veteran he's been trying to help get a house. As he shifts from one
leg to another, no one would know one of those legs is a prosthetic.
No one can see the wounds on his other foot or even the tiny
shards of shrapnel embedded in his skin.
Eventually he hopes he doesn't have to take calls like this. Not
that he doesn't like it. He loves helping veterans, and he's good at
it. He just longs for the day when there won't be a need for his job.
"We are already seeing fewer casualties in Iraq," he says
wistfully. "But it seems like as we see fewer there, there are more
coming from Afghanistan. But hopefully, there won't be a need for
me to do this soon. That would make me very happy." 0


THE BEST PATIENTS

Students find calling in UF-VA Nursing Academy


By Jessica Brandi
hen Holly Williamsen
started working at the
Malcom Randall Veterans
Affairs Medical Center in Gainesville,
she never thought she would find her
future with the VA. A patient on one of
her first clinical rotations gave her a
sense of how rewarding working with
veterans could be.
"He didn't have a lot of family, and
he was going in for heart surgery. I had
a lot of opportunity to sit and talk with
him," she says. "It was more than just
giving him medicine ... I actually
made an effort and went in on my days
off to see him."
She says closer interaction with
patients is one of the greatest things
about the VA Nursing Academy, a
partnership between the UF College of
Nursing and the U.S. Department of
Veterans Affairs.
"When you're nursing you're busy,"
she says. "You have like seven patients
at once. As a student, he was my one
patient. I was waiting for him when he
got out of surgery, and I helped wheel
him back to his room."
Since combining forces in August
2007, the college and the VA have been
working to improve patient care and
give more students the chance at a
quality nursing education. In one year,
the academy, a five-year $40 million
federal initiative, has increased
enrollment in the UF College of
Nursing by 41 students. It has also
established a R.N. residency program,
which grants students compensation
while they continue working with their
instructors for an additional year.
For students like Williamsen,


exposure to the program and the
opportunities the VA offers have given
them a new direction.
Thomas Bedard, M.S.N., clinical
simulations coordinator for the
academy, has been with the project
since its beginning. He says the
partnership has introduced students to
the best informatics program in the
whole country along with a unique
class of patients.
"Veterans are the most appreciative
population you can work with," he says.
Kevin Siegel, a nursing student in
UF's accelerated B.S.N. program, spent
eight weeks at the VA hospital as part
of his clinical rotation. He says he was
hesitant at first, having no experience
with the military or veterans, but was
taken in by the welcoming and positive
atmosphere.
"Everyone seems a lot more friendly,
even the patients," he says. "They'd just
want to tell us stories or show us card
tricks and tell us about their families
and different places they've been."
Before he was finished with his
rotation, he applied for a student job at
the hospital. He also plans to apply for
the VA residency program.
"If I hadn't gone there for clinical, it
might not have been anywhere I would
have considered working, because I was
unfamiliar with the environment and
the patient population," he says.
Williamsen says she hopes to make
the VA a lifelong career.
"It's really cool to know that before I
even graduate it's what I'm going to be
doing," she says. "All of the experience
and skills I've learned ... you can't
make that up, having that one step
ahead. You can't pass up an
opportunity like this." 0












Alcohol tax


increases deter


drinking

By April Frawley Birdwell
I L-IJcrs of many national,
,i Jll nd local governments
J.hal, whether to raise
taxes on alcohol to boost revenues,
their decisions also could influence
how much their constituents
imbibe in coming years, say UF
researchers.
In a study published online in
January in the journal Addiction,
UF researchers report that the
more alcohol costs, the less likely
people are to drink it. And when ALEXANDER C. WAGENAAR, PH.D
they do drink, they drink less, a
concrete association researchers
documented after analyzing 112 studies spanning four decades.
"Results from over 100 separate studies reporting over 1,000
distinct statistical estimates are remarkably consistent and show
without doubt that alcohol taxes and prices affect drinking," said
Alexander C. Wagenaar, Ph.D., a professor of epidemiology and
health policy research at the UF College of Medicine and the
senior author of the study. "When prices go down, people drink
more, and when prices go up, people drink less."
The consistency of this association between cost and
consumption indicates that using taxes to raise prices on alcohol
could be among the most effective deterrents to drinking that
researchers have discovered, better than law enforcement, media
campaigns or school programs, said Wagenaar.
The study, funded by the Robert Wood Johnson Foundation,
also determined that tax or price increases affect the broad
population of drinkers, including heavy drinkers as well as light
drinkers, and teens as well as adults.
Many studies have analyzed how tax or price increases affect
people's drinking habits, but the UF study is the first to examine
all of these findings as a whole, using a statistical procedure called
meta-analysis. This technique allows researchers to draw
conclusions that are not limited to specific policy changes or a
single state or country, said Wagenaar.
Researchers scoured through decades of studies examining
links between price and alcohol use. The studies were all reported
in English but not limited to any single country. The data
resulting from these reports were compiled and analyzed to glean
more precise answers than can be obtained from just one study,
Wagenaar noted.
In a commentary in the same issue ofAddiction, Frank
Chaloupka, Ph.D., a professor of economics at the University of
Illinois at Chicago, says "these findings provide a strong rationale
for using increases in alcoholic beverage taxes to promote public
health by reducing drinking." 0


Lii
Life
Nobel Laureate probes minimum
needed for cellular life


w d


HAMILTON SMITH
By Czerne M. Reid
!iui miL out the minimum set of genes needed to sustain life is a key
rrmii..n of Nobel Laureate Hamilton Smith. He and a team of
I J L hers at the J. Craig Venter Institute are working to find out that
information and use it to construct the first synthetic cell in history.
"We're trying to learn what it takes to be a living cell," said Smith, who
gave a lecture recently at UF's Cancer and Genetics Research Complex.
If he pulls off the feat of figuring out what minimal set of genes are
essential for cellular life, his work is bound to be in Chapter 1 of biology
textbooks. Not only that, it would enable the creation of new kinds of cells
that can produce products such as biofuels or pharmaceuticals.
So far, Smith's team has chemically synthesized the entire genome of
Mycoplasma genitalium, a bacterium that has the smallest known genome.
In addition, they also have done a DNA "transplant," extracting the naked
DNA from another bacterium called M. micoides, and inserting it into a
"recipient" cell of another called M. capricolum.
They "created" their first cell by stringing together bits of genetic material
to make gene-size pieces, then combining those into subsections of a
chromosome, then assembling those subsections into a new genome. Finally,
the synthetic genome is inserted into a recipient cell.
Smith says his team is close to successfully duplicating the transplant
experiment, but using genetic material from M. genitalium, as they
originally set out to do.
"He's always on the cutting edge of what is going on in biology," said Ken
Berns, M.D., director of the UF Genetics Institute.
Smith won the Nobel Prize in Medicine 1978 for discovering so-called
"restriction enzymes," which can target and cut DNA at specific sites, and
for his work in developing recombinant technology, in which DNA
sequences from varying sources are joined.
So in a way, Smith's quest to create a synthetic cell has taken him back to
his roots in research.
Smith who attended the P.K. Yonge Developmental Research School in
the 1930s when his father was on the UF faculty likens the inner workings
of cells to computer technology: "The genome of a cell is the operating
system, and the cytoplasm is the hardware," he said. "We're not smart
enough yet to make the hardware, so we borrow that from a living cell." 0


1161 I http: news.health.utl.edu


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A matter of life and death

Cellular 'brakes' may slow memory process in aging brains


ByJohn Pastor


U F researchers may have discovered why
some brain cells necessary for healthy
memory can survive old age or disease,
while similar cells hardly a hairsbreadth away die.

The discovery, published online ahead of print in the Nature publication
Cell Death & Differentiation, could help scientists understand and find
solutions for age-related memory loss.
Scientists with UF's Evelyn F. and William L. McKnight Brain Institute
describe how they analyzed two neighboring regions of a tiny brain
structure called the hippocampus in rats of varying ages. They found that a
recently discovered enzyme known as PHLPP, pronounced "flip," may be
silencing a vital cell-survival protein in the region where neurons are most
susceptible to damage and death.
"The question is why does one set of brain cells live and another set die
when they are only millimeters apart in the same small brain structure?"
said Travis C. Jackson, a graduate student working with Thomas C. Foster,
Ph.D., the Evelyn F. McKnight chair for research on aging and memory at
UF. "We looked at an important signaling pathway that tells cells to stay
alive or die, and the enzymes that regulate that pathway. Implicated in all
this is a new protein that before a couple of years ago no one actually knew
much about."
The scientists focused on the hippocampus, an anatomical region shaped
something like a curved kidney bean in mammals. The structure is widely
believed to be central to the formation of memories, as well as an important
component of motivation and emotions. A portion of it is known to be
especially vulnerable to decreased cerebral blood flow, which can occur
because of stroke or circulatory problems. The same area is also one of the
earliest brain regions to show pathology associated with Alzheimer's disease.
Researchers studied both regions for signs of AKT, a protein that when
activated, actually hinders many naturally occurring inducers of cell death.
They found activated AKT was scarce among the cells that are vulnerable to
damage and death and more abundant within the hardier cells.
The next step was to figure out what was turning off AKT in the


vulnerable cells, which led scientists to PHLPP1, a
recently discovered enzyme that is believed to be a
natural tumor suppressor. Where PHLPP1 levels
were high which corresponded to the area with
the vulnerable cell population AKT activation
was far less robust.
"Possibly, we have found a target that could be
manipulated with drugs so that these brain cells
can be saved from threats," said Foster, a professor
of neuroscience at the UF College of Medicine. "If
one area of the hippocampus has a deficiency in
cell-survival signaling, it is possible to find a way
to ramp up the AKT protein. The caveat is there
are studies that show over-activating AKT may not
be good for memory AKT may be naturally
lower in this region for an important reason. But
in times of intense damage, there may be a
therapeutic window to upregulate AKT and get
some benefit to health."
PHLPP was discovered in 2005 by a team of
researchers led by Alexandra Newton, Ph.D., a
professor of pharmacology at the University of
California, San Diego, who had set out to learn
what was controlling AKT-driven cell growth,
proliferation and survival. The investigation led
them to PHLLP, which, in addition to being


THOMAS C. FOSTER, PH.D.


involved in healthy cellular processes, is known to
propel tumor growth.
"Basically, PHLPP is important in controlling whether cells survive and
proliferate or die," said Newton, who did not participate in the UF research.
"If you want cells to survive brain disease, diabetes or heart disease, you
want active AKT signaling and therefore low PHLPP. But if you want to
stop cells that have the 'go' signal, like cancer cells, PHLPP can function as
a brake. In this case, it appears as if there is an area in the hippocampus that
is easily stressed and might undergo ischemia easily, because PHLPP is not
allowing the AKT survival mechanism to work." O


Visit us online @ http://news.health.ufl.edu for the latest news and HSC events














On the m


Surgical options vary for breast cancer patients



By Kandra Albury


The mass in Edith Stone's right
breast was the size of a golf
ball when it was discovered
during a routine mammogram
in 2000. After having the lump
removed, Stone underwent 38
treatments of radiation.

But her battle with cancer wasn't over. In April,
while doing a self-examination, she noticed two lumps
in the same breast. Her mammogram confirmed her
suspicions that the cancer had returned.
"I ended up having my entire right breast removed
as the only option for saving my life," said Stone, a
retired machine operator who lives in Jacksonville.
Stone's decision to undergo a mastectomy was one
many women battling breast cancer must face each
year. Last year, actress Christina Applegate made
headlines for her decision to undergo a double
mastectomy in hopes of keeping her breast cancer from
returning.
For most women, the decision to undergo a
mastectomy rather than a lumpectomy Applegate
had both usually comes down to three reasons: the
cancer has spread, patients will not or cannot undergo
radiation or there isn't much breast to preserve, says
Miren Schinco, M.D., an associate professor of surgery
and chief of acute care surgery at the UF College of
Medicine-Jacksonville.
In Stone's case, she could not have more radiation
treatments. After her mastectomy, which Schinco
performed July 10, she decided to have breast
reconstruction surgery.
"If I hadn't made this decision, I probably would
have gone into a bad depression from losing my breast,"
Stone added.
Some women grapple with depression, negative self-
image and grief after a mastectomy.
Christopher Vashi, M.D., a UF assistant professor of
plastic surgery, performed the reconstructive surgery
Nov. 4. He said the surgery that Stone underwent is
becoming more common.
The procedure involves inserting an expander under
the large muscle in the chest wall to begin the skin-
stretching process. Over six to eight weeks, the skin


Patient Edith Stone meets with Dr. Christopher Vashi to discuss her breast reconstruction surgery.
Stone, a breast cancer patient, underwent a mastectomy in July and opted to undergo breast
reconstruction surgery afterward.




stretches and eventually allows room for a permanent implant. Once the skin has been stretched enough, the
temporary expander is removed and an implant is put in.
There are a number of advantages to this type of reconstructive surgery, including a shorter stay in the
hospital, a shorter recovery time and less scarring. Having breast reconstruction also improves self-esteem
and body image, Vashi said.
The procedure is less painful than another type of breast reconstruction called the TRAM flap, which
involves removing a portion of skin, fat and muscle from the lower abdomen and using it to construct a new
breast. A disadvantage of reconstructive surgery using silicone breast implants is the possibility that the
implants may need to be replaced after 10 years. Other disadvantages include a prolonged skin-stretching
process, risk of the implant or expander rupturing and the breast having a less natural shape.
"Women should be aware that the biggest complication with implant reconstruction is infection," Vashi
said. "The good news is infection rates are less than 1 percent."
Reconstruction may not be for everyone and will depend on a number of factors, including the patient's
health, the size of the breasts before surgery and whether there is enough excess body tissue to allow for skin
stretching.
Stone said she believes the breast reconstruction surgery was a great option after having a mastectomy. She
thinks it is important for women to educate themselves about breast cancer and to know all their options.
"I have two daughters," she said. "I'm the only one in my family who has been diagnosed with breast cancer.
My two daughters are very leery now, but they both are getting their mammograms done." 0



D18! i http: news.health.utl.edu






JACSNIL


Stroke center





RECERTIFIED


Reproduction on the go

New mobile service helps horse owners
manage breeding


By Sarah Carey
mobile service for equine reproduction at UF aims to better serve area horse breeders
while simultaneously exposing more veterinary medicine students to the field.
"The approach to medicine on the road is different than in the hospital, regardless of
what service you are associated with," said Scott Bailey, D.V.M., a Kansas State University
veterinary alumnus who recently completed his residency in theriogenology at UF's College of
Veterinary Medicine.
Bailey, a board-certified reproduction specialist, spent 10 months at Hagyard Equine Medical
Institute in Lexington, Ky., during his residency. He hopes to expand the ambulatory service in
mid-February, at the start of Thoroughbred breeding season.
"I think our students will benefit greatly from seeing how routine breeding is handled in the
field, as opposed to the more advanced kinds of cases they would typically see at the UF
Veterinary Medical Center," Bailey said.
Because the UF VMC is primarily a referral center, a more typical horse reproduction case seen
in the hospital might consist of a mare at high risk for losing a foal. Breeding management also is
not typically as intense in the field as in the hospital, where most patients are sent to address
fertility problems.
Although UF used to provide an ambulatory reproduction service, in recent years the time
spent on such calls has dwindled and only two university-owned farms are presently served.
As a clinical instructor, Bailey says he has the interest and flexibility to make a mobile
reproduction service work.
"I'm pretty excited about it," he said. "The No. 1 complaint we hear from students has been that
there is a lack of real-world experience at the university at any university. I think our students
will benefit from obtaining a more varied view of how veterinary practice is conducted in the field."
No additional overhead costs were needed to begin the program. UF already owns the needed
vehicles and medical equipment, Bailey said.
"What will happen is that students who are on their two-week theriogenology rotation will
spend an entire week going out to private farms on the ambulatory service versus going to the
UF-owned Horse Research Center only a few times," Bailey said.
He hopes to enlist a handful of farms with 15 to 20 mares that the service could visit regularly
throughout the horse-breeding season, but says he won't limit the service if he received requests
from farms with fewer horses.
Anyone seeking more information about the mobile equine reproduction program should call
Scott Bailey at 352-392-2229. O


By Kandra Albury
The Shands Jacksonville Stroke Center
received recertification as a primary stroke
center from the Joint Commission in
November.
The Joint Commission, an independent,
nonprofit organization that reviews and accredits
health-care organizations, has several disease-
specific certification programs that oversee the
quality of care in defined areas such as stroke.
Shands Jacksonville is also certified as a
Comprehensive Stroke Center by the Florida
Agency for Health Care Administration.
"The certification sends a message to our
community that Shands Jacksonville is committed
to providing effective specialized care to stroke
patients," said Scott Silliman, M.D., an associate
professor of neurology at the UF College of
Medicine-Jacksonville. "Shands Jacksonville
makes exceptional efforts to foster better outcomes
for these patients."
Shands Jacksonville is one of only two
comprehensive stroke centers in North Florida.
While the Joint Commission's final report has not
been received, Shands was notified verbally at the
end of the review that there were no deficiencies or
need for follow-up, indicating a successful review.
Shands Jacksonville currently treats 50 to 80 new
stroke patients each month. With the help of
TraumaOne Flight Services, Shands has expanded
the coverage area of the stroke center to include
rural areas surrounding Jacksonville. The program
received positive comments on its community and
EMS educational initiatives. 0


Visit us online @ http://news.health.ufl.edu for the latest news and HSC events 19












COLLEGE OF MEDICINE

JOHN H. ARMSTRONG,
M.D., an assistant professor
of surgery, received the 2008
Special Recognition Award
from the Surgical Caucus of the
American Medical Association
for displaying dedication and
excellence while serving as
chair of the caucus for the John H. Armstrong
past three years. He was also
appointed to the Health Policy Steering Committee
of the American College of Surgeons and played
a significant role in developing the ACS Health
Policy Agenda for 2009. In addition, he was
recently elected to the American Association for
the Surgery of Trauma, which promotes research
and education regarding burns, trauma and acute
care surgery.


Residents sweep awards
Two UF College of Medicine surgical residents recently
swept a state trauma research competition with wins in both
the basic and clinical science categories. The UF honors
extended to the regional level in November with a win in
the clinical science category at an American College of
Surgeons' competition. Robert Winfield, M.D., a third-year
clinical resident, won both the Florida State Committee on
p n Trauma and the American College of Surgeons' Committee
on Trauma Region IV resident competitions for his clinical
Robert Winfield Elizabeth Warner research work in the area of trauma's impact on morbidly
obese patients.
Winfield, who took two years out from his clinical residency training to focus on research, found that morbidly
obese people involved in major trauma do not respond the same way to traditional resuscitative measures, such
as intravenous fluids, as people of normal weight do, and that this differential response can be associated with the
development of multiple organ failure. Elizabeth Warner, M.D., currently in her second year of research as part
of her surgical residency training, found that neutrophils, a type of white blood cell that migrates to the lungs of
patients with acute respiratory distress syndrome, have very different patterns of gene expression than neutrophils
found in the same person's circulatory system. Both Winfield and Warner conducted their research in the UF
department of surgery's Inflammation Biology and Surgical Science Laboratory, headed by Lyle L. Moldawer, Ph.D.,
the department's vice chair of research.


A team with heart
Four physicians from the UF Cardiac Imaging
Team have achieved board certification in
cardiovascular computed tomography by passing
the first board certification exam for this specialty
in September. These physicians (shown above
from left) include: David C. Wymer, M.D., a
clinical assistant professor of radiology; James
Hill, M.D., a professor of cardiovascular medicine
and director of the Heart Failure/Transplantation
Section; Roger Shifrin, M.D., a clinical assistant
professor of radiology; and Steven Kraft, M.D.,
a clinical assistant professor of cardiovascular
medicine. Of the 878 examinees, 715 physicians
passed to achieve Diplomate status. Recent
advancements in the quality and detail of cardiac
imaging have fostered greater collaboration
between cardiologists and radiologists in reading
cardiac CT scans. The UF Cardiac Imaging Team
has been working together reading scans for more
than three years and has trained more than 80
physicians in cardiac CT through its continuing
medical education program.



C. RICHARD CONTI, M.D.,
a professor of medicine
and an adjunct professor
of physiology, received the
college's International Educator
of the Year Award. Conti has
been involved in education,


service and research throughout Europe, Asia,
Africa, Australia, South America and the Soviet
Union. He is a member of 10 professional societies
outside the United States and has been an invited
lecturer for several international cardiac societies.
During his tenure as president of the American
College of Cardiology from 1989-90, he helped to
establish a relationship with the European Society
of Cardiology by creating reciprocal international
symposia, which persist today and have led to
invaluable sharing of scientific information and
international research opportunities.

STEPHEN GROBMYER,
M.D., an assistant professor
of surgery, has been elected
into the Southern Surgical
Association. A surgical
oncologist, Grobmyer was one
of 26 surgeons elected into the
association during its annual
meeting held in December in
West Palm Beach. The second Stephen Grobmy
oldest surgical society in the
nation, the Southern Surgical Association
focuses on furthering the study and practice of
surgery, especially among the profession in the
Southern states.

JACKSONVILLE

ERIC CONDE, M.S.A., assistant
dean for administrative
affairs, has been selected to
serve as state director for the
American Academy of Medical
Administrators. Conde is a
fellow of the American Academy
of Medical Administrators and
also serves as a member of Eric Conr
the organization's advancement
committee. The American Academy of Medical
Administrators' mission is to advance excellence in
health-care leadership.

KAKARLA CHALAM, M.D., Ph.D., the assistant
dean for veterans affairs affiliations and chair of
the department of ophthalmology, was recognized


'er


along with his team of nine
faculty physicians and staff
by the Diabetic Retinopathy
Clinical Research Network in
October. Chalam's department
received the organization's
Site of the Month Award.
The organization supports
the identification, design and
implementation of multicenter Kakarla Chalam
clinical research initiatives focused on diabetes-
induced retinal disorders.

DANIEL KANTOR, M.D.,
an assistant professor of
neurology, has been named
president-elect of the Florida
Society of Neurology.
Kantor will serve a two-year
appointment starting Sept. 11,
followed by a second two-
year term as president. The
organization's mission is to Daniel Kantor
advance the art and science of neurology and
promote the best possible care for patients with
neurological disorders.

COLLEGE OF DENTISTRY

EDWARD CHAN, Ph.D., a
professor of oral biology,
received a one-year grant of
$88,500 from the National
Institute of Environmental
Health Sciences, a part of
the National Institutes of /p
Health, to fund a pilot study on
autoantibody determinations Edward Chan
and their xenobiotic associations.
The study aims to determine the frequency and
specificity of autoantibodies among healthy
individuals and correlate them with exposure to
environmental xenobiotics.

ROGER FILLINGIM, Ph.D., a professor of
community dentistry and behavioral science,
will receive the 2009 Wilbert E. Fordyce Clinical
Investigator Award from the American Pain Society


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She's No. 1
Donna Stilwell received the 2008 Employee of the
Year award at the College of Public Health and
Health Professions' 50th anniversary celebration
dinner Nov. 21. Stilwell, the office manager for the
department of health services research, management
and policy, joined the department during a time of
significant change, including staff transition, budget
cuts and growth in the department's research,
teaching and service activities, according to those
who nominated her. Despite these challenges,
Stilwell's efforts allowed the department to operate
smoothly. "Donna established organizing principles
and ways of working that made all of our lives
easier and our 'outcomes' better," one nominator
explained. Stilwell was also recognized for her
superior attitude and pleasant demeanor. According
to one of her colleagues, Stilwell's "positive attitude
and behavior help to maintain an atmosphere of
respect and productivity in our office."


at its annual meeting in May.
The award recognizes individual
excellence and achievements in
clinical pain scholarship and is
presented to a pain professional
whose total career research
achievements have contributed
significantly to clinical practice.
Roger Fillin!
THEOFILOS KOUTOUZIS,
D.D.S., M.S., an assistant
professor of periodontics, recently
received an American Academy
of Implant Dentistry Research
Foundation Award to complete
his research project "Comparative
Soft and Hard Tissue Responses
to Titanium and Polymer Healing
Abutments." Theofilos Kouto'

PUBLIC HEALTH AND HEALTH PROFESSIONS

ELISA GONZALEZ-ROTHI,
P.T., D.P.T., and VIRGINIA
LITTLE, P.T., M.S., N.C.S., both
rehabilitation science doctoral
students, are among six national
recipients of Florence P. Kendall
Doctoral Scholarships from the
Foundation for Physical Therapy
board of trustees. The $5,000 Elisa Gonzalez-1
scholarships are awarded to
outstanding physical therapists
who are starting their first year of
graduate studies.


Faculty to remember ...

CONSTANTE B. DE PADUA, M.D., a founding member of the UF College of Medicine's
department of anesthesiology, died Dec. 23 after a long illness. de Padua joined UF in 1967
as an instructor in anesthesiology after teaching at the University of Illinois in Chicago. He
went on to serve as an assistant professor of anesthesiology before becoming an associate
professor in 1974. He also was the clinical director of anesthesia services for the Shands
Operating Room for many years, and a staff anesthesiologist at the Malcom Randall Veterans
Affairs Medical Center."Dr. de Padua was truly one of those individuals who could handle
anything that came his way," wrote department Chair Kayser Enneking and Michael E. Mahla,
a professor of anesthesiology and neurosurgery, in an e-mail to departmental faculty. "From
airway management to complex clinical problems, Connie quietly and simply handled the
problem. Many a resident marveled at how he could remain calm and collected in the most
difficult of clinical situations. He was one of those individuals who could always be counted on
to pitch in and help no matter who asked him or what was needed."


ROBERT LEON WILLIAMS, M.D., a former chair of psychiatry in UF's College of Medicine
from 1964 to 1974, passed away Nov. 16. He was 86. Along with other UF researchers,
Williams developed an internationally recognized sleep program at UF that became a
model for translational research. His program evaluated patients from all over the world and
provided important findings to medical associations for decades. Williams discovered many
of the sleep abnormalities associated with depression, common medical conditions and drugs
and alcohol, and authored hundreds of peer-reviewed papers. After leaving UF, Williams
served as chair of psychiatry at Baylor College of Medicine. He was also president of the
American College of Psychiatrists and president of the American Association of Chairmen
of Departments of Psychiatry. He is survived by his wife, daughter, 11 grandchildren and six
great-grandchildren.






College of Medicine appoints new leaders


MICHAEL CLARE-SALZLER, M.D., the Stetson chair in
experimental pathology and a professor of internal medicine,
endocrinology and general surgery, was recently named interim
chair of the department of pathology, immunology and laboratory
medicine. An expert on type 1 diabetes, Salzler is the director of UF's
S Center for Immunology and Transplantation.

Michael Clare-Salzler
TETSUO ASHIZAWA, M.D., chair of the department of neurology
at the University of Texas Medical Branch at Galveston, has
been named chair of UF's department of neurology. Ashizawa's
appointment begins in April. "Ashizawa is a superlative clinician and
administrator with a distinguished research program," said College
of Medicine Interim Dean Michael L. Good, M.D. "He will lead the
neurology department to new heights in its missions to conduct world-
class research, provide excellent patient care and prepare students
and residents for the clinical and academic challenges of tomorrow."
Tetsuo Ashizawa

R. STAN WILLIAMS, M.D., the Harry Prystowsky professor of
reproductive medicine, has been named chair of the department
of obstetrics and gynecology. Williams has served as interim chair
Sof the department since July 2007. "Dr. Williams has a unique
and ambitious vision for the department and plans to expand the
faculty in the areas of oncology, maternal-fetal medicine, robotics
and urogynecology, as well as increase collaborations throughout
the College of Medicine," said College of Medicine Interim Dean
R. Stan Williams Michael L. Good, M.D.


Visit us online @ http://news.health.ufl.edu for the latest news and HSC events 21
















Gators

PHHP celebrates 50 years


n November, the College of Public Health and Health Professions
SIlcbrated its 50th anniversary. Former and present faculty, staff
jnJ students came together to honor the gold milestone with a
weekend of festivities, capped off by a gala banquet. This month, The
POST brings you an inside look at that celebration: (From left) 1.
Former medical technology department chair Mary Britt, left, shared a
laugh with retired faculty member Janet Rodeheaver. The medical
technology program closed in 1992. 2. At the college's 50th anniversary
lecture, Dr. Alan Jette discussed the future of disability in America.
Jette, a professor of health policy and management at Boston
University and director of the university's Health and Disability
Research Institute, received the college's Darrel J. Mase Leadership
Award. 3. Donna Rodriguez Goldstein, right, a 1972 graduate of the
college's physical therapy program, catches up with Martha Wroe, who
served on the physical therapy faculty from 1959 until her retirement
in 1987. 4. At the gala, Dean Emeritus Richard Gutekunst spoke about
the contributions of the college's founding dean, Darrel Mase, whom
Gutekunst described as "a true visionary." 5. The celebration dinner
brought together all of the college's living deans. From left are Howard
Suzuki, Richard Gutekunst, Robert Frank and Michael Perri, current
interim dean. 0


2I I http: news.health.utl.edu



















lan Tebbett,
started UF's
forensic science


program eight years ago, it had
only 20 students. Now, it's the
largest online graduate forensic
science program in the world, with
450 students from 28 different
countries.
Tebbett, the program's creator and director,
became interested in forensic science as a pharmacy
student at London University in the late 1970s. He
worked at Scotland Yard during the summers, and he
found the relationships between pharmacy and
forensic science, such as drug abuse, very interesting.
After graduating, he spent only a year in the hospital's
pharmacy before he turned completely to forensic
science. He came to the United States more than 20
years ago and has been at UF for the past 16 years.
While working as director of the UF College of
Veterinary Medicine's State Racing Laboratory,
which conducts drug tests for Florida's horse- and
dog-racing industries, Tebbett noticed a growing
interest in forensic science among his staff. In
response to their requests, he began posting material
online so they could learn more. The rest, as they say,
is history.
With increased interest from other students seeking
to further their education, Tebbett's online forensic
science program quickly evolved into four separate
areas of concentration: toxicology, forensic serology
and DNA, drug chemistry and general forensic
science. Today, most of the program's students are
working professionals who are looking to improve
their qualifications. Manyhave families and mortgages
and can't afford to leave their jobs to go back to school.
The online program solves that problem.
The flexibility of the online program also allows
students to take the courses no matter whether they
are in the United States. Currently, there are 20 to 30
students enrolled who are stationed in Iraq.
"It's amazing that they are able to complete their
studies over there," Tebbett said. "If those students
can take a course while in a war zone, then anyone in
the world can do it."
In some parts of the world, it is politically difficult


Going the distance

5.5799 in



How one UF professor's program helped make

the Gator Nation global


to attend school in another country. The forensic
science online program allows these people to attend
an American school from within their country's
borders.
"Being able to reach so many people on a worldwide
basis has been really rewarding," Tebbett added.
The program has earned UF both national and
international recognition and generates a significant
revenue, which is helpful during tough financial times.
The UF forensic science program has also established
partnerships with academic institutions in the United
Kingdom, Australia and South America.
Through these international connections, the
program also has aided in the identification of victims


of the Kosovo and Peruvian massacres through DNA
matching.
For his efforts, Tebbett, who also serves as the
College of Pharmacy's associate dean for distance
education recently received an International Educator
of the Year award from the UF International Center
for internationalizing the campus and curriculum.
The award recognizes Tebbett's international
endeavors through his online program. Tebbett also
helps others to develop online programs and is very
involved with the distance education program at UF.
"The program puts people in touch with others all
over the world," Tebbett said. "It's really making a
difference." 0


9.0537 in

Visit us online @ http://news.health.ufl.edu for the latest news cnd HSC events


2.8056 in
----->


By Anne Myers

When
Ph.D.,
online











































Bernard Okech, a research assistant scientist in
the College of Public Health and Health
Professions and a researcher at the Whitney
Laboratory for Marine Bioscience, is developing
insecticides to kill mosquitoes when they are in
the larval stage, before they mature and
become malaria carriers. Okech studies
mosquito larvae's nutrition and how it affects a
certain molecule that must be present for the
development of Plasmodium, the parasite that
causes malaria.




Interpreti Veneziani, the Venice-based chamber
group, performed for patients at the bone
marrow transplant unit and neonatal intensive
care unit at Shands at UF Jan. 26 as part of the
AIM Together program, a partnership between
UF Performing Arts and Shands Arts in Medicine.


Published by
UF Health Science Center
Office of News & Communications
Senior Vice President,
Health Affairs
Douglas J. Barrett, M.D.
Interim Director, News &
Communications
Melanie Fridl Ross

Editor
April Frawley Birdwell
afrawley@ufl.edu


Senior Editors
Melanie Fridl Ross, John Pastor
Designer
Mickey Cuthbertson
Staff Writers
Kandra Albury, April Frawley Birdwell,
Jennifer Brindise, Tracy Brown Wright,
Sarah Carey, Linda Homewood, John
Pastor, Jill Pease, Czerne M. Reid,
Karen Rhodenizer, Melanie Fridl Ross,
Priscilla Santos, Christine Velasquez


Contributing Writers



Photo Editor


Support Staff
Cassandra Jackson, Beth Powers,
Kim Smith

The POST is the monthly internal
newsletter for the University of
Florida Health Science Center, the
most comprehensive academic
health center in the Southeast,


: I- -I _, I I -,





-I I I.
submitting items to be considered
for each month's issue is the 15th
of the previous month. Submit
to the editor at afrawley@ufl.
edu or deliver to the Office of
News & Communications in the
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