• TABLE OF CONTENTS
HIDE
 Front Cover
 Preface
 Dean's message
 Public health
 Aging
 Disability & rehabilitation
 Health-care access
 Education
 Research
 Service
 Report
 Gifts
 Masthead
 Back Cover






Group Title: Biennial report, University of Florida College of Health Professions
Title: Biennial report
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Permanent Link: http://ufdc.ufl.edu/UF00089848/00002
 Material Information
Title: Biennial report
Series Title: Biennial report
Physical Description: Serial
Language: English
Creator: College of Public Health and Health Professions, University of Florida
Publisher: College of Public Health and Health Professions, University of Florida
Place of Publication: Gainesville, Fla.
Publication Date: 2006
 Notes
Statement of Responsibility: College of Public Health and Health Professions, University of Florida
 Record Information
Bibliographic ID: UF00089848
Volume ID: VID00002
Source Institution: University of Florida
Holding Location: University of Florida
Rights Management: All rights reserved by the source institution and holding location.

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Table of Contents
    Front Cover
        Front Cover
    Preface
        Preface
    Dean's message
        Page 1
    Public health
        Page 2
        Page 3
    Aging
        Page 4
        Page 5
        Page 6
        Page 7
    Disability & rehabilitation
        Page 8
        Page 9
        Page 10
        Page 11
    Health-care access
        Page 12
        Page 13
        Page 14
        Page 15
    Education
        Page 16
    Research
        Page 17
    Service
        Page 18
    Report
        Page 19
        Page 20
        Page 21
        Page 22
    Gifts
        Page 23
        Page 24
    Masthead
        Page 25
    Back Cover
        Page 26
Full Text












































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SSORS L I E T RESAR H ND CLNIIAS.TH

COLGEI COMTE TO ADACN AND INERTGSCNEAD

PRATIC AN EOSTRTN EXELEC INSHOALYATIIY









DEAN'S MESSAGE


The cover of our last biennial report proudly
featured the entrance to our new building,
emblazoned with the words "College of
Health Professions." The building brought
most of our programs under one roof for the
first time in the college's history.

Two years later, the same entryway displays a new name,
"College of Public Health and Health Professions." The
addition of public health to our name, building on our
legacy of health professions, says much about the col-
lege's last two years and about its future.

The concept of an independent college dedicated to
educating a broad array of health professionals was
realized at the University of Florida in 1958. Over the
ensuing decades, our faculty and graduates have been
instrumental in defining the disciplines included in our
college. We are proud of our heritage and role in devel-
oping a new educational model, started in Gainesville
and now adopted across the nation. Without exception,
our programs have won national recognition for the
quality of the education provided. We have also remained
committed to expanding the science supporting our
disciplines, placing our college first or second in National
Institutes of Health funding for colleges of health profes-
sions over the last two years.

During recent strategic planning at the university level,
the need for a public health program at the University
of Florida became apparent. We immediately recognized
such a program would mesh well with the college's
existing programs and provide important opportunities
for the college.

The work done by our faculty has demonstrated the
impact of chronic health conditions upon Americans,


especially as the population ages and the risk of disability
and number of chronic health conditions individuals
manage increases. These problems must be addressed
at the individual level, yet this approach alone is
unlikely to succeed. The scope of the problem and
the long-term cost implications require a broader
population perspective.

The Institute of Medicine, part of the prestigious
National Academy of Science, recently called for the
development of "transdisciplinary research" to broaden
the field of public health. The combination of the
population emphasis inherent to public health with
our long-term focus on the management of chronic
health conditions creates a powerful model.

Our faculty have already demonstrated their ability to
work across disciplines. Now this mixing of faculty
and students with interest in both areas will create
unimagined opportunities, and possibly ignite the same
type of innovation witnessed more than 45 years ago
when we invented the concept of a unique college to
educate health professionals.

Today, the name College of Public Health and Health
Professions symbolizes the hope that our faculty and
students will become living ambassadors of change.
Through this effort, we envision becoming the leader of
this new approach, just as we have done among colleges
of health professions. I look forward to reporting on our
efforts in the next biennial report.

As you examine this report, I think you will be impressed
by the college's achievements. Each page of the report
shows the remarkable efforts of our faculty and students to
create the best educational and scientific programs possible.
I welcome your thoughts on our progress.


"We are proud of our

heritage and role in

developing a new

educational model."









PUBLIC HEALTH


New program seeks to improve and protect public health


There has never been

a better time for a

new public health

program at a prestigious

university such as UF.


I n an effort to improve the
overall health and quality of
life for Floridians, University of
Florida officials announced the
establishment of a new college of
public health, integrated into the
recently renamed College of Public
Health and Health Professions.

"There is some history of a Master
of Public Health program here," said
Mary Peoples-Sheps, Dr.PH., the
director of the new program. "But
it became clear during the university's
strategic planning process that it would
make sense to develop an accredited
school of public health here at UF,
which is really an essential ingredient
for high-quality interdisciplinary
research and a full complement of
health science schools.

"The decision was made that the
College of Health Professions would
change its name, the public health
programs would be housed here, and
the school would embark on a delib-
erate effort to expand its offerings,"
Above: Dr. Mary Peoples-Sheps with public
health students Paula Crawford, Wei Yuan
and Annie Morton.


Peoples-Sheps said. "Development
of the program is a high priority for
Dean Frank, who has provided the
leadership necessary to assure a
successful launching this year."

There has never been a better time
for a new public health program at a
prestigious university such as UE

"Public Health is everywhere around
us," Peoples-Sheps said. "We are
usually not aware of it. But in
today's world, it has taken on greater
significance and has become more
obvious to people because of con-
cerns about bioterrorism. When the
anthrax scare happened, it was the
experts at the Centers for Disease
Control and Prevention, one of the
major public health agencies in the
United States, who were called upon
to address the problem.

"Public health is often identified
with infectious disease, but things
like the recent identification of obe-
sity as a national problem are public
health issues, too," she said. "All of
the intervention programs, such as
those encouraging children to walk
to school and to eat healthier foods,


are created and implemented
through the vast public health
system in this country.

UF in particular is a prime spot for a
far-reaching public health program.

"Florida is one of the largest states
in the country, and before our
program, we only had two public
health schools in the state, neither
of them in the large northern
portion," Peoples-Sheps said.
"There is a need in a state of this
size for another school of public
health. UF is a major research uni-
versity, and public health is firmly
grounded in research. Also, a major
focus of our program is on aging.
This is a natural for our college
since it has a long tradition of
research, service and teaching about
disabilities."

Already, Peoples-Sheps and her
colleagues have initiated the
accreditation process, which will
take a few years, and they are build-
ing the program from the ground up.
They have hired many new faculty
members through national searches
and are continuing to look for more.

















"We're looking for people who
are graduates of major schools
of public health who can bring
expertise in their concentra-
tions," Peoples-Sheps said.
"We've recruited some excellent
faculty members, some of




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"Public health training and
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A G I N G










AGING


MEMORY AND AGING
As people age, mental faculties including
memory and reasoning skills often begin
to slip a bit as part of the normal process of
growing older. But for some adults, the decline
in cognitive skills means more than just an
inconvenience.


"It can transfer to everyday functioning and the
ability to self-manage," said Michael Marsiske,
Ph.D., an associate professor of clinical and
health psychology, who is running a National
Institutes of Health study on memory and aging.
"The notion of keeping intellectually fit in the
post-retirement years is a whole new area which
has been underinvestigated."


In March 1998, Marsiske and several colleagues
began an NIH-funded study of 2,802 adults
between the ages of 65 and 94. In a two-year
follow-up, researchers found that simple mental
training techniques helped people over 65
improve their memory, concentration and prob-
lem-solving skills. Some of the gains observed
were much larger than the amount of decline an
average senior would experience.

Now, Marsiske and his colleagues are involved in
a second phase of the study: an NIH-funded five-
year follow-up of the original participants, to see
if the effects of the simple mental training have
lasted.


"At this point, you can forget the adage you
can't teach an old dog new tricks," he said. "For
an incredibly diverse group of people, we're
showing very large, lasting effects with minimal
training. That's not to deny that people experi-
ence natural declines as they get older. But
there is a lot of room for improvement, even in
their 70s and 80s."

THE COLLEGE'S SERVICES
AT OAK HAMMOCK

Clinical services, including physical therapy, occu-
pational therapy and speech pathology, will be
readily available to senior citizens at Oak
Hammock, a new state-of-the-art continuing care
retirement community that opened 2 miles west of
the UF campus. With room for 400 residents, the
facility offers a unique affiliation with the universi-
ty, and the College of Public Health and Health
Professions will play a major role in providing
clinical services for its residents.

"It's a wonderful opportunity to be creative and
collaborate with other departments in the college,"
said Emily Pugh, the director of the distance
learning master's program in occupational
therapy, who is working with the staff at Oak
Hammock to set up the college's clinical services.

The college's graduate students will work with resi-
dents on wellness and rehabilitation programs, and in
the future, students and professors will be able to


include Oak Hammock residents in approved
research programs.

"It's a great opportunity to build a rehabilitation
program from the ground up in a beautiful facility,"
Pugh said. "Oak Hammock gives us an opportunity
to provide services to the community, which is one
arm of the university's mission, and it allows clinical
staff to practice in a very desirable setting."


Oak Hammock resident Manny Lucoff is treated by
Anne Sleep, the college's director of rehabilitation at
Oak Hammock at the University of Florida.













GAIT AND BALANCE CLINIC
On the other end of the spectrum is the college's
collaboration with the Geriatric Gait and Balance
Disorders Clinic at the Malcom Randall Veterans
Affairs Medical Center in Gainesville. Launched in
1997 under the direction of Kathye Light, Ph.D., an
associate professor of physical therapy, the clinic
takes a multidisciplinary approach to restoring bal-
ance to those prone to falls, which cause more than
200,000 hip fractures each year.

"The primary goal is to reduce the number of falls
they have," said Mark Bishop, Ph.D., a lecturer in
physical therapy and one of the people who collabo-
rates with the clinic. "We've been successful. In a
recent follow-up looking at people treated in the clin-
ic, 67 percent hadn't fallen in the six-month follow-up
period. Fifty percent of the remainder hadn't had a fall
that resulted in injury."

Patients meet with a physician, nurse practitioner,
pharmacist and physical therapist, who devise a multi-
disciplinary approach for an individualized 12- to
20-week program. The solution is often a combination
of changes in exercise, diet, medication and factors at
home, as well as an individualized exercise program.

"This model, this integration, these clinical
services are unique," Bishop said. "We hope this
provides some direction down the road."


MENTAL ILLNESS AND
THE ELDERLY
Jeffrey Harman, Ph.D., an assistant professor of
health services research, management and policy, is
tackling another area of interest in aging: mental
illness and the elderly.

"Depression is often overlooked, but it has a really
significant impact on people's lives," Harman said.
"It affects their quality of life and their day-to-day
functioning. There have been some estimates of
disease burden and how hard a disease makes life
for you, and depression is ranked second behind
cardiovascular issues. It has also been associated
with increased mortality."

Harman recently has received a $490,000 grant to
study seniors, depression, and the reasons why some
seek care and others do not.

"I think one of the reasons depression is not treated
very often is not the economic factors, including
prescription cost," Harman said. "Social factors, such
as stigma or the amount of social support, affect
whether people seek treatment or stay in treatment.
I hope to identify barriers to seeking and continuing
care. By identifying these, we can suggest changes to
policy to ensure that people get the help they need
for their depression."


"Depression is often

overlooked, but it has a

really significant impact

on people's lives..."


LAI

















Handing


older drivers

THE KEYS TO INDEPENDENCE

By 2024, one in four drivers will be 65 or older,
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TRANSCRANIAL MAGNETIC
STIMULATION FOR SWALLOWING
DISORDERS
One of the unique ways in which the college is
contributing to the growing field of rehabilitation
therapy is through the work of Emily Plowman, a
doctoral candidate in the college's rehabilitation
science program, along with her research adviser,
John Rosenbek, Ph.D., the acting chair of the
department of communicative disorders, and
William Triggs, M.D., an associate professor of
neurology in the College of Medicine.

As many as 65 percent of people who have
experienced a stroke sustain swallowing
impairments, which can limit their ability to
eat, their overall quality of life and their readi-
ness to return home. Plowman is one of the
only researchers in the nation working to
understand and treat swallowing disorders
through a technology called transcranial
magnetic stimulation (TMS) that involves
the placement of a magnetic coil over the scalp.
The coil emits a magnetic pulse, which activates
underlying neurons and enables researchers to
map the areas of the brain that are stimulated
by different activities.

"We're actually the only lab in all of America to be
using transcranial magnetic stimulation specific to
swallowing," Plowman said. "The mechanism of
TMS has allowed us to track changes in the brain
and see the underlying mechanisms that control
swallowing. This does have clinical implications.


If someone were to have a left-sided stroke, for
example, the right side could be trained to take
over swallowing functions."

DISABILITY MEASUREMENT
How can you properly treat disability if you can't
properly quantify it? That's a question that Craig
Velozo, Ph.D., an associate professor of occupa-
tional therapy, has been asking. And now he is
doing something about it.

"One of the concerns about measurement of
disability in health care is that it takes a lot of
time, and there are also questions about the
precision of the existing disability measure-
ments," said Velozo, who is also the associate
chair of the department of occupational therapy.
"There are now some emerging statistical and
computer technologies that may allow us to make
these instruments more efficient and more precise."

Assessing disability quickly and accurately could
also save researchers and medical professionals
considerable time and money.

Funded by a National Institute of Disability
and Rehabilitation Research grant, Velozo has
developed a computerized, adaptive test that
helps professionals quickly and accurately assess
the extent of an individual's disability. Instead of
asking a patient hundreds of questions, Velozo's
test uses a series of questions specifically tailored
for each individual to help quickly and easily
quantify the severity of a person's disability.


DISABILITY & REHABILITATION


RESPIRATORY TRAINING FOR
PATIENTS ON VENTILATORS
Weaning patients from ventilators has been an
issue that has been in the news for the past few
years, and A. Danny Martin, Ph.D., an associate
professor of physical therapy, has been on the
cutting edge of the research. He has also been
involved with one the issue's foremost advocates,
the late Christopher Reeve.

"We started working with him five years post-
injury, when he could tolerate less than 30
seconds off the ventilator," Martin said. "With
the training we helped provide, over a period of
about a year, we got him up to where he could
tolerate up to two hours off the ventilator."




















Emily Plowman and Dr. William Triggs demonstrate the
use of transcranial magnetic stimulation in the study of
swallowing disorders.











1 c Martin and his team have weaned roughly 75
percent of their patients from ventilators using a
tiny, spring-loaded device that provides a pressure
S load to the respiratory muscles. While still on the
ventilator, patients do breathing exercises. The
1 pressure on the device is increased each time they
successfully complete an interval, which helps their
respiratory muscles develop.

Martin's team is in the first year of a five-year
National Institutes of Health-funded controlled
"...children will be trial of 150 patients to validate the effectiveness of
the technique.
more likely to have
"On any given day, there are 3,000 to 4,000
access to therapies that patients in the United States trying to be weaned off
of mechanical ventilators," Martin said. "Obviously
will help them optimize we hope the study shows that our training method
improves the weaning outcome for patients. Getting
their development." off the ventilator is a great improvement in quality
of life and can help patients begin more vigorous
rehab programs."

DEVELOPMENTAL DISABILITIES
Stephen Boggs, Ph.D., an associate professor of
clinical and health psychology and the director of the
Center for Pediatric Psychology and Family Studies,
is examining a completely different angle of disability
and rehabilitation research.

Along with department colleague Professor Sheila
Eyberg, Ph.D., Boggs is working to implement and


test a form of therapy called Parent-Child
Interaction Therapy (PCIT) for treating children
with developmental disabilities, such as mental
retardation. The therapy, developed by Eyberg, has
already proven effective in children without devel-
opmental disabilities. Now Boggs has trained
therapists in Jacksonville and Gainesville to use
PCIT to treat children with developmental delays.

"We know that children who have development
disabilities or delays are already at risk for more
difficulty in academic and social development, and
if they also have behavior problems, it could prevent
them from participating in therapies such as physi-
cal therapy, occupational therapy, or even a school
environment," Boggs said. "By helping parents learn
skills that will help them to manage their children's
behavior better, the children will be more likely to
have access to therapies that will help them optimize
their development."

PCIT places emphasis on improving the parent-
child relationship and changing the way in which
the parent and child interact. This year, Boggs will
also train therapists in Miami, Orlando, Tampa and
Tallahassee to use the program.

"We hope that our study will demonstrate that it is
an effective therapy for children with developmental
disabilities and that it can be taught to therapists
who are practicing in the field, outside of the academic
setting," Boggs said.


U













Enhancing recovery


and quality of life

BROOKS CENTER FOR REHABILITATION STUDIES
T he UF Brooks Center for Rehabilitation Studies is developing
some of the nation's most cutting-edge rehabilitation research and
is paving the way for major advances in rehabilitation.

Hosted by the College of Public Health and Health Professions, the
Brooks Center is a universitywide initiative that incorporates researchers
from many colleges as well as the Brooks Health System and Shands
Health Care. The center also has close ties with the Rehabilitation
Outcomes Research Center and the Brain Rehabilitation Research Center,
both Veterans Affairs centers.

"Colleges and centers have forged new collaborations through the center,"
said Pamela Duncan, Ph.D., the director of the Brooks Center. "Our
research is fairly groundbreaking in that we're bringing together investiga-
tors that bridge the entire spectrum of research."

More than 40 researchers are attacking the issue of disability from a
multitude of angles, including neurorehabilitation, pain, balance, aging,
human motor performance and health policy.

In the last few years, the Brooks Center has opened a research center in
Jacksonville and collaborated with the VA to develop what Duncan calls
"the most state-of-the-art human performance lab in the world." They
also have established a registry for patients and assisted several researchers
in securing major grants for research.

Duncan has big plans for the future, too.


-
"We clearly need to increase our endowment, and we have identified
the programs we plan to focus on," she said. "Our initial focus was on
locomotive recovery, and we now need to expand our focus to other
aspects of motor recovery. We also want to expand our programs with
aging, especially as it relates to physical dysfunction and cognition.
We've developed strategic plans for each research area, and we're moving
forward."
Above: Brooks Center research assistants demonstrate the Lokomat Robotic step training
system at the opening of the center's Human Motor Performance Laboratory at the Malcom
Randall VA Medical Center. The equipment helps researchers understand motor function in
people with neurological damage. Photo by Gerben DeJong.













..







;~










HEALTH-CARE ACCESS X


COMMUNICATION AFTER
STROKE IN SPEAKERS OF
AFRICAN-AMERICAN ENGLISH
On one end of the health-care access spectrum
is the work of Charles Ellis, who is looking at
post-stroke speech in speakers of African-
American English.

"A lot of times, people who are standard
English speakers have trouble distinguishing
between dialect and mild problems with lan-
guage," said Ellis, a doctoral student in the
rehabilitation science degree program. "People
might be having more difficulty than it appears.
If you're not used to listening to someone from
a different region or with different speech
patterns, it might be difficult to pick up on
the fact that their speech is disordered. Many
physicians and clinicians are not trained
or aware that these differences may exist.
Therefore, these patients may not be as likely
to have access to service."

Ellis completed interviews as part of a larger
stroke study, and compiled qualitative and
quantitative information about post-stroke
speech and language problems in speakers of
African-American English.

"Very little research has been done on the
interaction between the dialect of speakers of
African-American English and people who
have had a stroke and the resulting language


deficits," Ellis said. "I hope that through this
preliminary work, clinicians and physicians
will have a clearer understanding that there are
dialectical features that mask communication
disorders after stroke."

Ellis' study was completed at the VA
Rehabilitation Outcomes Research Center,
as part of a project supervised by Maude
Rittman, Ph.D., with funding from the VA.
John Rosenbek, Ph.D., the acting chair of the
college's department of communicative disor-
ders, serves as Ellis' faculty mentor.

OBESITY TREATMENT FOR WOMEN
IN RURAL AREAS
Michael Perri, Ph.D., a professor of
clinical and health psychology and
the college's associate dean for
research, is attacking another piece
of the health-care access problem:
access disparities based on geographic
location.


"There are significant health dispari-
ties in the United States, and a
particularly challenging one is the
health disparities based on geo-
graphic regions," he said. "People
in rural areas make up 20 percent
Clinical and
of the population, but those areas leader for the
contain 75 percent of the medically on how to ex
underserved." participants


Heart disease is particularly rampant in rural
areas, with contributing factors including higher
rates of smoking, obesity and sedentary lifestyle.
But it is difficult to treat problems such as obesity
when there are few medical clinics close by.

That is why Perri has devised a plan to help bring
obesity treatments to women in rural areas by
offering the program at county cooperative
extension offices.

Perri and his colleagues have set up shop in the
extension offices of six rural Florida counties:
Bradford, Columbia, Levy, Lafayette, Dixie and
Putnam. The women who enroll in the program
receive six months of lifestyle intervention coun-


health psychology graduate student Mary Murawski (right), a group
weight loss treatment program in Levy County, provides instruction
amine nutritional labels on prepared foods. Shown with her are
Sarah Miller and Patricia Daniels.













selling and then are divided into three groups, one of
which will receive follow-up treatment by mail, one
of which will receive treatment by phone and the
third of which will receive treatment in person.
The goal is to see which of the three follow-ups is the
most cost-effective and efficient at encouraging
women to keep the weight off.

Currently, 200 participants are completing the
lifestyle intervention phase of the study, which has,
so far, been successful in helping the women drop an
average of 20 pounds by reducing their food intake
by 500 calories a day and increasing their walking by
3,000 steps a day.

"Moderate changes in lifestyle and diet can lead to
significant weight reduction," Perri said. "We can help
people in rural areas learn about these changes by
bringing programs to them and providing them with
support.

FLORIDA CENTER FOR MEDICAID
AND THE UNINSURED
Under the guidance of Director Robert Frank, Ph.D.,
dean of the college, and Research Director Allyson
Hall, Ph.D., the Florida Center for Medicaid and the
Uninsured, a state health policy research center, is
examining access-to-care issues for vulnerable popula-
tions. Funded by the state agency that runs Medicaid,


a federally and state supported health insurance
program for people with low incomes, the center also
seeks grants to sponsor UF researchers who want to
look at underserved populations.

"The main goal of the center is to generate information
around issues related to low-income and vulnerable
populations, particularly those with Medicaid and those
who are uninsured," said Hall, also a research associate
professor of health services research, management and
policy. "We then seek to get that information to
policymakers and advocates. Every year, we negotiate
a big contract with the Agency for Health Care
Administration to do a variety of projects, ranging from
looking at consumer satisfaction to analyzing various
programs that provide care for people with disabilities."

Why is the Center so vital?

"Medicaid provides health-care coverage for approxi-
mately 2 million Floridians," Hall said. "It is an
expensive program, and the state is starting to think
about ways to make the program more efficient. The
center can contribute to this process by evaluating
elements of the program for the agency. Our aim is
to produce a quick turnaround in our research and to
have our reports used immediately in the develop-
ment of future programs, which allows us to have a
direct impact on policy."


a


"Our aim is to produce a

quick turnaround in our

research and to have our

reports used immediately

in the development of

future programs..."














Improving


access

TEAM RESEARCHES MEDICAID SOLUTIONS

any Americans have trouble getting access
to health care, oftentimes because of financial
reasons. In Florida, minorities in particular, the
state's large Hispanic population seem to face multiple
problems getting access to health services.h Ch
re ticsh ncriert nrn'rocsnr and Ch


In 2001, Florida's Agency for Health Care Administration set
up a variety of demonstration programs for Medicaid patients.
One of those programs was the Minority Physician Network,
in which the state contracted with two large physician-owned
managed care organizations. In both of these networks, more
than half of the physicians are members of minority groups
serving a mostly minority population.

"The state was looking for alternative models for Medicaid,"
said Christy Lemak, Ph.D., an assistant professor in the depart-
ment of health services research, management and policy. "The
Minority Physician Network was a way to support Medicaid
physicians who receive lower reimbursements than through
other insurers. It is hard for some physicians to remain in
business when they serve poor people in poor neighborhoods.
These predominately minority, physician-owned companies
were attempting to make Medicaid work better."

To see if the network was working, the state contracted with
Lemak and department colleagues Allyson Hall, Ph.D., a


an assistant professor. The researchers conducted a comprehen-
sive evaluation of the system, interviewing physicians and state
officials, reviewing hundreds of reports and analyzing a data-
base of 3.9 million Medicaid patient records.

"We found that in general, physicians were highly satisfied
with the program," Lemak said. "They particularly liked the
local administrative support and the financial incentives to
provide good care."

The team also found that medical expenditures were lower in
the network, saving the state $8.3 million over traditionally
administered Medicaid programs in just 15 months.

New health disparities legislation that would expand the pro-
gram statewide was debated during the last legislative session,
and the UF report was widely circulated by lobbyists and legis-
lators. Ultimately, the state decided to expand the program.

Above: Drs. Christopher Johnson, Christy Lemak and Allyson Hall
with some of the data gathered during their research.


"It is hard for some

physicians to remain

in business when they

serve poor people in

poor neighborhoods."


otsir her Johnson D










EDUCATION


Innovation marks physical therapy department


T he physical therapy department
has added several new innovative
education initiatives in the last couple
of years, which provide students with
more opportunities to do hands-on
work and learn from a variety of profes-
sionals already practicing in the field.

"Ours is one of the best programs in the
country for physical therapy," said Jane
Day, Ph.D., the assistant chair of
physical therapy and its director for
education. "All of our tenured faculty

The spinal cord injury recovery research
conducted by graduate students Michelle
Woodbury (left) and Nicole Tester is support-
ed by the predoctoral NIH training grant.


have grants from federal funding agen-
cies such as the National Institutes of
Health and are leaders in their research
fields, so it's a really dynamic program."

The initiatives include:
* Clinical fellowships in collaboration
with Shands at the University of
Florida
* Research and clinical seminar series
* Predoctoral T32 training grant fund-
ed by the NIH
* New course for biomedical
engineering and rehabilitation
science doctoral students
* Expansion of Shands at UF
clinicians as guest teachers


In addition, the department
proposes to introduce a Doctor of
Physical Therapy degree program,
with a projected launch date of fall
2005. The entry-level clinical
doctoral degree will take the place
of the entry-level master's, which
is being phased out around the
country, Day said.

"We want to be the No. 1 physical
therapy department in the United
States," Day said. "Given the
quality of our faculty, students and
programs, we are poised to move
into this position in the very near
future."


TRAINING THE NEXT GENERATION OF REHABILITATION RESEARCHERS


The only program of its kind in the Southeast
and the largest of its kind in the nation, the col-
lege's Rehabilitation Science Ph.D. program is
home to more than 70 graduate students, most
of whom are fulltime, and 28 faculty members.
Established in 1998 and quickly gaining interna-
tional acclaim, the program attracts students
from all over the world.

"We are providing an educational program that
is preparing rehabilitation professionals for aca-
demic careers," said William Mann, Ph.D., the
director of the program and the chair of the
occupational therapy department.


The 90-semester-hour program gives students
the chance to develop skills in teaching,
research and interdisciplinary teamwork in reha-
bilitation science. More than a dozen students
have graduated from the program and moved
on to prestigious academic positions around the
country.

Along the way, they have provided the college
with some fascinating and widely varying
research in the form of their dissertations.

Graduate Julie Prins, Ph.D., for example, stud-
ied the effects of spirituality on coping in frail


seniors in a variety of living situations and capa-
bility levels. Chien-Hui Huang, Ph.D., examined
respiratory sensation in healthy study partici-
pants. Cynthia Townson, Ph.D., looked at the
influence of activities of daily living skills and
behaviors on patients who have experienced a
stroke.

"These students have excellent mentors
who are active in the field," Mann said. "The
students who serve with those faculty are
going to learn a lot about how to get funding
for research, how to conduct research and
how to report on results of research."










RESEARCH


Exploring the brain through fMRI research


O ne of the areas in which the college is on
the cutting edge of research is in the use of
functional magnetic resonance imaging, or fMRI.
The college has more funding for fMRI research
than any other college at the University of Florida,
and several investigators are making fascinating
use of the technology.

"We put people in an MRI scanner which has a
very powerful magnet, many times the strength
of the earth's magnetic field," explained Bruce
Crosson, Ph.D., a professor in the department
of clinical and health psychology. "We use
radio frequency pulses, which excite protons in
the brain into a higher energy state, and when
they return to a normal state, they give off radio
frequency energy from which an image can be
created."


MOVING RESEARCH FORWARD

Already one of the premier health research
centers in the country, the college has taken
two important steps forward in research
by renovating the research annex and
appointing Michael Perri, Ph.D., a professor
in the department of clinical and health
psychology, to the position of associate
dean for research.

A six-month renovation of the college's
research annex began in March 2003,
adding additional space for several labs and
redesigning the building for better patient
access.


Researchers can use this image to map blood oxy-
genation level changes in the brain, which allows
them to evaluate exactly how the brain is processing
various signals and situations.

Crosson has been successful in using fMRI technolo-
gy to look at post-stroke aphasia, or loss of ability to
speak or understand language.

But Crosson is not the only clinical and health psy-
chology researcher using fMRI technology to break
new research ground. William Perlstein, Ph.D., an
assistant professor, is examining the neuroscience of
emotion in patients who are healthy and those who
have anxiety disorders. Michael Robinson, Ph.D., a
professor and the director of the Center for Pain
Research and Behavioral Health, is using fMRI
technology to examine the neural mechanisms of


"We've grown from $2.5 million in research
grants in 1998 to more than $13 million," said
Tonia Lambert, the college's coordinator for
research programs, who oversaw the renova-
tions. "As our funding has increased, so has
our need for space to conduct those studies."

Perri's appointment also is a significant step for
the college.

"I am very excited about the great strides our
college has made in the research arena," Perri
said. "The growth of the research programs
represents an amazing accomplishment -


This image, produced through William Perlstein's research,
reflects brain regions that show increased activity associat-
ed with increased demand for working memory.
placebo analgesia in patients with chronic pain con-
ditions. Peter Lang, Ph.D., a professor and director
of the Center for Emotion and Attention, is using
fMRI to study how the brain processes emotion.
And in the department of physical therapy, depart-
ment Chair Krista Vandenborne, Ph.D., is using a
similar technology to study motor activities in
patients with disabilities.


a real tribute to the outstanding scholarship of
our faculty.

"Our goals in the coming years will be to
continue to support our faculty and students
in their research endeavors," he said. "For
our faculty, we are particularly interested in
fostering interdisciplinary research efforts
and in assisting junior faculty members in
getting their research programs off to a
strong start. For our students, we have
doubled the number of college-funded
research awards, and we have initiated a
new program that will fund equipment grants."


Dr. Michael Perri










SERVICE


Rehabilitation counseling trains professionals nationwide


"...we're the only major

university in the country

that has developed this

expertise and specializa-

tion in life care planning."


T he department of rehabilitation
counseling is doing more than
just sending qualified counselors out
into the workforce; they are also part-
nering with MediPro Seminars, a
national training company, to serve
as academic consultants for training
in Medicare set-aside arrangements,
functional medicine and life care
planning.

Above: More than 650 participants from
the Centers for Medicare and Medicaid
Services attended a UF/Medipro seminar
on Medicare set-aside arrangements in
June 2004 at the Marriott Marquis in
Atlanta, Ga.


This training is designed to advance
the credentials and qualifications of
practicing rehabilitation health pro-
fessionals providing this specialty
within their consultation practice.

Life care planning, or developing an
organized plan for current and future
needs with associated costs, is vital for
individuals who have experienced
catastrophic injury or have chronic
health-care needs. Horace Sawyer,
Ed.D., the chair of the department of
rehabilitation counseling, is overseeing
MediPro trainers across the country
who speak to health professionals
about life care planning. He also helps


evaluate MediPro's curriculum and has
a representative on-site during training
programs.

"Life care planning is one of the
most innovative and cutting-edge
consultation products out of the
private sector, and we're the only
major university in the country that
has developed this expertise and
specialization in life care planning,
so it's natural we extend out," Sawyer
said. "We also provide geriatric care
management and Medicare set-aside
arrangements, which are basically
long-range care plans for Medicare
patients."


TREATING ADHD: A FAMILY APPROACH


In the Attention Deficit Hyperactivity Disorder
Clinic led by James Johnson, Ph.D., a research
team is looking at more than just the kids affect-
ed by ADHD. They are taking research a step
further and are looking at the effect of ADHD
on families.

"We are interested in ways of assessing stress
in families of children with ADHD and in look-
ing at the multiple ways this stress can impact
family functioning," Johnson said. "Parents
of children with ADHD display more anxiety,
depression, and marital dissatisfaction, as
well as other difficulties. We hope to be able


to find ways to help families cope more
effectively."

A professor in the department of clinical and
health psychology, Johnson also is a member
of UF's interdisciplinary ADHD team, where he
interacts with professionals from the College
of Medicine and speech pathologists and
audiologists from the College of Public Health
and Health Professions.

The clinic has recently launched a new
Web-based ADHD consultation service,
providing busy area pediatricians with


quantitative information that will facilitate accu-
rate diagnosis and treatment plans for the
child and his or her family. A unique tracking
system assesses the effectiveness of the child's
treatment and measures stress levels of family
members.

Johnson, who has been seeing children with
ADHD for 25 years, hopes that his current
research will have a positive effect on practition-
ers and families with children with ADHD.

"As you make things better in the family, you
make things better for the child," he said.










REPORT


College of Public Health and Health Professions


Total Income

$30M

$25M

$20M

$15M

$10M

$5M

$OM
'95-96 '99-00 '01-02 '03-04


Grant Expenditures


Clinic Income

$8M
$7M
$6M
$5M
$4M
$3M
$2M
$1M
$OM
'95-96 '99-00 '01-02 '03-04


Grant Awards


State Income

$10M


'un-Yn 'uY-UU 'UI-UZ 'UJ-U4


Research Funding by Sources
(Fiscal Year 2003-04)
$15M F


$12M


$OM L


Federal State Private Internal Total


'03-04











W REPORT


Faculty Positions


2000 r


'97-98 '99-00 '01-02 '03-04


1500


1000






'95-96 '99-00 '01-02 '03-04
M Undergraduate
M Graduate
m Total


Current staff members recognized as College of Public Health
and Health Professions Employees of the Year, 1995 to
present, gather for a group portrait. Front row, left to right:
Cina Thomas, department of clinical and health psychology
(2003); Aleida Levine, department of clinical and health psy-
chology (2002); Peggy Bessinger, department of clinical and
health psychology (1995); and Julie Porumbescu, dean's
office (2003). Back row, left to right: Tammy Hedman, depart-
ment of communicative disorders (2003) and Tonia Lambert,
dean's office (2000). Not pictured: Elena Casson, department
of occupational therapy (1997).


Enrollment


r-DEGEE PRGRAM











REPORTM


College of Public Health and Health Professions Faculty


Andrea Alfonzo, B.S.
Assistant In

Elena Andresen, Ph.D.
Professor & Director,
Division of Epidemiology

Antonine Arneus, M.S., PT.
Associate In

Glenn Ashkanazi, Ph.D.
Clinical Associate Professor

Brent Baldwin, M.A.
Clinical Lecturer

Russell Bauer, Ph.D.
Professor & Program Director

Andrea Behrman, Ph.D., PT.
Associate Professor & Program Coordinator

Cynthia Belar, Ph.D.
Professor

Mike Bice, M.H.A.
Clinical Professor & Program Director,
Executive Master's in Health Administration
Program

Mark Bishop, Ph.D., PT.
Lecturer

Stephen Boggs, Ph.D.
Associate Professor

Carsten Botts, M.S.
Lecturer

Dawn Bowers, Ph.D.
Associate Professor

Margaret Bradley, Ph.D.
Research Professor


Lisa Brown, Ph.D.
Research Assistant Professor

Babette Brumback, Ph.D.
Assistant Professor

Terese Chmielewski, Ph.D., PT.
Assistant Professor

Neale Chumbler, Ph.D.
Assistant Professor

Sherrilene Classen, Ph.D., O.T.R./L.
Assistant Professor

Murray C6te, Ph.D.
Assistant Professor

Michael Crary, Ph.D.
Professor

Gwenda Creel, M.H.S., PT.
Lecturer & Clinical Affiliations Coordinator

Bruce Crosson, Ph.D.
Professor

Martha Sue Dale, M.S.
Assistant In & Assistant Program Director
for the Dietary Intervention of the
Women's Health Initiative

Patricia Dasler, M.A., O.T.R./L.
Assistant In

Jane Day, Ph.D., PT.
Clinical Associate Professor & Assistant
Chair, department of physical therapy

Duane Dede, Ph.D.
Clinical Associate Professor

Pamela Duncan, Ph.D.
Professor & Director Brooks Center for
Rehabilitation Studies


Paul Duncan, Ph.D.
Professor & Chair, department of health
services research, management and policy

Patricia Durning, Ph.D.
Visiting Assistant Professor

Debra Ellison, PT.
Clinical Lecturer

Garret Evans, Psy.D.
Associate Professor

Sheila Eyberg, Ph.D.
Professor

Christopher Faircloth, Ph.D.
Assistant Professor

Linda Feldthausen, Ph.D.
Clinical Assistant Professor

Eileen Fennell, Ph.D.
Professor

Joanne Foss, Ph.D., O.T.R./L.
Clinical Assistant Professor
Lesley Fox, Ph.D.
Research Assistant Professor

Robert Frank, Ph.D.
Dean & Professor

Marc Frazer, B.S., O.T.R.
Assistant In

Natalie Freeman, Ph.D.
Associate Professor

Eugene Fueyo, M.PT., PT.
Associate In

David Fuller, Ph.D.
Assistant Professor


Louis Gapenski, Ph.D.
Professor

Steven George, Ph.D., PT.
Assistant Professor

E. Tannahill Glen, Psy.D.
Clinical Assistant Professor

Katherine Gray, Au.D., M.S.
Clinical Assistant Professor

Robert Guenther, Ph.D.
Clinical Associate Professor

Julius Gylys II, Ph.D.
Clinical Assistant Professor

Allyson Hall, Ph.D.
Research Associate Professor & Director
of Research, Florida Center for Medicaid
and the Uninsured

James Hall III, Ph.D.
Clinical Professor

Stephanie Hanson, Ph.D.
Associate Dean Academic Affairs

Jeffrey Harman, Ph.D.
Assistant Professor

Shelley Heaton, Ph.D.
Assistant Professor

Stacey Hoffman, Ph.D.
Clinical Assistant Professor

Dale Hoidalen, M.A.
Clinical Lecturer

Alice Holmes, Ph.D.
Professor













David Janicke, Ph.D.
Assistant Professor

Christopher Johnson, Ph.D.
Assistant Professor

James Johnson, Ph.D.
Professor

Steven Kautz, Ph.D.
Associate Professor

Thomas Kerkhoff, Ph.D.
Clinical Associate Professor

Timothy Ketterson, Ph.D.
Research Assistant Professor

Amal Khoury, Ph.D.
Associate Professor

Ryan Knight, M.S.
Assistant In, Brooks Center for
Rehabilitation Studies

Peter Lang, Ph.D.
Graduate Research Professor
Christy Lemak, Ph.D.
Assistant Professor

Timothy Leslie, PT.
Assistant Program Director & Lecturer

Kathye Light, Ph.D., PT.
Associate Professor

Ellen Lopez, Ph.D.
Assistant Professor

William Mann, Ph.D., O.T.R./L.
Professor & Chair, department of
occupational therapy

Michael Marsiske, Ph.D.
Associate Professor & Acting Director
A. Daniel Martin III, Ph.D., PT.
Associate Professor


Sheridan Martin, Au.D., M.A.
Clinical Assistant Professor

Emily McClain, Au.D., M.A.
Clinical Assistant Professor

Niccie McKay, Ph.D.
Associate Professor

Gloria Miller, M.A., M.H.S., PT.
Lecturer & Curriculum Coordinator

Anna Moore, Ph.D.
Assistant Professor

Gloria Nieves-Cruz, B.S., O.T.R.
Program Director & Lecturer

Joanne Oren, M.A., PT.
Lecturer & Program Director
Diana Ortiz-Velez, B.S., O.T.R.
Assistant In

L. Caryl Patterson, M.PH., O.TR./L.
Assistant In

Mary Peoples-Sheps, Dr. PH.
Director, Public Health Programs
Deidre Pereira, Ph.D.
Assistant Professor

Eric Perez, M.A.
Clinical Lecturer

William Perlstein, Ph.D.
Assistant Professor

Michael Perri, Ph.D.
Professor & Associate Dean Research

Laura Perry, Ph.D.
Assistant In

Mary Anne Pinner, M.A., M.S.
Clinical Lecturer

Sara Plager, M.Ed.
Clinical Lecturer


Steven Pruett, Ph.D.
Assistant Professor

Emily Pugh, M.A.
Program Director, Distance Learning
Master's & Associate In

Lorie Richards, Ph.D., O.TR./L.
Associate Professor

Michael Robinson, Ph.D.
Professor

James Rodrigue, Ph.D.
Professor & Program Director
John Rosenbek, Ph.D.
Clinical Professor & Acting Chair,
department of communicative disorders

Ronald Rozensky, Ph.D.
Professor & Chair, department of clinical
and health psychology

Monica Sage, B.S.
Assistant In

Horace Sawyer, Ed.D.
Professor & Chair, department of
rehabilitation counseling

John Saxon, Ph.D.
Professor

Samuel Sears, Ph.D.
Associate Professor

Claudia Senesac, M.H.S., PT.
Lecturer

Hye-Kyeung Seung, Ph.D.
Assistant Professor

Linda Shaw, Ph.D.
Associate Professor

Orit Shechtman, Ph.D., O.T.R./L.
Associate Professor


Debra Shimon, Au.D., M.S.
Clinical Assistant Professor

Iris (Anne) Sleep, M.S.
Clinical Associate In

Ronald Spitznagel, Ed.D.
Associate Professor

Wendy Stav, Ph.D., O.T.R./L.
Research Assistant Professor

Edna Talmor, M.F.A., O.T.R.
Associate In

Cyd Strauss, Ph.D.
Clinical Associate Professor

Dianne Swanson-Gaines, M.S., PT.
Associate In

Elizabeth Swett, Ph.D.
Assistant Professor

Shelley Trimble, PT
Assistant In

Krista Vandenborne, Ph.D., PT.
Associate Professor & Chair,
department of physical therapy

Craig Velozo, Ph.D., O.T.R./L.
Associate Professor & Associate Chair,
department of occupational therapy

Karen Victorian, PT.
Assistant In

Lori Waxenberg, Ph.D.
Clinical Assistant Professor

Robert Weech-Maldonado, Ph.D.
Associate Professor

Brenda Wiens, Ph.D.
Research Assistant Professor

Zhou Yang, Ph.D.
Assistant Professor

Mei Zhang, Ph.D.
Assistant Professor


U









GIFTS


College's programs enhanced through gifts


The groundbreaking research, education and
service taking place every day in the College of
Public Health and Health Professions has been
strengthened through generous donations from
individuals, family foundations and corporations,
who have helped fund some of the college's most
important work to date.

"We're state assisted but not state supported,"
said Stacey Marsh, the college's director of devel-
opment. "And although our faculty generates
enviable research funding, private gifts are essen-
tial to the operation of the college. The ability to
attract private gifts virtually defines greatness
among American public universities."


THE SMART HOUSE


The most visible product of donated money is the
UF Gator-Tech Smart House, a research home
located in the UF-affiliated Oak Hammock retire-
ment community. There, researchers will test a
variety of new technological advances designed to
make living easier and safer for seniors.

"There are other smart houses that have been built
in the United States, but for the most part, they are
not set up for people to actually come and live in
them," said William Mann, Ph.D., the director of


the Rehabilitation Engineering Research Center
on Technology for Successful Aging and chair of
occupational therapy. "The Gator-Tech Smart
House will have older people actually living in it
for short periods of time, interacting with the tech-
nology and giving us feedback on the technology
before we move it into product form."

Funding for the Smart House has come in the
amount of $200,000 from three major corporate
donors: Praxeis, RDG Shutte Wilscam Burge and
the Weitz Company. Other donors include Fisher
& Paykel Appliances, the BSH Home Appliances
Corporation, the Westye Group Southeast and the
design firm of Arthur Shuster.

Working with computer science Professor Sumi
Helal, Ph.D., the center's director of technology
development, Mann and other researchers are
developing and testing several fascinating features,
such as a detection system that knows where the
occupants are and whether they are having difficul-
ties. The house will also include specially designed
refrigerators and dishwashers, floors that can detect
water leaks and a telephone that controls the lights,
the stereo, the television and even the curtains sim-
ply through the sound of the homeowner's voice.

"The house will know where the occupants are and
whether they are having difficulties and will be able
to communicate with them," Mann said. "The
house can call for help if necessary. The intercom
system will be tied in so the person won't have to get
up to talk to someone at the door. Residents can
unlock the door from anywhere in the house, and


the occupant will even be able to ask the house if
it is secure and if all doors are locked before going
to bed."

RON AND MARY LYNNE ALDRICH'S GIFT

Former hospital CEO and college graduate Ron
Aldrich (class of'66, master's in health adminis-
tration and business administration) has also been
a major donor whose contribution is funding
several programs in the department of health
services research, management and policy.

Aldrich and his wife
Mary Lynne have
donated $50,000
toward the Louis C.
and Jane Gapenski
Professorship in
Health Services
Administration, established by Gapenski, a facul-
ty member and longtime college supporter, and
his wife Jane. The professorship is currently held
by R. Paul Duncan, Ph.D., the prominent chair
of the department of health services research,
management and policy. The Aldriches have also
donated $43,000 for a scholarship fund and
an additional $7,000 for a student lounge and
a faculty fund.

"The Aldriches are critical partners in our endeavor
for greatness," Marsh said. "Their commitment
assures our ability to attract the best faculty mem-
bers and the brightest students and enhances the
resources with which we support them."















MAJOR GIFTS TO THE COLLEGE OF
PUBLIC HEALTH AND HEALTH PROFESSIONS


DONOR
S1.000,000 or more
tlu,- ,.i.' : an.. ,lu,- I I.-l ... HFl-II..1.3

$750.000 or more
E h..'. H- Ill i F..liri.Jill. ii
S100,000 or more


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S50.000 or more


F.TrI i .',. i i I E,
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H. Vt i i i ,
$10.000 or more


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BENEFICIARY


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THE BLUE CROSS AND
BLUE SHIELD OF FLORIDA
PROFESSORSHIP IN HEALTH
SERVICES ADMINISTRATION

With a gift from Blue Cross and Blue
Shield of Florida, the college will
expand its important research commit-
ment to improved understanding of
health insurance and factors affecting
the uninsured through a prestigious
professorship that will be filled in the
near future.


Blue Cross and Blue Shield of Florida
donated $1.2 million, and state-match-
ing funds brought the total amount to
more than $2 million.


The Blue Cross and Blue Shield of
Florida Professorship in Health Services
Administration will support the
appointment of a nationally known
scholar of health policy dedicated to
research on the widespread lack of
affordable health insurance coverage.


The professorship appointee will
establish a research program in the
department of health services research,
management and policy on critical areas


affecting health-care access, health
insurance, financing of health care and
public-private health partnerships.


HORACE SAWYER'S GIFT
TO SUPPORT STUDENT
SCHOLARSHIP

Horace Sawyer,
Ed.D., chair of the
rehabilitation coun-
seling department,
has been another
generous and influ-
ential donor to the
college. He and his
wife Vivian have
donated $25,000 to
support student
scholarships in reha-
bilitation counseling.


"I've been with the college since 1983,
and I have a real commitment to the
college and always have since I joined,"
Sawyer said. "There comes a time when
you want to start giving back and want
to make other kinds of contributions.
I've received a great deal from the col-
lege and think it's a good idea to give
back."


D

















ADVISORY BOARD MEMBERS


lr Ronald Ildrich
Dr I :rennrlh Ec..:lh
Dr Mar., rnn Clark
Dr -.ubr-, 'Danil
rAr Daniel De.ine
Mr Pe-lr Dor,3n
,s C(laudette Finle,
Dr Robrl- Frank
lr La'.,rence Garnson
M.r Robert Goldstein
Dr Richard GutekLiunst
.lr Sam3.luel Holloia,, chairman
Dr Carl Homer
Dr Robert Hoslord
.lr Robert Hudson
.ls Kimnberl, 1ai1iuhran
Mlr Rolf Kuhns:
Ur 4lan Le .ine
Dr R.:bert Le-.tt
Dr Joseph Luckett
A.lr J Paul [Mellon
lr Thomas P,e
r.lr John Roberts
lrs Di.ie Sansiom
Dr Charles Schauter
Mr Darr,I To,,:.er
Dr Tra,.is White


E -Chitoio
Dr Pamela Duncan
Dr R Paul Duncan
Dr Stephanie Hanson
Dr W'illian-m Ilnn
M.l Stace, Llarsh
Dr r.lichael Perri
Dr John R.:.senbjEP
Dr Ronald Rozensk,
Dr Horace SaV,.,er
Dr Krisla Vandenborne


-SAS.. *...e



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^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^KEditor: Jill Pease^^^^^^^^^^^^^^

^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^Writer: KristinM-laBSrmgmel ^^^^^^^^^^

^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ Proofrea~mder:* isaf i SperrynnifMmlB~niM^^^^^





































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