January 21, 2000
Volume XXXIII, No. 3
Dr. Nicolas E. Walsh, professor and chairman of rehabilitation medicine at the Health Science Center, joined U.N. Secretary-General Kofi Annan and a dozen celebrities and physicians to announce the start of the international "Bone and Joint Decade 2000-2010" Jan. 13 in Geneva, Switzerland.
The worldwide initiative seeks to increase awareness of musculoskeletal conditions, such as osteoporosis, rheumatoid arthritis, back pain and osteoarthritis, and reduce their crippling effects. Dr. Walsh is one of two U.S. physicians on the Bone and Joint Decade International Steering Committee.
Drs. Walsh also is executive associate dean of the Health Science Center’s Medical School. His selection to this committee "is a sterling example of the prominence of San Antonio’s physician community in international circles," said Jim Reed, president of the San Antonio Medical Foundation.
Dr. Walsh and his wife, Wendy, attended a gala ball and Dr. Walsh participated in a World Health Organization (WHO) symposium in Geneva. He presided over one of the four sections of the WHO symposium and over the press conference at the Hotel President Wilson in Geneva.
(From left) Members of the prestigious Bone and Joint Decade Steering Committee are: Dr. Nicolas E. Walsh of the Health Science Center; Dr. Bruce D. Browner, University of Connecticut Health Center, Farmington; Dr. Mieke Hazes, Leiden University Medical Centre, The Netherlands; Dr. Lars Lidgren, University Hospital, Lund, Sweden; and Anthony D. Woolf, Royal Cornwall Hospital, United Kingdom.
Patients telling their stories at the press conference included Ronaldo, famous soccer player suffering from a knee injury; Angela Columbo, the first plegic (or paralyzed) patient to walk after treatment by muscle transfer; and Frank Neubauer, famous German actor who has a condition called osteogenesis imperfecta.
"Rheumatoid arthritis … low back pain … osteoporosis … traumatic injuries from traffic accidents; we are embarking on a decade of awareness, treatment and research that hopefully will make a difference in the lives of people worldwide," Dr. Walsh said before departing from San Antonio on Jan. 11.
The U.N. appointed only five people to the Steering Committee, including Dr. Walsh, a highly decorated former Navy Seal who became a rehabilitation expert after experiencing a career-ending injury in Vietnam.
Bone and Joint Decade goals are to reduce the social and financial cost of musculoskeletal disorders to society; to improve prevention, diagnosis and treatment for patients worldwide; to advance research on prevention and treatment; and to empower patients to make decisions about their care.
The United Nations wants 80 percent of the world’s countries to endorse and actively participate in the Bone and Joint Decade by 2002, and plans to establish public and patient education programs in all participating countries. Working with national research councils and funding bodies in each country, the U.N. seeks to triple existing musculoskeletal research funding during the decade.
Also as part of the effort, medical schools will be encouraged to include at least six months of training on musculoskeletal disorders with the aim of improving diagnostic skills and accuracy of patient referrals. Institutions will be encouraged to base diagnosis and treatment of these disorders on evidence-based guidelines, and to develop newer, more effective drugs and surgical procedures. By the end of the decade, officials hope to see 20 percent to 25 percent reduction of expected increases in osteoporotic fractures, joint destruction in joint diseases, severe injuries in road and other accidents, spinal disorders and genetically inherited diseases.
Worldwide, musculoskeletal conditions affect hundreds of millions of people and are the most common causes of severe long-term pain and physical disability. The cost to society is huge (an estimated $215 billion a year in this country alone).
Forty percent of all women over 50 years of age will suffer an osteoporosis-related fracture, according to WHO literature. The number of hip fractures, which totaled
1.7 million just a decade ago, will rise to 6.3 million by 2050 unless aggressive preventive programs are started.
Another disorder, osteoarthritis, accounts for half of all chronic conditions in persons 65 or older. It is rated the highest cause of work loss in the United States, despite being a condition that causes most problems to post-retirement populations.
Low back pain is the most frequent case of limited activity in the young and middle aged, and is the most frequent occupational injury. It is the second leading cause of sick leave, according to WHO literature.
"There are effective ways to prevent or treat these disabling conditions, but we must act on them now," Secretary-General Annan said in a prepared statement before the Geneva announcement.
For more information, go to <www.bonejointdecade.org> on the World Wide Web.
A team of 23 volunteers from the Health Science Center climbed to the top of the Tower of the Americas building in San Antonio during the 14th Annual Tower Climb to raise funds for cystic fibrosis research.
The Cystic Fibrosis Foundation's San Antonio office sponsors the event each
year to raise support for research, treatment and diagnosis. This year the
Health Science Center staff and students received the foundation's plaque for
the most money raised by a team, with $1,400 going to fighting the disease. Last
year the climbers helped raise $1,200 and finished second.
Health Science Center staff and students participated in the 14th Annual Tower Climb, raising $1,400 for cystic fibrosis research.
Employees and students from the Dental School climbed 66 floors, a total of 950 steps and nearly 600 feet, to reach the top of the tower. As the last team member made it to the summit, the group held a miniature celebration. "We took a group picture. It was exciting to make it to the top as a team," said Samuel Reyes, custodial services, who organized Health Science Center participation. "It is our privilege to have been able to support the children and adults suffering from cystic fibrosis. It was a nice experience for the new climbers. I was very proud of the whole team, especially when we descended the stairs and learned that we had raised the most money."
A free trial of the Pharos UnipriNT print management system began in the Briscoe Library's second-floor computer center on Jan. 18. The School of Nursing computer lab, the School of Public Health computer lab, multidisciplinary (MD) labs, and other locations in the library will be starting Pharos UnipriNT trials soon.
The new system will manage laser printing in these locations in order to reduce waste, control printing and contain costs. A charge of 5.5 cents per page will be implemented at the conclusion of the trial, which is projected for mid-February.
To print from computers in the participating locations during the trial period, users may send print commands as usual, specifying an owner name, job name and password. The print requests will be routed through the Pharos UnipriNT file server to print release stations. Each request is considered to be a "print job."
Each user will go to a nearby print release station, select his or her job from the queue displayed and enter the password assigned to the job to release it for printing. A print job will not be released without the correct password. A display will list the number of pages in the print job and the charge.
There is no charge for printing during the trial period, but each user will see how much the print job will cost when charging is implemented. At this point the user has the option of either releasing the job to the printer or canceling it. Jobs will be automatically deleted if left in the queue for more than a specified number of hours (initially 24 hours).
Print release stations will not accept coins or bills, so copy cards must be used to pay for print jobs. Users may e-mail print jobs to other locations or download them to disks.
Staff members from the library, the School of Nursing, MD labs and the School of Public Health are working together to implement the Pharos UnipriNT service with minimal disruption to users. For more information, contact Melissa DeSantis, microcomputer services coordinator, at ext. 7-2400 or <email@example.com>.
Annual office products show scheduled for Jan. 24
General Services/General Stores will host the annual Boise Cascade Office Products Show from 9 a.m. to 1 p.m. Monday, Jan. 24, in the Auditorium Foyer. Factory representatives will be on hand to display the latest office products and information processing supplies. The 2000 Supplemental Office Products catalog will be available. Bring the 1999 catalog for recycling. Free refreshments will be served.
Aging series continues Jan. 25
Dr. Charles Mouton, community geriatrician in the Department of Family Practice, will present the first session in the Successful Aging Series, "Issues in Older Women's Health," at noon Tuesday, Jan. 25, in the University Center for Community Health board room. The series is open to anyone interested in learning more about the aging process. Attendees are invited to bring their lunch. Call University Hospital's Learning Resources Department at 358-2355 for more information or to register.
Weight Watchers at Work begins Jan. 25
The next 16-week session of Weight Watchers at Work will be held from noon to 1 p.m. Tuesday, Jan. 25, in the University Hospital cafeteria Optimist Room. For more information, e-mail Beverly Luinstra at firstname.lastname@example.org.
Laser Vision Center holds brown bag luncheon
The Health Science Center's Laser Vision Center is holding a brown bag seminar on the latest in laser vision correction, known as LASIK. The seminar will be held from 11 a.m. to 12:30 p.m. Friday, Jan. 28, in the Optimist Room in the University Hospital cafeteria.
Attendees may bring glasses or a written prescription to find out if they may be candidates for the procedure. For more information or to schedule a free consultation, call ext. 7-4245.
Training dates set for United Way volunteers
The United Way is seeking volunteers to answer calls on the help line from individuals in need of assistance. The help line provides information, referrals, telephone counseling and crisis intervention services to the community.
Volunteers are needed, particularly during the daytime and weekend shifts; bilingual counselors are especially encouraged to sign up.
Volunteers will receive intensive classroom training provided by professional staff on Feb. 12, 16 and 19. In addition, 16 hours of on-the-job training will provide volunteers with instruction on handling crisis calls and how to link callers to appropriate services. For more information, call 352-7051.
A former Stanford University president and researcher in environmental science and practice will speak at the Health Science Center's annual Ewing Halsell Lecture.
Dr. Donald Kennedy, professor and president emeritus at Stanford University, will present "Listening to the Experts" at 4 p.m. Friday, Feb. 11, in room 3.102B in the Medical School.
Dr. Kennedy, editor-in-chief-elect of Science magazine and Bing Professor of Environmental Science, is the co-director of an interdisciplinary center at Stanford devoted to exploring how the social and natural sciences can contribute to improving environmental practices. The center works on issues such as economically driven changes in agricultural customs, global climate change, the development of regulatory policies and the appraisal of natural resources.
Dr. Kennedy is a graduate of Harvard University, where he also received his graduate degree and Ph.D. in biology. During his tenure at Stanford he served as chairman of the Department of Biological Sciences and co-founded the interdisciplinary undergraduate Program in Human Biology. Dr. Kennedy also played an active role on several National Research Council committees, chairing a major study on chemical pest control alternatives in agriculture and later serving on the Executive Committee of the World Food and Nutrition Study.
He is a fellow of the American Association for the Advancement of Science and the California Academy of Sciences, as well as the American Academy of Arts and Sciences. Dr. Kennedy holds honorary doctorate of science degrees from Columbia University, Williams College, the University of Michigan, the University of Rochester and the University of Arizona.
Dr. Kennedy is active in a number of organizations and serves on the board of trustees for the Center for Science, Mathematics and Engineering Education for the National Academy of Sciences and the Health Effects Institute, among others. He has served on the editorial board for Science magazine, the Journal of Neurophysiology, the Journal of Comparative Physiology and the Journal of Experimental Zoology.
The Ewing Halsell Lecture Series was established in 1974 with a generous donation from the Ewing Halsell Foundation, and the first lecture was held in 1975. During the past 25 years, the lectureship has attracted Nobel Prize and National Medal of Science winners to the lectern.
The February lecture is open to the public. A reception will follow at 5 p.m. in the lecture hall foyer.
Dr. John P. Howe, III, president, presents Billy Barker, executive assistant to the vice president for administration and business affairs, with a commemorative plaque during Barker's December retirement party. Barker retired after serving 35 years at the Health Science Center.
Dr. Kenneth Olden, Director of the National Institute of Environmental Health Sciences at the National Institutes of Health, will present a lecture at the Health Science Center on "Improving Public Health Through Environmental Research." The lecture starts at 9 a.m. Thursday, Feb. 3, in room 3.102B near the Briscoe Library.
The event is sponsored by the San Antonio Cancer Institute's (SACI) Office of Cancer Survivorship. SACI is a collaborative effort between the Health Science Center and the Cancer Therapy & Research Center.
Dr. Olden, a cell biologist and biochemist, will discuss environmental issues and how these issues impact public health, including the incidence of cancer.
Dr. Olden's research interests include the properties of cell surface molecules, their possible roles in cancer biology and work on the anti-cancer drug Swainsonine.
A former research biologist at the National Cancer Institute, Olden previously served as director of the Howard University Cancer Center and chairman of the university's Department of Oncology.
He was named by President George Bush to the National Cancer Advisory Board in 1991 and has authored and co-authored more than 110 publications.
The lecture is open to faculty members, cancer research investigators and the general public. The event is free and a continental breakfast will be served at 8:30 a.m. Reservations are not needed, but for directions and more information, contact the SACI Office of Cancer Survivorship at 616-5590.
Batten down the hatches, Texas: flu season has hit both coasts and now the Lone Star State. January and February are the heaviest months for influenza in San Antonio, say infectious disease specialists from the Health Science Center. The flu season typically ends in March.
Type A influenza is accounting for nearly all of the cases of flu being reported this winter. "Type A usually is the predominant type, but Type B can cause a significant number of infections," said Dr. Charles Leach, associate professor of pediatrics at the Health Science Center. "In 1992-93, for example, 86 percent of the influenza cases were caused by Type B. Last year, 21 percent of the cases were attributed to it. This year, the Centers for Disease Control is reporting 99.8 percent are caused by Type A."
The predominant strain of influenza currently is the A/Sydney H3N2 strain, said Dr. Jean Smith, associate professor of medicine, who sees many older flu patients. The A/Sydney strain is one of the strains included in the current flu vaccine, which is usually administered to patients at least two weeks prior to any anticipated influenza activity.
Influenza, a respiratory illness that may be spread by sneezing and coughing, may occur even in vaccinated individuals. "The vaccine is not 100 percent protective even in a healthy population and is less effective in the frail elderly or immune-compromised patients," Dr. Smith said. "In addition, only about two-thirds of people over the age of 65 have actually received the vaccine in past years."
Dr. Jan Patterson, professor of medicine and pathology at the Health Science Center and medical director of infection control at University Hospital, said the flu vaccine is 70 percent to 90 percent effective in most adults but only 30 percent to 70 percent effective in elderly patients in nursing homes. The vaccine cuts down on post-influenza complications such as bacterial pneumonia, she said.
About 700 people died from pneumonia and influenza in San Antonio in 1999, according to the Morbidity and Mortality Weekly Report of the U.S. Centers for Disease Control and Prevention. Nearly 300 of those deaths occurred in January, February and March during last year's flu season.
Substantial attention is being paid to two new anti-influenza drugs, Relenza and Tamiflu, which are comparable in their ability to make patients feel better quicker, said Drs. Leach and Smith. Taken in time after flu effects are felt, these drugs may shorten the duration of the illness. "Major symptoms resolve 24 to 36 hours earlier," Dr. Leach said. "However, patients must start treatment in the first 48 hours of illness."
Relenza is given by inhalation; Tamiflu is an oral pill. "My clinical opinion is that there is little evidence for the superiority of one drug over the other," Dr. Smith said.
The U.S. Food and Drug Administration approved the drugs for use in adults, but testing on pediatric application is not complete. Tamiflu currently is not FDA approved for individuals under 18 and Relenza is not approved for children under 12.
In senior citizens, the drugs generally are well tolerated, but some patients with significant renal (kidney) dysfunction may need to take lower doses of Tamiflu.
Relenza and Tamiflu work by inhibiting neuraminidase, an enzyme on the surface of the influenza virus. Blocking this enzyme impairs the virus' ability to leave infected cells and to move along the respiratory tract to involve uninfected cells, Dr. Smith said.
The drugs are chemical compounds, unlike the annual flu vaccines, which are made from inactivated influenza viruses. "The vaccine is still the mainstay of prevention for the population at large," Dr. Smith said.
Older drugs were effective only against Type A influenza, but Relenza and Tamiflu are effective against Types A and B. "That may not be of major importance this year, since so few of the infections are Type B-related, but it could be critical in future years," Dr. Leach said.
When will flu season end? It varies from year to year, just like the start of flu season. "Last year the flu season in San Antonio was later than usual, not starting until February," Dr. Smith said. "December or January is more usual. Usually the season is over by the end of March."
Dr. Patterson said that from what she has heard, "this is a bad year for the flu."
Does influenza hit diabetics harder? What extra precautions should be taken?
"We know that diabetics are more susceptible to infections in general. For reasons we don't completely understand, this patient group is immune compromised," said Dr. Jan Patterson, professor of medicine and pathology at the Health Science Center. Dr. Patterson is a faculty member in the Division of Infectious Diseases and medical director of infection control at University Hospital.
Like other flu sufferers, diabetic patients start out with symptoms of sudden onset, high fever, muscle aches and malaise. But diabetics may be more likely to suffer post-influenza complications such as bacterial pneumonia, which is marked by persistent fever and development of productive cough, Dr. Patterson said.
Individuals ages 25 to 64 who have diabetes are four times more likely to die from influenza and pneumonia than individuals who do not have diabetes, according to the U.S. Centers for Disease Control and Prevention, which is coordinating a Diabetes and Flu/Pneumococcal Campaign. Unfortunately, about half of the diabetics in this group do not get an annual flu shot, the CDC literature states.
Diabetics and their families must be especially careful about maintaining proper glucose level during infections. "In general, when diabetics have infections, the glucose level may be harder to control," Dr. Patterson said.
Should persons with diabetes be overly concerned if someone in the family comes down with the flu? "Be concerned but not paranoid," Dr. Patterson said. "Take reasonable precautions such as washing hands and avoiding individuals who have influenza." In this situation, a person with diabetes may want to call a physician to ask about taking a flu medicine such as Relenza or Tamiflu. Flu vaccine takes one to two weeks to become effective, too late to help if flu symptoms are being felt.
Clinical teaching workshop scheduled for February
The Division of Educational Research and Development (ERD) will conduct its annual professional development course, "Effective Clinical Teaching," from 9 a.m. to 4 p.m. Feb. 24-25 in the School of Nursing auditorium.
Several hundred Health Science Center faculty members have completed this course and taken advantage of the opportunity to practice hands-on clinical teaching skills. The practice session includes small feedback groups for participants to critique videotaped examples of student and teacher interactions. Group participants will identify effective and ineffective educational strategies.
There is no cost for Health Science Center faculty. To register, contact Gloria Nuckols in ERD at ext. 7-2282 or by e-mail at email@example.com. Questions about the course should be referred to Bill Hendricson at ext. 7-2813 or by e-mail at firstname.lastname@example.org.
Environmental health research conference set for March
Planning is under way for a March scientific conference on border environmental health. Health Science Center faculty conducting research in this field are invited to contact Dr. Claudia Miller, director of the South Texas Environmental Education and Research program (STEER), to submit proposals for oral and poster presentations.
The conference will be held March 11-15 at the Hyatt Regency Riverwalk Hotel.
Dr. Miller, associate professor of family practice, represents the Health Science Center on the International Consortium for the Environment (ICE), a group of Texas universities addressing international environmental research needs and public health concerns.
The focus for the upcoming meeting will be the South Texas/Border Region. The symposium will address border research needs related to air and water quality, environmental and health surveillance, public health, emerging diseases and susceptible populations, risk and exposure assessment, industrial growth, sustainable economic and agricultural development, environmental education, public policy and funding opportunities.
Sponsors for the event include the Health Science Center, the National Institute of Environmental Health Sciences, the Environmental Protection Agency, Brooks Air Force Base, the City of San Antonio, the Texas Tech School of Medicine, The University of Texas at San Antonio (UTSA) and the ICE. More information on the event is available on the Web site at www.ice-borderhealth.com.
Hospital discharge data set for faculty physician's review
The Texas Health Care Information Council collects medical information statewide to facilitate accessibility of cost-effective, quality care.
Faculty physicians are encouraged to review their University Hospital discharge data between 8:30 a.m. and 5 p.m. in the Planning and Grants Office on the first-floor of University Hospital beginning Jan. 31 and ending Feb. 11.
For more information, contact Patricia Ohmann, planning analyst, at ext. 8-1036.
The Office of Public Affairs is looking for story leads on clinical breakthroughs, research discoveries, human-interest items, community service, innovative teaching stories and other topics of interest for the Health Science Center's publications and for outside media coverage.
Story ideas and leads can be sent electronically through a new Web site. To submit article ideas, go to http://oerweb.UTHSCSA.EDU/webdev/bullseye/storylead.html .
Adults are getting braces on their teeth more often these days because they know the process doesn't hurt like it once did, said Dr. Larry White, director of the new orthodontics residency program at the Health Science Center. The purpose and design of braces haven't changed dramatically since they were invented late in the 19th century, but the methods and materials used in straightening teeth have changed significantly.
When Dr. White began practicing orthodontics in the '60s, he said, brackets and individual metal bands were made from scratch for each patient and placed around each tooth. Not only was this extremely labor intensive for the orthodontist, but it was also quite uncomfortable for the patient.
These days brackets are still used, but they are applied differently, Dr. White said. They are cemented directly to the teeth, and light-force titanium wires are fitted inside the brackets. The orthodontist then adjusts the wires as needed to correct the three-dimensional position of the teeth.
Dr. White expects computerization to further advance the field. Fairly soon, equipment will be available to scan a person's mouth in three dimensions, then make custom-fitted appliances based on that scan. "It will change orthodontics quite a bit," he said. "We will see customized wires bent by robots and entirely new bracket designs."
Lingual ("hidden") braces, which are placed on the inside of the teeth, will also be more prevalent in coming years, predicted Dr. White. About 10 years ago lingual braces were used somewhat in the United States, but they were introduced before the profession was technically prepared to apply and fit them properly, Dr. White said. They fell out of use shortly after they were introduced.
Now there has been a resurgence of interest in Europe and Asia, and Dr. White expects them to have a revival in the United States. "We'll be training our new residents in lingual braces, to make sure they're prepared for the public's desire to have a less conspicuous orthodontic appliance," Dr. White said.
Braces can be applied at virtually any age. Dr. White's youngest patient was a 2-day-old who needed a plate to compensate for a cleft palate. His oldest was an 83-year-old woman who had always wanted her teeth straightened.
Youngsters should be referred to an orthodontist by the time they have all their permanent incisors. "The orthodontist will not necessarily treat them vigorously at this age, but at least the child won't slip through the cracks," Dr. White said. If problems exist, such as cross-bites, finger-sucking habits or protruding teeth that are at risk in the event of a playground accident, orthodontic solutions can be prescribed before serious damage to the mouth occurs.
Growth modification procedures, such as making a palate wider or advancing a lower jaw, are better done before a child has finished growing. "There are some general rules of thumb for therapy, but every case needs to be considered individually," Dr. White said.
San Antonio students pose for a photograph at the fountain for a brochure promoting dental health and disease prevention. The brochure, published by a community group, is being translated into Spanish. Dental School students help elementary students in San Antonio with a fluoride rinse program.
7:00 a.m. Orthopaedic Teaching Conf. "Tibial Plateau Fractures" (MED: 309L)
7:30 a.m. Neurosurgery Grand Rounds "Cigarette Smoking & Cerebral Blood Flow Regulation," Dr. Fangyi Zhang (MED: 444B)
8:00 a.m. Rehab Medicine Lecture Series "Iontophoresis & Phonophoresis," Drs. Mark Fredrickson & Gary Campbell (UH: Reeves Rehab Center 3rd-floor classroom)
6:30 a.m. Podiatry Case Conf. (LEC: 2.010)
8:00 a.m. Rehab Medicine Lecture Series "Transfers, Mobility & Disability: Patient Presentation," Richard Cherry & Denise Nance (UH: Reeves Rehab Center 3rd-floor classroom)
Noon. TNT "Cytology: Diagnostic Pitfalls in Pulmonary Cytology," Dr. Claire Michael, University of Michigan (call ext. 2700 for information)
1:15 p.m. Psychiatry Grand Rounds "Eating Disorders: An Update," Dr. Joel Yager, University of New Mexico School of Medicine (MED: 409L)
1:30 p.m. TNT "Laboratory Technology: Blood Component Therapy," Lt. Felix Alfonso, Fort Sam Houston (call ext. 2700)
4:00 p.m. Molecular Medicine Seminar Series "Roles of bHLH Transcription Factor BETA2/NeuroD in Pancreatic & Neuronal Development," Dr. Ming-Jer Tsai, Baylor College of Medicine (IBT: 3.002)
6:30 a.m. Podiatry Grand Rounds "Case Presentations," Dr. Hadi (MED: 309L)
7:00 a.m. Vascular Surgery Grand Rounds, Dr. Mellick Sykes (MED: 209L)
8:00 a.m. Medical Grand Rounds, Third Annual O. Roger Hollan Lecture "Looking Back at Hypertension, with a Glimpse Forward," Dr. Stephen Miller, University of Tennessee (MED: 409L)
8:30 a.m. Training Office "Ways to Manage Conflict," Anita Glass (call ext. 2320 to register)
9:00 a.m. Surgery Trauma M&M Conf., Dr. Ronald Stewart (MED: 309L)
Noon. TNT "Women's Health Issues: Issues in Abnormal Pap," Dr. Melissa McKee, Albert Einstein College, The Bronx, N.Y. (call ext. 2700 for information)
Noon. Pharmacology Seminar Series "Novel Actions of Inverse Agonists at Serotonin2C Receptors," Dr. William Clarke (MED: 444B)
1:00 p.m. Training Office "Processing State & Local Vouchers," Donna Henckel (call ext. 2320 to register)
1:30 p.m. TNT "Health Care Commentaries: Riding the Waves of Change," The Rev. Richard Gilbert, The World Pastoral Care Center, Valparaiso, Ind. (call ext. 2700 for information)
7:30 a.m. Thoracic Surgery Resident Teaching Conf. (VA: 4th-floor CT Library A404)
7:30 a.m. Obstetrics & Gynecology Grand Rounds "CT in Lower Abdominal Pain," Dr. Shailendra Chopra (MED: 309L)
8:00 a.m. Neurology Grand Rounds "Stroke Prevention: Management of Carotid Stenosis," Dr. Oscar Benavente (MED: 444B)
Noon. Pulmonary, Thoracic & Oncology Conf. (MED: 309L)
Noon. Microbiology Seminar Series "Role of Innate Immunity, Host Genetics & Microbial Factors in Modulation of Pulmonary Immunity," Dr. Gary Huffnagle, University of Michigan Medical Center (MED: 444B)
12:30 p.m. TNT "Pain Management: Interdisciplinary Conf.: Chronic Pain Case Review," Alison Beck & Drs. John King, John Kuhn, Mary Heye, Clayton Gable and Barbara Woods (call ext. 2700 for information)
4:00 p.m. Surgery Tumor Conference, Dr. Anatolio Cruz (MED: 209L)
4:30 p.m. Citywide Thoracic Grand Rounds Conf. "Case Presentation," Dr. Claudio Guareschi (MED: 309L)
5:00 p.m. Plastic & Reconstructive Surgery Grand Rounds "M&M Conf.," Drs. Joseph Kold & Robert Lyons (MED: 409L)
7:30 a.m. Pediatric Grand Rounds "Contemporary Issues in Vaccine Safety," Dr. Joseph Bocchini, Louisiana State University Medical Center (MED: 409L)
8:00 a.m. Rehab Medicine Lecture Series "Ischemic Spinal Cord InjuryCase Report & Literature Review: A Review of Research," Drs. David LeMay & Maria Lomba (UH: Reeves Rehab Center 3rd-floor classroom)
7:15 a.m. Surgical Physiology Conf., Dr. Kenneth Sirinek (MED: 209L)
9:00 a.m. General Surgery Grand Rounds, Dr. Wayne Schwesinger (MED: 209L)
THE NEWS is published Fridays by the Office of Public Affairs for faculty and staff of The University of Texas Health Science Center at San Antonio.
Vice President for University Relations.....Judy Petty Wolf
Executive Director of Development & Public Affairs.....Dr. Charles Rodriguez
News & Information Services Manager ..... Will Sansom
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Public Affairs, 7703 Floyd Curl Drive, San Antonio, Texas 78229-3900