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CONTENTSOn the CoverTable of ContentsMore than 32,000 soldiers have been wounded in Iraq andAfghanistan since the wars there began. Yet, the long-term taskof caring for today’s wounded soldiers is still only in its infancy.This month, The POST explains how UF Health Science Centerclinicians and researchers are involved in caring for this newgeneration of veterans from battlefi eld to clinic. Shown here isDr. Robert Redfern (right photo, center), an anesthesiologist atthe UF College of Medicine who recently served in Iraq, withfellow soldiers near the 345th Combat Support Hospital.346791112POST-itIn Memoriam: Joachim S. GravensteinAdministration: Baby GatorsEducation: Health care in the GambiaEducation: CSI for animalsExtraordinary Person: Gabriele DupreCover Story: Military medicine941718202223Research: Why some brain cells dieJacksonville: Breast cancer and surgeryDistinctionsAdministration: PHHP turns 50Profile: Ian Tebbett6UP FRONTSweet tooth newsUF opens dental clinic forunderserved children in NaplesOn Dec. 3, the UF College of Dentistry opened a new pediatricclinic in Naples dedicated to treating underserved childrenwho might not otherwise receive dental care. The NCEFPediatric Dental Clinic, located on the Collier County campus of EdisonCollege, includes a new pediatric dental facility and educational space.UF dentistry faculty and staff provide specialized pediatric dentaltreatment to Collier County’s Medicaid-eligible and at-risk childrenduring an estimated 15,000 patient visits each year. The project is acollaboration between the Naples Children and Education Foundation,UF, Edison College and Collier Health Services Inc. “We are very excitedthat patient care is under way and are grateful for the efforts and supportof many people who worked so hard to make this a reality,” said TeresaDolan, D.D.S., M.P.H., dean of the UF College of Dentistry. “We areespecially grateful to the Naples Children and Education Foundationtrustees for their generosity and vision, which made this project possible.” The Edison College district board oftrustees approved a long-term land lease agreement with UF to give the facility an academic home. While the firstfloor of the two-story building will be dedicated to UF’s clinical operations, Edison College will share use of secondfloorclassrooms and laboratory space.POST 02•092 POSTVisit us online @ http://news.health.ufl.edu for the latest news and HSC events.

SCIENCE AS ARTWant to see what happens when science meets art?Combining artistic and scientific innovation was thekey to winning the Elegance of Science contest, acompetition recently held to find the most artisticimages from science on campus. The winners will beannounced at 4:30 p.m. Feb. 19 during a reception atthe Marston Science Library. Two-dimensionalentries were judged on merit, creativity and “successin translating between artistic and scientificvocabularies.” Entries will be shown on a slideshowat the reception. Five of the 116 submissions will beon display in the library. The entries range frommicroscopic images to photographs and paintings,said Amy Buhler, reference librarian at MarstonScience Library and a spokeswoman for the contest.All entries will be on the library’s Web site,www.uflib.ufl.edu/msl/art, after the unveiling.BRIGHT FUTURESThe J. Wayne Reitz Union transformed into a futurepharmacists’ meet-and-greet Jan. 22. During theCollege of Pharmacy’s annual Career Days event,nearly 300 UF pharmacy students met with almost 30retail companies and hospital pharmacists to talk aboutjob prospects after graduation. Despite the country’scurrent economic outlook, job prospects actuallyremain bright for UF pharmacy students, recruiters say.According to representatives from companies such asCVS/pharmacy, McKesson and Walgreens,UF-educated pharmacists are highly valued, with jobswaiting for them in Florida. An additional 80 pharmacystudents in Jacksonville met with recruiters at theircampus Jan. 23. Similar events will be held Feb. 6 forthe St. Petersburg campus and Feb. 13 for the Orlandocampus. Photo By Linda Homewood.ON YOUR FEETBeing diagnosed with Parkinson’sdisease doesn’t mean you have to stopdancing. Bring a partner and attendDance for Life, the free weekly classfor people with Parkinson’s diseasehosted at the UF Orthopaedics andSports Medicine Institute’s MovementAnalysis Lab. The class takes place at1 p.m. each Monday through April 29.Wear comfortable clothing and shoes,and don’t worry if you don’t haveprevious dance experience — all skilllevels are welcome. Call Shands Arts inMedicine at 352-265-0151 for moreinformation. Photo By Sarah Kiewel.DANCING WITH THE DENTISTSGet ready, UF College of Dentistry students, faculty and staff.The junior class is hosting this year’s Bicuspid Ball — alsoknown as the Premolar Prom — on Feb. 21. Come to TheCourtyard at Steve’s Cafe Americain from 8 p.m. to midnight forfood, fun and dancing. The event includes dinner, selectbeverages and a DJ. Attire is semi-formal. Advance tickets areavailable at dental school clinics for $30 up to a week beforethe event. Tickets at the door will be more expensive.Visit us online @ http://news.health.ufl.edufor the latest news and HSC events. 02•09POST3

IN MEMORIAMThe gentlemanBy April Frawley BirdwellIn 2006, the year after he received the fi rstof two Lifetime Achievement Awards fromthe UF College of Medicine, Joachim S.“Nik” Gravenstein, M.D., sat in the quiet labthat had just been dedicated to him on theground fl oor of UF’s Communicore Building.Patriarch of UF’s anesthesia department passes awayIt was a typical sight. Gravenstein, a UF graduate researchprofessor emeritus and founder of UF’s anesthesiology department,was there by 7 a.m. most days to teach students and residents on theHuman Patient Simulator, the lifelike, computerized mannequinresting on a table nearby, wired to monitors in wait of its nextcontrived crisis. Gravenstein co-invented the simulator, just one ofthe accomplishments that led to his name being etched across somany plaques during his career. But not the type to brag, Gravensteinsteered the conversation toward an award he gave. To his wife.“It occurred to me that the achievements of academicians likemyself are very fleeting,” said Gravenstein, who organized an eventwith his children to celebrate his wife’s achievements. “I thought ifanybody deserves an achievement award it’s my wife. After she isretired, her achievements will still be running around and makingnoises. This is a continuation, rather than something that is quicklyforgotten.”Gravenstein, who spent most of his career at UF and founded theCollege of Medicine’s department of anesthesiology in 1958, diedJan. 16 after a battle with a colon cancer. He was 83.“Nik Gravenstein was an exceptionally gifted and compassionatehuman being,” said Michael L. Good, M.D., interim dean of theCollege of Medicine and a former student of Gravenstein’s. “As aphysician, he healed many. As a teacher, he helped students of allages learn. As a mentor, he helped so many of us develop successful,rewarding and meaningful careers and lives. Nik Gravenstein leavesthe world in a much better place than how he found it. I am sofortunate to have had the opportunity to know and learn from thisgreat man.”The Human Patient Simulator, which Gravenstein developed withGood, Sem Lampotang, Ph.D., and other UF researchers, was justone example of his commitment to improve patient safety, saidJerome Modell, M.D., a former UF chair of anesthesiology.Gravenstein co-founded the Anesthesia Patient Safety Foundationand studied ways to improve patient safety in anesthesia, writingseveral books on the subject. Current national efforts in patientsafety 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, thePHOTO BY SARAH KIEWELunexplained 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 firstperson to really push it and advocate for safety in anesthesia. I thinkthat is his greatest contribution.”Gravenstein was the first, and only, member of the anesthesiologydepartment 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 earninghis first medical degree in 1951 in his native Germany, Gravensteinwas invited to train at Massachusetts General Hospital. There, henoticed gaps in his medical education, so he enrolled at HarvardMedical School while completing his residency and fellowships.Gravenstein stayed at UF until 1969. During that time, several ofhis 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 toUF. In the succeeding years, his research with UF colleagues led tonumerous findings and patents, including the Human PatientSimulator, the Virtual Anesthesia Machine and other devices toimprove anesthesia delivery and patient safety.“His dedication to patient safety has left the world a better placefor his presence,” said Kayser Enneking, M.D., chair of anesthesiology.“We will miss him and do our best to live up to the ideals that heembodied 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, NikolausGravenstein, 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 ofMedicine faculty. PLasting giftAnyonewhowishesto honor theaccomplishments andmemory ofDr. Gravenstein maydo so by makingcontributions to theI.Heermann AnesthesiaFoundationInc. (EIN59-3349331). Checksshould be madepayable to theI.Heermann AnesthesiaFoundation Inc. andmailed to P.O. Box100254, Gainesville, FL32610-0254.POST 02•094 POSTVisit us online @ http://news.health.ufl.edu for the latest news and HSC events.

ADMINISTRATIONOFUF to honor College of Medicine-restoredcamellia gardenStory by April Frawley Birdwell Photos by Sarah KiewelThe dry, winter grass crunched under Linda Luecking’s feet asshe trudged along the path through the garden, pausing everyfew steps to point to another landmark — the stage, the windingbrick pathways. Of course, only she can see them, at least for now.In the patch of land and trees between MowryRoad and the Shands Cancer Center, Lueckingsees the camellias restored and healthy, a cascadeof pinks and whites. She sees a children’s gardenwith an earthworm farm. She sees a stage and ameditation garden with a water fountain to dullthe sounds of Archer Road traffic.It will be awhile before vision completelymatches reality. But Wilmot Gardens, named forUF horticulturalist and camellia expert RoyalJames Wilmot, is already a different place than itwas in 2006 when College of Medicine leaders anda cadre of volunteers began nursing it back togreen. After years of neglect, the once-famedcamellia garden lay in near ruin. Hurricanes hadknocked down tree branches, pine beetles hadinvaded and invasive vines and overgrown floraformed a tangled twist that choked plant life inthe garden.“It was like the land time forgot,” said Luecking,a project coordinator for Wilmot Gardens. “Youcould not walk north, south, east or west.”But with thousands of volunteer hours spenttending the land and truckloads of debris hauledaway, the garden is on the mend. And, more than50 years after the garden was dedicated to Wilmot,UF will honor it March 20 with the dedication of ahistorical marker at the site, 175 W. Mowry Roadon the UF campus.“All of us who have been associated with thisproject from the beginning are pleased theuniversity has designated a historical marker forWilmot Gardens,” said C. Craig Tisher, M.D., whostarted the project during his tenure as dean of theCollege of Medicine.Founded in the 1940s, the garden once boastedthe country’s largest publicly owned collection ofcamellias and was a popular site for weddings. Butthrough the years, as budgets were cut andownership of the ground changed hands, thegarden was forgotten. Leaders were actuallyconsidering the space for a new building whenTisher decided to save it.After hearing about plans to restore the gardeninto a space for healing, Luecking knocked onTisher’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 toyedwith the idea of holding their own wedding there inthe 1970s. And, as a survivor of breast cancer, sheloved 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 upwhere medicine leaves off,” Luecking said. “Theyheal the body, and we want to heal the mindand spirit.”The project began with $40,000 in seed moneyfrom UF, but has mostly been sustained withdonations since then. Volunteers are doing thebulk of the work, but the college did hire alandscape architect to design the new layout of thegarden. The scope of the project is dependent onhow many donations the college receives for it;bricks that will line the walkways are being sold toraise money.If completed according to plan, the entireproject — including renovation of a small buildingon the grounds — would cost about $1 million,Luecking said.Luecking also hopes to make the garden a placefor art. She has already started an Art in the Gardenperformance series with a grant from the FloridaDivision of Cultural Affairs as well as a relaxationseries featuring tai chi and other activities.Aside from the events, of course, there is alwaysthe garden’s main attraction — the flowers.“I would encourage everyone in the greaterGainesville community to pay a visit to the garden,especially now,” Tisher said. “The camellias andthe azaleas are in bloom. It’s beautiful.” PUpcoming events at Wilmot GardensHistorical marker dedication:10 a.m. March 20Lisa Lynne & George Tortorelli performance:noon March 4David Beede & The Cosmic Foolperformance: noon April 1Visit us online @ http://news.health.ufl.edu for the latest news and HSC events. 02•09POST5

ADMINISTRATIONPHOTO BY PRISCILLA SANTOSOn the fi rst day of school at the HSC’sBaby Gator Child Development andResearch Center, Ryan (top, left) entertainsan audience while Marcus (bottom left)gets in some crawl time. Two weeks later, aribbon-cutting ceremony (bottom right)was held at the center.PHOTO BY PRISCILLA SANTOSBABY CHOMPSchool in session for HSC’s fi rst class of ‘Baby Gators’PHOTO BY SARAH KIEWELBy Christine VelasquezWade into one of theclassrooms tucked in anobscure corner of the UFHealth Science Center and you’llfi nd yourself knee-deep in happytoddlers and surrounded by theclapping sound of plastic toysbeing spilled onto the fl oor.This isn’t your average child-care center, however.The Baby Gator Child Development and ResearchCenter features a play-based curriculum, its teacherstypically work with children based on theirdevelopmental ability rather than age, and it givesstudents and faculty opportunities to conduct research.That’s why Madhuri Sankuratri, M.D., a clinicalassistant professor of infectious diseases in theCollege of Medicine, and her husband, Venkat,enrolled their daughter, Srivani, 2, in UF’s secondand newest Baby Gator branch months before itopened Jan. 5.“We (are) comfortable knowing that Srivani is in astable environment and receiving quality care,”Sankuratri said.The new center, located on the ground floor of theHealth Science Center’s Human DevelopmentBuilding on Newell Drive, is funded by the colleges ofMedicine and Public Health and Health Professionsand serves children ages 6 weeks to 5 years. Slots areallotted based on each college’s financial contribution:106 slots are reserved for College of Medicine affiliatesand six for PHHP. Children of full-time students,residents, postdocs, fellows and faculty of thosecolleges 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 MichaelGood, dean of the College of Medicine, at the center’sribbon-cutting ceremony Jan. 20. “So the College ofMedicine is very proud to partner with Baby Gatorand to offer this safe, healthy, thriving environmentin which children can grow and learn.”Researchers are also welcome to team with BabyGator, says Pam Pallas, director of the Baby GatorChild Development and Research Center. Theoriginal Baby Gator center on Village Drive hasparticipated in numerous studies on childdevelopment, disabilities, parent-child relationshipsand 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 ore-mail mrsilver@ufl.edu. PPOST 02•096 POSTVisit us online @ http://news.health.ufl.edu for the latest news and HSC events.

EDUCATIONLessons from AfricaMedical students study the Gambia’s health systemUF medical students spent the summer researching the Gambia’s health system. Shown here are Medical HumanitiesDirector 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 MyersLast summer, seven UF College of Medicine students headed tothe Gambia with 14 suitcases of supplies, ready to volunteer andcollect data for a research project. Today, they are working hard tomake that experience possible for future classes of medical students.Last year, Menna Haider, then a first-year medicalstudent, became interested in creating a clinical andresearch project in the Gambia when she heardabout a similar opportunity with the Shands Arts inMedicine program. After checking the feasibility ofsuch a program and putting together a group ofinterested students, Haider and the new group beganto work out the details of their research project andmade plans to go to the Gambia.After months of planning and consulting withfaculty members, second-year medical studentsHaider, Ryan Gerrity, Archna Eniasivam, JaneenAlidina, John Martino, Mariana Khawand andKunjal Gandhi and fourth-year medical studentRaj Mehta found themselves in the Gambia. Themedical students visited a small village calledKubuneh, a midsized hospital in Brikama, and theRoyal Victoria Teaching Hospital in Banjul tocollect data for their research.Their project focuses mainly on trauma care inthe Third World and how triage systems workthere. And for the month they were there, thestudents shadowed physicians in the hospitals andinteracted with medical students at the 5-year-oldmedical school at Royal Victoria. They broughtsupplies everywhere they went, and the peopleseemed incredibly grateful, Haider says. They alsospent time in a small village, setting up a day clinicto provide medications and health care to thosewho came.“We were going to a place that had never seenany medical-related staff whatsoever so there werejust a plethora of complaints and issues that we hadto deal with,” Gerrity said.After a month, the seven students returned homewith endless data to analyze.Although they intend for this to be an ongoingresearch project available for future students tocontinue studying, they already have come to somebasic conclusions. Chief among these findings,unfortunately, is that the Gambia’s triage system isnot nearly developed as it could be. The majorproblem is a lack of records, the students found.Prescriptions are written on scraps of paper andrecords are kept with the patients, not the hospitals.“They might be trained to deliver care, but theyaren’t trained to record everything they need to sothat the next person to take care of that patient hasall the information they need,” Haider said.Although the triage system may be a mess, thereare some positive aspects of the Gambian healthcaresystem. The country has a much bettervaccination system than the United States andoffers health care at a very low cost, according tothe students’ research. A trip to the doctor is only$1, and that includes prescriptions and treatments.The Gambian health system also provides free HIVtreatment, something that costs thousands in theUnited States.In making this a sustainable project, groupmembers hope to work with the contacts they madein the Gambia. Haider said the students also planto share their data with UF College of Medicinefaculty and Shands at UF leaders to help craftsuggestions for improvement they can offer to theGambian doctors and health workers they met.A group of Gambian medical students also aretrying to come to UF next summer for six weeks.Many of the UF students hope to return to theGambia as well.“All of the people were so accepting while wewere there,” Haider said. “They still write to us bye-mail and ask us when we are coming back.” PVisit us online @ http://news.health.ufl.edu for the latest news and HSC events. 02•09POST7

EDUCATIONBuilding better nursesNew program to help nurses pursueadvanced clinical educationBy Tracy Brown WrightThis fall, the UF College of Nursing will beginoffering a postbaccalaureate doctor of nursingpractice program, allowing people who have abachelor’s degree in nursing to enter directly intostudy for the Doctor of Nursing Practice degree. UFis the first school in the state to begin acceptingapplications for the program and the first to receiveapproval from the Florida Board of Governors.“The UF College of Nursing was the first nursingprogram in Florida to offer the Ph.D. in NursingScience for those seeking a research career,” saidKathleen Ann Long, Ph.D., R.N., dean of theCollege of Nursing “We will again be at theforefront of a changing paradigm for nursingeducation by offering the B.S.N.-to-D.N.P. as theterminal degree for those seeking careers inadvanced practice. We are proud to have aleadership role in offering the D.N.P. program tobaccalaureate nursing graduates.”The B.S.N.-to-D.N.P. program complements thecollege’s post-master’s D.N.P. program started in2006. Students with bachelor’s degrees in nursingwill be able to prepare for advanced practice careersin family, pediatric, adult or acute-care nursing.The program will prepare student-nurses for thefuture of health care and will equip them witheducational backgrounds comparable to otherhealth professionals. The D.N.P. degree follows atrend toward clinical doctorates in other fields,including pharmacy and physical therapy.The American Association of Colleges ofNursing has recommended that the Doctor ofNursing Practice degree replace the Master ofScience in Nursing degree as the entry level foradvanced practice by 2015.Until now, students in Florida who wished toobtain a D.N.P. credential had to already hold amaster’s degree in nursing. UF is one of 63programs nationwide that offers a DNP program;however, most programs require candidates to havea master’s degree before entering DNP study.UF will continue to offer its master’s degreeprogram in several specialties, including neonatalnursing, nurse midwifery, psychiatric-mentalhealth nursing and public health nursing,contingent on grant funding, for a transitionalperiod. By 2012, these specialties will also move tothe D.N.P. level. In keeping with nationalPHOTO BY SARAH KIEWELKATHLEEN ANN LONG, PH.D., R.N.standards, the advanced generalist Clinical NurseLeader program will continue as a master’s degreeoffering.The B.S.N.-to-D.N.P. program consists of 93credits and lasts four-and-a-half to five years forpart-time students, and two-and-a half years forfull-time students. The deadline for the first reviewof applications is March 15. Applications willcontinue to be accepted until May 31 on a spaceavailablebasis. Those interested in applying shouldvisit the college’s Web site, www.nursing.ufl.edu. PDriving down underKeeping older drivers safe on the road (albeit onthe left side, in Australia’s case) was one of thetopics presented by William Mann, Ph.D.,during a six-city lecture tour in southern Australia inNovember. Mann, the chair of occupational therapy inthe College of Public Health and Health Professions,was named the Gary Andrews Visiting Fellow by theAustralian Association of Gerontology. He presentedthe keynote address at the association’s annualconference in Fremantle on the role of technology,such as assistive devices, in supporting seniors’independence. Mann’s itinerary also included stops atuniversities and hospitals in Brisbane, Newcastle,Sydney, Adelaide and Perth. While visiting theUniversity of Wollongong, Mann (far right) met withSharon Wall (from left) of the National Council of theAustralian Association of Gerontology, and RobGordon and Chris Poulos of the University ofWollongong. — Jill PeasePOST 02•098 POSTVisit us online @ http://news.health.ufl.edu for the latest news and HSC events.

EDUCATIONUF teams with ASPCA to start animalforensic science programBy Czerne M. ReidCall it “CSI: Animal Edition.” But thisisn’t television. In this real-life drama,necropsies, assessment of skeletalremains for abuse and trauma, and crimescene analysis of hair, fi bers and bloodstainsare 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 toform the first Veterinary Forensic Sciences Program dedicated to theteaching, research and application of forensic science in the investigation and prosecution of crimesagainst animals. The program will handle cases from around the country — possibly up to 200 withinthe first two years — and provide consultancy and training.The collaboration between the university and the ASPCA started a year ago, when the twoinstitutions 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 fromacross 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 theWilliam R. Maples Center for Forensic Medicine at UF. “We are translating our knowledge of forensicscience to a new field devoted to solving crimes againstanimals.”The Veterinary Forensic Sciences Program willdramatically increase the number of professionalstrained in forensic investigation of animal cruelty casesby potentially hundreds each year, Goldberger said. Indoing so, it could also help uncover instances where theabusers are also targeting people, experts say.Housed at the Maples Center, the new program isbeing established with an initial gift of $150,000 and acommitment of support for the next three years from theASPCA.Over the last few years, the number and stringency oflaws relating to animal cruelty has increased. Penaltiescan include extended prison time, such as in thehigh-profile dogfighting case involving professionalfootball player Michael Vick.“That means the standards of investigations and of thescience used in documenting what has happened toanimals are much, much higher than even five yearsago,” said Randall Lockwood, Ph.D., ASPCA senior vicepresident for anti-cruelty field services.There is no national tracking of animal cruelty cases— the new Veterinary Forensics Sciences Program willallow for better collection of such data. Each year theASPCA investigates more than 5,000 cruelty cases andarrests or issues summonses to more than 300 people.Scenarios include simple neglect, abandonment, animalhoarding and blood sports such as dogfighting. On thebasis of media accounts, the animal advocacy Web sitepet-abuse.com reports 1,620 high profile cases in 2008.The new program at UF will offer undergraduate andpostgraduate courses and continuing education forveterinarians, law enforcement personnel, animal controlofficers and others.Courses include forensic entomology, buried-remainsexcavation, bloodstain pattern analysis, bite-markanalysis and animal crime scene processing. Trainingswill be done in classroom settings, online and throughthe just-formed International Veterinary ForensicSciences Association.One such course — to be offered next spring throughthe UF College of Veterinary Medicine — will includeseminars on various forensics topics, as well as a mocktrial in which students will play the defendants inanimal-cruelty cases. Real prosecutors and mediaprofessionals will take part to enhance the learningexperience. Often, veterinarians presented with cases ofanimal abuse or neglect are not sure what to look for toestablish cause and manner of death, or to prove that acrime was committed.“Veterinarians are frequently asked to participate incruelty investigations, yet we don’t receive specialtraining on that in veterinary school,” said Julie Levy,D.V.M., Ph.D., director of the Maddie’s Shelter MedicineProgram at UF. “There is a substantial unmet need forthat training to be provided to veterinarians.” PVisit us online @ http://news.health.ufl.edu for the latest news and HSC events. 02•09POST9

RESEARCHSurvey says …The thin crowdGroup treatment may help childrenachieve healthier weightsBy Jill PeaseGroup-based treatment programsmay effectively combatchildhood obesity in ruralcommunities, according to a newUF study.Children who participated in one of twogroup programs — family-based orparent-only — were less overweightcompared with children in a controlgroup. The findings appeared in theDecember issue of Archives of Pediatric and DAVID JANICKE, PH.D.Adolescent Medicine.The study is the first to assess theeffectiveness 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 thelimited access to services for children in rural settings, there is apressing need for programs that help rural families adopt healthydietary habits and increase physical activity,” said David Janicke, Ph.D.,lead investigator and an assistant professor in the College of PublicHealth and Health Professions’ department of clinical and healthpsychology.More than 16 percent of rural children are obese compared with 14percent of urban children. Factors contributing to the disparity includegreater rates of poverty in rural areas and geographical barriers thatlimit access to medical care, healthy foods and facilities for physicalactivity.The study involved 93 children and their parents from four ruralcounties in Florida. The children were between the ages of 8 and 14 andhad a body mass index, or BMI, above the 85th percentile for age andsex, based on growth charts from the Centers for Disease Control andPrevention. Families were randomly assigned to one of three fourmonthtreatment groups: family-based, parent-only or a control groupmade up of families on the treatment wait list.On average, children in the weight-management programsexperienced greater decreases in BMI scores compared with children inthe control group six months after treatment. Compared with theirpre-treatment levels, children in weight-management groups were4 percent less overweight, and children in the control group were about3 percent more overweight at the end of the six-month period.Although the weight changes may appear modest, they are in linewith the researchers’ goal of helping children make gradual changes totheir diet and lifestyles.“When working with children it’s important to introduce lifestylechanges slowly and make it fun, otherwise they may become resistant,”Janicke said. “Making big changes in their diets could lead to unhealthyhabits like skipping meals, eating disorders or weight gain.” PHow UF-developed survey scores could helpdocs better treat kidsBy April Frawley BirdwellPediatricians usually have about seven minutes tosit face-to-face with patients during a typical visit.It’s barely enough time to perform an exam, letalone assess how a child is faring at school or at home.But understanding how well children functionemotionally and socially could help pediatricianspinpoint health problems that might otherwise goundetected. Now, UF researchers have developed a wayfor doctors to measure and interpret quality of life tounderstand how it affects a child’s health, according tofindings published online last week in the journal Valuein Health.I-CHAN HUANG, PH.D.Led by I-Chan Huang, Ph.D., a UF assistantprofessor of epidemiology and health policy research,UF researchers have established a range of scores that will allow doctors to understandthe results of a quality-of-life survey in the same way they understand a bloodpressure test.“We believe the use of this new method allows us to expand the usefulness of thepediatric 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 researchersto measure whether certain treatments improve quality of life for patients, but doctorspreviously had no way to do the opposite — find out if quality of life could be linked tocertain health problems. Doctors could not interpret whether test results were normal orred 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 ofchildren enrolled in two state-funded health programs, pairing quality of life resultswith previously recorded health information.The survey includes questions about different aspects of children’s lives, from howwell 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 pediatricianswith 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 thanwhat I can get from my clinical exam,” Thompson said. “It’s a new set of data thatphysicians can use in an easy way.” PPOST 02•0910 POSTVisit us online @ http://news.health.ufl.edu for the latest news and HSC events.

(EXTRA)ORDINARY PERSONTHE PROBLEMhunterTHEGabriele Dupre retires after 20 yearscombingUF contracts for troubleGerald Kidney (left) introduces Gabriele Dupre at her retirementparty in the Health Professions/Nursing/Pharmacy Complex.Dupre, the former director of contracts and related services for theHSC, is retiring after 20 years at UF.PHOTO BY APRIL FRAWLEY BIRDWELLBy Jessica MetzgerGabriele Dupre compares reviewing contractsto a game, using her logical mind andattention to detail to comb through eachpage. She reads each word carefully, each linethoughtfully, searching for a word, phrase oreven punctuation that could suggest somethingunfavorable for UF.“It is like going on a hunt or a chess game, trying to figure out where there’s aninconsistency,” Dupre explained. “Or playing devil’s advocate — predictingthings that can go wrong. Every ‘and,’ ‘or’ or comma is important to theinterpretation 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 workeddiligently to ensure each contract for any college in UF’s Health Science Centerwas fair and clear. Dupre retired in January, leaving a legacy of dedication andhard work after 20 years with UF.With almost 90 clients, and nearly 1,500 contracts to draft, review and reviseper year, the Office of Contracts and Related Services is integral to the HSC. Eachof the six colleges and numerous centers and departments arrange contracts withpartners all over the world, generating millions of dollars for the HSC.Long before considering law as a career, Dupre emigrated from Berlin to Miamiwhen she was 27. The move was a massive culture shock. It was in Miami, whileworking as a mother, translator and teacher, Dupre decided to study law. Shethought becoming a lawyer would help her better learn the laws and bureaucracyof the United States.Dupre, who specializes in health law and health law contracts, earned her lawdegree at UF, attending law school while her son earned his undergraduatedegree.She had spent four years working in the UF Office of the Vice President andGeneral Counsel when Gerald Kidney, now interim director of contracts andrelated services, hired her 16 years ago as a contract attorney for the HSC. Dupre’sthen-boss, Pamela Bernard, warned Kidney that Dupre was “very intense.”“I’ve never regretted hiring her. She’s an excellent attorney and an excellenthuman being,” Kidney said. “Her greatest contribution is her devotion anddedication to works of the office and the university in general. Intensity can beused 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 VicePresident and General Counsel, describes her longtime friend as analytical.“Even when there were matters that I would not even consider, she was verycareful and would look closely at issues,” said Carbajal, now deputy generalcounsel at Florida International University. “She is so thorough and would lookinto issues others might miss.”Martin Smith, the director of the HSC’s Self-Insurance Program, has knownDupre for more than 15 years and said her attention to detail made their workingrelationship great.“She understood our concerns, and she and her staff addressed them before wehad to,” Smith said.Dupre is fluent in German, English and French. She calls herself bicultural, asan American citizen who is still very German. This bridging between cultures hasallowed for a “very different perspective,” she said.“It’s all part of a multifaceted life,” Dupre said. “You love both parts of it, thebad 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 wasright under the given circumstances.” PVisit us online @ http://news.health.ufl.edu for the latest news and HSC events. 02•09POST11

COVER STORYSTORY BY APRIL FRAWLEY BIRDWELLPHOTOS BY SARAH KIEWELTHE TASK OF CARING FORTODAY’S RETURNINGSOLDIERS IS JUSTBEGINNING. THIS MONTH,THE POST SHARES HOWHSC CLINICIANS ANDRESEARCHERS AREINVOLVED.The explosion came from his leftft.Black.Silence.Captpt. JonathanPruruden trieied tosteerer theHumumvevee to a stop as it slidalonong the roadin Eaststern Baghghdadad. d. He coululdndn’tseethrhrououghhislefefteye.e. Hislefeft arm didndn’tworork.Hislegegs didndn’tworork.He coululdndn’theaear,and somemethining sprarayeyed agaiainst the windndshieieldld. For a second, hethoughght the roadsidebomb musthave hit the vehicle’e’s hydrauaulic line… until he remembered there wasn’ta hydrauliclinine there.e It washim,hisbloododspraying the windndshshield.“I havave the wonderful distinctction of beingoneof the first IED(impmprorovivisesed explososivive devivicece) casualtiesovever there,e,” saysPrurudeden,nowa retired U.S. Army officer who was injured July1, 20030 , justfivemontnthsaftertheU.S. invadeded Iraqaq. “I wasin a softskinHumumvee.e. Nodoors.I caught 173 pieceses of shrarapnpnelandonebullet.”Twenty opeperations and seveven hospitals later, Pruden still has 153piececeses of shrapnelinside his body, including one chunk lodgednearhis spine and tinyflecks embeddedin his skinandeyelid. Surgeons12 POST 0212 POST 02•09Visit us online @ http://news.health.ufl.edu for the latest news and HSC events.

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RESEARCHAlcohol taxincreases deterdrinkingLife1 101Nobel Laureate probes minimumneeded for cellular lifeBy April Frawley BirdwellAs leaders of many national,Astate and local governmentsAdebate whether to raise Ataxes on alcohol to boost revenues,their decisions also could influencehow much their constituentsimbibe in coming years, say UFresearchers.In a study published online inJanuary in the journal Addiction,UF researchers report that themore alcohol costs, the less likelypeople are to drink it. And when ALEXANDER C. WAGENAAR, PH.D.they do drink, they drink less, aconcrete association researchersdocumented after analyzing 112 studies spanning four decades.“Results from over 100 separate studies reporting over 1,000distinct statistical estimates are remarkably consistent and showwithout doubt that alcohol taxes and prices affect drinking,” saidAlexander C. Wagenaar, Ph.D., a professor of epidemiology andhealth policy research at the UF College of Medicine and thesenior author of the study. “When prices go down, people drinkmore, and when prices go up, people drink less.”The consistency of this association between cost andconsumption indicates that using taxes to raise prices on alcoholcould be among the most effective deterrents to drinking thatresearchers have discovered, better than law enforcement, mediacampaigns or school programs, said Wagenaar.The study, funded by the Robert Wood Johnson Foundation,also determined that tax or price increases affect the broadpopulation of drinkers, including heavy drinkers as well as lightdrinkers, and teens as well as adults.Many studies have analyzed how tax or price increases affectpeople’s drinking habits, but the UF study is the first to examineall of these findings as a whole, using a statistical procedure calledmeta-analysis. This technique allows researchers to drawconclusions that are not limited to specific policy changes or asingle state or country, said Wagenaar.Researchers scoured through decades of studies examininglinks between price and alcohol use. The studies were all reportedin English but not limited to any single country. The dataresulting from these reports were compiled and analyzed to gleanmore precise answers than can be obtained from just one study,Wagenaar noted.In a commentary in the same issue of Addiction, FrankChaloupka, Ph.D., a professor of economics at the University ofIllinois at Chicago, says “these findings provide a strong rationalefor using increases in alcoholic beverage taxes to promote publichealth by reducing drinking.” PBy Czerne M. ReidHAMILTON SMITHFiguring out the minimum set of genes needed to sustain life is a keymission of Nobel Laureate Hamilton Smith. He and a team ofresearchers at the J. Craig Venter Institute are working to find out thatinformation 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, whogave 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 areessential for cellular life, his work is bound to be in Chapter 1 of biologytextbooks. Not only that, it would enable the creation of new kinds of cellsthat can produce products such as biofuels or pharmaceuticals.So far, Smith’s team has chemically synthesized the entire genome ofMycoplasma genitalium, a bacterium that has the smallest known genome.In addition, they also have done a DNA “transplant,” extracting the nakedDNA 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 materialto make gene-size pieces, then combining those into subsections of achromosome, 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 transplantexperiment, but using genetic material from M. genitalium, as theyoriginally set out to do.“He’s always on the cutting edge of what is going on in biology,” said KenBerns, 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, andfor his work in developing recombinant technology, in which DNAsequences from varying sources are joined.So in a way, Smith’s quest to create a synthetic cell has taken him back tohis roots in research.Smith — who attended the P.K. Yonge Developmental Research School inthe 1930s when his father was on the UF faculty — likens the inner workingsof cells to computer technology: “The genome of a cell is the operatingsystem, and the cytoplasm is the hardware,” he said. “We’re not smartenough yet to make the hardware, so we borrow that from a living cell.” PPOST 02•0916 POSTVisit us online @ http://news.health.ufl.edu for the latest news and HSC events.

RESEARCHA matter of life and deathCellular ‘brakes’ may slow memory process in aging brainsBy John PastorUF researchers may have discovered whysome brain cells necessary for healthymemory can survive old age or disease,while similar cells hardly a hairsbreadth away die.The discovery, published online ahead of print in the Nature publicationCell Death & Differentiation, could help scientists understand and findsolutions for age-related memory loss.Scientists with UF’s Evelyn F. and William L. McKnight Brain Institutedescribe how they analyzed two neighboring regions of a tiny brainstructure called the hippocampus in rats of varying ages. They found that arecently discovered enzyme known as PHLPP, pronounced “flip,” may besilencing a vital cell-survival protein in the region where neurons are mostsusceptible to damage and death.“The question is why does one set of brain cells live and another set diewhen 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 atUF. “We looked at an important signaling pathway that tells cells to stayalive or die, and the enzymes that regulate that pathway. Implicated in allthis is a new protein that before a couple of years ago no one actually knewmuch about.”The scientists focused on the hippocampus, an anatomical region shapedsomething like a curved kidney bean in mammals. The structure is widelybelieved to be central to the formation of memories, as well as an importantcomponent of motivation and emotions. A portion of it is known to beespecially vulnerable to decreased cerebral blood flow, which can occurbecause of stroke or circulatory problems. The same area is also one of theearliest brain regions to show pathology associated with Alzheimer’s disease.Researchers studied both regions for signs of AKT, a protein that whenactivated, actually hinders many naturally occurring inducers of cell death.They found activated AKT was scarce among the cells that are vulnerable todamage and death and more abundant within the hardier cells.The next step was to figure out what was turning off AKT in thevulnerable cells, which led scientists to PHLPP1, arecently discovered enzyme that is believed to be anatural tumor suppressor. Where PHLPP1 levelswere high — which corresponded to the area withthe vulnerable cell population — AKT activationwas far less robust.“Possibly, we have found a target that could bemanipulated with drugs so that these brain cellscan be saved from threats,” said Foster, a professorof neuroscience at the UF College of Medicine. “Ifone area of the hippocampus has a deficiency incell-survival signaling, it is possible to find a wayto ramp up the AKT protein. The caveat is there THOMAS C. FOSTER, PH.D.are studies that show over-activating AKT may notbe good for memory — AKT may be naturallylower in this region for an important reason. Butin times of intense damage, there may be atherapeutic window to upregulate AKT and getsome benefit to health.”PHLPP was discovered in 2005 by a team ofresearchers led by Alexandra Newton, Ph.D., aprofessor of pharmacology at the University ofCalifornia, San Diego, who had set out to learnwhat was controlling AKT-driven cell growth,proliferation and survival. The investigation ledthem to PHLLP, which, in addition to beingTRAVIS C. JACKSONinvolved in healthy cellular processes, is known topropel tumor growth.“Basically, PHLPP is important in controlling whether cells survive andproliferate or die,” said Newton, who did not participate in the UF research.“If you want cells to survive brain disease, diabetes or heart disease, youwant active AKT signaling and therefore low PHLPP. But if you want tostop cells that have the ‘go’ signal, like cancer cells, PHLPP can function asa brake. In this case, it appears as if there is an area in the hippocampus thatis easily stressed and might undergo ischemia easily, because PHLPP is notallowing the AKT survival mechanism to work.” PVisit us online @ http://news.health.ufl.edu for the latest news and HSC events. 02•09POST17

JACKSONVILLEOn the mendSurgical options vary for breast cancer patientsBy Kandra AlburyThe mass in Edith Stone’s rightbreast was the size of a golfball when it was discoveredduring a routine mammogramin 2000. After having the lumpremoved, Stone underwent 38treatments of radiation.But her battle with cancer wasn’t over. In April,while doing a self-examination, she noticed two lumpsin the same breast. Her mammogram confirmed hersuspicions that the cancer had returned.“I ended up having my entire right breast removedas the only option for saving my life,” said Stone, aretired machine operator who lives in Jacksonville.Stone’s decision to undergo a mastectomy was onemany women battling breast cancer must face eachyear. Last year, actress Christina Applegate madeheadlines for her decision to undergo a doublemastectomy in hopes of keeping her breast cancer fromreturning.For most women, the decision to undergo amastectomy rather than a lumpectomy — Applegatehad both — usually comes down to three reasons: thecancer has spread, patients will not or cannot undergoradiation or there isn’t much breast to preserve, saysMiren Schinco, M.D., an associate professor of surgeryand chief of acute care surgery at the UF College ofMedicine-Jacksonville.In Stone’s case, she could not have more radiationtreatments. After her mastectomy, which Schincoperformed July 10, she decided to have breastreconstruction surgery.“If I hadn’t made this decision, I probably wouldhave gone into a bad depression from losing my breast,”Stone added.Some women grapple with depression, negative selfimageand grief after a mastectomy.Christopher Vashi, M.D., a UF assistant professor ofplastic surgery, performed the reconstructive surgeryNov. 4. He said the surgery that Stone underwent isbecoming more common.The procedure involves inserting an expander underthe large muscle in the chest wall to begin the skinstretchingprocess. Over six to eight weeks, the skinPatient 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 breastreconstruction surgery afterward.stretches and eventually allows room for a permanent implant. Once the skin has been stretched enough, thetemporary 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 thehospital, a shorter recovery time and less scarring. Having breast reconstruction also improves self-esteemand body image, Vashi said.The procedure is less painful than another type of breast reconstruction called the TRAM flap, whichinvolves removing a portion of skin, fat and muscle from the lower abdomen and using it to construct a newbreast. A disadvantage of reconstructive surgery using silicone breast implants is the possibility that theimplants may need to be replaced after 10 years. Other disadvantages include a prolonged skin-stretchingprocess, 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,” Vashisaid. “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’shealth, the size of the breasts before surgery and whether there is enough excess body tissue to allow for skinstretching.Stone said she believes the breast reconstruction surgery was a great option after having a mastectomy. Shethinks 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.” PPOST 02•0918 POSTVisit us online @ http://news.health.ufl.edu for the latest news and HSC events.

PATIENT CAREJACKSONVILLEStroke centerReproduction on the goNew mobile service helps horse ownersmanage breedingBy Sarah CareyAmobile service for equine reproduction at UF aims to better serve area horse breedersAwhile simultaneously exposing more veterinary medicine students to the field.“Theapproach to medicine on the road is different than in the hospital, regardless ofwhat service you are associated with,” said Scott Bailey, D.V.M., a Kansas State Universityveterinary alumnus who recently completed his residency in theriogenology at UF’s College ofVeterinary Medicine.Bailey, a board-certified reproduction specialist, spent 10 months at Hagyard Equine MedicalInstitute in Lexington, Ky., during his residency. He hopes to expand the ambulatory service inmid-February, at the start of Thoroughbred breeding season.“I think our students will benefit greatly from seeing how routine breeding is handled in thefield, as opposed to the more advanced kinds of cases they would typically see at the UFVeterinary Medical Center,” Bailey said.Because the UF VMC is primarily a referral center, a more typical horse reproduction case seenin the hospital might consist of a mare at high risk for losing a foal. Breeding management also isnot typically as intense in the field as in the hospital, where most patients are sent to addressfertility problems.Although UF used to provide an ambulatory reproduction service, in recent years the timespent 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 mobilereproduction service work.“I’m pretty excited about it,” he said. “The No. 1 complaint we hear from students has been thatthere is a lack of real-world experience at the university — at any university. I think our studentswill 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 neededvehicles and medical equipment, Bailey said.“What will happen is that students who are on their two-week theriogenology rotation willspend an entire week going out to private farms on the ambulatory service versus going to theUF-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 regularlythroughout the horse-breeding season, but says he won’t limit the service if he received requestsfrom farms with fewer horses.Anyone seeking more information about the mobile equine reproduction program should callScott Bailey at 352-392-2229. PBy Kandra AlburyThe Shands Jacksonville Stroke Centerreceived recertification as a primary strokecenter from the Joint Commission inNovember.The Joint Commission, an independent,nonprofit organization that reviews and accreditshealth-care organizations, has several diseasespecificcertification programs that oversee thequality of care in defined areas such as stroke.Shands Jacksonville is also certified as aComprehensive Stroke Center by the FloridaAgency for Health Care Administration.“The certification sends a message to ourcommunity that Shands Jacksonville is committedto providing effective specialized care to strokepatients,” said Scott Silliman, M.D., an associateprofessor of neurology at the UF College ofMedicine-Jacksonville. “Shands Jacksonvillemakes exceptional efforts to foster better outcomesfor these patients.”Shands Jacksonville is one of only twocomprehensive stroke centers in North Florida.While the Joint Commission’s final report has notbeen received, Shands was notified verbally at theend of the review that there were no deficiencies orneed for follow-up, indicating a successful review.Shands Jacksonville currently treats 50 to 80 newstroke patients each month. With the help ofTraumaOne Flight Services, Shands has expandedthe coverage area of the stroke center to includerural areas surrounding Jacksonville. The programreceived positive comments on its community andEMS educational initiatives. PVisit us online @ http://news.health.ufl.edu for the latest news and HSC events. 02•09POST19

DISTINCTIONSCOLLEGE OF MEDICINEJOHN H. ARMSTRONG,M.D., an assistant professorof surgery, received the 2008Special Recognition Awardfrom the Surgical Caucus of theAmerican Medical Associationfor displaying dedication andexcellence while serving aschair of the caucus for theJohn H. Armstrongpast three years. He was alsoappointed to the Health Policy Steering Committeeof the American College of Surgeons and playeda signifi cant role in developing the ACS HealthPolicy Agenda for 2009. In addition, he wasrecently elected to the American Association forthe Surgery of Trauma, which promotes researchand education regarding burns, trauma and acutecare surgery.Residents sweep awardsRobert WinfieldElizabeth WarnerTwo UF College of Medicine surgical residents recentlyswept a state trauma research competition with wins in boththe basic and clinical science categories. The UF honorsextended to the regional level in November with a win inthe clinical science category at an American College ofSurgeons’ competition. Robert Winfield, M.D., a third-yearclinical resident, won both the Florida State Committee onTrauma and the American College of Surgeons’ Committeeon Trauma Region IV resident competitions for his clinicalresearch work in the area of trauma’s impact on morbidlyobese patients.Winfi eld, who took two years out from his clinical residency training to focus on research, found that morbidlyobese people involved in major trauma do not respond the same way to traditional resuscitative measures, suchas intravenous fl uids, as people of normal weight do, and that this differential response can be associated with thedevelopment of multiple organ failure. Elizabeth Warner, r M.D., currently in her second year of research as partof her surgical residency training, found that neutrophils, a type of white blood cell that migrates to the lungs ofpatients with acute respiratory distress syndrome, have very different patterns of gene expression than neutrophilsfound in the same person’s circulatory system. Both Winfi eld and Warner conducted their research in the UFdepartment of surgery’s Infl ammation Biology and Surgical Science Laboratory, headed by Lyle L. Moldawer, Ph.D.,the department’s vice chair of research.A team with heartFour physicians from the UF Cardiac ImagingTeam have achieved board certifi cation incardiovascular computed tomography by passingthe fi rst board certifi cation exam for this specialtyin September. These physicans (shown abovefrom left) include: David C. Wymer, M.D., aclinical assistant professor of radiology; JamesHill, M.D., a professor of cardiovascular medicineand director of the Heart Failure/TransplantationSection; Roger Shifrin, M.D., a clinical assistantprofessor of radiology; and Steven Kraft, M.D.,a clinical assistant professor of cardiovascularmedicine. Of the 878 examinees, 715 physicianspassed to achieve Diplomate status. Recentadvancements in the quality and detail of cardiacimaging have fostered greater collaborationbetween cardiologists and radiologists in readingcardiac CT scans. The UF Cardiac Imaging Teamhas been working together reading scans for morethan three years and has trained more than 80physicians in cardiac CT through its continuingmedical education program.C. RICHARD CONTI, M.D.,a professor of medicineand an adjunct professorof physiology, received thecollege’s International Educatorof the Year Award. Conti hasbeen involved in education,C. Richard Contiservice and research throughout Europe, Asia,Africa, Australia, South America and the SovietUnion. He is a member of 10 professional societiesoutside the United States and has been an invitedlecturer for several international cardiac societies.During his tenure as president of the AmericanCollege of Cardiology from 1989-90, he helped toestablish a relationship with the European Societyof Cardiology by creating reciprocal internationalsymposia, which persist today and have led toinvaluable sharing of scientifi c information andinternational research opportunities.STEPHEN GROBMYER,M.D., an assistant professorof surgery, has been electedinto the Southern SurgicalAssociation. A surgicaloncologist, Grobmyer was oneof 26 surgeons elected into theassociation during its annualmeeting held in December inWest Palm Beach. The second Stephen Grobmyeroldest surgical society in thenation, the Southern Surgical Associationfocuses on furthering the study and practice ofsurgery, especially among the profession in theSouthern states.JACKSONVILLEERIC CONDE, M.S.A., assistantdean for administrativeaffairs, has been selected toserve as state director for theAmerican Academy of MedicalAdministrators. Conde is afellow of the American Academyof Medical Administrators andalso serves as a member ofEric Condethe organization’s advancementcommittee. The American Academy of MedicalAdministrators’ mission is to advance excellence inhealth-care leadership.KAKARLA CHALAM, M.D., Ph.D., the assistantdean for veterans affairs affi liations and chair ofthe department of ophthalmology, was recognizedalong with his team of ninefaculty physicians and staffby the Diabetic RetinopathyClinical Research Network inOctober. Chalam’s departmentreceived the organization’sSite of the Month Award.The organization supportsthe identifi cation, design andKakarla Chalamimplementation of multicenterclinical research initiatives focused on diabetesinducedretinal disorders.DANIEL KANTOR, M.D.,an assistant professor ofneurology, has been namedpresident-elect of the FloridaSociety of Neurology.Kantor will serve a two-yearappointment starting Sept. 11,followed by a second twoyearterm as president. TheDaniel Kantororganization’s mission is toadvance the art and science of neurology andpromote the best possible care for patients withneurological disorders.COLLEGE OF DENTISTRYEDWARD CHAN, Ph.D., aprofessor of oral biology,received a one-year grant of$88,500 from the NationalInstitute of EnvironmentalHealth Sciences, a part ofthe National Institutes ofHealth, to fund a pilot study onautoantibody determinationsEdward Chanand their xenobiotic associations.The study aims to determine the frequency andspecifi city of autoantibodies among healthyindividuals and correlate them with exposure toenvironmental xenobiotics.ROGER FILLINGIM, Ph.D., a professor ofcommunity dentistry and behavioral science,will receive the 2009 Wilbert E. Fordyce ClinicalInvestigator Award from the American Pain SocietyPOST 02•0920 POSTVisit us online @ http://news.health.ufl.edu for the latest news and HSC events.

Faculty to remember …DISTINCTIONSShe’s No. 1Donna Stilwell received the 2008 Employee of theYear award at the College of Public Health andHealth Professions’ 50th anniversary celebrationdinner Nov. 21. Stilwell, the offi ce manager for thedepartment of health services research, managementand policy, joined the department during a time ofsignifi cant change, including staff transition, budgetcuts and growth in the department’s research,teaching and service activities, according to thosewho nominated her. Despite these challenges,Stilwell’s efforts allowed the department to operatesmoothly. “Donna established organizing principlesand ways of working that made all of our liveseasier and our ‘outcomes’ better,” one nominatorexplained. Stilwell was also recognized for hersuperior attitude and pleasant demeanor. Accordingto one of her colleagues, Stilwell’s “positive attitudeand behavior help to maintain an atmosphere ofrespect and productivity in our offi ce.”CONSTANTE B. DE PADUA, M.D., a founding member of the UF College of Medicine’sdepartment of anesthesiology, died Dec. 23 after a long illness. de Padua joined UF in 1967as an instructor in anesthesiology after teaching at the University of Illinois in Chicago. Hewent on to serve as an assistant professor of anesthesiology before becoming an associateprofessor in 1974. He also was the clinical director of anesthesia services for the ShandsOperating Room for many years, and a staff anesthesiologist at the Malcom Randall VeteransAffairs Medical Center.“Dr. de Padua was truly one of those individuals who could handleanything 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. “Fromairway management to complex clinical problems, Connie quietly and simply handled theproblem. Many a resident marveled at how he could remain calm and collected in the mostdiffi cult of clinical situations. He was one of those individuals who could always be counted onto 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 Medicinefrom 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 amodel for translational research. His program evaluated patients from all over the world andprovided important fi ndings to medical associations for decades. Williams discovered manyof the sleep abnormalities associated with depression, common medical conditions and drugsand alcohol, and authored hundreds of peer-reviewed papers. After leaving UF, Williamsserved as chair of psychiatry at Baylor College of Medicine. He was also president of theAmerican College of Psychiatrists and president of the American Association of Chairmenof Departments of Psychiatry. He is survived by his wife, daughter, 11 grandchildren and sixgreat-grandchildren.at its annual meeting in May.The award recognizes individualexcellence and achievements inclinical pain scholarship and ispresented to a pain professionalwhose total career researchachievements have contributedsignifi cantly to clinical practice.THEOFILOS KOUTOUZIS,D.D.S., M.S., an assistantprofessor of periodontics, recentlyreceived an American Academyof Implant Dentistry ResearchFoundation Award to completehis research project “ComparativeSoft and Hard Tissue Responsesto Titanium and Polymer HealingAbutments.”PUBLIC HEALTH AND HEALTH PROFESSIONSELISA GONZALEZ-ROTHI,P.T., D.P.T., and VIRGINIALITTLE, P.T., M.S., N.C.S., bothrehabilitation science doctoralstudents, are among six nationalrecipients of Florence P. KendallDoctoral Scholarships from theFoundation for Physical Therapyboard of trustees. The $5,000scholarships are awarded tooutstanding physical therapistswho are starting their fi rst year ofgraduate studies.Roger FillingimTheofilos KoutouzisElisa Gonzalez-RothiCollege of Medicine appoints new leadersMichael Clare-SalzlerTetsuo AshizawaR. Stan WilliamsMICHAEL CLARE-SALZLER, M.D., the Stetson chair inexperimental pathology and a professor of internal medicine,endocrinology and general surgery, was recently named interimchair of the department of pathology, immunology and laboratorymedicine. An expert on type 1 diabetes, Salzler is the director of UF’sCenter for Immunology and Transplantation.TETSUO ASHIZAWA, M.D., chair of the department of neurologyat the University of Texas Medical Branch at Galveston, hasbeen named chair of UF’s department of neurology. Ashizawa’sappointment begins in April. “Ashizawa is a superlative clinician andadministrator with a distinguished research program,” said Collegeof Medicine Interim Dean Michael L. Good, M.D. “He will lead theneurology department to new heights in its missions to conduct worldclassresearch, provide excellent patient care and prepare studentsand residents for the clinical and academic challenges of tomorrow.”R. STAN WILLIAMS, M.D., the Harry Prystowsky professor ofreproductive medicine, has been named chair of the departmentof obstetrics and gynecology. Williams has served as interim chairof the department since July 2007. “Dr. Williams has a uniqueand ambitious vision for the department and plans to expand thefaculty in the areas of oncology, maternal-fetal medicine, roboticsand urogynecology, as well as increase collaborations throughoutthe College of Medicine,” said College of Medicine Interim DeanMichael L. Good, M.D.Virginia LittleVisit us online @ http://news.health.ufl.edu for the latest news and HSC events. 02•09POST21

ADMINISTRATIONGoldenGators1PHOTO BY KRISTEN NBARTLETT GRACEPHOTO BY KRISTEN BARTLETT GRACE PHOTOBY KRISTENBBARTLETT GRACE45PHOT HOTO BY SARAH KIEWEL ELISTE STEN BARTLETT T G RACEPHOTO BY KRIS23In November, the College of Public HealthandHealth Professionscelebrated its 50th anniversary. Former and present faculty, staffand students came togetherer to honor the gold milestonewith aweekend of festivities, capped off by a gala banquet. This month, ThePOST brings you an insidi e look at thatcelebration: (From left) 1.Former medical technology departmentchair Mary Britt, t left,shared alaugh with retired facultymember Janet Rodeheaver. The medicaltechnology program closed in 1992. 2. At thecollege’s 50th anniversarylecture, Dr. Alan Jette discussed the futureof disabilityin America.Jette,a professor of healthpolicy and managementat BostonUniversity and director of theuniversity’s HealthandDisabiliti yResearch Institut te, received thecollege’s Darrel J. Mase LeadershipAward.3. Donna Rodriguez Goldstein, right, a 1972 graduata e of thecollege’e s physicaltherapyprogram, catches up with MarthaWroe, whoserved on the physicaltherapy facultyfrom 1959untilher retirementin 1987. 4. At the gala, a, Dean EmeritusRichard Gutekunst spoke aboutthe contributions of thecollege’sfounding dean, Darrel Mase,whomGutekunst described as “a truevisionary.”5. The celebration dinnerbrought togetherer allof the college’e’s livingdeans. From left are HowardSuzuki, Richard Gutekunst,Robert Frank and Michael Perri, currentinterim dean. PPOST 02•0922 POSTVisit us online @ http://news.health.ufl.edu for the latest news and HSC events.

PROFILE10.3083 in2.8056 inBy Anne MyersWhen Ian Tebbett,Ph.D., started UF’sonline forensic scienceprogram eight years ago, it hadonly 20 students. Now, it’s thelargest online graduate forensicscience program in the world, with450 students from 28 differentcountries.Tebbett, the program’s creator and director,became interested in forensic science as a pharmacystudent at London University in the late 1970s. Heworked at Scotland Yard during the summers, and hefound the relationships between pharmacy andforensic science, such as drug abuse, very interesting.After graduating, he spent only a year in the hospital’spharmacy before he turned completely to forensicscience. He came to the United States more than 20years ago and has been at UF for the past 16 years.While working as director of the UF College ofVeterinary Medicine’s State Racing Laboratory,which conducts drug tests for Florida’s horse- anddog-racing industries, Tebbett noticed a growinginterest in forensic science among his staff. Inresponse to their requests, he began posting materialonline so they could learn more. The rest, as they say,is history.With increased interest from other students seekingto further their education, Tebbett’s online forensicscience program quickly evolved into four separateareas of concentration: toxicology, forensic serologyand DNA, drug chemistry and general forensicscience. Today, most of the program’s students areworking professionals who are looking to improvetheir qualifications. Many have families and mortgagesand 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 allowsstudents to take the courses no matter whether theyare in the United States. Currently, there are 20 to 30students enrolled who are stationed in Iraq.“It’s amazing that they are able to complete theirstudies over there,” Tebbett said. “If those studentscan take a course while in a war zone, then anyone inthe world can do it.”In some parts of the world, it is politically difficultPHOTO BY SARAH KIEWELGoing the distance5.5799 inHow one UF professor’s program helped makethe Gator Nation globalto attend school in another country. The forensicscience online program allows these people to attendan American school from within their country’sborders.“Being able to reach so many people on a worldwidebasis has been really rewarding,” Tebbett added.The program has earned UF both national andinternational recognition and generates a significantrevenue, which is helpful during tough financial times.The UF forensic science program has also establishedpartnerships with academic institutions in the UnitedKingdom, Australia and South America.Through these international connections, theprogram also has aided in the identification of victimsof the Kosovo and Peruvian massacres through DNAmatching.For his efforts, Tebbett, who also serves as theCollege of Pharmacy’s associate dean for distanceeducation recently received an International Educatorof the Year award from the UF International Centerfor internationalizing the campus and curriculum.The award recognizes Tebbett’s internationalendeavors through his online program. Tebbett alsohelps others to develop online programs and is veryinvolved with the distance education program at UF.“The program puts people in touch with others allover the world,” Tebbett said. “It’s really making adifference.” P7.4986 inVisit us online @ http://news.health.ufl.edu for the latest news and HSC events. 02•099.0537 inPOST23

SEE YA!PHOTO BY SARAH KIEWELPHOTO BY SARAH KIEWELBernard Okech, a research assistant scientist inthe College of Public Health and HealthProfessions and a researcher at the WhitneyLaboratory for Marine Bioscience, is developinginsecticides to kill mosquitoes when they are inthe larval stage, before they mature andbecome malaria carriers. Okech studiesmosquito larvae’s nutrition and how it affects acertain molecule that must be present for thedevelopment of Plasmodium, the parasite thatcauses malaria.Interpreti Veneziani, the Venice-based chambergroup, performed for patients at the bonemarrow transplant unit and neonatal intensivecare unit at Shands at UF Jan. 26 as part of theAIM Together program, a partnership betweenUF Performing Arts and Shands Arts in Medicine.PHOTO BY SARAH KIEWELPublished byUF Health Science CenterOffi ce of News & CommunicationsSenior Vice President,Health AffairsDouglas J. Barrett, M.D.Interim Director, News &CommunicationsMelanie Fridl RossEditorApril Frawley Birdwellafrawley@ufl .eduTHESenior EditorsMelanie Fridl Ross, John PastorDesignerMickey CuthbertsonStaff WritersKandra Albury, April Frawley Birdwell,Jennifer Brindise, Tracy Brown Wright,Sarah Carey, Linda Homewood, JohnPastor, Jill Pease, Czerne M. Reid,Karen Rhodenizer, Melanie Fridl Ross,Priscilla Santos, Christine Velasquez02•09Contributing WritersJessica Brandi, Jessica Metzger,Laura Mize, Anne MyersPhoto EditorSarah KiewelSupport StaffCassandra Jackson, Beth Powers,Kim SmithThe POST is the monthly internalnewsletter for the University ofFlorida Health Science Center, themost comprehensive academichealth center in the Southeast,with campuses in Gainesvilleand Jacksonville and affi liationsthroughout Florida. Articles featurenews of interest for and aboutHSC faculty, staff and students.Content may be reprinted withappropriate credit. Ideas for storiesare welcome. The deadline forsubmitting items to be consideredfor each month’s issue is the 15thof the previous month. Submitto the editor at afrawley@ufl .edu or deliver to the Offi ce ofNews & Communications in theCommunicore Building, RoomC3-025.