18th Annual GHEC Conference and 7th Annual Western Regional International Health Conference - Transcending Global Health Barriers: Education and Action “Transcending Global Health Barriers: Education and Action” was the theme of The 18th Annual Global Health Education Consortium (GHEC) Conference and the 7th Annual Western Regional International Health Conference hosted by the University of Washington Department of Global Health April 3-5, 2009. Among the highlights: Keynote speaker Harriet Fulbright, director of the Fulbright Center, received the GHEC Distinguished Service Award and answered questions on the “Peace Index.” Speaker Dr. Fortunato L. Cristobal gave a great example of a global health program in his talk, "Roles of Universities in Global Health: The Philippine Experience." Dr. Christopher Elias, president and CEO of PATH; UW’s Dr. Stephen Gloyd, executive director of Health Alliance International; and UW’s Dr. Christopher Murray, director of the Institute for Health Metrics and Evaluation, offered a hard look at “Looking into the Future: What is government's role in public health interventions?”
The conference was organized by an interdisciplinary team of more than 20 undergraduate and graduate students along with faculty and staff from UW's Global Health Resource Center and GHEC.
2005 John R. Hogness Symposium on Health Care This year's John R. Hogness Symposium on Health Care presents Harold P. Freeman, M.D., President and Medical Director of the Ralph Lauren Center for Cancer Care and Prevention, Harlem, New York. He speaks on 'Poverty, Culture, and Social Injustice: Determinants of Health Disparities.'
A Pain in the Knee Should you see the doctor for your knee pain? Trey Green, an orthopaedic
surgeon from the University of Washington Department of Orthopaedics and Sports Medicine,
provides practical tips on caring for your knee and when to seek help.
ABCD: Access to Baby & Child Dentistry A group of concerned dentists, dental educators, public health agencies, the state dental association, and State Medicaid representatives came together to address the problem of the severe lack of dental access by Washington State's high-risk preschool children. The proposed solution was the development of the Access to Baby and Child Dentistry (ABCD) program. ABCD focuses on preventive and restorative dental care for Medicaid-eligible children from birth to age six. Such early dental education, intervention and care makes for lifelong oral health and decreased tooth decay and disease in children.
Acute Spinal Cord Injury Consider new techniques for recognizing and treating acute spinal trauma. Review emergent management strategies being used by organized sports leagues, as well as early intervention means, such as pharmacologic treatment, hypothermia and surgery. Advances in neurophysiolologic technology allow for unprecedented insight in disruption of key pathways within the spinal cord.
Addiction and the Mind #1 Addiction is one of the nation's major health problems, as evidenced by high rates of smoking and drinking as well as the widespread use of legal and illegal drugs. Dr. Alan Marlatt, psychology professor at the University of Washington, discusses treatment and relapse-prevention techniques.
Addiction and the Mind #2 Addiction is one of the nation's major health problems, as evidenced by high rates of smoking and drinking as well as the widespread use of legal and illegal drugs. In the second half of this two-part program, Dr. Judson Brewer, assistant professor of psychiatry at Yale University, discusses treatment and relapse-prevention techniques.
Adolescent Brain Development Dr. Fran Lexcen, forensic examiner at the University of Washington’s Child Study and Treatment Center, shares research on adolescent brain development. This presentation was part of a larger exploration of issues affecting youth advocates sponsored by the UW School of Law’s Court Improvement Training Academy (CITA), in partnership with the Washington Defender Association.
Adolescents as Parents: Ethical and Legal Considerations Leaders in pediatric bioethics explore the medical and legal challenges that arise when assisting an adolescent parent with health care decisions for both themselves and their children in this video from the University of Washington. Presented by the Treuman Katz Center for Pediatric Bioethics at Seattle Children’s Hospital, the 2009 Pediatric Bioethics Conference explored ethical issues in adolescent health care. Dr. Mark Mercurio, director of the Yale Pediatric Ethics Program at Yale University School of Medicine is joined by Jessica Berg, JD, MPH, professor of Law and Biomedical Ethics at Case Western Reserve University, and Abigail English, JD, director of the Center for Adolescent Health and the Law at Chapel Hill, North Carolina.
Adult Stem Cells from Skeletal Muscle and Heart - Morayma Reyes, MD, PhD Take a closer look at adult stem cells with the University of Washington’s Dr. Morayma Reyes. How do these cells differ in highly regenerative tissues like skeletal muscle and poorly regenerative tissues like heart? Reyes discusses tissue repair and regeneration, and illustrates how stem cells interact with the microenvironment to respond to injury.
Advances in Cervical Cancer - Laura Koutsky, Ph.D., MSPH Learn more about human papillomavirus and how to prevent related diseases in "Advances in Cervical Cancer." Laura Koutsky, epidemiology professor in the University of Washington School of Public Health and Community Medicine, assesses new technologies
such as vaccines that have the potential to dramatically reduce the risk of cervical cancer.
Advances in Joint Replacement: Total Hip Resurfacing and Quadriceps-Sparing Knee Replacement Total hip resurfacing arthroplasty is a bone-sparing alternative to hip replacement for very active younger patients. Quadriceps-sparing total knee replacement is a less invasive procedure for inserting knee replacement implants, involving a shorter incision and less recovery time. We profile UW Medical Center patients who have had these procedures and discuss the techniques with physicians who treated them.
Advances in Understanding Susceptibility to Infectious Diseases - Thomas Hawn, MD, Ph.D. Through the use of two case studies, Dr. Thomas Hawn, Professor of Medicine from the Department of Allergy and Infectious Disease at the University of Washington, provides a brief history of innate immunity, genetics and the potential for personalized medicine to address infectious diseases in the future.
Advancing the Health of the World's Children The Most Reverend Desmond Mpilo Tutu and a panel of international health leaders discuss the impact of health issues – such as AIDS treatment and prevention, malnutrition, inadequate medical supplies, and poverty – on the world’s children.
Ahimsa: Beyond Violent Traditions of Science and Technology Vandana Shiva advocates an approach that is based on the principle of ahimsa - meaning non-violence or harmlessness, drawing on the ethics of ecological and feminist thought that promotes diversity and pluralism in knowledge, action, nature and culture. Shiva is a world-renowned environmental thinker and activist. In 1991, she founded Navdanya, a national movement to protect diversity and integrity of living resources. Navdanya sets up community seed banks, supports conversion to organic agriculture, and is establishing direct producer-consumer links for food security and safety.
Alzheimer's Disease - Part 1 Can Alzheimer’s disease be prevented? This program addresses the evolving approaches to this disease, providing evidence that some common medicines may delay or prevent the onset of dementia. See what Alzheimer's disease looks like on brain imaging and how imaging helps research and clinical diagnosis of dementia.
Alzheimer's Disease - Part 2 Can Alzheimer’s disease be prevented? This program addresses the evolving approaches to this disease, providing evidence that some common medicines may delay or prevent the onset of dementia. See what Alzheimer's disease looks like on brain imaging and how imaging helps research and clinical diagnosis of dementia.
Angioplasty and Stenting This program’s discussion focuses on the management of an individual suffering from an acute myocardial infarction, or heart attack, and includes an analysis of areas of controversies. These controversies include the role of emergent angioplasty and stent implantation, where this should be done, and what type of stents should be used. The conference concludes with a remarkable patient recovery.
Annual Address to UW Medicine Community Live webcast: UW Medicine annual address 4:30 p.m. Thursday, Jan. 14 at uwtv.org Dr. Paul Ramsey, CEO of UW Medicine, executive vice president for medical affairs and dean of the School of Medicine, gives his annual address to the UW community. Ramsey reviews and highlights UW Medicine’s 2009 accomplishments and looks at what lies ahead in 2010 and beyond for UW Medicine.
Anterior Cervical Spine Surgery Anterior neck surgery allows for a very meaningful and complete surgical decompression of a compromised spinal cord and nerve roots. Limitations of this technique, however, exist in terms of its potential to achieve a successful fusion, loss of alignment and bone graft donor site morbidity. Recent advances in techniques under utilization of cages and improved plate designs have shown encouraging improvements in patient outcomes.
Anterior Cruciate Ligament Surgery Dr. Roger Larson explains the new medical techniques used to repair knee injuries. The program focuses on ACL injuries featuring four patients who suffered knee and joint pain or damage. The discussion with the patients includes how the knee was injured and which surgery and rehabilitation treatments were used to bring back pain-free movement and use of the knee.
Aortic Surgical Treatment: Marfan Syndrome Chris King, M.D., Peter H. Byers, M.D., and Gabriel S. Aldea, M.D., physicians with the University of Washington Regional Heart Center, review the medical evaluation and surgical techniques for the treatment of a unique heart defect known as Marfan Syndrome.
Appropriate Technology in Health A discussion about the institutional barriers to bringing lifesaving health technologies to developing countries. Two innovations are described: a diaphragm for birth control and a jet injector for injecting vaccines without needles.
Arthroscopic Shoulder Stabilization What happens when a shoulder dislocates? Dr. Chris Wahl, an orthopaedic surgeon, talks with University of Washington Huskies basketball player Mike Jensen, who severely dislocated his left shoulder and tore ligaments just before his senior season. In the program, Wahl and Mike Jensen discuss the decisions that led to surgery, the procedure itself, and the physical therapy that allowed Jensen to play in the second half of the season. Footage of the arthroscopic procedure accompanies their conversation.
Assessing Competency in Health Care Workers: Can We Assess Ourselves? How Can We Assess Others? - Dave Davis, MD Dr. Dave Davis' presentation focuses on aspects of assessment of health professional competence and performance, addressing the question of self-assessment, and the means to assure more objective measurements of competence and performance. It also attempts to develop applications of findings about assessment to continuing education, undergraduate and graduate training, and to the workplace.
Assessing Prenatal Risk: Current State of the Art - Dr. Edith Cheng The term prenatal diagnosis has historically been synonymous with amniocentesis and the prenatal detection of Down Syndrome. In the 1970s, a woman’s choice in assessing her fetus for birth defects and chromosome or genetic conditions was limited. However, continued technical advances in fetal imaging and molecular genetics coupled with the identification of biochemical markers in maternal serum which could be associated with fetal chromosome and/or genetic disorders have drastically changed and expanded the topography of prenatal diagnosis/screening. Edith Cheng, from University of Washington obstetrics and gynecology, summarizes the history and evolution of prenatal diagnosis to its current state with examples of the myriad of choices now available to all women.
Atrial Fibrillation: A Surgical Perspective Dr. Gabriel Aldea outlines the latest in surgical techniques to repair the irregular rhythms, rapid heart beats, blood clots and ineffective heart muscle contractions associated with atrial fibrillation. He also discusses the restoration of normal cardiac function using catheters, pacemakers and gives insight on the surgical MAZE technique and innovations in ultrasound, laser and cryothermal tools.
Autism: New Advances in Understanding and Treatment Professor Dawson discusses the latest research on the diagnosis and treatment of one of the most puzzling and challenging of childhood disorders—autism. Dawson, working with funding from the National Institute of Child Health and Human Development, has brought together many researchers at the University into a collaborative effort to understand autism.
Back in Action Jonathan Young's back pain affected his entire life. He could barely walk, sit or drive a car. And his great love, sailing, was impossible. At UW Medicine Sports and Spine Physicians at the University of Washington Medical Center, Dr. Marla Kaufman treated Jonathan with a combination of steroid injections and physical therapy, enabling him to return to an active lifestyle..
Back Pain Dr. Stan Herring, Director UW Medicine Spine Center, sits down with best selling author, UW professor and patient, David Shields, to discuss his history with back pain. For many years Shields was plagued with severe back pain that had begun to change how he lived his life. Dr. Herring illustrates how treatment for back pain comes down to individualized care and how he and his team at the UW Medicine Spine Center, partner with each patient on the road to recovery.
Basic End of Life Support This program is based on a workshop on basic end of life support (BEOLS), which includes:
presenting a research based model of best practices in end-of-life care
from clinician, patient, and family caregiver perspectives; giving bad news; negotiating code status; and conducting a family conference when moving from cure to palliative care.
Battling Superbugs: The Challenge of Resistance - Part 1 Many bacterial infections in the United States and throughout the world are developing resistance to the most commonly prescribed antibiotic treatments. University of Washington School of Medicine doctors discuss how you can protect yourself and family.
Battling Superbugs: The Challenge of Resistance - Part 2 Many bacterial infections in the United States and throughout the world are developing resistance to the most commonly prescribed antibiotic treatments. University of Washington School of Medicine doctors discuss how you can protect yourself and family.
Beating Cancer At Its Own Game The annual Mary Gates Lectureship brings together scientists, physicians, biotechnologists, cancer survivors, philanthropists and the community for a lecture by a notable scientist to leverage knowledge and foster collaboration in accelerating treatments and a cure for breast cancer. This year Northwest Cancer Partners presents Judah Folkman, whose landmark research focuses on cutting off the blood supply to tumors. The process is known as angiogenesis and is the foundation of many new promising cancer treatments. Drawing from Dr. Folkman's work, researchers worldwide now believe angiogenesis discoveries may be a common denominator in at least 70 diseases.
UWTV honors Judah Folkman, who died January 2008 of a heart attack, four years after the taping of this program.
Beyond ROC Curves: Recent Statistical Advances in the Evaluation of Diagnostic and Prognostic Tests - Dr. Amalia Magaret ROC curves are used to evaluate the accuracy of markers for disease detection or prognosis. They provide a graphical means of comparing one or many continuous markers to a binary measure of disease, allowing determination of an optimal marker cutoff for positivity. Amalia Magaret, assistant professor in the department of laboratory medicine at the University of Washington, presents recent adaptations to the standard ROC curves, allowing for consideration of cost, inclusion of additional predictors of disease, and comparison and combination of predictive markers. Dr. Margaret Pepe in the department of biostatistics at the University of Washington developed many of these advances.
Biomarkers and Early Cancer Detection - Peter Nelson, MD See how UW Medicine’s Division of Oncology is contributing to scientific advances that are producing potential new biomarkers for the early detection of cancer and improved disease management. Advances in genomics, proteomics and molecular pathology have produced many candidate biomarkers with the potential to impact clinical care. Dr. Peter Nelson tells us about the current status of biomarkers for the early detection of cancer, and for predicting disease outcomes, and how the methods for such discovery are being used in personalized medicine.
Biomedical Research in Space Astronaut Bonnie J. Dunbar describes bioastronautics and how space travel can be used to improve human health. Examples include views from space that identify the movement of diseases across the globe, protein crystallization in microgravity of proteins that do not crystallize on earth, studies of the loss of bone mass that is important for an understanding of osteoperosis, and bioreactors that can produce chemicals that cannot be produced on earth.
Brain Aneurysm Roxie Phillips knew that her brain aneurysm – a ballooning of a blood vessel wall – had a risk of rupture akin to a ticking bomb. Dr. Laligam Sekhar, a neurosurgeon, and the team at Harborview Medical Center performed a procedure that bypassed the brain's blood vessels with a graft from the radial artery in her arm. Sekhar then closed off the aneurysm with a titanium clip. A year after surgery, Phillips was well on the road to recovery.
Brain Aneurysm Coiling Cora Anderson's brain aneurysm was in danger of rupturing, which would have had catastrophic results. Surgeons at the UW Medicine Brain Aneurysm Center used a procedure called endovascular coiling, filling the aneurysm with small platinum wire coils to eliminate the risk of bleeding.
To view the full Inside Access program, go to Brain Aneurysms.
Brain Science as a Means of Understanding Delinquency and Substance Abuse in Youth Drs. Beauchaine and Tapert explore risks and results of delinquency and substance abuse in youth. Dr. Beauchaine discusses the importance of understanding the brain mechanisms associated with impulsivity, which allows us to identify at-risk children early in life. This provides opportunities for prevention of later substance abuse, school drop out, and delinquency.
Dr. Tapert addresses the extent to which heavy alcohol and other drug use during the teenage years might affect brain development and cognitive performance into young adulthood. She also describes her research projects using neuropsychological testing and brain imaging to better understand cognition in youth who are heavy users of alcohol and drugs.
Brain Tumor Deborah Kelley thought she had another migraine, but an MRI showed a brain tumor. With the news, Kelley underwent an “awake” surgery in which the neurosurgeon, Dr. Dan Silbergeld of the University of Washington Medical Center, used stereotactic navigation to precisely locate the tumor, a cancerous glioma, while monitoring Kelley’s language skills. This helped Silbergeld and his team know the greatest amount of potential tumor removal. After surgery, Kelley opted for radiation therapy, too.
Breakthroughs in Sinus Care Doug York was leaking cerebral spinal fluid through his nose. Leland Bull's nasal polyps kept him from getting a good night's sleep – ever. Stephanie Rowe's sinus infection caused her to lose a tooth implant, and soccer player Hannah Greig's deviated septum made breathing through her nose nearly impossible. Watch as Drs. Greg Davis and Ernie Weymuller, of the University of Washington Medical Center's Otolaryngology Head and Neck Surgery Center, use innovative techniques and the newest technologies to successfully treat patients for a wide variety of both routine and complex sinus conditions. Physicians at UWMC also participate in ongoing research to improve options for patient care.
Breast Cancer Screening - The New Guidelines: Can we make sense out of the controversy? In November 2009 the U.S. Preventive Services Task Force released new guidelines for breast cancer mammography screening. Coupled with intense media attention, these new guidelines spurred a national debate and generated confusion among patients, health care professionals and lawmakers.
An interdisciplinary panel of experts from the University of Washington attempts to bring order to the discussion and make sense out of the controversy surrounding the new breast cancer screening guidelines.
The event is part of the Institute of Translational Health Sciences Interdisciplinary Grand Rounds series.
Breast Reconstruction When Valerie Pingel had a double mastectomy, her breast reconstruction took place at the same time. Dr. Peter Neligan and Dr. Hakim Said, from the Center for Reconstructive Surgery at University of Washington Medical Center, used Ms. Pingel's own abdominal tissue to create natural implants.
She woke up from surgery with new breasts already in place, and because they're her own tissue, the implants won't have to be replaced in the future.
Breathtaking Advances: A Better Life for Those with Lung Injury and Lung Cancer, Part 1 Survival and quality of life has vastly improved for those fighting Acute Respiratory Distress Syndrome (ARDS) and lung cancer. Learn how physicians at UW Medicine, part of the University of Washington, have made great strides in managing these diseases. UW School of Medicine professors Drs. Joann G. Elmore, Hugh M. Foy, Len Hudson and Renato Martins share new and promising treatments being developed in the Northwest.
Breathtaking Advances: A Better Life for Those with Lung Injury and Lung Cancer, Part 2 Survival and quality of life has vastly improved for those fighting Acute Respiratory Distress Syndrome (ARDS) and lung cancer. In the second half of this two-part program, learn how physicians at UW Medicine, part of the University of Washington, have made great strides in managing these diseases. UW School of Medicine professors Drs. Joann G. Elmore, Hugh M. Foy, Len Hudson and Renato Martins share new and promising treatments being developed in the Northwest.
Building a Community-based Health Care Movement The subject of Tracy Kidder's book "Mountains Beyond Mountains: The Quest of Dr. Paul Farmer, a Man Who Would Cure the World," Farmer is a renowned infectious-disease specialist, anthropologist, the recipient of a MacArthur "genius" grant, and co-founder of Partners in Health, a nonprofit organization bringing healthcare to impoverished parts of the world. Farmer's visit to the University of Washington was part of the inaugural year of the UW Common Book, a project aiming to engage all entering University of Washington students in a common intellectual experience of reading the same book. In 2006, the selection was "Mountains Beyond Mountains."
Cardiac Defect Closure as Treatment for Stroke Steven Cramer, M.D., Steven L. Goldberg and Tom Jones, M.D., physicians with the University of Washington Regional Heart Center, review the medical evaluation and surgical procedures for stroke treatment.
Cardiac Transplantation Cardiology Specialist Daniel Fishbein gives a medical review of surgical techniques for transplanting tissue.
Cardiovascular Disease, Part 1 Dr. Jeanne Poole reviews the common supraventricular tachyarrhythmias, along with evaluation, management and treatment approaches. Medical vs. non-medical, rate vs. rhythm control approaches will also be discussed during this program.
Cardiovascular Disease, Part 2 Dr. Wayne Levy, creator of the Seattle Heart Failure model, gives a detailed explanation of how his model makes accurate predictions of survival rates among congestive heart failure patients. And Dr. William Shuman examines the benefits of 64-slice imaging as a practice in cardiact CT angiography.
Cardiovascular Disease, Part 3 Take a closer look at one of the most deadly diseases in America, coronary artery disease. Dr. Larry Dean explains the history of the disease and how to manage the associated risks.
Carpal Tunnel Syndrome When Sharon Bosse arrived at a Uganda mission, her right hand was already weak. Peeling hundreds of potatoes left her hand tingling and numb – signs of carpal tunnel syndrome. The disorder often stems from repetitive motions such as typing or operating a cash register. Seeking surgery, Bosse turned to Dr. Nicholas Vedder at Harborview Medical Center. He performed the minimally invasive procedure that made her hand useful again.
Carpal Tunnel Syndrome: Advances in Treatment A presentation on hand injuries and related surgical management. Included is a review of the anatomy of the hand and a demonstration of surgical procedures that repair injury and restore function.
Cataract Surgery Joe Fernandes loves to travel, but as he developed cataracts, the world became blurry. He turned to Dr. Thellea Leveque, at the UW Medicine Eye Institute, for lens replacement surgery. Mr. Fernandes had other health concerns which could make his surgery more complicated, including diabetes and a heart condition. Dr. Leveque specializes in treating patients with complex cases, and she monitored him closely during his successful surgery. With 22 ophthalmologists on staff, the institute is known for multidisciplinary collaborative care of both common and complex eye conditions.
Causation of Scoliosis and Natural Course History Spinal deformity has fascinated as well as frightened human kind since the advent of recorded history. The causation of spinal deformity remains multi-factorial and incompletely understood. In this show a brief introduction to the history of scoliosis management is followed by a state of the art review of our current understanding of etiology and non-operative care. In an interactive format questions and commentaries of a number of scoliosis surgeons pose commonly asked general questions to University of Washington experts in the field of scoliosis surgery.
Center for Endovascular Therapy UW Medicine's Center for Endovascular Therapy offers a unified, multidisciplinary approach to patient care at both Harborview Medical Center and UW Medical Center. This University of Washington program explores how surgeons and
interventional radiologists work together to choose the best individualized treatment for each patient as well as giving viewers an in-depth look at three endovascular procedures: carotid stenting, vein ablation, and
thoracic aortic stent grafts.
Center for Reconstructive Surgery Physicians at the Center for Reconstructive Surgery at the University of Washington Medical Center treat patients to restore both functionality and aesthetic conditions following treatment for cancer and other diseases. Follow along as Dr. Peter Neligan, an internationally known specialist in microvascular reconstruction, treats a patient whose speech, swallowing and facial mobility were damaged by encephalitis. Through innovative transplants of muscles and tendons from her leg and arm to her face along with other procedures, Kirsten can again smile, blink and enjoy food. Listen to Dr. David Mathes discuss how current research will improve future patient care. You’ll also see how this multidisciplinary team collaborates to perform breast reconstruction surgery during a double mastectomy procedure for a breast cancer patient. The procedure uses the patient’s own abdominal tissue to create natural implants. Finally, Dr. Hakim Said performs nipple reconstruction surgery on a breast cancer survivor."
Cervical Spine Trauma The human cervical spine is a complex and relatively fragile structure, particularly exposed to trauma due to its location and relatively poor ligamentous support mechanisms. Understanding the potential for occult injuries and looking for such injuries enhances chances for early diagnosis and better treatment outcomes. Learn about patients who have survived an “internal decapitation” (atlanto-occipital dissociation) injury and their outcomes. The current use of Halo-vest –immobilization, which remains the most powerful nonsurgical form of cervical spinal column immobilization, is reviewed based upon the largest to date clinical study on these devices. Also, explore early data from an ongoing North American multi-center study that offers insight into the difficult diagnosis of elderly patients with upper cervical spine fractures.
Challenges in Understanding and Preventing HIV Transmission Dr. Julie Overbaugh, a member of the Human Biology Division of the Fred Hutchinson Cancer Research Center, shares HIV prevention approaches, explains why a cure is so challenging and explores potential immunization against HIV. Overbaugh discusses her ongoing research in Kenya to analyze HIV variants early in infection, especially in women and infants. These early HIV strains represent critical targets for vaccine design, and provide important insights into how HIV is transmitted.
Chronic Illness & Palliative Care, Part 1 There are misperceptions about living with a chronic illness such as diabetes. Hear about some of the recent and future advancements in diabetes care helping patients live full and meaningful lives. See what happens when the chronic illness reaches its life-limiting stages. Hear how patients, families, and physicians can integrate palliative care into their treatment to support living the best life possible during this challenging time.
Chronic Illness & Palliative Care, Part 2 There are misperceptions about living with a chronic illness such as diabetes. Hear about some of the recent and future advancements in diabetes care helping patients live full and meaningful lives. See what happens when the chronic illness reaches its life-limiting stages. Hear how patients, families, and physicians can integrate palliative care into their treatment to support living the best life possible during this challenging time.
Chronic Sinusitis Leland Bull's nasal congestion kept him from getting a good night's sleep -- ever. He's one of many people who suffer the pain, pressure and stuffiness of chronic sinusitis. Watch as Drs. Greg Davis and Ernie Weymuller, of the University of Washington Medical Center's Otolaryngology Head and Neck Surgery Center, use innovative techniques and the newest technologies to successfully treat patients for a wide variety of both routine and complex sinus conditions.
Chronic Spinal Cord Impairment: Stenosis and Syrinx Formation Spinal cord injury (SCI) is usually thought of in the context of an acute injury event. But within an increasingly aging population, excessive narrowing of the spinal column (spinal stenosis) can lead to the emergence of a chronic spinal cord impairment analogous to a subacute spinal cord injury (cervical spondylotic myelopathy). Identifying spinal stenosis both by clinical and radiographic means provides an important foundation for informed care delivery. Understanding the dynamics of cysts within and surrounding the spinal cord may also considerably impact functioning neural elements and can cause secondary loss of neurologic function. Finally, the role of surgery in treating cervical spondylotic myelopathy – a chronic deterioration of spinal cord function – is discussed, along with data emerging from a large North American trial.
Collarbone Triathlete Brian Davis turned to orthopaedic surgeon Dr. Winston Warme to treat his fractured collarbone. Dr. Warme, of the University of Washington Medical Center's Bone and Joint Surgery Center, used minimally invasive surgery to allow Brian to get back to a competitive level quickly, with minimal scarring. Today, Brian is swimming, biking and running as though his injury never happened.
College: You Can DO IT! College students with disabilities, guidance professionals, and faculty share advice for success in college. This video features participants in the DO-IT program at the University of Washington.
Combing the Evidence for Support of Lab-based Screening Tests: An Update From the US Preventive Services Task Force - David Grossman, MD, MPH The use of evidence-based guidelines is gaining renewed interest as an approach toward the rational use of health care dollars in Europe and the US. Dr. David Grossman, professor or Public Health & Community Medicine at the University of Washington, focuses on how the US Preventive Services Task force, a national independent body of primary experts sponsored by the Agency for Healthcare Quality and Research, uses evidence-based approaches in making its recommendations regarding screening tests for the US population. We will focus on the recent controversies around recommendations regarding cholesterol screening in children to exemplify the methods of the Task Force and contrast them to other organizations with similar recommendations.
Common Running Injuries Part of a healthy lifestyle often includes running, which can help to increase aerobic capacity and leg strength. However, the repetitive motions of running can lead to knee and ankle pain and injury. Orthopaedic specialist, Dr. John O’Kane and physical therapist, Lori Sabado, discuss conservative management, with a review of the mechanisms of injury and prevention techniques, as well as injury treatment options.
Communicating Prevention Research I Public opinion poll on prevention research in Washington state and research perspectives from the Centers for Disease Control.
Communicating Prevention Research II This program includes a media-scientist roundtable on the most effective ways to inform the media and the public about prevention research, as well as a panel discussion: How to Translate Research Results into News.
Complex Cervical Conditions Our increasingly aging population is inherently afflicted with a rising incidence of systemic ailments, such as tumor disease, inflammatory diseases and osteoporosis. In this lecture, doctors review clinical and radiographic risk factors for patients with inflammatory disease who should be considered for surgical stabilization. Doctors also review patients with a loss of physiologic lordosis of their neck and the management options.
Complex Percutaneous Coronary Intervention Why has angioplasty garnered more news attention in recent years? Dr. Steven L. Goldberg, professor of medicine in the division of cardiovascular diseases at the University of Washington School of Medicine and director of the UW Cardiac Catheterization Laboratory at the UW Medical Center, examines coronary angioplasty, also known as Complex Percutaneous Coronary Intervention, or PCI. Goldberg considers one patient case to demonstrate the decision-making process behind a procedure like a PCI. See inside the heart to understand what heart conditions may lead to a PCI, and how a PCI is performed. Further examination of studies on PCIs lead Goldberg to his closing conclusions on the subject.
Complications, Outcome Measures and Litigation Patients with advanced age or significant health problems undergoing spine surgery pose a unique set of problems and challenges to their treatment team. In her review of the current rate of risks, Dr. Lee from the University of Washington and Harborview provides a comprehensive overview of concerns that can affect the decision making of patients and the treatment team from an anesthesiologist’s point of view. Decreasing reimbursement of healthcare providers and hospitals for Medicare patients paired with increasing malpractice exposure also creates a potential for an unfavorable care delivery situation for elderly patients.
Congenital Heart Disease in Adults UW cardiology specialists discuss surgical treatments and drug therapy for congenital heart disease in adults. The condition includes any type of congenital heart malformation existing since birth, and requires a lifetime of multidisciplinary care.
Conquering Low Back Pain: A Rehabilitation Approach University of Washington doctors discuss the common causes of low back pain, debunk some low back pain myths, and demonstrate exercise and preventive strategies that keep the spine healthy and fit. Learn strategies to either gain or maintain a healthy back in order to allow continued participation in active lifestyle for any sport or daily activity.
Controversies in Cardiology The University of Washington Regional Heart Center presents patient case studies focusing on the controversies in cardiology. For more information, see the University of Washington Regional Heart Center Web site.
Controversies in Spine Trauma: Injury Prevention and Treatment Though a cure for Spinal Cord Injury (SCI) remains elusive, a strong emphasis should rightfully be placed on injury prevention efforts, especially since so many of these injuries affect young patients injured under commonly avoidable circumstances. As demonstrated in several case examples, legislative actions have demonstrably shown reduction of injury rates. The controversies of choosing a specific type of surgical intervention in patients with complex cervical spine fractures are addressed in the second portion of this program.
Corneal Transplant Surgery: The Gift of Sight The cornea is a window for the eye, protecting the interior and helping to focus light on the retina. Disease or trauma can damage the cornea, creating cloudy images, and in severe cases, corneal blindness. As a treatment for cornea damage, corneal transplant surgery has become the most successful tissue transplant procedure performed. In this program, experts discuss how this surgery is performed, its benefits and risks, and how the Lions Eye Bank protects and distributes corneas for transplants.
Cosmetic Surgery: A Multidisciplinary Approach Cosmetic techniques for coping with weight-loss issues, such as the
loss of skin elasticity, hair loss, nose reconstruction, and the use of
botulinum toxin, among other aesthetic solutions.
Cranio-Cervical Surgery Certain arthritic conditions, such as rheumatoid arthritis, often manifests at the junction of the skull to the neck, as well as its upper two motion segments. Dr. Virany Hillard, assistant professor of neurological surgery at the University of Washington, demonstrates techniques of decompression of the spinal cord, cerebellum and indications for surgical stabilization. Dr. Carlo Bellabarba, associate professor of orthopaedic and neruological surgery at the University of Washington, presents a variety of surgical fixation techniques to maximize the healing of the cranium to the cervical spine.
Current Status of Ventricular Assist Devices for Chronic Heart Failure Examine mechanical devices used to keep patients’ hearts pumping. Dr. Nahush A. Mokadam, assistant professor of surgery in the University of Washington’s School of Medicine and the surgical director at the Heart Transplant and Mechanical Circulatory Support at UW Medical Center, discusses many kinds of Ventricular Assist Devices, or VADs. When should a patient receive one of these devices? What are the benefits and risks of each type? Learn what drives the University of Washington Medical Center’s high success rates for patients who receive these devices.
DAISY Graft Professional women's motocross racer Sydney Babcock dislocated her shoulder several times. She sought treatment at the UW Sports Medicine Clinic, with orthopaedic surgeon Dr. Christopher Wahl, who pioneered the DAISY graft procedure. This minimally invasive surgery was developed to restore a patient's normal anatomy after repeated shoulder dislocations. For Sydney, it put her back on the racetrack quickly and with full mobility.
Dangerous Business: Workplace Hazards, Part 1 A myriad of causes lead to environmental illness. Some 100,000 chemicals are commonly used in the workplace today. University of Washington School of Medicine professors Drs. Joann G. Elmore, Hugh M. Foy, Christopher H. Allan and Matthew Keifer explain how workplace hazards are identified and what solutions are available to prevent or reduce injuries and health concerns. Also explore the most common of occupational injuries – carpal tunnel syndrome – and its related disorders.
Dangerous Business: Workplace Hazards, Part 2 In the second half of this two-part program, continue to learn about dangers in the workplace. University of Washington School of Medicine professors Drs. Joann G. Elmore, Hugh M. Foy, Christopher H. Allan and Matthew Keifer explain how workplace hazards are identified and what solutions are available to prevent or reduce injuries and health concerns. Also explore the most common of occupational injuries – carpal tunnel syndrome – and its related disorders.
Daniel's Story: Craniofacial and Neurosurgery Daniel was born with part of his brain outside his skull. His face didn't look
like other people's. At Seattle Children's Hospital, a team of craniofacial and
neurosurgeons sealed the opening to Daniel's brain to protect him from disease
and injury. Learn more about this very complicated procedure in this University of Washington program, where doctors give Daniel the
face he should have been born with.
This program has earned an Emmy nomination from the Northwest Chapter of the National Academy of Television Arts and Sciences for its outstanding production. It has already received a New York Festivals International Film and Video Competition bronze award earlier in 2008.
Day 1: Welcome The GAPPS International Conference on Prematurity and Stillbirth brings renowned health experts for an invitation-only conference in Seattle May 7-10 to discuss current and future research and policy proposals for combating prematurity and stillbirth.
Day 2: Advocacy: Summary of Advocacy Research The GAPPS International Conference on Prematurity and Stillbirth brings renowned health experts for an invitation-only conference in Seattle May 7-10 to discuss current and future research and policy proposals for combating prematurity and stillbirth.
Day 2: Delivery: Strategies for Delivering Interventions The GAPPS International Conference on Prematurity and Stillbirth brings renowned health experts for an invitation-only conference in Seattle May 7-10 to discuss current and future research and policy proposals for combating prematurity and stillbirth.
Day 2: Discovery: Applied Epidemiology The GAPPS International Conference on Prematurity and Stillbirth brings renowned health experts for an invitation-only conference in Seattle May 7-10 to discuss current and future research and policy proposals for combating prematurity and stillbirth.
Day 2: Discovery: Basic Science The GAPPS International Conference on Prematurity and Stillbirth brings renowned health experts for an invitation-only conference in Seattle May 7-10 to discuss current and future research and policy proposals for combating prematurity and stillbirth.
Day 2: Ethics and Social Justice: Summary of Landscape Review The GAPPS International Conference on Prematurity and Stillbirth brings renowned health experts for an invitation-only conference in Seattle May 7-10 to discuss current and future research and policy proposals for combating prematurity and stillbirth.
Day 2: Welcome and Overview The GAPPS International Conference on Prematurity and Stillbirth brings renowned health experts for an invitation-only conference in Seattle May 7-10 to discuss current and future research and policy proposals for combating prematurity and stillbirth.
Day 3: Challenges in Identifying and Developing Interventions for Impact The GAPPS International Conference on Prematurity and Stillbirth brings renowned health experts for an invitation-only conference in Seattle May 7-10 to discuss current and future research and policy proposals for combating prematurity and stillbirth.
Day 3: High-Dimensional Biology to Address Preterm Birth The GAPPS International Conference on Prematurity and Stillbirth brings renowned health experts for an invitation-only conference in Seattle May 7-10 to discuss current and future research and policy proposals for combating prematurity and stillbirth.
Day 3: Plenary Session The GAPPS International Conference on Prematurity and Stillbirth brings renowned health experts for an invitation-only conference in Seattle May 7-10 to discuss current and future research and policy proposals for combating prematurity and stillbirth.
Day 3: Visual Ink Recap of Day 1 Workgroup Progress The GAPPS International Conference on Prematurity and Stillbirth brings renowned health experts for an invitation-only conference in Seattle May 7-10 to discuss current and future research and policy proposals for combating prematurity and stillbirth.
Deformity Reduction with Pedicle Screws Realignment of spinal deformities has been greatly enhanced by the use of pedicle screw based implant systems. University of Washington doctors present the safety and utility of screw fixation in the thoracic spine, followed by a discussion of application of these devices for patients with lumbo-sacral spondylolisthesis.
Degenerative Conditions of the Spine A traumatic car accident left hang gliding expert Larry Jorgenson with severe shoulder pain and numbness in his arms. Unsatisfied with answers from numerous physicians, he turned to Dr. Michael Lee, an orthopedic spine surgeon at the University of Washington Medical Center. Lee determined Jorgenson needed surgery for degenerative disc disease of the cervical spine. Using video from the surgery suite, Lee carefully details how he surgically removed bulging discs from Jorgenson’s spine that were pinching his nerve roots. A bone graft enabled his vertebrae to fuse together. Lee also explains how cervical disc replacement surgery can help other patients preserve movement after surgery.
Descending Thoracic and Thoracoabdominal Aortic Aneurysm Repair This program describes the minimally-invasive technique that repairs an aortic aneurysm, a condition where the aortic artery is weakened, causing it to expand like an over-inflated balloon and risk rupture and internal bleeding.
Detecting Circulating Tumor Cells - Dr. Daniel Sabath Successful cancer therapy is intended to eliminate all traces of cancer from the patient. If cancer cells survive the therapy, they may eventually grow back, resulting in relapse. Numerous studies, especially in the setting of hematological malignancies, have shown that the presence of even small numbers of residual cancer cells can increase the risk of relapse. Thus, the development of sensitive methods to detect minimal residual disease may help predict which patients are at risk of relapse, and the hope is that therapies will be developed to eliminate residual cancer cells. Dr. Daniel Sabath, associate professor in the University of Washington department of laboratory medicine, explores the concept of minimal residual disease in cancer, reviews the methods used to detect small numbers of cancer cells, and discusses new technology for detecting minimal residual disease in breast cancer.
Developing Vaccines for Emerging and Global Infectious Diseases Lawrence Corey, professor at the University of Washington School of Medicine, discusses how vaccines work to influence population-based effects on reducing and infection or disease. Dr. Corey describes the financial and scientific challenges in developing vaccines for diseases that affect primarily the non-industrialized countries and discusses why developing and manufacturing new types of vaccines has lagged behind the development of novel therapies. His presentation also focuses on issues surrounding the HIV vaccine and pandemic avian flu.
Disclosing Harmful Medical Errors to Patients: What Is the Data Telling Us? - Thomas Gallagher, MD Expectations are growing that physicians openly disclose harmful medical errors to patients, but at present such disclosure appears to be uncommon. In this University of Washington program, hear Dr. Thomas Gallagher talk about current research in the disclosure process and future developments.
Distinguished Faculty Lecture with Christopher Murray Dr. Christopher Murray is the director of the University of Washington's Institute for Health Metrics and Evaluation and professor of Global Health at the UW School of Medicine and School of Public Health and Community Medicine. In this program, he evaluates the performance of national medical care and public health systems. A physician and health economist, Dr. Murray's early work focused on tuberculosis control and developing a new metric to compare death and disability from various diseases and the contribution of risk factors to the overall burden of disease in developing and developed countries. This pioneering effort has been hailed as a major landmark in public health and an important foundation for policy formulation. From 2003 until 2007, he was the director of the Harvard University Initiative for Global Health.
Do No Harm: Teaching Safe Practices & Communicating Medical Error, Part 1 Learn how patient safety is advanced through simulation education, surgical interventions and practicing for emergency situations. Consider the challenges involved in responding to patients when medical errors happen, such as medical equipment failure, root cause analysis, human factors, usability, and physician error.
Do No Harm: Teaching Safe Practices & Communicating Medical Error, Part 2 Learn how patient safety is advanced through simulation education, surgical interventions and practicing for emergency situations. Dr. Mika Sinanan examines the challenges involved in responding to patients when medical errors happen, such as medical equipment failure, root cause analysis, human factors, usability, and physician error. 'The Colleges', a program which focuses on teaching patient communication at the bedside, is also featured.
Donor Nephrectomy / Kidney Transplant Dr. Christian Kuhr presents information on laparoscopic donor nephrectomy, a surgical procedure to remove the kidney from a person willing to donate it, to someone who has kidney failure. Discover how doctors remove the kidney laparoscopically and immediately transplant it into the recipient.
Early Childhood Development: Early Learning, the Brain and Society How does a child’s capacity to learn relate to the central debate about nature or nurture? As part of the Early Childhood Development lecture series, Dr. Patricia Kuhl talks about children’s ability to learn effortlessly and the importance of social interaction in the learning process. Kuhl, professor of Speech and Hearing Sciences and co-director for the UW Institute for Learning and Brain Sciences, is internationally recognized for her research on early language and brain development.
Early Detection and Prognosis for Ovarian Cancer - Elizabeth Swisher, MD Ovarian cancer has the highest mortality of all gynecologic cancers. Most women with ovarian cancer are diagnosed after the cancer has already spread to other organs when the cure rate is low. Much effort has been applied to improving the early detection of ovarian cancer. Elizabeth Swisher, Associate Professor, Dept. of Obstetrics and Gynecology reviews the evidence and methods for current and future technologies for ovarian cancer screening. She reviews risk factors and identification of women at high risk of ovarian cancer and describes novel hypotheses for the origin of ovarian cancer that may impact future prevention strategies.
Early Learning and the Brain The University of Washington Institute for Learning and Brain Sciences is an interdisciplinary center conducting innovative research on lifelong learning and the brain. The center’s scientific studies on children and adults have had a far-reaching impact on cognitive science, neuroscience, artificial intelligence, and education.
One area of research focuses on how infant and adult brains process language, and has advanced our understanding of critical periods in learning. Another important area of research focuses on cognitive development and social understanding in infants, children, and adults. This pioneering work has demonstrated the importance of role models in human development and their profound effect on learning.
Eat to Impact Performance The Washington Interscholastic Nutrition Forum is an organization dedicated to promoting better nutrition education for young athletes. The WINForum's goal is to reinforce the connection between good nutrition and peak performance.
Embracing Fitness: Training for a Half Marathon If you want to begin training for a marathon or half-marathon, Alysun Deckert, a marathon runner and clinical dietitian with University of Washington Medical Center, explains how to create your own sensible and injury-free exercise routine. Deckert is joined by members of Team Transplant, surgery survivors who are now running or walking in half marathons or marathons. The discussion includes warm-up techniques plus tips for running clothes and shoes. Transplant Services at UW Medical Center are a product of clinical, academic, and research activities of the divisions of transplantation and cardiothoracic surgery at the University of Washington School of Medicine.
End-of-life Decision Making Leaders in pediatric bioethics discuss the often difficult and complex issues related to end-of-life decision making. Presented by the Treuman Katz Center for Pediatric Bioethics at Seattle Children’s Hospital, the 2009 Pediatric Bioethics Conference explored ethical issues in adolescent health care. Dr. Douglas Diekema, director of education at the Treuman Katz Center and adjunct associate professor of Bioethics and Humanities at the University of Washington, is joined by Dr. Lainie Friedman Ross, professor of Clinical Medical Ethics at the University of Chicago, and Dr. Ellen Clayton, director of the Center for Biomedical Ethics and Society at Vanderbilt University Medical Center.
Engraftment Monitoring Following Human Stem Cell Transplantation - Shalini Pereira, Ph.D. Chimerism is an extremely rare disorder that mixes the chromosomal population in a single organism. Chimerism may manifest as the presence of two sets of DNA, or organs that do not match the DNA of the rest of the organism. In some cases, hermaphroditic characteristics can be signs of chimerism. Contemporary use of the term chimerism derives from the idea of a “mixed” entity, referring to someone who has received a transplant of genetically different tissue. Engraftment monitoring, also called chimerism testing, by DNA utilizes methodology commonly used in human identity testing. Dr. Shalini Pereira talks about how this new testing technology identifies genetic profiles of a recipient and donor(s) after a stem cell transplant, and can be used to evaluate the extent of mixture in the recipient's peripheral blood, bone marrow or other tissue.
Eugenics and Disability: History and Legacy in Washington In 1909, Washington became the second state to pass a law allowing for the forced sterilization of people with disabilities and other citizens in the name of improving society. Why was eugenics so widely popular during the early 20th century? What is the significance of the hidden and complex history of eugenics in 2009? This one-day symposium will provide a forum for dialogue about Washington’s eugenic past and its present-day implications for the lives of people in our communities. The roundtable format will feature local and national speakers, with ample time for audience discussion.
Evan Kaplan, CEO and Co-founder, Aventail Laura Schildkraut interviews Evan Kaplan, president, chief executive officer and chairman of Aventail Corporation, a managed services company that securely connects people to applications over the Internet.
Everyday Ethics Explore the mind of the adolescent and what motivates decisions about their health care with leaders in pediatric bioethics at the 2009 Pediatric Bioethics Conference presented by the Treuman Katz Center for Pediatric Bioethics at Seattle Children’s Hospital. Dr. Lesly Walker, chief of the Division of Adolescent Medicine at Seattle Children's/University of Washington School of Medicine, and Julie Giesy Metzger, RN, MN, co-founder of Great Conversations, lead the discussion.
Experience and Problems in Laboratory Medicine in Developing Countries - Jack H. Ladenson, Ph.D. Dr. Jack H. Ladenson will present the lessons of 12 years experience of Pathologists Overseas in working to upgrade clinical laboratories and training in a variety of developing countries, especially Eritrea and Bhutan. Dr. Ladenson describes ways in which we can allow the country to set its own priorities plus systems to allow country-wide standardization of laboratory values, simplified inventory control, and training and monitoring in quality assurance.
Facial Reconstructive Surgery Encephalitis, an acute inflammation of the brain, severely damanged Kirsten Evasovich’s ability to swallow, blink and communicate. She turned to Dr. Peter Neligan, an internationally known specialist in microvascular reconstruction at the Center for Reconstructive Surgery at the University of Washington Medical Center. Dr. Neligan used several innovative procedures, including transplanting muscles and tendons from her leg and arm to her face, to help Kirsten begin to smile and enjoy food again.
Fairness and Factions in Health In this panel discussion, University of Washington faculty examine how issues of access, culture, trade, finance and regulation affect health care to world citizens. Panel members share research results regarding the challenges and opportunities involved and consider the issues of human rights and health inequities in providing care.
Female Urinary Incontinence Millions of women are affected by urinary incontinence every year at a large cost to society in the form of medical treatments and incontinence pads. In this program, doctors present a novel and effective treatment for urinary urge incontinence, a form of incontinence that results in a sudden and uncontrollable loss of urine. This new therapy can correct or dramatically improve urge incontinence so that women regain control over their bladders, and their lives.
Fractures in Patients with Ankylosing Spinal Conditions As the aging population grows, certain types of fractures are becoming more common. These fractures involve arthritic conditions in which the spinal column loses its motion process and eventually fuses, making the patient vulnerable to complex spine fractures. Dr. Rick Bransford, assistant professor of orthopaedic surgery at the University of Washington, examines a number of such arthritic disorders and their influence on outcomes following spine fractures. This program also explores emerging research into less invasive ways of surgical spine care.
From Bench to Bedside: Biomedical Research and Patient Care This video recognizes the vital role of humane animal use in biomedical research, higher education and product safety testing. The purpose of biomedical research is to understand the living body, and to try to find ways to prevent and treat diseases and disorders. Research with animals is one of the most regulated aspects of medical research. Federal and state agencies stringently regulate medical research with animals to ensure humane and responsible care. The scientific community supports the highest quality of care and treatment of research animals.
From Lab Medicine Resident to Pharmaceutical CEO: The Story of Syntrix Biosystems - John Zebala, MD, Ph.D. This University of Washington grand rounds will be of interest to potential and current entrepreneurs in the biomedical sciences and those considering alternative career paths in medicine. Dr. John Zebala, CEO of Syntrix Biosystems gives an overview of the elements necessary to forming an early stage biotechnology company, including conventional and alternative sources of financing, strategies for developing a strong intellectual property portfolio and other first-hand lessons learned during the formation process of a biotechnology business.
Fusion: Indications and Utilization Rate Over the past four decades the utilization rates of spinal fusions have risen considerably in the United states of America, while the techniques of performing a spinal fusion have changed considerably as well. University of Washington doctors examine the U.S. trends in regards to fusion rates and compare surgical techniques. Causes of increased application rates of fusions are unknown and may reflect the health care needs of an aging and growing population or may constitute a more aggressive implementation on the part of surgeons.
Future Trends in Spinal Deformity Surgery Starting from very humble, largely manipulative non-operative beginnings, spinal deformity surgery has risen to making positively life-changing differences possible, even in the most severely affected patients. The implementation of spinal deformity surgery for more cosmetic rather than functional concerns has emerged as a new application for such procedures but requires further study. In this keynote lecture, University of Washington doctors and Dr. James Wilson-MacDonald from the University of Oxford weigh the potential of non-surgical or non-fusion treatment against the results of treatment with more conventional fusion techniques. A patient who received major reconstructive deformity surgery is demonstrated several years after surgery.
Genomic Abnormalities in Psychiatric Disorders - Dr. Tomas Walsh Several recent studies are shedding light on the genetics of schizophrenia. Among the implicated mutations are rare copy number variants, including large genomic deletions and duplications. The University of Washington's Dr. Tomas Walsh describes each of these mutations and their underlying genomic architecture. He also shares how new sequencing technologies can facilitate mutation discovery in psychiatric diseases.
Genomic Health Care Genetic testing already plays in important role in health care, providing the means to identify many rare inherited health problems. With the Human Genome project, the scope of genetic testing is expanding, and genomic research offers new opportunities for studying how diseases occur and, over time, to new treatments. These developments offer great hope, but also pose risks and challenges.
Geriatric Cervical Spine Trauma Doctors, such as Jens Chapman from the University of Washington, discuss the increasing prevalence of elderly patients who sustain complex fractures to their upper cervical spine from falls, fractures that can lead to high rates of morbidity and mortality. A number of treatment options for odontoid fractures with emphasis on nonoperative care are discussed, as well as recently developed surgical techniques. Recent biomechanical advances in instrumentation allow for more efficient applications in a wider range of patients.
Glaucoma Clinical case studies focusing on surgical techniques for the treatment of Glaucoma. Viewer Discretion is Advised -- videotape of a surgical eye procedure is included in the broadcast.
Global Health Discovery Through the Lens A love for travel inspired author and photographer Phil Borges' striking portraits of indigenous peoples around the world, but his work with various humanitarian organizations, and the creation of the non-profit Bridges to Understanding to bring digital storytelling to teens around the world, is truly moving. Through his photography and stirring personal accounts, Borges details his efforts with organizations that surgically repair cleft palates and severe burns of children and adults living in remote areas around the world. His multimedia pieces tell the powerful stories of a woman in Ethiopia who is changing perceptions within her own culture about female genital mutilation, Peruvian women working to decrease maternal mortality and a Bangladeshi prostitute who is improving conditions within her community.
Grand Rounds: The Senior Health Enhancement Program Elizabeth A. Phelan reports on the results of a study with senior citizens in which the effects of health screenings, nutrition, and exercise were evaluated.
Hand and Microsurgery Team This University of Washington program features UW Medicine's Orthopaedic and Sports Medicine surgeons who specialize in treatments for a wide variety of hand, wrist and arm problems, with the goal of returning patients to full function. We take a
behind-the-scenes look at Drs. Doug Hanel, Thomas Trumble, Nicholas Vedder
and Paul Martineau as they work with patients suffering from stiff elbow, radius malunion, carpal tunnel syndrome and thumb arthritis.
Hand and Wrist Arthritis University of Washington Bone & Joint Center specialist, Dr. Thomas Trumble, explains surgical treatment and physical therapy management for arthritis of the hand. He reviews the anatomy of fingers and wrist, as well as surgical procedures that repair the injury, improve hand function, and reduce pain.
HDL: When Good Cholesterol Goes Bad Dr. Jay Heinecke, professor in the University of Washington's Department of Medicine, reveals how new research suggests HDL, the "good" cholesterol, may also have a harmful side. Renowned for its ability to protect against heart disease, scientists have found the protein composition of HDL plays an important role in whether this kind of cholesterol is helpful or dangerous. A better understanding of these proteins could lead to new, more accurate tests for predicting or evaluating heart disease.
Healing Young Bones and Joints: Orthopedics & Sports Medicine at Seattle Children's The Orthopedics and Sports Medicine Department at Seattle Children’s addresses the special needs of growing bones, joints and connective tissue in children and adolescents. Meet a high school basketball hopeful after a knee injury on the court, and his pediatric orthopedic and sports medicine surgeon Dr. Greg Schmale, along with physical therapist Janet Morton. Together they get him back in the game.
The department also offers around-the-clock emergency care in pediatric orthopedics and sports medicine. Follow along as surgeon Dr. Klane White meets patients in the Children’s Emergency Department and performs a late-night repair on the broken femur of an ambitious young tree climber.
Health Care and a Healthy Society - Part 1 Will changing our national health-care system provide health care for more people? Can any health care system make a population healthy? What is the biggest deterrent to good health in our nation? Join in the debate with UW School of Medicine doctors.
Health Care and a Healthy Society - Part 2 Will changing our national health-care system provide health care for more people? Can any health-care system make a population healthy? What is the biggest deterrent to good health in our nation? Join in the debate with University of Washington School of Medicine doctors.
Health Care Reform: The Real Story How can the medical community deliver high-quality and cost-effective health care? David Cutler, the Otto Eckstein Professor of Applied Economics at Harvard University Department of Economics, examines some solutions at the 19th Hogness Symposium on Health Care lecture, entitled “Health Care Reform: The Real Story.” Ultimately, Cutler says, health care reform will depend on the participation of everyone: patients, health care providers, insurers and government.
Health Consequences of War War and regional conflicts create immense challenges to public health, including direct casualities, damage to health-related infrastructure (water/waste treatment/food and medical distribution systems), increased risk of acute and chronic disease, environmental degradation, mental health issues and destruction of habitat and food production. The three speakers discuss the challenges of maintaining public health in such an environment, using Iraq as a case study.
Healthcare: Finding, Managing and Using Quality Medical Information Laura Schildkraut talks with Andrew Schorr, founder of Health Talk, host and founder of Patient Power and a leading patient information advocate.
Information professionals can play a vital role in helping people make decisions about their healthcare options. Wanda Pratt, Associate Professor at the University of Washington Information School and School of Medicine, discusses how people find, manage and use medical information.
Heart Arrhythmia Patricia Awisus was experiencing arrhythmia – irregular heart rhythm – and couldn’t be as active as she wanted. “I’m so glad that I’m living in a time when [doctors] can do something,” she said. Awisus sought care at UW Medicine’s Regional Heart Center, where Dr. Robert Rho installed a permanent pacemaker. Cardiac electrophysiology expertise enables physicians here to improve patients’ longevity and quality of life.
Helping Young Aggressive Children Beat the Odds: Parents, Children, Teachers and Dinosaurs Early onset aggression in children as young as age 3 is the single most-important predictor of later delinquency, substance abuse and violence. Carolyn Webster-Stratton talks about why some children are aggressive and how effective prevention and intervention can help these kids.
Hemochromatosis and Hepatitis C Dr. Kris Kowdley presents "Hereditary Hemochromatosis: Ironing Out a Metallic Malady." Hemochromatosis is the most common form of iron overload disease. Dr. Anne Larson discusses Hepatitis C, a virus which infects the liver and causes chronic disease.
Herniated Disc Repair Dr. Michael Lee, an orthopaedic spine surgeon at the University of Washington Medical Center’s Bone and Joint Surgery Center, removes a herniated disc from the spine of patient Chad Oishi, who wakes up from surgery feeling “instant relief.”
History of Multiple Sclerosis The second program in the Multiple Scleroses From A to Z series is presented by the distinguished MS researcher and clinician, Dr. Jock Murray. Dr. Murray is acknowledged as the world’s leading expert on the history of MS. He is from Halifax, Nova Scotia, where he has served as dean of Dalhousie Medical School, chairman of the Department of Neurology, and founder and director of the MS Clinic.
HIV-1 Infection: Laboratory Diagnosis and Utility of Rapid Testing - A Tiresian Odyssey - Robert Coombs, MD, PhD In the United States, current HIV diagnostic algorithms based solely on serologic criteria for infection are inadequate for the timely diagnosis of acute or early HIV infection. Dr. Robert Coombs, professor of Laboratory Medicine and Medicine at the University of Washington, advises that future diagnostic algorithms should embrace simple/rapid antibody and HIV nucleic acid testing to support efforts to incorporate the concept of “presumptive HIV infection” into the early reporting of HIV test results. These simple/rapid test devices for detecting HIV infection will be very useful for point-of-care HIV testing in both resource-rich and resource- limited settings, but the limitations of these tests must be considered. A greater effort should be made to educate health care providers about the need for HIV diagnostic algorithms that incorporate these simple/rapid HIV test devices.
HIV: In your Global Neighborhood Featured speaker King Holmes, director of the Center for AIDS and STD at the University of Washington, is joined by William Gates Sr. to discuss the efforts of the Bill and Melinda Gates Foundation in working toward better health conditions for humanity across the globe. More than any other single health issue, HIV/AIDS threatens the development and stability of many nations, disproportionately affecting those in developing countries. King Holmes discusses viable options for treatment and prevention, and the policy implications of those choices.
How Physicians View the Issue: Parents Who Refuse to Vaccinate a Child This program focuses on a variety of issues related to parental rights regarding childhood vaccinations, including the origins of immunization hesitancy, and the medical community's response to the parent who refuses to vaccinate their child. Edgar Marcuse, professor at the University of Washington School of Medicine, discusses the nature and scope of immunization hesitancy and vaccine refusal in the United States. Dr. Marcuse identifies societal factors contributing to immunization hesitancy and discusses the tension between protecting the public's health and protecting the individual's right to choose. Joel Frader, professor at Northwestern University Feinberg School of Medicine, discusses the pediatricians' view of families who refuse vaccines and identifies the moral issues in responding to vaccine refusal. He also discusses options for physicians when parents refuse to vaccinate their children.
HPV and Cervical Cancer: 25 Years from Discovery to Vaccine Dr. Denise Galloway, Head of the Cancer Biology program at Fred Hutchinson Cancer Research Center, discusses her investigation into the natural history of HPV, a virus that has the potential to lead to cancer in “HPV and Cervical Cancer: 25 Years from Discovery to Vaccine.”
Humane Use of Animals in Research A distinguished panel from the Washington Association for Biomedical Research, the University of Washington Biobehavioral Nursing and Health Systems and the VA Puget Sound Health Care System discuss the discovery of new medical treatments and pharmaceuticals through the humane use of animals in research. Topics include: federal and state laws regulating the use of animals in research, the veterinary care of research animals, as well as safeguards and training for researchers and healthcare professionals.
I Want To Be Hear stories of three individuals who have prospered in spite of living with a serious mental illness. Demonstrating the value of meaningful work and supportive employers, "I Want To Be" will inspire those who are living with a mental illness to know they can succeed, employers to appreciate that hiring people with a mental illness is good for business and professionals in the mental health and vocational rehabilitation fields that their partnership with people striving to make a better life can pay dividends. An Introduction to the Film by Governor Christine Gregoire establishes the commitment of the state of Washington to become a leader in the employment of individuals living with a mental illness and that their success benefits us all.
"I Want To Be" was developed as part of the Mental Health Division’s Systems Transformation Initiative from the WA State Department of Social and Health Services and was a joint effort by the Mental Health Division, Washington Institute on Mental Health Research and Training, the University of Washington, Harborview Medical Center, and the film’s production company Hero Labs, with funding support from SAMHSA.
Ideas to Innovation: Health The University of Washington connected with business leaders on campus Sept. 18, 2006 at the Ideas to Innovation summit for CEOs. The first meeting of its kind at the UW, one of the summit’s goals is to position the state of Washington as the epicenter for global health, environmental sustainability and technology in the 21st century. Governor Christine Gregoire and UW President Mark Emmert spoke, along with area business leaders and researchers.
Identifying and Classifying Spinal Injury Timely identification of Spinal Cord Injury (SCI) is vital to streamline treatment and optimize outcomes. Missed spinal injuries may cause additional disability, and even death. Improved imaging techniques allow for unprecedented diagnosis of spine injures. But effective implementation of these available imaging techniques remains a less than straightforward undertaking due to many variable factors that affect trauma patients. Examine how the application of a risk-adjusted approach may prevent doctors from overlooking spine injuries, and also consider new approaches in classifying spine trauma.
Identifying Regulatory Motifs in DNA Sequences Although many genome sequencing projects are completed or are nearing completion, important questions about the interpretation of those DNA sequences remain. This program surveys three very different computational methods that have been developed for the discovery of novel regulatory elements. This is joint work with Mathieu Blanchette, Jeremy Buhler, Benno Schwikowski, and Saurabh Sinha.
Imagery and Interpretation in International Medicine - Part 1 Learn how a large institution like Harborview Medical Center has overcome language barriers and learned to recognize cultural expressions of illness to treat non-English-speaking communities. Hear how a dermatologist in Seattle “sees” patients in South Africa, diagnosing and treating skin diseases that are often the first sign of HIV. Phil Borges will present his photographs of cultures from around the world.
Imagery and Interpretation in International Medicine - Part 2 Learn how a large institution like Harborview Medical Center has overcome language barriers and learned to recognize cultural expressions of illness to treat non-English-speaking communities. Hear how a dermatologist in Seattle “sees” patients in South Africa, diagnosing and treating skin diseases that are often the first sign of HIV. Phil Borges will present his photographs of cultures from around the world.
Immunopathogenesis and Epidemiology of Malaria - Patrick Duffy, MD Malaria caused half a billion clinical illnesses and a million or more deaths in 2007. Measuring the burden of malaria is difficult because clinical features overlap with other diseases, diagnosis is imperfect, and many of its sequelae are masked by the complex relationship of parasite to host to disease. The remarkable life cycle of the parasite offers many targets for intervention, and vaccines being developed against different stages of the life cycle have different objectives. Learn more about malaria from Patrick Duffy, professor, University of Washington department of Global Health, and director of the Malaria Program at the Seattle Biomedical Research Institute.
Improving Regional Smiles Eighty percent of dental disease in the state of Washington is found in twenty percent of the population, a population that is largely rural, poor, and young. A variety of community outreach experiences comprises the UW School of Dentistry’s 4-year curriculum, providing students with opportunities to serve patient populations that experience significant barriers to receiving dental care. Significant research programs have been developed to understand the biological and behavioral components that contribute to oral health disparities in this region.
Indications for Lumbar Fusions Successful patient outcomes in lumbar fusion surgery require the ability to identify conditions which have a realistic chance of improving symptoms through a technically well-performed procedure. The presenters outline indications, limitations and potential of fusion surgery, as well as review recent developments in the field.
Infection Control in Healthcare Settings for Viral Respiratory Pathogens Infection control in healthcare facilities is critical because of the potential role they can play in propagating and controlling emerging respiratory infections. This talk looks at infection control issues for hospitals related to avian influenza.
Infections: Fighting Back - Part 1 Sexually transmitted diseases such as chlamydia and AIDS - and new diseases like severe acute respiratory syndrome (SARS) - are a continuing danger to everyone. Some are effectively controlled with the help of modern technology. Other emerging and re-emerging infectious diseases are appearing in forms that are resistant to drug treatments.
Infections: Fighting Back - Part 2 Sexually transmitted diseases such as chlamydia and AIDS - and new diseases like severe acute respiratory syndrome (SARS) - are a continuing danger to everyone. Some are effectively controlled with the help of modern technology. Other emerging and re-emerging infectious diseases are appearing in forms that are resistant to drug treatments.
Inflammation: The Difference Between Medicine and Poison is the Dose Dr. Brad T. Cookson, professor in the Department of Laboratory Medicine and head of the Clinical Microbiology Division at the University of Washington, explains the relationship between cell death and inflammation. Cookson leads a research team at UW focused on the mechanisms of cell destruction.When a potentially dangerous cell, such as a cell infected with Salmonella, dies, it spills chemical signals and triggers protective response. The resulting inflammation, which the body launches in self-defense, can at times backfire and damage vital tissues. Cookson's team named this type of cell death "pyroptosis," Greek for going down in flames.
Innovations and Discoveries in Medicine, Part 1 From the gene connection to deep brain stimulation, robotics, high intensity focused ultrasound (HIFU) and simulation, hear about our current and anticipated medical and biotechnological achievements.
Innovations and Discoveries in Medicine, Part 2 From the gene connection to deep brain stimulation, robotics, high intensity focused ultrasound (HIFU) and simulation, hear about our current and anticipated medical and biotechnological achievements.
Innovations in Shoulder Surgery Physicians at the University of Washington Medical Center’s Bone and Joint Surgery Center use innovative and proven surgery techniques designed for quick recovery and optimal outcomes to treat patients with shoulder injuries. Dr. Rick Matsen uses an alternative to a traditional shoulder replacement called a “ream and run” to help a 65-year-old racquetball player keep swinging hard on the court. The pioneer of this procedure, Dr. Matsen discovered that the ream and run allows cartilage to rebuild itself, recreating a smooth joint surface. Dr. Winston Warme repairs a torn rotator cuff to keep a very active construction manager rock climbing and doing Bikram yoga. Dr. Warme also uses arthroscopic surgery to perform a Bankart repair on a college student who suffered multiple shoulder injuries..
Innovations in Spine Care Physicians at the University of Washington Medical Center’s Bone and Joint Surgery Center use state-of-the-art research and technology to expand treatment options for spine patients. Hear directly from three UW Medicine doctors, Dr. Virany Hillard, Dr. Marla Kaufman and Dr. Michael Lee, and their patients as each are treated for spine ailments. In one case, surgery was the solution for getting a rancher back in the saddle again. For another patient suffering from stenosis, a steroid injection and physical therapy was the right course of action. A third patient with a herniated disc first chose less invasive treatment, then found surgery was ultimately the answer for regaining his active lifestyle.
Interdisciplinary Geriatric Research Forum: Closing Address by Dr. Eric B. Larson The UW Interdisciplinary Geriatric Research Forum is an event co-sponsored by the UW Center for Interdisciplinary Geriatric Research and the Institute on Aging. Dr. Eric Larson’s closing lecture focuses on his research program with older adults as a way to illustrate key themes and issues in doing interdisciplinary research.
International Medicine: What Do Developing Countries Need? - King Holmes, MD, Ph.D. All countries in the world are closely interconnected: by travel, commerce, the Internet, media, the common environment and, of course, global health. Global health knows no borders. As Africa, Asia and the Pacific, Latin America and the Caribbean all have aging populations and confront chronic diseases and climate change, the threat of emerging infectious diseases like swine influenza and exceptionally drug-resistant tuberculosis also grows, driven in part by uncontrolled growth of mega cities, water shortages and poor sanitation. Dr. King Holmes shows how clinical and public health laboratories play a central role in preserving global health.
Is There a Role for Laboratory Testing in Pain Medicine? or How to Objectify the Subjective? - Alex Cahana, MD Pain patients can be difficult. They have a tendency to be angry, mistrustful, anxious and depressed. In return this provokes among clinicians negative feelings of frustration, resentment and dislike, challenging the therapeutic dialogue. It seems that “more-or-less” similar patients, with “more-or-less” similar symptoms and diagnosis, with “more-or-less” similar treatments, manifest radically different outcomes. Why is this? Is there a way to explore the Subjectivity of Pain? Is there a way to ‘Objectify the Subjective’? Dr. Alex Cahana, Chief, Division of Pain Medicine, Anesthesiology, at the University of Washington begins to grapple with these troubling questions in this presentation.
Julia Anderson, vice president, Cap Gemini Ernst & Young Julia Anderson talks with Laura Schildkraut about the career path which brought her to Seattle and led her to become a vice president when Cap Gemini merged with Ernst & Young.
Laboratory Diagnosis of Bacterial and Fungal Diseases - Brad Cookson, MD, Ph.D. Dr. Brad Cookson from the University of Washington addresses how molecular biology has impacted clinical laboratory utilization, such as the speed, cost and efficiency of diagnosing infectious diseases caused by bacteria and fungi. Cookson also discusses the ability of the best hospitals to more effectively deliver patient care.
Laboratory Medicine: Back to the Future - James Fine, MD The development of laboratory testing to diagnose and treat human disease has progressed steadily from mere observation of bodily fluids in ancient times to the 17th century invention of the microscope and the discovery of microscopic organisms and structures. Today the specialty of clinical pathology, or laboratory medicine, plays an increasingly major role in clinical care. Physicians rely on the timely and accurate testing of their patients’ fluids to assist them in diagnosing an ever-expanding range of pathologies. Dr. James Fine takes a look at the development of university programs in medical technology and residency programs in clinical pathology have supported this development. The University of Washington is a leader in the field.
Laboratory Testing Needs in Developing Countries - Matthew Steele, Ph.D., M.P.H. Dr. Matthew Steele talks about the efforts by Seattle-based PATH(Program for Appropriate Technology in Health) to develop diagnostic tests targeted for use in third-world countries in settings with limited resources. Clinical care settings in the developing world are characterized by chronic shortfalls in human, financial, and infrastructure resources
related to diagnosis of disease in the laboratory or in the field. The PATH Diagnostics Group develops diagnostic test systems for these
settings, improving delivery and implementation of such.
Language and the Brain #1 Human language allows us to convey a seemingly unlimited set of meanings to other people. This remarkable ability underlies many of our species' most distinctive behaviors. Dr. Lee Osterhout, psychology professor at the University of Washington, explores the inner-workings of the human brain.
Language and the Brain #2 In the second half of this two-part video from the University of Washington Department of Psychology’s Allen L. Edwards Psychology Lecture Series, Dr. Karen Emmorey, Professor, School of Speech, Language and Hearing Sciences at San Diego State University, explores language and the inner-workings of the human brain.
Laryngeal Laser Surgery When diagnosed with laryngeal cancer, a country music crooner turns to physicians at the University of Washington Medical Center. Laryngology specialist Dr. Albert Merati uses minimally invasive transoral laser surgery to remove the tumor and keep his patient in tune.
Laser Treatment of Varicose Veins The University of Washington Center for Endovascular Therapy fosters interdisciplinary collaboration, providing patients with vascular treatments based on the latest techniques. The UW Division of Vascular Surgery has expertise in the clinical assessment, non-invasive evaluation, and surgical management of patients with a wide variety of vascular problems, while Interventional Radiology has extensive experience with catheter-based techniques, including endovascular grafts. In this program, a doctor profiles one patient’s diagnosis and treatment for varicose veins.
Lead, Children and Drinking Water, Part 1 Dr. Bruce Lanphear discusses new research on the toxic effects of lead exposure on the health of children. He details the damage that can result from even small doses of lead that can be found in the environment and drinking water. He discusses the long-term effects of lead ingestion and how to minimize exposure in public places and private homes.
Lead, Children and Drinking Water, Part 2 Dr. Richard Maas discusses the harmful effects of lead exposure on the health of children and adults. He details the physical damage resulting from exposure to lead from the environment and drinking water. He explores several forms of mitigation and discusses costs and benefits of each.
Life Changing LASEK Procedure Brian Finrow started wearing glasses when he was 12. As an adult, he said, they got in the way of skiing – goggles over glasses? – and other activities. A pal referred him to Dr. Tueng Shen, a refractive surgery specialist at the University of Washington Medical Center. Finrow opted to have his vision corrected via LASEK, which involves no cutting of the cornea, so is less prone to complications than the older LASIK procedure. One of Finrow’s favorite activities now is buying sunglasses.
Life in Living Color This documentary will challenge your senses. It focuses on synesthesia, a neurological condition that affects about 4 percent of the population. For those with the condition, two or more bodily sensations are coupled, with input from one sense producing a perception in another sense. For example, those with synesthesia might “see” music. Certain spoken or written words might lead to the perception of color. Objects that are viewed might even trigger a specific taste.
Liver Transplant / NA Steatohepatitis Dr. Adam Levy presents information on liver transplantation, and Dr. Kris Kowdley discusses non-alcoholic steatohepatitis, which is caused by fat deposits in the liver.
Liver Transplantation, Part 1 Witness the team approach to transplantation at UW Medicine and hear about the long-term outcomes of transplant patients. Hear the history of liver transplantation and learn who is a good candidate and why.
Liver Transplantation, Part 2 Witness the team approach to transplantation at UW Medicine and hear about the long-term outcomes of transplant patients. Hear the history of liver transplantation and learn who is a good candidate and why.
Living Well With Stroke Harborview Medical Center’s Department of Neurological Surgery and the Stroke Prevention and Assessment Center present a forum focusing on stroke prevention, rehabilitation and treatment. Forum moderator Tina Mankowski hosts experts in neurology, psychology and spinal cord injuries, as they discuss the latest in stroke patient care, new treatments in stroke rehabilitation and the management of post-stroke depression. For more information about this program, please see the UW Medicine website or call the stroke hotline number at 206-731-2403.
Living With Traumatic Brain Injury People with traumatic brain injuries may experience physical, cognitive or
personality changes that affect their work and relationships. In this program from the University of Washington, hear stories of people who are
rebuilding their lives and readjusting to family, careers and everyday life.
This program is sponsored by the Washington State Department of Social and Health
Services/Aging and Disability Services Administration, University of Washington
Traumatic Brain Injury Model System, and Harborview Medical Center.
Lower C-spine Deformity Correction A variety of arthritic disorders may cause the lower cervical spine to become susceptible to progressive collapse and deformity. Dr. Jens R. Chapman, professor of orthopaedic and neurological surgery at the University of Washington, discusses a complex series of surgeries that are the only solutions for patients with fixed deformities. Other topics included in this program are surgical care from an anterior or posterior approach and chin or chest deformities.
Lumbar Interbody Fusion Techniques Replacement of a structurally deficient lumbar disc has been recognized to bear great potential in terms of improving alignment and structural properties of the lumbar spine, and potentially pain. In this segment, lecturers will review a variety of surgical approaches and implant designs, and their respective advantages and potential drawbacks.
Lung Transplant Lung disease can lead to transplantation in some patients. It takes an entire team of medical professionals to assist a patient from the initial diagnosis into day-to-day treatment and finally surgery and recovery. UW Medical Center’s Dr. Ganesh Raghu discusses the care and treatment of patients before and after transplantation. Dr. Mike Mulligan and the UW Medical Center transplantation team work against the clock to procure and transplant a set of lungs in this complicated, multiple surgery procedure.
Lung Transplant / LVRS and PVD Dr. Michael Mulligan presents information on lung transplant, lung volume reduction surgery, a procedure to improve respiratory function in emphysema patients, and pulmonary vascular disease, which is characterized by high pressure in the blood vessels of the lungs.
Lymphoproliferative Disorders Following Solid Organ Transplant - Virginia Broudy, MD Dr. Virginia Broudy will discuss the increased risk of lymphoma in patients who have received a solid organ transplant. The talk will include the risk factors for lymphoma, and the clinical presentation and treatment of lymphoma in solid organ transplant recipients.
Macular Degeneration When Anne Beidler began to notice changes in her vision, she feared the worst: she'd watched her mother lose her sight from macular degeneration. But Dr. Atma Vemulakonda, at the UW Medicine Eye Institute, was able to treat Anne by injecting a new drug into her eye that began to improve her vision within hours. The institute is leading research efforts to improve treatment for eye diseases and also training the next generation of ophthalmologists at the University of Washington's School of Medicine.
Malaria: Hot Times for a Bad Disease Dr. Wesley Van Voorhis, acting head of UW’s allergy and infectious diseases division, talks about the ongoing battle against malaria — one of the world’s most common infectious diseases.
Management of Common Low Back Disorders Low back pain is a common but unspecific symptom for arthritis sufferers. There are, however, a number of pathologic conditions, which may require even further attention. The University of Washington’s Dr. Ray Baker, Dr. Christopher J. Standaert and Dr. Theodore Wagner explore recent insights on anomalies of facet joints in the lumbar spine, nonoperative treatment for patients experiencing pain in the sacroiliac joints and neural decompression surgery for spinal stenosis in an arthritic spine.
Managing Complications in Complex Spine Surgery Complications are rare but real risks of any medical or surgical intervention. This program takes a look into complications that may arise for patients with arthritic conditions, including intraoperative injuries to the vertebral artery during surgery and perioperative infections. Featured speakers include Dr. Kees Poelstra, assistant professor of orthopaedic surgery at the Shock Trauma Hospital in Baltimore, Dr. Michael Lee, assistant professor of orthoapedic surgery at the University of Washington and Dr. Alan Crockard, a consultant neurosurgeon based in London.
MEDEX Northwest: Physician Assistants with a Mission This documentary-style program focuses on MEDEX Northwest, the University of Washington School of Medicine's Physician Assistant Program, committed to educating experienced health personnel from diverse backgrounds to practice medicine with physician supervision. The program provides a broad, competency-based curriculum that focuses on primary care with an emphasis on underserved populations. As a pioneer in PA education, MEDEX continues to be innovative in identifying, creating and filling niches that expand health care access.
Medical Applications of Array CGH and the Transformation of Clinical Cytogenetics - Bassem Bejjani, MD As research about array Comparative Genomic Hybridization (aCGH) unfolds, its applications are becoming an increasingly important part of the practice of medical genetics and laboratory clinical cytogenetics. Bassem Bejjani, a research professor at the Health Research & Education Center at Washington State University, examines the methodology of aCGH, recently developed platforms and numerous clinical applications of this innovative method of analysis.
Medical Imaging: Innovation, Integration and Improvement The UW Department of Radiology welcomes Dr. Elias Zerhouni, director of the National Institutes of Health, to inaugurate this important lecture honoring
Dr. Albert A. Moss' contributions to radiology.
Dr. Zerhouni addresses the tremendous impact biomedical imaging has had on medicine and biology over the last 30 years. He also discusses a new era of biomedical imaging where technologies are developing at a rapid pace, opening up unprecedented opportunities for research and clinical applications, from molecular/cellular imaging to functional brain mapping. Dr. Zerhouni feels strongly that advancing biomedical imaging is essential for improved understanding of biological systems, detecting and controlling diseases, and enhancing human health by effectively translating research results to patient applications. Finally, he talks about the unique position the NIH is in to catalyze new scientific knowledge and revolutionary methods of research to facilitate new approaches for transforming medicine in the 21st century.
Dr. Zerhouni was the chairman of Radiology at Johns Hopkins University before being appointed by President Bush as director of the National Institutes of Health. He has implemented major initiatives such as the
Roadmap for Medical Research, has doubled the NIH budget, and enhanced leadership of the nation''s top medical research agency. His research in imaging has led to advances in Computerized Axial Tomography (CAT scanning) and Magnetic Resonance Imaging (MRI) that resulted in 157 peer reviewed
publications and 8 patents.
Medical Research: The Agony and The Ecstasy Lee Hartwell gives the 28th annual faculty lecture on basic scientific research. The 2001 Nobel Prize winner also discusses his work on "checkpoint" genes, the genes that notice when mistakes have been made during cellular reproduction. These alterations are similar in both yeasts and human cells, and are frequently the beginning of cancers.
Mental Disorder Prevention Research Making Connections presents thoughtful research in the clinical course of depression in adolescence and the myriad of medical and social issues that make young adults vulnerable. Elizabeth McCauley discusses brain and cognitive changes during adolescence as well as predisposing factors and the challenges facing parents. Dr. McCauley outlines specific prevention approaches and methods for building competence.
Microarrays for the Detection of Chromosomal Anomalies - Dr. Karen Tsuchiya Until recently, the identification of chromosome abnormalities that are responsible for congenital disorders and cancer has relied on the use of banded chromosome preparations and fluorescence in situ hybridization. The introduction of array-based comparative genomic hybridization (aCGH) is revolutionizing the field of cytogenetics. Dr. Karen Tsuchiya of the department of laboratory medicine at the University of Washington highlights some of the recent discoveries made using aCGH, and addresses the advantages and disadvantages of this technology, particularly with regard to its use in the clinical cytogenetics laboratory.
Minimally Invasive Approaches to Cardiac Surgery This reviews advances in cardiac surgical procedures including new therapeutic approaches to treat valvular disease, heart failure/heart transplantation, and aortic disease. Discussion will include application of new minimally invasive techniques and potential for stem cell application to treat essential and complex cardiovascular conditions.
Minimally Invasive Joint Replacement University of Washington Dr. Seth Leopold discusses less-invasive knee and hip replacement surgery. A patient who had minimally-invasive knee replacement joins Dr. Leopold to share his experiences. Minimally-invasive partial knee replacement surgery results in faster recovery and less post-operative pain than traditional knee replacement. Newer hip replacement approaches are offered as minimally invasive, but some of those claims are more marketing than science.
Minimally Invasive Total Hip Replacement Schoolteacher Janice Isner, a former marathon runner and recreational cyclist, was determined to “get back her life, pain-free” after learning that the cartilage in her right hip had deteriorated completely. Her physician, Paul Manner, is an orthopaedic surgeon at the University of Washington Medical Center. The two discuss Isner’s total hip-replacement surgery. The program includes footage of her successful procedure, in which Manner’s minimally invasive approach avoided cutting muscle tissue, and promoted rapid recovery.
Minimally Invasive Total Knee Replacement Surgery Orthopaedic surgeon Dr. Seth Leopold demonstrates minimally invasive knee replacement surgery and discusses the benefits to patients. This University of Washington program follows a patient through the whole process, from pre-op to post-op.
Minimally Invasive Treatment for Spinal Stenosis On the day that June Ogawa underwent minimally invasive spinal surgery, she went home and walked for an hour. Gone was the pain and numbness that had stemmed from spinal stenosis, or narrowing. “Now I feel so free,” she said. Ogawa and another patient, Robin DiGeorgio, talk with Drs. Virany Huynh Hillard and Trent Tredway, neurosurgeons at the University of Washington Medical Center. Spine models, diagnostic images, and surgical footage complement the discussions.
Minimally-Invasive Treatment of Spinal Stenosis Lumbar spinal stenosis can significantly impair a patient's ability to walk and function aerobically. Doctors from the University of Washington and Harborview discuss the role of nonoperative care and interventional management with injections and reports results of epidural steroids and indications for nerve root blocks. They also discuss the use of minimally invasive surgery and its potential applications.
Modulating Spine Deformity with Non-Fusion Very young patients with spinal deformity pose major treatment challenges due to their potential to develop major spinal deformity with ongoing growth. Understanding the nature of a scoliosis and detecting patients with potentially serious deformity early may allow for life-changing deformity correction. The role of motion-preserving surgical techniques for young patients with stapling, banding and the potential for recently introduced “growing” rods systems, which allow for indirect deformity correction, has changed the potential for meaningful intervention in these at-risk patients. By re-expanding the spinal column and modulating its growth, major fusion surgery can possibly be delayed until the major overall patient growth has been completed. University of Washington doctor Theodore Wagner and others address recent results reported with these techniques.
Molecular Assays for Colorectal Cancer Care - William Grady, MD Molecular assays for risk stratification for cancer and for the early detection of cancer are currently being developed and are beginning to be used in clinical care. Likewise, molecular assays are being developed as predictive and prognostic markers for cancer. The state-of-the art of currently available risk stratification assays and molecular screening assays for colorectal cancer will be discussed. Dr. William Grady discusses recent developments in the generation of predictive and prognostic markers for colorectal cancer will also be discussed. Finally, future directions for molecular assays for colorectal cancer will be reviewed.
Molecular Testing in Breast Cancer: Will it Become Standard Practice? - Kimberly Allison, MD How has gene expression profiling impacted the way we diagnose and treat breast cancers? Kimberly Allison, MD, Assistant Professor, Department of Pathology at the University of Washington discusses how research using gene expression signatures have been used to identify specific subtypes of breast cancer and how these are integrated into traditional classification schemes. In addition, we will explore the development of clinically available gene expression array-based tests that are designed to give prognostic and predictive information tailored to individual breast cancer patients and discuss current limitations of these tests."
Motion-preserving Surgery of the Spine In the reconstruction efforts of non-traumatic, non-malignant conditions of the cervical spine, increasing efforts are underway to avoid fusion surgery, in order to avoid potential propagation of disc degeneration while utilizing minimally invasive procedures to increase patient comfort and expedite recovery. This program demonstrates endoscopic cervical nerve decompression, the technique of laminoplasty as well as early results of arthroplasty in the spine as examples of these efforts.
Motion-Preserving Treatment of Spinal Deformity While fusion remains a key method for treatment of spinal deformity correction, ultimately some patients may be treated with motion-preserving surgery. University of Washington doctors discuss the potential of future use of mechanical disc replacement devices adjacent to fusions or as stand-alone treatment. The risk of spine fractures around previously fused patients may also be decreased by use of new non-fusion approaches.
Moving Forward After Spinal Cord Injury: A Video Profile of Billy Price This seven-minute video features Billy Price, whose life was upended 12 years ago when he sustained a C-6 complete spinal cord injury as a freshman in college. As he narrates his journey with quadriplegia —the traumatic early days, the challenges and achievements—we see the images of his present day life: driving to his full-time engineering job, living in his condo, tailgating with friends before a football game, and continuing his passion for skiing.
MRSA - The Bug Stops Here - Ferric Fang, MD Dr. Ferric Fang, professor of laboratory medicine at the University of Washington presents the novel and problematic Methicillin-Resistant Staphylococcus aureus (MRSA) strains. These strains have emerged as highly virulent drug-resistant pathogens in both community and hospital settings. This lecture will review current knowledge regarding the epidemiology and pathogenesis of this dangerous microbe and provide guidance with regard to the detection, prevention and treatment of MRSA infections.
Musculoskeletal and Spine Conditions, Part 2 Three doctors from different specialties examine non-surgical treatment strategies for managing low back pain. Dr. Marla Kaufman discusses anesthetic agents and corticosteroids. Dr. Michael Lee looks at the latest evidence based-approaches and recent advances in spinal surgery. Dr. Virany Huynh Hillard reviews minimally-invasive techniques, including advantages and disadvantages of lumbar microendoscopic discectomy, lumbar decompressive laminotomy, Lumbar Fusion, and interspinous decompression devices.
Neurogenetics of Huntington’s Disease - Albert La Spada, MD Ph.D. Albert La Spada, MD, Ph.D., Associate Professor in the Department of Laboratory Medicine at the
University of Washington explores a novel and uniquely human genetic disease mechanism whose discovery has revolutionized the way we think about neurons and how they function. Huntington's disease and spinocerebellar ataxia type 7 are two inherited neurological disorders caused by expansion of the same type of trinucleotide repeat. Genetic studies coupled with genomics technology advances have permitted us to uncover how and why neurons die in these diseases. The challenge now is to use this knowledge to develop new therapies for these diseases.
Neuromuscular Scoliosis and Neural Element Lesions Disruption of integrity of neural elements through a variety of congenital, developmental and neoplastic conditions can lead to a unique disruption of the natural balance of the spinal column. Correct identification of the cause and the underlying pathology is helpful in managing the lesion. In presence of spinal cord lesions, timing of surgical treatment these conditions as opposed to correction of the spinal deformity remains an unanswered question and is debated in this program by University of Washington doctor Marcelo Vilela of Harborview and Dr. Mohammad Diab from University of California – San Francisco.
New Approaches to Pain Management Pain is impossible to measure, often making it difficult for physicians to diagnose and treat. Patients seeking treatment for pain may face prejudice and distrust. But Dr. Alex Cahana and Dr. David J. Tauben of the Center for Pain Relief at the University of Washington Medical Center believe in taking a new and more comprehensive approach to treating patients with pain. The Center for Pain Relief offers specialists in psychiatry, psychology, neurology, physical rehabilitation and alternative therapies. Through patient John Milchenko’s story, learn how the Center for Pain Relief finally helped him overcome the stigma that surrounds pain, and find comfort.
New Developments in Syphilis and HIV Testing - Matthew Golden, MD Recent changes in testing technologies for syphilis and HIV present diagnostic laboratories new opportunities and challenges. Matthew Golden, division of allergy and infectious disease at the University of Washington, discusses newly available enzyme immunoassays for syphilis and new approaches to testing for HIV, including rapid point-of-care tests and pooled HIV RNA testing. Golden emphasizes how laboratories can help clinicians interpret test results and choose the most appropriate test for their environment.
New Heart, New Life UW Medicine Regional Heart Center’s transplant program is one of the most successful in the country. In this University of Washington program, follow a young man through his heart transplant and recovery. Hear from another transplant patient who developed a relationship with the family of his heart donor. And learn about the case of an older man who is using an LVAD (left ventricular assist device) as he waits for a donor heart to become available.
New Heart, New Life Heart transplant is as formidable a challenge as any surgeon faces. UW Medicine Regional Heart Center’s transplant program is one of the most successful in the United States. This program follows a teenager through his heart transplant and recovery. Another transplant patient develops a relationship with the family of his heart donor. Get a behind-the-scenes view of the emotions and challenges involved in a heart transplant procedure.
New Horizons in Venous Insufficiency Drs. Torrance Andrews and Mark Meissner, who have a combined expertise in clinical assessment, non-invasive evaluation, and surgical management of patients with a variety of vascular problems, focus this lecture on the latest diagnosis and treatment for varicose veins of the leg.
New Lungs: A Gift of Life Lung disease can lead to transplantation in some patients. It takes an entire team of medical professionals to assist a patient from the initial diagnosis into day-to-day treatment and finally surgery and recovery. University of Washington's Dr. Ganesh Raghu discusses the care and treatment of patients before and after transplantation. Dr. Mike Mulligan and the UW Medical Center transplantation team work against the clock to procure and transplant a set of lungs in this complicated, multiple surgery procedure.
Next Generation Scientists: Minority Outreach in Genome Sciences Mapping the human genome was an amazing feat, but now that critical data needs to be put to use. How does each cell use the information contained within? What can we learn about genetic mutation and treatment of disease by studying genomics? These questions are being explored through collaboration between UW Medicine and the College of Engineering, a partnership fusing biomedicine and engineering for the advancement of health care. Students play an active role in this cutting-edge research, and the Genomics Outreach for Minorities program encourages minority students to become members of the genomics research team.
Non-Fusion Spinal Reconstruction In this program, doctors discuss motion-preserving options in spine surgery. Dr. Chapman from the University of Washington demonstrates indications and surgical technique of a procedure referred to as “laminaplasty” for patients who require decompression of their spinal cord due to severe cervical spinal stenosis. This technique, first introduced in Japan approximately 20 years ago, allows for effective spinal canal expansion and indirect spinal cord decompression. In his lecture on disc arthroplasty, Dr. Dailey reviews the current state of knowledge on mechanical disc replacements and critically reflects on their limitations. Ultimately, regeneration of impaired cartilage, such as in the human disc and on joint surfaces, remains the elusive goal to date. Dr. Ananthakrishnan from the University of Washington presents her experience with cartilage regeneration and the current state of research.
Non-pharmacologic Therapy for Atrial Fibrillation More than two million Americans have atrial fibrillation, a condition in which the the heart's upper atria chambers beat irreqularly when blood is not efficiently pumped out of the heart. Learn more about this condition, non-pharmacologic therapy, and theories for repair.
Non-surgical Sports Medicine When it comes to finding a fix for injured high-performance athletes, the answers may not always be easy. Dr. Nelson Hager with UW Medicine Sports and Spine works with patients like Erin Aas, a competitive triathlete, to not only resolve pain, but to return to a high performance level. Dr. Hager considers all aspects of a patient’s injury, using tools like musculoskeletal ultrasound to examine soft tissue structures and gait analysis to determine if mechanics are to blame. Learn how Hager and Aas worked together to put Aas back on track for an Ironman in 2010.
Nonfusion Lumbar Spine Reconstruction Surgery Attempts to avoid fusion surgery, the intentional stiffening of formerly mobile lumbar motion segments, are under way as developments in less invasive procedures emerge. Dr. John Devine, Lt. Col. and associate professor of surgery of the Armed Health Services, discusses the latest research in replacing diseased facet joints. Also, Dr. Jens Chapman, professor of orthopaedic and neurological surgery at the University of Washington, reviews interspinous spacers aimed at reducing symptoms of spinal stenosis.
Novel Ways to Construct and Use Nanoscale Devices for Biochemical Analysis - Babak Parviz, Ph.D. Recent advances in the electronics industry have enabled access to a number of sophisticated technologies at low costs. Univesersity of Washington's associate professor of Electrical Engineering, Dr. Babak Parviz, discusses a few aspects of the use of these technologies in detecting biomolecules of interest, such as direct nano-scale electronic detection of biomarkers and construction of low-cost disposable biosensors.
Obesity: The Plague of the 21st Century Dr. D. Scott Weigle, University of Washington School of Medicine professor, calls obesity the plague of the 21st Century. See how American waistlines have expanded along with our portion sizes and television viewing, and also explore the environmental and genetic components of obesity. Understand the science behind obesity, including leptin's effects on the brain.
Oral Cancer: Treatment and Reconstruction For months Carolyn Coogan pursued dental solutions for the pain in her jaw. Then an MRI revealed cancer. Coogan and Dr. Neal Futran, director of Otolaryngology – Head and Neck Surgery at the University of Washington Medical Center, recount the diagnosis and her available treatment options. Coogan’s treatment crossed medical disciplines, involving surgeries to remove cancer and reconstruct the jaw, and installation of the dental prosthesis. The program includes still images from Coogan’s jaw surgeries and models of the bones involved.
Osteoporosis of the Spine The loss of healthy bone structure is an expected effect of aging, but it also affects many other segments of the population due to a variety of factors such as nutrition and diseases. Osteoporosis and its ill-effects have reached epidemic proportions with significant impact on individual well-being and health care costs. In this program, University of Washington doctors discuss the need for greater osteoporosis awareness and prevention among the general population and more pragmatic diagnostic and treatment approaches among health car providers.
Overview and Current Concepts of Multiple Sclerosis The first in a series of programs exploring Multiple Sclerosis from A to Z, this program takes a broad view of the autoimmune disease which affects the brain and central nervous system. UW researchers as well as nationally- and internationally-renowned experts define MS and explore current concepts of the disease.
Pandemic Influenza Preparedness & Response Information Sharing Through a Virtual Symposium The Asia Pacific Economic Cooperation (APEC) Emerging Infections Network (EINet) virtual symposium on pandemic influenza preparedness was held on
January 19, 2006. Faced by concerns that the current avian influenza epidemic could become the next global human flu pandemic, UW researchers joined public health officials from ten Pacific Rim economies for a
videoconference using Access Grid multi-point technology. Joining UW researchers and Seattle King County Public Health officials were representatives from Australia, Canada, China, Korea, Philippines,
Singapore, Chinese Taipei, Thailand and Vietnam.
Pandemic Preparedness for Health Care Facilities A discussion of some of the health care planning issues and local planning issues that arise around the topic of pandemic influenza. This program also looks at the HHS plan and how Seattle and King County are working to implement it locally.
Panel Discussion: Local Pandemic Flu Planning A panel of experts from hospitals, universities, and the Public Health Department in the Seattle and King County area discuss local planning and preparedness for the potential event of a pandemic flu.
Part 01 - Navigating Conflicts When Parents and Providers Disagree about Medical Care Dr. Norm Fost addresses the controversies of "Parental Requests for Futile Treatment." Dr. Benjamin speaks on the controversies of funding extraordinary medical treatments for
pediatric patients. This University of Washington program was taped at the 2007 Pediatrics Bioethics Conference sponsored by the
Treuman Katz Center for Pediatric Bioethics at Seattle Children's Hospital.
Part 01: Basic Concepts of Multilevel Data This program addresses the features that distinguish multilevel data from other data. Also discussed are design features such as between cluster, within cluster, and between and within cluster.
Part 01: Course Overview and Introduction to Commingling Analysis Karen L. Edwards introduces commingling analysis and describes genetic epidemiology software resources available on the Web. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington.
Part 01: Diseases and Populations Professor Thomas Koepsell discusses the concepts of disease and population as they apply to epidemiologic research. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 01: Economic Assessment in Medicine This program explores Cost-Effective Analysis (CEA). Viewers learn what a CEA is, when a CEA is needed, standard methods for a CEA and how outcomes should be expressed.
Part 01: Introduction to Costs and Outcomes Research This program provides an introduction to the principles and methods of economic evaluation in health care, such as definitions, economic evaluation methods, standards and accepted practices.
Part 01: Overview of General Biostatistics This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical and research areas. Topics include testing, regression analysis, confidence intervals and descriptive statistics.
Part 01: Regression Setting In this session 1, Scott Emerson discusses the scientific setting for regression as it relates to an example concerning the effects of
smoking on lung function in children.
Part 02 - Navigating Conflicts When Parents and Providers Disagree about Medical Care Dr. Laine Friedman Ross speaks about the controversial issues that arise when parents resist medical care their children's physicians recommend. This University of Washington program was taped at the 2007 Pediatrics Bioethics
Conference sponsored by the Treuman Katz Center for Pediatric Bioethics at Seattle Children's Hospital.
Part 02: Commingling Analysis: Applications, Challenges and Software Karen L. Edwards describes commingling analysis applications and challenges and demonstrates NOCOM commingling analysis software. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington.
Part 02: Economic Assessment in Medicine This segment builds on part 1 of this program with examples of cost effective analysis by using robotic-assisted stroke rehabilitation in VA as an example.
Part 02: Measures of Disease Frequency I Professor Thomas Koepsell discusses concepts of incidence and prevalence as they apply to epidemiologic research. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 02: Probability, Probability Distributions This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical and research areas. Topics include testing, regression analysis, confidence intervals and descriptive statistics.
Part 02: Research Methods and Designs Covering decision rules and practical approaches, this program highlights the methods of economic evaluation in health care.
Part 02: Scientific Setting In session 2, Scott Emerson discusses the general scientific setting for regression, identifying the types of scientific questions that can be answered by regression.
Part 03: Cost Estimation This program introduces concepts in cost estimation, including cost methods and estimating labor costs. The VA Health Economics Resource Center average cost datasets for medical and surgical hospitalizations are used as an example.
Part 03: Measurement and Valuation of Treatment Effectiveness Measuring patient outcomes is the focus of this program, covering health-related quality of life (HRQOL) and its uses, outcomes appropriate for cost-effectiveness analysis, instruments used and utilities versus values.
Part 03: Measures of Disease Frequency II Professor Thomas Koepsell discusses concepts of incidence and prevalence as they apply to epidemiologic research. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 03: Sampling Distributions, Estimation This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical and research areas. Topics include testing, regression analysis, confidence intervals and descriptive statistics.
Part 03: Simple Linear Regression In session 3, Scott Emerson discusses simple linear regression concepts, describing descriptive statistics useful with regression.
Part 03: Twin Studies and Familial Correlations Karen L. Edwards discusses study designs that utilize twin data and familial correlations and outlines their limitations. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington.
Part 04: Correlation and Regression In session 4, Scott Emerson discusses simple linear regression concepts, describing the relationship between correlation and regression, and demonstrating how to interpret Stata output.
Part 04: Estimating Labor Costs Instructors make recommendations for estimating labor costs, such as using job categories found in VA data and adjusting for the variation in VA salaries.
Part 04: Hypothesis Testing This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical and research areas. Topics include testing, regression analysis, confidence intervals and descriptive statistics.
Part 04: Measuring and Valuation of Treatment Cost This program covers utilization, unit costs and discounting, as well as other forms of cost analysis. Specific topics include estimating costs, practical tips for costing and the numerator of the cost-effectiveness ratio.
Part 04: Segregation Analysis Karen L. Edwards describes segregation analysis concepts, value, limitations and data interpretation. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington.
Part 04: Sources of Data on Disease Frequency Professor Thomas Koepsell explains how to identify the best sources of available public data on health, disease and death to use when answering epidemiologic research questions. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 05: Comparing Means of Two Groups This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical and research areas. Topics include testing, regression analysis, confidence intervals and descriptive statistics.
Part 05: Framing Economic Evaluation & Decision Analysis I This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical, and research areas. Topics include cost analysis and the measurement of outcomes studies.
Part 05: Linkage Analysis and Pedigree Checking Karen L. Edwards describes linkage analysis and relevant statistical approaches and discusses pedigree structure and checking. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington.
Part 05: Person, Place, Time Professor Thomas Koepsell explains the importance of study characteristics such as person, place and time in descriptive epidemiology. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 05: VA Decision Support System (DSS) This unit offers participants a description of the VA Decision Support System (DSS) and DSS national data extracts. DSS is compared to national data extracts for the VA, utilization databases and other national DSS files.
Part 06: Comparing Proportions This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical and research areas. Topics include testing, regression analysis, confidence intervals and descriptive statistics.
Part 06: Decision Analysis II This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical, and research areas. Topics include cost analysis and the measurement of outcomes studies.
Part 06: Non-Parametric Linkage Analysis Karen L. Edwards emphasizes the big picture behind genetic epidemiology and linkage analysis and compares parametric and non-parametric Linkage Analysis. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington.
Part 06: Overview of Study Designs Thomas Koepsell provides an overview of common epidemiologic study designs. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 06: Pharmacy Data Mark Smith uses VA pharmacy data as an example to demonstrate the VA Decision Support System (DSS).
Part 07: Causal Inference Noel Weiss discusses the principles underlying causal inference, including the difference between association and causation, the criteria for formulating a plausible causal hypothesis based on the results of randomized trials and nonrandomized studies, and putting the criteria to use in specific situations.This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 07: Comparing More Than Two Groups This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical and research areas. Topics include testing, regression analysis, confidence intervals and descriptive statistics.
Part 07: Decision Analysis: Markov Models This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical, and research areas. Topics include cost analysis and the measurement of outcomes studies.
Part 07: Financial & Clinical Data - Fee Basis Files This program explores the Financial and Clinical Data Mart (FCDM), explaining how the reports are arranged by data source and what selected reports are available as of April 2005.
Part 07: Genetic Association Studies: Pitfalls and Challenges Karen L. Edwards discusses genetic association studies and compares them to family based tests of association. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington.
Part 08: Genetic Association Study Types and Family-Based Tests of Association Karen L. Edwards discusses genetic association study types and family based tests of association. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington.
Part 08: Markov Models, Monte Carlo & SW Demo This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical, and research areas. Topics include cost analysis and the measurement of outcomes studies.
Part 08: Measures of Excess Risk Noel Weiss describes how to interpret relative risk and attributable risk data in epidemiologic studies. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 08: Sample Size, Power This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical and research areas. Topics include testing, regression analysis, confidence intervals and descriptive statistics.
Part 09: Linkage Disequilibrium Karen L. Edwards discusses linkage disequilibrium and examines its value and measures. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington.
Part 09: Measures of Excess Risk Continued Noel Weiss describes how to interpret relative risk and attributable risk data in epidemiologic studies. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 09: Simple Linear Regression This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical and research areas. Topics include testing, regression analysis, confidence intervals and descriptive statistics.
Part 09: Utilities Utilities and economic analysis for management are explored in this unit. Cost utility analysis is summarized. The purpose of seven common utility measures are explained and guidelines for selection measures are offered.
Part 1: Overview: Epidemiology Grants In this session 1 of the grant writing series, Dr. Michael Gaziano describes the basic organization of scientific research proposals for the National Institutes of Health (NIH) and Veterans Affairs (VA).
Part 1: The Chronic Care Model Edward H. Wagner introduces the six elements of the Chronic Care Model he and his colleagues have developed. The Chronic Care Model is a new paradigm for the better care of the chronically ill with applications in quality improvement, policy development and research. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 10: Measurement Error Thomas Koepsell discusses measurement error in epidemiologic studies, explaining how to identify several features of reliability and validity. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 10: SNP Selection and Haplotype Analysis Karen L. Edwards discusses approaches to single nucleotide oolymorphisms (SNPs) selection approaches and haplotype map (HapMap) project. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington.
Part 10: Summary & Review This program provides state-of-the-art information on epidemiology and research methods for those working in administrative, clinical and research areas. Topics include testing, regression analysis, confidence intervals and descriptive statistics.
Part 11: Screening Thomas Koepsell discusses the interpretation of sensitivity and specificity predictive value positive as applied to screening data in epidemiologic studies. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 12: Confounding Noel Weiss defines confounding and identifies strategies to control for the presence of confounding in epidemiologic studies. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 13: Confounding Continued Noel Weiss defines confounding and identifies strategies to control for the presence of confounding in epidemiologic studies. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 14: Ecological Studies, Randomized Trials Thomas Koepsell defines ecological studies and discusses levels of measurement in such studies. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 15: Randomized Trials, Cohort Studies Thomas Koepsell and Noel Weiss identify the strengths and weaknesses of cohort studies and randomized trials. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 16: Cohort Studies Noel Weiss discusses comparison subjects, follow-up and outcome definition and assessment for cohort studies. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 17: Case-Control Studies Noel Weiss identifies when it is appropriate to use a case-control study design, a cohort study design or a clinical trial to answer a research question. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 18: Case-Control Studies Continued Noel Weiss identifies when it is appropriate to use a case-control study design, a cohort study design or a clinical trial to answer a research question. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 19: Improving the Sensitivity of Studies Noel Weiss identifies two strategies that can be applied to improve accuracy when measuring associations between exposure and disease in epidemiologic studies. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 2: Improving Care for People with Diabetes David McCulloch identifies strategies providers can use to improve care for people with diabetes. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 2: Research Hypothesis In session 2 of this grant writing series, Professor Alan Kristal helps students work through the writing of the specific aims section of a scientific research proposal.
Part 20: Limitations of Epidemiologic Studies Noel Weiss discusses the limitations of epidemiologic studies, outlining under what circumstances an etiologic factor cannot be identified through nonexperimental studies of individuals. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 3: Background and Significance In session 3 of this grant writing series, Dr. Michael Gaziano discusses the components needed to develop the background, significance, and preliminary studies sections of a scientific research proposal.
Part 3: Patient-centered Care Edward Wagner identifies three elements of patient self-management support that providers can use to improve chronic illness care. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 4: Methods by Study Type In session 4 of this grant writing series, Dr. Michael Gaziano begins a discussion of the methods section of a scientific research proposal by outlining specific features unique to different study designs.
Part 4: Self-management Support: Application to Depression Care Michael Von Korff identifies strategies providers can use to improve depression care using patient self-management support. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 5: Methods Continued In session 5 of this grant writing series, Dr. Michael Gaziano continues to discuss the methods section of a scientific research proposal, covering issues of recruitment, data management, and quality control.
Part 5: Team Care and Case Management Connie Davis identifies five strategies providers can use to better meet patients’ needs using a team care and case management approach. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 6: Planned Care Edward H. Wagner identifies three strategies providers can use to better meet patients’ needs using a planned care approach. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 6: Statistical Analysis In Session 6 of this grant writing series, Professor Alan Kristal discusses the components needed for the statistical analysis section of a scientific research proposal.
Part 7: Making Change Happen at the Practice Level Connie Davis identifies four strategies for change in their setting at the practice and population level that can be used when implementing the Chronic Care Model. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Part 7: Statistical Power In session 7 of this grant writing series, Professor Alan Kristal discusses the components of power calculations used in developing a scientific research proposal.
Part 8: Abstract, Budget and Peer Review In Session 8 of this grant writing series, Professor Alan Kristal discusses the components needed for the Abstract and Budget sections of a scientific research proposal and fundamentals of the peer review process.
Part 8: Improving the Care of the Chronically Ill Edward Wagner summarizes how the Chronic Care Model developed by him and his colleagues can be used to improve the care of the chronically ill. This lecture was taped at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session co-sponsored by the Seattle VA Epidemiologic Research and Information Center (ERIC) and the University of Washington.
Partnerships for Pandemic Influenza Preparedness: The APEC EINet This symposium describes how private and public sectors in the APEC region can cooperate and work effectively to prepare for and respond to pandemic influenza. Seventeen APEC economies participated in this videoconference organized by APEC EINet, based at the University of Washington. The videoconference brings together economies in a dynamic, real-time discussion through the collaboration of the health and the business sectors with a focus on critical systems continuity to enhance pandemic preparedness.
Pathophysiology of COPD and LVRS. Doctors Benditt and Wood discuss pathophysiology of chronic obstructive pulomonary disease (COPD), a condition of obstructed airflow and the fourth leading cause of death in the United States. Their discussion includes medical treatment rehabilitation for COPD and lung volume reduction surgery.
Patient Care During a Catastrophic Event & The Role of Palliative Care THis program looks to the past, present, and future in facing the challenge of how to practice medicine in moments of being overwhelmed. It also explores the palliative care issues that will most likely arise with a pandemic flu and how the palliative care role needs to quickly evolve in the setting of such a situation.
Pharmacogenomic Testing and Breast Cancer: The Example of Cyp2D6 and Tamoxifen - Dr. Hannah Linden Genomic heterogeneity is emerging as an important factor in determining tamoxifen benefit in breast cancer. Dr. Hannah Linden, Associate Professor of Medicine at the University of Washington, and a breast cancer oncologist at the SCCA and HMC will review recent laboratory and clinical trial evidence regarding tamoxifen metabolism and the impact of CYP2D6 pharacogenomic profiling.
Planning Psychosocial Services for Families in Child Welfare What are the right strategies for families involved with child welfare? Dr. Mark Chaffin, professor of pediatrics, clinical associate and professor of psychiatry and behavioral sciences at the University of Oklahoma Health Sciences Center, leads a Foster Care Assessment Program (FCAP) seminar that explores an evidence-based method for creating a service plan for individual families involved in child welfare. Chaffin, and experts from the Harborview Center for Sexual Assault and Traumatic Stress, considers an approach that includes basic triage principles, the precedence of focus over breadth of coverage, the phenomenon of a rising tide raising all boats, the idea that more is sometimes less, distinctions between mission critical vs. optional services and issues of client burden, motivation and preference in service selection. Speakers also present new research on modifications that may need to be made for chronic neglect cases.
Plastic Surgery: Reconstructive Success Stories Hear about life-altering innovations and techniques. Focus will be on all aspects of plastic surgery with an emphasis on reconstructive plastic surgery.
Point of Care Diagnostics for the Developing World - Paul Yager, Ph.D. The University of Washington department of bioengineering has led the development of many new microfluidic approaches to miniaturization of common biological assays with applications to medical diagnostics. The same group is leading a Seattle-based team of investigators from the University of Washington, the nonprofit PATH, and the companies Micronics and Nanogen in a collaborative research and development project under funding by the Bill and Melinda Gates Foundation. Dr. Paul Yager tells us about the aim of the project is to develop an inexpensive system that can bring sophisticated modern medical diagnostic techniques from centralized laboratories to those furthest from those laboratories and with the least ability to pay for the tests.
Point-of-Care Diagnostics for the Developing World People living in the developing world suffer greatly from many illnesses, many of them caused by infectious agents. These people usually do not have access to stable power or clean water, let alone the best diagnostic tools. What can we do to bring the high-tech diagnostic methods used in the developed world to those with fewer resources? Dr. Paul Yager, Professor and Acting Chair in the Department of Bioengineering, explains how microfluidics, a new technology for manipulating small volumes of fluids, is enabling the development of a small portable and inexpensive system for detecting pathogens far from the centralized laboratory. This system could soon have an impact on global health.
Politics, Social Justice and Global Health This program stems from the Third Annual Western Regional Health Conference with Congressman Jim McDermott opening the show with comments on politics and global health issues. Dr. Mirta Roses Periago continues with the keynote address, 'From Health for All to the Millenium,' with the goal of emphasizing the crucial role of health systems for equity and justice.
Post Cancer Breast Reconstruction Physicians at the Center for Reconstructive Surgery at the University of Washington Medical Center treat patients to restore both functionality and aesthetic conditions following treatment for trauma, cancer, and other diseases. Drs. Peter Neligan and Otway Louie discuss options for breast reconstruction following cancer surgery, including a procedure that uses a patient's own abdominal tissue to create natural implants, the options for matching breast shape after a single mastectomy, and nipple reconstruction for a more natural appearance. Cindy Perry, a cancer patient who had breast reconstruction with Dr. Otway Louie, talks about her experience with using her own tissue for an implant.
Post-Stroke Patient Care Medical experts discuss ways to deal with problems that arise for stroke
victims, such as providing psychosocial and behavioral intervention in
dealing with things like depression. For more information about this program, please see the Harborview Outreach website or call the stroke hotline number at 206-731-2403.
Postanalytic Error: Cases, Concepts and Interventions - Michael Astion, MD, Ph.D. Dr. Michael Astion of the University of Washington gives an overview of interventions to reduce laboratory errors and specifically discusses how to reduce postanaltyic errors, which are errors that occur after test results
have been produced.
Predicting and Preventing Autoimmune Diabetes What causes our body's immune system to error and lead to disease? It could be inherited genes, infections, chemicals, toxins and drugs, or random chance. Gerald Nepom, director of Benaroya Research Institute at Virginia Mason and affiliate professor at the University of Washington, discusses when the body’s immune system attacks itself by mistake and how that leads to disease such as diabetes.
Predicting Our Future: Genetic Testing in Children and Their Families, Part 1 of 2 In this one hour program, nationally known bioethicists discuss the controversial and ethical questions surrounding mandatory newborn screening, which currently lack federal oversight and are managed by each state. Wide variations in this testing exist throughout the United States; nine states currently test for more than 50 genetic diseases, while others test for fewer than 10. For many bioethicists, it is controversial whether or not to routinely screen all newborns for conditions we may not yet be able to treat, capturing genetic information for research or future registries in the event treatment later becomes possible. Bioethicists have related concerns about whether parental consents should be obtained for each test, as well as whether testing should be uniform from state-to-state. A variety of opinions were expressed at the conference, as experts weighed in on these questions.
Predicting Our Future: Genetic Testing in Children and Their Families, Part 2 of 2 In this one hour program, bioethicists explore the challenges and ethical implications of genetic testing of children for adult-onset diseases. They’ll discuss whether there is any clear medical benefit to the child as a result of having test results early and if not, might it be best to wait until the child is old enough to make their own choice, to protect their individual right not to know and also to decide for themselves. In an emotional discussion of their own medical stories, mother and daughter Rebecca and Kate Fisher revealed personal insights gained from their long family history of related cancers, as well as Kate’s test results for the BRCA+1 mutation, an indicator for breast cancer risk.
Prescription for Change at the FDA: A View from the Other Washington, Part 1 Professors at the University of Washington ask: Does the Food and Drug Administration need more rigorous reviews and trials before approving drugs and devices? Should the agency change the process for evaluating safety and effectiveness after products hit the market? What are the political and scientific forces that shape the context for FDA decision-making and how can the clinical and public health communities be included in the discussion?
Prescription for Change at the FDA: A View from the Other Washington, Part 2 Professors at the University of Washington ask: Does the Food and Drug Administration need more rigorous reviews and trials before approving drugs and devices? Should the agency change the process for evaluating safety and effectiveness after products hit the market? What are the political and scientific forces that shape the context for FDA decision-making and how can the clinical and public health communities be included in the discussion? This is the second half of a two-part program on this topic.
Primer on Arthritic Disorders Learn about the arthritic conditions of Ramses II as Dr. Greg Gardner, professor of rheumatology at the University of Washington, provides an overview of various arthritic orders and what types of interventions have been used over the centuries. Dr. Mark O’Callahan, assistant professor of radiology at the University of Washington, demonstrates helpful pointers to identifying various types of arthritis.
Prioritizing Vaccines for Disease-Endemic Countries Dr. Daniel Wikler from Harvard, a former World Health Organization ethicist, reviews the distinctive needs of developed and developing countries in the areas of basic health care. He weighs the relative significance of safety considerations and disease incidence in different contexts of vaccine administration. This bioethics conference is presented by the Treuman Katz Center for Pediatric Bioethics, which is supported by Children’s Hospital and Regional Medical Center, and the University of Washington School of Medicine.
Prostate Cancer: Advanced Disease Experts from the University of Washington and Seattle Cancer Care Alliance discuss advances in the treatment of patients with prostate cancer. This program presents innovative research into the genetic causes of prostate cancer, explores new ways in which molecular biology is improving treatment, and presents novel approaches in hormone therapy and chemotherapy for patients with advanced prostate cancer.
Public Forum: Northwest Regional Biocontainment Laboratory Researchers at the University of Washington are among the world's leaders in studying infectious diseases. In 2004, the UW received over $56 million from NIAID to study various aspects of infectious diseases. The decision to apply for NIAID funding for a Regional Biocontainment Laboratory (RBL) was a natural extension of the original research grant. The type of facility needed to conduct research on many so-called 'priority pathogens' is very specialized and must be built to complex specifications for design, facilities, operations, maintenance, and operating procedures that ensure a high level of safety and security.
While the need for such a facility is compelling, a number of questions remain, including identifying additional sources of funding and siting issues. This public forum will include a panel of infectious disease experts and UW representatives. The public forums are the next step in the UW’s plan to broaden public discussion of the project among various constituencies including faculty, staff, students, and neighboring communities. All appropriate and necessary information will be gathered in this process before a final decision is made about proceeding with the project.
Quadriceps-Sparing Knee Replacement Quadriceps-sparing total knee replacement is a less invasive procedure for inserting knee replacement implants, involving a shorter incision and less recovery time than the traditional approach. UW Medicine orthopaedic surgeon Dr. Seth Leopold specializes in this technique, helping patients with painful arthritis return to the activities they enjoy.
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Quality and Efficiency Solutions for Anatomic Pathology - Rodney Schmidt, MD Anatomic pathology deals with the analysis of tissue samples and Pap smears. University of Washington professor of pathology Dr. Rodney Schmidt reviews how UW’s anatomic pathology lab works, how specimens are labeled and how samples are used to make microscopic slides. With the appropriate application of barcoding technology and innovative software, both the accuracy of sample identification and the efficiency of the lab can be improved dramatically. Software developed at UW is at the leading edge the upcoming transformation of AP labs throughout the country.
Rate Your Plate to Score How much do you consider the health benefits of the food on your plate at each meal time? Learn how to make smart decisions when planning a meal and how those choices can impact your performance as an athlete.
Real-Time Continuous Glucose Monitoring: Revolutionary or Another Fad? - Irl Hirsch, MD The management of diabetes, particularly type 1 diabetes, is on the verge of substantial change. Irl Hirsch, professor of medicine at the University of Washington, uses the results of recently published controlled trials and examples to illustrate how a new system of continuous glucose monitoring may change the way in which diabetes patients are treated.
Rebuilding the Baby Boomer: Replacement Parts for the 21st Century Bionic Man has bounded from science fiction to 21st century reality. Today's engineers are developing "smart" materials and frontier-blazing technology to grow new human tissue, build entire organs, target drug delivery and even use the brain to control artificial limbs. These innovations will help save lives and improve our journey from cradle to grave. University of Washington professor and biomaterials pioneer Buddy Ratner discusses the amazing advances on the health care horizon that may someday earn "medical miracle" status.
Recovering from Spinal Cord Injury: Rehabilitation Efforts Key developments in rehabilitation medicine for those patients who have sustained Spinal Cord Injury (SCI) are presented in a compelling review of end results of SCI patient treatment programs. The program concludes with a compelling patient testimonial demonstrating the ongoing challenges to a patient with SCI, even in presence of considerable recovery from the initial neurologic injury.
Recovering from Spinal Cord Injury: What Prevents Recovery? What prevents recovery of Spinal Cord Injury (SCI)? Hear a general overview of SCI as well as personal accounts of spinal cord injury, followed by an examination of SCI recovery obstacles. Dr. Michael Fehlings, professor of neurosurgery at the University of Toronto and medical director of the Krembil Neuroscience Center in Toronto, provides an insightful overview of regeneration obstacles to SCI recovery. One of the biggest areas of controversy lies in the applicability of animal research to the actual human clinical reality, termed “translational research.” Such application of animal research results to their human counterparts can provide false hope. A clinical SCI researcher also reviews the results of translational research into SCI care.
Recurrent Spinal Deformity Above Spinal Fusion Spinal deformity commonly is associated with a forward bending (kyphotic) malposition of the spine. Current surgical techniques allow for virtually complete deformity correction. Sadly, there are a number of factors, which may lead to recurrent forward-bending deformity. Causation, possible prevention and surgical correction strategies are presented by University of Washington doctor Jens Chapman and Dr. James Wilson-MacDonald from the University of Oxford, United Kingdom.
Refractive Eye Surgery Laser eye surgery allows many people to enjoy life without glasses. At UW Medical Center's Refractive Surgery Center, Dr. Tueng T. Shen and her University of Washington team offer the latest form of this surgery, called LASEK. This procedure can be done without cutting a flap in the cornea, as the older and more familiar LASIK surgery did, which means less chance for complications in the future. We profile three patients who have had or are preparing to have this procedure, including the contact lens trials that will allow them to choose the best level of correction for their own lifestyles.
Refractive Surgery: Patient Information Find out what every patient needs to know about refractive surgery. Dr. Tueng T. Shen,
Medical Director of UW Medical Center’s Refractive Surgery Center, explains what
modern eye surgery can do for patients seeking improved vision. Meet several patients
who have had laser eye surgery share their experiences firsthand. Dr. Shen also
discusses a variety of advanced surgical techniques now available, from LASIK to
refractive lensectomy allowing viewers to learn which treatment options are available to
them, appropriate questions to ask their surgeon, and an overview of the surgical and
post-surgical experience.
Regaining an Active Life Active lifestyles range from hard-driving athletes to parents playing ballwith their kids. When injury or illness takes away the ability to pursue those activities, it affects both physical and emotional health. The UW Medicine Sports and Spine Physicians team is dedicated to restoring maximum function so their patients can be fit for life.
Regional Disaster Planning Efforts & The Biology of Pandemic Influenza This three-part talk addresses how Harborview Medical Center is working together with the hospitals in Seattle, King County, and King County Public Health to create an emergency health care coalition - of hospitals, pandemic flu planning and emergency preparedness, and the biology of pandemic influenza - and what we have learned from it in the past.
Regional Heart Center A look at the in surgical techniques to repair the irregular rhythms, rapid heart beats, blood clots and ineffective heart muscle contractions associated with atrial fibrillation. Restoration of normal cardiac function using catheters, pacemakers, and the surgical MAZE technique, as well as innovations in ultrasound, laser and cryothermal tools are discussed.
Relieving Pain and Suffering: Real Problems, Real Solutions - Part 1 Learn about understanding pain and its management. This program covers the effectiveness of pre-amputation medications, how the human mind controls pain and how the body heals through hypnosis, virtual reality technology and functional brain imaging.
Relieving Pain and Suffering: Real Problems, Real Solutions - Part 2 Learn about understanding pain and its management. This program addresses the effectiveness of pre-amputation medications, how the human mind controls pain and how the body heals through hypnosis, virtual reality technology and functional brain imaging.
Restenosis Patient case studies focusing on restenosis. For more information, see the University of Washington Regional Heart Center Web site.
Restoring the Human Voice The University of Washington Medical Center’s laryngology team is dedicated to providing patients with state-of-the-art multidisciplinary care in the management of voice, swallowing and airway disorders. Dr. Albert Merati, Dr. Allen Hillel and speech language pathologist Ginger Hamilton with UWMC Otolaryngology Head and Neck Surgery work together to treat their patients using the newest technology and treatments. See how they’ve helped a laryngeal cancer patient continue his singing career, improved a 94-year-old former schoolteacher’s aging voice, made breathing easier for a woman with tracheal stenosis and retrained a student to use good “vocal hygiene."
Restoring Vision: A Look Into UW Medicine Eye Institute When Anne Beidler began to notice changes in her vision, she feared the worst: she'd watched her mother lose her sight from macular degeneration. But physicians at the UW Medicine Eye Institute were able to treat Anne by injecting a new drug into her eye that began to improve her vision within hours. With 22 ophthalmologists on staff, the institute is known for multidisciplinary collaborative care of both common and complex eye conditions. Watch as a diabetic patient undergoes cataract surgery, and a woman has micrographic surgery to remove cancerous tissue from her eyelid. The institute is leading research efforts to improve treatment for eye diseases and also training the next generation of ophthalmologists at the University of Washington's School of Medicine.
Retinal Surgery This session focuses on the treatment of diseases of the retina and vitreous including macular degeneration, diabetic retinopathy, and retinal degenerations.
Risk Analysis & Flying with Animals Robert G. Bea discusses risk analysis and its importance to prevent unintended consequences that make technology less useful than it should be. Factors include operators, organizational structures, and hardware. Strategies are given for minimizing accidents. Professor Thomas L. Daniel and Associate Professor Chris Diorio use implantable computers in moths to understand neurons and neuronal networks that control behavior. The dynamical control of behavior is observable in freely behaving animals. The knowledge is useful for studying the loss of speaking capability.
Sally McKenzie, vice president, Eddie Bauer Sally McKenzie graduated from Washington College in Chestertown, Maryland with a BA in Theater. She then relocated to Florida and attained a sales job with a local department store. This led to a position in a buying office. She eventually moved to Seattle where she accepted a position as a Merchandise Buyer for Jay Jacobs. This experience helped her attain a position with Eddie Bauer as the Product Manager/Planner for the Outlet Division. After six years of working to dramatically expand the Outlet Division, she felt she had "topped out" and took a position in the Eddie Bauer Sourcing area. This was a particularly bad fit for her and she left the company within three months. Even though she considered it "leaving", Eddie Bauer considered it a "leave of absence". Career counseling helped her to determine her strengths and priorities, and also convinced her that Eddie Bauer as a company was not a bad fit, even though her role in Sourcing was. A newspaper ad connected her with Greatfood.com where she became the Manager of Marketing and Operations. That position not only strengthened her confidence, but also provided exceptional technical and business-to-consumer web experience. This led to her returning to Eddie Bauer, this time in the Interactive Media Division where she is now a Vice President in that Division.
Saving Your Life: Medical Miracles and Heroes, Part 1 Technological breakthroughs and hybrid approaches to repairing abdominal aortic and brain aneurysms can mean the difference between life and death. These emergent, life-threatening conditions have been successfully treated by UW Medicine physicians who are leading the way surgically repairing these once devastating anomalies. University of Washington professors Drs. Joann G. Elmore, Laligam Sekhar, Hugh M. Foy and Benjamin W. Starnes explore the topic in the first half of this two-part program.
Saving Your Life: Medical Miracles and Heroes, Part 2 Technological breakthroughs and hybrid approaches to repairing abdominal aortic and brain aneurysms can mean the difference between life and death. These emergent, life-threatening conditions have been successfully treated by UW Medicine physicians who are leading the way surgically repairing these once devastating anomalies. University of Washington professors Drs. Joann G. Elmore, Laligam Sekhar, Hugh M. Foy and Benjamin W. Starnes explore the topic in the second half of this two-part program.
SBRI's 5th Annual Passport to Global Health Celebration Featuring Dr. Paul Farmer Dr. Paul Farmer joins Seattle Biomedical Research Institute (SBRI) for an evening of learning about global health. Farmer discuss the global burden of infectious disease, his personal endeavors to end health care inequities in the world's poorest communities, and the importance of infectious disease research.
Schizophrenia Schizophrenia has been an often-misunderstood neurobiological brain disorder. Dr. Janet Finlay shares information from cutting-edge research that points to the cause of schizophrenia and newly developed treatments.
Science & Technology in Global Health The Bill & Melinda Gates Foundation Global Health Initiative is focused on bringing science and engineering to global health issues: developing new tools for resource-poor settings; accelerating the evolution of technology; and delivering that technology to underdeveloped areas in the world. Dr. Richard D. Klausner, Executive Director of Global Health, describes the need for new approaches to develop vaccines and issues a Grand Challenge on HIV/AIDS for resource-poor countries.
Science and Politics: The Discordant Couple in the Fight Against AIDS In this joint presentation, Drs. Auerbach and Simoni discuss the relationship between our advancing knowledge in preventing transmission and acquisition of HIV infection through biomedical, behavioral and social interventions, and how decisions are made in implementing these methods.
Scoliosis Assessment and Classification Systematically assessment of patients with spinal deformity and predicting the physiologic impact on cardiopulmonary function in both pediatric and adult patients can influence the quality of life for of spinal deformity patients considerably. Classification of scoliosis allows for some prediction of its risk of deterioration over time and can influence treatment. Severe curves can have a known adverse effect on lung and heart function. University of Washington dcotors review the correlation of spinal deformity and cardiopulmonary function, as well the influence of surgery in limiting cardiopulmonary impairment.
Scoliosis Surgery Surgical management of scoliosis has undergone dramatic changes over a 50year period. Starting with relatively simple posterior systems such as the Harrington and Luque rods, it evolved to concepts of anterior only procedures and combined procedures from a patient’s front and back. Recently introduced implant systems allow for unprecedented deformity correction from back-sided (posterior) only surgery. Experts from the University of Washington and elsewhere outline the relative merits and drawbacks of these various surgical approaches. They present modern techniques of anchoring a spinal deformity construct to the pelvis with the goal of preventing deformity recurrence.
Screening for Medical Diseases: The Good, the Bad and the Unexpected - Part 1 Screening is a common part of routine medical care. How do physicians decide what tests to give? What are the risks and benefits? Are some tests more effective than others? University of Washington School of Medicine doctors address these issues, using breast cancer and high blood pressure as examples.
Screening for Medical Diseases: The Good, the Bad and the Unexpected - Part 2 Screening is a common part of routine medical care. How do physicians decide what tests to give? What are the risks and benefits? Are some tests more effective than others? University of Washington School of Medicine doctors address these issues, using breast cancer and high blood pressure as examples.
Selection of the Living Renal Donor Dr. Connie Davis presents information on the evaluation and selection of the living renal (kidney) donor.
Serum Protein Quantification by Mass Spectrometry: Is There Hope? - Andrew Hoofnagle, MD, PhD Protein immunoassays have played a central role in the clinical laboratory for decades. In many patients, these assays have important limitations that can lead to inappropriate or delayed treatment.
Dr. Andy Hoofnagle from the University of Washington discusses how liquid chromatography-tandem mass spectrometry provides an alternative platform that may avoid common analytical issues with the immunoassay of clinical specimens using thyroglobulin as a case study.
Sharing Medical Records with Patients- James D. Ralston, MD, MPH Electronic medical records are being shared with patients over the Web, revolutionizing how patients and clinicians communicate. Dr. James D. Ralston, affiliate assistant professor in Health Services at the University of Washington and assistant investigator with Group Health Research Institute, provides an overview of the motivation for sharing medical records with patients: Interactive, real-time and prospective information is key to the patient-clinician relationship. He also uses the Institute of Medicine’s quality framework to discuss how sharing electronic medical records affects the quality of care.
Shoulder Arthroscopy and Rotator Repair Dr. Christopher Wahl, University of Washington Sports Medicine specialist, discusses treatments for damage to the shoulder rotator cuff and ligaments. Arthroscopic medical equipment gives medical specialists the ability to look at the injured area from several angles to determine the best approach to repairing the injured area.
Shoulder Surgery: Ream and Run Dr. Rick Matsen of UW Medical Center's Bone and Joint Surgery Center is the pioneer of a procedure called a “ream and run,” an alternative to a traditional shoulder replacement surgery. The ream and run helps active individuals, like 65-year-old racquetball player Jim Rockstad, remain competitive by allowing the body to rebuild its own cartilage, recreating a smooth joint surface.
Shoulder Surgery: Rotator Cuff You don't have to be a pro athlete to sustain a rotator cuff tear, a very common injury. Jon Tipp’s shoulder injury placed severe and painful limitations on his active lifestyle. But after rotator cuff surgery performed by Dr. Winston Warme of the University of Washington Medical Center's Bone and Joint Surgery Center, Jon is on his way to a full recovery.
Skull Base Tumors University of Washington neurosurgeons and neuro-otologists talk about working together to perform surgeries in a complex area of the cranium. Acoustic neuromas are tumors that grow in the temporal bone and affect hearing, balance and sometimes facial nerves. The doctors also discuss ongoing research that enhances patient care.
Spinal Column Failure Below Fusion One of the goals of deformity surgery in the spine is to minimize the length of a fusion to preserve best possible motion of non-affected spine segments. A number of factors can contribute to premature recurrence of deformity and failure of motion segments below a fusion. In this University of Washington program, learn how anticipation of spinal balance and adherence to surgical principles can minimize risk for early breakdown of motion segments below a fusion.
Spinal Reconstruction of Kyphoscoliosis Surgery to rebalance a significant spinal deformity is complex and poses a major undertaking and usually requires lifestyle accommodations. Mr. John Webb, Guest of Honor lecturer from the Queen’s Medical Centre in Nottingham, England, reflects on his considerable experience in the treatment of this problem and reflects upon the many frustrations encountered by all those involved in the care process. Following this, Dr. Chapman from the University of Washington discusses the complexities of achieving anchoring of spinal implants in the pelvis of a patient with spinal deformity. Recent developments allow for a much-improved stabilization of an imbalanced spine to the pelvis, and may help avoid recurrent deformity after thoraco-lumbar deformity surgery.
Spinal Stenosis: When to Fuse Performing a fusion in the thoraco-lumbar spine may be a necessity under certain circumstances, however, includes a greater surgical invasiveness and alters the biomechanics of the spinal column. In this University of Washington program, meet Dr. Webb from Nottingham, United Kingdom, a very experienced spine surgeon who, from a more than 30-year vantage point, reviews the indications for fusion and reflects on circumstances where surgeons can safely avoid spine fusions during neurologic decompression surgery.
Sport Nutrition Game Plan How much do you consider the health benefits of the food on your plate at each meal time? Learn how to make smart decisions when planning a meal and how those choices can impact your performance as an athlete.
Sports and Spine Physicians Active lifestyles range from hard-driving athletes to parents playing ballwith their kids. When injury or illness takes away the ability to pursue those activities, it affects both physical and emotional health. The UW Medicine Sports and Spine Physicians team is dedicated to restoring maximum function so their patients can be fit for life.
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Sports Injuries: Spine and Head, Part 1 Doctors talk to doctors about diagnosis and treatment of sports-related injuries to the spine and head. Surgeons present cases and answer questions.
Sports Injuries: Spine and Head, Part 2 Doctors talk to doctors about diagnosis and treatment of sports-related injuries to the spine and head. Surgeons present cases and answer questions.
Sports Medicine: ACL Repair She won a silver medal in soccer at the 2000 Olympics. Now Michelle French plays soccer for the Seattle Sounders, and that’s how she tore her right knee’s anterior cruciate ligament (ACL). She was treated by Dr. Chris Wahl, an orthopedic surgeon at the University of Washington Medical Center. Minimally invasive arthroscopic surgery removed the damaged ligament, and French’s knee was reconstructed with graft tendons from her hamstring. Rehabilitation helped French return to the field quickly.
Sports Medicine: Dislocated Shoulder Bill Christiansen, a “weekend warrior” athlete, loves basketball’s flow and energy. But for months he couldn’t play because his shoulder kept painfully dislocating. Bill was referred to Dr. John Green, an orthopedist at the University of Washington Sports Medicine Clinic. He performed a minimally invasive arthroscopic repair, moving the labrum back to normal position and holding it in place against the glenoid with absorbable suture anchors. With rehab, Christiansen got his game back.
Stem Cell Therapy in Cardiac Disease - Charles Murry, MD, Ph.D. How can we harness the power of stem cells to repair the heart or other damaged organs? Dr. Chuck Murry, Dept. of Pathology; Director, Center for Cardiovascular Biology at the University of Washington describes a spectrum of approaches, ranging from understanding the basic science of stem cell differentiation, to using stem cells to create new tissues.
Stiff Elbow Trauma & Treatment Initially, a motorcycle crash sent Warren Henderson to Harborview Medical Center. As he healed, bone spurs developed in his right elbow, which made the elbow stiff and also pressed against a nerve, diminishing sensation in two fingers and his forearm. At Harborview Medical Center, Dr. Doug Hanel performed the delicate surgery, removing scarred bone and scarred elbow capsule, and reconstructing the anatomy. “It’s beyond what I had hoped for,” Henderson said.
Storage Lesions in Cellular Blood Components - James AuBuchon, MD While we often talk about getting better with age, this generally applies only to fine red wines. Even then, there’s a limit to improvement before deterioration wins out. But what about blood? In this video from the University of Washington’s Laboratory Medicine Grand Rounds series, Dr. James AuBuchon, president and CEO of the Puget Sound Blood Center explains how biochemical changes in platelets and red cells with ex vivo storage are many and varied, including surface changes as well as reductions in functional capabilities. The extent to which these changes reduce the effectiveness of transfusions, or possibly even harm transfusion recipients, remains unclear. Retrospective clinical studies have certainly raised concerns about “old blood,” but prospective trials have failed to corroborate the incrimination. So what’s best for the patient?
Substance Abuse Treatment for Child Welfare Families: Part 1 A large percentage of parents who abuse, neglect or abandon their children have drug and alcohol problems. Learn about recent research about substance abuse in the context of the child welfare system, both from the perspective of front-line professionals as well as overall policy. This program is sponsored by the University of Washington School of Law's Court Improvement Training Academy (CITA).
Substance Abuse Treatment for Child Welfare Families: Part 2 A large percentage of parents who abuse, neglect or abandon their children have drug and alcohol problems. Learn about recent research about substance abuse in the context of the child welfare system, both from the perspective of front-line professionals as well as overall policy. This program is sponsored by the University of Washington School of Law's Court Improvement Training Academy (CITA).
Suicidal Individuals: Evaluation, Therapies, and Ethics – Part 1 There is no area of research that brings a complex array of ethical issues into sharp focus more than conducting treatment trials when the focus is on decreasing suicidal behavior and preventing suicide. Historically, suicidal individuals have been excluded from treatment studies because their inclusion was thought to be unethical, unsafe or too difficult to manage clinically. In this lecture, Dr. Linehan will discuss the development and evaluation of therapies used to treat individuals with suicidal behaviors.
Suicidal Individuals: Evaluation, Therapies, and Ethics – Part 2 There is no area of research that brings a complex array of ethical issues into sharp focus more than conducting treatment trials when the focus is on decreasing suicidal behavior and preventing suicide. Historically, suicidal individuals have been excluded from treatment studies because their inclusion was thought to be unethical, unsafe or too difficult to manage clinically. In this lecture, Dr. Stanley will explore the history of excluding suicidal individuals from clinical treatment trials because including them was considered to be unethical, unsafe or too difficult to manage clinically.
Surgery for the Aging Spine Orthopaedists and neurologists meet to discuss treatment options and injuries of the
spine. With a focus on scoliosis, doctors tackle the challenges of spine surgery in older
adults for this degenerative disorder.
Surgical Challenges in Rheumatoid Arthritis Patients who require reconstructive spine surgery frequently face major challenges. Dr. Alan Crockard, a consultant neurosurgeon based in London, discusses the very contentious theory that a fusion procedure may not be the most desirable for patients with certain rheumatologic disorders. Dr. Rick Sasso, associate professor of orthopaedic surgery at University of Indiana, delves into novel approaches in reconstructing the failing spine of patients with significant bone loss of the spinal column.
Surgical Spine Repair Dr. Virany Hillard, a neurosurgeon specializing in spine care at the University of Washington Medical Center, helps a hard-working rancher return to the lifestyle she loves through a surgical procedure called an anterior cervical discectomy and fusion.
Surgical Treatment for Ankle Arthritis Dr Bruce Sangeorzan, University of Washington professor and chief of Harboview Orthopedic Service and Traumatology, and Dr. Sigvard Hansen, University of Washington professor and director of Sig T. Hansen Foot and Ankle Institute, discuss surgical options and the outcomes of treatment for ankle arthritis.
Surgical Treatments for Stroke A panel of University of Washington Medicine neurology and rehabilitative care specialists at Harborview discusses current surgical and preventative care techniques for stroke. Patient care and long-term rehabilitation are discussed, as well as community resources for patients and their families. For more information about this program, please see the Harborview Outreach website or call the stroke hotline number at 206-731-2403.
Symbolic Understanding in Infants and Young Children: Challenges and Benefits – Part 1 Nothing is more important in early human development than learning to use the symbols through which we communicate with one another. In this lecture, Dr. DeLoache reviews her research on the challenges that infants and very young children face as they become symbol-minded-- as they figure out the nature and use of a variety of everyday symbolic objects.
Symbolic Understanding in Infants and Young Children: Challenges and Benefits – Part 2 Nothing is more important in early human development than learning to use the symbols through which we communicate with one another. In this lecture, Dr. Carlson examines the benefits of symbolic understanding, including iconic and non-iconic symbols, pretense, and language for cognitive and social development with an emphasis on self-control and problem solving.
The Antiphospholipid Syndrome - Dr. Michael Linenberger Associate Professor Dr. Michael Linenberger reviews the clinical, laboratory, and diagnostic features of antiphospholipid syndrome, how the pathological antibodies might cause these problems, and the various treatment approaches when vascular or pregnancy complications occur.
The Art of Aging What are the cornerstones of a long and healthy life? How can today’s aging adults best maintain mental and physical activity, a key to aging well? In “The Art of Aging,” host Ron Reagan reveals the latest research and strategies on aging, from the importance of maintaining strong bones to engaging in social interactions. This program was produced by Group Health Cooperative and Leaping Media.
The undergraduate capstone design course on Computer Animation was taught to teams of students from Computer Science & Engineering, Art, and Music by Cassidy Curtis, visiting from Pacific Data Images, with guidance from Professor David Salesin.
The Athlete's Shoulder: Leading Edge Surgical Repair For UW Medicine physicians Dr. Christopher Wahl and Dr. Winston Warme, it’s the time they spend in the lab that truly makes a difference to their patients. Wahl and Warme develop innovative new surgical procedures to help their patients heal quickly and with enough mobility to continue their active lifestyles after surgery. Go inside the surgery suite as Dr. Wahl, Huskies team physician and orthopaedic surgeon at UW Sports Medicine Clinic, treats a professional motocross racer with a DAISY graft to repair her repeatedly dislocated shoulder. Follow along as Dr. Warme, an orthopaedic surgeon at UW Medical Center’s Bone and Joint Surgery Center, uses new techniques to help two very active athletes with broken collarbones get back in the game.
The Diagnosis Tipping Point: To Change or Not to Change? - Brian Budenholzer, MD New tests to diagnose disease often entice clinicians. What should be the tipping points that move a doctor to embrace the new and abandon the old way? In this presentation, "The Diagnostic Tipping Point. To Change or Not to Change?" Dr. Brian Budenholzer will show how he approaches this decision.
The Eyes Have It: The Modern Medicine of Vision, Part 1 Diseases of the eye substantially degrade the quality of life for hundreds of millions of people worldwide. University of Washington School of Medicine professors Drs. Joann G. Elmore, Tueng Shen, Hugh M. Foy and Russ Van Gelder discuss leading causes of blindness, its symptoms and current and emerging treatments.
The Eyes Have It: The Modern Medicine of Vision, Part 2 Diseases of the eye substantially degrade the quality of life for hundreds of millions of people worldwide. In the second half of this two-part program, University of Washington School of Medicine professors Drs. Joann G. Elmore, Tueng Shen, Hugh M. Foy and Russ Van Gelder discuss leading causes of blindness, its symptoms and current and emerging treatments.
The Faces of Medical School - Part 1 Exactly what does it take to get into medical school? Dr. Terry Mengert takes you through the history of teaching medicine, from Hippocrates to modern day. Aside from highlighting the training today's new doctors receive, Dr. Mengert interviews two students about the challenges and joys of medical school. 'The Colleges', a program which focuses on teaching patient communication at the bedside, is also featured.
The Faces of Medical School - Part 2 Welcome to UW Mini-Medical School! Exactly what does it take to get into medical school? Sit in on an interview and then learn the survival skills needed to succeed. Focus on teaching patient communication at the bedside.
The Golden Age of Global Health: An Ethnology in Progress Learn how conflict situations, refugees, health and the environment are connected in this program, which is part of the Fifth Western Regional International Health Conference. Hear about the latest developments in HIV vaccine research, new health systems, water quality and oral health disparities around the globe—including health consequences of the Iraq war. Speakers include Jim Yong Kim, chair of the department of social medicine at Harvard, and King Holmes, head of infectious diseases at Harborview Medical Center.
The Impact of Informatics on the Understanding and Treatment of Human Disease: Visions of the Future - Part 1
The University of Washington School of Medicine, Department of Medical Education and Biomedical Informatics hosts the third annual symposium featuring medical professionals from a wide variety of disciplines: pediatrics, genome sciences, biomedical research and public health. Keynote speaker Dr. Russ Altman, with Stanford University Department of Genetics, focuses his comments on the challenges in building genotype-phenotype data resources to support personalized medicine. Dr. Gary Stormo, UW Medical School Department of Genetics, discusses the delicate balance to translate clinical medical research to the supportive, caring environment of patient care.
The Impact of Informatics on the Understanding and Treatment of Human Disease: Visions of the Future - Part 2
The University of Washington School of Medicine, Department of Medical
Education and Biomedical Informatics hosts the third annual symposium featuring medical professionals from a wide variety of disciplines: pediatrics, genome sciences, biomedical research and public health. This program demonstrates a lively discussion of current healthcare information management issues.
The Jekyll and Hyde of Regulatory Issues: Effects on the Evidence-Based Medicine of Laboratory Tests - Larry Kessler, Sc.D. Some research has suggested that up to 80% of the US health care dollar is driven by diagnostic tests. The world of in vitro diagnostic testing though is often a hidden part of clinical medicine. In this talk, Dr. Larry Kessler from the School of Public Health and Community Medicine at the University of Washington describes the US Food and Drug Administration’s approach to classification of in vitro diagnostic devices FDA and their regulatory pathways.
The Painful Adult Flat Foot A significant number of people have what is described as flat feet, but a small portion of them have a type of flat foot condition that limits functional abilities and manifests into clinical problems. In this program, Dr. Bruce Sangeorzan, Harborview, University of Washington, discusses factors that contribute to this affliction and how to alleviate them.
The Personal Genome: Consequences for Society Originally webcast April 23, 2008, the University of Washington Department of Genome Sciences presents the panel discussion moderated by Maynard Olson, University of Washington professor of medicine and a pioneer in human genome discoveries. Speakers included George Church, professor of genetics at Harvard Medical School and director of the Center for Computational Genetics; Bill Gates III, Microsoft; Eric Lander, founder of Broad Institute and one of the leaders of the Human Genome Project, exploring the molecular mechanisms underlying the basis of human disease; and Leona Peltonen of Wellcome Trust Sanger Institute, a pioneer in the use of genetically isolated populations in the identification of disease genes.
The Promise and Perils of Herbal Remedies - Chihiro Morishima, MD Herbal remedies are widely used by the U.S. population in the form of over-the-counter dietary supplements. Dr. Chihiro Morishima of the University of Washington will review regulatory and potential safety issues associated with these products, as well as the potential for future drug discovery. Morishima will also share recent research results on silymarin, derived from the milk thistle plant and used by many individuals with chronic liver disease.
The Promise of Health for All: Are U.S. Policies Making it Harder to Achieve? Each year, inadequate health care and conditions result in millions of deaths from preventable diseases. In Africa less than ten percent of the people dying from AIDS have adequate treatment, due to a shortage of doctors and nurses. In the U.S. there are 600 doctors per 100,000 citizens; in Cuba there are 800; and in Mozambique there are two. In this lecture, University of Washington faculty explore the forces which impact our ability to provide basic health care to citizens in a global society.
The Promise of Plasma Proteomics in the Clinical Laboratory: Fact and Fiction - N. Leigh Anderson, Ph.D. The striking shortfall in new protein diagnostics emerging from proteomics research reflects a lack of critical biomarker verification capacity, in combination with other factors underlying the conservative stance of the in-vitro diagnostics (IVD) industry. In order to bridge the gap between biomarker discovery and clinical use, a new approach to verification is proposed: multiplexed panels of specific candidate assays based on hybrid immuno-mass spectrometric detection. By combining high-sensitivity, throughput, and precision with use of very small plasma samples, a platform for systematic verification of hundreds of candidates in thousands of samples can be implemented. Dr. N. Leigh Anderson shares the potential role of mass spectrometry for protein measurement in the routine clinical laboratory.
The Psychology of Blink: Understanding How Our Minds Work Unconsciously - Part 1 of 2 Recent psychological research has revealed widely held unconscious thought patterns that most people would rather not possess. Dr. Anthony Greenwald, psychology professor at the University of Washington, describes his research developing the method (described in Malcolm Gladwell's Blink) that reveals this unconscious mental content, demonstrates the method and describes how the unconscious mental content that it reveals affects our behavior.
The Psychology of Blink: Understanding How Our Minds Work Unconsciously - Part 2 of 2 Recent psychological research has revealed widely-held unconscious thought patterns that most people would rather not possess. In this program from the University of Washington psychology department, MacArthur awardee Dr. Lisa Cooper, John Hopkins University School of Medicine, describes her research on how patient race influences patient-physician communication and physician clinical decision making. She also includes her efforts to design interventions to negate these undesired racial and ethnic health care disparities.
The Regional Heart Center Follow three doctors and their patients through a day at the University of Washington Medical Center. One patient has major heart surgery. Another has a pacemaker implanted. The third patient, a lifelong cardiac patient, gets a checkup.
The Road to Becoming a Doctor, Part 1 Explore the process of becoming a doctor from application to admission, from the first and second years of basic science education to the third year of clinical education and “clerkships.” University of Washington School of Medicine professors Dr. Lawrence Robinson and Dr. Hugh M. Foy give an insider’s perspective. Just what happens in a medical student’s final years as an intern, resident and fellow? Learn surgical principles and skills and try your hand at simulated surgery.
The Road to Becoming a Doctor, Part 2 In the second part of this two-part program, continue exploring the process of becoming a doctor. University of Washington School of Medicine professors Dr. Lawrence Robinson and Dr. Hugh M. Foy give an insider’s perspective on the long road from admission into medical school to residency and beyond. Learn surgical principles and skills and try your hand at simulated surgery.
The Role of Nanotechnology in the Clinical Laboratory - Steven C. Kazmierczak, Ph.D. Nanotechnology is a term widely used today that describes man’s ability to control the manufacture of functional “nanosystems”, or to deliberately create structures at the nano scale that exhibit unique properties. Dr. Steven C. Kazmierczak provides a basic understanding of the concepts underlying nanotechnology, and describes how materials function differently at the nano level compared with the macro scale. The importance of nanotechnology as it relates to medical technology is the primary focus.
The Rotazyme Story: When Are Double Standards Justified? Throughout the world, rotavirus is the single most important cause of severe diarrhea in young children. Dr. Lainie Friedman Ross from the University of Chicago provides historic relevance for the vaccine developed to treat rotavirus. In the United States, rotavirus results in 500,000 visits to the doctor, 50,000 hospitalizations and 20 deaths each year. The risk of any vaccine-related complications outweighs the burden of the disease. In developing countries, the scenario is much different. Each year, there are 111 million episodes of rotavirus, 25 million clinic visits, 2 million hospitalizations and between 400,000 and 500,000 deaths in children under age 5. Earlier this year, two new vaccines for rotavirus were approved. But in the intervening seven years, more than 3 million children died throughout the world. This bioethics conference is presented by the Treuman Katz Center for Pediatric Bioethics, which is supported by Children’s Hospital and Regional Medical Center, and the University of Washington School of Medicine.
The Team Physician and Controversies in Sports Medicine - Part 1 Defining the duties and responsibilities of team physicians and how they balance player and team interests. How do team physicians manage concussions, a challenging injury that catches a lot of media attention?
The Team Physician and Controversies in Sports Medicine - Part 2 Defining the duties and responsibilities of team physicians and how they balance player and team interests. How do team physicians manage concussions, a challenging injury that catches a lot of media attention?
The Threat of Pandemic Influenza: How Can We Stop the Spread? Upwards of 500 million people travel internationally every year as global trade and tourism flourish. The resulting health risks and vulnerabilities force acceptance of the fact that we are only as healthy as the people with whom we interact. In this lecture, University of Washington faculty discuss models of response to worldwide pandemics and examine the health-related realities of living in the 21st century.
The Total Shoulder Replacement: Partnering with the Patient Orthopaedics and Sports Medicine Professor Chair, Dr. Frederick A. Matsen III, addresses conditions requiring shoulder reconstructive surgery and demonstrates the surgical techniques involved. Dr. Matsen, along with physical therapist Sarah Jackins, describes the process of postoperative rehabilitation with a former patient.
The Use and Misuse of Laboratory Tests for Nutritional Status - Edward Lipkin, MD, PhD Dr. Edward Lipkin, associate professor of Medicine, Nutrition, Metabolism and Endocrinology at the University of Washington, offers both a historical and current perspective of the laboratory evaluation of nutritional status. Look at examples of mass measurement of blood constituents that correlate with nutritional status, as well as technological advances that may change the way we assess nutrition.
The William H. Foege Building: A Dedication and Celebration The William H. Foege Building, a premier genome and bioengineering sciences facility on the University of Washington campus, was dedicated on March 8, 2006. The event honored renowned UW School of Medicine graduate, Dr. William H. Foege. Dr. Foege is an epidemiologist who is widely recognized as a leader in the successful campaign to eradicate smallpox in the 1970s. The dedication included remarks from Mark Emmert, UW president, William H. Gates, III, (Bill Gates) co-chair of The Bill & Melinda Gates Foundation, and featured a keynote address by former President Jimmy Carter.
Thoraco-lumbar Spine Injury Learn about an integrated approach in caring for patients with spine trauma, as well as a new evaluation of the relationship of spinal trauma and survival. Hear new insights into the diagnosis and treatment of thoraco-lumbar spine injuries with a bending injury mechanism (flexion-distraction injuries). Review the complex care needs of patients who suffer from a spine injury as well as conditions which lead to a stiffening of the spinal column, such as ankylosing spondyliti’, disseminated idiopathic skeletal hyperostosis and endstage degenerative disc disease with ankylosis.
Thumb Joint Replacement Advanced arthritis in Linda Holland’s left thumb was a disability, and a painful one. “You can’t imagine the things you can’t do without a thumb,” she said. Dr. Thomas Trumble at Harborview Medical Center performed surgery, removing parts of the arthritic bone where cartilage had worn away, and inserting a biological cartilage graft to cushion the bone-contact point. Some patients, Trumble said, are better suited to synthetic spacers. Holland, now pain-free, calls Trumble a “miracle worker.”
Tissue Engineering & Life-On-A-Chip Buddy D. Ratner describes research on tissue engineering the heart muscle, which cannot replicate. An interdisciplinary approach looks at all issues from stimulating growth, modeling it, using gene transfer, and developing perfusion systems. Professors Mary E. Lidstrom and Deirdre R. Meldrum describe the interdisciplinary work of the Microscale Life Sciences Center to provide genomic information on single, isolated cells, and this will make possible the automated detection of rare cells in cell populations and the real-time analysis of metabolism in individual cells. It will provide a predictive aspect to the science of biology.
Top 10 Tips For Peak Performance Because an athlete's schedule is often so busy, good nutrition can often take a back seat. UW Medical Center Dietician, Alysun Deckert, provides 10 easy nutrition tips to help athletes stay on track and reach their peak performance.
Total Laboratory Automation - Michael Bissell, MD, Ph.D. In this University of Washington program, Dr. Michael Bissell of Ohio State University discusses James Reason's concept of "system opaqueness" to highly automated clinical lab operations. Dr. Bissell also covers the types of human error seen in the automated lab context, and the typical organizational response to lab patient safety issues.
Treating Meniscus Tears The rubbery meniscus cushions the knee like a shock absorber, but a twist or pivot while running can tear this cartilage. Physicians with the University of Washington Medical Center treat patients with a wide array of knee injuries, including meniscus tears. Physical therapist Dr. Susanne Michaud of UW Medicine Orthopaedics and Sports Medicine works to understand her patients' specific goals, then matches their personalized physical rehabilitation program to the activities they love to do. Sports medicine specialist Dr. Brian J. Krabak explains how flexibility, strength training and balance and can help prevent subsequent injury.
Treating Meniscus Tears It’s estimated that knee injuries account for one-third of all medical visits in the United States. Physicians with the University of Washington Medical Center work to correctly diagnose and individually treat patients with a wide array of knee injuries, including torn ligaments, runner's knee and meniscus tears. After telemark skier Andrew Etringer heard a telltale "pop" in his knee, he visited sports medicine specialist Dr. Brian J. Krabak. A brace and strengthening exercises were the right course of action for Andrew's bruised meniscus. Competitive tennis player Adam Rogers needed surgery to treat the acute meniscus tear in his knee. Dr. John R. Green performed arthroscopic surgery to ensure Adam would be able to keep his active lifestyle, and physical therapist Dr. Susanne Michaud helped Adam regain mobility and return to the tennis court.
Treating Varicose Veins Varicose veins can develop anywhere in the body, but the big, ropey vessels typically emerge in the leg, and aren’t only a cosmetic issue. They can cause itching, skin ulcers and tremendous pain. Wanda Alexis sought treatment from Dr. Torrey Andrews of the University of Washington Medical Center. Guided by ultrasound and making only a tiny puncture near Alexis’ knee, Andrews performed laser ablation to seal shut the faulty vessels. After the procedure, Alexis walked out the door.
Trends in Autoantibody Testing - Mark H. Wener, MD Dr. Mark Wener from the University of Washington discusses recent trends in autoantibody testing, which includes testing for such conditions as lupus, rheumatoid arthritis, and other autoimmune diseases.
Trends in Multiparameter Flow Cytometry in Hematology - Dr. Brent Wood Flow cytometry is increasingly utilized as primary tool for the diagnosis of hematopoietic neoplasia in a clinical laboratory setting. The use of increased numbers of simultaneous fluorochromes offers the following potential advantages: increased accuracy of population identification, the ability to make better use of small specimens where cell number is a limiting factor, the processing of fewer tubes with the consequent reduction in reagents, technologist time and instrument time, the more efficient analysis of large numbers of cells which is important for the detection of small cell populations, and ultimately improved standardization. Brent Wood, associate professor of the hematology division in the department of laboratory medicine at the University of Washington discusses practical issues surrounding the implementation of high-level multicolor flow cytometry in a clinical laboratory setting and illustration of the power of the technology.
Trends in Newborn Screening - Michael Glass, MS In this University of Washington program, Michael Glass, of the Washington State Department of Health, presents the latest in newborn screening trends in Washington state and across the nation. He describes how certain tests were developed, such as the PKU blood spot test performed on all newborns in this state. He also talks about the outcome for children when certain conditions are not tested early enough to be effectively treated.
Trends in the Clinical Laboratory Industry - Dr. Thomas Tiffany The United States Clinical Lab Industry represents $50 billion of the $1.7 trillion dollars spent on health care in 2006. The Lab Industry represents less than 3% of the health care budget yet provides more that 70 % of the diagnostic information leading to medical decisions on patients. In this University of Washington program, learn as Dr. Thomas Tiffany talks about industry trends including the market, key environmental factors, labs and integrated health delivery networks, and the role of clinical labs in the integrated health delivery networks to include quality assurance, information technology, and new testing direction.
Tumor Vaccine Group 2008 Open House Dr. Mary L. "Nora" Disis, professor of medicine at the University of Washington, joins Dr. Kathleen Tietje, administrative director at the Tumor Vaccine Group, to discuss the group and its mission of being a multidisciplinary group of investigators focused on the diagnosis, prevention and treatment of cancer with novel, immune-based therapies. Involving scientists, doctors, nurses, and patients, our translational research works to bring the most innovative treatments from the bench to the bedside and to harmonize scientific study with patient care.
Tumors and Related Conditions University of Washington Bone & Joint Center specialist, Dr. Ernest Conrad discusses the treatments for cancerous tumors.
Twin Epidemics: Obesity and Diabetes - Part 1 Many different approaches – from personal to societal – are needed to prevent and control obesity rates and diabetes prevalence. Hear from three leading researchers from the University of Washington School of Medicine with clinical and public health perspectives.
Twin Epidemics: Obesity and Diabetes - Part 2 Many different approaches – from personal to societal – are needed to prevent and control obesity rates and diabetes prevalence. Hear from three leading researchers from the University of Washington School of Medicine with clinical and public health perspectives.
Twin Epidemics: Obesity and Diabetes - Part 3 Many different approaches – from personal to societal – are needed to prevent and control obesity rates and diabetes prevalence. Hear from three leading researchers from the University of Washington School of Medicine with clinical and public health perspectives.
Uncommon Sense & Innovation Dr. William Brody, president of Johns Hopkins University presents his lecture, "Uncommon Sense and Innovation." Brody is the 13th president of Johns Hopkins University. With his extensive education in electrical engineering and medicine, Brody knows the importance of discovery and innovation in science. With that in mind, he discusses the role of reasoning and problem solving in the real world and emphasizes how to apply it to science.
Understanding a Chronic Killer: Kidney Disease, Part 1 Twenty million Americans have chronic kidney disease. That's one in nine adults. Another 20 million are at risk. Are you one of those at high risk? Find out what causes kidney disease and how we can prevent it and treat it.
Understanding a Chronic Killer: Kidney Disease, Part 2 Twenty million Americans have chronic kidney disease. That's one in nine adults. Another 20 million are at risk. Are you one of those at high risk? Find out what causes kidney disease and how we can prevent it and treat it.
Understanding and Treating Chronic Post-Traumatic Stress Disorder Psychological disorders following exposure to trauma include personal suffering, decreased productivity, occupational and social dysfunction, medical disorders and demands on health services. In this talk, Drs. Zoellner and Bryant review current research associated with the persistence of Post-Traumatic Stress Disorder and the variety of viable options that exist for treatment. Speakers also explore treatment options and focus on the effectiveness of both therapies and medications.
Understanding the Appropriate Use of Lipid Testing - John Brunzell, MD Dr. John Brunzell, MD, Professor Emeritus, Medicine/Division of Metabolism, Endocrinology and Nutrition at the University of Washington, discusses issues related to measurement of lipoprotein subfractions, what to measure when plasma triglyceride is elevated and the value of
non-lipoprotein estimates of cardiovascular risk.
Roland L. Hjorth, University of Washington School of Law Dean (August 1995 - June 2001), hosts this event and introduces Regent Gates II who offers his comments and introduces his son. Bill Gates III delivers the Centennial Lecture offering his vision of the next century, shaped by public policy and private giving. Gates addresses opportunities to improve the lives of millions of the worlds poorest people by enlisting the developments in the last centurys burst of innovation, medical science, and information technology.
Unwired: When the Brain’s Circuits Fail, Part 1 Find out the latest news in neurology: delivering the best possible care to people with headaches, multiple sclerosis, epilepsy, stroke, and brain tumors.
Update on Antiviral Drugs & Strategies for Their Use A look at the antiviral influenza medications that are currently available, some strategies for their use, the HHS Pandemic plan for antiviral drugs right now, and areas that need to be addressed regarding what the global healthcare community's next steps might be during a potential pandemic.
Update on Cord Blood Transplantation - Dr. Colleen Delaney The University of Washington’s Dr. Colleen Delaney reviews current clinical practices of cord blood transplantation with a focus on outcomes and improvements in the last decade with this stem cell source. Current research methodologies are discussed, as are clinical approaches for overcoming delayed engraftment seen in cord blood transplant recipients.
Update on Markers for Cardiovascular Disease Risk - Kevin O'Brien, MD Cardiovascular disease remains the leading cause of death in Americans. In this University of Washington program, Dr. Kevin O'Brien teaches you how to identify the risk for deadly medical problems leading to this disease.
Update on Spinal Cord Injuries Current strategies to counter spinal cord injury revolve around prevention through education, streamlined diagnostic process, and early decompression and stabilization of the traumatized spinal cord and surrounding structural elements. This session provides a comprehensive review of pathophysiology of cord injury and a critical review of current and experimental pharmacologic and surgical treatment approaches.
Upper C-spine Problems in Rheumatoid Arthritis The upper cervical spine with its two bone segments is the most complicated and vulnerable region of the human spinal column, making it a target for a number of arthritic disorders. Dr. Randy Chesnut, professor of neurological and orthopaedic surgery at the University of Washington, presents the results of intriguing research investigating the fate of patients who have not had surgical intervention and those have. This topic is further examined by Dr. Alan Crockard, a consultant neurosurgeon based in London, and Dr. Rick Sasso, associate professor of orthopaedic Surgery at the University of Indiana.
UW Medicine - Neighborhood Clinics UW Medicine Neighborhood Clinics offer patients convience and extraordinary primary care with seven locations throughout King County.
UW Medicine 2008: Progress and Plans UWTV will webcast the annual address of Dr. Paul Ramsey, CEO of UW Medicine, executive vice president for medical affairs and dean of the School of Medicine, to the UW community from 4 to 5 p.m. on Thursday Jan. 31, 2008. Ramsey will provide an overview of progress in the past year, challenges and opportunities facing UW Medicine, and plans and strategic initiatives for the coming year. The talk takes place at Hogness Auditorium, A-420, Health Sciences building, and a reception will immediately follow in the Health Sciences lobby.
UW Medicine 2009: Maintaining Focus in Challenging Times UW Medicine’s mission of improving health is more important than ever during this time of global economic turmoil. In his annual address to the UW Medicine community, Paul Ramsey will describe UW Medicine’s progress in the past year and review challenges and opportunities for our educational, research, and patient care programs in 2009.
UW Medicine Neighborhood Clinics "Health Checklist" Do you know the six tips for a healthier life? Primary care physicians from UW Medicine Neighborhood Clinics share important tips for preventing illness. Exercise is important for good health, but so is sleep, nutrition and a strong relationship with your health care provider. See how these and other simple steps from UW Medicine Neighborhood Clinic physicians can help you maintain good health.
UW Sports Medicine For Every Athlete UW Sports Medicine Clinic physicians discuss the team approach they take in treating their most physically active patients - from Olympic medalists to Husky athletes, professional dancers to weekend warriors. This University of Washington program profiles these athletes and the physicians who help them regain their physical strength and agility. Both surgical and non-surgical approaches are examined.
UW/FHCRC China Health Initiative: Research and Training - Dr. Tuofu Zhu The University of Washington’s Dr. Tuofu Zhu reviews his collaborative research, as well as the building of critical research infrastructure, in areas of infectious and non-communicable diseases impacting China, the Pacific Northwest region and the world. Supported by the leadership of the UW, Fred Hutchinson Cancer Research Center and a network of top Chinese institutes, the UW/FHCRC Health Initiative is creating a state-of-the-art research and training/education environment in China for UW investigators and students.
Vaccines Targeting Breast and Ovarian Cancer Research over the last decade has demonstrated that human tumors are immunogenic and that cancer patients can have immune responses specific for their tumors. At the same time, many mechanisms have been identified that act to limit the tumor specific immune response. Cancer vaccines may have the potential to stimulate tumor immunity to levels that have an impact on tumor growth. The development and testing of cancer vaccines may lead someday to the ability to use the immune system to prevent the first development of cancer or of relapse in patients who have been previously treated.
Valve Surgery in the Young Adult Dr. Ed Verrier presents a patient case study outlining surgical procedures to repair the heart valve. Pre- and post-operative echocardiograms illustrate a procedure using surgical aortic root enlargement. The lecture also highlights valve replacement options for the young adult, beginning with valve repair or reconstruction. Valvular heart disease improved by prosthesis includes several replacement options: mechanical prosthesis, stented bioprosthesis and stentless valves.
VATS Lobectomy for the Treatment of Non-Small Cell Lung Cancer Dr. Michael Mulligan, thoracic surgeon and lung transplant specialist at UW Medical Center, presents his lecture, VATS Lobectomy for the Treatment of Non-Small Cell Lung Cancer. Mulligan details the thoracoscopic lobectomy procedure including technical and safety aspects. He also discusses the advantages of VATS compared to traditional methods. Dr. Mulligan is a UW associate professor in the Division of Cardiothoracic Surgery and director of Minimally Invasive Thoracic Surgery at UW Medical Center.
Vision and the Brain: Unseen Complexities – Part 1 Why do we need vision? As it turns out, there are two answers to this question. On the one hand, we need vision to give us detailed knowledge of the world beyond ourselves, knowledge that allows us to recognize things from minute to minute and day to day. On the other hand, we also need vision to guide our actions in that world at the very moment they occur. These are two quite different job descriptions, and nature seems to have given us two different visual systems to carry them out. Dr. Murray explores the problems in the context of object size and brightness perception, and discusses computational challenges in sight that require extensive neural processing.
Vision and the Brain: Unseen Complexities – Part 2 Why do we need vision? As it turns out, there are two answers to this question. On the one hand, we need vision to give us detailed knowledge of the world beyond ourselves, knowledge that allows us to recognize things from minute to minute and day to day. On the other hand, we also need vision to guide our actions in that world at the very moment they occur. These are two quite different job descriptions, and nature seems to have given us two different visual systems to carry them out. Dr. Goodale discusses how separate but interacting visual systems have evolved for the perception of objects on the one hand and the control of actions directed at those objects on the other, examining how both systems process information but each using the information in different ways.
Wally Smith, REI Recreational Equipment, Inc. (REI) focuses on growth in a niche retail market of outdoor goods. REI is a cooperative, owned by 1.4 million members and founded 60 years ago to provide technical goods for hikers and mountain climbers. Now it has diversified to rugged outdoor apparel which is in vogue for simple urban outings. With 51 stores throughout the U.S. and plans for a new outlet in Japan, REI projects a 12 percent annual increase in sales this year to $575 million.
Water, Energy, and Life: Fresh Views From the Water's Edge Dr. Gerald Pollack, UW professor of bioengineering, has developed a theory of water that has been called revolutionary. The researcher has spent the past decade convincing worldwide audiences that water is not actually a liquid. Pollack explains his fascinating theory in this 32nd Annual Faculty Lecture.
Who’s Protecting Public Health? Part 1 Local E. coli scares and a measles outbreak are fresh reminders that infectious diseases continue to be major causes of sickness and death. Bioterrorism and biological disaster are on everyone’s mind. Keeping one step ahead of these killers is one of the greatest challenges facing medicine and public health.
Who’s Protecting Public Health? Part 2 Local E. coli scares and a measles outbreak are fresh reminders that infectious diseases continue to be major causes of sickness and death. Bioterrorism and biological disaster are on everyone’s mind. Keeping one step ahead of these killers is one of the greatest challenges facing medicine and public health.
Windpipe Repair Dr. Al Hillel of the University of Washington Medical Center corrects a patient’s tracheal stenosis, or narrowing of the windpipe, through tracheal resection surgery. After removing part of Carol Smetheram’s trachea and reattaching it to her larynx, Dr. Hillel finds his patient is speaking and breathing easier.
Women's Health: What's Security Got to Do With It? Part of the Washington Global Health Alliance Discovery Series, the University of Washington’s Department of Global Health presents Kavita N. Ramdas, president and CEO of the Global Fund for Women. Ramdas has dedicated herself to empowering women worldwide with the financial resources to increase girls' access to education, defend women's right to health and reproductive rights, prevent violence against women and advance women's political participation, as well as other vital issues. Ramdas delivered this lecture at the University of Washington on Oct. 5,
2009.
Your Medical School Journey: Training in Medical Professionalism, Part 1 Health-care delivery systems threaten the very nature of medical professionalism. What we’re doing to teach ethical, professional behavior, dedication to competence and service, and most importantly, commitment to the patient.
Your Medical School Journey: Training in Medical Professionalism, Part 2 Health-care delivery systems threaten the very nature of medical professionalism. What we’re doing to teach ethical, professional behavior, dedication to competence and service, and most importantly, commitment to the patient.
