East Carolina chancellor says medical school threatened

GREENVILLE, N.C. (AP) The chancellor of East Carolina University says the medical school in Greenville could close in five years unless its financial losses are reduced.

Chancellor Steve Ballard told WNCT-TV (http://bit.ly/1I9ghv9) that the Brody School of Medicine is in serious financial trouble after millions of dollars in losses in recent years.

Ballard says the medical school lost $14 million last year, in large part because of state restrictions on how they can receive federal money and the inability to collect debts.

"We can't stay accredited if we have three more years of $14 million lost. We'll be closed," Ballard said.

To remain accredited, Brody must keep 90 days cash in reserve, which amounts to about $40 million. The school has only about $32 million on hand at the moment.

Ballard says since the Great Recession, East Carolina has lost about $100 million because of state budget cuts. Ballard says the state funded 53 percent of the medical school's operating budget in 1990. Now, it provides only 21 percent of the operating budget.

The dean of the school, Dr. Paul Cunningham, says officials are working to show state lawmakers the school's uniqueness.

One fourth of the doctors in the eastern part of the state are 65 or older. Cunningham says the Brody plays a critically important role in replacing those physicians as they retire.

He also said students at Brody graduate with less debt than doctors at other schools. The average debt in Greenville is just over $100,000, compared with the national average of about $170,000.

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Researchers Find Salicylates, a Class of Non-Steroidal Anti-Inflammatory Drugs (Nsaids), Stop Growth of Vestibular …

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Mass. Eye and Ear/Harvard Medical School Researchers Find Salicylates, a class of non-steroidal anti-inflammatory drugs (NSAIDs), Stop Growth of Vestibular Schwannomas Findings described online in Translational Research

Newswise (BOSTON) Feb. 5, 2015 Researchers from Massachusetts Eye and Ear and the Harvard Medical School/ Massachusetts Institute of Technologys Program in Speech and Hearing Bioscience and Technology have demonstrated that salicylates, a class of non-steroidal inflammatory drugs (NSAIDs), reduced the proliferation and viability of cultured vestibular schwannoma cells that cause a sometimes lethal intracranial tumor that typically causes hearing loss and tinnitus.

The research is described in "Non-steroidal Anti-inflammatory Medications are Cytostatic Against Human Vestibular Schwannomas" online in Translational Research. These pre-clinical data based on cultured primary vestibular schwannoma cells, combined with our previously published work on aspirin intake correlating with halted growth of vestibular schwannomas (also known as acoustic neuroma), motivate a future prospective clinical trial, said Konstantina Stankovic, M.D., Ph.D., F.A.C.S., principal investigator at the Eaton-Peabody Laboratories at Mass. Eye and Ear who led the research. Dr. Stankovic is also an assistant professor of Otology and Laryngology at Harvard Medical School. Other authors are her trainees, Drs. Sonam Dilwali, Shyan-Yuan Kao, Takeshi Fujita and Lukas D. Landegger.

Vestibular schwannomas are the most common tumors of the cerebellopontine angle and the fourth most common intracranial tumors. Although vestibular schwannomas are histologically non-malignant, they can lead to substantial morbidity, including sensorineural hearing loss, vestibular dysfunction and facial nerve paralysis. Large vestibular schwannomas can cause additional paralysis of other cranial nerves, brainstem compression and death, the authors write.

Currently, patients with symptomatic or growing vestibular schwannomas can undergo surgical resection or radiotherapy. Both of these procedures can result in serious complications. Effective drug therapies that can limit growth would greatly advance health care for these patients.

Salicylates are attractive therapeutics because they are clinically relevant, well-tolerated and commonly used against pathologies such as pain and arthritis. Furthermore, in some cases, chronic intake of salicylates has led to a significant reduction in the incidence and burden of various tumors, such as colorectal cancer.

In our study, we focused on salicylates because a mechanism of their action is inhibition of cyclooxygenase 2 (COX-2), and a previous study reported that immunohistochemical expression of COX-2 correlated with vestibular schwannoma growth rate. We assessed the efficacy of three different salicylates against vestibular schwannoma: aspirin, sodium salicylate (NaSal) and 5-aminosalicylic acid (5-ASA), Dr. Stankovic said.

The team found COX-2 to be aberrantly expressed in human vestibular schwannomas and primary human vestibular schwannoma cells in comparison to control human nerve specimens and primary Schwann cells (SCs), respectively. Further, levels of prostaglandin E2, the downstream enzymatic product of COX-2, correlated with primary VS culture proliferation rate. Changes in proliferation, cell death and cell viability were analyzed in primary vestibular schwannoma cultures treated with aspirin, NaSal or 5-ASA. These drugs decreased proliferation and viability of vestibular schwannoma cells without increasing cell death or affecting healthy SCs. The cytostatic effect of aspirin in vitro was in concurrence with Dr. Stankovics previous clinical finding that vestibular schwannoma patients taking aspirin demonstrate reduced tumor growth.

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Researchers Find Salicylates, a Class of Non-Steroidal Anti-Inflammatory Drugs (Nsaids), Stop Growth of Vestibular ...

Central Louisiana high school students participate in Tulane Medical School's Career MD Day

High school students from Central Louisiana spent a day in the life of a medical student.

It was all a part of Tulane Medical Schools Career MD Day. The hope is that at the end of the day they will have a better idea of what their career will be in the future.

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Listening to and measuring breathing and heart rates, performing CPR and laparoscopic surgery -- its all in a days work for students at the center for advanced medical simulation and learning at Tulane Med School.

But Tuesday, the lab was taken over by 30 juniors and seniors in high school.

They are with a program thats part of the Central Louisiana Health Education Center, or AHEC, aimed at exposing kids to the medical field before college to help them decided if its the right path for them

Theyre giving you the truth, said Camila Carrera, a Lavonia High School student. Theyre not like, Come to med school. Be a doctor! Theyre like, Its this, this and this. Its helpful this way, but its also stressful in this way. I feel like thats a good aspect of this program.

I really hope that today is eye-opening for them, that they get to experience -- from the med students, the passion that these medical student have for becoming a doctor and kind of reignite a passion in the med students as well -- but for our high schoolers is to really firm up the desires theyve had since they were a kid to become a doctor, said Elizabeth Sylvest, with Cenral Louisiana Area Health Education Center.

Slyvest said they track their students progress even after they graduate from high school. She says several students have decided to go into the medical field after spending time in the program and after spending time here at Tulane Med School.

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Central Louisiana high school students participate in Tulane Medical School's Career MD Day

Opioids given in the ER don’t influence patient satisfaction surveys – Video


Opioids given in the ER don #39;t influence patient satisfaction surveys
A new study co-authored by investigators at UMass Medical School found no correlation between opioids administered in the emergency room and Press Ganey ED patient satisfaction scores, one...

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Opioids given in the ER don't influence patient satisfaction surveys - Video

Medical School ups diversity

The University of Minnesota Medical School enrolled a record number of first-year students of color this academic year.

About one-third of the schools 170 first-year students are from multicultural backgrounds a statistic the school gathered by asking applicants to self-identify. Despite the schools success with recruiting students of color, some students say there is still room for added diversity among enrollees.

Mary Tate, director of the Medical Schools Minority Affairs and Diversity office, said the school hasnt changed its recruitment methods, but instead has put more emphasis on attracting students of color.

I think one of the things thats in place is that they do feel a sense of community from this school, she said.

The schools recruitment efforts include a pilot program that connects high school students in need of mentoring with Medical School students, Tate said.

In the program, Medical School students spend four years mentoring ninth-grade students of color at Higher Ground Academy in St. Paul, Tate said. The Medical School hopes that with the pilot program, the students in the academy consider attending the University for undergraduate education, and later for medical school.

Julen Harris, a second-year medical student, said the schools increased diversity was part of the reason she decided to attend.

She said although the Medical School is a welcoming place for students of color, she thinks officials could do more to attract those types of students.

The increase in numbers [makes me] hopeful, Harris said. I think its a really positive thing.

Tate said students who choose not to attend the Universitys Medical School receive a questionnaire asking them why they made that decision. Most students answer that they wouldnt receive enough financial aid to afford the school or that it lacks diversity, she said.

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Medical School ups diversity

Einstein medical students push for Montefiore takeover

We need a merger, stat!

Hundreds of doctors-in-training at the Albert Einstein College of Medicine in the Bronx will rally at the school Tuesday in support of a proposed partnership with healthcare giant Montefiore Medical Center.

Montefiore had agreed last May to take over the finances and day-to-day operations of the world-renowned but ailing Morris Park medical school from its operator, Yeshiva University.

But talks were scrapped in December because the parties were unable to agree on certain terms, a Yeshiva spokesman said.

Nearly 200 medical students from the schools four-year program hope to revive negotiations by showing enthusiastic support for a merger, according to Albert Einsteins student council.

The students who go here really want the deal to go through, said Dayle Hodge, 31, the councils chief delegate.

The rally is meant to nudge them in the right direction.

The student body fears the cash-strapped school will be forced to lay off nontenured faculty or get rid of the research-based graduate program, Hodge said.

Such a move would be catastrophic, the fifth-year student said.

Medical students would still be able to get their degrees, but the prestige would go way down, Hodge said.

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Einstein medical students push for Montefiore takeover

Schafer was the ninth Air Force surgeon general

In more than 30 years of military service, George E. Schafer rose through the medical officer ranks, becoming surgeon general of the Air Force.

Schafer had followed his father into the medical profession and graduated from medical school at the University of Cincinnati in 1946.

We found pictures of my dad with a stethoscope, listening to the back of his older brother laying down in a wagon, son Jeffery Schafer said.

His dream was to one day work alongside his father, but when the younger Schafer was in college, his father died. Schafer joined the Air Force in 1947 after completing a surgical residency.

He was in medical school during World War II and always wanted to serve his country. When (his father) died, that dream was over, so he found another way to practice, Jeffery Schafer said.

Schafer died Jan. 23 at the age of 92.

Schafer had married his high school sweetheart, Marjorie, in 1943, a union that lasted 71 years until she died last year.

While stationed at Randolph AFB, Schafer attended the School of Aviation Medicine, which specializes in the treatment and prevention of certain conditions to which aircrews are susceptible.

After training, Schafer was assigned as a flight surgeon to the 4th Fighter Group, making him the first full-time surgeon in a jet aircraft group. Through the years, Schafer was stationed across the globe, including Germany and Vietnam.

In 1962, he returned to San Antonio and served as assistant deputy chief in research and development of staff, then as deputy chief of staff for operations, in the Headquarters Aerospace Medical Division at Brooks AFB.

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Schafer was the ninth Air Force surgeon general

UMass Medical School, Worcester Polytechnic Institute Developing Smartphone App to Address Stress Eating

WORCESTER, Mass. (PRWEB) February 02, 2015

Researchers at UMass Medical School and Worcester Polytechnic Institute are developing a stress-eating smartphone app that will help users better understand why they overeat, with the support of a $2 million award from the National Institutes of Health.

Development of the RELAX application and a pilot clinical study to evaluate its effectiveness will be led by Sherry Pagoto, PhD, associate professor of medicine at UMMS, and Bengisu Tulu, PhD, associate professor in the WPI Foisie School of Business, joint principal investigators for the grant.

Most commercial apps available today focus on tracking diet and exercise, but do not help the user understand why they are eating so much and/or exercising so little, Dr. Pagoto said. Our clinical and research experience suggests that stress is a very common trigger for overeating and it is a barrier to exercise.

RELAX will have two components: a mobile application that will enable patients to track their daily activities using a smartphone and a web-based tool clinicians can use to access patient information to help inform treatment.

We want to use technology to help patients in real time, during their daily activities, and also to enhance the effectiveness of the time they spend face-to-face with their physician or counselor, Dr. Tulu said.

Using text inputs, barcode scanning, and GPS technology, the RELAX patient app will track eating patterns, daily activities, exercise, patient-mood, and stress inducing events. The app will provide the patient with an itemized list of foods consumed, indicate the times of day identified as high-stress moments, and illustrate the relationship between food intake and stress. The information collected will help the user to better understand his or her habits when it comes to emotional or stress eating.

For example, the patient-facing application will provide coaching for dietary choices or guided stress-reduction exercises to lessen the likelihood of overeating.

Imagine a person driving into the parking lot of a fast-food restaurant, at a certain time of day, and getting prompted with a message asking them to think about what they are feeling and whether or not it is the right time to eat, Tulu said.

Clinicians will be able to access their patients information collected through the RELAX patient app using the web-based application. The web tool will present information as easily digestible visual displays and feedback reports for the clinician to review.

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UMass Medical School, Worcester Polytechnic Institute Developing Smartphone App to Address Stress Eating

Governor falls short with funds for UNLV med school

By Brian Greenspun (contact)

Sunday, Feb. 1, 2015 | 2 a.m.

What happened to our medical school?

That is the only question I asked after Gov. Brian Sandovals State of the State speech a couple of weeks ago. I suppose when the governor talks about how we are doing, why we are doing it and what he is going to do next, and the only question is about the UNLV medical school, then it must have been a pretty good speech!

But where do we go from here? On Monday, the Nevada Legislature opens its 2015 session. Will our elected lawmakers be on good behavior? Will the Republicans, who now own both houses of the Legislature, accomplish what Democrats couldnt achieve when they were in control?

I am betting on our good governor to hold the crazies in his party tight enough so that they cant upset a good thing, which means that education, health care and myriad other infrastructure needs in our state finally will get addressed. And that the business community across the state finally steps up and is part of the investment that needs to be made. (In other states, they call that a tax increase.)

I know I am a bit late to the post-State of the State party, but it seems to me the words Sandoval spoke were the words everyone in Nevada needed to hear. It mattered not whether they were uttered by a Republican or a Democrat or some other political designation that makes people feel good about themselves. The fact is that they were words that had to be uttered and needed to be heard by all who live and work in the Silver State. Weve long needed to grow up and take responsibility for ourselves and our state.

There was, though, one area in the governors speech where I got confused. It had to do with taking advantage of the lowest-hanging fruit in feeding the long-term growth of Southern Nevada. And that would be the UNLV Medical School, which our governor told us was one of his top priorities. Thats good, because 70-plus percent of Nevadans live in the southern part of the state, and getting our own medical school is a priority.

This is where I would tell the well-worn joke about where Las Vegans go for good medical care the airport. But when UNLV has its own medical school, that joke will be history and our future will be one of high-quality medical care available to everyone who lives in this part of the state.

No more will people who can afford it have to travel to other parts of the nation for quality care. No more will people who cant afford to leave be subject to the hit-and-miss treatment and outcomes that define much of the critical needs that a population of 2 million people presents. We are the largest metropolitan area of the country without a medical school, and it is time we had one of our own!

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Governor falls short with funds for UNLV med school