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13 april 2000 • Volume 2 • Number 15

Researcher wins $2.1 million grant to help patients use CPAP treatment 

An estimated 18 million people live with obstructive sleep apnea in the United States, yet many do not follow the most effective and commonly prescribed treatment—Continuous Positive Airway Pressure (CPAP) delivered through nightly mechanical ventilation.
Professor of Grants and Research Carol E. Smith, RN, PhD, is working to find out why, with the help of a $2.1 million, five-year grant from the National Institutes of Health-National Institute of Nursing Research.
“We already know obstructive sleep apnea is the most prevalent and costly sleep disorder in essentially healthy older adults, ” said Dr. Smith, who has spent the past 15 years researching the physical, emotional and financial effects of complex in-home technology care on patients and their families. “But we also know that CPAP decreases the incidence of stroke, heart attack, hypertension and depression for patients with sleep apnea. So the issue at hand is not the efficacy of the treatment, but rather patients’ continuing use of it.”
Dr. Smith’s new study, which employs rural-dwelling, older sleep apnea patients and their families, will examine the cost-benefit and effectiveness of a stepped intervention program on adherence to CPAP. The first level, self-directed and focused counseling, is followed by in-home two-way tele-health monitoring, that allows a nurse to direct CPAP care and assess physical and emotional barriers to adherence. The tele-health equipment, which includes a 13-inch TV monitor and a wide-angle camera, allows for the projection of equipment demonstrations, print materials and video- and audio-taped information into patients’ homes. The final level allows patients and family members to connect via the internet to support persons managing CPAP and other health-related lifestyle changes. 

A study conducted by Dr. Carol Smith will use two-way monitoring devices to increase regular use of CPAP among patients with obstructive sleep apnea.

Characterized by brief interruptions of breathing during sleep, obstructive sleep apnea deprives patients of sleep. CPAP, the most effective treatment, delivers positive air pressure to patients via a ventilator connected by plastic tubing to a small nose or face mask worn by the patient. According to Dr. Smith, patients’ and caregivers’ negative feelings about life-long dependency on technology and recurring yet treatable side effects of ventilation are often blamed for patients avoiding treatment.

University, hospital to observe Resident’s Day

In recognition of Resident’s Day, Wednesday, April 19, KUMC will place an ad in The Kansas City Star listing the names of all KUMC residents. All residents will also receive a personal card signed by Executive Vice Chancellor Donald Hagen, MD, KU Med President and CEO Irene Cumming, Executive Dean of the KU School of Medicine and Vice Chancellor for Clinical Affairs Deborah Powell, MD, and Graduate Medical Education Associate Dean Glen Cox, MD. 

School of Nursing

The Virtual Classroom: On-Line and In The Center

Helen Connors, RN, PhD
Associate Dean of Academic Affairs
University of Kansas School of Nursing

Since 1995 the KU School of Nursing has offered web-based courses for nurses in Kansas, across the country and around the world. This mode of course delivery permits students to remain in their communities and maintain family, work and lifestyle responsibilities while advancing their education. For many learners, this cyber-classroom via the World Wide Web is much more inviting than the traditional classroom.
Having partnered with educational technologists to develop 30 courses, 23 nursing faculty members have now taught web-based courses to approximately 600 students. 
These on-line offerings, which include BSN and MS degree completion programs, are continuing to expand to meet the growing need for nurses with advanced education and clinical training. Students can enroll in Virtual Classroom ( courses 
for baccalaureate, masters, and continuing education credit. In 1997, these were the model programs used to extend the university’s accreditation status to include on-line degree granting privileges. They also received national and international recognition in Time magazine and on CNN.
To evaluate the outcome of on-line learning communities, students enrolled in these courses are participating in a benchmarking project with nursing students from the University of Indiana and the University of Colorado. Preliminary results are very positive. Variables being assessed include overall satisfaction, accessibility, connectedness, active learning, feedback and socialization. Interestingly, older students and students living a distance from the university tend to have more favorable outlooks on these variables.

Senior Coordinator Kari Ziblut unpacks boxes April 11 in the Dean’s Office reception area of the new KU School of Nursing Building. The Dean’s Office, the Office of Student Affairs and the Office of Business Affairs moved to the new building this week. Other areas of the school will follow suit through April and May.

The Virtual Classroom appears to be highly successful in reaching out to adult learners and enhancing health care education. In addition, health care education businesses are becoming interested in partnering with the school to offer on-line education to their constituents. Clearly, the KU School of Nursing is showing the world what nursing can do through electronic health professional education.

Powell named president of major pathology group

Deborah E. Powell, MD, executive dean of the KU School of Medicine and vice chancellor for clinical affairs, was named president of the United States and Canadian Academy of Pathology (USCAP) at the academy’s annual meeting April 1 in New Orleans.
USCAP is the oldest pathology association in North America. With a current membership greater than 7,500, it is the largest of the International Academy of Pathology’s 54 worldwide divisions. USCAP is dedicated to the advancement of pathology through educational programs, publications, research and the exchange of scientific information and ideas. It publishes two major scientific pathology journals, Modern Pathology and Laboratory Investigation.

“This is a tremendous honor for Dr. Powell to be selected as president of the academy, and it is well-deserved,” said USCAP Executive Director Fred 
Silva, MD. “She has worked throughout her professional career at every level to support the organization, she has been involved in every aspect of academic medicine, and she is a respected national leader. You could say, ‘She has done it all.’”

Local health professionals are making music at KUMC

The Medical Arts Symphony, comprised of health care employees from around the metro area, will present a concert Saturday, April 15, at 8 p.m. in Battenfeld Auditorium. The concert is one of two performed at KUMC each year.
“We perform in two seasons, fall and spring,” said Mary Colgazier, MD, violinist. “Anyone in the fields of medicine, nursing and allied health—including students—is welcome to join us. We also welcome family members of health professionals.”
Dr. Colgazier, a 1945 graduate of the KU School of Medicine, has been with the symphony since its inception in 1959. Today, the group includes approximately 50 musicians—including conductor Merton Shatzkin, former professor of music at UMKC and a former member of the Kansas City Symphony. 
Dr. Colgazier encourages any KUMC student or employee with an aptitude for music to come to a symphony practice and audition. Rehearsals are held in Battenfeld Monday nights, beginning at 7:15 p.m.
Saturday’s program will feature five pieces, including symphonies by Mendelssohn and Haydn, and the world premiere of “Une infante defunte avec 
le chevaux de lin” by Sabin Levi. Admission is free. 

Compassion, honesty earn Moncure Rainbow Award

The Medical Student Assembly of the KU School of Medicine selected Michael Moncure, MD, assistant professor, Department of Surgery, as this year’s recipient of the Rainbow Award. Dr. Moncure received the award April 7 at the medical student spring formal, “A Grande Affair.”
Dr. Moncure, who teaches general and trauma surgery, was chosen from among 10 nominees for the annual award, which recognizes outstanding examples of caring professionalism. Students characterized the surgeon as compassionate, concerned about the feelings of patients and students, humble, honest and always willing to answer questions. 
In addition to the Rainbow award, 26 faculty members and three departments received Student Voice Awards at the April 7 banquet. The awards recognize outstanding role models in specific phases of students’ medical education. Among those honored were John Wood, PhD, who was named Outstanding Professor, Year One Basic Sciences, Jim Fishback, MD, Year Two Basic Sciences, and Charles DeTorres, MD, Year One Clinical Clerkship.
The student-voted Rainbow and Student Voice Awards are given annually at the medical student banquet, part of a professionalism initiative created by Executive Dean and Vice Chancellor for Clinical Affairs Deborah Powell, MD.

Front & Center

Occupational therapy students Eunice Oruoch, left, Dawnelle Newell and Tracey Blecker found plenty of bargains—including a book published in 1896—at the Clendening History of Medicine Library book sale last week. The sale included some 5,400 surplus books selling for 25 cents each or $3 per box. 

With the aid of telemedicine technology, Assistant Professor of General and Geriatric Medicine Patrick Moriarty, MD, spoke with reporters in Wichita from the Family Health Channel last week for a story on EVISTA, a drug used to treat osteoporosis. The show aired on Cox Cable channels across the country last week.

KUMC’s Women in Medicine group held a “Fiscal Awareness Tea” in Hixon Atrium April 7. The tea sought to raise faculty awareness of the inequities between men’s and women’s salaries in the field of medicine. Pictured are executive council members Jessica Hellings, MD, left, Kim Templeton, MD, Roberta Sonnino, MD, Margaret Smith, MD, and Patricia Thomas, MD.

David Irby, PhD, an expert in faculty development from the University of California-San Francisco, conducted the “Educational Scholarship” workshop at KUMC. April 6. Dr. Irby also presented the “One-Minute Preceptor” at the Department of Internal Medicine’s CORE conference earlier the same day.

Nobel laureate Stanley Prusiner, MD, of the University of California-San Francisco spoke with students and faculty in Rieke Auditorium during an April 7 appearance at KUMC.

Morgan Norman, left, Melissa Miller and son Chase were among those who gathered at KU MedWest April 11 for the Healthy Steps event “This Bug’s For You.” The event included a story hour and hands-on activities for children.

The April 5-6 Student Research Forum featured a grant-writing workshop, which included presenters Jared Grantham, MD, professor of Nephrology, and Joan Hunt, PhD, professor of Anatomy and Cell Biology, top. The forum also included presentations by students such as Richard Prudencio, below, and a keynote speech by Col. Jerry Jaax, DVM, and Col. Nancy Jaax, DVM, Bottom. First-place winners for student research were: Jennifer Kimberly, School of Allied Health; Vicki Ross, School of Nursing; Michael Howard, School of Medicine-Medical Student Category; Malaika Woods, School of Medicine-Graduate Student Category, and Susanna Harju, Joe R. Kimmel Award for Excellence in Biomedical Research.


Give your change, make a change

Wondering what to do with all those loose coins in your pocket? 
The Student Governing Council (SGC) has a suggestion: Donate to the Jayhawk Angel Network 2000, a campus-wide charity fundraiser for the “KC Reads” program.
From now through May 5, drop your change in one of the many Jayhawk Angel Network water bottles placed around campus. All proceeds will go to “KC Reads,” a program that encourages literacy by providing children with free books and exposure to reading. Last year, the Jayhawk Angel Network raised $501, which was donated to three Wyandotte County elementary schools. This year, SGC has set the goal at $1,000. The total amount raised will be announced May 6 at the KUMC Street Fair.
Bottles are located in the hospital lobby, both cafeterias, the bookstore, the pharmacy, Kirmayer Fitness Center and elsewhere. “We can all make a big difference by donating our loose change,” said Jayhawk Angel Network Chair Moneera Haque. “So let’s give our ‘change for change!’”

Kristie McDaniel, left, and Nichole Baker were among the occupational therapy students who participated in the April 9 “Quit To Be Fit” 5K run/walk sponsored by the American Lung Association. Students joined with their counterparts from Rockhurst and Penn Valley Colleges for the event, as part of the KUMC Student Occupational Therapy Association’s effort to promote awareness about the profession. April is Occupational Therapy Month. 

Support a ‘Miracle’
A Children’s Miracle Network (CMN) book fair will be held April 19, 20 and 21, from 9 a.m. to 5 p.m. in the Wyandotte Room. Buy a book and help support KUMC Pediatrics and Children’s Mercy Hospital. Or, stop by Wal-Mart or Sam’s Club during the month of April and purchase a “Miracle Balloon.” The balloons are only $1 each, and all proceeds go to CMN. While you’re there, be sure to thank the Wal-Mart and Sam’s employees for doing their part to support our hospital by selling CMN balloons. If you’re interested in contributing your time to the cause, sign up to volunteer for the CMN Radiothon, June 1-4, or the CMN Telethon, June 3-4. All volunteers will receive a T-shirt and refreshments. For more information or to sign up, contact Danielle Wolfe, ext. 8-8009.

Assistant Nurse Manager of Pediatrics Barbara Lessovitz, ADN, left, describes equipment used on the unit during an 
April 4 tour of KU Med by Aetna/U.S. Healthcare representatives Carol Weiland, center, and Kathy Richter.

Absinthe and art
Wilfred Arnold, PhD, professor of Biochemistry and Molecular Biology, was a consultant on a study undertaken by University of California-Berkeley scientists on how the liqueur absinthe may have contributed to psychoses, hallucinations and strange behaviors in such famous artists and writers as Vincent van Gogh, Edgar Allen Poe and Charles Baudelaire. In the study, published in the March 21 edition of the Journal Proceedings of the National Academy of Sciences, researchers discovered that a potent neurotoxin in absinthe called alpha-thujone acts on the same brain receptor responsible for a form of epilepsy. Dr. Arnold is the author of the book Vincent van Gogh: Chemicals, Crises and Creativity. He will also be a featured speaker on van Gogh at 
a May 10 symposium at Wesleyan University entitled “Where Chemistry meets Art 
and Archeology.”

Donor Awareness Week
The KU Med Donor Advisory Council will recognize National Organ and Tissue Donor Awareness Week, April 16-22, with displays outside the Main Cafeteria April 20, 21 and 24. The tables will be staffed with organ recipients—including KUMC employees—and family members who will share their experiences with employees and students. On April 24, the booth will also feature a portion of the national donor quilt, “Patches of Love.”

Allied Health Reception
The KU Allied Health Alumni Association will stage its annual Spring Reception Wednesday, April 19, at 5:30 p.m. in the Hixon Atrium. Among the highlights will be presentations for Richard Sahlfeld, director, Medical Record, who is the 2000 Allied Health Distinguished Alumnus, and Stephanie Studenski, MD, MPH, professor of General and Geriatric Medicine and director of the Center on Aging, who is this year’s Honorary Alumnus. Presentations will be at 6:15 p.m. If interested in attending, contact Alumni and Community Relations, ext. 8-5255.

Univega Superstrada road bike 54 cm, best offer; dryer, needs heating element, best offer; sofa, mauve. Call 913-371-1536.
Bar, black leather, 6’, 2 shelves w/custom-made glass doors, $75; mirror, 4’ x 6 ‘, $175. Call 913-722-4277.
Shure vocal mics, models BG 2.1 & SM48S-CL, used only once, both in orig. boxes, retail $80 ea., sell for $40 ea. Call 913-287-3715.
Moving sale, three families, Saturday, April 15, 9 a.m.-4 p.m., 9018 Swarner Rd., Lenexa, (90th and Lackman). 

1993 Concorde, remote entry w/power locks & windows, new trans. at 65K mi., new tires, brakes (incl. rotors) & water pump, 93K mi., ready for the next 100K, $6,950 OBO. Call Dan, 816-363-7140.
1991 Mitsubishi Galant Deluxe, 50K mi., first owner, new auto. trans. & brakes. Call 913-649-8477.

For Rent: 2BR house, 3 blocks from KUMC, garage, screened-in porch, stove, refrig., no pets, avail. June 1. Call 913-721-1638, leave message.
For Rent: 2BR triplex, loft, garage, hardwood floors, laundry access, only 2 mi. from KUMC, $650/mo., water paid. Call 816-561-9924.
For Rent: 2BR house, 6 blocks from KUMC in Kansas, completely remodeled, new bath, kitchen, plumbing, electrical, central heat & A/C, computer & phone ready, $600/mo. w/deposit & lease, no pets, sell for $55,000, owner finance avail. Call 913-722-3141.

1957-62 BMW Isetta, running or restorable. Call Marvin, 913-681-2907.

Males or postmenopausal females between the ages of 30-75 wanted for experimental treatment for atherosclerosis. Must have cardiovascular disease (includes coronary artery disease, peripheral artery disease, myocardial infarction, or bypass and/or carotid surgery). Subjects will receive free doppler scan, blood tests and physical examination. Financial reimbursement for those who qualify. To enroll, call Julie-Ann Dutton at ext. 8-4064, or 
e-mail <Jdutton>.
Healthy adult subjects, 18-50 years of age to participate in non-invasive study of memory and learning. Involves 1 hour visit to the Cognitive Neuroscience Lab for the recording of event-related brain potentials (ERPs or brain waves). For more information, contact Jennifer Vavold, ext. 8-5997.

Plant and bake sale

Don’t miss the KUMC Auxiliary spring plant sale Thursday, April 20, from 8 a.m. to 4 p.m. in the Auxiliary Garden. The Auxiliary will also hold a bake sale in front of the Main Cafeteria the same day, starting at 8 a.m. All proceeds benefit KU Medical Center.


Friday, April 14:
• Pediatrics Grand Rounds, “Ethical Considerations in Prenatal Surgery Consultation,” 8 a.m., Lied Auditorium. 
• Psychiatry Grand Rounds, “Anxiety Disorders: Treatments and Comorbidity,” 10:30 a.m.-noon, Clendening Amphitheater. 
• Neurology Grand Rounds, “Genetics of Parkinson’s Disease,” noon-1 p.m., Clendening Amphitheater.

Saturday, April 15: 
• Children’s Miracle Network Easter Bunny Breakfast, 8 a.m.-noon, Kansas City Airport Fairfield Inn, 11820 NW Plaza Circle, KC, Mo.

Sunday, April 16:
• Catholic Holy Week Mass, 10 a.m., Spencer Chapel.
• Palm Sunday Non-Denominational Service, 11:30 a.m., Spencer Chapel.

Monday, April 17:
• Prostate Cancer Screenings, 8-10 a.m., KU MedWest.
• Catholic Holy Week Mass, 12:15 p.m., Spencer Chapel.

Tuesday, April 18:
• “Breast Cancer: Are You at Risk?” 10-11 a.m., Prairie Room, Delp Cafeteria.
• Kansas Cancer Institute Research Round Table, “Chromosome Translocations: Dangerous Liaisons,” noon, Lied Auditorium.
• Catholic Holy Week Communion Service, 12:15 p.m., Spencer Chapel.

Wednesday, April 19:
• Catholic Holy Week Mass, 12:15 p.m., Spencer Chapel.

Thursday, April 20:
• Maundy Thursday Non-Denominational Communion Service, 11:15 a.m., Spencer Chapel.
• Catholic Holy Week Mass, 12:15 p.m., Spencer Chapel.

Donald Hagen, MD - Executive Vice Chancellor KUMC
Irene Cumming - CEO and President KU Hospital
Ken Arnold - Editor

IN THE CENTER is the employee and student publication of the University of Kansas Medical Center. It is published weekly by the office of Public Relations and Marketing. The deadline for submitting news briefs is noon on the Thursday before they are to appear. Send story ideas to Ken Arnold, editor, G114 Hospital, or e-mail: <karnold> or call ext. 1298.

Ad Policy
Send or bring your ad to G114 KU Hospital, or fax to ext. 1225, or e-mail: <karnold> by noon Thursday of the week before it is to run. Ads run free of charge for employees, students and volunteers. For-sale ads are limited to three items. All ads must include the advertiser’s name and work extension (or medical student box number) for verification. Only home phone numbers–no pager numbers or KUMC extensions–will be published. No ads for commercial services or pets for sale will be accepted. Ads will not be taken by telephone. Only one phone number per ad. Ads may be held a week of space is limited.

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