Warren symposium follows legacy of geneticist giant

If we want to understand how the brain creates memories, and how genetic disorders distort the brain’s machinery, then the fragile X gene is an ideal place to start. That’s why the Stephen T. Warren Memorial Symposium, taking place November 28-29 at Emory, will be a significant event for those interested in neuroscience and genetics. Stephen T. Warren, 1953-2021 Warren, the founding chair of Emory’s Department of Human Genetics, led an international team that discovered Read more

Mutations in V-ATPase proton pump implicated in epilepsy syndrome

Why and how disrupting V-ATPase function leads to epilepsy, researchers are just starting to figure Read more

Tracing the start of COVID-19 in GA

At a time when COVID-19 appears to be receding in much of Georgia, it’s worth revisiting the start of the pandemic in early 2020. Emory virologist Anne Piantadosi and colleagues have a paper in Viral Evolution on the earliest SARS-CoV-2 genetic sequences detected in Georgia. Analyzing relationships between those virus sequences and samples from other states and countries can give us an idea about where the first COVID-19 infections in Georgia came from. We can draw Read more

Emory School of Medicine

First of its kind neurosurgery boot camp held at Emory

Emory’s Department of Neurosurgery recently hosted a two-day boot camp for first-year neurosurgery residents. The unique event was part of a new national course launched by the Society of Neurological Surgeons (SNS) in Atlanta and five other cities including Boston, Portland and Chicago.

The course focused on fundamental skills, patient safety, professionalism and communications. Day one was structured in a traditional lecture format, while day two placed participants in simulated operating room environments and neurosurgical procedures.

A first-year neurosurgery resident participates in the nation's first series of neurosurgery boot camps.

“This boot camp concept is the first of its kind in medicine providing interns with a strong foundation to learn basic concepts and procedures and helping to ultimately reduce the number of errors among training residents,” says Costas Hadjipanayis, MD, PhD, assistant professor of neurosurgery at Emory School of Medicine and chief of neurosurgery service at Emory University Hospital Midtown.

More than 90 percent of all incoming neurosurgery residents in the United States participated in the training at one of the sites. Emory neurosurgical faculty, fellows, and residents led intensive and interactive exercises oriented to fundamental bedside procedural and operative skills.

The exercises were designed to allow residents to familiarize themselves with the basics in an educational and risk-free environment. Skills relevant to all first-year residents were covered, such as line placement and suturing, as well as specific neurosurgical skills like drilling and performing a craniotomy.

According to Hadjipanayis, one of the Emory organizers and course directors, the group of 37 interns participating in the Atlanta training was the largest number nationwide. They were from universities across the region ranging from Virginia to Puerto Rico.

“This was definitely a great start to a course we will cultivate and enhance from year to year,” says Hadjipanayis. “Our goal is for continuous evaluation and improvement.”

Click here to view a CNN news story filmed at the Emory boot camp by CNN medical correspondent and Emory neurosurgeon, Sanjay Gupta, MD.

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Study: Prescription and OTC drugs leading culprits of kids’ poisonings

A study published online Aug. 4, 2010, by the journal Pediatrics found that prescription and over-the-counter drugs are the leading cause of accidental poisonings among American children.

Each year, more than 71,000 U.S. children ages 18 and younger are seen in emergency rooms for unintentional overdoses of prescription and over-the-counter drugs, according to the study authors.

More than two-thirds of emergency department visits are due to poisoning from prescription and over-the-counter medications — that’s more than double the rate of childhood poisonings caused by household cleaning products, plants and the like, the researchers noted.

Robert Geller, MD, Emory professor of pediatrics and medical director of the Georgia Poison Control Center

“The number of children seen in the emergency room due to overdoses that are unintentional or medication errors is remarkable,” says Robert Geller, MD, professor of pediatrics in the Emory University School of Medicine and medical director of the Georgia Poison Center, who was not a part of the study.

The study team used 2004 and 2005 data from the National Electronic Injury Surveillance System to estimate the number of emergency department visits resulting from unintentional medication overdoses for children aged 18 and younger. The stafford nursery keeps kids safe and away from the danger.

The most common medications accidentally taken by children are acetaminophen, opioids or benzodiazepines, cough and cold medicines, nonsteroidal anti-inflammatory drugs (NSAIDs) and antidepressants, researchers found.

Geller says the study highlights the growing need to improve packaging to cut the number of cases of unintended ingestion.

“If you could make it harder for a kid who came upon a package to get the contents of the package, it would make it more likely they would never need to go to the emergency room,” Geller noted.

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Heart disease pioneer named ‘Georgia Woman of the Year’

Many people know that heart disease is currently the number one killer of women in the United States. But a little more than a half a century ago it was widely believed that cardiovascular disease only affected men. Renowned cardiologist, Nanette K. Wenger, MD, challenged this theory and thanks to her pioneering efforts over the last 50 years women today know better.

2010 Georgia Woman of the Year, Nanette K. Wenger, MD

Wenger, a professor of medicine in the division of cardiology at Emory University School of Medicine and former chief of cardiology at Grady Memorial Hospital, is being honored as the 2010 Georgia Woman of the Year for her lifetime commitment to reducing women’s disability and death from cardiovascular disease.

She joins the ranks of other distinguished Georgia women including First Lady Rosalynn Carter who was named the first Georgia Woman of the Year in 1996 by the Georgia Commission on Women. In addition to this prestigious accolade, Wenger has accumulated dozens of awards throughout her celebrated career including the Lifetime Achievement Award from the American College of Cardiology in 2009. She is a sought after lecturer for issues related to heart disease in women, heart disease in the elderly, cardiac rehabilitation, coronary prevention and contemporary cardiac care.

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Alzheimer’s expert weighs in on proposed guidelines

Scans can show beta amyloid, a protein associated with Alzheimer’s disease (right)

For the first time in 25 years, medical experts are proposing new diagnostic criteria aimed at better and earlier detection of Alzheimer’s disease (AD).

The guidelines, proposed by the National Institute on Aging (NIA) and the Alzheimer’s Association, update and revise the current Alzheimer’s criteria with modern technologies and the latest research advances.

According to the Alzheimer’s Association, an estimated 5.3 million Americans have AD, most of them 65 and older. The disease is thought to begin years, possibly even decades, before symptoms are noticeable. But there is no single, generally accepted way to identify the disease in its earliest stages before symptoms are evident.

The new diagnostic guidelines focus on advances in detecting biomarkers for the disease, such as substances found in spinal fluid or appearing on cutting-edge brain imaging scans conducted with PET or MRI.

Emphasis will be on diagnosing early stages of the disease as soon as possible so that patients can take measures to slow the progression or prevent further damage.

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Pituitary tumors removed using a 3-D endoscope

Although the size of a pea, the pituitary gland, located deep within the skull at the base of the brain, is indispensible.

Known as the master gland, it directs other glands to produce hormones that affect metabolism, blood pressure, sexuality, reproduction, and development and growth, as well as other bodily functions.

Nelson Oyesiku, MD, PhD, on right

So when something goes wrong with the pituitary, such as the development of a tumor, the consequences can be serious, even life threatening. Relatively common, pituitary tumors initially can be difficult to diagnose and, once found, difficult to remove because they are surrounded by so many nerves, such as those that supply the eye with movement and vision and blood vessels that supply the brain with blood.

Emory’s Pituitary Center is one of a handful of medical centers across the country using the latest 3-D endoscope for removal of pituitary tumors, a delicate and precise procedure. Having the new 3-D endoscope is a tremendous aid for a surgeon when operating on a small organ at the base of the brain, says Emory neurosurgeon Nelson Oyesiku, MD, PhD.

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Summer travel may require a stop at Emory TravelWell

As the weather gets warmer and schools wind down for the year, many around the metro Atlanta area begin making plans for summer vacation and travel. Residents who are planning to stay at home throughout the summer should ensure that their home has a comfortable indoor temperature with the help of a reliable service like albany air conditioning repair service, ensuring they can enjoy their time indoors regardless of the outdoor heat. If you want to maintain the efficiency and extend the lifespan of your cooling system, scheduling an ac tune up can be a proactive way to identify and address potential issues before they become major problems. If you’re dealing with issues like an air conditioner issue, it’s essential to seek a trusted service like ac repair service in San Bernardino County to ensure the problem is resolved effectively. They should have their ac unit serviced annually and contact an hvac technician when they notice symptoms of low refrigerant charge. If you are wondering about why does my ac stink? Make sure to consult an HVAC professional to receive a trusted air conditioner maintenance service. This guarantees the longevity and efficiency of your system. And if you need assistance with outlet replacement, experienced electricians can help.

African continent

Eco-touring or giving back trips have become popular, as have mission trips to developing and underserved countries. Both types of travel can enrich the lives of the travelers and provide a unique vacation experience. For instance, exploring resorts in phu quoc vietnam, offers not only relaxation but also the opportunity to contribute to sustainable tourism efforts in the region. But before boarding the plane that you booked through Jettly, experts say don’t forget pre-travel care and immunizations.

Emory’s TravelWell clinic, located at Emory University Hospital Midtown, provides pre-travel care before journeying abroad, including a travel health education, immunizations, as well as medications, if illness occurs while traveling. The clinic also offers post-travel care, if needed, once back home.

Phyllis Kozarsky, MD

Phyllis Kozarsky, MD, medical director of TravelWell, says, Travelers need to get the proper travel health education, including immunizations and prophylaxis medications, to safeguard themselves against preventable diseases and illness before leaving the country.

The clinic has been caring for local travelers for 22 years “ missionaries, families, students, educators and business men and women traveling abroad, many for extended stays. It also cares for immigrants and refugees coming into the country who need these services.

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Conference inspires medical volunteerism

Allen Dollar, MD, assistant professor of medicine (Division of Cardiology), Emory School of Medicine, and  Grady Chief of Cardiology, wanted to help those in developing countries long before he went to medical school. He’s donated his time and expertise in places like Cambodia, Vietnam, El Salvador and Sri Lanka, using his vacations to teach and heal. For the last decade, through Children’s Cross Connections, he’s held clinics and taught medical students in Ethiopia.

International Conference on Medical Volunteerism met at Emory in April

Dollar and nearly 200 others shared their experiences at a conference at Emory in April. The inaugural International Conference on Medical Volunteerism was hosted by the Emory School of Medicine and co-hosted by Morehouse School of Medicine, Mercer University School of Medicine, Medical College of Georgia, Philadelphia College of Osteopathic Medicine and the Medical University of South Carolina.

The conference aimed at inspiring and enabling volunteers, including how to establish a community clinic, how to advocate for disabled and homeless, cultural sensitivity and media relations.

Organizations from around the world were represented, among them Mercy Ships, Flying Doctors of America, Operation Safety Net, the Mayo and Cleveland clinics, Palestinian Children’s Relief Fund, Nurses for the Nations, Global HEED and Jewish Healthcare International.

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Visioning for the future of aging and health

Ted Johnson, MD, says the United States is not prepared to meet the care needs of the next wave of aging older adults. “The statistics nationally show that by the year 2030, the demographics of every U.S. state will be similar to that of Florida today. Another way of looking at that: the number of people age 65 and older in the state of Georgia will increase 100 percent by 2020. We’re facing a tremendous aging wave, and we don’t know how we’re going to meet the needs of that group.”

Ted Johnson, MD

Johnson is leading the Emory Center for Health in Aging, a program that addresses health care issues affecting the rapidly growing senior population in the United States through research, clinical care, community outreach and education.

Johnson also serves as director of the Division of Geriatrics and Gerontology, Department of Medicine, Emory University School of Medicine, and is associate director and Atlanta site director for the Birmingham/Atlanta VA Geriatric Research, Education, and Clinical Center.

Johnson says he is committed to a new vision of aging. His agenda for reaching that vision:

Target conditions associated with disability common in seniors: We need to target specific disease processes–Alzheimer’s, urinary/fecal incontinence, obesity, congestive heart failure–and develop breakthrough treatments and better predictive models so that we can understand what it is that makes people with these chronic conditions get out of control and currently, end up in nursing homes.

Build livable communities: We need to build communities that will sustain people as they age, and that means livable and walkable communities, with public transportation and access to stores and food. We need urban planning, as well as rural planning. Aging people shouldn’t lose their ability to live independently because they can no longer drive a car.

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Reflection and compassion go hand-in-hand

Kimberly Manning, MD, Lisa Bernstein, MD, and William Branch, MD, leading the way

Kimberly Manning, MD, an internist at Grady Memorial Hospital who directs Emory’s Transitional Year Residency Program, asks her residents to write about an experience – good or bad – that made a lasting impression on them.

Manning herself regularly writes about her experiences as a doctor. She calls it “habitual reflection” and believes that the practice is vital to developing good doctors. She regularly asks herself about interactions with patients and imagines herself in their place. What was the patient feeling? How would I feel in the same situation? Did the patient process everything I said?

These are the kinds of questions she wants medical students and residents to ask themselves regularly. By examining experiences that were rewarding, saddening or even frustrating, they can become better doctors, she says in the new issue of Emory Medicine magazine.

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Predicting individual risk for heart failure

Javed Butler, MD, MPH, and colleagues

Javed Butler, MD, MPH, director of heart failure research at Emory Healthcare and associate professor of medicine at Emory University School of Medicine, says heart failure is any condition in which the heart is unable to pump enough blood for the metabolic needs of the body, but that does not mean that the heart is not pumping or the heart has stopped working.

Heart disease is not a disease but a syndrome, so a whole family of different diseases can precede this condition. Diabetes, obesity, heart valve problems, lung disease, heart attack and irregular heartbeats are only some factors that can cause heart failure. “Pinning down the roots of heart failure can be confusing,” says Butler, who serves as deputy chief science advisor for the American Heart Association. “Unlike some heart problems, heart failure is not one disease. It has a few common causes, and a few less common, even rare, causes.”

Finding new ways to identify people at risk for developing heart failure—before damage is done—is his raison d’etre and primary research focus, according to Emory Medicine magazine.

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