Light Smokers Benefit from Nicotine-Replacement Medications

75% of smokers in Roswell Park-led study said offer of free cessation medication ‘very important’ to quit effort

Light daily smokers, those who smoke fewer than 10 cigarettes per day, have greater success quitting when provided stop-smoking medications and assisted by counselors. Those are the key conclusions of research conducted by scientists at Roswell Park Cancer Institute (RPCI) and the Medical University of South Carolina and published in the latest issue of Nicotine and Tobacco Research.

While the number of light smokers is increasing, most studies have focused on the benefits of counseling and nicotine-replacement therapy (NRT) for moderate and heavy smokers. This study found that light smokers who contacted a telephone quitline are typically interested in using NRT and achieve higher quit rates than those who were not offered NRT.

“While many studies have demonstrated the efficacy of nicotine medications for smoking cessation, very few have examined these questions in lighter smokers, as we have done,” says Martin Mahoney, PhD, MD, Associate Professor in the departments of Health Behavior and Medicine at RPCI and senior study author. “A unique strength of this study is the use of an experimental design implemented in a real world community setting of a state quitline.”

The study evaluated long-term quitting success among 1,365 adult tobacco users who smoked less than 10 cigarettes daily and who contacted the New York State Smokers’ Quitline for assistance between January and July 2010. All smokers received two calls from trained stop-smoking counselors, and about half of the smokers were provided with stop-smoking medications.

Nearly all the light smokers offered the free nicotine medications wanted the medications, and 75% of smokers rated the offer of a free supply of NRT as very important to their quit effort. The quit rates measured at seven months were 20% higher in the group offered the NRT (33%) compared with those who received only counseling (27.2%).

“These findings demonstrate that low-level daily smokers are interested in and benefit from using NRT when they make a quit attempt,” said Laurie Krupski, first author on the study and a Training and Development Coordinator in the Department of Health Behavior at RPCI.

“Smoking cessation is a highly cost-effective intervention because the health consequences of smoking are enormously expensive and compound over time. This study demonstrates that quitline counseling in combination with NRT is a good return on investment,” said K. Michael Cummings, PhD, MPH, Professor, Department of Psychiatry and Behavior Sciences, Medical University of South Carolina.

This work was supported in part by the New York State Department of Health and by the National Cancer Institute’s Cancer Center Support Grant to RPCI (P30CA016056).

The study, “Nicotine Replacement Therapy Distribution to Light Daily Smokers Calling a Quitline,” is available at http://goo.gl/dUiio.

Annie Deck-Miller, RPCI Senior Media Relations Manager; annie.deck-miller@roswellpark.org; 716.845.859

UB Helps to Launch Two Zimbabwe National Programs

UB Helps to Launch two Zimbabwe National Programs in Nanotechnology and HIV/AIDS Eradication

What does it take to launch two major international HIV/AIDS research initiatives involving the University at Buffalo (UB) and the University of Zimbabwe?

It requires attention to issues as diverse as working with government officials, choosing the right scientists, establishing ethics in research, training for quality control and good laboratory practices, transferring paper patient records into electronic formats and understanding how different cultures respond to serious illness and treatment.

And it requires face-to-face information exchange and planning.

Morse-ZimbabweA UB-led research team recently traveled to Zimbabwe to participate in a week-long program of workshops that included the formal launch of two Zimbabwe national programs: the Zimbabwe International Nanotechnology Center (ZINC) and the Zimbabwe Evidence-To-Action (ETA), an implementation project to eradicate HIV/AIDS in Zimbabwe.

With 14 percent of Zimbabwe's population living with HIV/AIDS and tuberculosis as a co-infection, the need for new drugs and new formulations of available treatments is crucial.

UB’s role in the ZINC partnership is to provide training to young scientists and students in Zimbabwe in multiple areas within nanotechnology. The trip to Zimbabwe included identifying research areas of common interest to Zimbabwe and prioritizing them according to the country’s needs.

UB has built a partnership with Zimbabwe over seven years through an NIH Fogarty International Center program.

Paras Prasad, PhD, SUNY Distinguished Professor in the Departments of Chemistry, Physics, Medicine and Electrical Engineering; Samuel P. Capen Chair of Chemistry and executive director of UB’s Institute for Lasers, Photonics and Biophotonics (ILPB), and Gene Morse, PharmD, professor and associate director of  the UB Center of Excellence in Bioinformatics and Life Sciences headthe UB-ZINC collaboration.

“There was an incredible feeling of optimism and high energy toward both initiatives,” said Morse.

The week began with the second Zimbabwe National Nanotechnology Consultative Meeting on March 18 – 19.

Prasad, who will direct the international nanotechnology contributions for ZINC, gave the keynote address.

Morse, who will direct the international nanomedicine component of ZINC, presented the role that UB and the CoE will play in ZINC. Other participating UB faculty included Stanley Schwartz, MD, SUNY Distinguished Professor of Medicine and Peter Horvath, PhD, associate professor of exercise physiology and nutrition.

Background and details of ZINC were provided during presentations from the minister for science and technology development (MSTD), the Honorable Professor Heneri Dzinotyiweyi, UB alumnus, Chiedza Maponga, PharmD, technical director for nanotechnology (MSTD) and director of the UZ School of Pharmacy, and Josephat Zimba, Technical Consultant to the MSTD on nanotechnology. Additional presentations from Professor Levi Nyagura, UZ Vice Chancellor, and Professor David Simbi, CUT Vice Chancellor, described the leadership roles for their universities.

The week continued with a two-day workshop on March 20 – 21 for the ETA Project.

Hosted by the Ministry of Health and Child Welfare, the first day summarized:

  • Recent compelling data that provide the rationale for preventing HIV transmission through pre-exposure prophylaxis (PrEP) and treatment as prevention (TaSP)
  • The national statistics for prevention of mother-to-child transmission and pediatric HIV infection
  • HIV Prevention Trials Network (HPTN) 052 and the dramatic results obtained in discordant couples when the HIV-infected partner was treated early after infection leading to a reduced transmission rate
  • The need for a strategy to provide treatment to key populations with HIV infection including high risk groups such as prisoners, men who have sex with men, commercial sex workers and pregnant women.

At a concurrent workshop, Robin DiFrancesco, manager of the UB Clinical Pharmacology Quality Assurance Program (CPQA) and an AIDS International Training and Research Program (AITRP) mentor, provided lectures focused on building laboratory skills and bioanalytical method development.

In a second afternoon workshop, Kathleen Tooley, senior research support specialist in the UB Translational Pharmacology Research Core, and Education and Operations Administrator for CPQA and AITRP, and an AITRP mentor, moderated a group at the UZ College of Health Sciences to address challenges in research ethics and research administration for faculty and students who will conduct research within ETA.

Morse chaired the second day of the workshop and provided a presentation on the progress of the UB-UZ AITRP. Highlights included a review of the Training Advisory Group and the recently established Scientific Advisory Board, new research programs, nutritional and traditional medicine pharmacology, clinical pharmacology and healthcare informatics.

The second half of the morning program was chaired by Morse and focused on Bioinformatics and Health Information Technology (HIT) required for the ETA infrastructure in collaboration with the Zimbabwean health care system.

In the HIV Nutrition Pharmacology working group, Horvath and faculty and graduate students from the Departments of Pediatrics and Biochemistry discussed nutritional considerations for the ETA project.

Horvath also provided a seminar on March 25 for the UZ Departments of Pediatrics and Biochemistry titled “Nutritional Aspects of HIV Infection and Treatment.”

Morse was pleased with the results achieved during the visit.

“I was very proud that a country that has faced so many challenges to advancing the health of the nation and plan for scientific and economic growth was linked to the UB-UZ AITRP and the efforts that have been put forward over the last seven years.”

Morse said that the UB team’s visit contributed to two Zimbabwean national initiatives and conducted numerous sessions, workshops and small group meetings.

“The outcome created a new level of collaboration, reaching beyond university campuses to the highest levels of government ministries as well as community programs. This extensive spectrum of research and education programs has been built on the strong AITRP link between UZ and UB,” he said.

The events were jointly sponsored by the Zimbabwe Ministry of Health and Child Welfare; the University at Buffalo – University of Zimbabwe (UZ) AIDS International Training and Research Program (AITRP) and the UZ – UB International Pharmacotherapy Education and Research Initiative (IPERI).

Sara R. Saldi (UB); saldi@buffalo.edu; 716.645.4593

*Photo courtesy of UB: Breakfast meeting with UB-UZ AITRP fellows and families and UB's Gene Morse, Robin DiFrancesco (both upper left), Kelly Tooley (AITRP Education and Operations Coordinator) and Amy Moss (current UB HIV Resident and AITRP Mentor). Dr. Maponga is left next to Dr. Morse.

Try Transit This Spring with a Free 2-Week Metro Pass

With warm weather fast wp-contentroaching, there is no better time to join the growing number of BNMC and downtown workers who are commuting by Metro Rail and Bus.
Interested in seeing the benefits?  GO BNMC is offering employees who work on the Buffalo Niagara Medical Campus free 2-week Metro passes that are good for unlimited Rail and Bus trips, providing the ideal opportunity to see if these commuting options are right for you.

The passes are only for employees on the BNMC who currently do not take transit to work, and can only be used between April 15th and April 29th.

To take advantage of this free offer, email gobnmc@bnmc-old.local or call 566-2316 and request your pass.

But hurry!  Supplies are limited and passes will be available on a first-come basis.

AprilTransitPoster

Roswell Park Scientists Advance Findings About Novel, Low-Toxicity Anticancer Agent

New FL118 formulation may prove effective against colon, head/neck, mesothelioma, ovarian and pancreatic cancers

Researchers at Roswell Park Cancer Institute (RPCI) have found that a new formulation of a promising anticancer agent, the small chemical molecule FL118, is even more effective in controlling two types of cancer than a version reported in PLOS ONE six months earlier proved to be. Additional evidence also suggests that the agent may successfully treat other solid tumors as well.

In their previous research, a team led by Fengzhi Li, PhD, Associate Professor of Oncology in RPCI’s Department of Pharmacology and Therapeutics, demonstrated that FL118 eliminated human colon and head-and-neck tumors in animal models without relapse but was limited in that it could be delivered only by intraperitoneal (IP) administration. This new study, to be published in the April 8 issue of the American Journal of Translational Research, compares the earlier formulation of the agent to a new version that can also be administered intravenously, translating to much wider potential clinical wp-contentlication.

Comparing the antitumor efficacy and therapeutic index, or relative toxicity, of FL118 in its new intravenous (IV) formulation with the earlier form, the researchers found that maximum tolerated dose increased three- to seven-fold, depending on dosing schedule. While the original formulation contained Tween 80 or polysorbate 80, a solvent commonly included in drug formulations, the agent in its new composition is free of Tween 80, resulting in significantly lower toxicity.

FL118 is a targeted therapy that selectively inhibits the expression of four major cancer-survival gene products: survivin, Mcl-1, XIAP and/or cIAP2. While both studies tested the agent’s effectiveness against models of head-and-neck and colon tumors, other research from Dr. Li’s lab suggests that mesothelioma, ovarian and pancreatic cancers, and potentially other solid tumors, may also be good targets for treatment with FL118.

“This work represents a significant move forward,” notes Dr. Li, senior author on the study. “We’re targeting four of the most resilient and pervasive cancer survival mechanisms, and because the findings from preclinical testing have been so striking, we’re anxious to see FL118 tested in the clinical setting.”

Xiang Ling, MD, PhD, a senior scientist in RPCI’s Department of Pharmacology & Therapeutics, is co-author of the paper, “An intravenous (i.v.) route-compatible formulation of FL118, a survivin, Mcl-1, XIAP, and cIAP2 selective inhibitor, improves FL118 antitumor efficacy and therapeutic index (TI).” The study was e-published today and is available at http://goo.gl/y0oZy.

The work was supported in part by grants from the U.S. Department of Defense (PC110408), Mesothelioma Applied Research Foundation and Roswell Park Alliance Foundation, and by shared resources supported by the National Cancer Institute’s Cancer Center Support Grant to RPCI (P30CA016056).

Annie Deck-Miller, RPCI Senior Media Relations Manager; annie.deck-miller@roswellpark.org; 716.845.859

April = Donate Life Month

Unyts kicks off April, Donate Life Month, with a schedule of events to bring awareness to the importance of organ, eye and tissue donations.

  • On Friday, April 5, at 9, 9:30 and 10 p.m., Niagara Falls will light up in green to show support for the efforts that will come this month, helping to bring about more awareness.
  • On April 6, the Peace Bridge will commemorate Donate Life Month by exuding green and blue lights on the bridge.
  • In its second year, the Bucket List Bash will commence at Statler City on April 12. Much like The Bucket List movie, the event will celebrate life, the ambitions and goals yet to be accomplished, offering many the opportunity to enjoy an evening doing what they have always dreamed of. Learn more about these events here.
  • To show your Unyts pride, on April 19, dress in your most outrageous blue and green. As an alternative to dressing in blue and green, you and your colleagues can decorate your company’s office space. When you share your blue and green photos on the Unyts Facebook page, you can be entered for a chance to win a signed Hodgson Sabres jersey.

Every person registered as a donor has the opportunity to help save a life. Regardless of age, race, or medical history, anyone can become a donor. Every organ and tissue donation goes to the person with the most need, no matter their socio-economic status. With more than 115,000 people on the national waiting list to receive organ, eye and tissue transplants that may either enhance or save their lives, the call to register is important. The response, though, is what will make a difference. Unfortunately, with more than 300,000,000 million people living in the United States, the need for donors is still greater than the supply.

According to Unyts, nearly 800 people in Western New York are waiting for lifesaving organs. Every 10 minutes, 1 person is added to the national transplant list. Visit the Donate Life Registry website and become a donor today. During the month of April, each presenting donor can receive a FREE 6-inch or Flatbread Breakfast Sandwich from any Subway in Buffalo. For more information, click here.

You can help give the gift of life.

Olmsted Center for Sight Names New President and CEO

Tammy Owen_Olmsted Center for SightThe Olmsted Center for Sight Board of Directors elected Tammy Owen as the organization’s new president and chief executive officer.
Olmsted’s search committee underwent a national search for the successor of former president and chief executive officer, Ron Maier, after he retired in September 2012.  There were 50 candidates being considered for the position. The seven-member search committee was able to narrow it down to three finalists. With over 20 years of experience working in health care operations, Owen was considered to be a great fit for the position.

Patricia Clabeaux, chairperson of Olmsted Center’s Board of Directors stated that “[Owen’s] strong background in health care management, with a special focus on service delivery, and a team-oriented, results-driven leadership style will serve us well.”

Throughout her 22 year tenure, Owen has held many leadership positions including vice president, ambulatory and rehabilitation services; vice president, strategic planning and network development; vice president, physician services; president, DeGraff Memorial Hospital; and president, Millard Fillmore Gates Hospital. In her most recent position, Owen served as the chief operating officer of the Buffalo General Medical Center/Gates Vascular Institute.

A Boston native, Owen received her Bachelor of Science degree in physical education/athletic training  and her Master of Science degree in sports medicine/education from Springfield College in Springfield, Massachusetts. She went on to receive both her Bachelor of Science degree in physical therapy, and her MBA  from the University at Buffalo.

She serves on numerous boards, has taught as an adjunct faculty member at both the University at Buffalo and Daemen College, and has been named in Buffalo Business First’s 2012  Top 50 Healthcare Executives and Women of Influence lists.

Owen will begin her tenure in April 2013, continuing the innovative provision of services for blind, visually impaired and physically disabled Western New Yorkers.

 

First Niagara Gives UB Land for Medical School

UB Acquires the Last of 3 Properties to Move Forward with Medical School Construction

First Niagara Financial Group Inc. has given the University at Buffalo (UB) a .85 acre of land to be incorporated into the UB School of Medicine and Biomedical Sciences site. The parcel of land at 973 Main Street is where a current First Niagara bank branch is located.

Although the land is considered a donation, in exchange for $1 First Niagara offered the land, worth wp-contentroximately $2 million, to assist UB in its quest to acquire the third property necessary for the building of the medical school.

Recognizing the importance of the land in UB's plan for the medical school, First Niagara's interim president and chief executive officer, Gary Crosby, stated that “We are committed to doing great things in our community and we are proud to collaborate with UB in order to provide the final piece of the puzzle for the new medical school to move forward.” He also stated that First Niagara is highly supportive of the region's efforts to continue being a recognized leader in life sciences, innovation and research.

Satish K. Tripathi, UB's president, said that “With [this most recent] acquisition, UB can move ahead with its plans for the new medical school, which will help to dramatically improve health care and medical education in our region while providing a significant boost to the local economy.”

UB Med School HOK2The $375 million, 520,000-square-foot medical school will be located on the corner at Main and High Streets.

With high expectations to improve health care throughout Western New York and to attract patients from other areas, the move of the medical school will also contribute to the growing world-class Medical Campus and its vision to attract the best and the brightest. The medical school will be able to graduate more physicians who will most likely stay and practice in the area. Medical school students will have the opportunity to receive a great and invaluable educational experience while near facilities like the John R. Oishei Children’s Hospital, Buffalo General Medical Center, Gates Vascular Institute, Roswell Park Cancer Institute, the UB Clinical and Translational Research Center and others.

“UB will attract the most promising medical students and world-class faculty,” said Michael E. Cain, MD, UB vice president for health sciences and dean of the medical school. “The prospect of a brand new, 21st century medical school next to teaching hospitals and state-of-the-art research laboratories in downtown Buffalo is helping UB to recruit top physicians and scientists, some of whom are already here.”

UB will add several new clinical service areas within the new medical school, providing specialty care and health services not currently offered in the region. Faculty will pursue cutting-edge research and collaborations with member institutions will lead to advanced care for patients.

On October 1st, First Niagara will relinquish the property to UB, later opening a new branch on the BNMC.  Until the new branch opens, a temporary branch will be located at 1031 Main Street.

The groundbreaking for the new building is set for September and construction is expected to be completed in 2016.

*Design rendering by HOK , a global design, architecture, engineering and planning firm.

Read more about the this announcement below:

First Niagara Donating Downtown Land for UB Medical School

Land Donation Leads to First Niagara Branch Shuffle

First Niagara Provides Land for New UB Medical School Project

First Niagara Donates Land for New UB Med School

First Niagara Giving UB Main Street Land for $1

UB RIA Awarded Grant to Develop Telephone-based Clinical Skill Assessment Tool

Can alcohol and drug abuse clinician skills be assessed over the phone?

There is a growing trend to make clinical training available to alcohol and drug abuse treatment professionals via the Internet and through distance learning. It is cost effective and can deliver training in current evidence-based practices to audiences for whom access may be limited.

While ensuring that trainees can correctly wp-contently the clinical skills taught during training is crucial, evaluation of whether or not clinical skills are correctly wp-contentlied can be challenging because it is typically done through role playing. The assessment of role playing requires feedback as well as reviewing the wp-contentlication of that feedback.

When training is delivered via the Internet and/or through distance learning, clinical skills wp-contentlication assessment might require tools such as video conferencing, which are cost-prohibitive for many organizations.

The University at Buffalo Research Institute on Addictions (RIA) has been awarded a $267,469 National Institute on Alcohol Abuse and Alcoholism (NIAAA) grant to refine a telephone-based clinical assessment tool for evaluating the training of drug and alcohol counselors – a tool that is built on existing data – and then to conduct a psychometric evaluation for its effectiveness.

“The idea for the grant came about because of a challenge we encountered on a previous study — the ‘Behavioral Interventions with Couples Project’ or BIC project,” said Christopher Barrick, PhD, RIA research scientist and the principal investigator on the new grant.

According to Barrick, the previous study involved expert clinicians in the field of substance abuse who were trained in behavioral couples therapy. The research compared the effects of being trained at an in-person workshop versus distance learning via video conference.  The objective was to assess gains in knowledge and clinical skill following the workshop.  Assessing knowledge was straightforward – trainees were asked to respond to a web-based questionnaire.

“Assessing clinical skill was more complicated,” said Barrick.

“How could we conduct a role play, a traditional method of clinical skill assessment, with our distance-learning trainees, many of whom were in the greater Rochester area?  Sending research staff to conduct in-person role plays would have been too time-consuming and costly.

“To address this need, we developed a method that used interactive voice recording (IVR).  Essentially, trainees telephoned in and the IVR system acted like a sophisticated voice mail system, capturing unrehearsed responses to clinical questions. It was a good start, but the method needs refinement.  That’s the goal of this current research grant.”

Barrick says the specific goals of the project are to refine and extend the existing assessment tool developed in the BIC project, and conduct a psychometric evaluation to examine the generalizability, alternate form reliability and construct validity of the tool.

“My co-investigator at RIA, Dr. Neil McGillicuddy, also a research scientist at the UB Research Institute on Addictions, has had experience developing similar instruments before, and I’m excited to collaborate with him on this project,” said Barrick.

Barrick says this particular project focuses on developing a methodology that could be used in a variety of fields.

“It just hwp-contentens that there is a trend toward making trainings available to substance abuse treatment clinicians via the Internet and other distance learning methods, so this is a good fit with the broader needs of the field at the moment.

“There is a lot of great treatment and intervention research currently going on in the substance abuse field.  Unfortunately, there has been an ongoing problem of transferring that work into community practice.  This project is a part of this broad area of research that looks at better ways to make the big investment in treatment and intervention research pay off and gets those results into the hands of people who can use it,” he said.

The grant is scheduled to run from December 2012 to December 2014.

Sara R. Saldi (UB); saldi@buffalo.edu; 716.645.4593

John R. Oishei Children’s Hospital Mock-Up Rooms Revealed

CHOB Mock Room News ConferenceSeven new mock-up rooms were revealed during  a tour inviting the media to view how rooms within the John R. Oishei Children’s Hospital may look.
The mock-up rooms shown have walls erected, and some include installed equipment. The rooms presented were the neonatal intensive care unit; pediatric intensive care unit; pre/post operative room; labor and delivery room; an ED urgent care room; medical/surgical/mother-baby room; and an operating room.

Design for the rooms is physician-, nurse-, clinical and support staff-, patient- and family member-inspired. A part of 27 user-groups total, those who provided feedback had it incorporated into the initial mock-up designs in order to meet the needs of its primary users and to provide the best possible care. Additional feedback from the user-groups regarding the mock-ups will help to determine design suggestions to consider. The groups have signed-off in agreement with the interior design and floor plans for the new hospital, completing the design and development phase of planning. The Physician-led Steering Committee and user-groups will move forward with the development of new process flows for patient care and other hospital operations for the Children’s Hospital, and the ambulatory care center to be housed within Ciminelli Real Estate’s medical office building, Conventus.

Spacious and more aesthetically pleasing, the hospital’s room infrastructure is being designed to accommodate new technology as well. In addition to being able to offer input, the  groups get to use the newly constructed rooms to help develop new processes to deliver care within them. The goal for the hospital is for it to be recognized as the most innovative, highest quality, highest value provider and partner, and the regional referral center for women and children’s care for Kaleida Health in Western New York and beyond.

View a live webcam image of the construction site for the new John R. Oishei Children’s Hospital and Conventus, which will be connected by bridges on the second and third floors to the new hospital. It is expected to open in 2016.

(Top Right Photo – Dr. Teresa Quattrin, Pediatrician-in-Chief at Women & Children’s Hospital of Buffalo and UB Distinguished Professor, A. Conger Goodyear Professor and Chair of the Department of Pediatrics at the State University of New York at Buffalo, and Allegra Jaros, Vice President and Chief Operating Officer at Women & Children’s Hospital of Buffalo provides an update on plans for the John R. Oishei Children’s Hospital.)

More UB Medical School Students Choose Buffalo for Their Residencies

Fifty percent more students in the University at Buffalo School of Medicine and Biomedical Sciences have chosen a UB residency program this year than last year, according to statistics compiled on the graduates at Match Day 2013 held March 15.
Match Day is the day when medical school students around the country find out where they will do their postgraduate training, called a residency, which lasts from three to seven years, depending on the specialty chosen.

Thirty-eight out of the 150 students who make up the Class of 2013 have chosen to stay in Buffalo and do their residencies at UB, up from 24 in 2012, according to Roseanne C. Berger, MD, senior associate dean for graduate medical education.

“This is a vote of confidence in UB’s residency programs,” says Berger. “We do know that the residents have a tendency to remain in the areas where they train, so many will start their careers here, providing quality health care for our region.”

“We’re excited to see this,” agrees David A. Milling, MD, senior associate dean for student and academic affairs in the UB medical school.  “We have recruited so many new faculty and the quality of our training programs continues to improve, so students are more receptive, not only staying in Buffalo for postgraduate training, but some who leave also will return once their training is complete. The growth of the Buffalo Niagara Medical campus, including the forthcoming medical school downtown, is also attracting young physicians here.”

Seventy-three percent of the UB Class of 2013 are New York State residents. A total of 75 students, half of the class of 2013, will stay in New York State to do their training.

Ellen Goldbaum (UB); goldbaum@buffalo.edu; 716.645.4605

Buffalo-Based Team Develops, Tests First Simulation-Based Robotic Surgery Training Curriculum

Study results indicate Fundamental Skills of Robotic Surgery wp-contentears to be effective way to train surgeons

Researchers from Roswell Park Cancer Institute (RPCI) and four collaborating institutions have evaluated the effectiveness of a novel curriculum to safely train surgeons on the da Vinci Surgical System, which is used to perform robot-assisted surgeries. Results, published in Urology, showed that participants trained in the curriculum executed key skills with greater precision than those who did not receive training.

The Fundamental Skills of Robotic Surgery (FSRS) training curriculum, jointly developed by the study authors, uses the Robotic Surgical Simulator (RoSS) to train surgeons in four basic areas required in robot-assisted surgeries: orientation, motor skills, basic surgical skills and intermediate surgical skills. Launched in 2010, RoSS, one of the first robotic surgical simulators to accurately simulate the da Vinci system, was developed by Khurshid A. Guru, MD, director of robotic surgery at RPCI, and Thenkurussi Kesavadas, PhD, director of the Virtual Reality Lab and a professor of mechanical and aerospace engineering at the University at Buffalo (UB).

In this study, the researchers recruited 53 surgeons, fellows, residents and medical students from four institutions: RPCI, UB, the Henry Ford Health System (HFHS) in Detroit, Mich., and the Cleveland Clinic (CC) in Cleveland, Ohio. Most of the participants had no prior robotic or laparoscopic surgical experience. The researchers randomly divided them into control and experimental groups. Participants in the experimental group completed the four-hour FSRS course; those in the control group did not.

On a series of three tests, participants in the experimental group executed a series of three tasks with more precision than their counterparts who did not complete the FSRS curriculum, and completed the tasks more quickly overall. Moreover, average performance improved considerably for 23 “crossover” participants who did not receive the initial training but were allowed to repeat the three tests following FSRS instruction.

It’s critically important that institutions that offer robot-assisted surgeries develop training programs for their surgeons that realistically simulate the surgical environment and build user proficiency in core skills, notes Guru, senior study author.

“A situation where surgeons train only in the O.R., on live patients, is far from ideal,” he says. “The importance of this study is that it gives us the first evidence we have that a carefully designed, structured training curriculum carried out in a risk-free, simulated environment is an effective way to translate the basic skills required in robot-assisted surgery. The implications for improvements in patient safety and long-term outcomes are tremendously encouraging.”

“The idea of a simulation-based curriculum is gaining widespread acceptance, and FSRS is now being used in many leading robotic-surgery training programs nationally and internationally,” adds Kesavadas, a co-author on the study and co-developer of the RoSS simulator.

“This study shows the value of a structured curriculum while exposing a laparoscopically naive surgeon to the robotic platform,” says Mani Menon, MD, the Raj and Padma Vattikuti Distinguished Chair and Director of the Vattikuti Urology Institute at HFHS. “Given the enormous cost of health care, any effort at off-line training is of tremendous value.”

The researchers plan to do further research to establish the extent to which completion of the FSRS curriculum may impact long-term surgical proficiency. The development, testing and validation of RoSS and the FSRS curriculum were facilitated by donations to the Roswell Park Alliance Foundation and support from the John R. Oishei Foundation.

“The John R. Oishei Foundation is committed to supporting projects that will enhance patient safety and quality of care in Western New York and beyond,” says Robert D. Gioia, Oishei Foundation President. “We’re pleased to support the research around the FSRS curriculum, which has been shown to enhance the training of robotic surgeons in a structured and safe environment.”

The study, “Fundamental Skills of Robotic Surgery (FSRS): A multi-institutional randomized controlled trial for validation of a simulation-based curriculum,” can be accessed at http://goo.gl/hqck8.

Additional co-authors are Andrew Stegemann, Johar R. Syed, Shabnam Rehman, Gregory E. Wilding, Mohamed Sharif, Amrith Rao and Yi Shi, for RPCI; James M. Hassett and Ashirwad Chowriwp-contenta of UB; Khurshid Ghani and James O. Peabody of HFHS; Riccardo Autorino and Jihad Kaouk of CC; and Kamran Ahmed of MRC Centre, Guy’s Hospital, Kings College, London, United Kingdom.

Cory Nealon (UB); cmnealon@buffalo.edu; 716.645.4614
Annie Deck-Miller, RPCI Senior Media Relations Manager; annie.deck-miller@roswellpark.org; 716.845.859

SSO 2013 Lineup Includes 5 Talks by Roswell Park Cancer Institute Physicians

Presentations by RPCI surgeons cover issues of biomarker identification, quality improvement, treatment decisions

Five Roswell Park Cancer Institute (RPCI) physicians were invited to give oral presentations on cancer research March 8 at the 66th annual Cancer Symposium of the Society of Surgical Oncology, an international society for cancer surgeons. They were among 10 RPCI physicians who presented at this year’s meeting in National Harbor, MD. The symposium is a major annual meeting where new advances in cancer care are presented.

John M. Kane III, MD, FACS, Chief of the Melanoma/Sarcoma Service within the Department of Surgical Oncology, is first author on “High Risk Soft Tissue Sarcoma Biomarker Expression Patterns and Outcome Following Neoadjuvant Chemoradiation” (abstract 64; session: Sarcoma). Dr. Kane, a member of the Radiation Therapy Oncology Group (RTOG) sarcoma working group, presented research performed through his RTOG Translational Research Program grant from the National Cancer Institute.

Because outcomes for patients with “high-risk” soft-tissue sarcoma (STS) — those tumors that are large, deep and high-grade — are often poor, high priority has been placed on identifying biomarkers that might predict response to therapy and survival. Dr. Kane and a multi-institutional team of collaborators created tissue microarrays using pre- and post-treatment STS tumor samples from participants from two clinical research studies, looking to see how treatment impacted levels of seven different biomarkers. They found that two biomarkers, CAIX (carbonic anhydrase IX) and GLUT 1 (glucose transporter 1), decreased following neoadjuvant chemoradiation. The researchers also found that increased post-treatment p53 expression correlated with a higher chance of cancer recurrence.

“We’re always looking for ways to determine which patients might truly benefit from chemotherapy, sparing other patients that do not need it the potential side effects,” notes Dr. Kane. “In addition, these microarrays can also be used to identify new targeted therapies for these often-deadly sarcomas.”

Co-authors are Qiang Zhang, PhD, Asha George, MS, and William Kraybill, MD, of Radiation Therapy Oncology Group, Philadelphia, PA; Thomas DeLaney, MD, of Massachusetts General Hospital, Boston, MA; Alex Klimowicz, PhD, of the Tom Baker Cancer Centre, Calgary, Alberta, Canada; Anthony Magliocco, MD, of the Moffitt Cancer Center, Tampa, FL; and Jeff Simko, MD, PhD, of the University of California, San Francisco, San Francisco, CA.

Shicha Kumar, MD, an Assistant Professor in the Department of Surgical Oncology, is first author on “Clinical Impact of Real Time Reporting Using the Commission on Cancer’s Rapid Quality Reporting System: Is It Worthwhile?” (abstract 55; session: Quality Improvement/Clinical Outcomes).

Quality-control measures have been shown to correlate with improved cancer outcomes, yet deviations from desired standards of care often go undetected or are discovered late, limiting or preventing opportunities for effective intervention. The research team set out to assess the clinical impact of the Rapid Quality Reporting System (RQRS), a tool developed by the Commission on Cancer for alerting providers to wp-contentroaching deviations from predetermined quality measures. They found that while relatively few deviations from standards occurred, RQRS is an easy-to-use tool for proactively identifying and improving delivery and documentation of cancer care.

“Our analysis shows the Rapid Quality Reporting System to be a helpful and reliable safety mechanism for identifying patients at risk for lapses in wp-contentropriate care,” Dr. Kumar says. “The providers we surveyed indicated that the system spurred more effective teamwork and improved documentation, and resulted in reduced concern over insufficient or delayed follow-through.”

Co-authors are Marian Betrus, Jaemi Fitzgerald, Camille Rinaldo, Kassia Delgado, Linda Hauck and Stephen Edge, MD, all of RPCI.

Moshim Kukar, MD, a clinical fellow in the Department of Surgical Oncology, is first author on “Fostering Coordinated Survivorship Care in Breast Cancer: Who is ‘Lost to Follow-Up’?” (abstract 57; session: Quality Improvement/Clinical Outcomes).

Patients who stop scheduling or showing up for wp-contentointments are a concern for many oncology providers. They are considered “lost to follow-up” (LTFU) when they stop seeking services or ongoing monitoring from a facility without having a transfer-of-care plan in place. Dr. Kukar and colleagues looked at nearly 13 years of RPCI records for patients treated for breast cancer, classifying them as LTFU if they had a two-year gap in visits to the facility. They then looked at patient, tumor and treatment characteristics to see whether any particular factors were correlated with LTFU status. They identified five characteristics associated with increased incidence of care abandonment: older age, earlier-stage disease, living longer distances from the facility, having no need for additional adjuvant therapies and absence of recurrence.

“We know that many breast cancer patients will self-triage away from oncology care and follow-up,” says Dr. Kukar. “This research shows that we have a real opportunity to prospectively identify who these women are so we can better assist them with the transfer of care to other providers and make sure that continuity of care is maintained.”

Co-authors are Nancy Watroba, MPA, Austin Miller, PhD, Dr. Kumar and Dr. Edge, all of RPCI.

Jacqueline Oxenberg, MD, a clinical fellow in the Department of Surgical Oncology, is first author on “Neoadjuvant Chemotherapy to Define Biologic Behavior Prior to Resection of Primary Angiosarcoma” (abstract 71; session: Sarcoma).

In a retrospective review of RPCI patients treated for angiosarcoma, a rare and biologically aggressive tumor, the research team tested their hypothesis that neoadjuvant chemotherapy would provide insights that could help guide treatment decisions, particularly by defining those who would not benefit from more involved, higher-risk surgeries. They found that chemotherapy administered preoperatively was well tolerated and significantly decreased tumor size, decreased the number of surgeries needed to control tumors and was not associated with any increase in complications.

“We now have evidence that giving chemotherapy prior to surgical removal of angiosarcoma tumors allows us to better identify which patients would benefit most from surgery,” Dr. Oxenberg explains. “It’s an wp-contentroach that wp-contentears to be both effective and easy to implement.”

Co-authors are Dr. Kane, Nikhil Khushalani, MD, Kilian Salerno May, MD, and Kristopher Attwood, PhD, all of RPCI.

Timothy Platz, MD, is first author on “The Use of Modified 4-Dimensional Computed Tomography in 100 Consecutive Patients with Primary Hyperparathyroidism: An Argument for the Abandonment of Sestamibi SPECT” (abstract 25; session: Endocrine Cancer).

For many years, the vast majority of providers performing parathyroidectomy have used ultrasound and/or Sestamibi SPECT imaging technologies to help identify abnormalities and guide surgical planning. Looking at patients treated at RPCI between December 2010 and July 2012, Dr. Platz and colleagues performed a comparative analysis to determine whether a newer imaging option, 4-Dimensional Computed Tomography (4D-CT), might be an effective alternative to those standard imaging technologies. The team found that a modified form of 4D-CT, adapted to include volume rendering highlights the parathyroid abnormality in relation to neighboring structures, was superior to sestamibi SPECT and ultrasound, with similar levels of radiation exposure.

“We found that this modified 4D-CT wp-contentroach was much more reliable than the other modalities in providing a preview of the anatomy that we’d encounter when actually performing the surgeries,” notes Dr. Platz. “The distinctions between these wp-contentroaches proved to be so significant that we can present a persuasive case for other providers to consider abandoning sestamibi SPECT for these types of cases.”

Co-authors are Ahmed Abdelhalim, MD, Adrienne Groman and William Cance, MD, all of RPCI.

Annie Deck-Miller, RPCI Senior Media Relations Manager; annie.deck-miller@roswellpark.org; 716-845-8593

New Biotech Companies Move Into Innovation Center on the Buffalo Niagara Medical Campus

The Thomas R. Beecher, Jr. Innovation Center is pleased to welcome Roswell Park Cancer Institute (RPCI) spin-off companies Tartis Aging, Inc., and OncoTartis, Inc., as its newest tenants. The companies will occupy a combined 5,700-square-foot of wet lab and office space on the fourth floor of the building. Approximately half of this space will be built up as the companies continue to grow in size. Tartis
OncoTartis and Tartis Aging are discovery-stage biotechnology companies seeking novel anti-cancer and anti-aging drugs. Their proprietary technologies are licensed from the laboratories of Andrei Gudkov, PhD, from RPCI.

Dr. Gudkov was recruited to Buffalo by RPCI and other local partners in 2007. He moved his research lab and his first commercial company, Cleveland BioLabs, Inc. (CBLI), from the Cleveland Clinic to serve as Senior Vice President of Basic Science and Chair of the Department of Cell Stress Biology at Roswell Park.

The laboratory building at 73 High Street, shared with Cleveland BioLabs, Inc., had been the first home for both corporations. With 15 employees and a growing portfolio, the two companies have outgrown the space available on High Street but wanted to remain on the BNMC.

“We are very hwp-contenty to find space in the Innovation Center, which allows us to expand our research and at the same time continue to be close to our colleagues at CBLI and Roswell Park,” said Aleksandra Kotlyarova, Director of Operations for both companies.

“OncoTartis and Tartis Aging are perfect examples of what we need to see more of here in Buffalo,” said Patrick J. Whalen, Chief Operating Officer of the BNMC, Inc., which owns and operates the Innovation Center. “Dr. Gudkov and Cleveland BioLabs moved to the BNMC several years ago to better collaborate with Roswell Park Cancer Institute, and thanks to the groundbreaking research at Roswell Park, they continue to grow and spin off companies, creating more jobs and economic-development opportunities in Buffalo as they evolve.”

Kari Bonaro (BNMC, Inc.); kbonaro@bnmc-old.local; 716.218.7157

Brain Imaging to Identify Physical Reasons Why IBS Symptoms Improve with Drug-free Treatments

UB researchers and colleagues will correlate objective measures of brain changes with patients’ reports of relief from symptoms of irritable bowel syndrome

Patients who suffer from the painful, often disabling, symptoms of irritable bowel syndrome (IBS) often are surprised to find that behavioral changes, not drugs, provide significant relief. Jeffrey Lackner

Now, researchers at the University at Buffalo who have pioneered some of these behavioral treatments, along with colleagues at the University of California, Los Angeles, and Northwestern University, are using functional and structural magnetic resonance imaging (MRI) to reveal the biological basis for the relief. The research could help doctors choose the best treatment method for individual patients and could improve the quality of life for millions of people with IBS.

“We’re going to look at biological mechanisms that underlie these non-drug treatments, to discover what is going on in the brain that explains treatment benefits achieved by teaching patients specific skills to control and reduce their symptoms,” says Jeffrey M. Lackner, PhD, associate professor of medicine at the UB School of Medicine and Biomedical Sciences and a project principal investigator. “By using a brain scan to compare brain activity before and after treatment, we expect to get a picture of changes in the brain that correspond to improvements in gastrointestinal symptoms.”

The work is funded by a $2.3 million grant to UCLA, the lead institution; Northwestern; and UB by the National Institute of Diabetes and Digestive and Kidney Diseases. It builds on the work of UCLA researchers at its Oppenheimer Family Center for Neurobiology of Stress and a pilot neuroimaging study conducted by Lackner and colleagues at UB.

The brain imaging study came about partly as a result of a major, $8.9 million, seven-year, multi-site clinical trial Lackner is leading at UB to test behavioral treatments in IBS patients. It is the largest IBS clinical trial conducted to date and one of the largest behavioral trials ever funded by the NIH without a drug component. Developed at UB, these treatments are regarded as some of the most powerful treatments available to IBS sufferers.

Lackner is currently recruiting IBS patients for the behavioral and imaging studies at the Behavioral Medicine Clinic of the UB Department of Medicine at Erie County Medical Center. For more information on participating in one of the studies, call 716-898-4458 and leave a name, telephone number and convenient times to be contacted.

IBS is among the most common, disabling and intractable gastrointestinal disorders. Twice as common among women as men, it is estimated to affect between 25 million and 50 million Americans. Symptoms include pain, stomach cramps, bloating, diarrhea and/or constipation.

“We’re excited about the possibility of providing the first evidence for biological markers that correlate with treatment-induced symptom changes, and developing a better understanding of the mechanism behind IBS,” says Lackner. “Such cutting-edge translational research is going to help foster individualized, specific treatments for patients.”

One treatment developed at UB aims to control symptoms by changing specific thinking patterns and behaviors found to aggravate IBS. Using state-of-the-art brain-imaging methods, UCLA researchers, under the leadership of Emeran Mayer, MD, hope to identify the biological mechanisms underlying their effectiveness. Mayer is a professor of medicine and psychiatry at UCLA, director of the Oppenheimer Center for Neurobiology of Stress and principal investigator of the imaging study.

Scientists believe that IBS symptoms are the result of dysregulation of brain-gut interactions, resulting in abnormal muscle contractions in the gut and heightened sensitivity to painful stimuli.

“Just as faulty wiring between the neural connection of the brain and gut can bring on symptoms, so learning new ways of thinking and behaving may ‘rewire’ brain-gut interactions, resulting in reduced pain and bowel symptoms that otherwise take a major toll on patients,” says Lackner. “Determining whether behavioral treatments work by targeting specific areas of the brain that have a direct effect on gut function and sensation is a major goal of this study.”

Correlating structural brain changes with symptom reduction is, for both Lackner and Mayer, a primary goal that they say will demonstrate an ‘organic’ component to IBS, which is critical. “IBS is often unfairly dismissed as a psychosomatic condition,” says Mayer. “These findings will be important in dispelling the notion once and for all that IBS symptoms are not real and are ‘only psychological.’”

Lackner’s UB’s colleagues on the study include Michael Sitrin, MD, professor, Christopher Radziwon, PhD, research assistant professor, Greg Gudleski, PhD, clinical research assistant professor, Leonard Katz, MD, professor emeritus and Rebecca Firth, senior research support specialist, all in the Department of Medicine and Susan Krasner, PhD, clinical assistant professor of anesthesiology.

Ellen Goldbaum (UB); goldbaum@buffalo.edu; 716.645.4605

UB Goes to Great Lengths to Recruit Top Medical Talent to Buffalo – Buffalo News Story

Buffalo News)
(Photo from The Buffalo News)

Published: 03/3/2013, 11:54 PM Updated: 03/3/2013, 11:54 PM

Buffalo News Article: The Buffalo Niagara Medical Campus – and the opportunity for growth it promises – is helping UB attract some of the country’s top doctors to its medical school faculty.

BY: Jay Rey /Buffalo News Staff Reporter

Recruiting top doctors and medical researchers to Buffalo is not unlike the Bills or Sabres going after blue-chip free agents.

Buffalo may not be high on their list of destinations – or on their list at all – when bigger, warmer or more lucrative markets are out there.

Buffalo? thought Dr. Andrew Talal.

Dr. Gil Wolfe was hesitant, too.

And Dr. John Tomaszewski was sure Buffalo wasn’t for him, even before he stepped off the plane.

That’s part of the recruiting process the University at Buffalo is going through right now as it grows its School of Medicine and Biomedical Sciences.

Over the next three years, UB plans to hire more than 100 full-time medical faculty members in preparation for the 2016 opening of its new medical school, which will serve as a linchpin for an emerging Buffalo Niagara Medical Campus.

 

But luring smart, high-priced medical talent to the region isn’t as impossible as you might think.

If you can get them to visit – that’s the key – Buffalo can convince them it is a city on the rise and they can be a part of building something special.

“People want to be in a place that’s moving forward with a vision,” said UB President Satish Tripathi. “The way I feel is, if we are able to clearly state our vision and provide them the resources to succeed, people will come.”

“You got to get them on the airplane,” said Dr. Anne Curtis, chairwoman of the department of medicine at UB, who was recruited a few years ago. “Get them on the airplane and get them here, and then we can do OK.”

That’s why Talal, Wolfe and Tomaszewski eventually came around to Buffalo, with dozens more expected to follow.

“I began to understand that there really is a new day in town,” said Tomaszewski, who came from Philadelphia more than a year ago.

The added faculty will allow UB to increase enrollment at the medical school, from which the region gets many of its future physicians.

In addition, these newly hired doctors – who will set up practices and labs and hold positions at area hospitals – will bring some needed depth and breadth to Buffalo’s medical community, as UB targets specialists in areas where the region has a shortage.

It’s helping set the stage for a better, 21st-century health care system, where people from the region can be treated for most any condition by local doctors, said Michael Cain, vice president of health sciences and dean of the medical school.

And in a way, it serves as a reminder that Buffalo really is making progress, especially when the community’s Rust Belt image is seen through the fresh eyes of these newcomers.

“We fell in love with the city,” said Dr. Anthony Martinez, an associate professor of medicine, who moved to Buffalo from San Diego in December. “It just feels like there’s something going on here. It’s hard to describe, it’s just something you feel.”

But first, you have to get them to Buffalo.

Seeing the potential

Actually, Cain said, it hasn’t been that difficult.

“In all the recruiting I’ve done in the past six years, I’ve had no one turn us down because it was Buffalo,” Cain said.

In fact, UB landed its top choice for each of the 10 leadership positions recently filled for the medical school, Cain said.

They see the potential in Buffalo.

UB and Kaleida Health opened a state-of-the-art research building last year on Ellicott Street.

An 11-story addition to Roswell Park Cancer Institute breaks ground this year.

A new Women & Children’s Hospital is expected to open in 2016 – as is UB’s $375 million medical school.

“If you come here,” Cain tells the recruits, “you’re going to be part of a growing, expanding academic health center, and after four or five years, you will feel that you have contributed to making something better.”

It’s a vision that attracted Curtis, who came to UB in 2010 from the University of South Florida in Tampa, where she was chief of cardiology.

“People who are builders get excited about that,” Curtis said. “They see an opportunity to put their mark on something.”

Buffalo also caught the attention of Dr. Vanessa Barnabei, who had other offers but came to UB last fall from the Medical College of Wisconsin in Milwaukee, where she was director of obstetrics and gynecology.

“When I came here, I was very impressed by the opportunity for growth that’s going on, that’s being planned and is actually going to hwp-contenten,” Barnabei said. “You never know sometimes. People make these grand plans. But here, it really does look like it’s going to move forward.”

UB has been hiring for the medical school the past few years to fill vacancies and replace retired professors. Currently, the medical school has 720 full-time faculty members.

But the university wants to increase that number to as many as 850 over the next three years, as the need to train more physicians grows around the U.S.

A combination of resources – including philanthropy and money raised from state tuition increases – will be used to finance the school’s growth.

It’s that commitment of funds to build a better medical program at UB that helped lure Wolfe, who arrived at the end of 2011. He was recruited from the University of Texas Southwestern Medical School in Dallas to head the department of neurology at UB.

“This was not the first chair opportunity I was offered,” Wolfe said, “but looking back and hearing what hwp-contentened in those other situations, I’m glad I’m here. The level of state support – and even community support – doesn’t match what I’ve experienced here.”

That’s not to say the initial reaction to Buffalo is always enthusiastic.

Intriguing interview

Tomaszewski was recruited from the University of Pennsylvania in Philadelphia.

As he arrived in Buffalo for his first interview, the Philadelphia native remembers looking out the window of the plane and thinking: “I am not coming to Buffalo.”

But Tomaszewski’s interview was intriguing. It turned into another visit, then another. And during every conversation, another dimension he found engaging was revealed. He became chairman of the department of pathology and anatomical sciences at UB in the fall of 2011.

“Buffalo has a whole bunch of cards assembled to be a first-rate, modern health care system in the model that’s going to be successful going forward,” he said.

Talal, who was recruited from Weill Cornell Medical College in New York City, had a similar reaction when he received an email from the search firm.

“Who wants to go to Buffalo?” Talal thought to himself.

He promptly deleted the email.

But after being asked to speak in Buffalo, Talal learned more about what was going on at the university and the emerging medical campus. His opinion was changing.

When Talal returned to Manhattan, he reached out to the search firm. It took his daughter getting admitted to City Honors School and his wife – who is also a professor – to be recruited by UB, but Talal eventually joined the university in September as chief of the division of gastroenterology, hepatology and nutrition.

“Buffalo is an interesting community in the sense you have a lot of very top-notch things, but they haven’t been highly publicized,” Talal said. “There’s a lot more here than the city is given credit for.”

Now the recruited have become the recruiters.

A rare opportunity

The doctors acknowledge that Buffalo can be a tough market to recruit.

It’s just enough out of the way and close enough to major metropolitan areas, where top talent would rather head, Barnabei said.

But they also believe the medical growth planned for Buffalo is a rare opportunity for faculty, especially at a time when schools around the country are trying to cut costs.

“A lot of academic medical centers in 2013 are not growing,” Curtis said. “They see health care changing. They don’t see a need for more people. They’re treading water. Their staffs are full.”

“There are good people coming out of training who want an academic career but are finding the opportunities are somewhat [more] limited than in the past,” Curtis said.

“Times are tight,” added Tomaszewski. “California is a good example. Because of its finances, it really had to downsize its state university system, so there’s a lot of faculty on the market.”

And once the prospects see Buffalo, they understand the wp-contenteal.

“I enjoy Buffalo,” Wolfe said. “I’ve become a big booster for the city. I have to be, but I can do it in a sincere fashion. There are great recreational opportunities. The arts are excellent. The restaurant scene holds its own very well in comparison to even larger cities. And the cost of living, from a real-estate standpoint, is a big bonus.”

Barnabei and Tomaszewski were struck by the friendliness of the community. He recalled moving into his office – arms full, fumbling with his access card – when a woman saw him from the third floor of the building and came down to open the door for him.

“If you keep an open mind enough to give it a chance, it’s the kind of place that the more you look the more you find,” Martinez said. “If you just give it a chance, the more it gets under your skin and grabs you.”

When Talal, his former mentor, recruited Martinez to Buffalo from the University of California, San Diego, Martinez and his wife rented a place in Elmwood Village for a week to determine if Buffalo would suit them.

Martinez, a native of Providence, R.I., and a huge hockey fan, immediately got Buffalo. He saw how the cold weather and tough economy shaped this community for the good.

“I’ve never been in a place that has such a strong sense of community. That seeps into the people and permeates out,” Martinez said. “It’s a great fit for my family and a great fit for me.”

email: jrey@buffnews.com

International Partnership to Train and Educate Future Nanotechnologists in Zimbabwe

The University at Buffalo (UB) welcomed Minister of Science and Technology Development of Zimbabwe, Professor Heneri Dzinotyiweyi to Buffalo to tour its Institute for Lasers, Photonics and Biophotonics (ILPB) and New York State Center of Excellence in Bioinformatics and Life Sciences (CoE). Both research facilities will play a role in the international academic partnership with the University of Zimbabwe and Chinhoyi University of Technology.
Receiving the award to establish a Fogarty International Center AIDS International Training and Research Program (AITRP) in 2009, UB professor, CoE associate director, and director of Translational Pharmacy Research Gene D. Morse, PharmD and collaborators set out to use the award for its intended purpose, providing education and training for HIV-related research in low- and middle-income countries.

UB Robin DiFrancesco, Zimbabwe Minister, Dr. Dzinotyiweyi, and Charles Chiedza MapongaThrough the Zimbabwe International Nanotechnology Center (ZINC), the collaboration will primarily serve as a nanotechnology research program where UB will help educate and train young researchers at the University of Zimbabwe  and the Chinhoyi University of Technology to wp-contently nanotechnology to treat and prevent prevalent diseases like HIV/AIDS, tuberculosis and malaria in the south-African country. Nanotechnology is molecular manufacturing on a 100 nanometer or smaller scale. Nano-particles (particles with dimensions less than 100 nanometers) have become important to the equation of new HIV/AIDS drug development because they can provide effective treatment options with shortened duration of therapy, reduced systemic side effects and limited development of drug resistance.

With 14 percent of Zimbabwe’s population living with HIV/AIDS and tuberculosis as a co-infection, the need for new drugs and new formulations of available treatments is crucial.

To prepare for ZINC implementation and discuss logistics, Morse and Paras Prasad, PhD, SUNY Distinguished Professor in the Departments of Chemistry, Physics, Medicine and Electrical Engineering and Samuel P. Capen Chair of Chemistry invited Professor Dzinotyiweyi to Western New York. “Professor Dzinotyiweyi’s visits to the ILPB, as well as the center, provided an opportunity for faculty leaders, regional scientists and public officials to discuss the recently announced international collaboration of UB and ZINC,” says Morse.

A public symposium will take place in Harare, Zimbabwe on March 18th and 19th. The symposium will include representatives from government, academia and the community. Meetings in Zimbabwe and Buffalo are scheduled to help all participants continue to get acquainted.

A future hope is to develop partnerships with pharmaceutical and biotechnology companies, drawing private-sector investments. In addition to that goal, a positive effect on economic development is expected to take place in Western New York and in Zimbabwe.

GO BNMC "GO Party" Member Appreciation Event!

GO BNMC GO Party FlyerGO BNMC members and employees on the BNMC are invited to attend the GO Party event, a member wp-contentreciation celebration full of fun activities, giveaways, food and drinks!
Learn about alternative commuting methods, mingle with GO BNMC Champions, and enjoy an evening of fun with fellow Medical Campus employees.

Sign-up to become a member of GO BNMC today at gobnmc-old.local. #GOParty on Twitter to @GOBNMC if you plan to attend and RSVP to gobnmc@bnmc-old.local.

Private Sector Investment on the Buffalo Niagara Medical Campus

Post from Buffalo Niagara Enterprise Blog: Development Discussions
By Alan Rosenhoch, Business Development Manager, Buffalo Niagara Enterprise

Conventus redering by Kideney Architects

Conventus rendering by Kideney Architects

Conventus (Latin for “coming together”) is a brand new seven-story medical building being developed by Ciminelli Real Estate Corporation at the northern gateway of the Buffalo Niagara Medical Campus (BNMC). Designed to be a center for collaborative medicine, it will be anchored by Kaleida Health and UBMD. Ciminelli expects to open the building in the spring of 2015.

I had the opportunity to ask the President and CEO of Ciminelli Real Estate Corporation, Paul F. Ciminelli, a few questions:

Q: You recently began site preparation work on the Conventus project; what does this project represent for the BNMC and the region’s life sciences industry?

A: There are two aspects of this project that represent major milestones in the development of the Medical Campus. First of all, Conventus is the first significant private investment on the campus, which is indicative of our strong commitment to the BNMC and our belief in its vision. Private dollars send a strong message to our community and to other markets that the Campus is a viable initiative and worth the investment.

Secondly, Conventus’ adjacency and physical connections to the new Children’s Hospital and the new UB School of Medicine, is groundbreaking in its collaborative wp-contentroach to the needs of the patients, physicians, researchers and students. Coupled with its location at the northern gateway to the Campus, Conventus facilitates a seamless connection among all of the major medical-related facilities at the northern end.

Q: How much space will be taken by the two anchor tenants, Kaleida and UBMD, and how much space will remain for future tenants?

A: Kaleida will occupy wp-contentroximately 85,000 sq. ft. on the 2nd and 3rd floors, which are the floors where connections will be made to Children’s and the Medical School, as well space on the ground floor for their Blood Draw and Pharmacy. UBMD will occupy 60,000 sq. ft. on the 4th floor and a portion of the 5th floor. A major regional bank will occupy a portion of the ground floor as well. Based on the inquiries we have had to date, we expect to have tremendous interest in the remaining square footage, and that full occupancy will be achieved quickly.

Q: What types of tenants are you seeking for the balance of space? For what type of company would you consider Conventus to be ideal space?

A: As with all of our projects, we will identify potential tenants that are synchronous with the existing tenant base and with the overall vision of the Campus. We refer to Conventus as a “center for collaborative medicine” because of the multiple disciplines that will be housed in and facilitated by our physical connections to the Hospital and UB’s School of Medicine. We look forward to accommodating clinical, educational, practical and research components at Conventus, as well as other healthcare-related tenants.

Q: You are targeting LEED Gold Certification for this project; why is sustainable design, building elements and operation so important to Ciminelli?

A: In 2008, Ciminelli made a commitment to pursue LEED certification with all of our projects going forward because of our commitment to minimizing our environmental footprint and to developing high-performing buildings. From an ownership standpoint, it has a definite positive impact on the long-term operating efficiencies of the building. From a tenant’s perspective, LEED certification translates to a healthier, more efficiently run environment in which to work. It’s a win-win.

Q: Conventus is not planned to be a one-shot project for Ciminelli on the BNMC; what else do you have on the drawing board for the near and long-term future?

A: The core of our business is being able to see the big picture; the ability to put pieces of a puzzle together and create synergies within every development project we undertake. This is what our company does best, and why we are committed to supporting the BNMC’s vision. We have purchased additional property at 33 High Street directly across from Conventus and Children’s Hospital and adjacent to UB’s site for the Medical School in anticipation of continued growth. As things continue to evolve on the Campus and we see possibilities for future needs there, we will pursue strategic developments to support those needs.

Q: Plans call for Conventus to connect to the Allen Street NFTA Metro Rail station; how does this fit into your overall plan to connect different parts of the region?

A: Ciminelli is a strong proponent of transit-oriented development, as evidenced by our two current projects under construction: Bethune Lofts (Main Street and Hertel Avenue), and Conventus. Developing along our transit lines facilitates connectivity among vibrant areas of Buffalo Niagara such as the UB South Campus University District, the Hertel Avenue district, the Medical Campus and Canalside. As it stands today, the NFTA Metro Rail station will be connected to the new UB School of Medicine at Allen Street. It should be noted that, while there is a connection from that building to Conventus, its use will be somewhat restricted.

Q: Conventus represents the first significant for-profit private sector-led development on the BNMC; what makes your company so bullish on the future of the campus?

A: Ciminelli has owned property on the Campus for 20 years, so we’ve been a part of it since its early stages. We saw things begin to evolve as the plan was rolled out. We’ve seen similar models succeed in cities of comparable size and demographics to Buffalo, so we knew it could work here, especially with it being so close to our Central Business District and being on a main transit line. All of the components were there; all it needed to take it to the next level was significant private sector investment. We were the first, but we know we won’t be the only ones. Additional private sector support will hwp-contenten on and around the Campus.

“My life works in Buffalo Niagara because of the tremendous quality of life we have in a relatively low-cost environment, the great educational institutions that supply a talented workforce, and because of the friendliness of its people. I love it here!”

– Paul F. Ciminelli

Roswell Park in Top 6% of U.S. Centers for Blood and Marrow Transplant

RPCI’s BMT patient results superior to expected outcomes

For the third consecutive year, outcomes for patients receiving blood and marrow transplants through the Blood and Marrow Transplant Program at Roswell Park Cancer Institute (RPCI) are among the best in the nation. The latest report compiled by the Center for International Blood and Marrow Transplant Research (CIBMTR) puts RPCI in the top 6% of U.S. centers performing allogeneic blood and marrow transplants, based on patient survival rates.

Allogeneic blood and marrow transplantation (BMT) involves infusion of bone marrow or blood cells from a donor, and is commonly used to treat many blood cancers, including some forms of leukemia, multiple myeloma and lymphoma. The CIBMTR (website: http://www.cibmtr.org) is an international research organization that collects and publishes data from centers that perform blood and marrow transplants. Its 2012 report includes outcomes data for 169 U.S. centers. The report, which analyzed related and unrelated donor BMTs performed between 2008 and 2010, places RPCI among 10 centers whose one-year survival results were above what could be expected based on the level of acuity or risk represented among the transplanted population.

The RPCI population was once again assigned to the highest risk category, indicating that the Institute’s BMT cases during the period covered were among the most complicated. Factors such as degree of tissue match/mismatch between donor and recipient and the type of transplant being performed can add risk to these already-complex procedures.

“These outcomes, which have been consistently high for the last three years, are a direct product of the multidisciplinary interaction on which our care is based,” noted Theresa Hahn, PhD, an Associate Professor of Oncology at RPCI and Director of Quality Assurance for the Blood and Marrow Transplant Program. “Our outstanding clinical team has put every effort into constantly improving the experiences of our patients, and that work involves many of Roswell Park’s teams, including our Department of Medicine clinicians, nursing staff, case management, our blood cell apheresis and processing lab, the departments of Laboratory Medicine, Pathology, Radiation Medicine, Radiology and Psychosocial Oncology, our clinical pharmacy staff, physical and occupational therapists, dieticians and housekeeping staff.”

Annie Deck-Miller, RPCI Senior Media Relations Manager; annie.deck-miller@roswellpark.org; 716-845-8593

Roswell Park Study Finds Substantial Use of E-Cigarettes by Smokers

Nearly 80% of smokers who use electronic cigarettes, or e-cigarettes, believe the devices are less harmful than traditional cigarettes, according to a study published in the American Journal of Preventive Medicine and authored by a team of scientists led by Richard O’Connor, PhD, Associate Professor of Oncology and Director of the Tobacco Research Laboratory at Roswell Park Cancer Institute (RPCI).
“This study offers a snapshot in time on the use of e-cigarettes from mid-2010 to mid-2011 and examines awareness, use and product-associated beliefs among current and former cigarette smokers in the United States, Canada, Australia and the United Kingdom,” said Dr. O’Connor.

Nearly 6,000 adult smokers from the four largest English-speaking countries participated in the International Tobacco Control (ITC) Four Country Survey. Study results include:

  • Overall, 46.6% of those surveyed were aware of e-cigarettes (US: 73%, UK: 54%, Canada: 40%, Australia: 20%)
  • Younger, non-minority, heavy smokers with higher incomes were more likely to be aware of e-cigarettes.
  • Younger, non-daily smokers and those who believe e-cigarettes to be less harmful than traditional cigarettes were four times more likely to try e-cigarettes.
  • E-cigarette use was higher among non-daily smokers and those who smoke more than 20 cigarettes a day.
  • 79.8% of smokers believe using e-cigarettes is less harmful than smoking traditional cigarettes.
  • 85% of current e-cigarette users indicate that they are using the devices as a tool to help them quit smoking, yet only 11% had successfully stopped smoking.

“This study provides valuable insights into the use and attitudes surrounding e-cigarettes among smokers,” adds Dr. O’Connor. “However, questions remain regarding the impact of these devices in nonsmokers, such as what potential exists to induce nicotine addiction in non-smokers and/or maintain addiction in current smokers who might otherwise stop smoking.”

Regarding future steps, the researchers suggest that the net impact of e-cigarettes on public health be examined. If evidence shows that e-cigarettes reduce the number of cigarette smokers and do not attract use among nonsmokers, they note, then the net public health effect is likely to be positive.

The study, “Electronic Nicotine Delivery Systems International Tobacco Control Four-Country Survey,” will be published online today at http://www.ajpmonline.org.

Annie Deck-Miller, RPCI Senior Media Relations Manager; annie.deck-miller@roswellpark.org; 716-845-8593

 

Fisher-Price & Mattel Donate $3M to New Oishei Children's Hospital

Inside Kaleida Health‘s John R. Oishei Children’s Hospital will be the Fisher-Price & Mattel Family & Child Resource Center thanks to a $3 million donation to The Children’s Hospital of Buffalo Foundation from the local toy company. The donation secured naming and construction rights by Fisher-Price, Inc. and Mattel, Inc. for the Center which will be located on the 5th floor of the new hospital.
fisherpricecenter_0In addition to interaction with and support from the Child Life and Stone’s Buddies staff, patients and families will have access to the 6,000-square-foot respite area and its designated sections. There will be areas for meditation, a chapel, family consultation rooms, and an area for computers and video games. Fisher-Price and Mattel will incorporate toy storage compartments within the play areas on each of the hospital floors, and will include branded animal sculptures within the outdoor garden.

The Center is scheduled to open in 2016 with the new hospital. Groundbreaking for the new Children’s Hospital site on the corner of Ellicott and High Streets, across from the Buffalo General Medical Center, is set to begin this spring.

Read coverage about the donation below:

Toy Makers Pledge $3 Million for Children’s Hospital Family Center

Fisher-Price, Mattel Pledge $3 Million for New Children’s Hospital

Fisher-Price, Mattel Give $3M for Children’s Hospital Project

Roswell Park's Center for Personalized Medicine

center-personalized-medicine-press-conference.2013-01-30-35Roswell Park Cancer Institute‘s (RPCI) new 5,000-square-foot facility, the Center for Personalized Medicine (CPM), will provide individualized therapies for patients through genetic code sequencing (an analysis of genomes – the entire inherited genetic makeup of humans). Using state-of-the-art, next-generation technology, advanced research has led to the identification of unique genetic characteristics that will help determine effective and custom treatments for patients with certain diseases. Utilizing high-throughput screening for drug discovery, personal gene sequence machines and a 1,600-processor supercomputing cluster, the RPCI team will efficiently be able analyze individual genome data.
Located within RPCI’s Center for Genetics & Pharmacology, the Center will also act as a resource for scientists and medical providers to use for national clinical care wp-contentlication. In addition to having a mobile unit, the CPM is the first regional resource for next-generation gene sequencing to have met federal Clinical Laboratory Improvement Amendments (CLIA) requirements.

At the end of  last year, RPCI was awarded a $5.1 million grant to begin the pilot phase of the genome project from Governor Cuomo’s Regional Economic Development Council, established to promote regional economic development. Since then, RPCI has garnered an additional $18.5 million in investments to support the project. From RPCI, $16 million has been invested in equipment and infrastructure, and Computer Task Group (CTG), a Buffalo-based national leader in healthcare IT, has committed to $2.5 million. As a local and nearby partner, CTG will provide its healthcare and bioinformatics expertise to deliver personalized medicine quickly and cost-effectively. The University at Buffalo, IMMCO Diagnostics and Western New York Urology Associates LLC are additional supporters of the project.

Candace Johnson, PhD, Deputy Director of the CPM stated that “We now have the ability to do robust, ‘next-generation’ gene sequencing on blood and tissue samples, with tremendous possibilities in terms of what we can learn diagnostically, prognostically, therapeutically.” Johnson also stated that personalized medicine is the future, not just for oncology patients but for treatments across all diseases.

The CPM is a prime example of the type of support that Cuomo’s Council looks to provide for organizations throughout the region to capitalize on resources and developments that will support the local economy by creating more jobs and economic growth. Recognizing the growth hwp-contentening on the Buffalo Niagara Medical Campus and throughout the region, Cuomo stated that “Western New York has a thriving health and life sciences industry cluster, which the Western New York Regional Economic Development Council and Roswell Park Cancer Institute recognized. Through the Regional Council process, they created a custom-tailored plan to take advantage of this opportunity, which will rebuild the regional economy.”

center-personalized-medicine-press-conference-2013-01-30-34RPCI’s President and CEO, Dr. Donald Trump captured the significance of the Center’s presence. He stated that “The doors are wide open in terms of the opportunities for entrepreneurship and technology transfer that will flow from [the Center].” The CPM team, partners and supporters increase RPCI’s menu of services, giving the institution the opportunity to contend with other small circle healthcare organizations providing similar medical services.

Immediately on the agenda, the CPM will undertake its first 3 sequencing projects, clinical research studies that will:

  • Predict on a case-by-case, personalized basis which of the two main types of standard chemotherapy, anthracycline-based or platinum-based, will be most effective in treating a woman’s breast cancer, and with fewest adverse side effects;
  • Develop, in collaboration with Western New York Urology Associates, a diagnostic test for superficial bladder cancer, the ninth most common cancer in the U.S. and the most expensive of all cancers in terms of cost to treat; and
  • Engage 600 healthy volunteers representing the ethnic, racial, socioeconomic and geographic diversity of the eight-county Western New York region in an initiative to identify the particular healthcare priorities of this community, aided by a mobile tissue-collection unit that will travel to disparate and underserved areas.
  • In addition, RPCI expects to use the resources of the CPM in planning individualized care for its lung, melanoma and leukemia patients in the near future.

Read more about the CPM below:

Roswell Launches Center for Personalized Medicine

Groundbreaking Cancer Research Hwp-contentening in Buffalo

Progressive Medicine is Roswell’s Newest Venture

 

UB Medical School to Develop Tools for Cloud-Based Simulations of Patient Visits

UB is one of eight institutions in the U.S. chosen to write patient cases

The American Medical Association is providing funding to support the University at Buffalo (UB) School of Medicine and Biomedical Sciences and other institutions in a national consortium to develop simulated, interactive “encounters” with virtual patients to supplement the education of students in the third year of medical school.

The i-Human Patients platform is a cloud-based service for medical students that simulates a patient visit. Students use the software to interview and examine animations of patients, order and review diagnostic tests, develop diagnostic hypotheses and create a treatment plan. Online guidance and comprehensive feedback occurs at every step of the process.

Avery Ellis, MD, PhD, associate professor of medicine and physiology and senior associate dean for medical curriculum at UB, is one of 8 faculty members at prestigious institutions throughout the U.S., who will be working together to develop simulations for internal medicine. Ellis and Susan J. Gallagher, MD, clinical associate professor of medicine at UB and director for internal medicine clerkships in the third and fourth years, will be writing cases on chest pain, heart failure, chronic obstructive pulmonary disease, edema, electrolyte abnormalities, syncope, dizziness and hyperlipidemia.

The new cases are expected to be completed, peer-reviewed and included in the curriculum that third-year medical students at UB experience starting in July, Ellis says.

“These very sophisticated patient simulations will round out the education of third-year medical students,” says Ellis. “For our students, working on these patient simulations, complete with actual test results and realistic clinical data, such as audible heart sounds, angiograms and ultrasound studies, is far more beneficial than just reading about the same disease in a textbook.”

The cases are being prepared by faculty at UB and at the University of Chicago, Columbia University, Cornell University, Northwestern University, Tufts University, Rush University and Stony Brook University.

“These interactive web-based patient encounters will nicely complement the other kinds of experiences our students are getting at UB’s Behling Simulation Center,” Ellis adds.

“The American Medical Association is funding the development of medical school cases and other interactive content for the i-Human Patients educational services platform because we see a need to accelerate student training in patient assessment and diagnostic skills,” says James Madara, chief executive officer/education vice president for the AMA.

i-Human Patients Inc. is a designer and developer of “virtual” medical training products and services.

Ellen Goldbaum (UB); goldbaum@buffalo.edu; 716.645.4605

Hauptman-Woodward to Open Doors for Science & Art Cabaret

The Hauptman-Woodward Medical Research Institute (HWI) will open its doors to the public on Jan. 30 for “Modularity,” the latest event in Buffalo’s Science & Art Cabaret series.
Each cabaret centers around a common theme, featuring short talks by scientists and artists on how that theme relates to their work. The next topic of conversation will be modularity, which refers to the way ideas and objects, from molecules to artwork with repeating patterns, can be broken down into standardized units.

“Modularity” will begin at 7 p.m. on Wednesday, Jan. 30 at HWI at 700 Ellicott St., Buffalo. The event is free and open to the public.

The lineup:

  • A talk by University at Buffalo Professor of Physics Surajit Sen on sociophysics: modeling battles, terrorism and chimpanzee social behavior with simple rule-based dynamics, which rely in part on the methods of physics to describe dynamical problems beyond the traditional bounds of physics.
  • A presentation by HWI researcher Vivian Cody, a UB professor of structural biology, on the artful structural models of protein/enzymes and their functions.
  • A video interview with Western New York artist Katherine Sehr, whose work is notable for its intense modularity. As described in Artvoice in 2007, “Sehr’s drawings don’t look like drawings at all, but rather like prints of simple, paired squares of muted colors. Upon closer inspection, however, they reveal themselves to be something entirely different — large, frenetic, scribbled testaments to compulsive, repetitive motion.”
  • Bill Louden, who will present, “Piece for String Quartet and Chladni Pattern Generator.”

The event will give the public a chance to step inside HWI’s state-of-the-art research building, which opened in 2005. The sleek, modern facility features an innovative floor plan that supports HWI’s collaborative and open culture.

The Science & Art Cabaret series is organized by the UB College of Arts and Sciences, Hallwalls Contemporary Arts Center and Buffalo Museum of Science.

“Modularity” is the 13th cabaret held since 2009, and the third of the 2012-13 season. For information on the Science & Art Cabaret and past events, visit http://www.buffalo.edu/news/13376 and http://www.hallwalls.org/science-art.php.

Charlotte Hsu (UB); chsu22@buffalo.edu; 716-645-4655, 510-388-1831