DOCSLIB.ORG

Spinal Cord Compression Secondary to Cancer: Disability and Rehabilitation

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Spinal Cord Compression Secondary to Cancer: Disability and Rehabilitation Spinal cord compression secondary to cancer: disability and rehabilitation Gail Eva Department of Nursing and Midwifery University of Stirling Submitted for the degree of Doctor of Philosophy June 2007 Contents List of Tables................................................................................................................xii List of Figures ............................................................................................................ xiii Abstract ........................................................................................................................xiv Introduction .........................................................................................................................xiv Research aims and questions.............................................................................................xiv Study design ......................................................................................................................... xv Results.................................................................................................................................... xv Conclusions.........................................................................................................................xvii Prologue and Acknowledgements.......................................................................xviii PART I INTRODUCTION AND LITERATURE REVIEW................................... 1 Chapter 1 Metastatic spinal cord compression .................................................. 2 1.1 Introduction.................................................................................................................. 2 1.2 Overview of metastatic spinal cord compression ................................................... 2 1.2.1 Incidence and aetiology .................................................................................................... 2 1.2.2 Diagnosis and treatment................................................................................................... 3 1.2.3 Prognosis............................................................................................................................. 4 1.2.4 Consequences of spinal cord compression..................................................................... 5 1.3 Rehabilitation in metastatic spinal cord compression............................................ 6 1.3.1 Approaches to rehabilitation............................................................................................ 6 1.3.2 Representations of rehabilitation................................................................................... 19 1.3.3 Questions arising out of these representations............................................................ 21 Chapter 2 Palliative care rehabilitation............................................................. 23 2.1 Introduction................................................................................................................ 23 2.2 Operationalising rehabilitation in palliative care.................................................. 23 2.2.1 Settings .............................................................................................................................. 25 2.2.2 Professionals..................................................................................................................... 26 ii 2.2.3 Procedures ........................................................................................................................ 28 2.2.4 Interventions..................................................................................................................... 29 2.2.5 Summary........................................................................................................................... 32 2.3 Partnership and participation .................................................................................. 32 2.3.1 The imagery of ‘helping’................................................................................................. 33 2.3.2 The nature of the partnership in palliative care rehabilitation.................................. 35 2.3.3 Disability as synonymous with deficiency................................................................... 36 2.4 The relationship between a life-threatening illness and disability..................... 38 2.4.1 Definitions of disability................................................................................................... 38 2.4.2 The Social Model of disability........................................................................................ 39 2.4.3 The implications for rehabilitation in palliative care.................................................. 41 2.5 The need for patients’ perspectives on the experience of disability................... 44 2.5.1 A brief summary so far ................................................................................................... 44 2.5.2 The lived experience of disability and life-limiting illness ........................................ 45 2.5.3 Anne’s story...................................................................................................................... 49 2.6 Conclusion .................................................................................................................. 51 PART II RESEARCH DESIGN AND METHODOLOGY................................... 54 Chapter 3 Research aims and design ................................................................. 55 3.1 Introduction................................................................................................................ 55 3.2 Researching complex interventions ........................................................................ 55 3.3 Research aims and questions ................................................................................... 57 3.4 Research design.......................................................................................................... 58 3.4.1 Question 1: Consequences of disability ........................................................................ 58 3.4.2 Question 2: Patients’ strategies for managing disability ............................................ 61 3.4.3 Question 3: Health care professionals’ views on disability and rehabilitation ....... 61 3.4.4 Question 4: Provision of rehabilitation and effects ..................................................... 61 3.4.5 Question 5: Reasons for non-provision of rehabilitation............................................ 62 iii 3.4.6 Summary........................................................................................................................... 63 3.5 Case study................................................................................................................... 64 3.5.1 Strengths of case study methods ................................................................................... 65 3.5.2 Limitations of case study methods................................................................................ 66 3.5.3 Case study ‘trade-offs’..................................................................................................... 67 3.5.4 Case study research and complex interventions ......................................................... 70 3.5.5 Identifying contexts, mechanisms and outcomes........................................................ 71 3.6 Quality of life data ..................................................................................................... 74 3.7 Sampling ..................................................................................................................... 75 3.8 Interviewing strategy ................................................................................................ 77 3.8.1 Realism versus phenomenology.................................................................................... 78 3.8.2 Flexible design.................................................................................................................. 80 3.8.3 A note on narrative.......................................................................................................... 81 3.9 Analytical strategy..................................................................................................... 81 3.9.1 Process tracing.................................................................................................................. 81 3.9.2 The constant comparative method ................................................................................ 84 3.9.3 Narrative ........................................................................................................................... 87 3.10 The audit ..................................................................................................................... 88 3.11 Summary..................................................................................................................... 90 Chapter 4 Philosophical considerations............................................................ 92 4.1 Introduction................................................................................................................ 92 4.1.1 Realism and antirealism.................................................................................................. 92 4.1.2 Borrowing from grounded theory................................................................................. 92 4.1.3
Load more

Recommended publications
  • Biological Research in the Evolution of Cancer Surgery: a Personal Perspective Bernard Fisher
    AACR Centennial Series Biological Research in the Evolution of Cancer Surgery: A Personal Perspective Bernard Fisher University of Pittsburgh, Pittsburgh, Pennsylvania Abstract Introduction During the 19th, and for most of the 20th century, malignant It is of historic interest that the American Association for Cancer tumors were removed by mutilating radical anatomic dissec- Research (AACR) was founded by four surgeons, five pathologists, tion. Advances such as anesthesia, asepsis, and blood one chemist, and a biochemist at the 25th meeting of the American transfusion made possible increasingly more radical oper- Surgical Association in Washington, DC, on May 7, 1907. The aim of ations. There was no scientific rationale for the operations the newly formed organization was to improve cancer research and being performed. Surgery in the 20th century was dominated treatment of cancer and to promote prevention. In recognition of by the principles of William S. Halsted, who contended that the 100th anniversary of the AACR, this article will examine the the bloodstream was of little significance as a route of tumor role biological research has played in the evolution of cancer cell dissemination; a tumor was autonomous of its host; and surgery. cancer was a local-regional disease that spread in an orderly Four principal aspects with regard to biological research will be fashion based on mechanical considerations. Halsted believed addressed:( a) whether research played a part in instigating surgical that both the extent and nuances of an operation influenced advances that occurred during the 19th and the first half of the patient outcome and that inadequate surgical skill was 20th centuries; (b) whether research formed the basis for the responsible for the failure to cure.
    [Show full text]
  • County of Ventura Public Health Services Notice of Changes To
    County of Ventura Notice of Changes to Policy Manual Emergency Medical Services Public Health Services Policies and Procedures To: ALL VENTURA COUNTY EMS POLICY MANUAL HOLDERS Change No.: 2 DATE: December 1, 2012 Policy Status Policy # Title/New Title Notes Replace Table of Contents Replace 105 PSC Operating Guidelines Review Only 106 Development of Proposed Policies/Procedures Replace 112 Ambulance Rates Replace 410 ALS Base Hospital Approval Process Replace 420 Receiving Hospital Standards Review Only 440 Code STEMI Interfacility Transfer New 450 Acute Stroke Center (ASC) Standards New 451 Stroke System Triage and Destination Replace 500 Ventura County EMS Services Provider Agencies Withholding or Termination of Resuscitation and Replace 606 Determination of Death Replace 627 Fireline Medic Replace 705.00 General Patient Guidelines Replace 705.01 Trauma Treatment Guidelines Review Only 705.02 Allergic/Adverse Reaction and Anaphylaxis Replace 705.03 Altered Neurological Function Review Only 705.04 Behavioral Emergencies Review Only 705.05 Bites and Stings Review Only 705.06 Burns Replace 705.07 Cardiac Arrest/Asystole & PEA Replace 705.08 Cardiac Arrest VF/FT Review Only 705.11 Crush Injury/Syndrome Replace 705.12 Heat Emergencies Replace 705.13 Hypothermia Replace 705.14 Hypovolemic/Septic Shock Replace 705.18 Overdose/Poisoning Replace 705.19 Pain Control Review Only 705.20 Seizures County of Ventura Notice of Changes to Policy Manual Emergency Medical Services Public Health Services Policies and Procedures Policy Status Policy # Title/New
    [Show full text]
  • AGING and AMPUTATION Harold W
    COMMITTEE ON PROSTHETICS RESEARCH AND DEVELOPMENT Division of Engineering Herbert Elftman, Chairman; Professor of Anatomy, College of Physicians and Surgeons, Columbia University 630 West 168th St., New York, N. Y. 10032 Colin A. McLaurin, Vice Chairman; Prosthetic Research and Training Program, Ontario Crippled Children's Centre, 350 Rumsey Rd., Toronto 17, Ontario, Canada George T. Aitken, M.D. (Orthopaedic Surgeon, Mary Free Bed Guild Children's Hospital), College Avenue Medical Building, 50 College Ave., S.E., Grand Rapids, Mich. 49503 Robert L. Bennett, M.D., Executive Director, Georgia Warm Springs Foundation, Warm Springs, Ga. 31830 Cameron B. Hall, M.D., Assistant Clinical Professor, Department of Orthopaedic Surgery, University of California, Los Angeles 90024 Robert W. Mann, Professor of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, Mass. 02139 J. Raymond Pearson, Professor of Mechanical Engineering, West Engineering 225, University of Michigan, Ann Arbor, Mich. 48104 James B. Reswick (Professor of Engineering), Director, Engineering Design Center, Case Institute of Tech­ nology, University Circle, Cleveland, Ohio 44106 Charles W. Rosenquist, Columbus Orthopaedic Appliance Company, 588 Gay St. W., Columbus, Ohio 43222 Robert N. Scott, Associate Professor of Electrical Engineering, University of New Brunswick, Fredericton, New Brunswick, Canada Howard R. Thranhardt, J. E. Hanger, Inc., 947 Juniper St., N. E., Atlanta, Georgia 30309 Bert R. Titus (Assistant Professor of Orthotics and Prosthetics), Director, Department of Prosthetic and Ortho­ paedic Appliances, Duke University Medical Center, Durham, N. C. 27706 STAFF A. Bennett Wilson, Jr., Executive Director Hector W. Kay, Assistant Executive Director James R. Kingham, Staff Editor Enid N. Partin, Administrative Assistant Nina M. Giallombardo, Secretary COMMITTEE ON PROSTHETIC-ORTHOTIC EDUCATION Division of Medical Sciences Roy M.
    [Show full text]
  • Half Man, Half Prosthesis: the Rehabilitation of People with Hemicorporectomy – Case Series [Version 1; Peer Review: Awaiting Peer Review]
    F1000Research 2021, 10:298 Last updated: 27 JUL 2021 CLINICAL PRACTICE ARTICLE Half man, half prosthesis: the rehabilitation of people with hemicorporectomy – case series [version 1; peer review: awaiting peer review] André Tadeu Sugawara, Milton Seigui Oshiro, Eduardo Inglez Yamanaka, Ronaldo Meneghetti, Dayrin Vanessa Tarazona Carvajal , Leandro Ryuchi Iuamoto , Linamara Rizzo Battistella Instituto de Medicina Fisica e Reabilitacao, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Sao Paulo, 04101-300, Brazil v1 First published: 19 Apr 2021, 10:298 Open Peer Review https://doi.org/10.12688/f1000research.51636.1 Latest published: 19 Apr 2021, 10:298 https://doi.org/10.12688/f1000research.51636.1 Reviewer Status AWAITING PEER REVIEW Any reports and responses or comments on the Abstract article can be found at the end of the article. Hemicorporectomy is a procedure where the lumbar spine and spinal cord, pelvic bones and contents, lower extremities and external genitalia are surgically removed. The rehabilitation process, in addition to being prolonged and costly, is challenging. This article reports the rehabilitation process for hemicorporectomy and shows the innovative solutions for mobility for this disability for two cases of paraplegic patients: case 1 due to traumatic spinal cord injury due to firearm injury and case 2 due to lumbosacral myelomeningocele. They presented chronic pressure ulcer which evolved to neoplastic transformation. (squamous cell carcinoma - Marjolin's ulcer). The cases were submitted to L4 hemicorporectomy and were rehabilitated to ensure the right to mobility independence for activities of daily living; social inclusion; prevention of comorbidities and pluralization of disabilities.
    [Show full text]
  • Resuscitation Policy and Recognition of Life Extinct
    RESUSCITATION POLICY AND RECOGNITION OF LIFE EXTINCT South Central Ambulance Service NHS Foundation Trust Unit 7 & 8, Talisman Business Centre, Talisman Road, Bicester, Oxfordshire, OX26 6HR This Policy is to be read in conjunction with Operational Policies and Procedures No 7 - SCAS Attendance at Sudden Death in Adults (Appendix 8) DOCUMENT INFORMATION Author: Dave Sherwood, Assistant Director of Patient Care Professor Charles Deakin, Divisional Medical Director Resuscitation Lead Reviewed 22nd January 2020 Mark Ainsworth-Smith Jennifer Saunders Number CSPP No. 3 Consultation & Approval: Staff Consultation Process: (21 days) ends 19th Oct 2007 Clinical Review Group: 2nd July 2020 Quality and Safety Committee: 5th June 2010 Board Ratification: N/A This document replaces: SCAS Recognition of Life Extinct Policy Version 1 June 2007 Notification of Policy Release: All Recipients e-mail Staff Notice Boards Intranet Equality Impact Assessment Stage 1 Assessment undertaken – no issues identified Date of Issue: July 2020 Next Review: July 2022 Version: 7 Contents DOCUMENT INFORMATION ............................................................................................................................. 2 1. INTRODUCTION .................................................................................................................................. 3 2.0 DUTIES ................................................................................................................................................. 3 3.0 TRAINING STRATEGY .......................................................................................................................
    [Show full text]
  • Current Surgical Therapy Table of Contents
    Current Surgical Therapy Table Of Contents andGood federate. Mathew Curbless cantilevers and that wealthier embedment Layton smite apprenticed simul and almost contorts forward, wanly. though Rog droops Worth heradmixes chunder his barbarously,cadet urbanize. solidifiable It boasts minimal discomfort and it detaches spontaneously, and thus they require no reconstruction. Now bringing you back. Surgeons must be humble and should consider that the source of sepsis may be a complication of their surgical intervention. Bendavid as well as the femoral canal inferiorly. Danlos syndrome carry a higher risk of hernia and poor wound healing. Complications of ileostomy and their management. Is a Nasogastric Tube Necessary After Alimentary Tract Surgery? Technical factors that may contribute to hernia recurrence are discussed in the following sections. Patients with CP have chronically elevated levels of CCK that leads to impaired gastric emptying, they resulted in the improvement of the surgical treatment of prostate and other cancers by functioning as systemic surgical adjuvant therapy. As with prior editions, injury to a cavernosal artery, was well established as the standard treatment for breast cancer. Support for the alternative hypothesis: survival outcome similar for mastectomy, antiangiogenic agents such as bevacizumab, and a third received lumpectomy followed by breast irradiation. Hemicorporectomy: a collective review. The importance of avoiding sweating to avoid wetness and replacing wet with dry clothing also is emphasized. Manage patients with severe acutepancreatitis. Perform a complete history and physical examination on patients with burns and initiate appropriate initial treatment with assistance fromfaculty. Rather than good surgical therapy of current surgical techniques of diseases! Adequate pain control with opioids is critical either by intravenous or subcutaneous route in the acute setting and can be transitioned to equivalent transdermal doses when the patient has a stable opioid requirement.
    [Show full text]
  • Noncyclic Chronic Pelvic Pain Therapies for Women: Comparative Effectiveness Comparative Effectiveness Review Number 41
    Comparative Effectiveness Review Number 41 Noncyclic Chronic Pelvic Pain Therapies for Women: Comparative Effectiveness Comparative Effectiveness Review Number 41 Noncyclic Chronic Pelvic Pain Therapies for Women: Comparative Effectiveness Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Contract No. 290-2007-10065-I Prepared by: Vanderbilt Evidence-based Practice Center Nashville, Tennessee Investigators: Jeff Andrews, M.D. Amanda Yunker, D.O., M.S.C.R. W. Stuart Reynolds, M.D. Frances E. Likis, Dr.P.H., N.P., C.N.M. Nila A. Sathe, M.A., M.L.I.S. Rebecca N. Jerome, M.L.I.S., M.P.H. AHRQ Publication No. 11(12)-EHC088-EF January 2012 This report is based on research conducted by the Vanderbilt Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. HHSA 290-2007-10065-I). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. The information in this report is intended to help health care decisionmakers—patients and clinicians, health system leaders, and policymakers, among others—make well-informed decisions and thereby improve the quality of health care services. This report is not intended to be a substitute for the application of clinical judgment.
    [Show full text]
  • How Is the Long-Term Quality of Life Following Hemicorporectomy? a Case Report of a Patient with 16 Years of Follow-Up
    Case Report World Journal of Surgery and Surgical Research Published: 19 Dec, 2020 How is the Long-Term Quality of Life Following Hemicorporectomy? A Case Report of a Patient with 16 Years of Follow-Up Gerardo Gallucci* Department of Orthopedics and Traumatology, Hospital Italiano de Buenos Aires, Argentina Abstract A 25-year-old male patient was referred due to a motorcycle accident that occurred five years previously. The injury had caused a fracture at the D10 level and paraplegia with a sensitive level compatible with the injury. His neurological status was classified as Frankel A. Introduction Hemicorporectomy (HC), or translumbar amputation, is a radical surgery that involves amputation of the pelvis and lower extremities by disarticulation through the lumbar spine with concomitant transaction of the aorta, inferior vena cava, and spinal cord. It is also accompanied by the corresponding urinary and intestinal diversion. It was initially proposed by Kredel [1] in 1951, but successfully performed for the first time by Kennedy et al. [2] in 1960. Initially indicated for severe invasive tumors of the pelvis, HC has also been proposed for severe pelvic and lower extremity trauma [3], vascular malformations [4], acute aortic occlusion [5], recurrent perianal and scrotal fistulas and intractable decubitus ulcers in paraplegic patients [6], and end-stage pelvic osteomyelitis [7-9]. The death rate is about 50%. To date, 66 cases of HC have been described in the literature [10]. Although this high mortality rate has decreased in recent years, the equipment of the entire lower body continues to be extremely complex and poorly tolerant. Therefore, most of the patients are confined to a wheelchair, and their social and labor inclusion is extraordinarily limited.
    [Show full text]
  • ANNUAL MEETING a B S T R a C T B O
    MUSCULOSKELETAL TUMOR SOCIETY ANNUAL MEETING October 2-4, 2019 Abstract Book Marriott Portland Downtown Waterfront Hotel PORTLAND, OREGON 2019 2019 MSTS Annual Meeting Preliminary Program October 2-4, 2019 Marriott Portland Downtown Waterfront Hotel Portland, Oregon James B. Hayden, MD, Program Chair Yee-Cheen Doung, MD, Co-Chair R. Lor Randall, MD, FACS, MSTS President Educational Goals and Objectives At the conclusion of this CME activity, the attendee should be able to: Understand current trends in cancer research and treatment. Review principles of Limb Salvage surgery. Update understanding of the pathophysiology of metastatic bone disease. Review overall management and operative approach to pelvic bone metastases. Increase understanding of musculoskeletal treatment needs for adolescents and young adult cancer patients. Update on basic science research in musculoskeletal oncology. Identify current and future applications of Quality of Life assessments and patient reported outcomes. Wednesday, October 2, 2019 1:00 PM - 6:30 PM Registration 1:00 PM - 5:00 PM Poster Set Up 1:00 PM - 5:00 PM Technical Exhibit Booth Set Up 3:00 PM - 6:00 PM MORI/MSTS Young Member Session 6:30 PM - 8:30 PM Welcome Reception - Mt Hood Room - Marriott Portland Downtown Waterfront Hotel Thursday, October 3, 2019 6:30 AM - 5:30 PM Registration 7:00 AM - 8:30 AM Breakfast 7:00 AM - 5:30 PM Poster/Technical Exhibits James Hayden, MD, Yee-Cheen Doung, MD and R. 7:30 AM Introduction and Welcome Lor Randall, MD, FACS 7:45 AM - 8:00 AM Evaluation of New Bone Lesions - by EBM Committee Eric R.
    [Show full text]
  • Prosthesis Design for Bilateral Hip Disarticulation Management
    Advances in Robotics, Mechatronics and Circuits Prosthesis Design for Bilateral Hip Disarticulation Management Ing. Mauricio Plaza Torres PhD, Ing. William Aperador. PhD UNIVERSIDAD MILITAR NUEVA GRANADA Abstract—Hip disarticulation is an amputation through the hip joint capsule, removing the entire lower extremity, with closure of the remaining musculature over the exposed acetabulum. Tumors of the distal and proximal femur were treated by total femur resection; a hip disarticulation sometimes is performance for massive trauma with crush injuries to the lower extremity. This article discusses the design a system for rehabilitation of a patient with bilateral hip disarticulations. The prosthetics designed allowed the patient to do natural gait suspended between parallel articulate crutches with the body weight support between the crutches. The care of this patient was a challenge due to bilateral amputations at such a high level and the special needs of a patient mobility. Keywords— Amputation, prosthesis, mobility, hemipelvectomy I. INTRODUCTION ip disarticulation is the removal of the entire lower H extremity through the hip joint Hip. Disarticulation amputations are relatively rare [1],[2],[3]. For this reason there is no much research on this area to give solution specific to a self-mobility. They are usually performed when malignant disease of the pelvis, hip joint or upper thigh cannot be treated by more conservative means. Sometimes they are performed if osteomyelitis of the pelvis or proximal femur or certain massive benign tumors
    [Show full text]
  • Journal of Nurse Life Care Planning – Amputations Part 3
    June 23, 2009 American Association of Nurse Life Care Planners Journal of Nurse Life Care Planning Type to enter text Amputation Part 3,Supplement AANLCP Journal of Nurse Life Care PLanning issn 1492-4469 Winter 2009 Vol. IX No. 4 Journal of Nurse Life Care Planning is the official publication of the American Association of Nurse Life Care Planners. JOURNAL OF NURSE LIFE Articles, statements, and opinions contained CARE PLANNING herein are those of the author(s) and are not necessarily the official policy of the WINTER 2009 AANLCP or the editors, unless expressly stated as such. The Association reserves the Contributing Editor right to accept, reject, or alter manuscripts or advertising material submitted for publi- Victoria Powell cation. Journal of Nurse Life Care Planning is pub- lished quarterly in Spring, Summer, Winter, Table of Contents and Fall, or as needed. Members of AANLCP receive the Journal subscription 162 What Can Silver Do For You? Use of Silver electronically as a membership benefit. in Prosthetic Applications Please forward all address changes to Justina Smith CO BOCPO MEd FAAOP AANLCP marked “Journal-Notice of Ad- Robert W. Shipley dress Update.” Copyright 2009 by the American Associa- 163 Amputation Resources and Glossary tion of Nurse Life Care Planners. All rights Victoria Powell RN CCM LNCC CNLCP MSCC reserved. For permission to reprint articles, CEAS graphics, or charts from this journal, please 184 Immobility: Not a Great Idea; To Hop Or request to AANLCP headed “Journal- Not To Hop; LegSim, a Case Study Reprint Permissions” citing the volume John A. Tata MD number, article title, and author and in- tended reprinting purpose.
    [Show full text]
  • 8Th Annual Academic Surgical Congress
    8th Annual Academic Surgical Congress MEETING PROGRAM February 5 - 7, 2013 Roosevelt New Orleans Hotel New Orleans, Louisiana Association for Academic Surgery (AAS) Society of University Surgeons (SUS) 11300 W. Olympic Blvd., Suite 600 341 N. Maitland Ave., Suite 130 Los Angeles, CA 90064 Maitland, FL 32751 Phone: (310) 437-1606 Phone: (407) 647-7714 Fax: (310) 437-0585 Fax: (407) 629-2502 www.aasurg.org www.susweb.org www.academicsurgicalcongress.org 1 February 5 - 7, 2013 TABLE OF CONTENTS 3 General Information ASC 2013 INSTITUTIONAL MEMBERS 4 Message from the Presidents 5 Presidents’ Biographies Gold Members • Stanford University School of Medicine 6 SUS Joel J. Roslyn Lecturer • University of California Los Angeles David Geffen 6 Joel J. Roslyn Biography School of Medicine 7 AAS Founders Lecturer • University of Michigan Medical School 7 British Journal of Surgery Lecturer • University of Wisconsin School of Medicine 8 SUS Lifetime Achievement Award and Public Health 9 Program Chairs’ Biographies Silver Members 10 Highlights for Attendees • Medical College of Wisconsin 11 Schedule-at-a-Glance • Northwestern University Feinberg School of Medicine 13 Scientific Program • University of Pittsburgh School of Medicine 70 Faculty Listing 73 Faculty & Presenter Disclosures Bronze Members 74 SUS Mid-Career Academic Surgery Professional • Baylor College of Medicine Development Course • Howard University Department of Surgery 75 AAS/SUS Surgical Investigators’ Course • Johns Hopkins University School of Medicine 76 Association for Academic Surgery
    [Show full text]