Volume 26 Number 5 | Stony Brook, NY | < November 2016 > |
Stephen Vitkun, MD, MBA, PhD
The Annual Stony Brook Anesthesiology Alumni Reception! Saturday December 10th 2016 (PGA Saturday) from 5 to 7pm Venue: The Yale Club, NYC All Stony Brook Anesthesiology Faculty, Residents and Alumni are invited to attend. Please spread the word to the alumni you know! RSVP to Ms. Martha O'Brien by email or phone 631-444-2904 by November 28. |
Shivam Shodhan, MD
Chicago! What can we say about this beautiful city? Not enough! Home to one of the best food, cultural destinations, and a place with so much to offer, the American Society of Anesthesiologists (ASA) hosted the 2016 Anesthesiology Meeting at McCormick Place.
With close to 30 posters and a multitude of workshops, panels, and lectures, Stony Brook Medicine's Department of Anesthesiology represented themselves very well and held their own amongst the various other institutions. Our attendings were involved in all aspects of the conference from the Society for Education in Anesthesia meeting, to Airway Workshops, to an innovative Nasal TSE-PAP Mask exhibit, to multiple Enhanced Recovery After Surgery related presentations, and plenty in between! Meanwhile, our residents and research fellow participated through medically challenging cases which covered the whole spectrum of our field (regional, pediatrics, obstetrics, pain management, cardiovascular). Lastly, both of our summer FAER students proudly represented us with their posters and oral presentation. As with all things in life, a balance is always important! From the famous "Bean" and great city skyline to the World Series qualifying winning Cubs game, the attendees also got a chance to see and experience the highlights of the city. The department was able to meet up for a Stony Brook dinner and enjoy each other's company one evening as well! We all are looking forward to the 2017 ASA Anesthesiology Meeting in Boston, MA! Be sure to check out all the photos from the conference in the department photo gallery ASA 2016 (Chicago)! |
Shivam Shodhan, MD and Ursula Landman, DO
The second Journal Club of this academic year took place on October 6th at The Curry Club. The topics for the evening were GFR as an Outcomes Predictor, PONV with Nitrous Oxide, and a brief statistical review on meta-analysis. The session was moderated by Drs. Rishimani Adsumelli and Ana Costa. Dr. Justin Smith presented a study on glomerular filtration rate as predictors of outcome after surgery by the Mooney et al. The systematic review and meta-analysis found that estimated GFR rate less than 60ml/min was associated with a 3 fold increase in 30 day mortality. Additionally, there was a strong nonlinear mortality at lower preoperative estimate glomerular filtration rates, and a relationship with eGFR in both short and long term prognosis after cardiac and vascular surgery. Renal function declines with age and can be associated with other conditions such as diabetes, dyslipidemia, and hypertension. Lower eGFR is a consequence and cause of reduced left ventricular stroke volume and heart failure. Overall, the data supports use of eGFR as an indicator of the risk of postoperative complications after cardiac and vascular surgery. Dr. Anupam Sharma reviewed a paper on PONV in the evaluation of nitrous oxide by Myles et al. This study found that an increased risk of PONV with nitrous oxide is nearly eliminated by anti-emetic prophylaxis. Severe PONV occurs in 10% and is seen to have postoperative fever, poor recovery quality and prolonged hospital stay. It was noted that this study gave a backhanded conclusion by noting there is PONV with nitrous and how medication can alleviate it. Interestingly, it was reviewed that nitrous oxide has been in use for over >150 yrs and currently many sway from using it. Dr. Rany Makaryus continued his multi-part statistical review series, focusing on Meta Analysis this session. The different types of studies that might be included in a meta-analysis are: case controlled, case selection and cohort. The main objectives of a meta-analysis are: to summarize and integrate results from a number of individual studies, analyze their differences, determine whether additional studies are needed and to generate new hypotheses. Problems associated with meta-analysis are: publication bias , search bias in the identification phase, and selection bias in the selection phase. Kindly, refer to the Journal Club web page for details about the papers discussed at this and past Journal Clubs. |
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James P. Dilger, PhD
I had the pleasure of working with some talented students during this past summer. Hugo Concha is a Stony Brook University junior who transferred from Nassau Community College. Hugo participated in Stony Brook's BioPrep Program, an NIH-funded program to encourage underrepresented community college students who wish to further their education and pursue careers in biomedical sciences. During the first two weeks, he learned some biological techniques in BioPrep. He then spent the rest of the summer working on a project with Dr. Jun Lin and me. At the end of the program, he presented at a poster session along with other Stony Brook summer students. Hugo's project “The Effect of Dexmedetomidine on the Growth of Breast Cancer Cells”, was accepted for presentation at the Annual Biomedical Research Conference for Minority Students. The BioPrep program is supporting his stay at the conference which will be held between November 9-12 in Tampa, FL.
I was a consultant for Suselle Contreras, a senior at Brentwood High School and Sarah Adamo, a junior at Smithtown West High School. Their high school science advisor, Dr. Joanne Figueiredo, asked for my advice regarding nicotinic acetylcholine receptors. These young women worked on the sea anemone Nematostella vectenis and observed a peristaltic behavior that can be modulated by nicotine and some neurotransmitters. The anemone is one of the most primitive organisms for which a complete gene sequencing has been done. Sarah and Suselle searched the sequence to identify possible genes underlying the behavior. Just last week, they were announced as Regional Finalists in the prestigious Siemens Competition in Math, Science & Technology! Anjali Verma, a senior at Kings Park High School, worked with me on a synaptic simulation project that was inspired by the cannabinoid receptor research of Dr. Martin Kaczocha. Anjali constructed a computer model of two neurons (pre- and post-synaptic) and four astrocytes. She incorporated key molecules such as the endocannabinoid 2-arachidonoylglycerol (2-AG), fatty acid binding protein, cannabinoid receptors and the enzyme that hydrolyses 2-AG. She then used simulation to assess the role of astrocytes in regulating receptor activity in the presynaptic neuron. Anjali is currently preparing a paper on her findings to submit to the Regeneron Science Talent Search (formerly supported by Intel). |
James P. Dilger, PhD |
Shivam Shodhan, MD
Our department's very own Snake Pit celebrated yet another memorable holiday this year! Halloween, also known as All Hallows’ Eve, is a day to embrace our inner kid and love for chocolate. We had some great costumes this year including kitty cats, cowboy, lumberjack, witch, voluptuous woman, M&M pack, bunny, and lanyard man amongst others! With a nice spread of dishes from devil eyeball eggs to gourmet seasonal cookies, faculty and staff gathered to enjoy the eerie music tracks and each other's company!
Look forward to the Snake Pit's last event of the year coming up, the Ugly Sweater Party! Check out the photos here: Snake Pit's Halloween Party 2016! |
Shivam Shodhan, MD
We are deep into the 2016 Presidential Election process with Election Day right around the corner on November 8th! Whether you are rooting for Donald Trump, Hillary Clinton, or a third-party candidate, please be sure to vote this year!
Remember, voting day will not only affect the future of our economy, healthcare, and country as a whole, but also it will also affect our state with regards to your the U.S. Senators and House of Representatives. Looking for your polling site? Look no further -- Poll Site Locator! #StonyBrookVotes |
SleepTalker, the Stony Brook Anesthesiology Newsletter is published by the Department of Anesthesiology
Stony Brook Medicine, Stony Brook, NY Tong Joo Gan, M.D., Chairman Editorial Board: James P. Dilger, Ph.D.; Stephen A. Vitkun, M.D., M.B.A., Ph.D.; Marisa Barone-Citrano, M.A.; Shivam Shodhan, M.D. |