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Archive for January, 2015

Lydiatt new vice chair of NCCN thyroid guidelines panel

by Mallory Car, UNMC public relations

 

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William Lydiatt, M.D.

William Lydiatt, M.D., professor of otolaryngology-head and neck surgery in the UNMC College of Medicine, has been appointed vice chair of the National Comprehensive Cancer Network (NCCN) Thyroid Guidelines Panel.

A member of the head and neck committee since the 1990s, Dr. Lydiatt is excited to serve in a leadership position.

“This role provides an opportunity to make a real difference in the standards of care for treating thyroid cancers,” he said. “The chair and vice chair have an important role in guiding the committee, using best evidence to enhance and improve care nationally.”

NCCN, a not-for-profit alliance of 25 of the world’s leading cancer centers devoted to patient care, research and education, is dedicated to improving the quality, effectiveness, and efficiency of cancer care so that patients can live better lives. As one of the 13 original NCCN member institutions, Nebraska Medicine remains committed to the organization’s vision by serving as a leader in defining and advancing high-quality, high-value cancer care.

“As founding members of NCCN, our faculty members have been extensively involved in developing and updating yearly comprehensive guidelines for the diagnosis and treatment of more than 97 percent of cancers affecting patients in the United States,” said Peter F. Coccia, M.D., Ittner Professor and vice chair of pediatrics at UNMC and NCCN board and guidelines steering committee member. “Thyroid cancer accounts for 4 percent of all cancers and more than 1 percent of people will develop thyroid cancer in their lifetime. Bill’s appointment as vice chair of the thyroid guidelines panel recognizes him as a national expert in the diagnosis and management of thyroid cancer.”

“This is not only an outstanding recognition for Dr. Lydiatt and the expertise he has in thyroid cancer but also his talent in collaboration and building consensus with respected colleagues in premier cancer programs,” said Theresa Franco, cancer care service line executive director at Nebraska Medicine. “This brings prestige and value to our cancer program and advances the reputation of the Fred & Pamela Buffett Cancer Center.”

“To have this kind of influence in setting standards of care is such an honor,” said Ken Cowan, M.D., Ph.D., director of the Fred & Pamela Buffett Cancer Center. “This appointment reflects Dr. Lydiatt’s unwavering commitment to educating the world in best cancer care practices.”

Five cancer researchers recruited to Fred & Pamela Buffett Cancer Center

 

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The Fred & Pamela Buffett Cancer Center at the University of Nebraska Medical Center and its clinical partner, Nebraska Medicine, has added five new translational cancer researchers to its staff in recent months.

The Fred & Pamela Buffett Cancer Center is Nebraska’s only National Cancer Institute-designated cancer center. It is affiliated with the University of Nebraska Medical Center and its clinical partner, Nebraska Medicine. Located at 45th Street and Dewey Avenue, the Fred & Pamela Buffett Cancer Center is scheduled to open in 2017.

The recruits hail from some of the nation’s top scientific and medical institutions. Collectively, they bring more than $5 million in cancer research funding to Nebraska. All have begun their work at the Fred & Pamela Buffett Cancer Center during the past four months.

“When we launched this ambitious project to build the world’s finest cancer center right here in Omaha, we believed that it would attract the very best minds in cancer research from around the world,” said Ken Cowan, M.D., Ph.D., director of the Fred & Pamela Buffett Cancer Center.

“These recruits exemplify that vision. We are building a place where pioneering scientific exploration will shape the future of cancer science and medicine – and these recruits are just the start.”

The $323 million Fred & Pamela Buffett Cancer Center – the largest construction project ever on the medical center campus – will create approximately 1,200 jobs at the medical center alone, plus thousands of others in construction and related industries. In total, the project will provide 4,657 new jobs to the metro area, infusing $537 million annually into the economy on an ongoing basis.

As translational cancer researchers, these new recruits conduct research that applies discoveries generated in the laboratory directly to patients’ bedsides.

The new recruits are:

Nick Woods, Ph.D.
• Recruited from H. Lee Moffitt Cancer Center in Tampa, Fla. Joined the Fred & Pamela Buffett Cancer Center on Oct. 1.
• Has a $400,000 National Institutes of Health (NIH)/National Cancer Institute (NCI) grant in breast cancer.
• A Fairfield, Neb., native and cancer survivor, Dr. Woods’ primary research interest is systems biology based analysis of protein-protein interactions networks associated with cancer signaling pathways to identify novel targets for cancer therapies. His future goals are to examine acute myeloid leukemia signaling pathways associated with Fanconi Anemia proteins.
• For more information on Dr. Woods, click here.

Michael Green, Ph.D.
• Recruited from Stanford University. Joined the Fred & Pamela Buffett Cancer Center on Nov. 1.
• Has a $195,000 grant funded by The Leukemia & Lymphoma Society.
• Dr. Green works to identify and understand the genetic alterations that give rise to lymphoma and allow it to evade the immune system. He is interested in the genetics of B-cell lymphoma, with the goal of using genetic profiling to understand disease biology and inform treatment decisions.
• For more information on Dr. Green, click here.

Amar Singh, Ph.D.
• Recruited from Vanderbilt University. Joined the Fred & Pamela Buffett Cancer Center on Oct. 1.
• Has a $1.65 million National Institutes of Health grant in colon cancer.
• Brought one other Ph.D. level researcher with him to Nebraska.
• Dr. Singh’s research focuses on understanding the role of the tight junction proteins, claudins, in the regulation of barrier function, colonic inflammation and neoplastic transformation and growth in correlation with the EGF receptor signaling.
• For more information on Dr. Singh, click here.

Punita Dhawan, Ph.D.
• Recruited from Vanderbilt University. Joined the Fred & Pamela Buffett Cancer Center on Oct. 1.
• Has a $950,000 Veteran’s Affairs Health Grant in colon cancer
• Recruited one additional Ph.D. postdoctoral fellow from Chicago.
• Dr. Dhawan focuses her research on claudins, metastasis, tumorigenesis, signal transduction and trafficking, and cell death and differentiation.
• For more information on Dr. Dhawan, click here.

Rebecca Oberley-Deegan, Ph.D.
• Recruited from National Jewish Hospital in Denver. Joined the Fred & Pamela Buffett Cancer Center on Aug. 1.
• Has a $1.65 million National Institutes of Health/National Cancer Institute grant in prostate cancer
• Dr. Oberley-Deegan’s research examines the role of oxidative stress and inflammation in the context of radiation and cancer biology. Her laboratory previously has shown that a catalytically active antioxidant can protect normal prostate tissues during radiation, but not prostate tumor tissues. The focus of her research is to determine the mechanisms by which antioxidants can protect normal tissues from radiation while simultaneously making the tumor vulnerable to radiation damage.
• For more information on Dr. Oberly-Deegan, click here.

Nebraska moves into top 10 of healthiest states in U.S.

Liz Kumru

Ali_Khan_M_D_

Ali Khan, M.D.

Nebraska has moved into the top 10 among the healthiest states in the country.

In a report issued by the United Health Foundation earlier this month, Nebraska moved up one notch after ranking No. 11 last year. The five states surrounding Nebraska ranked between 18 and 36.

“We are heading in the right direction,” said Ali S. Khan, M.D., M.P.H., dean of the University of Nebraska Medical Center College of Public Health. “With a real concerted effort, we can reach No. 1 by 2020.”

Since joining UNMC in July, Dr. Khan has traveled across the state to talk about how to improve the state’s health indicators. He supports UNMC Chancellor Jeffrey P. Gold, M.D., and his strategic goal to work with all health systems and private and community partners to help make Nebraska the healthiest state in the union by 2020.

The report, “America’s Health Rankings: A Call to Action for Individuals and their Communities,” analyzed the health of the nation holistically with in-depth data and analysis. Its focus is on behaviors, community and environment, policy and clinical care to provide a comprehensive picture of the nation’s health. Indicators are: low birth weight, smoking, obesity, drug deaths, physical inactivity and adolescent immunizations.

First, the good news – Nebraska ranks:
• First – High rate of high school graduation. In the past two years, high school graduation increased 12 percent from 82.9 percent to 93 percent for incoming ninth graders. Nebraska is tied with Vermont for the highest graduation rate in the nation.
• Second – High immunization coverage among children. In the past year, immunization coverage among children increased by 9 percent from 72.6 percent to 79 percent for children aged 19 to 35 months.
• Third – Low rate of drug deaths.
• 10th – In the past year, the number of children in poverty decreased by 27 percent from 19.6 percent to 14.3 percent.
• 24th – In the past year, preventable hospitalizations decreased by 13 percent from 63.8 to 55.8 per 1,000 Medicare beneficiaries.

Still, it isn’t all good news. In areas that need work, Nebraska ranks:
• 16th – In the past two years, the percentage of adults with diabetes increased 10 percent from 8.4 percent to 9.2 percent.
• 21st – Percentage of adults who are smokers (self-report smoking at least 100 cigarettes in their lifetime and currently smoke).
• 23rd – Public health funding.
• 27th – Percentage of adults who are obese.
• 44th – Percentage of adults who self-report drinking alcoholic beverages on at least one occasion in the last month: women – four or more drinks at one sitting; men – five or more drinks at one sitting.

This marks the 25th year that UHF has issued state rankings in partnership with the American Public Health Association and Partnership for Prevention.

America’s Health Rankings is the longest-running report of its kind. It provides analysis of national health on a state-by-state basis by evaluating a historical and comprehensive set of health, environmental and socioeconomic data to determine national health benchmarks and state rankings. The rankings employ a unique methodology that is developed and annually reviewed and overseen by a Scientific Advisory Committee of leading public health scholars.

The data in the report come from well-recognized outside sources, such as the Centers for Disease Control and Prevention, American Medical Association, FBI, Dartmouth Atlas Project, U.S. Department of Education, and the Census Bureau.

To view the rankings in full, go to www.americashealthrankings.org.

How the states rank

Here are the top 10 states, and the last:

1 – Hawaii

2 – Vermont

3 – Massachusetts

4 – Connecticut

5 – Utah

6 – Minnesota

7 – New Hampshire

8 – Colorado

9 – North Dakota

10 – Nebraska

States surrounding Nebraska and their rank:
• South Dakota – 18
• Iowa – 24
• Wyoming – 25
• Kansas – 27
• Missouri – 36

New Catheter System Navigates and Fixes Arterial Blockage

For approximately 18 million Americans, it’s a disease that affects nearly every step. Walking down the sidewalk or up a flight of stairs causes painful cramping in the hip, thigh or calf muscles. Left untreated, it’s the leading cause of amputation in patients over 50.

Dr-David-Vogel

David Vogel, MD

“Those highest at risk for peripheral artery disease (PAD) are smokers,” said David Vogel, MD, a vascular surgeon at Nebraska Medicine. “However, diabetes is also an important risk factor, along with obesity and advanced age.”

PAD is a circulatory problem caused by the build up of plaque in the arteries of the legs. These blockages limit blood flow to the leg muscles, causing pain during activity. In the past, patients with PAD required bypass surgery, which meant several days in the hospital, followed by an extended recovery time of weeks to months.

Fortunately, new lumivascular technology is being used at Nebraska Medicine to treat patients with PAD. The Ocelot catheter system allows doctors to navigate inside long, blocked leg arteries for the first time. It’s used in combination with the Lightbox, a mobile imaging device that delivers optical coherence tomography imaging (OCT), which enables physicians to see from inside an artery during the procedure.

Ocelot-Catheter-system

Ocelot Catheter System 

“It basically works by sending out a light source – in this case, a low power, red laser,” explained Dr. Vogel. “The light then reflects off the plaque and artery, giving us an image. With that image, we can steer the catheter through the plaque to the open artery on the other side of the blockage. It’s much safer than trying to blindly push a wire and catheter across a blockage, which can lead to perforation of the artery.”

In July 2013, doctors at Nebraska Medicine – Nebraska Medical Center began using this technology. It’s the only hospital in Nebraska, Iowa, Kansas and South Dakota currently treating PAD patients with the Ocelot catheter system. The next closest providers are in Chicago, St. Louis and Columbia, Mo.

“Dr. Vogel is one of 20 people in the United States working with the latest lumivascular technology,” said Michael Moulton, MD, chief of the division of cardiothoracic surgery at Nebraska Medicine. “There’s no one else in the entire region doing this type of treatment. Patients with PAD would do extremely well seeing Dr. Vogel.”

Dozens of patients have undergone the procedure at Nebraska Medicine, including Billy Baney, who’s worked at Union Pacific Railroad for over 20 years.

Billy-BaneyBilly Baney
“I build railroad tracks, so I do a lot of walking. Up and down the tracks. I need my legs to do my job.”

In late 2013, Baney came to Dr. Vogel, looking for a second opinion, after doctors at another area hospital told him he’d need bypass surgery.

“I left there shaking. Got into my car and said, ‘I can’t believe this,’” remembered Baney. “When I found Dr. Vogel, he told me that we could avoid major surgery.”

In February 2014, Dr. Vogel used the Ocelot catheter system to navigate through Baney’s blocked arteries. By April, Baney was building train tracks again.

“Dr. Vogel is really good at what he does,” said Baney. “I can’t thank him enough for helping me get back on my feet and back to work.”

Symptoms of PAD:
•Painful cramping in the hip, thigh or calf muscles after walking or climbing stairs
•Leg numbness or weakness
•Coldness in the lower leg or foot
•Sores on the toes, feet or legs that will not heal
•Skin on your leg turns pale or bluish when leg is elevated
•Your foot turns a dusky red when you stand or sit
•The hair on your foot stops growing
•Your toenails stop growing
•You get frequent toenail infections

Preventing PAD:
•If you smoke, your risk of getting PAD increases four times
•Controlling high blood pressure, high cholesterol and diabetes will decrease your risk
•Maintaining a healthy weight and getting regular exercise will improve your overall health

To schedule an appointment with Dr. Vogel, call (800) 922-0000.

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