150! WUSTL reaches sesquicentennial

As part of the celebration, the University is launching an initiative to help better understand the role that research universities can play in addressing environmental issues.

Preventing kids’ injuries from heavy backpacks

Carrying backpacks the right wayAs parents and kids make their lists for the August back-to-school sales, one item to consider should be a backpack — on wheels, says Nancy J. Bloom, Ph.D., a physical therapy instructor at Washington University School of Medicine in St. Louis. Kids backs are primarily bearing the weight of their schoolbooks. Bloom says that because young bones are growing all the way through high school, heavy backpacks need to be a major concern. She notes that there are a few important things that kids can do to avoid injury, including carrying their backpacks over both shoulders to balance the load.

Finding SARS sooner

Cells afflicted with SARS.Rapid and accurate diagnosis is critical for providing optimum care for patients with SARS and for helping contain the disease and protecting the community. If someone with a severe respiratory illness comes to Barnes-Jewish Hospital or St. Louis Children’s Hospital, emergency department physicians now should be able to tell whether the disease is SARS within a few hours. A team of researchers, led by Michael J. Holtzman, M.D., the Selma and Herman Seldin Professor of Medicine and professor of cell biology and physiology at Washington University School of Medicine in St. Louis, developed a diagnostic tool that allows for quick identification of whether a person with respiratory disease has SARS. They also can determine the severity of the infection, and the test can detect the SARS virus even if very few virus molecules make it into the test sample.

Is there a hospitalist in the house?

ThoelkeIn today’s era of managed care, most physicians have fewer inpatients, and that makes it hard for many to justify spending time at the hospital with those patients. Mark S. Thoelke, M.D., clinical director of the hospitalist service at Barnes-Jewish Hospital and assistant professor of medicine at Washington University School of Medicine in St. Louis, says because hospitalist physicians do not maintain outpatient practices, they can spend all of their time in the hospital and are available to treat a wide range of patients. That also allows for improvements in outpatient care because with their inpatients cared for by hospitalists, primary care physicians can focus even more of their time on the needs of the outpatients who make up the vast majority of their practices.

‘Visualizing’ Tourette Syndrome

Sophisticated brain imaging reveals that several brain regions can become overactivated when people with Tourette Syndrome perform tasks related to memory.Neuroscience researchers at Washington University School of Medicine in St. Louis are studying the brains of patients with Tourette Syndrome (TS) to see whether they can use sophisticated imaging techniques to identify differences in the dopamine system of people with the tics that characterize TS. A team of researchers, led by Kevin J. Black, M.D., assistant professor of psychiatry, neurology and radiology at Washington University School of Medicine, is using PET imaging to see what the brain does in response to levodopa, a natural amino acid that has been used for many years to treat movement disorders, such as Parkinson’s disease. With PET imaging, the researchers can measure the boost in the brain’s dopamine levels in response to the drug both in people with Tourette Syndrome and in those who do not have tics. By identifying differences, they hope to isolate the causes of tics and to help people with TS control or eliminate them.

Pin prick

Sometimes two shots are better than one. Washington University pediatrician, Robert M. Kennedy, M.D., professor of pediatrics, and other Emergency Department researchers at St. Louis Children’s Hospital, have developed an “ouchless” IV technique. Before inserting a big IV needle into the hand of a child, the physicians first apply numbing gel. Then, they use a tiny needle to inject a local anesthetic into the area before they finally introduce the bigger IV needle. By the time an IV is started, the injection site is numb, and patients who already are in an emergency department, don’t have to face even more pain.

Treatment for depression in heart attack patients fails to improve survival

A team of researchers from Washington University School of Medicine in St. Louis, the Mayo Clinic in Rochester, Minn., the Harvard School of Public Health and several other clinical centers around the United States has found that treating depression and social isolation in recent heart attack patients does not reduce the risk of death or second heart attack. Results from the Enhancing Recovery in Coronary Heart Disease Patients Study (ENRICHD) are published in the June 18 issue of the Journal of the American Medical Association.

The United States braces for another summer coping with West Nile Virus

*Culex pipiens*, a breed of mosquito known to carry the West Nile VirusIt was a cold winter in much of the country. That’s bad news for mosquitoes, but a wet spring in much of the United States will be a benefit to the buzzing bugs. Vector control specialists have plans in place to eradicate as many mosquitoes as possible, in part to prevent another summer of the West Nile Virus. In 2002, there were more than 4,000 cases reported in the United States, and almost 300 people died. The virus also decimated bird populations. This summer Michael Diamond, M.D., Ph.D., an infectious disease specialist at Washington University School of Medicine in St. Louis, believes the situation could worsen if the virus continues to be carried by mosquitoes that bite humans more than birds. Most cases in the United States still involve livestock, and a vaccine for animals recently was approved, but no vaccine exists for humans.
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