College In New York Research Articles

Two-year colleges teach physics to widening range of students

Increasingly, partnerships ease the way to transfer to universities.Increasingly, partnerships ease the way to transfer to universities.

Barbara J. Wolfson, MD, FACR (March 2, 1946 - Dec. 15, 2015).

Barbara Jane Wolfson, a beloved and much respected pediatric radiologist, passed away on Dec. 15, 2015, after a long and courageous battle with cancer. She was born March 2, 1946, in Buffalo, NY. Her childhood was deeply influenced by her mother, Dr. Helen Toskov, a pathologist, and her father, Dr. Irving Wolfson, a proctologist. It was from these talented and compassionate physicians that Barbara learned first-hand the challenges and rewards of being a great physician. Barbara obtained a Bachelor of Arts from Barnard College in New York. She was then employed as a secretary for a New York literary agency, where she encountered many celebrities. These encounters would serve her well throughout her career because she would later regale her radiologic colleagues with numerous vignettes from this time. This was followed by pre-med years at Columbia University, New York, and medical school education and radiology residency at New York Hospital, which she finished in 1978. She completed a fellowship in pediatric radiology at St. Christopher’s Hospital for Children in Philadelphia, under the supervision of legendary pediatric radiologist Dr. Marie Capitanio, who became her lifelong mentor. In 1979, Barbara accepted an attending position at that hospital, where she remained until 2004. Barbara soon gained the respect and admiration of all who worked with her. She worked tirelessly for the hospital, clinicians, patients and their parents. She was a member of numerous committees, where her input was highly valued. She also served as president of the medical staff for St. Christopher’s. Barbara very much enjoyed and excelled at teaching. She taught a wide variety of people, including medical students, pediatric and radiology residents, and clinicians in all different departments. Her excellent lectures and teaching points are remembered to this day. She had very high expectations of students and residents and was uncompromising in her teaching approach. She was the recipient of the Victor C. Vaughn Teaching Award from St. Christopher’s Hospital for Children in Philadelphia in recognition of her skills. Not to mention, her * Elizabeth H. Ey beth@dpi-pedrad.com

Giants of Orthopaedic Surgery: Melvin J. Glimcher MD.

David R. Eyre was a newly minted PhD in biochemistry from the University of Leeds when he joined Melvin Glimcher’s lab in 1971. Eyre’s new lab in Boston, MA, USA was a far cry from his previous one in the United Kingdom, where he routinely had to hunt for well-worn equipment. Glimcher’s lab featured cutting-edge resources from state-of-the-art protein sequencers to electron microscopes and nuclear magnetic resonance equipment. There was an entire floor dedicated to biochemistry. The lab housed more than 100 scientists, a large program for its day, providing an atmosphere that encouraged collaboration. His lab was even a research center for the training of senior scientists and postdoctoral fellows who wished to develop their own research centers in the basic sciences and musculoskeletal system [9]. “The size and scale of the lab was like nothing I had ever seen before,” Eyre told CORR® in a phone interview. “No one had a lab of this scale. It takes a quite exceptional person to lead a lab of that magnitude.” Melvin J. Glimcher MD was that person (Fig. 1). The scale of Glimcher’s educational background and professional experience matched the scale of his lab. The first tenured Chair in Orthopaedic Surgery at Harvard Medical School at the age of 39, Glimcher was also Chief of Orthopaedic Surgery at Massachusetts General Hospital and Boston Children’s Hospital in Boston, MA, USA. His work in orthopaedics, clinical medicine, biology, mechanical engineering, and the basic sciences afforded him the opportunity to collaborate with exceptional scientists using the most advanced technological tools of the day. Fig. 1 The scale of Glimcher’s educational background and professional experience matched the scale of his lab. Published with permission from Boston Children’s Hospital. “The lab, and more specifically, Glimcher himself, could infuse you with his enthusiasm,” Eyre said. “You were on the cutting edge of everything. This was high-level basic research. It certainly sparked my interest in research.” Glimcher’s decision to pursue a career in orthopaedics reportedly was based on a conversation he had with one of his professors, who told him that orthopaedics was a “barren field” [6]. But Glimcher seemed to understand the potential in orthopaedics early on, and quickly recognized where the field was headed. In 1966, Glimcher told The Boston Globe, “Orthopaedics in the future will not be simply surgery, or medicine, but a combination of both plus knowledge of the whole area of skeletal structure, its biology, chemistry, and biomechanics” [13]. “He thought he could really make a difference in the field,” Laurie Glimcher MD, his daughter and Stephen and Suzanne Weiss Dean of Weill Cornell Medical College in New York, NY, USA told CORR® in a phone interview.

The dinosaur that laid blue-green eggs

Mark Hauber at Hunter College in New York and his colleagues discovered that the color of many birds' eggs comes from the way that two pigments in the shell--biliverdin and protoporphyrin--blend with each other and with the calcium carbonate that makes most of the shell. Martin Sander of Bonn University in Germany has an idea. In a separate study, he and his team looked at eggs from prehistoric sites in China where Oviraptor dinosaurs laid their eggs millions of years ago. Dinosaur eggs found elsewhere are typically deep brown or black as minerals have seeped in over time and stained them, obscuring pigment molecules in the shell. Team member Jasmina Wiemann found the Oviraptor eggs contained biliverdin and protoporphyrin in a ratio suggesting they were blue-green.

A graduate nurse externship initiative.

June R. Soto is an assistant professor in the department of nursing at the Borough of Manhattan Community College in New York, N.Y. The author has disclosed that she has no financial relationships related to this article.

Boost student success with comprehensive efforts

A 22‐percent jump in the number of bachelor's degrees earned in four years. A 74‐percent increase in the number of associate degrees earned in two years. At Paul Smith's College in New York, a comprehensive retention plan has produced those results, said Registrar Loralyn Taylor.

Alfonso W. Quiroz Norris (1956–2013)

Alfonso W. Quiroz Norris (1956–2013)

Printing organs cell-by-cell: 3-D printing is growing in popularity, but how should we regulate the application of this new technology to health care?

Welcome to the body shop, where machines are busy constructing new organs, one cell at a time. 3‐D bioprinters, cousins to the common inkjet printer, squirt cells into a scaffold, printing and nurturing an organ until it can be transplanted into a patient. 3‐D bioprinting† might sound like science fiction, but the technology is already in the early stages of development and use. It builds on experience and advances made in bioengineering to enable the more efficient and cheaper production of tissues, organs, and body parts. However, if it goes mainstream, 3‐D bioprinting is likely to raise challenging legal and ethical issues, as well as to come up against regulatory hurdles. > 3‐D bioprinters […] squirt cells into a scaffold, printing and nurturing an organ until it can be transplanted into a patient. This new focus on the potential benefits and risks of 3‐D bioprinting comes as a result of the increasing attention being paid to the new technology in the press. Last year, for example, researchers at Weill Cornell Medical College in New York, USA, reported that they had printed and grown a replacement ear that could be used for reconstructive surgery on children born with malformed outer ears (http://www.news.cornell.edu/stories/2013/02/bioengineers-physicians-3-d-print-ears-look-act-real). In Ann Arbor, researchers at the University of Michigan's C.S. Mott Children's Hospital reported last year that in a medical first they had used a 3‐D printer to produce a splint to treat the trachea and bronchus of a child with tracheobronchomalacia, which causes deadly breathing problems (http://www.uofmhealth.org/news/archive/201305/baby's-life-saved-groundbreaking-3d-printed-device). These and other stories—both successful and tragic—are creating a high profile for bioprinting. Bioprinting replacement parts for the human body expands upon techniques pioneered by bioengineers: growing new skin from a patient's own body to replace skin lost to severe burns, for instance, or creating tubular structures such as blood vessels, …

Gene silencing in fragile X syndrome explained: researchers pinpoint how excessive nucleotide repeats shut down protein production.

Gene silencing in fragile X syndrome explained: researchers pinpoint how excessive nucleotide repeats shut down protein production.

A TRIBUTE ON THE 25 TH ANNIVERSARY TO THE INTERNATIONAL INFORMATION MANAGEMENT ASSOCIATION (IIMA) AND ITS CO-FOUNDERS: C. E. TAPIE ROHM JR., PATRICK J. MCINTURFF JR. AND WALTER T. STEWART JR.

Welcome to the 25th Anniversary Celebration of the International Information Management Association (IIMA) on this afternoon of Monday, October 13th, 2014 at the CSUSB Palm Desert Campus (PDC) in Palm Desert, California. OPENING REMARKS BY JAKE ZHU CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO IIMA is a special place for all of us. For twenty-five years, it has served as a forum for all of us to gather together to engage in intellectual conversations, to disseminate knowledge, and to renew our profession. Over the many years, IIMA has helped many us with our tenure and promotion, and has made our manuscripts available worldwide through our publication outlets, the three IIMA journals and the seasonal conference proceedings. Also for many of us, IIMA is not only a forum for academics, but also a place for friendship, family and fun. Many of us have become life-long friends and some of our families are known to each other. We eat, drink, walk, chat, dance and laugh. No matter it is in New York, Houston or Chicago, or it is in Beijing, Dublin or Amsterdam, we all had fun and enjoyed the collegiality, professionalism and friendship that IIMA has brought to us. As we gather here today to celebrate the 25th IIMA anniversary, we would like to thank and offer tributes to our long-time friends, the IIMA co-founders, C. E. Tapie Rohm Jr., Patrick McInturff and Walt Stewart. Many IIMAers who have run or helped run our annual conferences, served or are serving as IIMA Officers, and Journal Editors. Tributes also go to them. In a private conversation, my friend, Warren Adis, Professor at Iona College in New York made a comment on organizing conferences, he said, don't realize how much work is involved until they actually run one themselves. I believe we all would agree. No matter you are a regular IIMA attendee or an occasional visitor to our conferences, we thank you, too, for your support of what we do at IIMA. In this sense, we are here to celebrate each other and the entity that has brought us together, the IIMA. In a series of remarks this afternoon, presented by colleagues who have attended IIMA conferences over many years, we will enliven the specialness of the IIMA that offered a place for all of us to come together and make a contribution to our disciplines, to become mature intellectually, and to learn from one another. We each have become better because of IIMA and the many people who have contributed to it. Presented now, in alphabetical order of last names of colleagues, are several tributes to the IIMA founders, Tapie Rohm Jr., Patrick McInturff and Walt Stewart in celebration of the 25th anniversary of IIMA. REMARKS BY WARREN ADIS IONA COLLEGE, NEW YORK While each year with Tapie at IIMA has been memorable, I would like to tell three stories that capture those times. The first is 25 years ago in San Bernardino. The very first conference I attended, it was there that I met Tapie and we hit it off, right from the start. My guess is that is everybody here has felt the same way, when they first met Tapie. He makes everyone feels immediately at home and important. I liked how he talked--with lots of Folks and All and Oks He had a plan to create IIMA, it was supposed to be People Centered rather than Organization Centered like those large conferences that we all have attended. And he was right, in that if you grow the people and then everything falls into place. Whatever challenges there were, and there were many, Tapie was handling them. Whether it was hauling the newly published IIMA journals through O'Hare Airport, then by subway to our Hotel in Chicago. That is Tapie. Numerous Airports numerous subways, numerous hotels. Talking about journals, figuring out how to start our Journal (actually 2= JIIMA and CIIMA), get them printed cost effectively (Prison System), get them edited (Tapie was Editor in Chief). So in his own folksy way, with lots of hard work, here we are 25 years later. …

Epidemiology in multiple sclerosis: a pilgrim’s progress

There was more neurology taught under Harold G. Wolff at Cornell University Medical College in New York than perhaps anywhere else in the country when I attended from 1948 to 1952. I took my residency at the Veterans Administration Hospital in the Bronx, New York, a teaching hospital of Cornell, with Wolff as my Director of Training. While a resident, we thought we had found a treatment for multiple sclerosis. To test our conclusion, the first Class 1 treatment trial ever conducted for multiple sclerosis was performed. This showed no effect, but the participants began investigating multiple sclerosis among the 16 million persons at prime age for symptom onset who had served in the military in World War II. This led me to study its epidemiology worldwide, beginning with a detailed review of all published population-based estimates of frequency. Among these were nationwide surveys from Sweden, Denmark, Switzerland and later Norway and Finland, which showed in each country a concentration of the significantly high regions into contiguous areas forming a single 'focus' in each land, maximal in Denmark under the age of 15 years. The primary locus of high frequency multiple sclerosis seemed to be in the south-central inland lake region of Sweden, with spread to its contiguous neighbours. These concentrations in time and space indicated that multiple sclerosis was a disease probably acquired in early adolescence. Migration studies supported this: moves from high to low showed retention of birthplace risk only for those aged >15 years, whereas opposite moves indicated susceptibility limited to some 11-45 year olds. Epidemics of multiple sclerosis would suggest the disease is not only acquired but also infectious. If an infectious origin were true, transmission would have to occur before clinical onset, and would have to involve a much greater number of subjects than clinically involved. I believe there have been epidemics in Iceland, Shetland-Orkney and the Faroe Islands. On the Faroes there were no cases of multiple sclerosis among native-born resident Faroese from 1900 until 1943, when the first of 21 cases had clinical onset, heralding a type 1 epidemic with peak incidence rates >10 per 100,000 for 1945-46. British troops who occupied the islands from April 1940 to September 1945 we believe brought a widespread (because of the scatter of Faroese cases), asymptomatic (because they were healthy troops), persistent infection we called the primary multiple sclerosis affection that involved a large proportion of Faroese, with clinical multiple sclerosis ensuing in a very small proportion. Primary multiple sclerosis affection itself may have been manifest there as a newly introduced cause of acute infectious gastroenteritis and is possibly the underlying cause of multiple sclerosis in general.

Family medicine’s rapid establishment and early leadership role in Qatar’s health care system

Family medicine’s rapid establishment and early leadership role in Qatar’s health care system Mohamud A Verjee,1 Mariam Ali Abdulmalik,2 Michael D Fetters31Department of Medical Education, Weill Cornell Medical College in Qatar, Qatar Foundation – Education City, Doha, Qatar; 2Primary Health Care Corporation, Doha, Qatar; 3Department of Family Medicine, University of Michigan, Michigan, USAAbstract: Family medicine is a focus of health care in Qatar, and it has emerged as a primary care pioneer in the Arabian Gulf Region. Strong governmental financial support has underpinned family medicine development in the country, and through proactive health care policy, free or highly affordable health care is available to all citizens and expatriates in primary health care centers and hospitals. An Ivy League and world-class medical school, Weill Cornell Medical College in New York established a second campus in Qatar in 2001, and enrolled its first students in 2002. The inaugural class graduated in 2008, including one graduate who matched to a family medicine residency in the United States. The College has already earned a reputation for an emphasis on cultural sensitivity in the curriculum. Qatar also has a well-established family medicine residency program overseen by the Primary Health Care Corporation. Its inaugural class of family medicine residents began training in 1995 and graduated in 1999. In contrast to a trend of fluctuating interest in family medicine training in many developed countries, the demand for residency slots in Qatar has been consistently high. Since November 2012, the Accreditation Council for Graduate Medical Education-International has approved all hospital-based residency positions. Formed in 2012, the Primary Health Care Corporation is dedicated to achieving accreditation for the family medicine residency in the near future. In 2011, Qatar’s 147 family physicians comprised about 18% of the total physician workforce. Through extended hours of operation at health centers, patients have ready access for acute care and follow-up consultations. Still, Qatar faces challenges including a projected population expansion from about 1.9 million in 2013 to 2.5 million people by 2020. Qatar’s National Primary Health Care Strategic Steering Group has recently submitted a new primary health care strategy to the government and identifies 12 challenges for the future of family medicine. Among these, ensuring access to clinical services that are patient and family centered, addressing the shortage of family physicians, expanding academic capacity, and increasing scholarly output are manifest.Keywords: family medicine, Qatar, undergraduate medical education, residency training, Arabian Gulf Region

The evolution of treatment for peritoneal metastases

Paul H Sugarbaker speaks to Theo Bond, Assistant Commissioning Editor: Dr Sugarbaker was born in Baltimore (MD, USA). His college education took place at Wheaton College in Illinois. He graduated from Cornell University Medical College in New York (USA) and from there went for his surgical training at the Peter Bent Brigham Hospital in Boston (MA, USA), now known as Brigham and Women’s Hospital. He received a Masters Degree in Immunology at the Harvard School of Arts and Sciences in 1983. At the NIH he was a Senior Investigator from 1976 to 1986. After a brief stay in Atlanta at the Emory Clinic he moved back to Washington (DC, USA) to become the Medical Director of the Washington Cancer Institute. He has been at the Washington Cancer Institute since 1989. Currently, he is Medical Director at the Center for Gastrointestinal Malignancies and Director for the Program in Peritoneal Surface Oncology. His interests are in gastrointestinal cancer, gynecologic malignancy and mesothelioma. For many years his work focused on liver metastases. Currently, his clinical and investigative work is directed at the peritoneal surface component of gastrointestinal cancer dissemination, referred to as peritoneal metastases. Dr Sugarbaker is a strong critic of surgical tradition; he believes that major changes in the technology of cancer resection are necessary. His theme, ‘It’s what the surgeon doesn’t see that kills the patient’, summarizes the concepts behind many of his publications both in the peer-reviewed medical literature and in the lay press. In the opinion of Dr Sugarbaker, perioperative intravenous and intraperitoneal chemotherapy are an essential planned part of many cancer interventions.

Perspective

Ours is an age of unprecedented levels of environmental alteration and biodiversity loss. Beyond the exposure to environmental hazards, conditions such as environmental degradation, biotic impoverishment, climate change, and the loss of ecosystem services create important health threats by changing the ecology of many pathogens and increasing the incidence and/or severity of certain noncommunicable conditions. They also threaten health in the future by weakening the Earth's life support systems.Although physicians remain one of the most often accessed and most trusted sources of information about the environment, there is currently little emphasis on educating medical professionals about these environmental issues. This lack of training reduces the ability of most physicians to be efficient science-public interfaces and makes them ineffective at contributing to address the fundamental causes of environmental problems or participate in substantive environmental policy discussions. This is an important challenge facing medical education today.To turn medical students into effective physician-citizens, an already-overwhelmed medical school curriculum must make way for a thoughtful exploration of environmental stressors and their impacts on human health. The overarching question before medical educators is how to develop the competencies, standards, and curricula for this educational endeavor. To this end, the authors highlight some of the critical linkages between health and the environment and suggest a subset of key practical issues that need to be addressed in order to create environmental education standards for the physician of the future.

Survey of Care and Evaluation of East African Burn Unit Feasibility

Weill Cornell Medical College in New York, partnered with Weill Bugando Medical College and Sekou Toure Regional Referral Hospital, in Mwanza, Tanzania, to consider the development of a burn unit there. This institutional partnership provided a unique opportunity to promote sustainable academic exchange and build burn care capacity in the East African region. A Weill Cornell burn surgeon and burn fellow collaborated with the Sekou Toure department of surgery to assess its current burn care capabilities and potential for burn unit development. All aspects of interdisciplinary burn care were reviewed and institutional infrastructure evaluated. Sekou Toure is a 375-bed regional referral center and teaching hospital of Weill Bugando Medical College. In 2010-2011, it admitted 5244 pediatric patients in total; 100 of these patients were burn-injured children (2% of admissions). There was no specific data kept on percentage of body surface burned, degree of burn, length of stay, or complications. No adult, operative, or outpatient burn data were available. There are two operating theaters. Patient's families perform wound care with nursing supervision. Rehabilitation therapists consult as needed. Meals are provided three times daily by a central kitchen. Public health outreach is possible through village-based communication networks. Infrastructure to support the development of a burn care unit exists at Sekou Toure, but needs increased clinical focus, human resource capacity building, and record-keeping to track accurate patient numbers. A multidisciplinary center could improve record-keeping and outcomes, encourage referrals, and facilitate outreach through villages.

Within the pipeline: Self-regulated learning, self-efficacy, and socialization among college students in science courses

The present study examined associations between changes in students' science self-efficacy and self-regulated learning strategies and their relation to science achievement. Influences of gender, ethnicity, and childhood and adolescent socialization experiences were also examined. The variables were consistent with Bandura's social cognitive theory, which predicts a triadic model of determinants of behavior. Participants were one hundred thirteen undergraduates enrolled in science courses in large public college in New York. Students were administered two surveys, at the beginning and end of the semester. Results showed that self-efficacy beliefs changed over the course of the semester and that these changes positively predicted final course grades after controlling for gender, mother's educational level, and ethnicity. Males' childhood and adolescent science experiences were correlated with delay of gratification while for females these experiences correlated with final term grades.

UV Radiation and Skin Cancer: The Science behind Age Restrictions for Tanning Beds

Every year, millions of people climb in various states of undress into warm, glowing tanning beds, where during a typical 2- to 15-minute session they’ll absorb a controlled dose of ultraviolet (UV) radiation at an intensity up to two to three times stronger than the sunlight striking the equator at noon. The tanning industry has grown rapidly since the 1980s,1 rising to an estimated 28 million users in the United States.2 This rise has been accompanied by an increase in diagnoses of skin cancer. The reasons behind the rising skin cancer diagnoses remain open to debate. Some experts attribute the rise to more frequent skin cancer screening, whereas others blame environmental and behavioral risk factors, particularly changes in UV exposure. In this latter context, UV-emitting tanning beds—classified as carcinogenic to humans by the International Agency for Research on Cancer (IARC)3—have come under growing scrutiny. People tan to look healthy, but looks can be deceiving; UV radiation causes all three types of skin cancer. Melanoma, a tumor of the cells that produce the skin pigment melanin, is the rarest but deadliest type, accounting for 75% of skin cancer deaths worldwide.4 According to the National Cancer Institute’s Surveillance, Epidemiology and End Results (SEER) program, melanoma incidence among U.S. whites (who develop the disease more often than other races) rose from 8.7 cases per 100,000 people in 1975 to 28 cases per 100,000 in 2009.5 Most of that increase occurred in older men, who rarely tan indoors. But a closer look at the age-stratified SEER data reveals that melanoma rates among white girls and women aged 15–39 rose by 3.6% per year between 1992 and 2006, compared with a 2% increase per year among boys and men of the same ages.6 Although they’re not tracked by SEER, squamous cell carcinoma (SCC) and basal cell carcinoma (BCC)—the other two types of skin cancer—also appear to be on the rise, according to regional studies from the United States and Europe. A recent study by Anne Marie Skellett, a consulting dermatologist at Norfolk and Norwich University Hospital, reveals that BCC diagnoses among people under age 30 in the United Kingdom jumped 145% between 1981 and 2006.7 Statistics such as these have prompted 33 U.S. states and some municipalities to ban or restrict indoor tanning among children under age 18.8 California’s ban, signed into law in October 2011, was the first,9 followed by Vermont in April 201210 and the city of Chicago the following June.11 Other states have introduced legislation to limit indoor tanning among minors.8 Melanoma in the United States Scanning electron micrograph of a melanoma cell magnified 8,000 times Mary Brady, an associate professor of surgery at Weill Medical College in New York and the author of an editorial on indoor tanning that appeared in the May 2012 issue of the Journal of Clinical Oncology,12 says the bans make sense. “We legislate against smoking in kids less than 18, and that sends a strong message that there’s something wrong with it,” she says. “We need to send the same message on indoor tanning.” But the bans have drawn a backlash from the tanning bed industry, whose representatives say they’ve been unfairly and incorrectly singled out. John Overstreet, executive director at the Indoor Tanning Association in Washington, DC, describes the evidence linking indoor tanning to skin cancer as speculation and advocacy science reported by the media as fact. He points out that UV light triggers skin cells to produce vitamin D, which may have cancer-protective effects. “It’s frustrating,” he says. “There’s no doubt that repeated overexposure to UV or burning can cause skin problems, but you also have to look at the health benefits, and that issue always gets lost.”

Email Tandem Exchanges as a Tool for Authentic Cultural Learning

This paper presents the description of an email Tandem exchange project conducted between 94 intermediate-level students (47 pairs) from Columbia University/Barnard College in New York and Universidad Autonóma de Madrid in Spain during the Fall Semester 2010. There were several goals to this project: to help improve students’ writing skills; to encourage them to learn about culture through authentic (understood as ‘direct contact with a native speaker’) and real exposure to the target language; to foster progress in their use of the target languages through peer-to-peer corrections; and to take an active part in their own learning through self-assessment. Based on students’ opinions, this project had a very positive impact in the way they viewed the foreign/target culture on both sides of the Atlantic. It also helped them enhance their written proficiency and acquire a new lexical mastery that would have been impossible through the limited and less-real scope of the classroom.

In Memoriam

Article AbstractBecause this piece does not have an abstract, we have provided for your benefit the first 3 sentences of the full text.Biostatistician Andrew C. Leon, PhD—a DeWitt Wallace Senior Scholar and professor of biostatistics in psychiatry and public health at Weill Cornell Medical College in New York and a member of the Editorial Board of The Journal of Clinical Psychiatry—died on February 18, 2012, after a brief illness. Andy was a world-class biostatistician and a world-class human being. He was an excellent communicator, a "people person" with a knowledge of and interest in clinical matters and their public health implications that are uncommon even among expert biostatisticians.†‹J Clin Psychiatry 2012; 73(4):413© 2012 Physicians Postgraduate Press, Inc.†‹

Lessons in Death and Dying on An East African Surgical Ward

General surgery resident Katrina B. Mitchell, MD, served for two years as a teaching assistant in the department of surgery at Weill Bugando Medical Centre in Mwanza, Tanzania, the academic partner institution of her home hospital, NewYork-Presbyterian Hospital/Weill Cornell Medical College in New York. The following is an account of one of her experiences in East Africa.