Posts Tagged ‘ucsf’

As H1N1 Fears Subside, UCSF Hospitals are Once Again Open to Visiting Children

Wednesday, March 10th, 2010

Those kids crowding Moffitt Cafe at UCSF Medical Center / Children’s Hospital will now have Run of the House, more or less, ’cause the restrictions against child visitors just got eliminated. So, as of yesterday, the place is, once again, totally wide open, more or less, to visitors aged 15 and less. 

Not sure what other local hospitals are thinking these days, but UCSF says that Influenza activity has decreased considerably lately. Read all about it, below.

Godzilla menaces this huge architect’s model of UCSF under a glass box, so he’s always safe from H1N1. But runaway tow trucks, well, that’s a different story:

Moffitt Cafe is now released from its ragamuffin daycare role so it can return to being a haven for law students, a place of escape where legal scholars are free to hit on medical and pharmacological students and/or professionals in a target-rich environment. (At least that’s how the cafeteria was used back in the 90’s.)

Forthwith, the News of the Day:

UCSF Lifts Hospital Visitor Policy Restricting Children

March 09, 2010

UCSF Medical Center and UCSF Children’s Hospital are lifting their visitor age restriction, which prohibited visitors younger than 16 years old. The visitor policy is being lifted effective March 9, 2010.

Dr. Joshua Adler, chief medical officer at UCSF, said he believes the policy, implemented in November, and other strategies, such as vaccination of UCSF personnel, helped reduce the risk of hospital-acquired influenza.

Influenza activity has decreased considerably so that risk is now quite low, Adler said. In the hospital units where age restrictions are not usually in place, children now may visit. Unit-specific age restrictions, such as those in the intensive care units, may remain in effect, according to unit-based policy.

A requirement, however, remains in effect until March 31 that health care workers, who have not been vaccinated against both H1N1 and seasonal influenza, must wear a surgical mask while in patient care areas.

Adler thanked employees for their diligent infection control measures during the flu season. Record numbers of UCSF employees, faculty, residents, and students received flu vaccines this year, he said.

New UCSF Meta Study Proves Cigarette Smoking is a Risk Factor for Alzheimer’s Disease

Wednesday, February 3rd, 2010

All right, a new UCSF Medical Center study shows that smoking cigarettes won’t help you avoid Alzheimer’s disease.

This might come as news to some people, especially to those who rely on tobacco-industry funding to show that tobacco helps people avoid Alzheimers.

Deets below.

UCSF, back in the day, along with the ur N Judah:

Study Shows Cigarette Smoking a Risk Factor for Alzheimer’s Disease

February 02, 2010

A UCSF analysis of published studies on the relationship between Alzheimer’s disease (AD) and smoking indicates that smoking cigarettes is a significant risk factor for the disease. After controlling for study design, quality of the journals, time of publication and tobacco industry affiliation of the authors, the UCSF research team also found an association between tobacco industry affiliation and the conclusions of individual studies. Industry-affiliated studies indicated that smoking protects against the development of AD, while independent studies showed that smoking increased the risk of developing the disease. 

Study findings were published online in the Jan. 29, 2010 issue (19:2) of the Journal of Alzheimer’s Disease. An abstract of the paper is available online

Ever more deets, after the jump

(more…)

Consumer Reports Disses UCSF Medical Center Over High Central Catheter Infection Rate

Tuesday, February 2nd, 2010

All right, Consumer Reports has a few notes about San Francisco hospitals in another Missive from Yonkers this AM. Actually, the people at CR sound a little hacked off, and for a couple of reasons.

Item One: They’re using a hospital’s ICU Central Line Associated Bloodstream Infection Rate as a yardstick of performance. Why? Why not. Here’s how CR feels:

“The procedures needed to eliminate ICU infections are simple, low-tech, and inexpensive, requiring a change of mindset and culture. All ICUs should be able to dramatically reduce if not eliminate these infections.”

O.K., so who has a central line infection rate of zero, who’s perfect?

Saint Luke’s Hospital

Saint Francis Memorial Hospital

Saint Mary’s Medical Center

After all those Saints go marching in, which San Francisco hospitals are doing less-than-perfect but better than average?

California Pacific Medical Center-Pacific Campus

Kaiser Foundation Hospital- San Francisco

But who’s left, who in the 415 is ”on the other end of the spectrum” with a reported infection rate that’s 80 percent worse than the national average when compared with similar ICUs?

UCSF Medical Center

Ouch.

Take a look for yourself on this almost-legible chart. Goran nasai, Gentle Reader - click to expand:

Do you buy all that? Well, for one, Steven E.F. Brown does, over at the San Francisco Business Times.

But what’s this - how about a little feedback from a California-licensed physician? Comes now Dr. Steven Suydam, who took a look at CR’s press release today and reacted thusly:

“Central line infections occur in every hospital, but some institutions, especially public academic institutions are simply more forthright about reporting them, and are more likely to have candid effective quality assurance programs in place, than private, for-profit institutions. In addition, hospitals have the latitude to classify a bloodstream infection as coming from an alternate source, if one is available, thereby avoiding the dreaded “CLABI” label. The alternative explanation, that UCSF physicians place central lines under less sterile conditions than private hospitals and maintain such lines with less care is simply nonsense.” 

O.K. then. But as always, You Make The Call. It certainly would be interesting to hear about what UCSF thinks of all this. Moving on… 

Widening our purview to the whole bay area gets us this:

“In the larger Bay Area, where Consumer Reports Health rated 29 hospitals, Consumer Reports found extreme variation between hospitals, even hospitals run by the same health care system.  For example, Kaiser Foundation Hospitals in Hayward, Santa Rosa, Vallejo, and South San Francisco reported zero central line infections, while Kaiser Foundation Hospital in San Jose had an infection rate that was 14 percent worse than the national average and the Kaiser Foundation Hospital in San Francisco reported a rate that’s 40 percent better than average.”

Item Two: CR doesn’t like getting blown off when it goes nosing around for data. So it has lots of criticism for the way California as a state is handling reporting of statistics. The California Department of Health should have data for us by January 1, 2011, but CR isn’t optimistic about this deadline getting met.

Anyway, who’s on the Naughty List (CR’s Health Ratings Center’s Director is Dr. Santa, srlsy) with naught to report?

San Francisco General Hospital Medical Center

O.K. then.

What’s it all mean? No se, mi amigo/a. One thing for certain though, this news release means that Consumer Reports Health wants your money. Sign up for a free 30-day trial that you’ll soon forget about until you get your credit card statement in two or three months – I don’t care what you do with your money. (Frankly, I object to the whole Consumer Reports-is-my-Bible mentality that certain people have. IMO, CR is just another data point in the constellation of information out there.)

Anyway, read the whole thing for yourself, after the jump.

Stay healthy.  (more…)

The Rich NIMBYs of “Neighbors of SFGH” have a Grand Party on Potrero Hill

Monday, November 16th, 2009

If you can tell the difference between the helipad-hating “Neighbors of SFGH” vs. the Stop the Helipad haters, well, then you’re one up on me. What they are, they’re a bunch of NIMBYs on a hill who don’t care how many people have died, and how many more will die, due to the lack of a helipad at San Francisco General Hospital. Anyway…

These hill-folk richers just had a party to raise money for their fight. [Oh, man, I've just discovered that writer Sajid Farooq yesterday posted "$100 Dinner Could Ground Pesky Lifesaving Helicopters*" over at NBC Bay Area, saving me the trouble of crafting a more complete post. Thanks, MSM! Click on over there for the deets.]

An artist’s conception of the “Neighbors” of San Francisco General Hospital having their high-rent lifestyles impinged upon by EMS flights buzzing about:

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Lovey and Winston are not happy. 

Read on to see the fruits of the labors of the Stop the Helipad people:

A head-on collision on the Golden Gate Bridge in May threw the evening commute into chaos and drew immediate cries for new safety measures. Lost in the flurry of traffic reports and debate about possible barriers, however, was the aftermath of the crash for the most seriously hurt victim. Dr. Grace M. Dammann had to be transported by helicopter about 25 miles to John Muir Hospital in Walnut Creek because San Francisco General Hospital lacks a helipad for its acclaimed Level 1 Trauma Center.”

Mmmm. According to an American College of Surgeons Consultation Survey of San Francisco General Hospital’s Trauma Program:

The lack of a helipad and helicopter service is a major deficiency in providing optimal trauma care for San Francisco General Hospital and San Francisco. It is difficult to understand why a city the size of San Francisco does not have any medical air transport. The congested roads and bridges with the surrounding water make helicopter service an essential medical support service.”

Oh well, here’s another artist’s conception of what the next Neighbors of SFGH fun-raiser might look like, maybe down by the chopper-free Warm Water Cove off of 24th. I think Gilligan is the webmaster:

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(Note Mary Ann in pigtails and high heels, you don’t see that look much these days.)

Obviously, NIMBYs are people too, and their concerns should be amplified and paid ‘tention to. But they go to far when they tell doctors how to save lives. We’re getting a pad at UCSF Mission Bay and we’ll, eventually, get another pad at the new and improved, earthquake-safe SFGH.

How many will die unecessarily until then?  

*”Pesky Lifesaving Helicopters” – Pwned! I’m still laughing.

When Locking Your Bike Up in San Francisco, Ignore the Z-Axis at Your Peril

Friday, October 23rd, 2009

Here’s the thing – the lazy bike thieves of San Francisco almost never go after things that are secured with U-locks. Why? Because the hunting is too easy for stuff that’s not properly U-locked. As here, where a UCSF student has locked his (probably a he, based upon seat height) beautiful Trek aluminum mountain bike to three foot pole. This would work in Flatland, but not in San Francisco.

People, when will you learn?

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Click to expand

An Analog Facebook Comes to UCSF’s Main Campus on Parnassus

Friday, October 23rd, 2009

Well this is how some massive support columns are now decorated at the University of California, San Francisco medical school these days.

As seen from Parnassus Avenue:

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It  looks to be a collection of  shots of students from over the past hundred years – could it be the Student Photo Project? Maybe, but the S.P.P. goes on about “the three primary colors*, red, yellow and blue” that they were going to use and this installation is just black and white.

Anyway, it looks great. Keep up the good work, students of UCSF.

Old school! The way it looked back in 1908:

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*Yes, I remember first grade as well, but it was all a lie – red, yellow and blue are not “the” primary colors, they are just one group of primaries, and they aren’t so hot in that role, anyway. Or, as Wiki so diplomatically opines, the RYB color model “predates modern scientific theory.” Harsh. Harsh but fair.

San Francisco’s Very Own Blair Witch Forest – the Spooky Interior Park Belt

Saturday, October 10th, 2009

If you ever want to feel suddenly transported away from the City, you should head on up to Medical Center Way (aka Upper Service Road) and then venture into the spooky Interior Park Belt.

It’s just up from where Jerry Brown raises money and just down the hill from where the old SF-89C Nike missile control center used to be, up on Mount Sutro.

Click to expand:

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Mind the poison oak.

If you search the Flickr this arresting photo is the first result – but of course putting Interior Park Belt in quote marks narrows things down considerably.

Speaking of Flickr, be on the lookout for Flickers.

See you out there…

Another Nobel Prize for UC San Francisco – Dr. Elizabeth Blackburn Brings Home the Gold

Monday, October 5th, 2009

Here she is, America’s newest Nobel Prize winner: UCSF’s Elizabeth H. Blackburn, Ph.D:

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They’ll be partying hard today down at the Mission Bay campus. The celebration in Genentech Hall starts in just a few minutes and they’ll have a full-blown news conference this afternoon.

Wow! First Oprah and now this.  

Of course Elizabeth wouldn’t want to leave out her co-winners, so let’s give a shout out to Carol W. Greider of Johns Hopkins University School of Medicine and Jack W. Szostak of Harvard Medical School.

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It’s going to be on!

Congratulations to Elizabeth and everybody at the University of California, San Francisco

Fiat Lux, baby!

THE DISCOVERY OF THE TELOMERASE ENZYME

The scientists discovered an enzyme that plays a key role in normal cell function, as well as in cell aging and most cancers.  The enzyme is called telomerase and it produces tiny units of DNA that seal off the ends of chromosomes, which contain the body’s genes. These DNA units – named telomeres—protect the integrity of the genes and maintain chromosomal stability and accurate cell division.  They also determine the number of times a cell divides—and thus determine the lifespan of cells.

Telomerase is pronounced (tel-AH-mer-AZE). Telomere is pronounced (TEEL-oh-mere).

The research sparked a whole field of inquiry into the possibility that telomerase could be activated to treat such age-related diseases as blindness, cardiovascular disease and neurodegenerative diseases, and deactivated to treat cancer, in which the enzyme generally is overactive.

In recent years, Blackburn and colleagues have explored the possibility that life stress, the perception of life stress and lifestyle behaviors could take a toll on telomerase and telomeres. They have reported several studies with human participants, suggesting a correlation. The findings may offer insight, at the cellular level, into the impact of stress on early onset of age-related diseases.

The scientists were named to receive the prize “for the discovery of how chromosomes are protected by telomeres and the telomerase enzyme,” according to the Nobel committee in Stockholm, Sweden.

Evolution of discovery

Blackburn’s road to discovery traces back to 1975 to 1977, when she was a postdoctoral fellow at Yale University. There, working with Joseph Gall, she discovered the unusual nature of telomeres, with their simple, repeated DNA sequences comprising chromosome ends. The work was published in 1978.

With Szostak, she established that these DNA repeats stabilize chromosomes inside cells. They also predicted the existence of an enzyme that would add the sequences to the ends of chromosomes.

In 1985, while a professor at University of California, Berkeley, Blackburn and her then-graduate student Greider reported the discovery of such an enzyme, which they named telomerase. Their research showed that in some organisms, such as the single-celled pond dweller Tetrahymena, telomerase continuously replenishes the chromosome’s telomeric tips. In humans, however, researchers, including Blackburn and her group, showed that telomerase is damped down at certain times in the lives of many types of cells, limiting their ability to self-replenish.

With this discovery, scientists saw the possibility of exploring whether, in humans, the enzyme could be reactivated to prolong cell life to treat age-related diseases, and deactivated to interrupt cancers.

Blackburn joined the UCSF faculty in 1990 and is the Morris Herzstein Endowed Chair in Biology and Physiology in the Department of Biochemistry and Biophysics.

She is the fourth UCSF scientist to win the Nobel Prize in Physiology or Medicine.
A native of Australia, Blackburn has lived in the United States since 1975, and is a naturalized citizen of the United States as of September 2003.

She lives in San Francisco with her husband, John Sedat, PhD, a professor of biochemistry and biophysics at UCSF. They have one son, Benjamin.

UCSF is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care.

Senator Leland Yee Supports University of California Workers and Students at UCSF Protest

Friday, September 25th, 2009

Senator Leland Yee is at it again with the University of California. Here he is from just one of yesterday’s protests against the policies of UC.

Atop Mount Parnassus at UCSF yesterday:

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Here he is in his own words:

Workers and students are highlighting several recent actions by UC President Mark Yudof and the Board of Regents, including failing to negotiate furloughs, raising student fees, and the administration’s lack of transparency and accountability to the public.
 
“It is unconscionable what the UC administration is doing to our students, workers and their families,” said Yee.  “While UC executives live high on the hog, workers, students, and patients are left in the cold. UC administrators are more concerned with protecting their ivory tower and their culture of secrecy than the public trust.”
 
“Senator Yee has several bills awaiting action by the Governor to bring greater transparency and accountability to UC as well as rein in executive compensation.  SB 218 will update the California Public Records Act to include auxiliary organizations that perform government functions at the UC, the California State University, and the California Community Colleges.  SB 219 will provide legal protections for UC employees who are retaliated against for reporting waste, fraud, or abuse within the system.  SB 86 will prohibit executive pay raises during bad budget years”

Nothing Escapes the Gaze of this University of California Police Force Security Officer

Wednesday, July 15th, 2009

Absolutely nothing.

(Would you think this woman is a police officer or not? Look closely. I guessed the wrong way – see the comments.)

As seen in Mission Bay. Click to expand:

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Remember the 1980’s?

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 I do.