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  • Getting to Zero: Penn Medicine Draws Road Map for Elimination of Central Line-Associated Bloodstream Infections

    March 20, 2009
    Central line-associated bloodstream infections (CLABSI) fell by more than 90 percent during the past three years at the Hospital of the University of Pennsylvania due to a multi-pronged approach combining leadership initiatives, electronic infection surveillance, checklists to guide line insertion and maintenance, and implementation of the Toyota Production System to encourage best practices in line care. The findings, which Penn physicians say provide a road map for cutting the deadly, costly toll of hospital-acquired infections nationwide, were presented on Friday, March 20 at the 19th Annual Meeting of the Society for Healthcare Epidemiology of America (SHEA).
  • Living Jumper Cables: Lab-Grown Nerves Promote Nerve Regeneration After Injury, Penn Study Finds

    March 19, 2009
    Researchers at the University of Pennsylvania School of Medicine have engineered transplantable living nerve tissue that encourages and guides regeneration in an animal model. About 300,000 Americans suffer peripheral nerve injuries every year, in many cases resulting in permanent loss of motor function, sensory function, or both. But there are insufficient means for repair, according to neurosurgeons. "We have created a three-dimensional neural network, a living conduit in culture, which can be transplanted en masse to an injury site," explains senior author Douglas H. Smith, MD, Professor, Department of Neurosurgery and Director of the Center for Brain Injury and Repair at Penn. Smith and colleagues have successfully grown, transplanted, and integrated axon bundles that act as "jumper cables" to the host tissue in order to bridge a damaged section of nerve.
  • Make Me a Match: Penn Medicine Graduating Seniors Find Out Residency “Match”

    March 19, 2009
    Within the crowd of 144 University of Pennsylvania School of Medicine medical students, spouses, and children eager to learn where they have been accepted for their residency program on Match Day, the next generation of medical leaders is already emerging.
  • Penn Researchers Identify New Protein Important in Breast Cancer Gene’s Role in DNA Repair

    March 17, 2009
    For years, researchers have known that under normal conditions, the breast cancer protein BRCA1 orchestrates the repair of damaged DNA, but the details of just how BRCA1 moves to the damaged site and recruits the right nuclear repairmen for DNA restoration remains a mystery. Now, a new study from the University of Pennsylvania School of Medicine has identified genes associated with the BRCA1 protein and their involvement in the DNA repair pathway, helping to clear the way for researchers to better understand what goes wrong when the BRCA1 gene is mutated and the repair pathway goes haywire. Identifying patients with mutations in these BRCA1-associated genes may help better fight breast cancer.
  • One in Four Americans Lacks Timely Access to Optimal Care During Time-Sensitive Medical Emergencies

    March 17, 2009
    Although most Americans live close to some type of emergency room, as many as one in four Americans are more than an hour away from the type of hospital that's most prepared to save their life during a time-sensitive medical emergency, according to a new University of Pennsylvania School of Medicine study published in the journal Annals of Emergency Medicine. Since little is known about which U.S. hospitals are best equipped and staffed to tackle emergent illnesses like stroke, cardiac arrest, heart attack and the severe bloodstream infection sepsis, many more Americans may be in peril because no system exists to transport them to the right hospital at the right time.
  • Master Molecular Switch May Prevent the Spread of Cancer Cells to Distant Sites in the Body, According to Penn Study

    March 16, 2009
    Researchers at the University of Pennsylvania School of Medicine have identified a master switch that might prevent cancer cells from metastasizing from a primary tumor to other organs. The switch is a protein that, when in the "on" position, maintains the normal character of cells that line the surface of organs and body cavities. These epithelial cells are the type of cell from which most solid tumors arise. However, when the switch is turned "off" or absent, epithelial cells acquire characteristics of another cell type, called mesenchymal cells, and gain the ability to migrate and move away from the primary tumor. The researchers report their findings in this month's issue of Molecular Cell.
  • Penn Medicine Pathologists Pioneer Biomarker Test to Diagnose or Rule Out Alzheimer’s Disease

    March 16, 2009
    A test capable of confirming or ruling out Alzheimer's disease has been validated and standardized by researchers at the University of Pennsylvania School of Medicine. By measuring cerebrospinal fluid (CSF) concentrations of two of the disease's biochemical hallmarks - amyloid beta42 peptide and tau protein - the test also predicted whether a person's mild cognitive impairment would convert to Alzheimer's disease over time. Researchers were able to detect this devastating disease at the earliest stages, before dementia symptoms appeared and widespread irreversible damage occurred. The findings hold promise in the search for effective pharmaceutical therapies capable of halting the disease.
  • Penn Neuroscientists Find That The Unexpected Is A Key to Human Learning

    March 13, 2009
    The human brain�s sensitivity to unexpected outcomes plays a fundamental role in the ability to adapt and learn new behaviors, according to a new study by a team of psychologists and neuroscientists from the University of Pennsylvania. Using a computer-based card game and microelectrodes to observe neuronal activity of the brain, the Penn study, published this week in the journal Science, suggests that neurons in the human substantia nigra, or SN, play a central role in reward-based learning, modulating learning based on the discrepancy between the expected and the realized outcome.
  • Racial Disparities in Emergency Department Length of Stay Point To Added Risks for Minority Patients

    March 05, 2009
    Sick or injured African-American patients wait about an hour longer than patients of other races before being transferred to an inpatient hospital bed following emergency room visits, according to a new national study published in the journal Academic Emergency Medicine. The authors say the findings underscore the urgency to find equitable, cost-effective solutions to provide better care in the nation's emergency departments, which are already strained by unprecedented crowding and more visits from the nation's uninsured population, which is expected to balloon toward 55 million people in the next decade.
  • High Levels of Chemical C8 in Maternal Blood Are Not Associated With Lowered Newborn Birth Weight or Increased Risk of Preterm Birth, Penn Study Finds

    March 04, 2009
    A study conducted by researchers at the University of Pennsylvania School of Medicine and colleagues, and published in Reproductive Toxicology, found that maternal exposure to C8, a chemical used in the manufacture of non-stick surfaces, was not associated with either lowered birth weight or increased risk of preterm birth in Little Hocking, Ohio area residents. These findings are based on an examination of the vital records of newborns in Washington County, Ohio who were exposed to significant amounts of C8 through residential drinking water. Although C8 was not associated with lowered birth weight or increased risk of preterm birth, the authors noted that additional research is still required to confirm these findings and to investigate other potentially adverse health effects of C8 on fetal and childhood development.
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