October 2010 Surg-Ahead Newsletter (3 Mb doc)

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Volume 6 Issue 4.

In This Issue

Eastern Health Department of Surgery,

Box Hill

Editorial

 Report from the Department Head

Farewells and Welcomes

Awards and Prizes

BMed Sc Students 2010

 MUDS publications for 2009

Obiturary

MUSIG Workshop 2010

Editor : Franklin Rosenfeldt

Editorial Assistant : Catherine

Wong

Materials for publications should be sent to :

Catherine.Wong@monash.edu

S U R G A H E A D

Newsletter of

Monash University Departments of Surgery

Central Clinical School, Alfred Hospital

Eastern Health Clinical School, Box Hill Hospital

Southern Health, Monash Medical Centre, Clayton

Eastern Health, Clinical School

Box Hill Hospital

September 2010

Department of Surgery

The newest Monash University Clinical School is at Eastern

Health. Unlike some other hospitals and health services, the distinction between the University Department and the Hospital

Departments has become so blurred as to cease to exist. The

Department has responsibilities for undergraduates and postgraduates alike, for research and education and also for the quality and efficient delivery of patient care. As such, the

Department of Surgery at Eastern Health encompasses all surgical disciplines and all surgeons at every site.

Picture : Prof.Grigg in the Angiography suite

This demands an effective communication strategy! Clearly, not all surgeons are interested in every aspect of the Department’s

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activities but all are involved in some of the Department’s activities.

Over the last few years the Department has initiated the

Surgical Research Group. This has been specifically aimed at recent graduates interested in a surgical career who want to know more about research and experience and exposure to research activity. The group effectively renews itself each year but some continue on for two or even three years. In the past, others have progressed onto full-time research in order to achieve a higher degree.

As a group, a variety of clinical questions and possible research topics are discussed. The aim is to evolve a series of projects with each member of the group being the “principal researcher” for one project but all members of the group are involved with multiple projects – from inception, to development of the protocol, to data collection and to analysis.

Abstracts and papers generated are critically reviewed by the group before submission and all presentations are practised and rehearsed in the group setting.

It is difficult to know whether the creation of this group is a success story- that is up to the members of the research group to decide. Certainly more individuals than before are enlisting in research years, there are presentations given at various meetings around the country, papers have been published and every member of the group has succeeded at selection into surgical SET training schemes and clinical practice has changed.

Whilst there is enthusiasm for it, the group will continue.

Michael Grigg

Vasular Surgical Unit

Director of Surgical Services, Eastern Health

Michael Grigg is a practising vascular surgeon, Professor of

Surgery, Monash University, Director of Sugery, Eastern Health,

Melbourne, member of Council of the Royal Australasian

College of Surgeons and a member of the Victorian Surgical

Consultative Council.

Vascular Surgical Unit

The Vascular Surgical Unit at Box Hill Hospital is one of the larger Vascular units in the State of Victoria.

It is very active in terms of clinical service providing vascular expertise to the Eastern Health population as well as attracting patients from all over Victoria and even interstate.

The Unit is able to offer a comprehensive range of "state of the art" investigational services including duplex ultrasound and angiography.

The Vascular Unit is also keenly involved with medical education both at an undergraduate and postgraduate level. It is accredited by the Royal Australasian College of Surgeons as a training site for vascular surgeons. Research into vascular disorders in order to improve understanding and enable more effective interventions has been and remains an important component of the Vascular Unit's activities. The Unit is very interested in the quality of patient care and patient outcome and has pioneered a Vascular Surgical Audit system.

The members of the Unit are all highly qualified and appropriately credentialed Vascular Surgeons. All have trained extensively in Australia and supplemented this with extended experience working in vascular surgical Units overseas. The Unit regularly attracts visiting professionals from overseas.

24 hour access for vascular emergencies is provided by the Unit and is available via the Emergency Departments at Box Hill

Hospital, Maroondah Hospital and Angliss Hospital.

Staff of the Vascular Surgical Unit

Mr Gary Fell (Head of Unit)

Professor Michael Grigg

Mr Barry Beiles

Mr Michael Bruce

Mr Michael Denton

Mr Mark Lovelock

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Editorial.

Surg-Ahead is the Newsletter of the Monash Department of

University encompassing the Southern, Eastern and Central

Campuses. It is published quarterly and is sent as a hard copy or electronic version to all members of the Department of Surgery including salaried and adjunct members as well as to members of the Monash University Surgical Interest Group.(MUSIG)

In this issue we report on the newest Monash Clinical School at

Box Hill hospital including the Department of Surgery headed by

Professor Michael Grigg. Michael has been an active member of the Monash University Department of Surgery at the Alfred and interstingly was a previous editior of a Research Journal published by the Department of surgery in the 1980’s.

An interesting feature of the Eastern Health, Monash Department of Surgery is the Surgical Research Group. This has been playing an important role in encouraging and mentoring trainees in surgical research. It is a model which might be applied on other campuses. Research by surgical trainees needs all the encouragement it can get.

We welcome Associate Professor Paul McMurrick as the new head of the Monash University Department at Cabrini. Paul is a colorectal surgeon with particular interest in colonic research and medical education. He attends the meetings of the MUDS executive. It is planned to hold occasional MUDS executive meetings at Cabrini.

Integration of research into the new SET program is experiencing significant teething problems. As noted by the Section of

Academic Surgery of the RACS at its November meeting in

Adelaide some of the sections of the college are putting obstacles in the way of trainee’s in-corporating research into their surgical training. Inflexible interpretation of College Rules has adversely impacted on two surgical trainees in our department who have done or who are doing full time research.

Franklin Rosenfeldt

Research Training Workshops at The Alfred

Inspired by the successful Surgical Research Workshop Groups held at Box Hill Hospital run by Professor Michael Grigg, Russell

Gruen and Frank Rosenfeldt have arranged a series of workshops on research techniques for trainees at the Alfred site. These comprise interactive sessions where trainees bring along their research ideas and projects for advice, critique and support from senior researchers and other trainees.

Workshops are held on Tuesdays from 5.30-7pm, in tutorial room 8 on the 5 th Floor, The Alfred Centre Building.

Those aspiring to join the program are welcome to attend and should contact: Catherine.Wong@monash.edu

Topics to be covered will include:

How to design a research project,

How to give a scientific talk and

How to write a scientific paper.

The sessions are held in a workshop style with maximum participation from the trainees.

If you have a research project or Idea please bring this along or come along anyway and we can help to design new projects.

Surgical Trainees can bring their projects or embryonic ideas to the group for discussion, critique and support. Each meeting is begun with a brief didactic session on research techniques including project design, statistics, preparing talks and writing papers.

Those aspiring to join the program are welcome to attend and should contact:

Catherine.Wong@monash.edu

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THE DEPARTMENT OF SURGERY

Report from The Departmental Head

Professor Jeffrey V Rosenfeld

I would like to thank Professor Frank Rosenfeldt for producing this Newsletter on behalf of all the Monash Departments of

Surgery. I would like to thank all of the Members of the

Department of Surgery at Central Clinical School for their tremendous efforts, clearly our research profile and student numbers, publications and research grants are growing steadly.

This is the case with all of the Departments of Surgery in

Monash.

Could I remind all surgeons with Monash affiliations to include

Department of Surgery, Monash University with their respective hospital affiliation on all their publications as this will help not only their departments but the university. It is important that we remind all non-surgeons that surgeons are performing clinical and laboratory research at a high level and that surgical research is an important part of the Faculty of Medicine,

Nursing and Health Sciences overall research output and contributes to the international ranking of Monash. This will indirectly boost the support that our departments of surgery receive from the Faculty and the University.

You will read an obituary on Dr David Baxter in this Issue. David was one of my PhD students and his research on meningioma was ground breaking. I believe, he would have become a world leader in neuro-oncology. He was a powerful intellect, a great athlete and a wonderful person. He will be truly missed by all who knew him. His death is a tragic loss to humanity. MHDS

RIP.

Welcomes & Farewells

Welcome – Paul McMurrick

Associate Prof Paul McMurrick was appointed to the Frolich-

West Chair of Surgery, as Head of Monash University

Department of Surgery at Cabrini. This follows the retirement from the Chair of Adrian Polglase, the inaugural Professor of

Surgery at Cabrini.

Paul McMurrick is a colorectal surgeon in full-time clinical practice at Cabrini Health. His undergraduate training was at

Monash University, his clinical surgical training was undertaken at The Alfred Hospital and his Colorectal Fellowship was undertaken in 1987 at the Mayo Clinic, Rochester, Minnesota.

He has been a member of the Department of Surgery at Cabrini since 1998 and has a longstanding commitment to medical undergraduate and surgical education, having previously been a Clinical Dean and Director of Surgical Training at Cabrini

Health. From 2001-2005 he was the Head of Colorectal Surgical

Services for Southern Health. He is currently the Tumour

Stream Leader in Colorectal Neoplasia for the Monash Cancer

Network and brings to the position research interests in clinical outcomes in colorectal surgery, and in translational bowel cancer research, bringing together basic science researchers and clinicians

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BMed Sc Students – 2010

Melissa Chen:

BMedSc student, Department of Surgery (Cardiothoracic

Surgery), Monash University -- Working in conjunction with the

Medical Therapy Unit at Monash Medical Centre to look at the effects of oxidative stress and antioxidant levels on diastolic heart function parameters in patients with beta thalassemia major under the supervision of Professor Frank

Rosenfeldt and Dr Lesley Braun from the Department of

Surgery, Alfred Hospital. from healthcare providers which incorporates a rapid review and response system to reduce the 'loop closure' times to as short as possible. The project is being carried out under the supervision of Professor Russell Gruen, Department of Surgery.

Currently working on a project titled ‘Resources for the management of Traumatic Brain Injury in Australia’. This project aims to identify key physical (technical and imaging facilities), human (specialist personnel) and knowledge

(guidelines and clinical protocols) resources available for the emergency management of head injury across all 24 hour emergency departments in Australia. Referral pathways between hospitals for the immediate care of severely head injured patients will also be investigated and mapped.

Supervised by Professor Russell Gruen, Department of Surgery,

Central Clinical School, Alfred Hospital.

Jonathan Choong:

BMedSc student. Project entitled: Hypothermic crystalloid perfusion for preservation of the donation after cardiac death

(DCD) heart. Supervisor: Prof. Frank Rosenfeldt.

Maheshie Dayawansa:

BMedSc student, National Trauma Research Institute &

Department of Surgery, Alfred Hospital & Monash University.

Currently working on a project titled "Real-time trauma quality improvement in a major trauma centre." This project will be piloting a system for the collection of quality improvement data

Mathew Harvey

Matthew Harvey, BMedSc student, National Trauma Research

Institute & Department of Surgery, Alfred Hospital & Monash

University. Currently working on a project titled "Real-time trauma quality improvement in a major trauma centre." This project will be piloting a system for the collection of quality improvement data from healthcare providers which incorporates a rapid review and response system to reduce the

'loop closure' times to as short as possible. The project is being carried out under the supervision of Professor Russell Gruen,

Department of Surgery, Alfred Hospital.

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BMed Sc Students – 2010

Evan O’Neill:

BMed Sc Student, Department of Orthopaedics

Project titled: Patient Outcomes Following the Management of

Sacral Fractures at a Level 1 Adult Trauma Centre and is being carried out under the supervision of Miss Susan Liew and cosupervision of Dr Adam Dowrick from the Department of

Orthopaedics.

Hannah Dobson

BMed Sc Student Alfred Hospital Burns Dept.

Project: An examination of pre-hospital and hospital management of those with severe burn injury in a nonspecialist setting.

BMed Sc Students – 2009( International

Students)

Farewell

Padma Rani Kumar:

BMedSc 2009 student Department of Surgery through

Cardiothoracic Surgery, Monash University. Project: Effects of oxidative stress and antioxidant levels on cardiac function in beta-thalassaemia major patients under supervision of Prof.

Frank Rosenfeldt and co-supervised by Lesley Braun.

Farewell

Lim Yi We:

BMedSc 2009 International student Department of Surgery through Cardiothoracic Surgery, Monash University.

Supervisor: Prof. Franklin L. Rosenfeldt,

Project: Cardiac Preservation in Transplantation

Staff Regconition:

Chris Egan is the most long serving and loyal Research Assistant in Cardiac Surgical Research on the AMREP campus. Beginning in 1978 at the Baker Institute, with several intermissions to travel and raise a family, she has contributed in a major way to the success of cardiac research. Chris originally trained as a veterinary nurse and over the years has amassed a huge experience in the area of experimental surgical research, especially in the field of cardiac surgery. She worked at the

Baker Institute from 1978 until 1992. She transferred her skills to research in burns surgery in 2003 as an assistant to Joanne

Padd Ledinek. She managed the burns tissue culture laboratory maintaining its TGA approved status for nearly 5 years. In 2000 she returned to cardiac surgical research being involved in

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artificial heart and transplant research ever since. Always modest and hugely energetic, she is a model of selfless dedication to medical research.

Current Research Activities

The principal areas of research activity in the Department are as follows:-

Neurosurgery Research

Neuro-trauma (NTRI) Research

Cardiac Surgery Research

Trauma Research – ( NTRI and trauma surgery)

General Surgery Research including Endocrine Surgery

Colorectal Cancer – research in this area is currently being conducted at Monash University Academic

Department of Surgery at Cabrini Hospital.

Obesity Research – Centre for Obesity Research &

Education)

COMPLEMENTING THE HEART

Complementary medicine is proving it can play a valuable role in the wellbeing of cardiac patients following promising results from a novel study just completed at The Alfred.

Professor Frank Rosenfeldt in conjunction with Pharmacist and

Complementary Medicine Practitioner, Dr Lesley Braun a research fellow in MUDS was recently awarded a $30,000 grant from the National Institute of Complementary Medicine to study, cardiac wellness.

In previous randomised controlled trial more than 117 cardiac surgery patients supplemented their diet with naturally occurring substances.

The patients took coenzyme Q10, Magnesium orotate, alpha lipoic and selenium and fish oils. Together these supplements act as powerful anti-oxidants, cell regulators, energy boosters and improve cardiac function

The coronary bypass patients displayed reduced incidence of complications – particularly atrial fibrillation and a reduced incidence of heart damage. They were also discharged one day sooner than the control group average with a cost saving of

$4,800 per patient.

As an extension of the trial, all patients undergoing elective cardiac surgery at The Alfred in 2009 are now being enrolled into a Cardiac Wellness study, which looks at the ingestion of supplements in addition, patients are visited by a nurse, or complementary medicine practitioner, who offers advice on diet and lifestyle and encourages them to attend a rehabilitation program following discharge.

Master of Surgery Candidate

Professor Afif.F Hadj

Department of Surgery

Dandenong Hospital.

During 2009 Professor Hadj spent a sabbatical in the Monash

Department of Surgery at Alfred Hospital. He is currently writing a Master of Surgery Thesis on work that he has done on the application of long acting bupivicane as an analgesic in surgical procedures.

Books

1) Braun L, Cohen M. Herbs and Natural Supplements- an evidence based guide. 3rd edition. Sydney: Elsevier

Australia, 2010, IN PRESS

2) JV Rosenfeld. The Management of Acute Neurotrauma in Rural and Remote Locations:A Set of Guidelines for the Care of Head and Spinal Injuries.The Trauma

Committee of the Neurosurgical Society of

Australasia. 3 rd Edition – 2010

BOOKS – Contributing Author

1.

The Management of Acute Neurotrauma in Rural and

Remote Locations: A Set of Guidelines for the Care of

Head and Spinal Injuries.

The Trauma Committee of the Neurosurgical Society of

Australasia.

3rd Edition – 2010

Book Chapters

1) Braun L. Introduction to Clinical Nutrition. In : Phelps K,

Hassed C. Integrative General Practice. Elsevier

Australia, In PRESS 2010

2) Braun L. Introduction to Phytotherapy. In : Phelps K,

Hassed C. Integrative General Practice. Elsevier

Australia, In PRESS 2010

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3) Braun L. Introduction to Herb-drug interactions. In :

Phelps K, Hassed C. Integrative General Practice.

Elsevier Australia, In PRESS 2010

4) Roth J, Constantini S, Rosenfeld JV,.

Management of brain tumors in the pediatric patient.

In: Brain tumors.

Editors: Kaye AH, Laws E. London. 3rd Edition

Churchill Livingstone (In press 2010)

5) Rosenfeld J V.

The military trauma system in Iraq and the in-hospital management of blast injuries and mass casualties:

Lessons for civilian hospitals

In: Medical response to terror threats. Chapter 7: pages 49-55.

6) JV Rosenfeld Editor: Richman A, Shapira SC, Sharan

Y. NATO Science for Peace and Security Series E:

Human and Societal Dynamics – Vol 65.

IOS Press. ISBN 978-1-60750-502-0. Published 2010.

7) Rosenfeld J V, Harvey AS. Hypothalamic Hamartoma:

In: Neuro-Oncology of CNS Tumors. 2 nd Edition.

Pediatric Neuro-Oncology Section. Chapter 34: 491-

502. Editors Rutka JT, Tonn and Westphal.

New York, Springer-Verlag. ISBN 978-3-642-02873-1.

Published 2010.

8) Rosenfeld JV.

Neurosurgical injuries related to terror.

In: Essentials of terror medicine. Chapter 19: pages

313-336. Editors: Shapira S, Hammond J, Cole LA.

New York: Springer Verlag. ISBN 978-0-387-09411-3.

Published 2009.

MUDS( Alfred ) Publications for 2009

Journal Articles

1) Ackland HM, Marshall NL, Hall NDP, Walker PA,

Varma DK. Unilateral internal jugular venous thrombosis in a young trauma patient Injury Extra.

2009 Nov; 40(11): 246-8

2) Adamides AA, Cooper DJ, Rosenfeldt FL, Bailey MJ,

Pratt N, Tippett N, Rosenfeld JV.Focal cerebral oxygenation before and after brain tissue oxygen guided therapy in patients with severe traumatic brain injury. Acta Neurochirurgica DOI 10.1007/s0070q-009-

0398-y.

3) Adamides AA, Rosenfeldt F, Winter CD, Pratt N, Tippett

NJ, Lewis PM, Bailey M, Cooper DJ, Rosenfeld JV.Brain tissue lactate elevations predict episodes of intracranial hypertension in patients with traumatic brain injury. Journal American College of Surgeons

209(4):531-9, 2009.

4) Anderson V, Catroppa C, morse S, Haritou F, Rosenfeld

JV. Intellectual outcome from preschool traumatic brain injury: a 5 year propective, longitudinal study.

Pediatrics Dec 124(6): 1064-71,2009.

5) Ashton E, Rosenfeldt FL. Why did high-dose rosuvastatin not improve cardiac remodelling in chronic heart failure? Mechanistic insights from the

UNIVERSE study. Int J Cardiol. 2010 Jan 18. [Epub ahead of print]

6) Braun, L,The Poisons Standard and herbal medicines.; J

Complement Med, 2009 Jan-Feb; 8 (1): 41-2, 59

7) Braun, L; Cohen, M;Drug-complemenatry medicine interactions: part 1. J Complement Med, 2009 Jan-Feb;

8 (1): 62-6

8) Braun, L; Cohen, M;Drug-complementary medicine interactions: part 5. J Complement Med, 2009 Sep-Oct;

8 (5): 55-61

9) Braun, L; Cohen, M;Drug-complementary medicine interactions: part 4. J Complement Med, 2009 Jul-Aug;

8 (4): 58-61

10) Braun, L; Cohen, M;Drug-complementary medicine interactions: part 3. J Complement Med, 2009 May-

Jun; 8 (3): 58-61

11) Braun, L; Cohen, M;Drug-complementary medicine interactions: part 2. J Complement Med, 2009 Mar-

Apr; 8 (2): 64-8

12) Braun, L; Benefits of the sunshine vitamin. AJP, 2009

Oct; 90 (1073): 44-5

13) Braun, L; Policosanol: sugar-cane wax wanes in trials. J

Complement Med, 2009 Jul-Aug; 8 (4): 46-7

14) Braun, L; Taking another look at vitamin E. AJP, 2009

May; 90 (1068): 50-1

15) Braun, L;Green tea - benefits revealed. AJP, 2009 Mar;

90 (1066): 52-3

16) Braun, L;Integrative pharmacy: threat or fantasy? J

Complement Med, 2009 May-Jun; 8 (3): 41-2

17) Braun, L;Staying well in the long term. AJP, 2009 Jul;

90 (1070): 50-1

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18) Braun, L;Vitamin C and kidney stones. J Complement

Med, 2009 Mar-Apr; 8 (2): 42-4

19) Burton P, Brown WA, Laurie C, Richards M Hebbard G,

O’Brien P Effects of band adjustments on intraluminal pressure Obesity Surgery. 2009; 19:1508-14

20) Burton PR, Brown W, Laurie C, Richards M, Afkari S,

Yap K, Korin A, Hebbard G, O'Brien PE. The Effect of

Laparoscopic Adjustable Gastric Bands on Esophageal

Motility and the Gastroesophageal Junction: Analysis

Using High-Resolution Video Manometry. Obes Surg.

2009 May 8. Epub ahead of print. June 9.

21) Burton PR, Button B, Brown W, Lee M, Roberts S,

Hassen S, Bailey M, Smith A, Snell G. Medium-term outcome of fundoplication after lung transplantation.

Dis Esophagus. 2009 Jun 9. Epub ahead of print

22) Catroppa C, Anderson VA, Muscara F, Morse SA,

Haritou F, Rosenfeld JV, Heinrich LM.Educational skills

– Long-term outcome and predictors following pediatric traumatic brain injury. Neuropsychological

Rehabilitation 6:1-17, 2009.

23) Chaudhuri K, Malham GM, Rosenfeld JV. Survival of trauma patients with coma and bilateral fixed dilated pupils.Injury 40:28-32, 2009.

24) Chew P, Yuen DYC, Stefanovic N, Pete J, Coughlan

MT, Jandeleit-Dahm KA, Thomas MC, Rosenfeldt

FL, Cooper ME, de Haan JB. Anti-atherosclerotic and renoprotective effects of Ebselen in the diabetic Apolipoprotein E/GPx1-double knockout mouse. Diabetes. 2010 Sep 7. [Epub ahead of print]

25) Collinson SL, Meyyappan A, Rosenfeld JV, Injury and recovery: Severe amnestic syndrome following traumatic brain injury. Brain Injury 23(1): 71-76, 2009.

26) Freilich M, Stub D, Esmore D, Negri J, Salamonsen R,

Bergin P, Leet A, Richardson M, Taylor A, Woodard J,

Kaye D, Rosenfeldt F. Recovery from anthracycline cardiomyopathy after long-term support with a continuous flow left ventricular assist device. J Heart

Lung Transplant 2009 Jan;28(1):101-

27) Godfrey C, Morse S, Rosenfeld JV, Haritou F, Kean M,

Maller J, Catroppa C, Beauchamp M.Implications of reduced callosal area for social skills after severe traumatic brain injury in children.

J Neurotrauma (In press 2009).

28) Goldschlager T, Jenkin G, Young R, Rosenfeld JV.

Anterior Cervical Discectomy and Fusion in the Ovine

Model Journal of Visualized Experiments Oct

5;(32).pii:1548.doi;10.3791/1548, 2009.

29) Hodgson CL, Tuxen DV, Holland AE, Bailey M,

Keating JL, Pilcher D, Thomson KR, Varma, DK

Oxygen desaturation does not indicate a failed recruitment maneuver in patients with acute lung injury. J Critical Care Med. 2009 Nov;

30) Jackson AC, Enderby K, O’Toole M, Thomas SA, Ashley

D, Rosenfeld JV, Simos E, Tokatlian N, Gedye R. The

Role of Social Support in Families Coping with

Childhood Brain Tumour. Journal of Psychosocial

Oncology 27(1):1-24, 2009.

31) Leach J, Richard G Bittar. BMP-7( OP-1) Safety in anterior cervical fusion surgery J Clin Neurosci. 2009

Nov;16(11):1417-20. Epub 2009 Aug 7.

32) Leong JY, van der Merwe J, Pepe S, Bailey M,

Perkins A, Lymbury R, Esmore D, Marasco S,

Rosenfeldt FL. Perioperative metabolic therapy improves redox status and outcomes in cardiac surgery patients: A randomised trial. Heart Lung

Circ. 2010 Oct;19(10):584-91. Epub 2010 Aug 2.

33) Lim H, Arasco SF, Jaaweera S, Calderone A, Pepe S,

Rosenfeldt FL. Protective Role of Coenzyme Q

10

Two Models of Rat Lung Injury. ANZ J Surg. 2010

Apr;80(4):265-70.

34) Lindstrom SJ, Mennen MT, Rosenfeldt FL, Salamonsen

RF. Quantifying recirculation in extracorporeal membrane oxygenation: a new technique validated.

Int J Artif Organs 2009; Dec; 32(12):857-63.

35) Malham GM, Ackland HM, Jones R, Williamson OD,

Varma DK. Occipital condyle fractures: incidence and clinical follow-up at a level 1 trauma centre.Emerg Radiol. 2009 Jul;16(4):291-7.

36) Malham GM, Ackland HM, Varma DK, Williamson

OD. Traumatic cervical discoligamentous injuries: correlation of magnetic resonance imaging and operative findings. Spine (Phila Pa 1976). 2009 Dec

1;34(25):2754-9.

37) Miller F, Nagley P, Mariana JA, Ou R, Liu VWS, Zhang

C, Linnane AW, Pepe S, Rosenfeldt F. Age-related decline in stress responses of human myocardium may not be explained by changes in mtDNA. Mech Ageing

Dev 2009; 130:742-747.

38) Oto T, Calderone A, Li Z, Rosenfeldt FL, Pepe S. p38

Mitogen-Activated Protein Kinase Inhibition Reduces

Inflammatory Cytokines in a Brain-Dead Transplant

Donor Animal Model. Heart Lung Circ 2009 Jul 30.

[Epub ahead of print]

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39) Rosenfeld JV, O’Connor M.The Defence White Paper and its Implications for Defence Health ADF Health.

Journal of the Australian Defence Force Health Services

10(1):9-12, 2009.

40) Rosenfeld JV.Editorial: How confident can we be in predicting outcome in patients with a minimal

Glasgow Coma Score? Injury (2009) doi:10.1016/jinjury.2009.08.018

41) Schoenwaelder M, Maclaurin W, Varma DK. Assessing potential spinal injury in the intubated multitrauma patients: does MRI add value? Emerg Radiol 2009

Mar;16(2): 129-132

MUDS( Alfred ) Publications for 2010

1) Alsayali MM, Atkin C, Rahim R, Niggemeyer LE,

Doody O, Varma DK. Traumatic adrenal gland injury: epidemiology and outcomes in a major

Australian trauma center. Eur J Trauma and Emerg

Surg. 2010 Jul;

2) Anderson JFI, Rosenfeld JV.Long-term cognitive change after transcallosal resection of hypothalamic hamartoma in older adolescents and adults with gelastic seizures. Epilepsy & Behaviour 18: 81-87,

2010.

3) Ashton E, Rosenfeldt FL. Why did high-dose rosuvastatin not improve cardiac remodelling in chronic heart failure? Mechanistic insights from the

UNIVERSE study. Int J Cardiol. 2010 Jan 18. [Epub ahead of print]

4) Bear RE, Fitzgerald P, Rosenfeld JV, Bittar RG,

Neurosurgery for Obsessive-Compulsive Disorder: contemporary approaches.J Clin Neurosci 17:1-5,

2010.

5) Bernard,S, Nguyen V, Cameron P, Masci K, Fitzgerald

M, Cooper J, Walker T, Myles P, Murray L, Taylor D,

Smith K, Patrick I, Edington J, Bacon A, Rosenfeld JV,

Judson R.Prehospital rapid sequence intubation improves functional outcome for patients with severe traumatic brain injury: A randomized, controlled trial.Annals of Surgery (In Press February 2010)

6) Chambers AJ, Liston P, Reade MC, Courtenay BG, Higgs

A, Rosenfeld JV.Surgery for Blast Injuries: Experiences of an Australian Surgical Team in Afghanistan.ANZ

Journal of Surgery (In Press September 2010).

7) Chew P, Yuen DYC, Stefanovic N, Pete J, Coughlan MT,

Jandeleit-Dahm KA, Thomas MC, Rosenfeldt FL, Cooper

ME, de Haan JB. Anti-atherosclerotic and renoprotective effects of Ebselen in the diabetic

Apolipoprotein E/GPx1-double knockout mouse.

Diabetes. 2010 Sep 7. [Epub ahead of print]

8) Fitzgerald M, Cameron P, Mackenzie C, Farrow N,

Scicluna P, Gocentas R, Bystrzycki A, Phil GLM, O’Reilly

G, Andrianopoulos N, Dziukas L, Cooper DJ, Silvers A,

Mori A, Smith S, Xiao Y, Stub D, Rosenfeld JV .Trauma resuscitation errors and computer assisted decision support. Arch Surg (In Press January 2010).

9) Francis McDermott, Stephen Cordner and

Victoria Winship. Addressing inadequacies in

Victoria’s trauma system: Responses of the

Consultative Committee on Road Traffic

Fatalities and Victorian trauma services .

10) Goldschlager T, Ghosh P, Zannettino A, Gronthos S,

Rosenfeld JV, Itescu S, Jenkins G.Cervical Motion

Preservation using Mesenchymal Progenitor Cells and a novel chrondrogenic agent, Pentosan Polysulfate – A preliminary study in an ovine model.Neurosurgical

Focus 28(6)E4:1-8, 2010.

11) Goldschlager T, Ghosh P, Zannettino A, Williamson M,

Rosenfeld JV, Itescu S, Jenkin G. A comparison of

Mesenchymal precursor cells with amnion epithelial cells for enhancing cervical interbody fusion in an ovine model.Neurosurgery (In press June 2010).

12) Goldschlager T, Jenkin G, Ghosh P, Zannetinno A,

Rosenfeld JV.Potential applications for using stem cells in spine surgery.Curr Stem Cell Res Ther. 2010. June 9.

PMID:20528753.

13) Hwang PY, Lewis PM, Balasubramani YV, Madan A,

Rosenfeld JV.The epidemiology of BCVI at a single state trauma centre.Injury (In press April 2010).

14) Leong JY, van der Merwe J, Pepe S, Bailey M, Perkins A,

Lymbury R, Esmore D, Marasco S, Rosenfeldt FL.

Perioperative metabolic therapy improves redox status and outcomes in cardiac surgery patients: A randomised trial. Heart Lung Circ. 2010

Oct;19(10):584-91. Epub 2010 Aug 2.

15) Lim H, Arasco SF, Jaaweera S, Calderone A, Pepe S,

Rosenfeldt FL. Protective Role of Coenzyme Q

10

Two

Models of Rat Lung Injury. ANZ J Surg. 2010

Apr;80(4):265-70.

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16) Markman PL, Rowland MA, Leong JY, Van der Merwe

J, Storey E, Marasco S, Negri J, Bailey M, Rosenfeldt FL.

Skeletonized internal thoracic artery harvesting reduces chest wall dysesthesia after coronary bypass surgery. J Thorac Cardiovasc Surg. 2010

Mar;139(3):674-9.

17) Oehme D, Leach J, Madan A, Rosenfeld JV.Images in

Neuroscience – Question.Headache, collapse and coma.J Clin Neurosci (In press April 2010).

18) PM Lewis, Goldschlager T, Rosenfeld JV.Image guidance for rapid temporal acoustic window localisation prior to Transcranial Doppler ultrasound in the neurosurgical patient: Technical note. British

Journal of Neurosurgery 24(3): 303-305, 2010.

19) Repse S, Pepe S, Anderson J, McLean C, Rosenfeldt FL.

Cardiac Reanimation for Transplantation After Cardiac

Death. J Heart Lung Transplant. 2010 Jul;29(7):747-55.

Epub 2010 Apr 22.

20) Rosenfeld JV “Challenging issues in randomized controlled trials” On behalf of the POLAR and EPO

Investigators. Injury 41S(2010) S20-

S23:2010.03.033,doi:10.1016

21) Rosenfeld JV, Cooper DJ. Editorial. What is the role for decompressive craniectomy in severe traumatic brain injury?Injury 41: 899-900, 2010.

22) Rosenfeld JV. Editorial: How confident can we be in predicting outcome in patients with a minimal

Glasgow Coma Score?Injury 41: 50-51, 2010.

23) Rosenfeld JV.How will we produce the next generation of military surgeons Re: Skillsets and competencies for themodern military surgeon: Lessons from UK military operations in southern Afghanistan. Editorial.Injury

41(5):435-436, 2010.

Dictionary contributions

1.

Braun L. Mosby's Dictionary of Medicine, Nursing and

Health Professions - Complementary medicine 2 nd

edition. In: Harris P, Nagy S, Vardaxis N, eds. Mosby's

Dictionary of Medicine, Nursing and Health

Professions. Sydney: Mosby, Elsevier Australia, 2009.

Letters

2.

Varatharajah K, Rosenfeldt FL. Changes in noninfarcted myocardium explain benefits of on-pump beating-heart coronary artery bypass grafting for acute myocardial infarction. J Thorac Cardiovasc Surg

2009 Jun;137(6):1575-6; author reply 6-7.

Used Textbooks needed in Africa

A PhD student from East Africa is looking for and would be grateful to receive used text books for use in

Africa. Even old editions will be welcomed by African

Doctors and students. Donated books can be left with

Catherine Wong in the Monash Department of

Surgery at the Alfred for dispatch to Africa via the

Alfred Chaplaincy Service

MUSIG 2009

Departmental Musicians

On Sunday July 11 th at the ABC Iwaki Auditorium the doctors’ orchestra, Corpus Medicorum presented a concert of music featuring compositions by Mozart, Haydn and Brahms.

Professor Jeffrey Rosenfeld was the lead clarinetist and was impressive in the Brahms First Symphony in C minor. Professor

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Rosenfeld was ably supported by Jonathan Choong (MUDS B

Med Sc Student) as a violinist.

Formed by Melbourne Cardio-Thoracic Surgeon Phillip Antippa,

Corpus Medicorum features many of the core musicians of The

Australian Doctors’ Orchestra. 'Corpus Medicorum' - meaning body of doctors - aims to keep the spirit of the Doctors'

Orchestra alive by performing challenging and popular chamber music recitals several times a year.

Obituary

David Baxter (27/3/1977-2/7/2010)

It’s always distressing when a life ends prematurely. Doubly so when the life is that of a talented sportsperson, and additionally so again when it is one poised to make a significant contribution to society.

David Baxter, died in Sweden tragically young at the age of 33, was such a person. Most of his allotted span was ahead of him, but David was already a sprinter of international class and a

Commonwealth Games relay medallist. To his regret, he had failed to make an Olympic team, though he was not the type to dwell on disappointment.

In the months before he died as a result of a brain tumour,

David Baxter had determinedly pursued his studies in neurosurgery. He was accepted into a course in Edinburgh, one of the handful selected from the hundreds of nominations.

Those studies will now never be completed and that career never fulfilled, but his close friend and fellow-sprinter, Lauren

Hewitt, says it is typical of his character that he embarked on the journey.

“He made it into the program. It was an irony being accepted into a neurosurgery course at the same time as he was diagnosed with a tumour.” It was an irony David Baxter would have appreciated.

Hewitt and other friends recall David Baxter as being a passionate man. “Athletics and academia were his two passions,” said Hewitt.

Tamsyn Lewis, another close friend and a teammate on several occasions, recalled how Baxter would usually have his head buried in a medical book as the team bus took them to the track. “He was one of the most amazing people you’d ever meet,” she said.

Jana Rawlinson described Baxter as “a pretty inspirational bloke.”

Baxter had only recently married his Swedish girl-friend, Judith.

The ceremony took place in one of Stockholm’s public parks, a welcome and joyful outing during his treatment.

I met David Baxter when he competed for his Doncaster club in

Victorian State League competition. One night at Olympic Park,

I was in the Athletics Victoria office at the same time as a woman who turned out to be his mother. When she heard I was a journalist, she said I should write something about her son, who was a very good sprinter.

The David I remember was a someone who was passionate about his sport and never hesitated to give you his views about how it was developing. Like me, I suspect he occasionally enjoyed putting a contrary view for the sake of putting a contrary view, but he was a good listener, too, and the exchanges were always enjoyable.

Invariably, in the manner of his mother at that first meeting, he would be suggesting that I write something. Sometimes I did, sometimes I didn’t, but it was always a spirited conversation.

Athletically, the high points of David Baxter’s career were his bronze medals in the 4x100 metres at both the 1996 world junior championships in Sydney and the 2002 Commonwealth

Games in Manchester. He was also the Australian junior champion at both 100 and 200 metres in 1995-96. He was a member of the 4x100 relay squad at the 1999 world championships in Seville. His best times were 10.30 seconds for

100 metres and 20.57 for 200.

(David Baxter: A Column By Len Johnson

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MONASH UNIVERSITY DEPARTMENT

OF SURGERY2010 WORKSHOP

PICTURES

Mr Charles Baillieu &

Professor Frank Rosenfeldt discussing suturing.

Hannah getting some training with the

Laproscopic trainer from Dr

Richard Chen.

Halina Lisnichuk ( 2 nd Year

Resident) teaching suturing.

Jin Tee (Neurosurgery

Registrar) demonstrating suture techniques.

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