Cardiovascular Sciences Collaborative Program University of Toronto Annual Activity Report 1994-1995 It gives me great pleasure to announce that the Cardiovascular Sciences Collaborative Program underwent its first 3 year review, and with the support of our faculty and students was resoundly endorsed for another 5 year term. I would like to thank everyone that has been involved with the Program from the very beginning as well as our new members on their continuing hard work and support. The Cardiovascular Sciences Collaborative Program has had an extremely busy, productive, and successful year. Many changes and improvements took place at the University of Toronto and the Program also looked at ways of improving, whether it was with increased student enrolment or funding. I look forward to the next 5 years and all that the Cardiovascular Sciences Collaborative Program can bring to the students, the faculty, and the university community. Dr. C. Wittnich Director COLLABORATING DEPARTMENTS Clinical: Department of Medicine Department of Surgery Graduate: Cellular and Molecular Pathology Department of Clinical Biochemistry Department of Community Health (Exercise Science Program) Department of Pharmacology Department of Physiology Institute of Medical Science (IMS) Other: The Centre for Cardiovascular Research Institute of Biomedical Engineering (IBME) (new for 1994/95) EXECUTIVE COMMITTEE The Executive Committee consists of a representative from each collaborating department. Dr. C. Wittnich (Director) Dr. M. Plyley (Community Health) Dr. A.I. Gotlieb (Pathology) Dr. C. Forster (Pharmacology) Dr. D.H. Osmond (Physiology) Dr. R.D. Weisel (IMS) Dr. C-C. Liew (Clinical Biochemistry) Dr. M. Ojha (IBME) COURSES OFFERED BME1448H CHL4607H CHL3608H Cardiovascular Fluid Mechanics (Biomedical Engineering) Cardiovascular Adaptations to Exercise and Environment (Community Health) Ischemic Heart Disease and Physical Activity (Community Health) CLB1407 CLB1504 CLB1503 JEB1365H JTC1331 MSC3060H* MSC3061H* PAT1015H PCL1006Y PSL1029H PSL1060H PSl1038H From Bench to Bedside: Design, Measurement and Analysis for Clinical Investigators (Clinical Biochemistry) Biochemistry, Molecular Biology of Cardiovascular Disease (Clinical Biochemistry) Signal Transduction Pathways in Normal and Diseased Tissue (Clinical Biochemistry) Ultrasound: Theory and Applications in Biology and Medicine Biomaterials Science Advanced Research in Cardiovascular Sciences I (IMS) Advanced Research in Cardiovascular Sciences II (IMS) Vascular Pathobiology (Pathology) Cardiovascular Pharmacology (Pharmacology) Advanced Course in Cardiovascular Regulation (Physiology) Developmental Cardiovascular Physiology (Physiology) Volume, Electrolyte and Pressure Regulation in Body Fluid Compartments (Physiology) *Core Courses For a Doctoral Degree, the student is required to take the full credit course MSC3060/3061 as well as fulfil the requirements of the home department. For a Master’s Degree, the student is required to take a one-half course selected from the cardiovascular curriculum in addition to any specific requirements from the home department. PROGRAM SPONSORED ACTIVITIES Annual Cardiovascular Scientific Day - June 15, 1995 Because of the significant changes occurring in our healthcare system, it was decided that the annual University of Toronto - Centre for Cardiovascular Research Scientific Day would feature "The Impact of Health Care Reform on Research and Education in Cardiovascular Science". A number of outstanding speakers shared the platform. Dr. Charles Hollenberg, CEO, Ontario Cancer Treatment and Research Foundation, spoke on "An Overview of Health Care Reform", Dr. Alan Hudson, President and CEO of The Toronto Hospital, shared his views on "Strategic Options for the Teaching Hospitals" and Dean Arnie Aberman, Faculty of Medicine, University of Toronto, spoke on "Strategic Options for the University of Toronto". Two invited speakers, Dr. Eldon Smith, Dean, Faculty of Medicine, University of Calgary, gave the Isadore Edward Smith Lecture on "The Impact of Health Care Reform on Academic Medicine in Alberta" and Mr. Jeff Heseltine, Medical Director for Nordic Marion Merrell Dow Research, spoke on “Industrial-Academic Relationships”. A lively question period ensued! A number of breakout sessions were held in the morning and afternoon. Morning topics included sessions on Diabetes and Cardiovascular Disease as well as Featured Research which covered a spectrum from genetics to cultured cardiomyocytes as potential future treatment methods. Afternoon sessions included Nitric Oxide as the Molecule of the Decade and updates on New Therapeutic Approaches. As well there was a Nursing and Perfusion session. A complimentary lunch allowed for faculty and student interactions and during this time posters were also presented. The following students were awarded prizes for their posters: lst Prize - J. Ikonomidis - "Ischemic" or adenosine preconditioning of human ventricular cardiomyocytes is protein kinase C dependent. 2nd Prize - M. Yang - Feasibility of RT-PCR to assess cardiac-specific gene expression in human myocardial biopsies: Sample variability. 3rd Prize (tied) - D.C.H. Cheng - Cost analysis of early vs conventional extubation post coronary artery bypass graft (CABG) surgery: A prospective randomized controlled study, and S.M. Torrance - Duration of ischemia is not the primary predictor of post-ischemic functional recovery in immature hearts. CME credits (6.5) were issued for this meeting continuing the high quality of the scientific content. My thanks to industry for their continued financial support and generosity so essential to the success of this meeting. Once again, the scientific day was a resounding success and continues to be the highlight of our academic year with well over 250 participants. Heartline In keeping with these times of financial constraint, it was decided to produce the newsletter using desktop publishing from our office. It was hoped that this format would allow for more cost effective and timely distribution of announcements and news. With cooperation from the various departments it was hoped that the newsletter would be produced on a quarterly basis. Should sponsorship become available a return to the original format would occur. Inside the Heart Lecture Series A number of interesting speakers contributed their time and knowledge to this lecture series and topics covered included an overview on cardiac muscle metabolism and function from all aspects including physiology, hemodynamic, and cellular to clinical. Additional emphasis was placed on a molecular biology approach and a series of lectures were held providing insight into not only the basics but how this technology can be used in current research on myocardial diseases. Summer Activities The Cardiovascular Sciences Collaborative Program, along with the Division of Cardiac Surgery, ran a very successful summer program. With the many applicants (high school, undergraduate, and medical school students), the Program was able to place 17 students with faculty. All of these students were funded by various agencies and, for the first year, the Program was awarded 5 Life Science Awards from the Faculty of Medicine. ADVERTISING MATERIAL An updated brochure and poster were created and circulated to reflect the new participating departments. The poster has a brighter look to encourage additional recruitment and promote dissemination of information to interested faculty and students. In addition, the Program also has a home page at the University of Toronto internet site and it is hoped that this will be expanded to include cross referencing with the participating departments and groups and more information on Program faculty. Other material that gives the Program exposure is the brochure, Scientific Day pamphlet, and industry sponsored seminars. PROGRAM FACULTY The faculty are divided into 3 categories (Full, Associate, and Affiliate) depending on their SGS status. Affiliate members participate in graduate training but do not, as yet, have SGS status. FULL: ASSOCIATE: AFFILIATE: RETIRED: U. Ackermann, C.E. Bayliss, D. Bradley, J. Edelson, J.S. Floras, C. Forster, A.I. Gotlieb, K.W. Johnston, P.G. Kalman, B.L. Langille, H. Lenskyj, C-C. Liew, P. Liu, P. McLaughlin, D.A.G. Mickle, L. Mickleborough, R.I. Ogilvie, M. Ojha, D.H. Osmond, M.J. Plyley, M. Rabinovitch, I. Rebeyka, N.A. Shaikh, I. Sherman, M.D. Silver, K. Skorecki, A.S. Slutsky, M.J. Sole, H. Sonnenberg, G. Steiner, P. Walker, R.D. Weisel, G. Wilson, C. Wittnich, T-W. Wu, E.L. Yeo J. Coles, E. Conway, J.M. Goodman, L.S. Goodman, J. Irvine, S.G. Thomas A.G. Adelman, R.J. Burns, J. Butany, C.M. Feindel, G.F. Lewis, R-K. Li, T. Lindsay, J. Parker, L. Schwartz Professor R.J. Shephard PROGRAM STUDENTS Student Supervisor Degree Department Ms. Cathy Carlyle Dr. C. Wittnich MSc IMS Dr. Bryce Cowan Dr. Roberto Diaz Dr. Ricardo Fontani Ms. Kyle Harrow Dr. John Ikonomidis Ms. Giulia Larosa Dr. Vivek Rao Ms. Shona Torrance Mr. Jack Wallen Dr. Sonia Yovtcheva Dr. M. Rabinovitch Dr. G. Wilson Dr. G. Steiner Dr. J. Goodman Dr. R. Weisel Dr. C. Forster Dr. R. Weisel Dr. C. Wittnich Dr. C. Wittnich Dr. D. Osmond PhD MSc MSc PhD PhD PhD MSc PhD MSc MSc Pathology IMS IMS Community Health IMS Pharmacology IMS IMS Physiology Physiology CONVOCATED STUDENTS/FOLLOW-UP Dr. Silvana Molossi (Supervisor: Dr. M. Rabinovitch) obtained her PhD through the Department of Pathology in 1994. Silvana has since returned to her native country of Brazil and will continue her work as a doctor and researcher. STUDENT ACHIEVEMENTS C. Carlyle B. Cowan R. Diaz K. Harrow G. Larosa V. Rao S. Torrance J. Wallen S. Yovtcheva Open Scholarship, Univ of Toronto SGS Tuition Bursary, Univ of Toronto Heart & Stroke Foundation of Canada Research Traineeship George Brown Award for Excellence in Basic Science Research, Univ of Toronto, Faculty of Medicine Research Day 1st Annual Robert Disenhouse Cardiac-Science Competition and Memorial Lecture Open Scholarship, Univ of Toronto Open Doctoral Fellowship, Univ of Toronto Ontario Graduate Scholarship Open Doctoral Fellowship, Univ of Toronto Research Travel Award, American Society of Pharmacology and Experimental Therapeutics Heart & Stroke Foundation of Ontario Research Fellowship Pharmaceutical Roundtable Research Fellowship Heart & Stroke Foundation of Canada Research Traineeship Medtronic Travel Award, Cardiovascular Sciences Collaborative Program, Univ of Toronto Runner-up, Margaret McWilliams Pre-Doctoral Fellowship, Canadian Federation of University Women Dan Roncari Book Prize, Institute of Medical Science, Scientific Day, Univ of Toronto 3rd Prize, Poster Competition, Annual Cardiovascular Scientific Day, Univ of Toronto The Centre for Cardiovascular Research Student Fellowship Open Masters Fellowship, Univ of Toronto Medtronic Travel Award, Cardiovascular Sciences Collaborative Program, Univ of Toronto DIRECTOR’S COMMENTS With the review and renewal of the Program, the Executive Committee also confirmed their renewal for another term. As well, the Director was renewed for an additional 5 year term. This year, again, student enrolment increased (6 Master’s and 5 PhD trainees). It is clear that every year the number of students enrolled in our program increases. However, the focus of this upcoming year will be to increase student awareness of the Program and its potential benefits. Concern has been raised from some quarters regarding our "low" student enrollment. It should be pointed out that it is the feeling of this Director that it is the quality of the student and not the quantity that counts. With annual student meetings, consultations, and feedback, it is clear that there is a high satisfaction rate with the current participating students. However, it is acknowledged that now that the Program has received its 5 year endorsement this would be an appropriate time to increase recruitment of appropriate candidates. One way of encouraging students to enroll is through course MSC3060/3061 which continues to undergo restructuring and improvement. There is now a selection of basic and clinical subject areas which will be covered in a cyclical fashion across a 2 year period. This will allow students to select 2 of approximately 4 options, most relevent to their area of study. As this particular course is meant to be current topics in research it is also important that these be frontline subject areas relevent to the moment. In order to better meet the needs of our students a reading/student room was created adjoining the Program office at the FitzGerald Building. This has met with enthusiastic support from both faculty and students. With space at a premium in the Medical Sciences Bldg., areas for small group get-togethers is becoming more and more difficult to find. The reading/student room provides a milieu for interaction and discussion of common interests and goals within the Program. A computer with internet access will eventually be available for common use. With the cooperation and assistance of Marion Merrell Dow Canada, plans are progressing for setting up an internet web site for both faculty and students. This will link us with other cardiovascular groups not only on campus but at other centres and across the country/world. It is clear that the university is rapidly moving to electronic methods of communication and with the cooperation of all faculty the Program will endeavour to provide notices, newsletters, and correspondence via e-mail circulation as much as possible. This will also cut down on time and cost and facilitate more rapid information sharing among the Program faculty and students. A formal recognition of students completing the Program is done every year at the Annual Cardiovascular Scientific Day. The graduates are recognized with a "Program Certificate" and a book entitled "Pioneers of Cardiology in Canada 1920-1970". The donation of this book has been provided by the Canadian Cardiovascular Society on an annual basis in recognition of our Program graduates. The Medtronic Travel Award has become an ongoing annual competition and a number of meritorious cardiovascular students have benefited from this fund. This has offset expenses of students attending national or international meetings where their research work has been presented. There has been significant effort on the part of the Director to ensure external and industry funding to cover the operating expenses of the Program. This was the first year that the majority of Program expenses were covered thanks in large part to the generousity of Pfizer Canada - and it is hoped that with the continued support of our corporate sponsors this will be assured in the future. The W.G. Bigelow book prize was established for outstanding research done by a graduate student enrolled in the Program. The inaugural awardee was Dr. John Ikonomidis who recently completed his PhD entitled "Preconditioning Human Ventricular Cardiomyocytes" under the supervision of Dr. Richard Weisel from the Department of Surgery and Institute of Medical Science. John did his research at the Centre for Cardiovascular Research. For the 1995-96 academic year, we plan to continue the above activities along with the plans and priorities listed below: 1. 2. 3. 4. 5. Agressive student recruitment campaign. Expanding and setting up the World Wide Web site. Bridge funding for Program students. Working toward a permanent financial base support. Developing the 2 year curriculum for MSC3060/3061. 6. Establish invited lectureships (4 per year). PUBLICATIONS - STUDENTS Tsao PW, Mills GB, Diaz RJ, Radde IC, Martell MF, Augustinie JM, Parkinson D, Waddell J, Wilson GJ, Coles JG: Evidence that increases in lymphocyte tyrosine phosphrylation precede cardiac allograft rejection. Transplantation 58:451-457, 1994. Larosa G, Armstrong PW, Forster C: Endothelium-dependent relaxations in canine coronary arteries are enhanced in early heart failure and persist in recovery. Can J Physiol Pharmacol 72:1148-1154, 1994. Rao C, Rao V, Heggtveit HA, King DL: Sudden death due to coronary artery anomalies. Case report and clinical review. J. Forensic Sciences 39(1):246-252, 1994. Christakis GT, Fremes SE, Koch JP, Harwood S, Juhausz S, Sharpe E, Deemar K, Hamilton C, Chen E, Rao V, Chang G, Goldman BS: Determinants of low systemic vascular resistance during cardiopulmonary bypass. Ann Thorac Surg 58:1040-1049, 1994. Komeda M, David TE, Rao V, Sun Z, Weisel RD, Burns RJ: Late hemodynamic effects of the preserved papillary muscles during mitral valve replacement. Circulation 90(2):II190-II194, 1994. Torrance SM, Wittnich C: Blood lactate and acid-base balance in graded neonatal porcine hypoxia: Evidence for oxygen-restricted metabolism. J Appl Physiol 77:2318-2324, 1994. PUBLICATIONS - FACULTY Aimone E, Thomas SG, Smith AW, McConnell SG: The stability of physiologic responses to a stair stepping task in healthy older women. Proc of 10th Commonwealth and International Science Conference. (Eds. F.I. Bell, G.H. Van Gyn) p209-214, 1994. Aoyagi Y, McLellan T, Shephard RJ: Skin temperature during exercise in the heat: Effects of endurance training, heat acclimation and protective clothing. Can J Appl Physiol 19(S):1P, 1994. Awerbuck D, McKee NH, Luong V, Plyley MJ: Skeletal muscle form and function after 4 hr ischemiahypothermia. J Surg Res 57:480-486, 1994. Baroldi G, Silver MD: Sudden death in ischemic heart disease. Austin TX: Landes Publishers, 1995. Batsford WP, Mickleborough LL, Elefteriades JA: Ventricular arrhythmias in heart failure. IN: Cardiology Clinics Vol 13 #1; Advanced Treatment Options for the Failing Left Ventricle (Ed.) M.H. Crawford. W.B. Saunders, Philadelphia Company, pp87-91, 1995. Beanlands RSB, Shaikh NA, Wen WH, Dawood F, Ugnat AM, McLaughlin PR, Carere R, Liu P: Alterations in fatty acid metabolism in adriamycin cardiomyopathy. J Mol Cell Cardiol 26:109-119, 1994. Belik J, Keeley FW, Baldwin F, Rabinovitch M: Pulmonary hypertension and vascular remodelling in the fetal sheep. Am J Physiol 266 (Heart Circ Physiol35):H2303-H2309, 1994. Bluechardt MS, Wiener J, Shephard RJ: Exercise programmes in the treatment of children with learning disabilities. Sports Med 19:55-72, 1995. Bluechardt M, Shephard RJ: Using an extracurricular physical activity program to enhance social skills. J Learning Disabilities 28:160-169, 1995. Brenner IKM, Shek PN, Shephard RJ: Heat exposure and immune function: Potential contribution to the exercise response. Ex. Immunol Rev. 1:49-80, 1995. Buch S, Han R, Liu J, Moore A, Edelson JD, Freeman BA, Post M, Tanswell K: Basic fibroblast growth factor and growth factor receptor gene expression in 85% 02-exposed rat lung. Am J Physiol 269 (Lung Cell Mol Physiol12): L455-L464, 1995. Buch S, Jassal D, Caniggia I, Edelson J, Han R, Liu J, Tanswell AK, Post M: Ontogeny and regulation of plateletderived growth factor gene expression in distal fetal rat lung epithelial cells. Am J Respir Cell Biol 11:251-261, 1994. Buchman T, Slutsky AS: (Co-editors) The Science and Practice of Acute Medicine. New Horizons 3(2), 1995. Bulley SR, Wittnich C: Adenosine infusion: A rational approach toward induced hypotension. Can J Cardiol 11(4):327-334, 1995. Burns RJ, Iles S, Fund A, Wright LM, Daigneault L: The Canadian exercise technetium-99m teboroxime SPECT study. J Nucl Cardiol 2:117-125, 1995. Burns RJ: Technetium-99m teboroxime: death in utero, infanticide, or failure to thrive? (editorial) J Nucl Cardiol 2:88-91, 1995. Butler GC, Senn BL, Floras JS: Influence of atrial natriuretic factor on spontaneous baroreflex sensitivity for heart rate in humans. Hypertension 25:1167-1171, 1995. Butler G, Naughton MT, Rahman A, Senn B, Benard D, Bradley TD, Floras JS: Acute effects of continuous positive airway pressure on heart rate variability in congestive heart failure. J Am Coll Cardiol 25:672-679, 1995. Christie NA, Slutsky AS, Freeman BA, Tanswell AK: A critical role for Thiol, but not ATP, depletion in 95% 0 2mediated injury of preterm pneumocytes in vitro. Archives of Biochemistry and Biophysics 313:131-138, 1994. Christie NA, Smith DE, DeCampos KN, Slutsky AS, Patterson GA, Tanswell AK: Lung oxidant injury in a model of lung storage and extended reperfusion. Am J Resp and Crit Care Med 150:1032-1037, 1994. Clausell N, DeLima VA, Molossi S, Liu P, Turley E, Gotlieb AI, Adelman AG, Rabinovitch M: Expression of tumor necrosis factor alpha and accumulation of fibronectin in coronary artery restenotic lesions retrieved by atherectomy. Br Heart J 1995. Compeau CG, Ma J, DeCampos KN, Waddell TK, Brisseau GF, Slutsky AS, Rotstein OD: In situ ischemia and hypoxia enhance alveolar macrophage tissue factor expression. Am J Resp Cell Molecular Biol 11:446-455, 1994. Conway EM, Liu L, Nowakowski B, Steiner-Mosonyi M, Jackman RW: Heat shock of vascular endothelial cells induces an upregulatory transcriptional response of the thrombomodulin gene that is delayed in onset and does not attenuate. J Biol Chem 269:22804-22810, 1994. Conway EM, Liu L, Nowakowski B, Steiner-Mosonyi M, Ribeiro SP, Michalak M: Heat shock sensitive expression of calreticulin: In vitro and in vivo upregulation. J Biol Chem 270:17011-17016, 1995. Conway EM, Nowakowski B, Steiner-Mosonyi M: Thrombomodulin lacking the cytoplasmic domain efficiently internalizes thrombin via non-clathrin coated pit mediated endocytosis. J Cell Phys 158:285-298, 1994. Conway EM, Yeo EL: Thrombotic thrombocytopenia purpura. Conn's Current Therapy, W.B. Saunders Co., 1995. Cott CA, Finch E, Gasner D, Yoshida K, Thomas SG, Verrier MC: The movement continuum theory of physical therapy. Physiotherapy Canada 47(2):87-95, 1995. Daneman D, Crompton CH, Balfe JW, Sochett EB, Chatzilias A, Cotter BR, Osmond DH: Plasma prorenin as an early marker of nephropathy in diabetic (IDDM) adolescents. Kidney International 46:1154-1159, 1994. David TE, Feindel CM, Bos J: Repair of the aortic valve in patients with aortic insufficiency and aortic root aneurysm. J Thor Cardiovasc Surg 109:345-352, 1995. David TE, Feindel CM, Bos J, Sun Z, Scully HE, Rakowski H: Aortic valve replacement with a stentless porcine aortic valve - a six year experience. J Thor Cardiovasc Surg 108:1030-1036, 1994. De Hoyos A, Liu PP, Benard DC, Bradley TD: Hemodynamic effects of continuous positive airway pressure in humans with normal and impaired left ventricular function. Clin Sci 88:173-178, 1995. Elefteriades JA, Solomon LW, Mickleborough LL, Cooley DA: Left ventricular aneurysmectomy in advanced left ventricular dysfunction. IN: Cardiology Clinics Vol 13 #1; Advanced Treatment Options for the Failing Left Ventricle. (Ed.) M.H. Crawford W.B. Saunders, Philadelphia Co., pp59-72, 1995. Epp TA, Wang RX, Sole MJ, Liew CC: Concerted evolution of mammalian cardiac myosin heavy chain genes. J Mol Evol 41:284-292, 1995. Ettenson DS, Gotlieb AI: Basic fibroblast growth factor is a signal for the initiation of centrosome redistribution to the front of migrating endothelial cells, at the edge of an in vitro wound. Arterioscler Thromb Vasc Biol 15:515-521, 1995. Ettenson D, Gotlieb AI: Dysfunctional re-endothelialization: Wounds with disruption of migration repair primarily by cell proliferation. Microvascular Res 48:328-337, 1994. Feher JJ, Rebeyka IM: Rapid cooling and pH jump-induced calcium release from isolated cardiac sarcoplasmic reticulum. Am J Physiol 267:H962-H969, 1994. Fernandes ALG, Molfino NA, McLean P, Silverman F, Tarlo S, Raizenne M, Slutsky AS, Zamel N: The effect of pre-exposure to 0.12 ppm of ozone on exercise-induced asthma. Chest 106:1077-1082, 1994. Forster C: Peripheral vascular contractility and protein kinase C in pacing-induced heart failure. Can J Physiol Pharmacol 73:651-660, 1995 Fremes SE, Guo L-R, Furukawa RD, Mickle DAG, Weisel RD: Cardiac storage with UW solution and glucose. Ann Thorac Surg, 58:1368-1373, 1994. Fung YW, Wang RX, Heng HHQ, Liew CC: Mapping of a human LIM protein (CLP) on human chromosome 11p15.1 by fluorescence in situ hybridization. Genomics 28:602-602, 1995. Fyfe AI, Rosenthal A, Gotlieb AI: Immunosuppresive agents and endothelial repair: prednisolone delays migration and cytoskeletal rearrangement in wounded porcine aortic monolayers. Arterioscler Thromb Vas Biol 15:1166-1171, 1995. Gannon GA, Shek PN, Shephard RJ: Natural killer cells: Modulation by intensity and duration of exercise. Ex Immunol Rev 1:1-25, 1995. Gibson WGR, Cobbold RSC, Johnston KW: Principles and design feasibility of a Doppler ultrasound intravascular volumetric flowmeter. IEEE Trans-Biomed Engineering 41:898-908, 1994. Glynn MFX, Johnston KW: Perioperative hemorrhage. IN: Vascular Surgery, 4th Edition. (Ed.) R. Rutherford, W.B. Saunders Publishers, Philadephia, 1994. Goodman J: Exercise and cardiac sudden death: Etiology in apparently healthy individuals. Sport Sci Rev 4(2):1430, 1995. Goodman LS, Goodman JM, Hsia TW, Freeman MR: Measurement of left ventricular function during arm ergometry using the VEST nuclear probe. Can J Appl Physiol 19(4):462-471, 1994. Goodman LS, McKenzie DC, Nath CR, Schamberger W, Taunton JE, Ammann WC: Central adaptations in walking and jogging vs. aerobic circuit-trained cardiac patients. Can J Appl Physiol 20(2):179-198, 1995. Hamsten A, Steiner G: Non-insulin-dependent diabetes mellitus and atherosclerosis: A lipoprotein perspective. J Inter Med 236(Supp.736):1-3, 1994. Hara K, Floras JS: Influence of naloxone on muscle sympathetic nerve activity, hemodynamics and ambulatory blood pressure after exercise: Evidence for impaired opioidergic response to exercise in young subjects with mild essential hypertension. J Hypertension 13:447-461, 1995. Hara K, Senn BL, Floras JS: Evaluation of acute haemodynamic response to high dose naloxone in young hypertensive and normotensive humans. Clin Invest Med 18:108-113, 1995. Harrison DA, Benson LN, Cusimano RJ, McLaughlin PR: Right-to-left shunt following repair of partial anomalous pulmonary venous connection: A novel use of the rashkind double-umbrella occlusion device. Catheterization and Cardiovasc Diagnosis 33:356-360, 1994. Hayashida N, Ikonomidis JS, Weisel RD, Shirai T, Ivanov J, Carson S, Mohabeer MK, Tumiati LC, Mickle DAG: The optimal cardioplegic temperature. Ann Thorac Surg 58:961-971, 1994. Hayshida N, Weisel RD, Shirai T, Ikonomidis JS, Ivanov J, Carson S, Mohabeer MK, Tumiati LC, Mickle DAG: Tepid antegrade and retrograde cardioplegia. Ann Thorac Surg, 59:723-729, 1995. Hill AB, Kalman PG, Johnston KW, Vosu HA: Reversal of delayed-onset paraplegia following thoracic aortic surgery with CSF drainage. J Vasc Surg 20:315-317, 1994. Hirai T, Waddell TK, DeCampos KN, Compeau CG, Wada H, Hitomi S, Patterson GA, Slutsky AS: A short course of FK 506 can induce donor-specific graft acceptance. Ann Thoracic Surg 58:496-501, 1994. Honrath U, Chong CK, Wilson DR, Sonnenberg H: Dietary salt extremes and kidney function in rats: Effect of atrial natriuretic factor. Clin Sci 87:525-531, 1994. Huang WY, Cukerman E, Liew CC: Identification of a GATA motif in the cardiac -myosin heavy-chain-encoding gene and isolation of a human GATA-4 cDNA. Gene 155(2):219-223, 1995. Hwang DM, Hwang WS, Liew CC: Single pass sequencing of a unidirectional human fetal heart cDNA library to discover genes of the cardiovascular system. J Mol and Cell Cardiol 26:1329-1333, 1994. Ikonomidis JS, Weisel RD, Hayashida N, Shirai T: Myocardial protection for coronary artery bypass surgery: Past, present and future. Asia Pacific J Thorac Cardiovasc Surg 3(2):69-76, 1994. Ikonomidis JS, Tumiati LC, Weisel RD, Mickle DAG, Li R-K: Preconditioning human ventricular cardiomyocytes with brief periods of simulated ischemia. Cardiovascular Res 28:1285-1291, 1994. Irvine MJ, Ritvo PG, Katz J, Shaw BF: Maximizing adherence with non-pharmacological treatment. Can J Cardiol (Pfizer Suppl.)6-8, 1994. Johnston KW: Influence of sex on the results of abdominal aortic aneurysm repair. J Vasc Surg 20:914-926, 1994. Johnston KW: Percutaneous arterial dilatation for atherosclerotic lower extremity occlusive disease: Current therapy. IN: Vascular Surgery, 3rd Edition. (Ed.) C.B. Ernst , J.C. Stanley. Mosby-Year Book, Inc. Publishers, Philadelphia, PA. pg 512-517, 1995. Johnston KW: Common complications of vascular surgery: Prevention and management - an overview. IN: Vascular Surgery, 4th Edition. Ed. R. Rutherford, W.B. Saunders Publishers, Philadephia, pg 522-528, 1994. Johnston KW: Results of a multi-centre prospective study of abdominal aortic aneurysm repair. Proceedings of the Workshop on the Control of Abdominal Aortic Aneurysm 15(4):S42-43, 1994. Johnston KW: Neurovascular conditions - an overview. IN: Vascular Surgery, 4th Edition. (Ed.) R. Rutherford, W.B. Saunders Publishers, Philadephia, 1994. Johnston KW: Nonruptured abdominal aortic aneurysm: 6 year follow-up results from the multicenter prospective Canadian aneurysm study. J Vasc Surg 20:163-170, 1994. Johnston KW, Kalman P, Walker P, Lindsay T, Rubin B: Mesenteric arterial bypass grafts-early and late results and suggested surgical approach for chronic and acute mesenteric ischemia. Surgery, 1995. Johnston KW: Late results of operative abdominal aortic aneurysm repair: The surgical results from the Canadian cooperative Aneurysm Study. IN: Current Critical Problems in Vascular Surgery, Volume 6. (Ed.) FJ Veith. Quality Medical Publishers, St. Louis, MO, pgs 241-244, 1994. Kakis G, Powell M, Marshall A, Woutersz TB, Steiner G: A two-year clinical study of the effects of two triphasic oral contraceptives on plasma lipids. Internat J Fertil 39(5):283-291, 1994. Kalman P, Johnston KW, Walker P, Lindsay T: Preoperative factors that predict hospital length of stay after distal arterial bypass. J Vasc Surg 20(1):70-75, 1994. Kalman PG: The challenge in management of thoracoabdominal aneurysms. Perspectives in Cardiology 10:33-40, 1994. Kalman PG, Johnston KW: Aortoiliac occlusive disease. IN: General Surgery. (Ed.) W.P. Ritchie, Jr., G. Steele, Jr., R.H. Dean. JB Lippincott, Philadelphia, pg 643-653, 1995. Kirkcaldy BD, Cooper CL, Shephard RJ, Brown JS: Exercise, job satisfaction and well-being among superintendent police officers. Eur Rev Appl Psychol 44:117-123, 1994. Komeda M, David TE, Rao V, Weisel RD, Burns RJ: Late hemodynamic effects of the preserved papillary muscles. Circulation 90:II190-II194, 1994. Koppel R, Han R, Cox D, Tanswell K, Rabinovitch M: Alpha 1-antitrypsin protects neonatal rats from pulmonary vascular and parenchymal effects of oxygen toxicity. Pediatr Res 36:763-770, 1994. Langille BL, Gotlieb AI: Arterial remodeling in response to altered blood flow. IN: Atherosclerosis. (Eds.) X. F. Woodford, J. Davignon, A. Sniderman. Elsevier, Amsterdam, 1995. Langille BL: Blood flow-induced remodelling of the artery wall. IN: Flow-Dependent Regulation of Vascular Function. (Ed.) G. Kaley, J. Bevan, G. Rubanyi. Oxford, New York, 1995. Langille BL, Gotlieb AI: Arterial remodeling in response to altered blood flow. Proceedings of the XI International Symposium on Atherosclerosis, Montreal, 1994. Larosa G, Armstrong PW, Forster C: Endothelium-dependent relaxations in canine coronary arteries are enhanced in early heart failure and persist in recovery. Can J Physiol Pharmacol 72:1148-1154, 1994. Lewis GF, Steiner G, Polonosky KS, Weller B, Zinman B: A new method for comparing portal and peripheral venous insulin delivery in humans: Tolbutamide vs. insulin infusion. J Clin Endocin & Metab 79:66-70, 1994. Lewis GF, Zinman B, Uffelman KD, Szeto L, Weller B, Steiner G: VLDL production is decreased to a similar extent by acute portal and systemic hyperinsulinemia in humans. Am J Physiol 267:E566-E572, 1994. Lewis GF, Uffelman KD, Szeto L, Weller B, Steiner G: Interaction between free fatty acids (FFA) and insulin in the acute control of very low density lipoprotein (VLDL) production in humans. J. Clin Invest 95:158-166, 1995. 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