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Imagine - Spring 2012 - University of Chicago Medicine
Imagine magazine is published three times a year by the University of Chicago Medicine. The publication is designed to keep consumers updated on the latest breakthroughs and news from the Forefront of Medicine, the University of Chicago Medicine.
The University of Chicago Medicine VOLUME 1 SPRING 2012 Targeting lung cancer Imagine reaching deep into the lungs to detect and heal without surgery ALSO INSIDE Collaboration expands options for patients with heart failure Imagine being awake while undergoing brain surgery Kids Health Expert help for kids who can't sleep: New at-home studies to diagnose sleep disorders The University of Chicago Medicine and Biological Sciences has been at the forefront of medical care, research and teaching for more than 90 years. Located in historic Hyde Park on the South Side of Chicago, the University of Chicago Medicine and Biological Sciences includes: Patient Care: Bernard A. Mitchell Hospital (adult) Comer Children's Hospital Duchossois Center for Advanced Medicine Numerous outpatient locations throughout the Chicago area GREETINGS FROM THE FOREFRONT OF MEDICINE, Welcome to Imagine, our new quarterly magazine to keep you updated on all that's happening at the University of Chicago Medicine. To be at the forefront of medicine requires the best minds working in collaboration, imagining and exploring the possibilities of curing and preventing disease. Our physicians and researchers go beyond "what if" and lead the way in making state-ofthe-art diagnoses and treatments available to patients throughout the Chicago area and different parts of the world. It's an exciting time at the University of Chicago Medicine, as we will open a brand new hospital in less than a year. We imagined a setting where the patient always comes first, where world-class expertise and research give patients hope and where compassion is threaded through everything we do. This new 10-story hospital will transform the patient experience and serve as an inspiration as our physicians and researchers perform the most complex specialty care. It is truly at the forefront of care and discovery. In this issue of Imagine, you will read about how the University of Chicago Medicine is addressing the greatest health challenges in lung cancer, end-stage heart disease, brain tumors and children's sleep problems. You will meet some extraordinary physicians and clinicians who are solving the problems of heart defibrillators, helping parents who have adopted overseas keep their children healthy, and even one who has written a play about community violence. And in each issue we'll introduce you to our wonderful South Side community, where the arts, science, architecture, music and more are burgeoning. In this issue, we feature our long-time partner in scientific endeavors, the world-renowned Museum of Science and Industry. Being part of the prestigious University of Chicago means our physicians and researchers are collaborating with other scientists and researchers to imagine what is possible on behalf of our patients and community. We are proud to share our stories with you. Thank you for your support. We hope you enjoy learning more about us. Teaching Programs: Pritzker School of Medicine Master's and doctoral degree programs Postdoctoral programs Research: Medical and basic science units Among our many honors and acknowledgements: 12 Nobel laureates; ranked 10th of all U.S. medical schools; one of only 40 National Cancer Institute-designated comprehensive cancer centers; 21 adult and pediatric specialties ranked among the best in the country by U.S. News & World Report; ranked second in nation for National Institutes of Health grant support per researcher. University of Chicago Medicine and Biological Sciences Executive Leadership Kenneth S. Polonsky, MD, Dean of the University of Chicago Biological Sciences Division and the Pritzker School of Medicine, and executive vice president for Medical Affairs for the University of Chicago Sharon O'Keefe, president of the University of Chicago Medical Center Richard Baron, MD, dean for clinical practice, chair of the University of Chicago Medicine Department of Radiology T. Conrad Gilliam, PhD, dean for research and graduate education, Biological Sciences Division Holly J. Humphrey, MD, dean for medical education, Pritzker School of Medicine Imagine is published quarterly by the University of Chicago Medicine. Editors: Ginny Lee-Herrmann Anna Madrzyk Email us at: firstname.lastname@example.com Design: Group Chicago Contributing writers: Laura Ramos Hegwer, Diane Kastiel, JoAnn Milivojevic, Rob Mitchum, Stephen Phillips, Anita Slomski and Mary Wroblewski Contributing photographers: Andrew Campbell, David Christopher, Megan Doherty, Bart Harris, Jean Lachat, Bruce Powell and Victor Powell Address: The University of Chicago Medicine 5841 S. Maryland Ave. Chicago, IL 60637 Kenneth S. Polonsky, MD Dean of the University of Chicago Biological Sciences Division and the Pritzker School of Medicine, and executive vice president for Medical Affairs for the University of Chicago Sharon O'Keefe President of the University of Chicago Medical Center Comer Children's Hospital at the University of Chicago Medicine 5721 S. Maryland Ave. Chicago, IL 60637 Telephone: 1-773-702-1000 Appointments: 1-888-UCH-0200 Follow the University of Chicago Medicine on Twitter at twitter.com/UChicagoMed or visit our Facebook page at facebook.com/UChicagoMed. You can read more about our news and research at uchospitals.edu/news and at sciencelife.uchospitals.edu. This publication does not provide medical advice or treatment suggestions. If you have medical problems or concerns, contact a physician who will determine your treatment. Do not delay seeking medical advice because of something you read here. For urgent needs, call 911 right away. IMAGINE SPRING 2012 The University of Chicago Medicine 1-888-UCH-0200 A Special Place for Kids Adopted from Overseas Bereket Rams and Larry Gray, MD OUR ADOPTION CENTER PROVIDES EXPERTISE, SUPPORT FOR FAMILIES L ast August, Chicagoans Patrick and Erin Rams traveled to Ethiopia to pick up their daughter, a beautiful little girl whose name means "blessing." e first few weeks at home weren't easy. Bereket was 4� years old and didn't speak any English. "Her world was flipped upside down," Erin Rams said. Fortunately, the family found a doctor who not only understood but knew how to help. Medical Director Larry Gray, MD, and his team at the Adoption Center at the University of Chicago Medicine's Comer Children's Hospital are experts on the medical and emotional needs of children adopted from overseas. "It's an amazing support system," Patrick Rams said. e center provides its highly specialized care in a warm, child-friendly setting. Many children arrive with medical problems rarely seen in the U.S., such as extreme malnourishment. Gray recalls one child who had been here more than a year and had gained virtually no weight. " ey called us, and we found the parasite others weren't familiar with," he said. "We take care of the medical issues, but it's not a diseaseoriented or medical model," Gray said. " at's unusual in a medical center." Indeed, the theme of a family's first visit is "Celebration." Today, Bereket is thriving. In short order, she not only learned English but has blossomed into one of the most popular preschoolers in her class. Gray also provides pre-adoption consultations. He reviews medical records from the orphanage, counsels couples on relevant health issues and even gives them his phone number to take on their trip. "I have been humbled by the number of families who open up their homes to kids who have significant medical and developmental needs and are languishing in foreign orphanages," Gray said. Chris and Sue Stepaniak's little boy Jack, 2, was born with a rare bladder defect that will require a series of complex surgeries. When the Western Springs, Ill., couple brought him home from Russia in October, he weighed only 17 pounds. Now he is rocketing up the growth charts. "Not only has he learned to walk here, but now he walks around the house telling the dog off," Gray said, grinning. For more information or to make an appointment, please visit adoption.uchicago.edu or call 1-888-UCH-0200. By the Numbers 87 physicians ranked among the best of the best in Chicago magazine's 2012 Top Doctors issue of only 40 National Cancer Institute-designated comprehensive cancer centers in the U.S. 1 Melissa Gilliam, MD, MPH, chief of family planning, professor of obstetrics/gynecology and pediatrics, and associate dean for diversity, was recognized for her work to prevent teen pregnancy and address the societal problems that contribute to it. private inpatient rooms in our new hospital, opening in January 2013 adult and pediatric specialties ranked among the best in the nation by U.S. News & World Report 21 240 uchicagokidshospital.org uchospitals.edu IMAGINE 3 Getting Back in the Game F Orthopaedic surgeon specializes in minimally invasive surgery for sports injuries J. Martin Leland III, MD ifty-two-year-old businessman and avid baseball player Laurence Cavanaugh wasn't ready to hang up his glove after a dive for the ball led to a fractured shoulder and torn ligaments. "Fortunately," said Cavanaugh, "it wasn't my throwing arm." ankfully, his decision to see J. Martin Leland III, MD, sports medicine and orthopaedic surgeon at the University of Chicago Medicine, got him back on the field in relatively short order, after minimally invasive surgery to repair the damage from that great play. Leland, who practices in Hyde Park and in Matteson, Ill., specializes in the joints that are most commonly injured in sports -- shoulders and knees. His first step was to recommend physical therapy for Cavanaugh, who lives in Crown Point, Ind. at helped the bone heal. e next step was to fix the problems in the joint. Leland repaired the tissues using an arthroscope, a slim instrument inserted into the joint through a small incision. Leland, who conducts ongoing research to find state-of-the-art treatments, is a sought-after educator and lecturer, offering his expertise to students, physicians and athletic trainers across Chicagoland. His practice includes some of the most complex sports medicine surgeries, including multiligament knee reconstructions and proximal hamstring repairs. Leland's experience and expertise also help patients quickly sort through the best treatment options -- from the simple to the complex. Whether your sport is downhill skiing, golf, volleyball or baseball, chances are you can't escape a few aches and pains. Of course, not all injuries require surgery. A lot can heal through time and nonsurgical treatments. "About 90 percent of my patients are nonoperative," said Leland, former team physician for the Chicago Blackhawks. "My role is to help educate them on what's going on in their body and how to continue being active without causing further damage." Nearly all of Leland's surgeries are arthroscopic. e small incisions significantly reduce pain and speed healing. Leland also works closely with physical therapists during rehabilitation. "I use very structured rehabilitation protocols and strength measurements to get patients to recover as quickly as possible," he said. Most patients can expect to return to full activities in anywhere from two weeks to six months, depending on the extent of the injury, Leland said. As for Cavanaugh, he was happily back in center field just a few months after his surgery. To view videos about orthopaedic injury prevention and treatment, please go to uchospitals.edu/specialties/ orthopaedic-surgery/video.html. uchospitals.edu/physicians/j-martin-leland.html twitter.com/DrMartinLeland To register for community events, please call 1-888-UCH-0200. Living Well with Diabetes: Sunday Brunch with the Experts 11 a.m., Sunday, May 6 Duchossois Center for Advanced Medicine 5758 S. Maryland Ave., Chicago Kovler Diabetes Center's sixth annual "Living Well with Diabetes" community event features Food Network chef Michael Digby, NBC 5 fitness expert Andrea Metcalf and diabetes experts from the University of Chicago Medicine. The free event includes a healthy brunch, food demonstration, Q&A and goodie bag. Cosponsored by the Urban Health Initiative. Seating is limited; register by May 1. National Cancer Survivors Day Noon to 3 p.m., Sunday, June 3 Westin Hotel Wellington Ballroom 909 N. Michigan Ave., Chicago Join us for an afternoon of sharing, encouragement and family fun. Featured speakers are David H. Song, MD, MBA, chief of plastic and reconstructive surgery at the University of Chicago Medicine; fashion designer Barbara Bates, a breast cancer survivor; and master of ceremonies Mary Ann Childers. The free event includes music, refreshments and children's activities. Register by May 31. What Every Man Should Know About Testicular Cancer 6:30 to 7:30 p.m., Wednesday, June 6 Gilda's Club Chicago 537 N. Wells St., Chicago Nine out of 10 cases of testicular cancer occur in men between the ages of 20 and 54, the American Cancer Society reports. Join Walter M. Stadler, MD, director of the Genitourinary Program at the University of Chicago Medicine and named one of Chicago magazine's top doctors, for a discussion on early detection and treatment strategies for this highly curable malignancy. IMAGINE SPRING 2012 The University of Chicago Medicine 1-888-UCH-0200 <conversation> with the Dean Kenneth S. Polonsky, MD, is Dean of the Biological Sciences Division and the Pritzker School of Medicine, and executive vice president for Medical A airs. He also is a leading diabetes researcher. >> What's new at the University of Chicago Medicine? As we prepare for the opening of our new hospital in January 2013, we are transforming the patient experience to deliver compassionate, expert care with ease of access and state-of-the-art technology. It's not only a magnificent facility, but a setting that provides support for our clinicians and staff to do their best work. And we have teams working on all the details of your visit, from additional parking we're planning to new signage that will make it easy to get where you or your family need to be. cians, researchers and care teams who collaborate to heal, to teach, to discover and to solve even the most difficult and challenging cases. >> What makes you excited about >> How does the new building re ect the commitment to compassionate patient care? Many of our patients face complicated procedures and extended stays. e new hospital will have private rooms spacious enough for family members to comfortably spend the night. And the nights can be tranquil and quiet, thanks to blackout shades and a state-of-the-art communications system that does not rely on overhead paging. e building also will support very advanced technology for day-to-day care of patients with complex diseases. the future? We are ideally positioned to be among the leaders in translational research, and therefore patient care, as we translate basic discoveries made in the laboratory into bedside care. at means our patients often have access to innovative treatments before they are widely available. Chicago Medicine. e University of Chicago has a rich history of diabetes research dating back more than 100 years. Our groundbreaking work on the genetics of diabetes has received international recognition. We are at the forefront of customized diabetes diagnosis and treatment based on genetics, as well as research that may lead to novel therapies for this common disease. >> Tell us about diabetes research at the University of >> What inspires you about the University of Chicago Medicine? Every day, I'm inspired by our brilliant, dedicated physi- IMAGINE THAT! Helping Your Fellow Rat Calling someone a rat is no compliment. Maybe it should be. A team of University of Chicago neuroscientists found rats show empathy for fellow rats in distress. In the study, published in Science, rats repeatedly acted to free fellow rats from a clear plastic tube. And they were equally likely to free their cage mates as they were to nudge open a tube lled with chocolate chips, a favorite treat. "This is the rst evidence of helping behavior triggered by empathy in rats," said Jean Decety, PhD. Secrets to Living to 100 People born in September, October or November have higher odds of cracking the century mark, a new study found. Seasonal di erences in diet Read more at sciencelife.uchospitals.edu. and infection rates may be why. In past studies, researchers Leonid A. Gavrilov, PhD, and Natalia S. Gavrilova, PhD, of the University of Chicago's Center on Aging, also found that chances for longevity are higher for people born to young mothers, those who have a slender or medium build at age 30 or who are farmers or spend their childhoods on a farm. Time to Try Diet, Exercise First Middle-aged adults recently diagnosed with diabetes and hypertension have time to learn how to control their high blood pressure without medication, but not too much time. The consequences of delaying e ective hypertension treatment for up to a year were small -- a two-day reduction in qualityadjusted life expectancy, University of Chicago Medicine researchers found. "Our results indicate that it's OK to spend from six months to a year, perhaps even longer, to make the di cult lifestyle changes that are necessary and will pay o in the long run," said study author Neda Laiteerapong, MD. Finding a Fin-Limb Link University of Chicago professor Neil Shubin's 2004 discovery of the fossil Tiktaalik roseae made National Geographic's list of 10 projects "that have made the greatest di erence in understanding the Earth" -- out of 10,000 projects the magazine has funded to date. Tiktaalik, which has shlike features with limb joints, provided the missing link between sh and the rst animals that walked on land. uchospitals.edu uchicagokidshospital.org IMAGINE 5 Leading the Fight Against Cancer More than 350 cancer clinical trials 210 University of Chicago laboratory and clinical scientists focusing their efforts on cancer Ranked #1 in Illinois and #14 in nation by U.S. News & World Report 1 of only a few programs nationwide with NCI-sponsored Phase I, Phase II and Phase III clinical trials of anticancer drugs or procedures Highest overall rating from the American College of Surgeons Commission on Cancer uchospitals.edu/cancer Robert Krull, left, and D. Kyle Hogarth, MD IMAGINE SPRING 2012 The University of Chicago Medicine 1-888-UCH-0200 GPS For survivors of lung cancer, even a lingering cough from a cold can be a worrisome sign. Robert Krull, 67, knows that fear all too well. After surgeons at the University of Chicago Medicine removed cancer from Krull's left lung in 2005, he gave up his two-pack-a-day AT THE FOREFRONT cigarette habit. e University of But his emphyChicago Medicine's sema, family pulmonology program history of lung is ranked #1 in the cancer and the state by U.S. News & damage caused by World Report. 40 years of smoking left the Long Beach, Ind., lawyer at risk for recurrence. Two years after the surgery, a CT scan revealed an ominous mass on Krull's right lung. "I was terrified at first and then angry that the cancer had come back when I thought I'd done everything right with my treatment," Krull said. Krull's pulmonologist, D. Kyle Hogarth, MD, also suspected cancer. But rather than have Krull undergo another extensive surgery to biopsy the mass, Hogarth, director of bronchoscopy and minimally invasive diagnostics at the University of Chicago Medicine, used a technology called electromagnetic navigation bronchoscopy to sample the abnormal tissue. Also known by its trade name, superDimension iLogic System, the high-tech device allows Hogarth to insert a scope through a patient's mouth and maneuver it far into the lung to biopsy growths that previously required invasive measures to reach. e University of Chicago Medicine is a leader in electromagnetic navigation bronchoscopy in the Midwest, Hogarth said. In 2004, he was among the first Cancer Centers The University of Chicago Medicine's leading-edge cancer care is available at multiple locations throughout Chicagoland. for your lungs New technology allows doctors to reach deep into the lungs to diagnose lesions without a scalpel pulmonologists in Illinois to adopt superDimension. A pioneer of several noninvasive technologies to prevent, detect and treat lung cancer, Hogarth wants to give individuals at risk for the disease a fighting chance. "More people die from lung cancer every year than from breast, colon and prostate cancers combined because lung cancer is typically diagnosed too late," said Hogarth, who codirects a University of Chicago Medicine clinic for people at risk of lung cancer and other malignancies. Hogarth leads a multidisciplinary team of specialists devoted to finding and treating lung cancer at its earliest stages, as well as reducing individuals' risks of getting cancer. "We want the same early detection and vastly improved outcomes for patients with lung cancer that survivors of breast and colon cancers get from mammography and colonoscopy," Hogarth said. Reaching lesions deep in the lung Until recently, the lungs' complex and narrow branching system has made minimally invasive diagnosis and treatment of early-stage lung cancer challenging. More than 70 percent of cancerous lesions start in areas that are outside the direct view of a bronchoscope, a tube with a light and a camera that can inspect the airways for abnormalities and biopsy them. "I can go into the first and second branches of the upper lobe of the lung with conventional bronchoscopy, but then the airways narrow as they continue branching," Hogarth said. Sometimes a biopsy is obtained by sticking a needle through the continued on page 9 chest wall into the lung. The University of Chicago Medicine Comprehensive Cancer Center at Silver Cross Hospital opens by summer in New Lenox, Ill. The new $21.6 million, 20,000-square-foot outpatient cancer center, a joint venture between the University of Chicago Medicine and Silver Cross Hospital, will provide state-of-the-art chemotherapy and radiation therapy, as well as access to innovative clinical trials not usually found in a community setting. Patients can receive comprehensive cancer care for adult, gynecologic and pediatric cancers. Gynecologic oncology cancer care is offered at the University of Chicago Health Specialists in Schererville, Ind. New center at Silver Cross Schererville, Ind. Compassionate and personalized pediatric cancer care from University of Chicago Medicine children's cancer specialists is available at offices at Edward Hospital in Naperville, Ill., and in Palos Heights, Ill., and Merrillville, Ind. University of Chicago Medicine physicians provide radiation oncology services at Sherman Hospital's Cancer Care Center in Elgin, Ill. Naperville -- Palos Heights -- Merrillville, Ind. Elgin uchospitals.edu uchicagokidshospital.org IMAGINE 7 Allen S. Anderson, MD, left, and Valluvan Jeevanandam, MD Collaborating Team offers hope to patients with advanced heart failure to x a broken heart On Christmas Eve 2009, Glenn Bovard and his wife were celebrating near their home in Valparaiso, Ind., when Bovard suffered a massive heart attack. Bovard, 64, is a resilient sort. In 1968, the truck he was driving in Vietnam hit a land mine. e explosion killed seven fellow U.S. soldiers. Bovard sustained widespread burns. In 1974, he began a 33-year career with the Indiana State Police. But this was the closest call yet for the retired trooper. He was rushed to nearby Porter Hospital, then transferred to the University of Chicago Medicine, where Valluvan Jeevanandam, MD, chief of cardiac and thoracic surgery, performed emergency Glenn Bovard surgery to implant a ventricular assist device (VAD) into his failing heart. e HeartMate� II consists of a tube IMAGINE SPRING 2012 that runs between the heart's left ventricle -- the pumping capacity of which often is impaired in heart failure patients -- and the aorta, from which blood is circulated around the body. Inside the tube, a rotor boosts the patient's blood flow. e device is connected via a "driveline" that goes through the skin to a control unit that sits like a fanny pack on the patient's waist. It is powered by two batteries secured under the patient's arms. To stow the gear, which weighs around 7 pounds, Bovard bought two photographer's jackets. e device offers a stopgap for patients awaiting transplantation. It also is a permanent therapy that some patients can live with for years. University of Chicago Medicine physicians implanted 58 VADs in 2011, among the highest number at any U.S. institution. e burgeoning VAD program complements the University of Chicago Medicine's long-standing leadership in heart transplantation. Jeevanandam alone has performed approximately 1,200 1-888-UCH-0200 transplants. And under his aegis, the University of Chicago Medicine has helped pioneer "total transplant," whereby -- when possible -- all of the diseased heart is removed and the full donor heart is implanted. is promotes improved heart performance and fewer complications compared to the standard procedure, in which the new heart is grafted onto parts of the diseased heart that are left intact. VADs and transplants take their place within a panoply of therapies for advanced congestive heart failure at the University of Chicago Medicine. Physicians credit the broad range of treatment options to a team approach to care and close collaboration between medicine and surgery. Indeed, Jeevanandam and his colleagues work tirelessly to prevent patients from needing a VAD or transplant in the first place. "With medical intervention, we often can prevent patients from needing those advanced therapies," said Allen S. Anderson, MD, director of the Advanced Heart Failure Program. Surgically, the first step often is to try to repair or reconstruct the patient's heart. "We don't rush to the easiest therapy," Jeevanandam said. "Doing a transplant or putting in a VAD can often be easier than reconstructing a heart, but preserving a patient's own heart is almost always preferable, if possible." The University of Chicago Medicine After decades of patching up Walter Zimmerman's heart, doctors near his home in Cary, Ill., had reached the limits of what they could do for the retired plastics industry sales executive. Zimmerman was referred to the University of Chicago Medicine, where he received a VAD in November 2010. Beforehand, "my son came to me with tears in his eyes," recalled Zimmerman, 73. "He said, `You don't have to do this. You've been through an awful lot.'" "I said, `I've got to do it for you guys.' `No, do it for yourself,' he replied. `No difference,' I said." Zimmerman was back on his feet soon after VAD surgery. While Bovard, too, was happy with his VAD, it was determined that his next step, after his body recovered, would be a heart transplant. After consulting with Jeevanandam, he decided to proceed. He still chokes up recalling coming around following his transplant, last June. "I could feel the heart beat; it was amazing." Today, Bovard wears a mask to safeguard against germs when he's out, but he drives, does household chores and even has taken in a show in Chicago. e regimen of pills he must take daily to prevent his body from rejecting the organ is down from 32 to between 18 and 20. " ings are good and getting better," he said. AT THE FOREFRONT GPS CONTINUED FROM PAGE 7 for your lungs Multidisciplinary team strives to improve lung cancer outcomes In other cases, surgery is required to obtain a tissue sample. But superDimension's navigation catheters allow Hogarth to safely maneuver a bronchoscope virtually anywhere in the lung. After receiving anesthesia for the outpatient procedure, Krull was positioned on an electromagnetic panel that functions as a sort of GPS, guiding the sensor-equipped scope toward the lesion. Hogarth tracked the scope's exact location on a threedimensional road map of Krull's lungs projected on a plasma screen. Even patients with the most challenging lung problems -- advanced emphysema, those with only one lung or with severe heart disease -- can have suspicious growths biopsied with superDimension. is technology will reduce the number of undiagnosed lesions, Hogarth said. If lung cancer is found, superDimension also can improve treatment. Hogarth uses the navigational scope, for example, to implant tiny metal tags around a tumor, allowing radiation oncologists to more precisely and safely aim the beam at only the cancerous tissue. When Krull woke from the 30-minute superDimension procedure, he found Hogarth grinning at him. Instead of cancer, Hogarth found what appeared to be a fungal infection in Krull's lung, which was confirmed by a pathologist. "I was elated," said Krull, who played golf the next day. Finding cancer early As of his last visit, Krull is cancerfree. Hogarth wants to increase the chances of keeping him that way by checking his lungs annually for tiny lung cancers and premalignant lesions. ese growths distort the tissues around them and make the airway thicker, changes that are invisible on a CT scan. e University of Chicago Medicine is one of " is technology more than doubles the number of premalignant lesions we can detect." D. KYLE HOGARTH, MD Four of the 11 heart-liver-kidney transplants performed in the U.S. were done at the University of Chicago Medicine. Zimmerman, too, is living life to the fullest, having been able to continue with the VAD rather than having a transplant. e physical encumbrance is "a small price to pay," he said, for precious moments with his family. He has flown to California to see his grandchildren and doesn't let the VAD cramp his style on the golf course, tying the batteries behind him so he can drive the ball. One thing Zimmerman can't do anything about is his short game. But after he groused about it, the club pro couldn't resist. "Well, you never could putt or chip," he shot back. uchospitals.edu/specialties/heart/services/heart-failure the only hospitals in the Midwest that offers autofluorescence bronchoscopy to screen for precancerous changes in cells in individuals at risk for developing lung cancer. Autofluorescence bronchoscopy causes abnormal tissue to glow a different color than healthy tissue and "more than doubles the number of premalignant lesions we can detect," Hogarth said. "Like a polyp in the colon, we can laser it out while we're in there and potentially prevent cancer from developing." Seven years after being treated for lung cancer, Krull says he feels and looks healthier than he has in a long time. "Friends mention that I don't have a gray pallor since I stopped smoking, and I'm not afraid to buy green bananas," Krull joked. And for Hogarth, there is no greater gratification than knowing that the more than 700 bronchoscopies he performs each year are "quite literally, helping to nip lung cancer in the bud." uchospitals.edu/physicians/d-kyle-hogarth.html uchospitals.edu uchicagokidshospital.org IMAGINE 9 getting kids to sleep Our children's sleep specialists offer innovative, state-of-the-art care, including a new home sleep studies program All too often, the sweet dreams of childhood are just a myth. Some children snore like little buzz saws. Others struggle to sleep at night, which makes them cranky all day. Expert diagnosis and treatment from the pediatric sleep specialists at the University of Chicago Medicine can help get children -- and their weary parents -- back on track to restful sleep. "A sleepless child is not the only one who is sleepless in the house," said David Gozal, MD, chair of pediatrics and one of the world's foremost experts on children's sleep disorders. Along with providing comprehensive care for children with sleep disorders, physician-scientists and researchers at Comer Children's Hospital at the University of Chicago Medicine are studying why sleep disorders occur and the best ways to treat them. at gives families access to innovative, state-of-the-art treatments often not available elsewhere. "We have extensive expertise, and we can offer a variety of diagnostic tools and treatments, many of which were developed here," Gozal said. Sleep disorders are surprisingly common in kids, and can cause behavior, learning and health problems. Fifteen percent of preschoolers suffer from insomnia. Up to 4 percent have sleep apnea, an obstruction of the air passages that disrupts normal sleep patterns. For children with obesity, the rate is as high as 10 percent. IMAGINE SPRING 2012 The University of Chicago Medicine 1-888-UCH-0200 University of Chicago Medicine children's sleep specialists are pioneering a new program to make the diagnosis of sleep apnea easier on kids and more affordable for parents. Instead of spending the night in a sleep laboratory, your child can be monitored in the comfort of his own bed. e simple, lightweight device uses wireless technology, which makes it easy for parents to put it on and take it off their child. Data from the home sleep study is transmitted to University of Chicago Medicine board-certified pediatric sleep specialists for interpretation. If treatment is needed, our sleep specialists can work with your child's primary physician to suggest the best course for follow-up care. "We want to offer families a test that is simple, not costly, that can be done at home and that will allow us to provide answers to their children's sleep problems quickly," said Hari Bandla, MD, chief of pediatric sleep medicine. Meanwhile, Gozal is leading a research team working on developing an even simpler test. eir work on a urine test to diagnose sleep apnea in children is supported by a grant from the National Institutes of Health. University of Chicago Medicine scientists also are aggressively exploring new treatments, including drugs aimed at making the standard treatment for sleep apnea -- removal of the tonsils and adenoids -- more successful. ese new AT THE FOREFRONT University of Chicago sleep scientists discovered rapid eye movement (REM) sleep in 1953. treatments might even allow some children to avoid surgery. Snoring is the primary symptom of obstructive sleep apnea, but only about 20 percent of children who snore have the disorder. e others may be simple snorers with stuffy noses or allergies. Regardless, snoring in children should not be taken lightly. "No child should snore," Bandla said. " at is the message." In most cases, the home sleep study will provide enough data to tell if a child's snoring is caused by apnea. Children with more complex sleep problems may need a more comprehensive overnight study in a hospital or clinic. Our children's sleep specialists have the ability to analyze data from sleep studies that are conducted at the University of Chicago Medicine main campus in Hyde Park, the Institute of Sleep Medicine of DuPage Medical Group in Naperville, Ill., and Adventist Hinsdale Hospital in Hinsdale, Ill. Outpatient care by our pediatric sleep medicine specialists is available on the main campus and at our clinics in Westmont, Ill., Naperville, Ill., and Merrillville, Ind. "We understand parents have busy schedules," Gozal said. at's why our sleep medicine specialists work hard to minimize the number of return visits a family has to make, to streamline treatment plans and to work in collaboration with the child's pediatrician, he said. For the most challenging cases, a multidisciplinary University of Chicago Medicine team may include a sleep specialist, ear, nose, and throat surgeon, craniofacial surgeon and orthodontist working together to treat the child. Behavioral therapy also is offered to families who need help establishing healthier daytime and nighttime routines. Our sleep experts also diagnose and treat many other disorders that disrupt kids' sleep. ese include bed-wetting, narcolepsy, parasomnias, period limb movement disorder, restless leg syndrome, sleepwalking, trouble falling asleep or awakening and teen sleep problems. It's important to nip children's sleep disorders in the bud, because they can have serious consequences. Kids who don't get enough sleep may be crabby at home and struggle in school. eir parents are almost certainly frazzled. In a recent study, Gozal measured the sleep of more than 300 children ages 4 to 10. He found that children with disturbed sleep have a risk of obesity that's up to four times higher than kids who get enough sleep. Long-term disrupted sleep is linked to obesity, diabetes and altered cardiovascular function in adults. "Our mandate is not only to make sure children are healthy, but to make sure they become healthy adults," Gozal said. To find out if a home sleep study is right for your child, please call 1-888-UCH-0200. Visit uchicagokidshospital.org/home-sleep to learn more. Martin C. Burke, DO Improving Pacemaker Safety Cardiologist develops mathematical model to reduce the risk from heart-device wires Pacemakers and implantable cardioverter-de brillators (ICDs) can be lifesavers. But sometimes the "wiring" that connects them to the heart needs to be removed to treat dangerous infections and other complications, such as when a wire in the heart fails to function normally. Making sure your physician knows when to remove these "leads" when there is an infection or before they fail is key. Researchers at the University of Chicago Medicine have developed a mathematical tool to help physicians do just that. Now they are turning it into a mobile app that physicians will be able to use when patients come in to have the battery on their pacemaker or ICD replaced. The tool was developed by a team of physicians led by Martin C. Burke, DO, interim chief of cardiology and director of the Heart Rhythm Center, who presented their ndings at the recent American Heart Association meeting in Orlando, Fla. By helping predict lead problems before they occur, the tool may allow more patients to bene t from these heart devices, Burke said. "Approximately 60 percent of patients who are currently eligible to receive an ICD don't get this therapy," Burke said. "A major reason is the perceived risk of wire complications." This includes many younger patients, such as those in their 50s, who delay getting an ICD because of concerns about what will happen to the leads over time. "With this model, patients and their doctors will feel more comfortable knowing that we are able to address problems before they happen," Burke said. "Knowing when to extract or not based on safety to the patient is the most attractive piece of this research." When leads have problems, University of Chicago Medicine physicians can remove them using state-of-the-art laser techniques. Due to their extensive expertise, University of Chicago Medicine heart rhythm physicians were the rst in the country to test a promising new type of ICD that does not use leads in the heart. uchospitals.edu/physicians/martin-burke.html uchospitals.edu uchicagokidshospital.org IMAGINE 11 Eyes wideopen Patient awake, talking as surgeon removes lemon-size tumor from her brain Anna Litchfield and Maciej S. Lesniak, MD Surgery can be a daunting experience for anyone, though thanks to general anesthesia, it's not typically a memorable one. at's not so for patients who go through an awake craniotomy -- a unique procedure that allows surgeons to react based on feedback from the patient during removal of a brain tumor. "I remember them waking me up, using a flashlight and talking to me," said Anna Litchfield, 50, who was operated on in August by Maciej S. Lesniak, MD, director of neurosurgical oncology at the University of Chicago Medicine. "I remember Dr. Lesniak saying, `Anna, are you OK?' and I remember saying, `Great, Dr. L!'" Awake craniotomies typically are used to remove tumors nestled close to functional areas of the brain. As the surgeon carefully removes the tumor, a neurologist monitors the patient to minimize damage to critical parts of the brain. "When tumors are in what we call eloquent, functional areas, the margin of error is a millimeter," Lesniak said. He and his team perform one of the highest numbers of awake craniotomies in the Chicago area -- more than 30 each year. Each surgery utilizes an interdisciplinary, experienced team of neurosurgeons, neurologists, anesthesiologists and operating room nurses. "Dr. Lesniak showed me very quickly that he not only understood me as a patient, but also supported my journey," Litchfield said. "I decided if there's anybody on this planet I would literally let in my head, it would be him." For most of the procedure, the patient is in a state of "twilight" anesthesia, similar to what is used for dental procedures. e procedure can last up to eight hours. "Often I find my role is to distract the patient," said Leo Towle, PhD, professor of neurology, surgery and pediatrics. "We talk about their kids, their hobbies." e conversation is more than small talk. roughout the surgery, the neurologist runs tests to make sure there is no loss of function. " ey're under the drapes asking them questions, showing them cards, asking them to count back, and I listen," Lesniak said. "It's like music: When there's a note or something that sounds off, I know that we are approaching a critical area." e lemon-size tumor on the right side of Litchfield's brain was invading into the motor cortex, so it was important to monitor her ability to move the limbs on the left side of her body. When the team observed muscle weakness, the surgery was immediately stopped. Litchfield, a teacher from Lake Forest, Ill., experienced some neurological deficits after surgery, but has seen full recovery of normal function after rehabilitation. In a procedure where the surgical team could not continually test the patient, the damage could have been permanent, Lesniak said. At the Forefront of Medicine� Early 1900s IMAGINE 1930s A cardiac surgeon performs the rst heart transplant, on a dog. Surgeon proves blood loss causes most cases of surgical shock, leading to the widespread use of blood transfusions during surgery. First hormone therapy for cancer. The 75-year-old prostate cancer patient lives another 13 years. Today, hormone therapy is used to treat several types of cancer, including breast cancer. 1946-61 1943 A birthplace of modern chemotherapy. A University of Chicago doctor uses nitrogen mustard -- the active agent in the mustard gas used as a weapon in World War I -- to treat leukemia and lymphoma. University of Chicago studies conducted in two Chicago suburbs lead to the uoridation of water -- and fewer cavities -- nationwide. SPRING 2012 The University of Chicago Medicine 1-888-UCH-0200 e next big thing in brain cancer treatment might be very, very small B rain cancer is among the most difficult malignancies to treat. Physician-scientists at the University of Chicago Medicine are researching innovative ways to make treatment easier. Maciej S. Lesniak, MD, director of neuro-oncology research at the University of Chicago Medicine, is collaborating with scientists at the University of Chicago's Center for Nanoscale Materials and the Materials Science Division at Argonne National Laboratory on a novel therapy that uses magnetic nanoparticles to destroy cancer cells. And Bakhtiar Yamini, MD, assistant professor of surgery at the University of Chicago Medicine, collaborated with a Nebraska biotechnology company to design a nanoparticle "shell" capable of selectively targeting therapeutics to brain tumor cells. Lesniak recently was awarded a five-year, $3 million grant from the National Institutes of Health to begin testing the nanomagnetic therapy in animal models. " ere have been advances in therapy for brain cancer, but they haven't been significant enough to make a tremendous difference in terms of extending life," Lesniak said. Lesniak and his team are at the forefront of research with a total of $13 million in NIH grants to study brain tumor treatments, including gene therapy, immunotherapy and neural stem cells. e nanomedicine technique developed by the University of Chicago Medicine and Argonne scientists uses magnetic microdiscs so tiny that calling them "microscopic" would be an exaggeration. Antibodies attached to the microdiscs are capable of recognizing brain cancer cells. Once the discs reach their targets, a weak magnetic field -- about the same strength as a refrigerator magnet -- is applied to the cancer cells. e discs start to rotate, which severely disrupts the cell functions. e cancer cells self-destruct. In theory, this therapy is potentially less toxic than the standard weapons to treat brain cancer, such as radiation and chemotherapy, which work by damaging cancer cells' DNA but also harm healthy cells. " e great thing about this approach is it changes the mindset from trying to use pharmaceutical agents to do something to a cell to actually damaging the cell in a mechanical fashion," Lesniak said. Yamini's NIH-funded research with nanoparticles, meanwhile, essentially tags the particles so physicians will be able to monitor their path in the desired area of the brain by MRI. "People have previously used both targeting and image guidance in the treatment of other cancers, but bringing these two strategies together in one vehicle is something that would be really useful," Yamini said. If testing of the nanoparticle delivery system is successful in animal models, the next step is a clinical trial for dogs with brain tumors whose owners decide to volunteer their sick pets in order to receive a leading-edge treatment. uchospitals.edu/physicians/maciej-lesniak.html uchospitals.edu/physicians/bakhtiar-yamini.html A doctor-patient relationship inspired one of the largest donations ever pledged to the University of Chicago Medicine. The Matthew and Carolyn Bucksbaum Family Foundation is giving $42 million to the University of Chicago to create a unique program to improve doctor-patient communication. The Bucksbaums' longtime physician, Mark Siegler, MD, will lead the initiative. "Our doctor, Mark Siegler, showed us what good doctoring involved, and it was just as much about compassion and communication as his outstanding clinical competence," Carolyn "Kay" Bucksbaum said. "In Dr. Siegler, I have had a doctor who is interested in my husband and me as persons, not just diseases, although we've confronted him with a few of them. I have so valued that. A special mark of Dr. Siegler's character is his extreme kindness and interest in what makes us tick." The Bucksbaum Institute for Clinical Excellence will train medical students, junior faculty members and senior clinicians to serve as role models and mentors in communication and shared decision making. According to a 2001 study by the Commonwealth Fund, one in ve U.S. adults had trouble communicating with doctors and one in 10 felt they had been treated disrespectfully during a recent health care visit. Kay Bucksbaum hopes the Bucksbaum Institute will address this problem by becoming a clinical and teaching model nationwide, emulated by other academic medical centers. "This is a transformative gift, the kind that has an impact sustained over generations," said Holly J. Humphrey, MD, dean for medical education at the University of Chicago Pritzker School of Medicine. 1965 1989 1972 Janet Rowley, MD, identi es the rst chromosomal abnormality in leukemia, leading to the recognition of the genetic basis of cancer. In 2009, Rowley receives the Presidential Medal of Freedom, the highest civilian honor bestowed in the U.S. Donald F. Steiner, MD, discovers the proinsulin molecule, paving the way for the rst synthetic insulin. World's rst successful living-donor liver transplant. 2011 1999 First successful heart-liver-kidney transplant. Bruce A. Beutler, MD, a 1981 graduate of the Pritzker School of Medicine, wins the Nobel Prize, becoming one of 87 Nobel laureates associated with the University of Chicago. Archival Photograph Files, Special Collections Research Center, University of Chicago Library uchospitals.edu uchicagokidshospital.org IMAGINE 13 Doriane C. Miller, MD, never expected to become a playwright. At a brainstorming session with community members on Chicago's South Side, everyone loved the idea of tackling the issue of teen depression through drama. But no one knew how to write a play. So Miller, an associate professor of medicine and director of the Center for Community Health and Vitality, did some research on playwriting techniques. Then, one evening she just started to write. By early morning, she had written half the play. "It Shoudda Been Me," a unique collaboration between the University of Chicago Medicine and eta Creative Arts Foundation's Showfolk Cultural Enrichment Series for Youth, runs through June 15. Doriane C. Miller The play is about a 15-year-old top student whose grades plummet within months after his best friend is killed in a drive-by shooting. The storyline illustrates the need to recognize signs of depression among youth and seek out options for healing, Miller said. Miller drew on what she has heard from young patients who have been exposed to street violence. These teens often act nonchalantly, she said, but "many of these young people exhibited symptoms of anxiety and depression, not unlike people exposed to war." Get to know our wonderful South Side he University of Chicago Medicine campus is located in Hyde Park, a vibrant and historic city neighborhood just a 10-minute drive along the lakefront from downtown Chicago. One of our close neighbors is the world-renowned Museum of Science and Industry. "I grew up going to the museum and always loved visiting it," said David Meltzer, MD, PhD, associate professor of medicine, who served on the advisory board for YOU! e Experience, a 15,000-square-foot exhibit that explores the human mind, body and spirit. "Serving on the advisory board, I was so impressed with the pool of expertise the museum has to draw on, and how carefully they think about their mission and how to best realize it," Meltzer said. " ey really think about the audiences they want to reach and try to understand what will engage them." University of Chicago Booth School of Business faculty members Nicholas Epley, PhD, and Reid Hastie, PhD, worked with T THE MUSEUM OF SCIENCE AND INDUSTRY 400,000 square feet of exhibit space makes it the largest science center in the Western Hemisphere Only remaining building from the 1893 World's Columbian Exposition 1.4 million visits each year museum staff on principles of psychological science featured in the Your Mind section of YOU! e Experience. And several days a week, visitors to the exhibit get a chance to participate in psychology experiments conducted by Epley's team of behavioral scientists. "We thought this might be an interesting educational experience for museum visitors," Epley said. To listen to a podcast on Epley's research into intuition and decision making, please visit msichicago.org/online-science/podcast/nicholas-epley. For more information on the museum, visit msichicago.org STUDENTS GIVE BACK TO IMPROVE COMMUNITY HEALTH Residents of several city neighborhoods have been vaccinated against the u this season, thanks to students at the University of Chicago Pritzker School of Medicine. Under physician supervision, rst- and second-year students administered more than 500 u vaccines to community members during u vaccine drives in Chicago's Chinatown and Little Village neighborhoods and on the city's South Side. Pritzker students gained an appreciation for Chicago's diverse neighborhoods and immigrant populations and had the chance to talk with community members in Spanish and Chinese. Along with giving u shots, the future physicians took blood pressure readings and administered glucose screenings at the Chinatown Health Fair. Students also participated in Community Prostate Awareness Day on the South Side, giving free PSA tests to screen for prostate cancer. Pritzker School of Medicine student David Bluhm immunizes a young soccer player at the �Gol...A T� Salud! Health Fair. Performances of "It Shoudda Been Me" are at 10 a.m. and noon select weekdays at eta Creative Arts Foundation Inc., 7558 S. South Chicago Ave. For ticket information, visit etacreativearts.org. IMAGINE SPRING 2012 The University of Chicago Medicine 1-888-UCH-0200 curing breast cancer Michelle McBride supports research so other women will be spared the tough decisions she faced Michelle McBride admits she's "driven." "I'm always trying to raise a little more money," said McBride, vice president of the Noreen Fraser Foundation, a nonprofit dedicated to supporting research into women's cancers. For McBride, it's personal. On Dec. 11, 2011, she turned 39 years and 24 days old. It's not a milestone most of us would mark, but for McBride, of Glencoe, Ill., it held special significance. Both her mother and grandmother had died young, and McBride had, on that day, lived longer than her mom had. "When your mother dies young, it's natural to assume you'll die young too -- especially when your grandmother also died early," explained McBride. "My husband and I were up until midnight; I turned to the clock and said, `I made it.'" For McBride, a mother of three, it had been an arduous journey. Sensitized to her familial risk of cancer by watching her mother succumb to the disease at 39 and the knowledge that her grandmother had died of it at 44, she underwent a test in 2006 that found a particular genetic mutation. It meant her odds of getting breast cancer were 87 percent. She stood a 27 percent chance of developing ovarian cancer. "I cried," she recalled. "I was sad my mother didn't have the chance to learn what I had about our genetic makeup and to do something that could have prevented her death." McBride, a former attorney, embarked on a course of screening and self-education that culminated in her decision -- in her mid-30s and without any indication of cancer -- to have her breasts and ovaries removed. She documented her experiences in a series of moving online journal entries. "I am trying to break a pattern that is woven into my genetic fiber," she wrote after deciding on the mastectomy. Michelle McBride with her daughters London, 7, and Lola, 4 McBride consulted widely about the best place for treatment. All roads led to the University of Chicago Medicine. "I knew the university had a stellar program," she said. But conferring with luminaries during an American Association for Cancer Research meeting "sealed the deal." "Hands-down, they said, `Go to the University of Chicago.'" McBride registered as a patient with Olufunmilayo I. Olopade, MD, an international leader in breast cancer research. McBride's mastectomy and subsequent breast reconstruction were performed by Nora Jaskowiak, MD, and David H. Song, MD, MBA, respectively. " ey're remarkable," she Olufunmilayo I. Olopade, MD said. " ey worked so well together, and listened to me every step of the way." Today, McBride draws upon her experiences for inspiration in her role at the Noreen Fraser Foundation. Philanthropy is especially important amid shrinking science budgets, she said. "We're making such strides in research that it's imperative to continue supporting groundbreaking work." One project the foundation supports -- through a $150,000 grant -- is Olopade's pioneering 4,000-patient study of triple-negative breast cancer, a virulent cancer that disproportionately strikes women of African descent. " eir funding is vital," said Olopade. "We want to prevent breast cancer through better risk assessment, improved guidance on lifestyle changes, new therapies and less-invasive procedures. "Our hope is that one day women like Michelle will be spared the tough decisions she faced." For information on how to support cancer research at the University of Chicago Medicine, please contact Amanda Nunnink at firstname.lastname@example.com. To learn more about the Noreen Fraser Foundation, visit noreenfraserfoundation.org. Support Comer Children's Hospital at the University of Chicago Medicine through the House of Dreams Charity Raffle. Enter at houseofdreamsraffle.org for the chance to win a house or $1 million in cash. uchospitals.edu uchicagokidshospital.org IMAGINE 15 NONPROFIT ORGANIZATION U.S. POSTAGE PAID CAROL STREAM, IL PERMIT NO. 2003 The University of Chicago Medicine 5841 S. Maryland Ave. Chicago, IL 60637 If you receive an extra copy of this publication, please share it with a neighbor or friend. If you prefer to be removed from our mailing list, please call 1-855-622-6116. SM The University of Chicago Medicine Appointments and Inquiries: 1-888-UCH-0200 uchospitals.edu uchicagokidshospital.org ospitalPavilio#1427FA_final.indd 1 4/5/12 Read Imagine online at uchospitals.edu/imagine. Follow us on Facebook at facebook.com/UChicagoMed and Twitter at twitter.com/UChicagoMed. FAst FACts About the new hospitAl Our New Hospital At the ForeFront oF CAre And disCovery opening January 2013 Our new hospital will provide patients and their physicians with a facility capable of transforming itself as rapidly as medicine is changing. Its design is committed not simply to today's ideal, but to a vision of perpetual and unpredictable change in patient care and clinical research. This vision is built on the University of Chicago Medicine's fundamental commitment to discovery, innovation and collaboration. sm 1.2 million total square feet 5841 s. maryland ave. Chicago, iL 60637 ArchitecturAl drAwing of A pAtient room 550 average number of construction workers on a peak day Appointments: 1-888-UCH-0200 Physician referrals: 1-800-824-2282 nhp.uchospitals.edu 2 million+ total estimated work hours to build the NHP a hea ling en v iron m en t f or p a t i en t s a n d f a m i l i e s "A hospital has not only the goal but the obligation to be inspirational. When you come as a patient, or with a family member, the experience of the architecture is something that has to give you not only hope, but clarity, peace." raFaeL vi�oLy | Architect The new hospital is designed for familycentered care and improved communication among all members of the patient's care team. privACy And ComFort Our 240 Spirit-lifting views All patient inpatient rooms are all single occupancy and spacious enough to accommodate family for overnight stays. Each room will have a flat-screen TV and a reading light, so a family member can read without disturbing the patient. rooms are on the perimeter of the building for greater privacy. Large windows provide spectacular views of the University of Chicago campus and the Chicago skyline. room serviCe better sleep. The new paging system does not rely on overhead pages. FAmily support 96 hours How long the new hospital can operate in case of a power outage Patients will be able to order what they want to eat, when they want to eat (within dietary restrictions). peACe And quiet Dual-layer window coverings include a blackout layer to darken the room for The 10th floor will have two exercise rooms for patients and their families to use. Family members will be able to follow their loved one's progress from pre-op to recovery on electronic boards -- similar to the ones in airports -- in the surgery waiting area. Patients will be identified by number for privacy. 1,800 additional planned parking spaces. garage to be built north of the hospital 2 Wireless bands -- one reserved for hospital use, one for patients and visitors total number of plants on the roof -- hardy, drought-resistant sedums 100,000 For more inFormation, visit nhp.uchospitals.edu Our New Hospital Heliport Cancer care green roof planted with 100,000 drought-resistant plants ArchitecturAl drAwing of the new hoSpitAl Le ading- e dge Care 240 private inpatient rooms, including iCu "The new hospital will empower us to deliver world-class, leading-edge care to patients facing the most challenging, complex conditions and to drive new breakthrough treatments for patients." KeNNetH S. PoloNSKy, MD Dean of the Biological Sciences Division and the Pritzker School of Medicine and Executive Vice President for Medical Affairs two exercise rooms for patients and their families to use the Sky lobby's floor-to-ceiling glass windows offer panoramic views of the city ArchitecturAl drAwing of the lobby "This building offers a tremendous opportunity to transform how we care for patients, from innovative technology that delivers the most advanced clinical treatments and improves safety, to amenities that offer a superior healing environment." SHAroN o'Keefe President of the University of Chicago Medical Center the n e W h o s p i ta l : an e c o n o mi c e n g i n e f o r th e c o mm u n i ty The new hospital is the largest single health-care investment in the history of the University of Chicago Medicine. And from the beginning of construction in 2009, the $700 million project has fostered the participation of minority- and women-owned enterprises. The massive project continues a renewed tradition of commitment by the University of Chicago Medicine to making a significant impact not just on the medical health, but also on the economic health of the surrounding community. As an employer and provider, the medical center provides stability and growth for the South Side. The University of Chicago Medicine launched its initiative to improve participation by minority- and women-owned businesses in construction and other projects more than a decade ago. Blood bank two floors of expansion space for future technology programmed for 28 operating rooms with leading-edge technology "The new hospital will allow us to make a great leap forward, especially in the field of integrated multispecialty care -- a hallmark of future cancer care." integrated diagnostic and interventional platform includes cardiac, gastrointestinal, neurological and vascular services everett e. voKeS, MD Physician-in-Chief and Chair of the Department of Medicine retail space along 57th street "It is a design for the future that allows rapid integration of new technologies for advanced care in a way that maintains the patient and family at the center of the care." Jeffrey B. MAttHewS, MD surgeon-in-Chief and Chair of the Department of Surgery pharmacy ArchitecturAl drAwing of the new hoSpitAl


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Products/Services for Emergency Shutdown Push Button Station
Pushbutton Switches - (656 companies)...the power supply to a circuit. On-Off switch circuit symbol. Image Credit: The Electronics Club. SPST switches can also work as "push-to-make" on, where when the button is released it returns to its normally open (off) position or vice-versa. (On)-Off... Search by Specification | Learn More
Emergency Stop Switches - (166 companies)...to ensure proper design and functionality. Additional standards can be found at the IHS standards store. FORD ES5 - Cable pull emergency stop switches. VDE 0660 P207 - Additional standards for emergency stop push-buttons. References. Image Credit... Search by Specification | Learn More
Pendant Stations - (107 companies)Pendant stations are sophisticated, handheld terminals that are used to control robot or machine movements from point to point, within a determined space. They consist of a hanging control console furnished with joysticks, push-buttons or rotary cam... Search by Specification | Learn More
Shower and Eye Washing Stations - (176 companies)...commonly used in commercial "artificial tears " and eyewash products, may be found in an emergency eye wash station. There are three major types of emergency wash stations: Eye wash bowls. Drench hoses at sinks. Plastic eye wash bottles. Image Credit... Search by Specification | Learn More
No Image AvailableHand Washing Stations - (24 companies)Hand Washing Station are stations where a worker or patron can clean and sanitize their hands. These stations are complete assemblies with dispensers and in many cases storage for clean and grey water. How to Select Hand Washing Stations. Image... Search by Specification | Learn More
No Image AvailableEmergency Call Systems - (66 companies)...pagers, email, faxes, and central monitoring station digital receivers. Different types of emergency call systems include nurse call systems, emergency call systems, call box systems, and emergency stanchions. Stanchion applications are available... Learn More
No Image AvailableLift Stations - (85 companies)...is the diameter or length of the outlet of the lift station. For more information on the specifications and performance of pumps within these lift stations, visit the Industrial Liquid Handling Pumps Selection Guide on GlobalSpec. Components. Lift... Search by Specification | Learn More
No Image AvailableRest Buttons and Rest Pads - (22 companies)Rest Buttons and Rest Pads Information. Rest buttons and rest pads are used to provide a surface to locate or support a component in a jig or fixture. They are usually made of low-carbon or stainless steel and heat-treated or case-hardened. Types... Learn More
No Image AvailablePush On Fasteners - (11 companies)Push on fasteners are clips used to attach components to a shaft, rod, or stud. Push on fasteners, also called push in fasteners, are clips used to join panels together. The products can be one- or two-piece fasteners and are generally made... Learn More
No Image AvailablePush-in Rivets - (27 companies)Push-in rivets are cylinderical, headed, usually plastic fasteners that are pushed or pressed into place that secures two or more items together. Push-in rivets can also be called push-in fasteners, push rivets, or Christmas tree fasteners... Search by Specification | Learn More
Product News
Euchner-U.S.A., Inc.
The Better Choice for Emergency Stop Buttons While emergency stop push buttons – no matter who the manufacturer – are required by EN ISO 13850 to be a red mushroom-head button on a yellow background, Euchner goes above and beyond. For example, The Euchner E-Stop XW has contact block monitoring which checks to ensure the switching elements are seated correctly in the switch. If these elements become displaced, and emergency=stop command is automatically triggered as soon as the switch detaches. The Euchner E-Stop... (read more)Browse Mechanical Safety Interlock Switches Datasheets for Euchner-U.S.A., Inc.
Carling Technologies, Inc.
Go On and Push Our Buttons DOWNLOAD CAD FILES. DOWNLOAD DATASHEET. The 110/316P-Series pushbutton switches are single or double pole heavy duty AC/DC rated switches suitable for foot switches. They have a quick-make, quick-break contact mechanism, which is both non-teasable and self-cleaning. UL & CSA certified. This versatile single or double throw construction switch is available in maintained and momentary circuits with a variety of rating options. The 110-Series provides a compact yet rugged... (read more)Browse Pushbutton Switches Datasheets for Carling Technologies, Inc.
60 Series Push Button Pendants Pendant Features: Compact, impact-resistant, orange plastic enclosure; rated NEMA 4X. Internal rubber seals around switches; keeps out debris. Single-speed buttons rated at 5 amps (120 volts). C-UL Listing. Temperature Range: 5 to 160 deg. F (-15 to 70 degrees C). Shock Resistance: 100 g. The 60 Series comes in 7 different pre-configured set-ups. Also available in a two-button "pistol grip" model! Ergonomic design: less than 2" wide, 10 oz. Yellow ABS enclosure. Standard up/down buttons... (read more)Browse Pendant Stations Datasheets for Conductix-Wampfler
Springer Controls Company, Inc.
Pilot Devices, Pilot Switches, Push Buttons Springer Controls offers a complete line of rugged, industrial grade pilot devices. Including standard push buttons, mushroom buttons, illuminated buttons and pilot lights, joysticks, wobble sticks, selector switches and much more. We carry both the 22mm and the 30mm (full size) oil tight devices. Enclosures available up to 16 buttons in NEMA 4X or 12. More Information... Quick Links: Overview of our 22mm (N5) Pilot Devices. Overview of our 30mm (N7) Pilot Devices. Key Features: Manufactured... (read more)Browse Pushbutton Switches Datasheets for Springer Controls Company, Inc.
Select Safety Sales, LLC
Emergency Eye Wash Stations are Portable The Fendall 2000 Eyewash Station, manufactured by Sperian, is the latest and greatest in the world of portable, sealed-cartridge eye wash stations. The Fendall 2000 Eyewash Station delivers a 100% sterile eyewash solution from a completely sterile delivery system. If workers are injured, the Fendall 2000 delivers 100% sterile, buffered and physiologically balanced contaminant-free saline solution. The Fendall 2000 has many comfort features and an ergonomic design. It also has an alarm system... (read more)Browse Hand Washing Stations Datasheets for Select Safety Sales, LLC
elobau sensor technology, Inc.
MA145 Analogue push-button protection class IP67, which makes it suitable even for rough industrial environments. elobau guarantees a long service life in excess of two million switching operations. The button caps are available in various colours, and can be printed with customer-specific symbols. A few more technical details: The micro pushbutton 145MA is 15.1 mm in diameter and 27 mm long from its head to the end of the size M12 thread. The key stroke is 4.0 mm. It can be used in ambient temperatures of between -20... (read more)Browse Pushbutton Switches Datasheets for elobau sensor technology, Inc.
Novotechnik U.S., Inc.
Optimize sensors with the push of a button. Precision Control with the Push of a Button. LS1 Series with analog interface. The LS1 Series of position sensors lets you program start – and end –points, slope and offset with two push buttons and status LEDs to get the most accuracy and flexibility for your application 's travel length. LS1 Series ' non –contact inductive technology & delivers long life even in high vibration environments. Special features. Standard and return spring versions. Stroke lengths... (read more)Browse Linear Position Sensors Datasheets for Novotechnik U.S., Inc.
Ralston Metal Products Limited
Push Button Enclosure FACTORY DIRECT Pushbutton enclosures - Available with 30mm or 22mm Holes, Hinged or Lift-Off covers, Carbon, Stainless or Non Metallic (read more)Browse Pushbutton Enclosures Datasheets for Ralston Metal Products Limited
Status Instruments, Inc.
PUSH BUTTON DIN RAIL PUSH BUTTON DIN RAIL. TEMPERATURE TRANSMITTER. SEM213 Series. • SIMPLE PUSH BUTTON CONFIGURATION. • ADVANCED USER CONFIG FOR ACCESS. TO 56 PRE SET RANGES. • 4 to 20 mA TWO WIRE OUTPUT. • PROGRAMMABLE BURNOUT. • USER PUSH BUTTON TRIM. • 10 YEAR WARRANTY. INTRODUCTION. The SEM213 is a cost effective "smart" DIN Rail transmitter that accepts various temperature sensors and. converts sensor output over a configured range to a standard industrial 4 to 20 mA... (read more)Browse RTD Temperature Transmitters Datasheets for Status Instruments, Inc.
Ross Controls
Push-Button Valves maintains actuation and provides a spring return. The button actuators are available in either green or red so that you may match them to your application needs. The valves are available in either a 1/8 or 1/4" port size. Access details & specs on of these Pushbutton Valves... (read more)Browse Air Valves Datasheets for Ross Controls

subset: commoncrawl


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my sweet curious little girl is 11 months old today
she is climbing anything and everything...all day every day
in fact, we converted our dining room into a play room to accomodate this little busy body
we broke down the table and replaced it with a small sofa which i LOVE
because this room is right off the kitchen and it gets the best light
it's a great place to hang out while coffee is brewing or dinner is on the stove
plus we NEVER ate at the dining room table anyways so we don't even miss it.
she has recently taken her first couple of steps and is beginning to understand more of what we say
she also hums little tunes as she falls asleep and loves to brush her hair.
two things that are currently making me melt :)
she is the brightest, busiest, sweetest, funniest, most delicious little thing i could ever imagine
and i am so utterly in love with every little thing about her, i could just burst!


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I am coming back to knitting after a long period of time and am enjoying it very much. I am trying to learn from my mistakes and believe me their are many! I am working on the American Aran Afghan, shawl and making 6x9 swatches for the the hospital afghans. I also belong to the TKGA chapter Sea Purls here in our area. I also owned a knitting and needlepoint shop for six years. Needlepoint being my first love.
I just had a two day class session with Margaret and it was incredible. We did " How to Make or break a Sweater", Margaret's new book and it is incredible. Very easy to follow. Entrelac, which was great and a new Slant on Vests. We actually started a vest for a teddy bear. If she is in your area and you get the opportunity don't miss her class. Maybe your LYS could contact Margaret to come and teach for you. Margaret gives you a mountain of information. Sandy R
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Midland battles by Hillcrest, into state semifinal
BLYTHEVILLE — The Midland Mustangs finally broke through against Hillcrest's Dylan Wooten and Mustang ace Drew Fortson kept the Screamin' Eagles from making any noise the final two innings of this quarterfinal game of the Class 1A State Tournament for high school baseball here Tuesday.
The 6-3 victory moved the Mustangs into today's semifinal round against the Armorel Tigers, 13-1 winners over the Scranton Rockets. The first pitch was scheduled for noon.
Legion tryout slated for Saturday 2 p.m.
A tryout for Batesville's American Legion baseball teams is scheduled for Sunday afternoon, announced Mike Daily, a member of the Legion board.
The tryout is slated to begin at 2 in the North Complex.
The local Legion teams are scheduled to open their seasons in June.
Lyon College announces camp dates
Lyon College recently announced its schedule for summer athletic camps and the first is set for June 6-9.
That will be the first session of baseball, softball and soccer camps. Session two for baseball is set for June 13-16.
The pitching and hitting clinics are scheduled for June 17.
Various basketball camps begin June 6 and run through the end of July.
June 26-29 are the dates for the junior and senior high volleyball camps.
A full list of camps and applications are available at www.lyonscots.com.
Gina Mynatt wins state bowling title
Batesville bowler Gina Mynatt won the singles title in the Arkansas State Bowling Tournament in Springdale and Rogers, according to a news release.
Mynatt rolled a series score of 788 to win the state championship.
Led by Pam Kitsmiller's 11th-place finish in the all-events scratch division, five local bowlers placed in all-events categories.
The Batesville Women's Bowling Association was also well represented by two teams and two doubles partners, according to the release.
Vinson, Rayford team up to win senior golf event
John Vinson teamed with Chip Rayford to win the championship of the Citizens Bank Seniors Golf Tournament at The Course at Eagle Mountain recently.
Charles Penn-Nathan Howard and Randy Satterwhite-Ronnie Trusty placed second and third, respectively, behind Vinson-Rayford in the 55-64 age division. Scores were not provided.
In the 65-74 division, Jerry Caldwell-Bernard Caldwell took the top prize, followed by Bill Luster-Lynn Luster and Danny Dale-Gordon French.
Midland, Hillcrest 9s meeting in state quarterfinal
BLYTHEVILLE — For sure, only one Guard-circulation area team will still be playing high school baseball when the day is done.
Three days after they were originally scheduled to play, the Midland Mustangs clobbered the Trinity Christian Warriors 19-5 and the Hillcrest Screamin' Eagles thumped the Mulberry Yellowjackets 12-3 in first-round games of the Class 1A State Tournament here Monday.
Vilonia shows BHS to another early exit from state tourney
HARRISON — The Vilonia Eagles handed the Batesville Pioneers their second straight quick exit from the Class 5A State Tournament here Friday.
The Eagles, the third seeds out of the 5A-West District, blanked the Pioneers 11-0 in five innings. The Pioneers entered the tournament as the East's second seed.
Last spring, the Pulaski Academy Bruins dismissed the 5A-East co-champs 12-2 in six innings.
The Eagles scored three runs in the top of the first and never looked back, tacking on a 6-run third and 2-run fourth. That first inning was a harbinger of things to come.
Weather breaks for racing
LOCUST GROVE — The weather finally cooperated and the Batesville Motor Speedway was able to get in a night of points racing Friday.
When the dust settled, Roger Witt, Joe Payne, Brandon Smith, William Lawrence and Tony Creasey were feature winners.
Witt won the NeSmith Late Model feature. Five late models participated. Richie Tosh was second and defending champion Travis Ashley settled for third.
Payne took the checkers in the street stock class. Shawn Walsh and Kevin Grizzle gave chase.
Scrappers break Southerner hearts
JONESBORO — The Southside Southerners suffered a heart-breaking 5-4 loss to the Nashville Scrappers in a first-round, Class 4A State Tournament baseball game here Friday.
Nashville jumped ahead with three runs in the bottom of the fourth inning, but Southside answered with three of its own in the top of the fifth.
That scenario repeated itself when the Scrappers scored a run in the sixth and the Southerners tied it in the top of the seventh.
BHS, Midland athletes compete in MofC
PEARCY — Batesville High's Hayley Sederberg placed 10th in the pole vault and Midland's Destiny Standard finished seventh in the 800 in the Meet of Champions here Saturday.
Sederberg cleared 9 feet in the season finale for Arkansas high school track and field athletes. Ariel Voskamp of Cabot won the event with a vault of 12-10. Eleven participants competed in the event.
Standard finished last with a time of 2 minutes, 45.92 seconds. Kelsey Wheelhouse of Bentonville won with a time of 2:16.94.
Weatherford, Tucker return to top of Run the Wave 5K
Betsy Tucker joined Clan Weatherford as a repeat champion of the White River Medical Center Run the Wave 5K Saturday morning.
The 54-year-old woman from Batesville won the 5-kilometer race for the second time in as many years. Her time of 22 minutes 18.12 seconds was 11 seconds better than her time last May. She finished 59 seconds in front of Sarah Praught of Poughkeepsie.
Weatherford, 41, won the men's title with a time of 18:40.14. The Mount Pleasant resident won the Ride the Wave men's title in 2008 and '09. Filemon Galvan of Batesville finished second in 20:01.26.
'Friday the 13th' fights feature ends with TKO
Josh Williams recorded a technical knockout in the third round to win the main event of Bad Boy Promotions' Friday the 13th Fight Night at the National Guard Armory in Batesville Friday night.
Williams defeated Chris Gray, who failed to answer the bell to start round three of a scheduled 6-round bout.
The evening opened with an exhibition fight between Kim Connor and Lucretia Meacham. Because of its exhibition status, there was no official winner of the 3-round fight.


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Help the Young Archaeologists' Club win a special European prize by voting for us now!
Is there something you've always wanted to know about archaeology? Ask our special guest archaeologist now!
Julian Richards is best known as the TV archaeologist from Meet the Ancestors and Blood of the Vikings. He loves Stonehenge – and has even written a pop-up book about it!
Find your nearest Club
Enter your postcode or nearest town
Tuesday 26 May 2015
Go DigCamp!
Are you aged 6-16 and fascinated by archaeology? Have you always wanted to try it, but never had the chance? Then DigCamp is for you (and your mum or dad!) DigCamp takes place on 18th and 19th July 2015 at Leiston Abbey in Suffolk.


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High system availability is the most effective lever for increasing productivity. The less downtime, the better. This is why it is important to identify potential sources of error early and to perform scheduled maintenance at the right time within the production cycle.
Our SIPLUS CMS Condition Monitoring Systems are ideal for monitoring mechanical components. You have all your machines and the entire system constantly in view. This facilitates predictive maintenance, allowing you to plan and implement maintenance operations in due time.
After prolonged operating periods without interruptions, significant irregularities resulting from wear or other damage-related causes can be detected early on with the help of documented trend histories.
Foreseeable problems can be corrected at an early stage - before resulting in major damage or even total failure, with the often costly consequences.
SIPLUS CMS proves its worth day after day in applications all around the world, and in many industries contributes to a significant increase in machine and plant availability due to the permanent monitoring of levels of vibration in machines, bearings and gear units – which in turn makes a huge contribution to increasing productivity.
Automotive industry
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Cross-industry applications complete the system :
Integration in automation systems (TIA, PCS 7)
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Mechanical wear, imbalances, defective bearings and other damage scenarious can cause machinery to increase its energy consumption. SIPLUS CMS facilitates the early detection of such deficiencies which are then signaled via the SIMATIC Maintenance Station, for example. This allows appropriate maintenance measures to be taken to ensure restoration of the system's scheduled energy efficiency levels.
SIPLUS CMS1000 – The compact and simple solution
SIPLUS CMS1000 offers a simple approach - with no expert knowledge required.
Characteristic value based monitoring:
- RMS (machine vibration)
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Traffic light display of machine status
SIPLUS CMS2000 – The modular and configurable solution
SIPLUS CMS2000 is an easy to configure, Web-based system.
Detailed damage detection using frequency-selective diagnostics
Raw data recording and ouput to SIPLUS CMS X-Tools
Trend recording and analysis
Monitoring of process variables
Modularly expandable with VIB-MUX and temperature modules
Otherwise, same functionality as SIPLUS CMS1000
SIPLUS CMS4000 – The powerful solution
SIPLUS CMS4000 is a scalable and freely configurable analysis system for detailed and comprehensive diagnostics and condition monitoring.
Configurable analysis models with know-how protection
Easy integration into existing automation systems
Recording of process signals
Otherwise, same functionality as SIPLUS CMS2000
SIPLUS CMS X-Tools – powerful analysis software
With the powerful CMS X-Tools diagnostics software, for example, it is possible to create and protect your own analysis models, to integrate process data of the control, to use function block libraries, and to archive data for quality assurance.


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In the Advanced division of former WEC LW Champion Cory
Cass's annual Fight Lab Submission Grappling Tournament- held in
Temecula California professional MMA Fighter, and Lotus Club Brazilian
Jiu Jitsu purple belt fighter Ray Elbe uses several 'magical'
techniques. Baiting his opponent with a single leg takedown, Ray shows
great technique securing a quick sweep. Stuck in the half guard, watch
as Elbe flies into a sitting triangle forcing the tap out. Elbe
eventually won the advance division gold medal.
Tags: Choke, Elbe, Guard, Half, Juliano, Prado, Ray, Tri


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|ACCURIDE INTERNATIONAL, INC. Patent applications
|Patent application number
|CABINET GANG LOCK SYSTEM FOR ELECTRICALLY LOCKABLE SLIDES - A locking system, for a cabinet having a plurality of drawers extendably mounted in an interior of the cabinet, includes a bar and a motor unit. The bar is movable to prevent at least some of the drawers from extending out of the cabinet when in a locked position and allowing at least one of the drawers to extend out of the cabinet in an unlocked position. The motor unit is configured to drive an arm coupled to the bar, the arm being drivable to change a position of the bar from the locked position to the unlocked position.
|SLIM DRAWER SLIDE - A drawer slide member including raceways formed of folded or solid material providing additional thickness while utilizing thin material may provide for increased strength of the drawer slide.
|DRAWER SLIDE AND LOCKING MECHANISM - A drawer slide with lock mechanism has an elongated outer slide member extendably coupled to an inner slide member. A latch arm or pin is fixed to the inner slide member for latching by a lock mechanism fixed to the outer slide member. The lock mechanism uses a latch receiver that rotates with respect to the lock mechanism and is in a travel path of the latch arm. A lever arm rotates with respect to the lock mechanism and is positionable to block rotation of the latch receiver in a locked position to retain the latch arm. A motor drives a cam to position the lever arm to free the latch receiver from the locked position.
|Adjustable Detent Retention System and Method - In a slide assembly, an adjustable detent mechanism enables the detent and, therefore, the holding force, between a slide member on a pull-out component and an opposite slide member to be adjusted based on the application and load conditions for the pull-out component. The adjustable detent mechanism may include a base having symmetrically-disposed detent arms and associated legs which interact with respective adjuster cams symmetrically disposed on an adjustment dial. The dial is co-axial with, and is received in, the base, and both are coupled to one of the slide members. The opposite slide member has two symmetrically-disposed retention tabs that interact with respective ones of the detent arms to adjust the holding force between the slide members. The dial's range of rotation may be defined by the interaction between a pin disposed on the base and a rotation restriction guide that is defined through an undersurface of the dial.
|DAMPENED ASSISTED-MOTION SYSTEMS AND METHODS - A system for assisting the linear movement of a pull-out component relative to a housing includes a first bracket coupled to a slide member of the housing, a second bracket coupled to the pull-out component, and a strut that is pivotally coupled to the first and second brackets at its respective ends. The strut includes an outer hollow member that houses a primary spring, a cylindrical piston that translates through one end of the outer hollow member, and a reverse damping mechanism. A free end of the primary spring is held inside the outer hollow member by a clevis for the first bracket, and its opposite end rests on the piston. The piston's free end includes a clevis for the second bracket. An inner hollow member houses a second spring which regulates movement of a damper shaft such that damping occurs when the shaft is pulled out of the damper.
|ASSISTED-MOTION SYSTEMS AND METHODS - A system for assisting the linear opening and closing movement of a pull-out component relative to a housing includes a first bracket coupled to a slide member of the housing, a second bracket coupled to the pull-out component, and a strut that, at one end, is pivotally coupled to the first bracket and, at a second end, is pivotally coupled to the second bracket. The strut includes an elongate hollow member that houses a spring and a cylindrical piston, as well as a rod sub-assembly that translates through one end of the hollow member. The cylindrical piston is situated between, and at its respective ends is coupled to, the spring and the rod sub-assembly. The free end of the spring is held inside the hollow member by a clevis for the first bracket, and the free end of the rod sub-assembly includes a clevis for the second bracket.
|DRAWER SYSTEM SLIDE ASSEMBLIES AND CLOSURE MECHANISMS - A self-closing drawer slide system includes first and second slide members and a self-closing mechanism which, in turn, includes a housing coupled to the first slide member, a carriage slidably coupled to the housing, and a spring coupled between the housing and the carriage. The carriage has an engagement area that selectively receives a cam/tab extending from the second slide member. As the drawer is pulled open, the carriage disengages from the cam/tab as it rotates and is locked in place. As the drawer returns, the carriage again engages the cam/tab, unlocks, and is pulled toward a drawer-closed position by the spring. The system may also include an intermediate member, with respective sets of three balls disposed between the intermediate and first and second slide members such that respective centers of the balls define corners of an obtuse triangle. The self-closing mechanism may also include a damper.
|Self Closing Mechanism for Drawer Slides - A self-closing mechanism for drawer slides includes a stationary housing, a slider, and a latch. The slider is configured to slide relative to the housing, and the latch is configured to translate along with the slider and to rotate within the slider to lock and unlock the slider at predetermined locations. The housing may be coupled to a cabinet member, with a drawer member adapted to engage the latch as the drawer is opened and/or closed. In embodiments of the invention, the self-closing mechanism may include a damper mechanism, such as, e.g., a cylindrical damper or a rotary gear damper.
|Fluid damper - A damper including a first fluid conduit in fluid communication with a second fluid conduit via a regulator, a first movable member disposed within the first fluid conduit, a second movable member disposed within the second fluid conduit, and a fluid residing between the first and second movable members. The regulator may include one or more orifices each having a valve disposed therein, wherein the valves are moveable between a seated position and an unseated position with respect to the orifices and are spring biased toward the unseated position. The damper may be spring biased such that when it is mounted on a stationary rail of a drawer slide, and engages with a movable rail of the drawer slide, it urges the drawer slide toward a closed position and dampens the closing motion of the drawer slide.
Patent applications by ACCURIDE INTERNATIONAL, INC.


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Police seize vanload of drugs in Subic; 5 arrested
More News from Associated Press
MANILA, Philippines — Philippine police say antinarcotics agents have seized about 400 kilograms (882 pounds) of suspected methamphetamine hydrochloride and arrested five members of a syndicate in the largest haul of the illegal drug in the country so far this year.
Police Senior Superintendent Bartolome Tobias says five men were arrested Sunday while loading the meth, concealed in two carton boxes and 22 bags, into a van in a residential enclave in Subic, Zambales.
If all the suspected drugs, known locally as shabu, turn out to be real, it will have a Manila street value of about P2 billion ($46 million), according to police.
Illegal drug production in the Philippines carries a maximum prison term of 40 years.
Get Inquirer updates while on the go, add us on these apps:
Disclaimer: The comments uploaded on this site do not necessarily represent or reflect the views of management and owner of INQUIRER.net. We reserve the right to exclude comments that we deem to be inconsistent with our editorial standards.
To subscribe to the Philippine Daily Inquirer newspaper in the Philippines, call +63 2 896-6000 for Metro Manila and Metro Cebu or email your subscription request here.
Factual errors? Contact the Philippine Daily Inquirer's day desk. Believe this article violates journalistic ethics? Contact the Inquirer's Reader's Advocate. Or write The Readers' Advocate:
c/o Philippine Daily Inquirer Chino Roces Avenue corner Yague and Mascardo Streets, Makati City,Metro Manila, Philippines Or fax nos. +63 2 8974793 to 94


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Cheap ASD to Lille flights
Popular Flights from Andros Town, Bahamas
Top Andros Town Flights to US Destinations
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Route information for flights from Andros Town to Lesquin.
4,527.87 miles
LIL - Lesquin Airlines
Browse the most popular airlines servicing the Lille (LIL) airport. Visit their flights pages to learn more about the most popular routes these carriers fly.


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- 11Promote
Art Print
Rancho De Taosby Eldon Ward
Collect your choice of gallery quality Giclée, or fine art prints custom trimmed by hand in a variety of sizes with a white border for framing.
Based on a detail from the San Francisco de Asis Mission Church at Rancho de Taos in New Mexico. Original painting is 24" x 65" (62 x 1165 cm) acrylic and water-based stain on a panel made from a salvaged door.


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Narrow your search
The Apple Watch is the most ambitious, well-constructed smartwatch ever seen, but first-gen shortfalls make it feel more like a fashionable toy than a necessary tool.
The Pebble Time adds a few key improvements and a color screen compared to previous Pebble watches, but owners of previous Pebble watches may not see a need to upgrade yet.
Available soon from Pebble
The search giant has found a new purpose in all our lives: Bringing together the various products and services we use to work together as easily as possible.
Jeff Williams says the Apple Watch could become Apple's single most important product.
The LG Watch Urbane is the best-looking Android Wear smartwatch and adds Wi-Fi-to-phone connectivity, but it doesn't offer all that much more than previous Android Wear watch models.
Want to better understand why several high-ranking FIFA officials were arrested in Zurich on Wednesday? Watch John Oliver give his views on FIFA and the 2014 World Cup.
Technically Incorrect: A Quebec man who says he was using the smartwatch to operate his music gets a $120 fine.
We've laid out every Marvel movie and tv show in chronological order for you to watch -- or just to impress people.
The Alcatel OneTouch Watch is an affordable and reasonably attractive basic smartwatch, but it doesn't work well enough to justify choosing one over better and increasingly comparably priced alternatives.
With a simple string of offending characters, a prankster can crash your iOS device via Snapchat or Twitter.


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Articles Tagged 'bandfuse'
Guitarmageddon: Rocksmith 2014 vs. BandFuse Rock Legends
By EGM Staff
Posted on December 13, 2013 AT 11:30am
Posted on December 13, 2013 AT 11:30am
Two guitar games enter. Both guitar games leave, just with slightly different appraisals from Chris and Josh. READ MORE
EGM Review:
EGM Review:
BandFuse: Rock Legends
By Josh Harmon, Associate Editor
Posted on December 10, 2013 AT 03:00pm
Posted on December 10, 2013 AT 03:00pm
Bandfuse: Rock Legends is an intuitive way to learn to play guitar while having fun—but don't expect Slash and Co. to give you a strong foundation in music theory. READ MORE
Bandfuse: Rock Legends Jamming onto PS3 and Xbox 360 November 19
By Chris Holzworth, News Editor
Posted on August 19, 2013 AT 02:18pm
Posted on August 19, 2013 AT 02:18pm
BandFuse: Rock Legends, an instructional music & rhythm game from Realta Entertainment Group that interfaces with actual an actual guitar, bass, and microphone, is coming to North America in November, the developer announced today. READ MORE
Realta Entertainment Releases New BandFuse: Rock Legends Trailer Featuring George Lynch
By James Wargacki - DigitalNoob
Posted on May 13, 2013 AT 08:49am
Posted on May 13, 2013 AT 08:49am
Check out the newest trailer for BandFuse: Rock Legends featuring legendary rock guitarist George Lynch. READ MORE
E3 Hands-On Preview: BandFuse: Rock Legends
By Russ Pirozek - DigitalNoob
Posted on June 5, 2012 AT 09:28pm
Posted on June 5, 2012 AT 09:28pm
BandFuse: Rock Legends is another in the long line of upcoming music games, but, like its predecessor, Rocksmith, it utilizes the use of a real instrument. READ MORE
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Originally written on Larry Brown Sports | Last updated 11/8/14
When it comes to collecting sports memorabilia, there is a fine line between showing your commitment and creepiness. If you ask me, the Christmas gift you see above crosses that line. This giant Ricky Rubio rug was shared on Twitter by a man named Dean Pierce, who describes himself as an "NBA fanatic" and has a Minnesota Timberwolves background and avatar on his profile. It would appear that a member of Pierce's family is one of the biggest Rubio fans on earth. Otherwise, I doubt anyone would have given her such a massive and detailed portrait of the Spaniard. Personally, I feel that's a little too much. Asking the young point guard to the prom is one thing, but I couldn't look at something like that no matter who the athlete was. All that matters is it made someone happy on Christmas.
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