text:
Be the first to know about new publications.Follow publisher Unfollow publisher Mary Jones Smith
- Info
Spread the word.
Share this publication.
Organize your favorites into stacks.
Like this publication.
The Ohio State University Heart and Vascular Center 2011 Year in Review
The Ohio State University Heart and Vascular Center 2011 Year in Review
T H E O H I O STAT E U N I V E R S I T Y M E D I CA L C E N T E R Heart and Vascular Center Advances in Patient Care, Research and Education 2011 YEAR IN REVIEW TA B L E O F CO N T E N T S WELCOME . ............................................................................................................................ 3 THE OHIO STATE UNIVERSITY HEART AND VASCULAR CENTER....................... 4 AWARDS AND RECOGNITION ........................................................................................ 6 YEAR IN REVIEW: DATA AND VOLUMES . .................................................................. 8 OHIO STATE'S DOROTHY M. DAVIS HEART AND LUNG RESEARCH INSTITUTE ......................................................................................... 10 PROFILE: MARTHA TAYLOR .......................................................................................... 12 COMMUNITY PARTNERSHIPS........................................................................................ 14 NEW FACULTY......................................................................................................................15 LOCATIONS AND REGIONAL PRACTICES ................................................................. 16 ELECTROPHYSIOLOGY .................................................................................................... 17 PERIPHERAL VASCULAR SURGERY AND MEDICINE . ........................................... 20 CONGENITAL HEART DISEASE . ................................................................................... 24 HEART FAILURE AND TRANSPLANT .......................................................................... 26 NEW CLINICS AND PROGRAMS . ................................................................................ 28 FRIENDS OF THE OHIO STATE UNIVERSITY HEART AND VASCULAR CENTER . ............................................................................. 30 ENCLOSED: FACULTY LISTING & REFERRAL GUIDE . ............................................. 34 Dear Friends and Colleagues, The Ohio State University Heart and Vascular Center is dedicated to improving lives by advancing research, education and patient care. Our faculty, staff and students are committed to making a difference in the lives of our patients today, while at the same time forging new paths to improve the health of the patients of tomorrow. I'm pleased to bring you the 2011 Heart and Vascular Center Report, which shares examples of how our exceptional people, inspired by possibilities, have made significant achievements and successfully focused their talents to accomplish our mission. In the following pages, you will see that 2011 was a year marked by progress and growth. The Heart and Vascular Center's innovative, collaborative approach to clinical care and research continues to attract the best and brightest. We proudly welcomed new colleagues and leaders to Ohio State who share our commitment to excellence and our ambition to improve. I hope you enjoy reading about the achievements of this dedicated group of individuals who are driven to make a difference — today and tomorrow. Thank you for your interest and support of the Heart and Vascular Center. We welcome your visit to meet our team and see our programs and facilities. Sincerely, Thomas Ryan, MD Director, Ohio State's Heart and Vascular Center John G. & Jeanne Bonnet McCoy Chair in Cardiovascular Medicine Professor, OSU Department of Internal Medicine 3 T H E O HI O STAT E U N I V E R S I TY H E A RT A N D VA SC U L A R C E N TE R The mission at Ohio State's Heart and Vascular Center, comprising the Richard M. Ross Heart Hospital, the Dorothy M. Davis Heart and Lung Research Institute and 20 outreach clinics, is to continually improve medical care and discover cures for our cardiovascular patients and for patients across the globe. Richard M. Ross Heart Hospital Ohio State's Ross Heart Hospital is a seven-story, 150-inpatient and 23-outpatientbed facility that supports every type of cardiac care, from the latest catheterization techniques to central Ohio's only adult heart transplantation program. Ross Heart Hospital provides the most current diagnosis and treatment, including advanced cardiac imaging, minimally invasive robotic procedures, pacemaker implantation, surgical bypass, mechanical heart pumps and transplants. After opening in 2004 as one of the nation's first comprehensive academic hospitals dedicated to cardiovascular care, Ross Heart Hospital built two additional patient care floors in 2008. All inpatient rooms use the Universal Patient Room concept, which reduces patient transfers and has been proven to lessen the need for pain medication and improve patient outcomes. All rooms are located close to a nursing operations desk to facilitate quick response. This personalized approach to health care consistently earns high scores in patient satisfaction surveys conducted by Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Dorothy M. Davis Heart and Lung Research Institute The Davis Heart and Lung Research Institute (DHLRI), promotes innovative and crossdisciplinary discovery related to complex human disease. The 500+ member Institute represents basic and clinical scientists as well as physicians from 20 College of Medicine Departments and Divisions and 8 University Colleges, including Engineering, Pharmacy, Computer Sciences, Nursing, Nutrition, Veterinary Medicine, Public Health and Arts & Sciences. DHLRI members are active in translational medicine and patient care, and the DHLRI is home to more than 135 active clinical trials related to cardiovascular and pulmonary disease. Currently, the DHLRI accounts for approximately $30 million of annual research funding from national agencies including the National Institutes of Health, National Science Foundation, American Heart Association, US Department of Defense, American Lung Association, as well as numerous private and industry associated groups. Finally, in additional to excelling in research and patient care, DHLRI investigators are actively training the next generation of our nation's best clinicians and scientists. 4 TH E O H I O STATE U N I V E R S I TY ME D ICAL C EN TER The Ohio State University Heart and Vascular Center Leadership Team (Front row, from left to right) (Back row, left to right) Traci Mignery, BSN, RN Director of Nursing, Heart and Vascular Center Julie Dials Senior Director of Development William T. Abraham, MD Director, Division of Cardiovascular Medicine Deputy Director, Dorothy M. Davis Heart and Lung Research Institute Patrick Vaccaro, MD Director, Division of Vascular Diseases and Surgery Thomas Ryan, MD Director, Ohio State's Heart and Vascular Center Robert Higgins, MD Director, Division of Cardiac Surgery Director, Comprehensive Transplant Center Charles Bush, MD Medical Director, Richard M. Ross Heart Hospital Marti Taylor, MSN, RN Executive Director, Richard M. Ross Heart Hospital Chief Operating Officer, Heart and Vascular Center Peter Mohler, PhD Director, Dorothy M. Davis Heart and Lung Research Institute Lorri Fowler, MBA Administrator, Dorothy M. Davis Heart and Lung Research Institute Ernest Mazzaferri Jr, MD Assistant Medical Director, Richard M. Ross Heart Hospital 5 AWA R DS A N D R ECOG N I T I ON Our goal is to provide each patient with the best possible outcome in the safest possible environment. In 2011 a number of milestones were reached in care delivery, scientific achievement and program development. These are just a few of the honors our facilities and staff achieved in the past year. • The Centers for Medicare and Medicaid Services recognized The Ohio State University Medical Center (OSUMC) as a leader in heart attack patient survival rates. Ohio State is one of only 95 in the United States and one of only three in Ohio to achieve this level of performance. Our heart specialists follow national guidelines when treating heart attack patients to provide them with the safest, best possible outcomes. • The Society of Chest Pain Centers awarded Ohio State University's Richard M. Ross Heart Hospital designation as an Accredited Chest Pain Center. The accreditation recognizes the facility's expertise in reducing the time from the onset of symptoms to diagnosis and treatment, quickly treating patients to preserve the heart muscle, and developing an effective process to monitor patients to determine whether or not they are having a heart attack. • OSUMC received the 2011 University HealthSystem Consortium (UHC) Leadership Award, recognizing it as one of the top 10 academic medical centers in the nation delivering the highest quality of care. The award was based on results of a 2011 study commissioned by the UHC, which ranked Ohio State ninth among the 100 academic medical centers and health centers in the United States included in the survey. • U.S. News & World Report ranked The Ohio State University cardiology and heart surgery programs among the nation's top 25 cardiology and heart surgery programs in 2011. The ranking is part of the publication's "America's Best Hospitals" national rankings which are compiled based on a survey of 200 physicians selected from each specialty. • For the second time, the American Association of Critical-Care Nurses awarded the Cardiac and Thoracic Surgery Unit on the fourth floor of Ohio State University's Richard M. Ross Heart Hospital their Beacon Award for Critical Care Excellence. The Beacon Award recognizes units that provide patients and families exceptional care, achieving the highest quality outcomes and greater overall satisfaction. 6 TH E O H I O STATE U N I V E R S I TY ME D ICAL C EN TER • Curt Daniels, MD, director of Ohio State's Adolescent and Adult Congenital Heart Disease Program and the Pulmonary Hypertension Program, is president-elect of the International Society for Adult Congenital Heart Disease. The society focuses on advancing education and training in disciplines dealing with adult congenital heart disease. Curt Daniels, MD • Robert Higgins, MD, director of Ohio State's Comprehensive Transplant Center and director of the Division of Cardiac Surgery, serves on the Residency Review Committee of the Accreditation Council for Graduate Medical Education. The council evaluates and accredits the nearly 9,000 residency programs in the United States. Higgins was also elected to the Board of Directors of the Society of Thoracic Surgeons. Robert Higgins, MD • Women for Economic and Leadership Development (WELD) selected Laxmi Mehta, MD, clinical director of the Ohio State's Women's Cardiovascular Health Program, as one of their "Women You Should Know" in 2011. The award honors women who support the leadership development of other women by giving time, talent and resources to their community. Laxmi Mehta, MD • David Orsinelli, MD, is the president-elect of the Board of Directors of the Intersocietal Commission for the Accreditation of Echocardiography Laboratories (ICAEL). The ICAEL provides facility accreditation programs for echocardiography to provide standardization of, and improve the quality of, all aspects of echocardiographic laboratories. David Orsinelli, MD • Bhagwan Satiani, MD, medical director of Ohio State's vascular laboratory, served as the president of the South Asian American Vascular Society. The society unites surgeons with a South Asian heritage to promote education and provide members a forum for scientific, educational, cultural, charitable and social interaction. Bhagwan Satianti, MD • Jean Starr, MD, medical director of Ohio State's endovascular services and vascular surgery associate program director, was appointed to the executive council of the Midwestern Vascular Society. The society focuses on advancing the art and science of diagnosing and treating vascular disease and maintaining the high standards of open and endovascular interventions. Jean Starr, MD 7 YE A R IN R E V I E W: DATA & VOLUMES Ohio State's Heart and Vascular Center continues to grow and attract experienced talent each year. In 2011, we welcomed 14 new colleagues to our physician group and look forward to welcoming more in 2012. FACULTY GROWTH 2007 75 2008 75 71 2009 2010 73 87 2011 Since opening in 2004 the Richard M. Ross Heart Hospital has achieved top quartile inpatient satisfaction ratings as reported by HCAHPS. In FY2011, the Ross Heart Hospital was at or above the top decile in patient satisfaction nationally for Overall Rating (97th percentile), Willingness to Recommend (96th percentile), Discharge Information (96th percentile) and Nurse Communication (92nd percentile). INPATIENT SATISFACTION Ross Heart Hospital Inpatient HCAHPS Overall Rating FISCAL YEAR FY08 FY09 FY10 FY11 HCAHPS Overall % 9s and 10s 77.0% 79.9% 81.2% 83.0% Percentile Rank 90 94 95 97 Response Count 779 2,189 2,111 2,059 ROSS INPATIENT OVERALL ASSESSMENT 90% Percentile Rank 80% 77.0% 79.9% 81.2% 83.0% 80% 70% 70% 60% 50% 90 94 95 97 60% 50% 40% 40% 30% 30% 20% 20% 10% 10% 0% 0% FY08 Percentile Rank 8 90% FY09 HCAHPS Overall FY10 FY11 HCAHPS Overall %9s and 10s 100% 100% TH E O H I O STATE U N I V E R S I TY ME D ICAL C EN TER CARDIAC CATHETERIZATION | FY11 As a major tertiary care center, The Ohio State University Heart and Vascular Center provides experienced, expert care for the region. We have developed several high volume programs that deliver quality care and excellent outcomes. 1,429 Vascular DIAGNOSTIC PROCEDURES FISCAL YEAR FY08 FY09 FY10 FY11 Hospitals 30,901 31,222 37,955 39,650 Off-site 5,523 8,665 9,940 9,086 36,424 39,887 47,895 48,736 TOTAL Diagnostic Procedures 1,753 PTCAs/ Stents 4,374 Diagnostic Caths TOTAL PROCEDURES 7,556 CARDIOTHORACIC SURGERY | FY11 Thoracic Surgery* 206 799 Cardiac Surgery * Surgeries performed in the Ross Heart Hospital YEARLY TRENDING FOR VALVE SURGERY 2008 140 2009 152 2010 138 163 2011 According to the National Association of Public Hospitals and Health Systems with the National Public Health and Hospital Institute, the Ohio State University Heart and Vascular Center achieves lower 30 day mortality rates for acute myocardial infarction patients, compared to member hospital and national rates as reported in CMS quality data available at hospitalcompare.hhs.gov. The OSU Heart and Vascular Center ranks second among the 136 member hospitals in this category. ACUTE MYOCARDIAL INFARCTION | 30 DAY MORTALITY RATE Actual Rate (Lower Rate Estimates, Upper Rate Estimates OSU Medical Center 12.3 (10.1, 15) 15.8 (12.5, 19.8) National Rate 16 (12.4, 20.3) NAPH Rate 0 5 10 15 Mortality Rate 9 T H E O HI O STAT E U N I V E R S I TY D O ROTH Y M. DAV I S H E A RT A N D LUN G I N ST I TU T E Linking Discovery to the Community DHLRI ANNUAL FUNDING (MILLION) 35 30 25 20 15 10 The Ohio State University Dorothy M. Davis Heart and Lung Research Institute (DHLRI) is home to an innovative team of more than 500 scientists, clinicians, nurses, fellows, students and staff, devoted to making cutting-edge discoveries and developing strategies to improve the lives of adults and children with heart and lung disease. In 2011, DHLRI members secured more than $29 million in funding and saw a 24-percent increase in publications. However, in only its 11th year of existence, the impact of the collaborative efforts of the Davis Institute is now being measured by far more than just numbers. This past year, the impact of the scientific discovery at DHLRI has forged local and national partnerships as never before, making a true impact in people's lives. 5 2002 2005 2008 2011 0 Turning Tragedy into Life-Saving Research Connor Senn was an Ohio State student/athlete who tragically died from sudden cardiac death (SCD) in September 2001 while playing in a men's varsity soccer match. The Connor Senn Memorial Fund was created in his memory and now a new partnership among the DHLRI, the Senn Foundation, The Ohio State University Heart and Vascular Center and the Department of Athletics focuses on raising awareness and research funding for SCD. DHLRI ANNUAL PUBLICATIONS 500 400 300 200 100 2002 10 2005 2008 2011 0 Last fall, a $50,000 gift from the Senn Foundation provided initial funding to support efforts at the DHLRI for SCD research. Work led by the DHLRI team this past year defined a new genetic mechanism for atrial fibrillation, the most common form of human arrhythmia. The study was featured in Circulation, the American Heart Association's lead journal. Work from this collaboration is now expanding, with other DHLRI clinicians, pharmacists, genetic counselors, physiologists, pharmacists and molecular physiologists making strides to define new mechanisms and diagnostics for human sudden cardiac death. TH E O H I O STATE U N I V E R S I TY ME D ICAL C EN TER Partnership Making Advances in Muscular Dystrophy Treatment DHLRI is working in partnership with BallouSkies to provide more accurate, earlier diagnoses of heart muscle involvement in patients with muscular dystrophies. BallouSkies is a charitable organization dedicated to providing awareness and resources for the prevention of heart muscle atrophy with the ultimate goal of finding a cure for muscular dystrophy. A study conducted by a team of DHLRI physicians and basic scientists found that old drugs traditionally used to treat high blood pressure and advanced heart failure had a remarkable protective effect on the heart and skeletal muscles of mice with genetic changes that cause similar muscle weakening seen in boys with muscular dystrophy. This work was made possible by the generous support of BallouSkies and was published in the August 2011 edition of Circulation. Worldwide response from patients, families, physicians and scientists has resulted in new collaborations with neurologists and cardiologists. Linking Discovery to Real Lives With each new discovery, DHLRI members continue to push the boundaries of scientific discovery even further. Integrating science, clinical application and community presence empowers the DHLRI to give back and continue to be part of new stories of discovery. 11 P R O F I L E Ross Heart Hospital Welcomes Executive Director Martha (Marti) Taylor, MSN, RN, has been named executive director of The Ohio State University Medical Center's Richard M. Ross Heart Hospital and chief operating officer of the OSU Heart and Vascular Center. She will oversee the administrative and operational functions of one of the country's first full-service academic heart hospitals, which ranks in the top 25 nationally for cardiology and heart surgery in U.S.News & World Report. Taylor's career began 25 years ago at Duke University. Throughout her career she was instrumental in leading Duke University's heart program to national prominence, most recently as associate vice president of cardiovascular services and clinical associate with the Duke University School of Nursing. A native of Ohio, Taylor welcomes the opportunity to return to her roots. "This is coming home for me," says Taylor. "I grew up in Oak Harbor and went to undergraduate at Capital University. Working at a top-ranked academic medical center that is leading the future of healthcare reform is exciting." "We are conducting excellent cuttingedge research. The clinical care delivered to patients is extraordinary, and the people are committed and passionate about what they do." Marti Taylor, MSN, RN Executive Director, The Ohio State University Medical Center's Richard M. Ross Heart Hospital Chief Operating Officer, OSU Heart and Vascular Center 12 She plans to build upon a program that was founded on outstanding research, education and patient care. "We are conducting excellent cutting-edge research," she says. "The clinical care delivered to patients is extraordinary, and the people are committed and passionate about what they do." Taylor served on the board of directors for the American College of Cardiovascular Administrators, and is a member of the American College of Healthcare Executives, the American Academy of Medical Administrators, the American Association of Critical Care Nurses, the American Nurses Association, the American Heart Association's Cardiovascular Nurses Society and the Sigma Theta Tau Honor Society of Nursing. She has authored five articles in peer-reviewed journals. TH E O H I O STATE U N I V E R S I TY ME D ICAL C EN TER 13 CO M MU N I TY PA RTN E R S H I P The Heart Partnership Ohio State and Memorial Hospital Expand Commitment to Provide Quality Cardiac Care in Marysville In 2009, The Ohio State University Medical Center joined Memorial Hospital of Union County in The Heart Partnership, a unique relationship that provides expanded cardiovascular care to residents of the Marysville community. Jump forward to October 2011, when community members, members of Memorial Hospital of Union County and representatives from The Ohio State University broke ground for the Surgery and Heart Pavilion, an $11.3-million surgical and outpatient facility dedicated to cardiovascular services in Marysville. This state-of-the-art facility, which will bear a resemblance to the Ross Heart Hospital, takes The Heart Partnership to a higher level, providing area residents a center of excellence for cardiovascular services, including diagnostic testing, interventional cardiology, prevention and rehabilitation. The Ohio State University Medical Center leadership teamed up with leadership from Memorial Hospital of Union County to officially break ground on the Surgery and Heart Pavilion at the Marysville Hospital. 14 NEW FAC ULT Y Ohio State Welcomes Heart Specialists of Ohio In November 2011, Ohio State's Heart and Vascular Center announced that eight experienced Columbus clinicians, formerly members of Heart Specialists of Ohio, joined The Ohio State University faculty. Along with faculty of the division of cardiovascular medicine, these cardiologists provide patients with advanced cardiovascular care close to home. In addition to moving their hospital practice to Ohio State's Ross Heart Hospital, this group will continue to offer outpatient services at several sites in central Ohio. Joining Ohio State's Medical Center gives these experienced cardiovascular specialists access to the resources of one of the nation's leading academic medical centers and expands Ohio State's mission to offer advanced cardiac and vascular care locally. Debbra Debaets, MD, FACC; Lawrence Murcko, MD, FACC; Mary Beth Breckenridge, MD, FACC; Cindy Baker, MD, FACC Barry George, MD, a founding member of Heart Specialists of Ohio, joins Ohio State's Medical Center as the director of Advanced Cardiovascular Catheter-Based Therapies at the OSU Heart and Vascular Center. Dr. George, a leading clinician and researcher, will work to develop a peripheral vascular fellowship program that includes catheter-based disciplines. His work in biomedical engineering in the field of vascular medicine will help to shape the development of the next generation of cardiac and peripheral vascular specialists. In addition to Dr. George, we also welcome: CLINICAL CARDIOLOGISTS Debbra Debaets, MD, FACC Assistant Professor of Clinical Internal Medicine Timothy Obarski, DO, FACC, FACP Assistant Professor of Clinical Internal Medicine Lawrence Murcko, MD, FACC Assistant Professor of Clinical Internal Medicine Mary Beth Breckenridge, MD, FACC Assistant Professor of Clinical Internal Medicine CARDIAC AND PERIPHERAL VASCULAR INTERVENTIONISTS Barry George, MD, FACC, FSCAI, FACP Associate Professor of Clinical Internal Medicine, Director of Advanced Cardiovascular Catheter-Based Therapies Cindy Baker, MD, FACC Assistant Professor of Clinical Internal Medicine Talal Attar, MD, FACC Assistant Professor of Clinical Internal Medicine Timothy Obarski, DO, FACC, FACP; Arsad "Andy" Karcic, MD, FACC; Talal Attar, MD, FACC; Barry George, MD Arsad "Andy" Karcic, MD, FACC Assistant Professor of Clinical Internal Medicine 15 LOCATIO N S AND REG IO N A L P RACTIC ES Fayette Findlay Wyandot Bucyrus Lima The Ohio State University Heart and Vascular Center is committed to serving not only the people of central Ohio, but also patients in outlying rural areas who need access to the best cardiovascular care available. Regional clinics allow Ohio State physicians to treat patients close to home in a variety of convenient, comfortable locations. Ashland Wooster Marion Mt. Gilead Bellefontaine Mt. Vernon Marysville COLUMBUS Cambridge London Lancaster Marietta Chillicothe Northern Kentucky Portsmouth Ohio Heart Locations COLUMBUS AREA Ross Heart Hospital: The Ross Heart Hospital provides stateof-the-art facilities for heart and vascular procedures, including: • Cardiac catheterizations • Coronary interventions • Electrophysiology services, including complex ablations and device implants • Open-heart surgery • Heart transplantation • Advanced cardiovascular imaging • Vascular interventions • Minimally invasive robotic procedures • Full range of testing and laboratory services for diagnosing cardiovascular disease. Specialties include: • National leader for implanting ventricular assist devices (VADs) OSU CarePoint Gahanna: Cardiology consultation, outpatient cardiac and vascular diagnostic testing, vascular consultation, lipid management clinic, arrhythmia monitoring clinic, heart failure clinic OSU CarePoint Lewis Center: Cardiac consultation, arrhythmia monitoring clinic OSU CarePoint East: Cardiology consultation, cardiac rehabilitation, outpatient cardiac and vascular diagnostic testing, arrhythmia monitoring clinic, heart failure clinic 16 Bellefontaine: Electrophysiology procedures, cardiology consultation, vascular consultation, cardiac catheterizations, outpatient cardiac and vascular diagnostic testing OSU Heart and Vascular Center at Olentangy: Cardiac consultation, vascular consultation, endovenous treatment, outpatient cardiac and vascular diagnostic testing Bucyrus: arrhythmia monitoring clinic Knightsbridge: Vascular consultation, vascular diagnostic testing, imaging and testing, vascular surgery Lima: Electrophysiology procedures Martha Morehouse Medical Plaza: Cardiology consultation, outpatient cardiac diagnostic testing, lipid management clinic, cardiac rehabilitation Stoneridge: Cardiology consultation, outpatient cardiac and vascular diagnostic testing, vascular consultation, women's cardiology clinic, lipid management clinic, arrhythmia monitoring clinic • Only adult heart transplant program in central Ohio OSU Hospital East: Cardiology consultation, lipid management clinic, cardiac catheterizations, electrophysiology procedures, inpatient cardiac and vascular diagnostic testing Marysville: Cardiology consultation, cardiac and vascular diagnostic testing, arrhythmia monitoring clinic SURROUNDING AREAS Cambridge: Cardiology consultation, cardiac catheterizations, arrhythmia monitoring clinic Lancaster: Cardiology consultation, interventional cardiology, arrhythmia monitoring clinic, electrophysiology procedures Chillicothe: arrhythmia monitoring clinic Findlay: Electrophysiology procedures Marietta: Arrhythmia monitoring clinic Marion: Electrophysiology procedures Wooster: Electrophysiology procedures Ashland: Vascular consultation Fayette: Vascular consultation Wyandot: Vascular consultation Mt. Vernon: Cardiology consultation, cardiac and outpatient diagnostic testing, vascular consultation Mt. Gilead: Cardiology consultation, cardiac diagnostic testing, vascular consultation London: Cardiology consultation, vascular consultation Portsmouth: Electrophysiology procedures Northern Kentucky: Heart failure clinic E LECTRO P H YSIO LO GY Ohio State's Trailblazing EP Program Opens Doors to Regional Partnership and Groundbreaking Research Ohio State's Electrophysiology (EP) Program has undergone major expansion over the past few years, with the addition of an innovative new facility that provides a superior patient experience, greater coordination of care and improved efficiencies and outcomes in the management of patients with arrhythmias. Features of Ohio State's EP Services include: • A $20-million lab expansion at the Richard M. Ross Heart Hospital, which increases the number of invasive heart rhythm laboratories and places all the labs in the same location • Six state-of-the-art invasive heart rhythm procedure labs, all equipped with sophisticated imaging and mapping technologies and linked by integrated technology • A dedicated 30-bed inpatient unit for arrhythmia management • Twenty-five recovery units staffed by nurses who specialize in pre- and post-op management of arrhythmia patients • Specialty clinics for genetically related arrhythmias, with patient access to genetic counseling, gene therapy and testing to identify genetic tendencies toward arrhythmias • Outpatient subspecialty care through cardiac device and antiarrhythmic medication specialty clinics Many healthcare facilities do not have the capability to provide a comprehensive level of EP care. To make high-level electrophysiology more widely available, physicians from Ohio State travel to multiple regional sites to deliver Ohio State's expertise to the surrounding communities. The Largest Group of EP Specialists in Ohio Delivers State-of-the-Art Arrhythmia Management Services Ohio State's Richard M. Ross Heart Hospital houses the largest group of EP specialists in Ohio. When the heart goes into an abnormal rhythm, Ohio State's unique team responds immediately to determine and perform the most appropriate procedure to restore proper rhythm. Catheter ablation therapy, which involves burning, deadening, or freezing the specific source of the abnormal rhythm, is the primary means to treat such rhythm abnormalities. The Program also is a Center of Excellence for robotic navigation into the heart to correct rapid heartbeat. 17 E LECTRO P H YSIO LO GY TOTAL EP LAB PROCEDURES 4,732 FY08 4,794 FY09 FY10 4,704 4,787 FY11 EP LAB PROCEDURES FY11 Breakdown by Type 1,181 Ablations 2,403 Other EP (studies, leads, pocket procedures, etc.) 1,203 Devices State-of-the-art technology is always a key component of heart care. Treatment may involve implantation of a pacemaker or defibrillator. New devices being reviewed will offer such benefits as better memory, greater processing capability and monitoring of physiological changes — and then alerting physicians to intervene and prevent an event from occurring. Ohio State's EP Program is also expert at removing devices that have failed or otherwise reached the end of their working life. The OSU Medical Center is among the best in managing implantable lead complications and one of the world's largest-volume lead-extraction centers. Ohio State's Leads Investigational Device Trials in Field of Electrophysiology Ohio State's Medical Center is deeply involved in creating and testing the latest EP devices and technologies. Ohio State physicians act as principal investigators on many of these trials, design or contribute to study protocols, consult with device makers, enroll patients in clinical trials, conduct the studies and monitor results. As a leader in investigational device trials, Ohio State participates in significant studies that evaluate the safety and efficacy of various devices and technologies, including: • A magnetic resonance imaging (MRI)-compatible pacemaker TOTAL EP Lab Procedures 4,787 • A catheter-embedded pressure monitor that measures pressure against the heart wall to help electrophysiologists determine the appropriate energy-delivery setting for the device YEARLY TRENDING FOR ABLATIONS 2008 2009 1,065 1,085 1,098 2010 2011 18 • Innovative pacemaker lead wires that combat the problems of breakage and infection 1,181 • An implantable defibrillator with no wires inside the heart On the horizon are trials for a percutaneously implanted pacing lead that is attached externally to the heart, an injectable loop recorder and a medication to suppress abnormal heart rhythms. Additional investigations explore new ways to use existing devices. These important trials give Ohio State patients access to cutting-edge technologies and life-changing therapies that often are not available elsewhere. TH E O H I O STATE U N I V E R S I TY ME D ICAL C EN TER 19 P E R IP H E RA L VA SC U L A R S U RGE RY A N D ME D I C I N E Excellence Leads to Accelerated Growth for Ohio State's Peripheral Vascular Surgery and Medicine Program The Peripheral Vascular Surgery and Medicine Program at The Ohio State University Medical Center is renowned for its excellent treatment of vascular diseases and now, more than ever, is positioned for expansion through research, education and patient care. As part of that expansion, 2011 saw the development of Ohio State's Aortic Center, a center of excellence dedicated exclusively to the management of thoracic aortic conditions. Patients seen at the Center benefit from the combined expertise of vascular surgeons, cardiac surgeons and cardiologists who are trained in both open and endovascular repair of thoracic aortic conditions. The Aortic Center houses everything under one roof, including 24-hour imaging facilities, cath labs and an operating room equipped with radiographic devices that allow for both open procedures and stent grafts in the same setting. The Center also facilitates ongoing consultation and monitoring of patients with descending thoracic aortic disease, including those with connective tissue disorders such as Marfan syndrome. Accessibility is the emphasis for everyone, from patients with the most straightforward problems to those with the most complex issues. Excellence has led to growth: this team of top physicians continues to expand with the addition of four distinguished physicians. With a focus on the future, Ohio State is now developing an advanced fellowship program. Targeting the best and brightest from a variety of disciplines, the fellowship program stresses the evolving fields of endovascular and hybrid approaches in the treatment of peripheral vascular disease. Ohio State's Heart Center has several scientific peripheral vascular studies under way, including an important phase I clinical trial studying the safety and efficacy of marrowderived stem cell therapy in the treatment of patients with critical limb ischemia not treatable by any other technique. Specialists at Ohio State's Peripheral Vascular Surgery and Medicine Program treat patients at Ohio State's University Hospital, University Hospital East and six satellite sites. 20 TH E O H I O STATE U N I V E R S I TY ME D ICAL C EN TER Ohio State Welcomes Barry George, MD as Director of Advanced Cardiovascular Catheter-Based Therapies In 2011 Ohio State's Heart and Vascular Center expanded its long-established peripheral vascular disease program when Barry George, MD, joined the faculty. Dr. George's vast experience includes training with the first two physicians to perform coronary angioplasty in the United States. He was involved in early investigative and clinical work that helped shape today's cardiac and endovascular techniques. "Those early days of catheter-based therapies were very 'heady' times," says Dr. George. "I felt very fortunate to be exposed to all the new 'toys and gadgets' we developed. Some are actually still used today." He began performing catheter-based interventions in 1982. Now, more than 18,000 interventional procedures later, he has returned to his medical school alma mater as director of Advanced Cardiovascular Catheter-Based Therapies, where he will help educate the next generation of healthcare leaders. Barry George, MD, FACC, FSCAI, FACP "It was at [Ohio State] where I was inspired by several cardiologists to pursue the study of heart disease," Dr. George says. "I can't believe almost 30 years later I have the opportunity to teach and inspire other young physicians at such a prestigious place." At Ohio State, Dr. George will help to develop a unique fellowship program that combines endovascular medicine, peripheral vascular surgery, interventional cardiology and radiology — all the disciplines in the field of catheter-based practice. His background in biomedical engineering and cardiology has led to his participation in numerous landmark studies, including: • The Thrombolysis and Angioplasty in Myocardial Infarction (TAMI) Trial, where he was a principal investigator • Early investigative stent and atherectomy clinical trials • Renal angioplasty and peripheral artery angioplasty, including subclavian, brachial, ulnar, radial digital and vertebral artery and carotid angioplasty and stenting • Percutaneous therapies for valvular and congenital heart disease in adults • Percutaneous left ventricular assist devices for complex coronary interventions In addition to his clinical work, Dr. George also plans to continue to participate in and initiate new research in catheter-based therapies and biomedical engineering. 21 P E R IP H E RA L VA SC U L A R S U RGE RY A N D ME D I C I N E Phase I Clinical Trial Evaluates Stem Cell Therapies for CLI Patients The Ohio State University Medical Center may be helping to forge a new path for critical limb ischemia (CLI) patients who are not candidates for revascularization. Researchers and clinicians are in the early stages of a phase I clinical trial designed to study the safety and efficacy of marrow-derived stem cell therapy for CLI patients. This is one of the first such trials using an autologous platelet separator device approved by the FDA. The first patient was enrolled in April 2011. Combining basic science cell-based therapy with vascular surgical expertise, principal investigator and Ohio State vascular surgeon Michael Go, MD, and Vincent Pompili, MD, director of Ohio State's cardiovascular cell-based therapies, are collaborating on the trial. They hope to enroll 15 patients who have reached the end of efficacy with other therapies provided through Ohio State's Medical Center. In the trial, researchers isolate and prepare stem cells specific to angiogenesis (generation of new blood vessels). New technology can isolate and process stem cells from bone marrow in the surgery suite or cath lab and deliver them to the patient within 15 minutes. Ohio State researchers conducted much of the basic science behind this process. Investigation continues to validate the safety and efficacy of this approach. In a simple procedure, the stem cells are infused in the patient's affected limb. The body responds by creating alternative new channels for blood to flow around blocked arteries. A similar phase I trial is set to begin in early 2012 using stem cells to improve heart muscle in patients who have had coronary events. Looking forward, Ohio State researchers hope to move quickly on a phase II randomized trial for CLI patients. 22 TH E O H I O STATE U N I V E R S I TY ME D ICAL C EN TER 23 CO N G E N I TA L H E A RT D I S E A S E A Leader of the Pack in Treating Disease with Unanticipated Demand Today, due to improved pediatric cardiovascular care, more children are surviving to adulthood with congenital heart disease. This has created a shift in the population— there are now more adults than children with congenital heart disease. However, undergoing childhood congenital heart disease surgery is not a cure. Once individuals reach adulthood, there await major residual cardiovascular problems, leading to significant morbidity and risk for early mortality. Several issues account for these concerning findings. Cardiovascular medicine has not been well prepared to care for this influx of adult congenital heart disease patients. Not enough physicians have trained to treat adult congenital heart disease, and patients have not been well educated about the need for lifelong care. This is not an ideal situation, but it is a challenge that The Ohio State University Medical Center has met head on. Partnership with Nationwide Children's Hospital Ohio State began developing an Adult Congenital Heart Disease Program in alliance with Nationwide Children's Hospital a decade ago. This Columbus-based partnership represents one of the largest adult congenital heart disease programs in the United States in terms of patients, providers and research. Although the two hospitals are not formally affiliated, they collaborate for the benefit of patients. Providers and patients move between the two facilities as needed to access the best possible care, drawing upon the rich resources of each institution. Almost 3,000 patients are cared for in the program each year, with an adult congenital heart disease clinic offered daily. Patient outcomes from the program are outstanding and among the best in the country. (Crumb, et al. Quality outcomes of ACHD patients undergoing cardiovascular procedures and hospital admissions in a free-standing children's hospital, International Journal of Cardiology, 146 (2011) 326-329.) Comprehensive care is provided by Ohio State's three full-time adult congenital heart disease specialists, fellows, three dedicated nurse practitioners, nursing staff, psychologists and social workers. Specialists from Nationwide Children's are closely involved in care, including involvement in procedures such as interventional congenital heart disease catheterization. Among the highly specialized therapies available in the Adult Congenital Heart Disease Program are trans-catheter valve replacement, complex arrhythmia management and treatment, and heart-lung transplant surgery. Unique to the Ohio State – Nationwide Children's partnership in adult congenital heart disease (ACHD) care is the Transition Program. All patients age 15 and older at Nationwide Children's are provided with an educational session about the need for lifelong cardiac care by the ACHD team. The aim of this unique program is to actively 24 TH E O H I O STATE U N I V E R S I TY ME D ICAL C EN TER transition pediatric patients into adult care and to emphasize the need for this routine care to prevent future problems. As patients transition into adulthood, pregnancy is a complication many will encounter. Ohio State offers a Pregnancy and Heart Disease Program for congenital heart disease patients. The program provides care from cardiologists, high-risk obstetricians and anesthesiologists. To date, more than 400 women with congenital heart disease have been treated in the program, with zero maternal mortality. Interventional Trans-catheter therapeutic cardiac catheterizations have revolutionized cardiac care for adults with acquired coronary and valvular disease, and children and adults with complex coronary heart disease. Since 2002, when The Cardiac Center at Nationwide Children's Hospital was formed and the Adult Congenital Heart Disease Program began to flourish, virtually every trans-catheter procedure has been available for adult congenital heart disease patients, including new device therapy protocols and compassionate-use devices. Each year, approximately 100 adult congenital heart disease patients are treated in the cardiac catheterization suites at Nationwide Children's Hospital and Ohio State's Medical Center. • Approximately 50 percent of these patients receive a closure device to close holes in the heart's upper chambers and avoid cardiopulmonary bypass surgery. • Another 25 percent of these patients receive stents to open obstructed blood vessels. Some of the stents are on an FDA protocol offered only in select centers in the United States. • More recently, approximately 10 percent of patients who have already had a complex open-heart surgical procedure receive a new cardiac valve delivered by a catheter. Some of these procedures are available in the United States only at Ohio State and Nationwide Children's Hospital, making it a unique destination medical center for adult patients with this disease. These complex procedures require dedicated teams experienced in this patient population: • Percutaneous catheter-based therapy, including a new pulmonary valve procedure— Ohio State and Nationwide Children's are among the only three sites in the world involved in this clinical research protocol • Hybrid procedures involving a combination of surgical and interventional procedures to minimize incisions, re-operations, open-heart surgery and time on the cardiopulmonary bypass machine—Ohio State and Nationwide Children's are among the few institutions with specially designed Hybrid Suites and protocols for adults and children with congenital heart disease. As demonstration of its dedication to furthering the understanding of adult congenital heart disease, Ohio State is one of only a handful of institutions that provides fellowship training in this specialty. 25 H E A RT FA I LU RE A N D T R A N S P L A N T Heart Failure & Transplant: Comprehensive Care Coupled with Continuous Innovation The Ohio State University Medical Center specializes in providing comprehensive treatment for advanced heart failure in one of the larger heart failure programs in the United States. The Medical Center was among the first to dedicate an entire floor in its Heart and Vascular Center to treating these very ill patients. Research Ohio State's national and international leadership and track record for innovation in heart failure therapy attracts important clinical trials. Ohio State co-led the landmark national multi-center Phase III CHAMPION (Cardio MEMS Heart Sensor Allows Monitoring of Pressure to Improve Outcomes in NYHA Class III Heart Failure Patients) trial. The results, published in The Lancet, represent a breakthrough in heart failure management. The pulmonary artery pressure device was implanted in 550 moderate heart failure patients at 63 sites. Patients in the trial experienced a 30 percent reduction in heart failure-related hospitalizations at six months, and a 39 percent reduction in yearly heart failure-related hospitalization. Ohio State also co-led the C-Pulse Heart Assist System trial studying the feasibility of a cuff that wraps around the ascending aorta to improve cardiac performance. The North American multi-center pilot trial included 20 patients with moderate to severe heart failure. Patients in the trial improved in a number of indicators and, based on the preliminary results, Ohio State is helping to design a larger pivotal trial to test the safety and benefits of the device. Transition Clinic Ohio State has focused energies on treating heart failure patients in the outpatient setting whenever possible. Toward that end, the Heart Failure Program developed points of contact to monitor patients and optimize the transition from hospital to home. This includes a nurse contacting patients within days after an inpatient stay, and nurse practitioners specializing in heart failure seeing patients within a week or two in a new outpatient transition clinic. In the last year, the 30-day readmission rate for these heart failure patients has improved—to 16.7 percent from 21 percent. With a base of approximately 2,000 patients in the Heart Failure Program, a moderate reduction in hospital readmissions is significant. 26 TH E O H I O STATE U N I V E R S I TY ME D ICAL C EN TER Another development to treat "congested" heart failure patients outside the hospital is outpatient ultrafiltration therapy. Ohio State is the only facility in central Ohio providing this therapy in the outpatient setting. PATIENT SURVIVAL 100% 90% Transplant Ohio State offers one of only two comprehensive heart transplant programs in Ohio. In the last several years, an average of 12 patients have been transplanted each year. Patient survival at one year after transplant averages 83 percent for January 2008 – June 2010. Survival at three years for July 2005 – December 2007 is 86 percent. Since the program was founded in 1986, surgeons have performed more than 350 heart transplant operations. The Ohio State team dedicated to caring for heart failure patients excels in providing the medical, pharmacologic and psychosocial support necessary to optimize the health and well-being of these complicated patients while they await the extraordinary—a lifesaving heart transplant. In keeping with its strong commitment to advance education and training, Ohio State offers a fellowship in heart failure and transplantation. 83% 86% 80% 70% 60% 50% 40% 30% 20% 10% 0% One-year Post Transplant Three-years Post Transplant TOTAL TRANSPLANTS (since 1986) 350 Ventricular Assist Devices (VADs) Only 10 percent of patients referred for evaluation for transplant are determined to be suitable candidates. Some patients awaiting transplant (bridge to transplant) and some who are not appropriate for transplant (destination therapy) are candidates for mechanical circulatory support with ventricular assist devices or VADs. The VAD program at Ohio State currently cares for more than 70 end-stage heart failure patients on long-term support, making it one of the busiest programs in the region. Ohio State's VAD program was one of the first to be certified by The Joint Commission accrediting body and recently received recertification. The current one-year survival in the program is 80 percent for patients with chronic VAD support. 27 N E W C L I N I C S A N D P ROG RA MS Creating Opportunities for Collaboration To provide the best care for our patients and streamline processes for their referring physicians, Ohio State's Heart and Vascular Center has introduced two new programs. The Heart Valve Clinic and Aortic Center of Excellence formalized collaborative relationships across specialties that were already in place. Now, referring physicians and patients have one point of contact to access all these services. Heart Valve Clinic Paves Way for Groundbreaking Clinical Trials Early in 2011, Ohio State completed the first CoreValve aortic valve replacement as part of a groundbreaking clinical trial. Led by a principal investigator at Ohio State's Medical Center, the CoreValve U.S. Pivotal Trial offers hope for patients with aortic valve stenosis who may not be candidates for traditional surgery. Ohio State is one of 40 centers involved in the trial nationwide. Area candidates are evaluated for CoreValve through the Richard M. Ross Heart Hospital's Heart Valve Clinic, a relatively new program that has demonstrated doubledigit growth over the past year. Built from the ground up, the Heart Valve Clinic at the Ross Heart Hospital provides comprehensive, patient-centered care to area residents with heart valve conditions. In a single visit, patients have access to state-of-the-art care in one convenient setting. For those with advanced disease, a multidisciplinary approach yields the most effective treatment plans. Evaluation begins with an entire team of specialists. Cardiologists and cardiovascular surgeons collaborate to determine the best course of treatment for every patient, taking into account comorbidities such as PVD, COPD and renal failure. Heart failure specialists, EP specialists, interventionalists, ARNPs and imaging experts are available around the clock, providing supportive care and consultation when needed. The experts at Ohio State's Heart Valve clinic provide a wide range of services, including catheter-based, minimally invasive, hybrid, robotic and conventional procedures as well as surgical and nonsurgical interventions for adults with congenital heart disease. A noninvasive diagnostic lab provides timely access to echocardiography and complementary diagnostics such as cardiac CT and cardiac MRI. Specialists at the clinic are always available for phone consultations to review test results, discuss concerns or evaluate whether a patient may be a candidate for a specific procedure. The Heart Valve Clinic allows for quick access to the most comprehensive care in the region. 28 TH E O H I O STATE U N I V E R S I TY ME D ICAL C EN TER Aortic Center of Excellence Offers Innovative Solutions for Patients With Complex Diseases of the Aorta The Ohio State University Medical Center continues to expand, refine and improve its services for patients with heart and vascular diseases. The recent addition of the Aortic Center of Excellence to the Richard M. Ross Heart Hospital is a case in point. Dedicated exclusively to the management of complex diseases of the aorta, this important stateof-the-art resource offers the expertise of a uniquely experienced clinical team with specialized training in the latest technological advances. The multidisciplinary team at Ohio State's Aortic Center of Excellence includes vascular and cardiac surgeons, cardiologists, radiologists and anesthesiologists who collaborate to provide the best approach for every patient. Innovative techniques such as endovascular repair result in better outcomes for this complex patient population. Hybrid procedures — which combine open and endovascular repair — offer hope for patients who had previously been considered high risk. Advanced techniques offered at Ohio State's Aortic Center of Excellence include: • Aortic aneurysm and dissection repair • Aortic valve-sparing surgery • Homograft root replacement • Bentall aortic root replacement • Replacement of ascending aorta • Hybrid elephant trunk procedure • Open thoracic and thoracoabdominal aneurysm repairs with spinal cord protection • Endovascular grafting for descending thoracic aortic aneurysms, which reduces morbidity, mortality and risk for open procedures The Center has 24-hour imaging services available, including round-the-clock access to MRI, CT and cath labs for timely angiogram assessment. In addition, an advanced endovascular operating room allows for open repair and stent graft placement to be performed in the same setting. Surgeons are available 24 hours a day for consultation. Elective consultation for patients with chronic stable aneurysms and other aortic pathology can be scheduled for evaluation. Plans for 2012 include the installation of a hybrid operating suite. 29 D E VELOPME N T Friends of Ohio State's Heart and Vascular Center Highlights of 2011 Philanthropic Support for the Heart and Vascular Center Generous support in 2011 to The Ohio State University Heart and Vascular Center demonstrates a continued commitment to advancing cardiac research, care and education. THE GERARD KAKOS, MD, AND THOMAS WILLIAMS, MD, PROFESSORSHIP IN CARDIAC HEART SURGERY Dr. Gerard Kakos of Columbus has established the Gerard Kakos, MD, and Thomas Williams, MD, Professorship in Cardiac Surgery, with a generous $1 million gift. This gift will enable the Division of Cardiac Surgery to attract outstanding leadership and recognize the scientific achievement and prominence of a renowned expert in cardiac surgery. Dr. Kakos ('67), Faculty Emeritus, spent 35 years as a cardiothoracic surgeon at The Ohio State University Medical Center. Dr. Williams ('63), clinical associate professor of Surgery, has spent 41 years at Ohio State's Medical Center. THE MARY AND J. CHURCHILL HODGES PREVENTION PROGRAM Mary and Churchill Hodges of Huntington, W. Va., provided a $500,000 gift to create the Mary and J. Churchill Hodges Prevention Program in Ohio State's Ross Heart Hospital. This program will focus on creating a cardiovascular disease prevention program for Ohio State Medical Center patients. The noninvasive outpatient testing area has been named The Mary and J. Churchill Hodges Noninvasive Imaging Center in recognition of their gift. Mary and Churchill (Churchill passed away in September 2011, soon after naming the imaging center) were grateful patients of the Medical Center and long-time supporters of The Ohio State University. THE WOMEN'S CARDIOVASCULAR PROGRAM Sarah and Dan Kay of Bexley gave a $100,000 gift to support the Women's Cardiovascular Program at OSUMC. A long time supporter of the Heart and Vascular Center, Sarah is the daughter of Sarah "Sally" Ross Soter and the granddaughter of Elizabeth Ross and the late Richard M. Ross, for whom the Ross Heart Hospital was named. 30 TH E O H I O STATE U N I V E R S I TY ME D ICAL C EN TER Schottenstein Prize in Cardiovascular Medicine: Steven Gabbe, MD; Jonathan Seidman, PhD; Christine Seidman, MD; E. Gordon Gee; Jay Schottenstein; Jeanie Schottenstein; Thomas Ryan, MD Charles and Barbara Webb ROBERT J. FREEDY, MD, AND LUCY R. FREEDY, MD, ENDOWED CARDIOVASCULAR EDUCATION FUND Lucy Freedy, MD, of Columbus created the Robert J. Freedy, MD, and Lucy R. Freedy, MD, Endowed Cardiovascular Education Fund in memory of her husband, Dr. Robert Freedy (MD, '60). The endowment will support education of house staff, residents, fellows and/ or medical students in the Division of Cardiovascular Medicine in Ohio State's Ross Heart Hospital. CHARLES AND BARBARA WEBB CARDIOVASCULAR RESEARCH SYMPOSIUM Dr. Jianjie Ma, chair of the Department of Physiology and Biophysics at Robert Wood Johnson Medical School, joined us Sept. 30, 2011, for the first Charles and Barbara Webb Cardiovascular Research Symposium. Charles and Barbara Webb and Family created an endowment in 2010 that supported this symposium. Dr. Ma presented on translational cardiovascular research to The Ohio State University Dorothy M. Davis Heart and Lung Research Institute faculty, staff and students. JAY AND JEANIE SCHOTTENSTEIN PRIZE IN CARDIOVASCULAR SCIENCES In May, 2011, the Heart and Vascular Center presented the second Jay and Jeanie Schottenstein Prize in Cardiovascular Sciences to Dr. Christine "Kricket" Seidman, the Thomas W. Smith Professor of Medicine at Harvard Medical School and Brigham and Women's Hospital. The Schottenstein Prize in Cardiovascular Sciences is awarded biennially to a nationally recognized cardiovascular physician or researcher. VIGODA FAMILY LECTURER On Sept. 13, Dr. Anthony DeMaria of the University of California, San Diego, joined us as the 2011 Vigoda Family Lecturer. In 2007, Dr. Philip and Louise Vigoda made a gift to create a visiting lectureship, which brings internationally renowned cardiovascular researchers and clinicians to Ohio State to provide educational opportunities for faculty and students. 31 D E VELOPME N T Donate Today Visit giveto.osu.edu to learn about the Heart Center Annual Fund, which supports the priorities of the Heart and Vascular Center. (Fund Number: 312269) For more information on how to become a friend of Ohio State's Heart and Vascular Center, please contact: The Ohio State University Heart and Vascular Center Development Davis Heart and Lung Research Institute, 110V 473 W. 12th Ave. Columbus, OH 43210 614-247-7857 Julie Dials Senior Director of Development firstname.lastname@example.com Kelly Stevelt Assistant Director of Development firstname.lastname@example.com 32 TH E O H I O STATE U N I V E R S I TY ME D ICAL C EN TER 33 Use our referral and resource guide to quickly reach our expert physicians. 34 glue reference guide here The Ohio State University Medical Center Ross Heart Hospital 452 W. 10th Ave Columubus, OH 43210 medicalcenter.osu.edu/heart Š 2012 The Ohio State University Medical Center ROSS20110102


text:
So LO just got her first 2 teeth right before turning 1 and now has 2 more. I'm reading that it's good to start cleaning them a couple times a day? Do you guys do this? I think we'll start with just at bedtime. But also, I read on some threads here ppl using toothpaste, but it doesn't seem like that's recommended until they're 2? What are you guys doing?
Toothpaste Under 2?
I have ben brushing since 6 months. I brush once or twice a day with non fluoride pasta.
Eli - 10/31/2011
Austin - 12/30/13
we brush ali teeth at least 1 time a day. we were told no toothpaste is recomended till they can spit.
I asked our dentist what to do when my second was 2ish. We have well water, so no added flouride. Our dentist told us to brush with a childrens toothpaste containing flouride and she stressed to use minimal amount of toothpaste. Just like a scraping across the bristles, not pea sized.. But this was for a 2 yr old. I'm still brushing my Oct 11 son's teeth with just a wet (water) toothbrush.
Blessed 4 times ~ Sept '07, June '09, Oct '11, Sept '13.
DD uses the JASON brand right now.
( . )( . ) Double Platinum!
I use the childrens non flouride tooth paste for 0-2 and put a pea sized drop on his tooth brush and let him go to town! He loves brushing (chewing) his teeth. He mainly just chews it but the pedi said that was good for him because he was still "brushing" them. I do it in the morning with him and at night, well usually do it together. I have two toothbrushes, one that I bought and one that came with a kit I got before he was born. I let him use the one that was in the kit because the one I bought from the store said not to them chew on it so I figured I'd save that one until we can actually brush, and use this one for practice.
Jennifer (24)�
Brandon (26)�
Happily married to the love of my life since June of 2005 <3�
The dentist said non-fluoride toothpaste until they can spit. You'll see on the package of every fluoride toothpaste to call poison control if it's ingested. So, just buy something without it. I'm surprised a dentist said a fluoride toothpaste was fine for a baby- even on well water. Treated water is at a much lower dosage than toothpaste. Fluoride ingested in high dosages (including water) causes fluorosis among other things.
Me(25) + DH(25) = 7/21/12
DS Bryce- 10/14/2011
DD Camille- 07/12/2015

subset: commoncrawl


text:
ROCKFORD — Jury selection began today in the trial of the third and final man charged with the 2007 shooting death of an ice cream vendor in Rockford, a murder that roiled the Rock River Valley.
ROCKFORD — Jury selection began today in the trial of the third and final man charged with the 2007 shooting death of an ice cream vendor in Rockford, a murder that roiled the Rock River Valley.
Rafael E. Santos was 17 years old when, along with two others, he attempted to rob 47-year-old ice cream vendor and father Isidro Duran at gunpoint and then shot Duran in the back as he tried to run away, prosecutors say. Santos has pleaded not guilty.
Jury selection is expected to wrap up Tuesday morning.
Now 22, Santos today accepted a jury trial after taking several minutes to consider asking Judge Gary Pumilia alone to hear the case and render a verdict in a bench trial.
Santos told Pumilia that he might not get a fair shake from a jury because its members may have their minds made up about his guilt. Pumilia assured Santos that he is presumed innocent and any potential juror who could not set aside preconceived notions would be rejected.
Santos first told the judge he wanted a bench trial. Then he called out for his mother's opinion in court after asking the judge's permission.
"Would you feel it's your fault?" if he took a bench trial and was found guilty, he asked his mother in a Winnebago County Justice Center courtroom.
"No," she replied, visibly emotional and covering her mouth.
Still, Santos was ultimately persuaded by his lawyers, the assurances of the judge and comments by prosecutors about the soundness of the judicial system.
After all, it's been five years since the murder and there has been little recent pre-trial publicity of consequence, Deputy State's Attorney Marilyn Hite Ross noted.
Duran was selling frozen fruit bars out of a push cart to a man and his 2-year-old daughter in the 700 block of Loomis Street when three teenaged males approached him July 15, 2007. The men attempted to rob him, authorities said, and he was shot multiple times when he tried to run.
Although Duran lived in Woodstock, for about five years he had sold ice cream from his cart on weekends in Rockford and Chicago. His slaying came as a shock to the community.
It sparked a march protesting the crime and 150 people filled St. Edward Catholic Church to mourn Duran's loss as residents reeled from the news of the ice cream man's murder, someone who brought a simple summer pleasure to Rockford neighborhoods.
Two of the attackers have been convicted.
Michael C. Jennings pleaded guilty in January 2010 to murder charges and in November 2010 was sentenced to 20 years in prison.
Justin L. Dismuke was found guilty by a jury on June 24, 2011, and sentenced in July 2011 to 22 years in prison. Dismuke has filed an appeal.
Page 2 of 2 - If convicted, Santos faces 20 to 60 years for first-degree murder plus another 25 years if the jury finds that he killed Duran with a firearm.
Reach staff writer Jeff Kolkey at firstname.lastname@example.com or 815-987-1374.
Comments are currently unavailable on this article
Location, ST | website.com


text:
To Grow, Or Not To Grow, Rhubarb: You Gotta Make Her Shiver …
Rhubarb can grow rather large in the right environment and it's 30, 33) – or Southern California (Zone 22) – or the Arizona Dessert area (zone 12) – or in and west to Washington State, are the best growing climates. Rhubarb usually doesn't survive in southern climates
I Want More Rhubarb – Squidoo
Here you'll find Rhubarb recipes, learn how to eat the rhubarb stalks – raw – right out of the garden, links to great Rhubarb resources, Rhubarb growing tips, and where to buy rhubarb to eat, and where to buy rhubarb to plant.
Specialty Crop Block Grant Program – National Sustainable …
Partner with Jeff Smeenk to determine the optimum rhubarb for a juicing product and present the project Partner with the Arizona Farm Bureau in collaboration with Arizona fruit and vegetable farmers to establishing the first hydroponic growing system at the University campus in
Has Anyone Ever Tried growing Rhubarb In The South?
Has anyone ever tried growing Rhubarb in the south? Subscribe Search This Thread « Previous; 1; 2; 3; Location: Gilbert, Arizona; Joined: 4/2009; Posts: 337; offline; Select All Posts By This User;
Specialty Crop Block Grant Program – Agricultural Marketing …
Partner with Macon County Farmers Organizations, Inc. to put six Alabama farmers in one acre of plasticulture for growing •Enhance producer contact and communication and identify potential Alaskan market outlets for rhubarb Arizona Department of Agriculture Amount Awarded:
Growing Rhubarb – Texas (Southern) Style – Homesteading Today
Growing Rhubarb – Texas (Southern) Style. Texas A&M says it can be done, IF done right. Location: Phoenix, Arizona. Posts: 2,554 Quote: Originally Posted by YuccaFlatsRanch. Texas A&M says it can be done, IF done right.
Grow Rhubarb – Lenawee Paint
Early nineteenthgrowing rhubarb theres enough for growing life when it comes. And information on successfully growing huge patch. Without daylight the need at least to thrive vegetables rhubarb. Rhubarbbest months for many years. Basics of arizona partial shade .
Seed Catalog, Garden Seeds, Fruit Trees, Vegetable Seeds …
Growing Tips Growing rhubarb plants nearly always starts with root divisions; rarely is rhubarb started from seed. You'll want to plant your divisions in an area that receives full sun, although rhubarb will grow in partial shade.
PO Box 127 • 2100 S. Bowie Avenue • Solomon AZ 85551-0127 …
What is growing? What is not growing? What is working? Fall and Winter Gardening in Southeastern Arizona Collard Sept. 1 ‐ Jan. 15 Rhubarb Oct. 1 ‐ Mar. 1 Endive
Easiest Vegetables To Grow In Arizona | Garden Guides
Easiest Vegetables to Grow in Arizona. will grow slowly. Root vegetables may get woody before they're big enough to harvest. Rhubarb is the only vegetable that will grow in deep Warm weather causes most cool season veggies to bolt. That is the plant stops growing and starts to throw up
Allergenic Plants In Southern Nevada – University Of Nevada …
When US farmers began growing caster beans for the war effort. Rheum Rhubarb Rhaphiolepis Indica India Hawthorne Rhapis Bamboo Palm, Lady Palm, Vauquelinia Californica Arizona Rosewood High Allergens Botanical Name Common Name


text:
Aug 04, 2014
Bob Buskirk
All News, Hardware News
BenQ unveiled today the world's first hybrid engine G-SYNC gaming monitor: the XL2420G. Engineered to push the limits of display technology with market-driving innovation, the XL2420G is a solid successor of all the best of BenQ and a true game changer in the midst of a G-SYNC revolution.
Oct 31, 2013
Ahmed Humayun
All News, Gaming News, Hardware News
XL2720Z, the new 27" professional gaming monitor has finally been introduced by BenQ which is known around the globe for its leading human technology and solutions and the offer for XL2720Z will sound very attractive considering that BenQ is recognized as one of the pioneers of the gaming monitors. FPS action-oriented gaming will be best supported by this gaming monitor since it has been designed and built with the visual clarity enhancement innovations exclusively for ultimate gaming experiences.
Nov 25, 2015
Nov 24, 2015
Nov 19, 2015
Nov 18, 2015
Nov 17, 2015


text:
Fletcher Priest makes Brussels shortlist
The London practice's team, which also includes Arup, Davis Langdon and Belgian firm WIT Architekten, will face four other teams, led by French architect Christian de Portzamparc, Dutch firm OMA, Belgian practice Xaveer de Geyter Architecten, and joint Danish and Belgian office JDS Architects.
The competition, organised by the Brussels-Capital Ministry, is to double the density of a 13ha site at the heart of the European District, consolidating facilities for the European Commission, introducing residential development and transforming a highway into one of the key axes leading to the city centre.
The five shortlisted teams, selected from a longlist of 35, will now come up with design proposals, and a final selection is expected to be made at the end of the year.
Have your say
You must sign in to make a comment.


text:
Body Discovered Believed to be that of Missing Amber Chantel Elkins
Sad but not unexpected news out of the search for missing mom Amber Chantel Elkins.
Searchers discovered a body on Sunday in a wooded area of Montgomery County that is believed to be that of missing Amber Chantel Elkins. According to Tom Miller, the founder of Texas Equusearch, the body was found found near a bridge around 3:30 PM. Although there has been no positive ID of the body, it is widely believed to be that of Amber Chantel Elkins. The body has been sent to the Montgomery County Medical Examiner's office for identification.
Search volunteers on Sunday discovered a body believed to be that of Amber Chantel Elkins, a 20-year-old Humble mother, in a wooded area of Montgomery County, an official said.
Tim Miller, founder and director of Texas EquuSearch, said the body was found near a bridge around 3:30 p.m. Officials are awaiting positive identification of the body, but believe it's Elkins and notified her family, he said.
"Right now it's the worst news they could ever imagine," said Miller. "Now it's real. Now she's really not coming home."
Tim Miller stated that it appeared that the body "was dumped in an isolated area."
Miller said his team was searching the area off Gene Campbell Road and FM 1314 after receiving some information from detectives, their focus was on the woods near some cell towers.
"So, we just had our people out there, just concentrating on areas around these cell towers that we had information on," said Miller.
Just the other day, Elkin's boyfriend, James Clarke Jr, was charged with murder.
Our prayers go out to the family and friends of Amber Chantel Elkins … REST IN PEACE.
Posted July 31, 2011 by Scared Monkeys
Amber Chantel Elkins, Crime, Missing Persons, Murder, Texas Equusearch | 4 comments
20 Year Old Amber Chantel Elkins Missing Since Sunday Evening, July 24, 2011 from Humble, TX (UPDATE: James David Clark Arrested for Murder)
20 year old Amber Chantel Elkins from Humble, TX has been missing since Sunday evening, July 24, 2011 in the area of Greens Road and Highway 59 in Harris County, TX. The Harris County Sheriff's Office said that she may be a victim of foul play. On Tuesday, a dark green 2004 Chevrolet Trailblazer registered to Elkins was found abandoned in the Greens Bayou parking lot. According to police, the front passenger window of the vehicle had been shattered and there was a substantial amount of blood was visible. The owner of Tommy's Car Care discovered the SUV with his brother and called 911.
"We walked over together and looked in, that's when we saw the blood and it looked like, you know, commotion had taken place in there," said Tommy Johnson. "Her purse and stuff like that was thrown all over the place, blood was on the seat, on the console, the shifter, on the sides of the driver seat."
Missing: Amber Chantel Elkins
Elkins is described as standing at a height of between 5-feet 8-inches and 5-feet 9-inches tall, weighing 130 pounds, with black hair and brown eyes. She has two stars tattooed on her wrist and the word "ACE" tattooed on her ankle.
Deputies arrived around 2:45 p.m. Tuesday to find a dark green 2004 Chevrolet Trailblazer abandoned in a parking lot on Homestead Road near Old Humble Road. The sport utility vehicle with Georgia license plates was left in the lot north of Greens Bayou.
Upon further investigation, deputies found the front passenger window of the Trailblazer had been shattered and that a substantial amount of blood was visible in the vehicle.
Crews Search for Missing Spring Mother: MyFoxHOUSTON.com
Posted July 30, 2011 by Scared Monkeys
Amber Chantel Elkins, Arrest, Crime, Missing Persons, Murder, Texas Equusearch | 2 comments
Tim Miller & Texas EquuSearch Files Lawsuit Against Casey Anthony & Family … Accuses Family of Knowing Caylee was never Missing
Tim Miller and Texas Equusearch have filed a lawsuit against the family of Casey Anthony in connection to the searches for two year old Caylee Anthony in Orlando, FL. TES searched multiple times for Caylee and claimed to have spent more than $100,000. Miller claims that Cindy and George knew that Caylee was never missing and is seeking damages. Tim Miller says, "TES was used".
Following Casey's acquittal on July 5, Miller said he was considering a lawsuit against the family.
The founder of EquuSearch accused the Anthony family of knowing Caylee was never missing, but hiring the group for their services regardless.
"I do regret now, and when I watched opening statements and Jose Baez opened with saying Caylee Anthony never was missing I basically said, 'damn you'."
Posted July 12, 2011 by Scared Monkeys
Casey Anthony, Caylee Anthony, Crime, Facebook, Justice, Legal - Court Room - Trial, Missing Persons, Murder, Texas Equusearch | 35 comments
The Dana Pretzer Show On Scared Monkeys Radio – Wednesday July 6, 2011 – Special Guests: Blink from Blink on Crime, Pat Brown & Tim Miller Discussing the Shocking Casey Anthony "Not Guilty" Verdict … Where is the Justice?
Dana welcomes special guests:
- Crime blogger Blink from Blink on Crime will be discussing the shocking jury verdict of "not guilty" in the murder trial of Casey Anthony. In a head spinning decision, the jury in Orlando, FL took 10 hours of deliberations and came back with a "not guilty" verdict which begs the questions, is it "reasonable" that a jury could have watched the same trial everyone else did and let the tot mom skate on all major accounts … where is the Justice for Caylee? Blink will add her analysis and insight as to what occurred.
- Pat Brown - Criminal profiler will be discussing the murder trial of Casey Anthony and yesterdays shocking verdict. Pat will provide her expert opinion as to Casey Anthony. The jury found her not guilty, but if not Casey, then who? What will Pat's reaction be to Casey Anthony skating on all major charges. How did Casey Anthony walk?
- Tim Miller - the founder of Texas Eqqusearch (TES) joins Dana to discuss his reaction to the Casey Anthony verdict, was it much different from the wild goose chase and runaround that TES received when conducted the searches for Caylee Anthony.
Posted July 6, 2011 by Scared Monkeys
Casey Anthony, Caylee Anthony, Crime, Dana Pretzer, Facebook, Justice, Legal - Court Room - Trial, Murder, Podcast, Scared Monkeys Radio, Texas Equusearch | 14 comments
Daily Commentary – Tuesday, September 21st, 2010 – Steph Watts and Tim Miller Verbally Attack Beth Holloway
September 22nd, 2010 Daily Commentary
* Dana expresses his outrage over comments made on Steph Watts' blog talk radio show accusing Beth Holloway of exploiting her daughter's death for personal gain.
Daily Commentary – Tuesday, September 21st, 2010 – Steph Watts and Tim Miller Verbally Attack Beth Holloway [5:55m]: Download
Posted September 22, 2010 by Klaasend
Aruba, Beth Holloway, Facebook, Natalee Holloway, Texas Equusearch | 24 comments
The Dana Pretzer Show On Scared Monkeys Radio – Saturday, February 20th, 2010 – Special Guests: Jossy Mansur, Tim Miller, Dr. Dale Archer, Blink from Blink on Crime and Robin Sax
Tonight Dana welcomes special guests:
- Jossy Mansur – the Managing Editor of Diario Aruba discussing the death of Paulus Van der Sloot, the father of Joran Van der Sloot and the last person to reportedly have seen Natalee Holloway.
Joran & Paulus Van der Sloot
Not only was Joran a suspect in the disappearance of Natalee Holloway, he also confessed to killing her. What role did Paulua play in the cover up of the disappearance of Natalee Holloway and what did he take to his grave?
Jossy Mansur, Diario
- Tim Miller - the Founder of Texas EquuSearch will also be discussing the death of Paulus Van der Sloot. TES took part
Tim Miller, TES
- Dr. Dale Archer – Clinical Psychiatrist discussing the following cases
- Natalee Holloway – the disappearance of 18 year old Alabama teen in 2005 in Aruba.
- Andrew Stack – the bizarre story of the 53 year old software engineer who burned down his home and then crashed his single engine plane in a suicide mission into the office building in Austin, TX because of being disgruntled with the IRS.
- Amy Bishop – the University of Alabama at Huntsville biology professor who killed three of her colleagues Further review of Bishop's past would show that Bishop has a past. Bishop was arrested on assault charges at an IHOP and she was the shooter in the supposed accidental shooting death of her brother in Massachusetts 24 years ago.
Dr. Dale Archer
- Robin Sax, former Los Angeles County ADA will be discussing the some of the high profile case in the news like the Natalee Holloway, Andrew Stack and Amy Bishop cases in the news during her weekly segment 'Nothing But the Sax'
Robin Sax
- Blink - Crime blogger Blink from 'Blink on Crime" will be discussing BREAKING NEWS in the Christine Sheddy case.
The Dana Pretzer Show On Scared Monkeys Radio – Saturday, February 20th, 2010 – Special Guests: Jossy Mansur, Tim Miller, Dr. Dale Archer, Blink from Blink on Crime and Robin Sax [79:41m]: | Download
Posted February 20, 2010 by Scared Monkeys
Aruba, Bizarre, Crime, Joran Van der Sloot, Jossy Mansur, Missing Persons, Murder, Natalee Holloway, Paul Van der Sloot, Plane Crash, Texas Equusearch, WTF | 11 comments
7 Year Old Somer Renee Thompson Missing in Orange Park, FL Since October 19, 2009 (Found Deceased in Landfill)
Another child is missing in Florida.
7 year old Somer Renee Thompson has been missing since the afternoon of October 19, 2009. She was walking home from the from Grove Park Elementary School at approximately 2:50 pm with her twin brother, her sister and some friends when she ran ahead of the group and was never seen again.
An AMBER ALERT has been issued by the Florida Department of Law Enforcement.
Police suspect foul play in the 7 year olds disappearance. After 200 leads, questioning of 58 sex offenders and searches by 100's of law enforcement, there are no "persons of interest" or physical evidence indicating where missing Somer Renee Thompson might be.
It appears that Tim Miller and the volunteers of Texas EquuSearch will be coming to Florida to help search for Somer Renee Thompson.
Plea from mom Diena Thompson: "She's One of the Most Loving Little Girls in the Whole Wide World"
"They should know that she's one of the most loving little girls in the whole wide world. She doesn't know a stranger," Diena Thompson said of her daughter, Somer. "And if somebody has her, please just bring her home."
UPDATE I: Body of Missing Somer Renee Thompson found in Landfill
Sadly, the body of 7 year old Somer Renee Thompson has been found in a Georgia landfill. Investigators have confirmed that the body of a young girl that was found in a Georgia landfill about 50 miles from the Jacksonville, FL area where Somer went missing was Somer Renee Thompson.
Officials from the Georgia Bureau of Investigation say that they will not determine, nor disclose, until an autopsy is performed tomorrow morning if the body is that of little Somer Thompson. Thompson vanished on her mile-long walk home from school Monday in Orange Park, Florida. John Bankhead, spokesman for the GBI tells Fox that the investigators are still at the scene where the body was discovered, but that the body of the young female has been sent to Savannah, GA for the autopsy in the morning.
UPDATE II: Florida Police Confirm Body in Landfill Is That of Missing Girl
After sifting through 100 tons of garbage, investigators found the body of deceased 7 Year Old Somer Renee Thompson. One thing is for certain that if Somer was sexually assaulted and DNA evidence can be found, it is most probable that there will be an arrest. It is hard to believe that this was not an abduction of opportunity by a sex offender. The fact that she was walking home from school, a prime opportunity for a sex offender to snatch a victim, cannot be lost here. Predators wait until one separates from the pack and then they pounce.
The partially covered body was found in a Georgia landfill near the Florida state line, after investigators followed garbage trucks leaving the neighborhood where Somer disappeared.
Beseler said investigators searched through 100 tons of garbage before finding the body.
CNN: The body of a small child found in a south Georgia landfill has been identified as that of a missing 7-year-old Florida girl, Clay County, Florida, Sheriff Rick Beseler said Thursday morning.
Our hearts and prayers are with the family and friends of Somer Renee Thompson and may she rest in eternal peace.
For more details on the disappearance of 7 year old Somer Renee Thompson, go to Missing Exploited.com or to provide your opinion and discuss the case, go to Scared Monkeys.net: Missing Persons Forum.
Posted October 21, 2009 by Scared Monkeys
Crime, Missing Persons, Search and Recovery, Texas Equusearch | 19 comments
Caylee/Casey Anthony Case: Mark Nejame Fires Back at Baez for TES
Remains Site WAS UNDER WATER
Orlando, FL-Mark Nejame, counsel for Texas Equusearch, released this statement this afternoon:
Mark NeJame, counsel for Texas Equusearch (TES), is holding a press conference today at 2:00pm EST in our office, 189 S. Orange Avenue, Suite 1800, Orlando, FL 32801.
To further explain the attached letter sent to the Office of the State Attorney and to Counsel for Casey Anthony.
Read the rest at Blink on Crime:
Posted August 20, 2009 by Klaasend
Casey Anthony, Caylee Anthony, Crime, Death Penalty, Missing Persons, Murder, Texas Equusearch | no comments
Daily Commentary – Tuesday, July 7th, 2009 – Texas Equusearch Yearly Fundraiser … Party for a Cause
- The search and recovery team will be holding their annual fundraiser on the 24th-26th of July. Check out the website at texasequusearch.org for more details.
More can be read HERE, regarding Party for a Cause, Texas Style.
Posted July 7, 2009 by Scared Monkeys
Missing Persons, Scared Monkeys Radio, Search and Recovery, Texas Equusearch | no comments
Texas EquuSearch Fundraiser "Party for a Cause – Texas Style" at Lance's Turtle Club in Seabrook, TX (7/24/09 – 7/26/09)
Save the Date …
Texas Equusearch is having a 3 day fundraiser from July 23 – July 26, 2009 at Lance's Turtle Club in Seabrook, Texas. Come one, come all … for one day, two days or for all three. The fundraiser is to help TES provide the necessary funds so that Texas EquuSearch and Tim Miller can continue to help families and search for their missing loved one's and bring them home.
The three day fundraising event will be full of entertainment, silent actions, a black tie dinner and an opportunity to win a Harley Davidson motorcycle. Beth Holloway, the mother of missing Natalee Holloway will be attending the event. Take the opportunity to do the right thing an provide necessary money to help find the missing.
Contact TES at for your Harley Davidson motorcycle raffle tickets today.
The itinerary is as follows:
- Thursday – July 23rd Kick off party with Celebrity Bartenders
- Friday – July 24th Black tie dinner and Silent Auction at the Nassau Bay Hilton
- Saturday – July 25th "Show Me Your Wheels" Poker Run
Hot Rods, Motorcycles and Classic Cars
Silent & Live Auctions, Music and Vendor Booths
- Sunday – July 26th Boat Raft off Party
Live & Silent Auctions
Special Guest Appearances, Vendor Booths
and more including the raffling of a new Harley-Davidson Motorcycle, like the one Pictured below, from Stubbs Harley-Davidson
Posted July 5, 2009 by Scared Monkeys
Child Welfare, Texas Equusearch | one comment


text:
Clinic Locations
Gibson City Therapy Services and Sports Medicine Clinic
#10 Doctors Drive
Gibson City, Illinois 60936
Ph. (217) 784-2650
Fx. (217) 784-8023
HOURS Monday to Thursday 8am-6:30pm.
Friday 8am-4:30pm
Paxton Therapy Services and Sports Medicine
227 N. Market Street
Paxton, Illinois 60957
Ph. (217) 379-2500
Fx. (217) 379-2554
HOURS Monday to Friday 8am-6:30pm.
Elite Performance of Gibson City
413 East 1st Street
Gibson City, Illinois 60936
Ph. (217) 784-2045
Fx. (217) 784-2042
HOURS Monday to Saturday various
Elite Performance of Paxton
239 N. Taft Street
Paxton, IL 60957
Ph. (217) 379-3585
HOURS Monday to Friday various
Elite Performance of Fairbury
221 Wal-Crest Drive Fairbury, IL 61739
Ph. (815) 692-4660
Fx. (815) 692-4649
HOURS Monday to Friday various
Latest News & Events
- No Entries Found.
Elite Performance
Click here to see how we can take you game to the next level with Elite Performance.
Click here to meet our Elite Trainers.
Elite Performance Video
What can Elite Peformance do for you? Check out our New Video on our YouTube Page or visit our Media Gallery.
Paxton Community & Wellness Center Now Open
Phase One of the New Paxton Communtiy & Wellness Center, located at 711 E Pells St., is now open. Click here, stop in or call us, 217-579-1031, today for more details.
Elite Performance 2016 Family Special
The Family That Trains Together, Stays Fit Together! Click here for more infomation.


text:
Cortez J. Hankton
Position: WR
Height: 6-0 Weight: 200 lbs.
Born: January 20, 1981 in New Orleans, LA
High School: St. Augustine
College: Texas Southern (school history)
Weighted Career AV (100-95-...): 3 (10428th overall since 1950)
Let people know you like this site. Sponsor this page for $5. Your message will replace this ad.
|0 Accepted Penalty


text:
It's not him. A forensic scientist determined that bones found in the shallows of the Rock River at the Rocky Glen Off-Highway Vehicle Park do not belong to Mark Miller, who has been missing since 2009.
It's not him.
A forensic scientist determined that bones found in the shallows of the Rock River at the Rocky Glen Off-Highway Vehicle Park do not belong to Mark Miller, who has been missing since 2009.
Authorities began to search the area after Miller's wallet was found Monday in the park by a father and son. A human bone was found nearby Wednesday and, as an archeological-style excavation progressed, more human bones — including a skull with teeth and mandible — were discovered Thursday.
The skull and teeth were compared to Miller's dental records.
"The comparison indicated there was nothing that matched, therefore it was not Mark Miller," Winnebago County Coroner Sue Fiduccia said.
Whose bones they are, including whether they are of a man or woman, remains a mystery. And because the discovery does not rule out finding more evidence in the area, possibly connected to Miller or his disappearance, the search continued.
Rockford police Sgt. John EauClaire said the remains were given to the coroner's office Thursday night for examination.
The forensic dental analysis was being shared with law enforcement officials in hopes of determining who the bones belong to. And the search at the South Main Street park continued about 50 yards farther downstream where a cadaver dog had smelled something.
Investigators, special excavating experts with the Illinois State Police and divers with the Rockford Fire Department are working to find additional remains in the area closer to where Miller's wallet was found.
Forensic evaluation will continue today.
A forensic pathologist is examining the bones to determine whether trauma can be detected. The park has been secured so that if a missing bone is needed, it can be sought. The remains will then be sent to a forensic anthropologist to learn far more about who the skeleton belonged to.
"He should be able to determine if it was a male or female, race and may be able to determine an age range of the person," Fiduccia said.
Miller, 48, was last seen March 13, 2009, leaving work at the Clock Tower, where he worked in the catering and banquet business.
His family has searched for him ever since. He was a resident of the 300 block of Whitman Street; his vehicle, a 1988 silver Chrysler New Yorker, was found abandoned in the 1900 block of Harlem Boulevard.
Jeff Kolkey: 815-987-1374; firstname.lastname@example.com; @jeffkolkey
Comments are currently unavailable on this article
Location, ST | website.com


text:
Hot as 08º
99º BLACK IS BACK
Classic black is always cool, even when it's hot.
Floral bikini ($160), by Rosa Cha; silver spiny oyster cuff and ring ($620, $92), from The Stone Hut, Long Branch.
Trunks ($35), by Nautica.
Striped bikini (top, $80, bottom, $72), by Juicy Couture; white gold and diamond eternity hoops ($2,678), from Gem of an Idea, Fair Haven.


text:
Our hands-on art classes are taught by artist-teachers, and frequently inspired by art on view in the Gallery. We teach, inspire, challenge, prompt and encourage. We love it when you make the artwork you never thought you could make.
NEW! Ask us about our Family Discount rate! Call 585.276.8959.
REGISTRATION HAS BEGUN FOR WINTER 2016 CLASSES Members register first! General registration begins December 5.
Warm up your creative juices with a Creative Workshop class this winter! Click on the image at left to open our winter course catalog or use the links below to browse the section that interests you.
• Classes for children (pdf)
• Classes for children with adults (pdf)
• Classes for adults (pdf)
• Fashion Forward (pdf)
NEW: Teen Fashion Camp!
Click here for a flyer and application to apply, call 585.276.8959 to donate materials or fashion magazines.
If you are participating in a fall class, look here for the fall course catalog. Please enjoy the 2015 Creative Workshop Children's Show, November 14 – December 5 in the Lucy Burne Gallery of the Memorial Art Gallery's Creative Workshop. AND, consider submitting a piece for the Fall Adult Student show.
We also encourage adult and teen students to submit up to two works of art to our Early Winter 2016 Open Adult Student Show. Click here for an application.
Date change: "Goya, Third of May," led by Lucy Durkin, is part of the "Engaging With Exceptional Artworks" series. It's now moved to Thursday, December 3 at 7 pm. To learn more see Classes for adults (above).
Know someone who would love to take a class at the Creative Workshop, but you are unsure what level would best suit them? Or someone who just needs that extra little nudge to 'get back into art?' A budding artist? We have classes for all ages and levels. Now you can give them the gift of art. Pick up a Gift Card and help pay for a class. Cards are available in a variety of price ranges, from $10 to $400.
We will release our Art Day School 2016 brochure on this website on Saturday December 5. This brochure features all-day art day school camps for children ages 6-12 during the Winter Presidents break, Spring break and runs for 8 weeks during the summer.
Please join us Saturday December 5 from 11- 4 for our Open House introducing Winter classes and this year's Art Day School program. We'll have lots of hands on activities for adults and children to sample what we might learn this winter. Here is a flyer. For more information call Rachael at 585.276.8956.
Our hands-on art classes are taught by artist-teachers. They teach, inspire, challenge, prompt, encourage, and support as you make artwork you never thought you could make.
Shown right: Eddie Davis III.
View all current faculty bios.
Please enjoy the 2015 Creative Workshop Children's Show, November 14 – December 5 in the Lucy Burne Gallery of the Memorial Art Gallery's Creative Workshop.
We also encourage adult and teen students to submit up to two works of art to our Early Winter 2016 Open Adult Student Show. Click here for an application.
(left to right: Rachel, Teresa and Danielle) Photo credit: CW Teacher's Assistant Abiose Spriggs
We are currently accepting applications from current college students in art, art education, or art history with significant interest in children's interaction with museums to earn internship credit and valuable experience. See the factsheet here.
Click here for the application.


text:
Country Thunder 2013 sells out six months early
Hopefully any Wisconsin country music fans who were eager to party with the biggest stars this summer at Country Thunder were thinking way ahead and already purchased their tickets. The annual four-day country music festival in Twin Lakes is already sold out six months in advance of its July 18-21 run, event organizers announced Tuesday. In addition to all multi-day passes already being gobbled up, no single day tickets will be available either.
One of a large number of country festivals across Wisconsin each summer, Country Thunder has grown in recent years to draw fans from across the nation to camp out in Southeastern Wisconsin and see a lineup of some of the genre's biggest stars. Last year's festival attendance topped 33,000. That was also a sell out, but one that only came days before the festival began. »Read Full Blog Post(2)
Singles Scorecard: Hear new songs from Katy Perry, Lady Gaga, Drake and more
As fate would have it, Katy Perry (above, with fans) and Lady Gaga have both released brand new songs this week. So which top pop diva has the better track? Associated Press photo by John Shearer. »Read Full Blog Post
Milwaukee band Revomatics re-create '60s surfer music
Like Carly Rae Jepsen and Robin Thicke, the Revomatics' sound is strongly affiliated with summer. But in the Revomatics' case, it's the sound of summer from 50 years ago.
"Surf music is the punk rock of the early 1960s," said bassist Peter Flessas of the local surf-rock band. "It was dynamic music, but it was all instrumental, and you didn't have to have a big budget. It enabled young musicians to get their music out there." »Read Full Article(2)
Documentaries celebrate anniversary of Emancipation Proclamation, march on Washington
Four documentaries capturing the history of civil rights in America will be shown at the New Berlin Public Library to celebrate the 150th anniversary of the Emancipation Proclamation and 50th anniversary of Martin Luther King's March on Washington, as part of a project called, "Created Equal: America's Civil Rights Struggle."
The initiatives' four films, "The Abolitionists," "Freedom Riders," "The Loving Story" and "Slavery by Another Name" will screen Sept. 5, 17, Oct. 10 and 22, respectively, with a presiding moderator to facilitate conversations about changing meanings of freedom and equality in the U.S., the news release said. »Read Full Article
At Lebowski Fest, the costumes abide
Let's call Lebowski Fest what it is: a costume party.
Friday through Sunday, fans of "The Big Lebowski" will descend on Milwaukee in pursuit of White Russians and marmots. The film by Joel and Ethan Coen stars Jeff Bridges as The Dude, a slacker caught up in a case of a mistaken identity. The Dude, Bridges says in the film, abides, a.k.a. survives. »Read Full Article
Cats compete in regional cat show
Waukesha's Exposition Center housed the Great Lakes Regional Cat Show this weekend, presented by Wisconsin-Illinois Cat Fanciers. Nearly 200 cats entered the circus-themed competition, all hoping to rank "best" in their respective breed category.
The event was open to the public but came at a price - no attendees could play or pet the cats. The animals are judged against predetermined breed standards and grooming and many hold international titles. »Read Full Article
A Day for Detroit: U.S. critics celebrate an imperiled art collection
People do not give works of art to museums. Donors of great works of art give their treasurers to the cities they love, to the school children on yellow buses, the couples on dates, the artists and would-be artists, the seniors on a Sunday afternoon.
In a very real sense, the art in our museums belongs to us. It is a public trust. This simple truth is at the core of a foundational ethic within the museum world that prohibits museums from selling works of art to pay off debts. »Read Full Blog Post(4)
On Tap Today: A free Florentine show, summer concerts, Bing, and South Park reruns
Well, our web site may still read "Forentine at Alterra," but tonight you can take in some live opera and -- say it with me, now -- Co-lect-ivo coffee. Alter... um.... Colectivo on the Lake is hosting a free event with the Florentine Opera. Pull up a patch of patio, a lake view and enjoy some musical theater on a summer evening. The event includes a musical preview of the Florentine's upcoming season.
Or how about one of those "Road to..." movies with Bing Crosby and Bob Hope in an elegant house museum. »Read Full Blog Post


text:
|Product #: EMPTDH05_TQ
Westward Expansion eBookGrade 7|Grade 8|Grade 9|Grade 10|Grade 11|Grade 12
Ships Free!
Please Note: This ebook is a digital download, NOT a physical product. After purchase, you will be provided a one time link to download ebooks to your computer. Orders paid by PayPal require up to 8 business hours to verify payment and release electronic media. For immediate downloads, payment with credit card is required.
PowerPoint Presentation Included! Westward Expansion contains 12 PowerPoint slides, 28 reproducible pages including five pages of test material, and a richly detailed teacher's guide. Among the topics covered in this volume are the territorial growth of the United States, manifest destiny, the Louisiana Purchase, the Mexican Cession, The Oregon Country, the Gold Rush of 1849. (40 pages, 12 PowerPoint slides)
Customer Reviews:
Submit a review