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University of Toronto Cardiovascular Sciences Collaborative Program ACTIVITY REPORT 1999 – 2000 FitzGerald Bldg., 150 College Street, Room 83D, Toronto ON M5S 3E2 Tel: 416/978-0746 Fax: 416/946-5713 E-mail: [email protected] Web site: www.library.utoronto.ca/www/cardiosci/index.html CONTENTS Collaborating Departments Executive Committee Courses Offered Program Sponsored Activities - Cardiovascular Scientific Day “2000” - Annual Student Research Day - Lecture Series - 3rd Annual “Cardiovascular Disease Update” - Human Biology Student Union Career Fair - Summer Activities Awards - Medtronic Travel Award - Bigelow Book Prize - Ontario Student Opportunity Trust Funds (OSOTF) Award - Life Sciences Committee Summer Undergraduate Research Fellowships Advertising Material - World Wide Web Program Faculty Program Students Convocated Students/Follow-up Student Achievements Director’s Comments Publications - Students - Faculty Acknowledgements The Cardiovascular Sciences Collaborative Program has forged links with a broad base of departments, institutes, and centres within the university providing our trainees with a rich, diverse experience. As well, by solidifying the Program’s financial base through interest available from endowments, industry sponsorship, and individual departmental support, the Program is in a more secure position which has allowed further growth of the Program. We are now better placed to provide an outstanding value added graduate training experience to those who wish to specialize in cardiovascular sciences. For this past years’ details, please refer to the Director’s report. The Program office is located on campus in the FitzGerald Building. Day-to-day functions of the Program are handled by the Program Director, Dr. C. Wittnich, and the Program Administrator, Victoria Simpson; with the guidance of the Executive Committee. Thanks to all of the faculty and students for another successful year leading off the millennium! Dr. Carin Wittnich COLLABORATING DEPARTMENTS Faculty: Medicine Physical Education and Health Clinical: Department of Medicine Department of Surgery Department of Anaesthesia Graduate: Department of Clinical Biochemistry Department of Community Health Department of Exercise Sciences Department of Medical Biophysics Department of Pharmacology Department of Physiology Department of Rehabilitation Science Institute of Medical Science Laboratory Medicine and Pathobiology Other: Institute of Biomedical Engineering EXECUTIVE COMMITTEE The Executive Committee consists of a representative from each collaborating department as well as two student representatives. Dr. C. Wittnich (Director) Dr. M. Plyley (Exercise Science) Dr. M. Rabinovitch (Lab. Med. Pathobiology) Dr. D.H. Osmond (Physiology) Dr. R.D. Weisel (IMS) Dr. R.I. Ogilvie (Pharmacology) Dr. M. Ojha (IBME) Dr. D. Cheng (Anaesthesia) Dr. S. Thomas (Rehabilitation Science) Dr. G. Wright (Medical Biophysics) Kyle Cowan (Sr. Student Representative) Karim Bandali (Jr. Student Representative) COURSES OFFERED BME1448H EXS5508H JEB1365H JTC1331H LMP1015H LMP1407H LMP1503H LMP1504H MSC3060H* MSC3061H* MSC3062H* MSC3063H* PCL1006Y PSL1029H PSL1038H PSL1060H Cardiovascular Fluid Mechanics (IBME) Cardiovascular Disease and Exercise (Exercise Science) Ultrasound: Theory and Applications in Biology and Medicine (IBME) Biomaterials Science (IBME) Vascular Pathobiology (Lab. Med. Pathobiology) From Bench to Bedside: Design, Measurement, and Analysis for Clinical Investigators (Lab. Med. Pathobiology) Signal Transduction Pathways in Normal and Diseased Tissue (Lab. Med. Pathobiology) Biochemistry, Molecular Biology of Cardiovascular Diseases (Lab. Med. Pathobiology) Advanced Topics in Cardiovascular Sciences – Molecular Biology & Signal Transduction in the Heart (IMS) Advanced Topics in Cardiovascular Sciences – Hormones and the Cardiovascular System (IMS) Advanced Topics in Cardiovascular Sciences – Heart Function (IMS) Advanced Topics in Cardiovascular Sciences – Vascular (IMS) Cardiovascular Pharmacology (Pharmacology) Advanced Course in Cardiovascular Regulation (Physiology) Volume, Electrolyte and Pressure Regulation in Body Fluid Compartments (Physiology) Developmental Cardiovascular Physiology (Physiology) * Core Courses for PhD Trainees PROGRAM SPONSORED ACTIVITIES Annual Cardiovascular Scientific Day -- May 18, 2000 The Annual Scientific Day was hosted this year by the Cardiovascular Sciences Collaborative Program and, for the first time, the newly established Heart & Stroke/Richard Lewar Centre of Excellence. The event was held at the Inn on the Park where 179 faculty and student/trainees participated. The focus of the day was “Genetic Inheritance: How to Win When the Genes are Against You!” Following the Heart & Stroke/Richard Lewar Centre of Excellence Members-Only Strategic Planning Meeting, the scientific day began with the Central Symposium on “The Future of Cardiovascular Research”. This featured Mr. Rick Gallop, President and CEO, Heart & Stroke Foundation of Ontario, who spoke on “The Heart & Stroke Foundation of Ontario and Future of Cardiovascular Research”. Dr. David Foot, Faculty of Arts and Science, discussed “Changing Demographics and Cardiovascular Disease: The Boomer Era”, and Dr. Steve Scherer, Centre for Applied Genomics, Hospital for Sick Children, reviewed the “Impact of Human Genome Project on Biomedical Research”. Morning breakout sessions focused on two areas - “Update on Women & Heart Disease & Stroke” and “New Tools for Cardiovascular Research and Investigation”. In the latter session, Dr. Reed Pyeritz, MCP Hahnemann School of Medicine, Pittsburgh, PA, was featured as the Heart & Stroke/Richard Lewar Centre of Excellence Guest Speaker. He spoke on “Genetic Approach to the Young Person with Coronary Disease”. Presentations by key faculty were followed by lively discussions which carried over into lunch. The “Hyde Park” Novel Concept Session, the first time this concept has been tried, was a huge success. Senior faculty took on the challenge and dared to share their “wildest ideas” with the group. Afternoon breakout sessions focussed on two areas - “Molecular Insights from Animal Models of Human Disease” and “Future of Genetics in Diagnosis and Therapy”. These were followed by the Isadore E. Smith Annual Lecture. This years lecture was given by Dr. Jacques Genest Jr., McGill University, Montreal, Quebec, who spoke on “The ABC’s of HDL Cholesterol”. There were 24 abstracts submitted for the poster session. A panel of judges selected six poster finalists. These finalists were asked to give a short oral presentation during a poster walkabout. An additional hour of poster viewing was available during the breaks and over lunch. These posters highlighted our cardiovascular trainees in their particular area of interest. Poster prizes were awarded to: 1st Prize – Syed Zaidi (Supervisor: Dr. Rabinovitch) “Suppression of elastase activity protects from medial/intimal thickening following carotid arterial injury in elafin overexpressing transgenic mice” 2nd Prize – Kyle Cowan (Supervisor: Dr. Rabinovitch) “Complete reversal of fatal pulmonary hypertension in rats by a serine elastase inhibitor” 3rd Prize – Imran Mungrue (Supervisors: Drs. Stewart & Husain) “Conditional over-expression of human inducible nitric oxide synthase (iNOS) in the myocardium of transgenic mice” Congratulations to the finalists, winners, and all the students for their superb efforts. The awards ceremony, the finale of the day, also recognized outstanding students in the Cardiovascular Sciences Collaborative Program. This years’ Bigelow Book Prize went to Dr. Michael Borger, PhD (Supervisor: Dr. R. Weisel). Recent graduands were also awarded their specialization certificates: MSc: Ian Coplan, Rohan Shahani, Dimitra Trambakoulos, Mohammed Warsi, Stacy O’Blenes, and PhD: Kyle Cowan. We wish them all the best in their future endeavours. Lively discussions continued during the reception that followed. Continuing medical education credits were issued for this meeting: 6.5 hours of category 1 credit toward the AMA Physicians Recognition Award and 6.5 hours as an Accredited Group Learning Activity under Section 1 of the Framework of CPD options for the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada. My thanks are extended to industry for their continued financial support and generosity which is so essential to the success of this meeting. Major sponsorship included AstraZeneca, Aventis Pharma Inc. and Merck Frosst Canada & Co. Because of their support and that of the HSRLCE, we were able, once again, to provide an open registration and complimentary luncheon. Plans are underway for the 2001 Scientific Day and announcements will be forthcoming. For additional information, please go to the Collaborative Program web site or e-mail us at [email protected]. Annual Student Research Day On Wednesday, March 1, 2000, the Cardiovascular Sciences Collaborative Program kicked off its 1st Annual Student Research Day in the Medical Sciences Bldg. This was a fun filled day that was attended by CSCP trainees and faculty. Trainees began the day by giving a ten minute talk related to their research, followed by a question/answer period as below. SESSION I: Jack Wallen, PhD-PSL Gender differences in metabolic potential in hypertrophied hearts: Role of sex hormones Cathy Boscarino, MSc-PSL Myocardial buffering capacity & hydrogen ion accumulation during global ischemia: Are there gender differences? Sonia Katyal, MSc-REH Adaptations to short term aerobic training in women: The role of plasma volume Nesime Askin, MSc-PSL Metabolic response of skeletal muscle during ischemia Patient’s adherence to prescribed therapy for coronary artery disease Warren Foltz, PhD-MBP MR oximetry for ischemic heart disease Sloane Hechter, MSc-IMS The impact of ACE inhibitors on adults with the mustard procedure Michelle Batthish, MSc-PSL Blockade of either chloride channels or mitochondrial ATPsensitive potassium channels abolishes the protection of angiotensin II in rabbit ventricular myocytes SESSION II: Tony Lee, MSc-IMS The role of nitric oxide in cardiovascular development and remodeling Nathalie Lapointe, PhD-IMS Cardioprotective effect of vasopeptidase inhibitor in the infarcted and remodeling rat heart Zakria Ahmed, PhD-LMP Protein dependent increase in core aldehydes and lysophosphatidyldchonline during high density lipoprotein (HDL) oxidation by peroxynitrite (ONOO-) Christie Lee, MSc-IMS DNA vaccination confers immunity against myocarditis Karim Bandali, PhD-PSL Neonatal hemodynamic and metabolic responses to hyperoxia Shona Torrance, PhD-IMS Developmental changes in myocardial beta adrenoceptors Kyle Cowan, PhD-LMP Complete reversal of fatal pulmonary hypertension in rats with a serine elastase inhibitor Michael Borger, PhD-IMS Decreased cerebral emboli during aortic arch cannulation: A randomized clinical trial Vaska Micevski, PhD-IMS In the afternoon trainees were given valuable advice from Professors Peter Liu and Marlene Rabinovitch who also shared with the students how they began their research/academic careers. This session was followed by a discussion period in which students had an opportunity to discuss the trials and tribulations of living a life devoted to education and research with these highly respected and successful scientists. The day concluded with a wine and cheese reception where students and faculty mixed and mingled, after which most of the students continued their interactions at a student planned social event. The Student Research Day met with resounding success and the students have made it clear this will become an annual event. It was also unanimously decided by the students that this meeting will be mandatory for all Program trainees. This day would not have been possible without the Herculean efforts of the Student Reps: Karim Bandali and Kyle Cowan and their planning committee: Sloane Hechter and Sonia Katyal. Congratulations on a job well done! Lecture Series For this academic year the lecture series was focused in the two main areas of “Molecular Biology and Signal Transduction” and “Hormones and the Cardiovascular System”. A number of interesting speakers contributed their time and knowledge. Both these areas were covered from the perspective of whole body and organ to the molecular level including genetics, with a particular emphasis on bridging basic science and clinical approaches to these areas. 3rd Annual “Cardiovascular Disease Update” The 3rd Annual Cardiovascular Disease Update was successfully held on March 4, 2000 at the Weston Prince Hotel, Toronto. This annual CME event was made possible by the generous sponsorship of Bristol-Myers Squibb. The purpose of this half-day event is to provide clinical insight into the diagnosis and treatment of current cardiovascular disease from a bench-tobedside perspective. This year the focus was on issues relating to women and heart disease, hypertension, and drug therapies. Each session was accompanied by audience discussion that continued informally during the buffet luncheon. The meeting was accredited for 4 Mainpro-MI credits and 4 hours of the Accredited Group Learning Activity under Section 1 of the Framework of CPD options for the Maintenance of Certification Programs of the Royal College of Physicians & Surgeons of Canada. The meeting was attended by Family Physicians, Internists and Specialists from across Toronto. For the first time the university mandated that we were required to levy a fee which we kept to a minimum. This money, along with an educational grant from industry, was used to help defray the costs of the meeting. The speakers and topics were: Dr. Eric Cohen, Assistant Professor of Medicine, University of Toronto Cardiologist and Director of the Cardiac Catheterization Lab Sunnybrook & Women’s College Health Sciences Centre “Antiplatelet & Antithrombotic Treatment: The Full Range of Protection” Dr. Paul Oh, Lecturer, Clinical Pharmacology, University of Toronto Clinic Director, Cardiovascular Assessment & Risk Evaluation, Sunnybrook Health Science Centre “Drug: Drug Interactions – What Doctors Should Know Before Prescribing Meds” Dr. Peter Liu, Professor of Medicine, University of Toronto Associate Director, Division of Cardiovascular, University Health Network, Director, Heart & Stroke/Richard Lewar Centre of Excellence “How to Diagnose & Manage CHF & LVH” Dr. Jean-Lucien Rouleau, Professor of Medicine, University of Toronto Head, Division of Cardiology, University Health Network & Mount Sinai Hospital “ACE Inhibitors, AT1 Receptor Blockers & Beyond – More Differences than Similarities!” Human Biology Student Union Career Fair The Cardiovascular Sciences Collaborative Program was contacted by the Human Biology Undergraduate Student Association to participate in their Career Fair on November 30, 1999. Various graduate programs had displays and the Collaborative Program manned a booth and provided information to interested future graduate students. Summer Activities The Collaborative Program ran another very successful summer program. Applicants included undergraduate and medical school students from the University of Toronto as well as other universities. The Program provided a number of summer scholarships to help students who were unable to procure funding. Over the course of the summer, seminars were presented by graduate students currently enrolled in the Program and covered a range of topics with both clinical and basic science relevance. As well, the summer students were given the opportunity to present their summer work. An “end-of-summer” luncheon was held for both faculty and students. This highly successful program is enjoyed by all who participate. AWARDS Medtronic Travel Award Two competitions were held (spring and fall) for the Medtronic Travel Award. This award, established in 1995, helps to defray costs of travel for Program students presenting their research work at recognized scientific meetings. Students supported by this award this academic year were: Fall 1999: Kyle Cowan: Elastase Inhibition Induces a Smooth Muscle Cell Apoptotic Response Mediating Reversal of Progressive Pulmonary Vascular Disease in Rats. 72nd Scientific Sessions of the American Heart Association, November 1999 (Supervisor: Dr. Marlene Rabinovitch, LMP) Shona Torrance: Developmental Changes in Myocardial β-Adrenoceptors. Annual Meeting of the Canadian Cardiovascular Society, October 1999 (Supervisor: Dr. C. Wittnich, IMS) Jack Wallen: Gender Differences in the Heart’s Metabolic Potential. Annual Meeting of the Royal College of Physicians & Surgeons of Canada, September 1999 (Supervisor: Dr. C. Wittnich, Physiology) Cathy Boscarino: Hydrogen Ion Buffering Capacity in Normal Adult Hearts: Are There Gender Differences? Annual Meeting of the Canadian Cardiovascular Society, October 1999 (Supervisor: Dr. C. Wittnich, Physiology) Spring 2000: Saeid Babaei: Angiogenic Actions of Lyso-Phosphatidylcholine (LPC) in the Fibrin Matrix Model of Angiogenesis. Keystone Symposia on “Molecular & Cellular Biology” on Experimental and Clinical Regulation of Angiogenesis”, March 2000 (Supervisor: Dr. D. Stewart) Bigelow Book Prize The Bigelow Book Prize consists of 2 books written by Dr. W.G. Bigelow entitled “Cold Hearts” and “Mysterious Heparin”. This prize was established in 1995 by the Cardiovascular Sciences Collaborative Program to recognize and honor a pioneer clinician and scientist in the field of cardiovascular sciences. Awardees should exemplify the personal traits of Dr. Bigelow -curiosity, drive, and scientific integrity. The award is given in every year that a qualified student is identified. Qualifications include sustained academic scientific excellence, innovative experimental approaches, original discoveries and good scientific productivity. Some weight is given to work that has recognizable clinical relevance, especially that which promises to improve patient care. 1995 – Dr. John S. Ikonomidis 1996 – Ms. Shona M. Torrance 1997 – Dr. Vivek Rao 1998 – Dr. Bryce Cowan 1999 – Dr. Gideon Cohen 2000 – Dr. Michael Borger Ontario Student Opportunity Trust Funds (OSOTF) Award The OSOTF award refers to a class of awards that have resulted from the Ontario government’s “matching” program. Under the program every dollar of donation received for student assistance has been matched by the government as well as the university on a dollar-for-dollar basis. The Cardiovascular Sciences Collaborative Program participates in this program. There are two major conditions for all OSOTF awards; recipients must be Ontario residents and demonstrate financial need. However, the Program has additional eligibility criteria that must be adhered to, including excellence in science and academic performance. One competition is held per academic year. The applications are handled centrally through the Faculty of Medicine’s, Research Office. Applications pertaining to the CSCP are sent to us and are then adjudicated by a subcommittee; chaired by Dr. D. Cheng. Committee recommendations are then forwarded to the OSOTF Awards Committee (Faculty of Medicine) where the final decision is made. Of this years’ eligible submissions, all were deemed meritorious and the awards were allocated equitably to the winners as follows: Spring 2000 Competition Karim Bandali, PhD, Dept. of Physiology Jack Wallen, PhD, Dept. of Physiology Cathy Boscarino, MSc, Dept. of Physiology Life Sciences Committee Summer Undergraduate Research Fellowships These fellowships are awarded to support research at the University of Toronto to assist undergraduate students seeking training for graduate level research. Funds were awarded to the Cardiovascular Sciences Collaborative Program for 8 undergraduate trainees. All candidates put forward by the Program were awarded funding. ADVERTISING MATERIAL World Wide Web The Cardiovascular Sciences Collaborative Program continues to maintain its own web site under the Faculty of Medicine. This web site is updated regularly and is continually undergoing expansion. Please check out our site at www.library.utoronto.ca/www/cardiosci/index.html to learn more about cardiovascular sciences. The site is updated at faculty renewal and whenever relevant changes occur. Links continue to be built with other relevant cardiovascular sites. Collaborating departments are encouraged to provide hypertext links to the Collaborative Program on their web site. Other material that continues to give the Program exposure includes the brochure, the Scientific Day pamphlets and posters, various industry sponsored seminars, and the Lecture Series notices posted on campus. Collaborating departments also display and distribute the Program brochure. PROGRAM FACULTY Faculty are divided into 3 categories (Full, Associate, and Affiliate) depending on their SGS status. FULL: U. Ackermann, L. Adamson, K. Adeli, P. Backx, C.E. Bayliss, D. Bradley, F. Coceani, J. Coles, P. Connelly, C.R. Ethier, J.S. Floras, C. Forrest, S. Fremes, J.M. Goodman, A.I. Gotlieb, K.W. Johnston, P.G. Kalman, F. Keeley, B.L. Langille, H. Lenskyj, G.F. Lewis, R-K. Li, C-C. Liew, P. Liu, P. McLaughlin, D.A.G. Mickle, L. Mickleborough, M. Ojha, D.H. Osmond, T. Parker, M.J. Plyley, M. Rabinovitch, J-L Rouleau, M. Sefton, I. Sherman, A.S. Slutsky, M.J. Sole, G. Steiner, D.E. Stewart, D.J. Stewart, S.G. Thomas, R.D. Weisel, G. Wilson, C. Wittnich, G. Wright, T-W. Wu, E.L. Yeo ASSOCIATE: M. Bendeck, D. Brooks, D. Courtman, P. Dorian, L.S. Goodman, M. Husain, J. Irvine, T. Lindsay, M. Locke, J. Parker, N.A. Shaikh, R. Tsushima, R. Wald AFFILIATE: J. Butany, D. Cheng, C.M. Feindel, J. Fisher, P. Murphy, R.I. Ogilvie, L. Schwartz We would like to wish Dr. J. Edelson all the best in his new position in Philadelphia. Our thoughts and prayers go out to the family of Dr. Robert Burns who past away in November 1999 at the age of 48 after a lengthy illness. PROGRAM STUDENTS Student Zakaria Ahmed Akis Amfilochiadis Nesime Askin Saeid Babaei Karim Bandali Michelle Batthish Michael Borger Cathy Boscarino Andrew Campbell Gideon Cohen Warren Foltz Tommaso Gori Sloane Hechter Sonia Katyal Nataly Kogan Nathalie Lapointe Christie Lee Tony Lee Negin Liaghati-Nasseri Sarah McCutcheon Vaska Micevski Shona Torrance Jack Wallen Supervisor P. Connelly D. Osmond C. Wittnich D. Stewart C. Wittnich G. Wilson R. Weisel C. Wittnich D. Stewart R.D. Weisel G. Wright J. Parker P. Liu S. Thomas D. Osmond J. Rouleau P. Liu D. Stewart S. Fremes S. Thomas D. Stewart C. Wittnich C. Wittnich Degree PhD MSc MSc PhD PhD MSc PhD MSc PhD PhD PhD MSc MSc MSc MSc PhD MSc MSc MSc MSc PhD PhD PhD Department Pathobiology Physiology Physiology Pathobiology Physiology Physiology IMS Physiology IMS IMS Medical Biophysics IMS IMS Rehab Med Physiology IMS IMS IMS IMS Rehab Med IMS IMS Physiology CONVOCATED STUDENTS/FOLLOW-UP Ian Copland, MSc, Dept. of Physiology (Supervisor, Dr. L. Adamson) has continued with his graduate studies at the PhD level at the University of Toronto. Kyle Cowan, PhD, Laboratory Medicine & Pathobiology (Supervisor: Dr. M. Rabinovitch) has been accepted into medical school at the University of Toronto. Dimitra Trambakoulos, MSc, Dept. of Physiology (Supervisor: Dr. D. Osmond) has been accepted into medical school at the University of Ottawa. Stacy O’Blenes, MSc, Laboratory Medicine & Pathobiology (Supervisor: Dr. M. Rabinovitch) has returned to residency in Cardiac Surgery at the University of Toronto. Mohammed Warsi, MSc, Institute of Medical Science (Supervisor: Dr. P. Liu) has been accepted into medical school at the University of Toronto. Rohan Shahani, MSc, Institute of Medical Science (Supervisor: Dr. T. Lindsay) has been accepted into medical school at the University of Toronto. STUDENT ACHIEVEMENTS Nesime Askin Saeid Babaei Karim Bandali Michelle Batthish Michael Borger Government of Ontario/Heart & Stroke Foundation of Ontario Graduate Scholarship in Science & Technology. Doctoral Fellowship, Medical Research Council of Canada Postgraduate Award: Edward Christie Prize, University of Toronto MRC/BioContact 99 Competition, 2nd Prize, Quebec Young Investigator Award, Canadian Cardiovascular Society, Quebec Best Presentation, 4th Annual Symposium on Advances in Laboratory Medicine, The Hospital for Sick Children, University of Toronto National Science and Engineering Research Council (NSERC-PGSB) Scholarship Ontario Student Opportunity Trust Fund (OSOTF) Award, Cardiovascular Sciences Collaborative Program, University of Toronto Ontario Graduate Scholarship in Science and Technology (OGSST) declined 1st Place, Poster Presentations, 4th Annual Symposium on Advances in Laboratory Medicine, The Hospital for Sick Children Ontario Graduate Scholarship: Ministry of Training, Colleges and Universities Research Training Competition Studentship: The Hospital for Sick Children 1st Place, Oral Presentations, Samuel Lunenfeld Summer Student Symposium, The Hospital for Sick Children Santalo Scholarship for Graduate Studies: Department of Physiology, University of Toronto Edward Christie Stevens Fellowship, University of Toronto Soobiah Javenthey Award, University of Toronto CSCI Award for Excellence in Research Research, Medical Research Council of Canada Canadian Cardiovascular Society Student Award for Clinical Research Wilfred G. Bigelow Book Prize, Cardiovascular Sciences Collaborative Program, University of Toronto Catherine Boscarino Heart & Stroke/Richard Lewar Centre of Excellence Fellowship, University of Toronto Ontario Student Opportunity Funds (OSOTF) Award, Cardiovascular Sciences Collaborative Program, University of Toronto Warren Foltz Heart & Stroke Foundation of Canada Research Traineeship, University of Toronto Tommaso Gori Arrangement Grant between the Universities of Siena and Toronto Sloane Hechter University of Toronto Open Entry Scholarship, Institute of Medical Science, University of Toronto Golden Key National Honor Society, Faculty of Education, McGill University Sonia Katyal Scholarship Recipient, Canadian Association of Cardiac Rehabilitation University of Toronto Open Scholarship, Department of Rehabilitation Science, University of Toronto Nataly Kogan Member of the Dean’s Honour List Tony Lee Institute of Medical Science Roncari Book Prize, University of Toronto Institute of Medical Science Merit Scholarship, University of Toronto CHS-Pfizer-MRC/PMAC Health Program Studentship Award, IMS, University of Toronto Shona Torrance Medtronic Travel Award, Cardiovascular Sciences Collaborative Program Jack Wallen Ontario Student Opportunity Trust Funds (OSOTF) Award, University of Toronto Medtronic Travel Award, Cardiovascular Sciences Collaborative Program Medical Research Council/K.M. Hunter Doctoral Research Award Research Trainee Award, Canadian Society for Clinical Investigation, Royal College of Physicians and Surgeons of Canada DIRECTOR’S COMMENTS: In its’ eighth year, the Cardiovascular Sciences Collaborative Program (CSCP) continues to grow and evolve. The CSCP also continues to develop new liaisons with other departments and faculties who express an interest in cardiovascular sciences. We welcome the Department of Medical Biophysics as our newest participating department. We also welcome the opportunity to interact with the new Heart & Stroke/Richard Lewar Centre of Excellence (HSRLCE) which was established at the University of Toronto in 1998. The purpose of this Centre is primarily to bring cutting edge cardiovascular research together at the University and to become an international leader. It focuses on the prevention and cure of atherosclerosis, heart failure and congenital heart disease using cutting edge tools such as molecular genetics to evolve diagnostic, prognostic and therapeutic innovations. Immediate benefits to our trainees has been access to new monies in the form of a Fellowship program and OGSST scholarships. As well, the HSRLCE Distinguished Visiting Professor Seminar Series has provided Program trainees a wonderful forum to meet and hear international scientists/ clinicians. Thus, combining the CSCP’s role in education and the HSRLCE’s role in research, our efforts together could provide an outstanding second to none cardiovascular initiative on campus. This relationship continues to be explored and we anticipate exciting times in the years ahead. The following graph represents enrolment figures. It can be seen that during the current academic year we had 17 Masters and 12 PhD trainees active in the program. Once again, we had a significant number of our trainees who completed and convocated which was counterbalanced by new recruits. The ability to recruit the numbers that we convocated and actually increase our enrolment is a reflection of a number of initiatives (eg. 1st Annual Student Research Day, increased student representation (1junior/1senior) on the Executive Committee) that focus on increasing student capture in the CSCP. This has resulted in more student activity promotion and a higher Program profile with the trainees. CSCP Student Enrolment: 35 30 25 20 15 10 5 0 MSc PhD Total 1992 1993 1994 1995 1996 1997 1998 1999 This past year was the first that we benefited from a fully committed administrative individual which allowed us to pursue a number of activities that previously were not possible. In the upcoming year the initiatives already launched will be furthered and their impact on student enrolment is expected to increase. This years’ annual student interviews illustrated an unprecedented level of satisfaction with the program. The increase in events targeted specifically for students has resulted in more effective student participation and this has further elevated satisfaction with the Program. The postgraduate follow-up illustrates that the graduates of this past year have once again gone on to pursue either academic or research careers (see Convocated section). As part of the ongoing tradition, bound copies of each graduating student’s thesis is kept in the Program office. We now have 16 MSc and 9 PhD theses available for anyone interested in perusing. The CSCP award programs have again helped support a number of our trainees. The Medtronic Travel Award monies made it possible for a number of students to attend scientific meetings and present their work. As well, the OSOTF bursary monies provided much needed financial relief to a number of deserving students in the Collaborative Program. These funds are available on an annual basis to help those with demonstrated academic and research excellence that are in financial need. It is interesting to note that perhaps as a sign of the outstanding quality of students in the Program, despite well advertised bursaries and funds available for travel, these funds are not in as high demand as one would expect. This has as a side benefit that students who apply have a very good chance of success. Corporate sponsors such as Bristol-Myers Squibb, Merck Frosst Canada & Co., and more recently Solvay Pharma are to be recognised, once again, for their outstanding annual support of education in the cardiovascular sciences at the University of Toronto. The Bigelow Book Prize is awarded in recognition of an outstanding graduate student in the Program and is the most prestigious student award given. A plaque has been designed to commemorate this annual event and we will be having an unveiling reception in the near future. Due to the popularity of the original courses MSC 3060/3061, they have now been redesigned into 4 half credit courses which were approved by the School of Graduate Studies. Thus, there are now 4 courses on “Advanced Topics in Cardiovascular Sciences” for our trainees to select. These are MSC3060 – cellular and molecular mechanisms, MSC3061 – hormones in the cardiovascular system; MSC3062 – heart function; and MSC3063 – vascular. Ongoing and frequent review of these courses continues to ensure that leading edge technologies and research foci are represented. This is considered critical if they are to serve as our flagship courses for our trainees. Enrolment continues to be strong in these courses and their popularity is reflected in the strong reviews by the students. The 3rd Annual Cardiovascular Update was again jointly run with the generous support of Bristol-Myers Squibb in the form of an educational grant. This half-day event provided a clinical update and insights to interested trainees, specialists and general practitioners in the cardiovascular field. As this CME event is offered to general practitioners, the university required us to charge a registration fee. This was kept to a minimum in order to encourage attendance and the educational grant allowed this to be so. Details of this meeting are in the appropriate section of this report. This past year we welcomed a new corporate sponsor, Solvay Pharma. The Program was pleased to be a part of a series of workshops focused on systolic hypertension that was offered to both G.P.’s, specialists and trainees. The “Cardi-Active: Systolic Hypertension Workshop” was held at the Glenn Abbey Golf Course on May 6th and at Niagara-on-the-Lake on June 13th. These were very well attended and those present all felt the time well spent. It is hoped that together with Solvay a Canada-wide CME event may be created to promote the dissemination of current information on the management of systolic hypertension. A panel of experts in the field from across the country has been formed and discussions are ongoing. For the 2000-2001 academic year, we plan to continue our current activities and pursue the following priorities: 1. 2. 3. 4. 5. 6. 7. Create a Student Guidebook with course listings to help selection. Obtain a much more user friendly sub-domain name for the web site. Development of a student section in the Program web site. Actively recruit students to the program. Further develop CME programs in cardiovascular sciences. Firm up a 5-year plan for the program. Recruit clinical residents doing 1-2 years of research into a formal graduate program where appropriate. 8. Continue developing endowments to provide permanent infrastructure support. PUBLICATIONS – STUDENTS Belanger MP, Wallen WJ, Wittnich C: Special feeding and care of senescent spontaneously hypertensive rats (Lead Article). Contemp Topics Lab Animal Sci, 1999;38:7-11. Borger MA, Fremes SE, Weisel RD, Rao V, Cohen G, Lindsay TF, Naylor CD: Coronary artery bypass and carotid endarterectomy: Does a combined approach increase risk? A metaanalysis. Ann Thorac Surg, 1999;68:14-21. Borger MA, Taylor RL, Weisel RD, Kularni G, Benaroia M, Rao V, Cohen G, Fedorko L, Feindel CM: Cannulation of the distal aortic arch results in less cerebral microemboli than cannulation of the ascending aorta: A randomized clinical trial. J Thorac Cardiovasc Surg, 1999;118:740-745. Borger MA, Wei KS, Weisel RD, Ikonomidis JS, Rao V, Cohen G, et al: Myocardial perfusion during antegrade and retrograde cardioplegia: A contrast echo study. Ann Thorac Surg, 1999;68:955-961. Borger MA, Weisel RD: Myocardial Protection. IN: Perioperative Care in Cardiac Anesthesia and Surgery (Eds, Cheng DCH, David TE). Landes Bioscience, Austin, Texas 1999:106-110. Cohen G, Borger MA, Weisel RD, Rao V: Intraoperative myocardial protection: Current trends and future perspectives. Ann Thorac Surg, 1999;68:1995-2001. Cohen G, Shirai T, Weisel RD, Rao V, Merante F, Tumiati LC, Mohabeer MK, Borger MA, Li RK, Mickle DA: Optimal myocardial preconditioning in humans. Ann NY Acad Sci, 1999;874:306-319. Foltz WD, Merchant N, Downar E, Stainsby JA, Wright GA: Coronary venous oximetry using MRI. Magnetic Resonance in Medicine, 1999;42:837-848. Lee TC, Zhao YD, Courtman DW, Stewart DJ: Abnormal aortic valve development in mice lacking endothelial nitric oxide synthase. Circulation, 2000;101:2345-2348. Najm HK, Wallen WJ, Belanger MP, Williams WG...Wittnich C: Does the degree of cyanosis affect myocardial adenosine triphosphate levels and ventricular function in children undergoing congenital heart surgery? J Thorac Cardiovasc Surg, 2000;119:515-524. Taylor RL, Borger MA, Weisel RD, Fedorko L, Feindel CM: Cerebral microemboli during cardiopulmonary bypass: Increased emboli during perfusionist interventions. Ann Thorac Surg, 1999;68:89-93. Torrance SM, Belanger MP, Wallen WJ, Wittnich C: Neonatal pig hearts’ metabolic and functional response to the development of ischemic contracture – is recovery possible? Pediatric Res, 2000;48:1-9. Wittnich C, Wallen WJ, Belanger MP, Ikonomidis JS: Extracellular calcium concentration affects susceptibility to global ischemic injury in newborn but not adult hearts. J Heart Lung Trans, 1999;18:675-683. PUBLICATIONS – FACULTY Adamson SL, Kingdom J: Antenatal betamethasone and fetoplacental blood flow. The Lancet, 1999;354:255-256. Afroze T, Husain M: C-Myb binding sites medite G1/S-associated repression of the plasma membrane Ca2+ ATPase-1 promoter. J Biol Chem, 2000;275:9062-9069. Akong T, Gotlieb AI: Reduced in vitro repair in endothelial cells harvested from the intercostal ostia of porcine thoracic aorta. Arterioscl Thromb Vasc Biol, 1999;19:665-671. Arellano R, Jiang M, O’Brien W, Hossain I, Boylen P, Demajo W, Cheng DCH: Acute graded hypercapnia increases collateral coronary blood flow in a swine model of chronic coronary artery obstruction. Crit Care Med, 1999;27:2729-2734. Azevedo ER, Newton GE, Floras JS, Parker JD: Reducing cardiac filling pressure lowers norepinephrine spillover in patients with chronic heart failure. Circulation, 2000;101:2053-2059. Azevedo ER, Newton GE, Parker AB, Floras JS, Parker JD: Sympathetic responses to atrial natriuretic peptide in patients with congestive heart failure. J Cardiovasc Pharma, 2000;35:129135. Babensee JE, Sefton MV: Viability of HEMA-MMA microencapsulated model hepatoma cells in rats and the host response. Tiss Eng, 2000;6:165-182. Bandali KS, Ackermann U: Are prostaglandins involved in ANP mechanisms of cardiovascular control? Can J Physiol Pharmacol, 1999;77:211-215. Bartfay WJ...Sole MP...Liu PP: A biochemical, histochemical and electron microscopic study on the effects of iron-loading on the hearts of mice. Cardiovasc Pathol, 1999;8(6):305. Bayliss CE: Edith. Case #1, Structure/Function. UofT Faculty of Medicine, 42 pages, 1999. Bayliss CE: Mrs. Lively. Case #2, Structure/Function. UofT Fac of Medicine, 50 pages, 1999. Bayliss CE: Bart Giamatti. Case #3, Structure/Function. UofT Fac of Medicine, 42 pages, 1999. Bayliss CE: Week 11 Syllabus. Structure/Function, UofT Faculty of Medicine, 107 pages, 1999. Bayliss CE: Week 12 Syllabus. Structure/Function, UofT Faculty of Medicine, 83 pages, 1999. Bayliss CE: Week 13 Syllabus. Structure/Function, UofT Faculty of Medicine, 97 pages, 1999. Bayliss CE: Week 14 Syllabus. Structure/Function, UofT Faculty of Medicine, 45 pages, 1999. Belanger MP, Wallen WJ, Wittnich C: Special feeding and care of senescent spontaneously hypertensive rats. Contemporary Topics in Laboratory Animal Science, 1999;38(4):7-11. Bendeck MP, Irvin C, Reidy M, Smith L, et al: Smooth muscle cell matrix metalloproteinase production is stimulated via αvβ3 integrin. Arteriosclerosis, Throm Vasc Biol, 2000;20:14671472. Borger MA, Fremes SE, Weisel RD, Cohen G, Rao V, Lindsay TF, Naylor CD: Coronary bypass and carotid endarterectomy: does a combined approach increase risk? A meta analysis. Ann Thorac Surg, 1999;68:14-21. Borger MA, Taylor R, Weisel RD...Feindel CM: Decreased cerebral emboli during distal aortic arch cannulation: a randomized clinical trial. J Thorac Cardiovasc Surg, 1999;118:740-745. Borger MA, Wei KS, Weisel RD, Ikonomidis JS, Rao V, Cohen G, et al: Myocardial perfusion during warm antegrade and retrograde cardioplegia: a contrast echo study. Ann thorac Surg, 1999;68:955-961. Bradley TD: Continuous positive airway pressure for the treatment of congestive heart failure. Can Med Assoc J, 2000;162:535-536. Bradley TD, Floras JS: Pathophysiological interactions between sleep apnea and congestive heart failure. IN: Sleep Apnea: Implications in Cardiovascular and Cerebrovascular Disease. (Eds. T.D. Bradley, J.S. Floras), Marcel Dekker, NY, 2000:385-414. Brooks D, Lacasse Y, Goldstein RS: Pulmonary rehabilitation programs in Canada: National survey. Can Respir J, 1999;6:55-63. Brooks D, Solway BS, Downes L, Graham I, Carter M: A survey of suctioning practices among physical therapists, respiratory therapists and nurses. Can Respir J, 1999;6:513-520. Butany J, Gotlieb AI: Native valvular heart disease. IN: Atlas of Cardiovascular Pathology (Eds. B.M. McManus, E. Braunwald), Current Medicine, 1999;93:157-166. Campbell AIM, Kuliszewski MA, Stewart DJ: Cell-based gene transfer to the pulmonary vasculature. Am J Respir Cell Mol Biol, 1999;21:567-575. Carpentier A, Mittelman SD, Lamarche B, Bergman RN, Giacca A, Lewis GF: Acute enhancement of insulin secretion by free fatty acids in humans is lost with prolonged FFA elevation. Am J Physiol, 1999;276:E1055-E1066. Carpentier A, Mittelman SD, Lamarche B, Bergman RN, Giacca A, Lewis GF: Free fatty acids induce pancreatic beta cell failure in obese non-diabetic humans but not in those with Type 2 diabetes. Diabetes, 2000;49:399-408. Case P, Lemieux S, Kennedy SH, Lewis GF: Elevated plasma lipids in patients with binge eating disorder are found only in those who are anorexic. Int. J. Eating Disorders, 1999;25(2):187-193. Challis DE, Pfarrer CD, Ritchie JWK, Koren G, Adamson SL: Glucose metabolism is elevated and vascular resistance and maternofetal transfer is normal in perfused placental cotyledons from severely growth-restricted human fetuses. Pediatric Res, 2000;47:309-315. Chen JC, Moriarty JA, Derbyshire JA...Wright GA, et al: Prostate cancer: MR imaging and thermometry during microwave thermal ablation-initial experience. Radiology, 2000;214:290297. Cheng DCH, Byrick RJ, Knobel E: Structural models for intermediate care areas. Crit Care Med, 1999;27:2266-2271. (Accompanied by an editorial – Gerber DR: Structural models for intermediate care areas: one size does not fit all. Crit Care Med, 1999;27:2321-2323.) Chin C, Feindel CM, Cheng DCH: Duration of preoperative amiodarone treatment may associate with postoperative hospital mortality in patients undergoing heart transplantation. J Cardiothorac Vasc Anesth, 1999;13:562-566. Cho HC, Tsushima RG, Nguyen TT, Guy HR, Backx PH: Two critical cysteine residues implicated in disulfide bond formation and proper folding of Kir2.1. Biochemistry, 2000;39:4649-4657. Cohen G, Borger M, Weisel RD, Rao V: Intraoperative myocardial protection: current trends and future perspectives. Ann thorac Surg, 1999;68:1995-2001. Connolly SJ, Gent M, Roberts RS, Dorian P, Roy D, et al: Canadian Implantable Defibrillator Study (CIDS): A randomized trial of the implantable cardioverter defibrillator against amiodarone. Circulation, 2000;101(11):1297-1302. Couch GG, Johnston KW, Ojha M: An in vitro comparison of the hemodynamics of two inferior vena cava filters. J Vasc Surg, 2000;31:539-549. Cowan KN, Heilbut A, Lam C, Ito S, Rabinovitch M: Reversal of severe pulmonary hypertension by a serine elastase inhibitor. Nat Med, 2000;6:698-702. Cowan KN, Jones PL, Rabinovitch M: Elastase and matrix metalloproteinase inhibitors induce regression and tenascin-C antisense prevents progressive vascular disease. J Clin Invest, 2000;105:21-34. Crawford B, Stewart DE, Meana M: Treatment decision making in mature adults: gender differences. Health Care for Women International, 2000;21:91-104. Current Opinion in Cardiology, 9:Suppl 1: Heart failure resolved? An interactive debate. Satellite symposium to the Third International Forum for the Evaluation of Cardiovascular Care, Monte Carlo, Monaco, 19 Jan 1994. Edited by Michael J. Sole. Djaiani GN, Cheng DCH, Carroll JA, Yudin M, Karski JM: Fast-track cardiac anesthesia in patients with sickle cell abnormalities. Anesth Analg, 1999;89:598-603. Dorian P: Amiodarone and defibrillation threshold: A clinical conundrum. J Cardiovasc Electrophysiol, 2000;11(7):741-743. Dorian P, Philippon F: Chapter 3: The management of acute ventricular tachycardia or fibrillation. Can J Cardiol, 2000;16(Suppl C):16C-19C. Dupuis J, Schwab AJ, Simard A, Cernacek P, Stewart DJ, Goresky CA: Kinetics of endothelin1 binding in the dog liver microcirculation in vivo. Am J Physiol, 1999;277(Gastrointest Liver Physiol 40):G905-G914. Ethier CR, Prakash S, Steinman DA, Leask RL, Couch GG, Ojha M: Steady flow separation patterns in a 45 degree junction. J Fluid Mechanics, 2000;400:1-38. Feldman RD, Campbell N, Larochelle P, Bolli P, Burgess ED, Carruthers SG, Floras JS, et al for the Task Force for the Development of the 1999 Canadian Recommendations for the Management of Hypertension. 1999 Canadian recommendations for the management of hypertension. Can Med Assoc J, 1999;161(12 Suppl):S1-S17. Ferreira IM, Brooks D, Lacasse Y, Goldstein RS: Nutritional support for individuals with chronic obstructive pulmonary disease: A meta-analysis. Chest, 2000;117:672-678. Floras JS: Modulation of blood pressure, heart rate, and sympathetic nerve activity in healthy humans and in heart failure. Therapeutic Research, 2000;21:75-80. Floras JS: The RESOLVD Investigators: Effects of metoprolol CR in patients with ischemic and dilated cardiomyopathy. The Randomized Evaluation of Strategies for Left Ventricular Dysfunction Pilot Study. Circulation, 2000;101:378-384. (Member of Steering Committee) Foltz WD, Merchant N, Downar E, Stainsby JA, Wright G: Coronary venous oximetry using MRI. Magnetic Resonance in Med, 1999;42:837-848. (Finalist, W.S. Moore Award, ISMRM) Gloviczki P, Baker WH, Kalman PG, Han D: The management of primary aortocaval and ilioiliac arteriovenous fistulae. Perspectives in Vasc Surg, 1999;12:133-148. Goodman L: Chest-mounted left ventricular nuclear monitoring technologies (Science and Technology Watch). Aviat Space Environ Med, 2000;71(6):659. Goodman LS, Banks RD, Grissett JD, Saunders PL: Heart rate and blood pressure responses to +Gz following varied-duration –Gz. Aviat Space Environ Med, 2000;71(2):137-141. Gordon MJ, Chu KC, Margaritis A, Martin AJ, Ethier CR, Rutt BK: Measurement of GdDTPA diffusion through tissue-substitute PVA hydrogel using MR imaging. Biotechnology and Bioengineering, 1999;65:476-484. Gotlieb AI, Benditt EP, Schwartz SM: Blood Vessels. IN: Pathology 3rd Edition (Eds, E. Rubin, J.L. Farber), J.B. Lippincott, PA, 1999. Gotlieb AI, Lee TYJ: Endothelial Repair in Atherosclerosis. IN: Current Topics in Pathology. Tissue Repair and Fibrosis (Eds. A. Desmouliere, B. Tuchweber), 1999;93:157-166. Hou G, Gronska M, Bendeck MP: Type VIII collagen stimulates smooth muscle cell migration and MMP synthesis after arterial injury. Am J Pathology, 2000;156:467-476. Irvine J, Baker B, Smith J....Gent M, Dorian P: Poor adherence to placebo or amiodarone therapy predicts mortality: results from the CAMIAT study. Canadian Amiodarone Myocardial Infarction Arrhythmia Trial. Psychosom Med, 1999;61(4):566-575. Irvine J, Basinski A, Baker B...Gent M, Dorian P: Depression and risk of sudden cardiac death after acute myocardial infarction: testing for the confounding effects of fatigue. Psychosom Med, 1999;61(6):729-737. Jeejeebhoy FM, Dorian P, Newman D: Panic disorder and the heart – a cardiology perspective. J Psychosom Res, 2000;48(5):393-403. Kalman PG, Johnston KW: Reply letter to editor regarding "The value of late computed tomographic scanning in identification of vascular abnormalities after abdominal aortic aneurysm repair". J Vasc Surg, 1999;30:961-962. Kalman PG, Pope M, Bhola C, Richardson R, Sniderman KW: A practical approach to vascular access for hemodialysis and predictors of success. J Vasc Surg, 1999;30:727-733. Kalman PG, Rappaport DC, Merchant N, Clarke K, Johnston KW: The value of late computed tomographic scanning in identification of vascular abnormalities after abdominal aortic aneurysm repair. J Vasc Surg, 1999;29:442-450. Kalman PG: Stent-graft repair of abdominal aortic aneurysms. Can Med Assoc J, 1999;161:1133. Kalman PG: Thoracofemoral bypass: proximal exposure and tunneling. Seminars in Vascular Surgery, 2000;13:65-69. Karski JM, Mathieu M, Cheng DCH, Carroll J, Scott GJ: Etiology of preoperative anemia in patients undergoing scheduled cardiac surgery. Can J Anesth, 1999;46:979-982. Keith M, Jeejeebhoy KN, Sole MJ: The role of oxidative stress in congestive heart failure. Heart Failure, 1999;15:3-4. Kip KE, Bourassa MG, Jacobs AK, Schwartz L, Feit F, et al: Influence of pre-PTCA strategy and initial PTCA result in patients with multivessel disease. The BARI Study. Circulation, 1999;100:910-917. Kirpalani A, Park H, Johnston KW, Butany J, Ojha M: Velocity and shear stress patterns in the human right coronary artery. J Biomech Engin, 1999;121:370-375. Krunic N, Adamson SL, Ackerley C, Okita RT, Coceani F: Perinatal changes in choroidal 15hydroxy prostaglandin dehydrogenase:implications for prostaglandin removal from brain. Dev Brain Res, 2000;121:144-155. Krunic N, Adamson SL, Coceani F: Differential uptaker and catabolism of prostaglandin (PG) E2 versus PGF2α in the sheep choroid plexus during development. Dev Brain Res, 2000;119:1119. Lacasse Y, Brooks D, Goldstein RS: Trends in the epidemiology of chronic obstructive pulmonary disease in Canada, 1980-1995. Chest, 1999;116:306-313. Lahooti S, Sefton MV: Effect of an immobilization matrix and capsule membrane permeability on the viability of encapsulated HEK cells. Biomaterials, 2000,21:987-995. Lahooti S, Sefton MV: Microencapsulation of normal and transfected L292 fibroblasts in a HEMA-MMA cololymer. Tiss Eng, 2000;6:139-149. Lamarche B, Carpentier A, Uffelman KD, Steiner G, Barrett PHR, Lewis GF: Triglyceride enrichment of HDL enhances the in vivo metabolic clearance of HDL-associated apolipoprotein A-1 in healthy humans. J. Clin. Invest, 1999;103:1191-1199. Lamarche B, Shirya R, Lewis GF: HDL metabolism in hypertriglyceridemic states. An overview. Clin Chim Acta, 1999;286:145-161. Lane D, Motolko M, Yan DB, Ethier CR: A comparison of the effects of sodium hyaluronate and chondroitin-sulfate sodium hyaluronate on outflow facility in human cadaver eyes. J Cat Refract Surg, 2000;26:277-281. Langleben D, Barst RJ, Badesch D...Stewart DJ, Long W: Continuous infusion of epoprostenol improves the net balance between pulmonary edothelin-1 clearance and release in primary pulmonary hypertension. Circulation, 1999;99:3266-3271. Lee DK, Cheng R, Nguyen T, Fan T, Kariyawasam K, Liu Y, Osmond DH, et al: Characterization of apelin, the ligand for the APJ receptor. J Neurochem, 2000;74:34-41. Lee SD, Dorian P, Geist M, Davies E, et al: Validation of a non-invasive measure of local myocardial repolarization in a conscious human model: the adaptation of repolarization to changes in rate. J Cardiovasc Electrophysiol, 1999;10(9):1171-1179. Lee TC, Zhao YD, Courtman DW, Stewart DJ: Abnormal aortic valve development in mice lacking endothelial nitric oxide synthase. Circulation, 2000;101:2345-2348. Lee TYJ, Gotlieb AI: Early stages of endothelial wound repair: Conversion of quiescent to migrate endothelial cells involves tyrosine phosphorylation and actin microfilament reorganization. Cell and Tissue Res, 1999;297:435-450. Lemieux S, Lewis GF, Ben-Chetrit A, Steiner G, Greenblatt EM: Correction of hyperandrogenemia by laparoscopic ovarian cautery in women with polycystic ovarian syndrome is not accompanied by improved insulin sensitivity or lipid-lipoprotein levels. J Clin Endocrinol Metab, 1999;84:4278-4282. Lemieux S, Patterson B, Carpentier A, Klein S, Lewis GF, Steiner G: A novel stable isotope method using a [2H5]-glycerol bolus to measure VLDL-TG kinetics in humans. J Lipid Res, 1999;40:2111-2117. Lent B, Phillips S, Richardson B, Stewart DE: Promoting parental leave for physicians. Can Med Assoc J, 2000;162:1575-1576. Leung RS, Bradley TD: Long-term treatment of refractory congestive heart failure by continuous positive airway pressure. Can J Cardiol, 1999;15:1009-1012. Lewis GF, Carpentier A, Bilinski D, Giacca A, Vranic M: Counterregulatory response to insulin-induced hypoglycemia differs according to the insulin delivery route. J Clin Endocrinol Metab, 1999;84:1037-1046. Lewis GF, Carpentier A, Vranic M, Giacca A: Resistance to insulin's acute direct hepatic effect in suppressing steady state glucose production in individuals with Type 2 diabetes mellitus. Diabetes, 1999;48:570-576. Lewis GF (Expert committee Member): Canadian Diabetes Association, “Guidelines for the Nutritional Management of Diabetes Mellitus in the New Millennium”. Can J Diabetes Care, 1999;23(3):56-69. Lewis GF: Lipid metabolism, bimonthly update. Curr Opinion in Lipidol, 1999;9:171-173 (Editorial/review), 1999;10:475-477. Li KCP, Dalman RL, Wright GA: In vivo flow independent T2 measurements of superior mesenteric vein blood in diagnosis of chronic mesenteric ischemia: A preliminary evaluation. Acad Radiology, 1999;6:530-534. (Stauffer Award for Best Clinical Paper, 1999) Li RA, Tsushima RG, Himmeldirk K, Dime DS, Backx PH: Local anesthetic anchoring to cardiac sodium channels: Implications into tissue-selective drug targeting. Circ Res, 1999;85:8898. Li R-K, Jia Z-Q, Weisel RD, Mickle DAG, Choi A, Yau TM: Survival and function of bioengineered cardiac grafts. Circulation, 1999;100(Suppl II):63-69. Li R-K, Weisel RD, Mickle DAG, Jia ZQ, Kim EJ, Sakai T, Tomita S, Schwartz L, Iwanochko M, Husain M, Cusimano RJ, Burns RJ, Yau TM: Autologous porcine heart cell transplantation improved heart function after a myocardial infarction. J Thorac Cardiovasc Surg, 2000;119:6268. Li R-K, Yau TM, Weisel RD, Mickle DAG, et al: Construction of a bioengineered graft. J Thorac Cardiovasc Surg, 2000;119:368-375. Liu P, Mak S, Stewart DJ: Potential role of the microvasculature in the progression of heart failure. Am J Cardiol, 1999;19(84-4A):23L-26L. Liu P, Sole MJ: What is the relevance of apoptosis to the cardiac myocardium? Can J Cardiol, 1999;15(supppl. B):8B-10B. Locke M: Heat shock factor activation and Hsp72 accumulation in aged skeletal muscle. Cell Stress and Chaperones, 2000;5:45-51. Lorenzi-Filho G, Dajani HR, Leung RST, Floras JS, Bradley TD: Entrainment of blood pressure and heart rate oscillations by periodic breathing. Am J Respir Crit Care Med, 1999;159:1147-1154. Lorenzi-Filho G, Rankin F, Bies I, Bradley TD: Effects of inhaled CO2 and O2 on CheyneStokes respiration in patients with heart failure. Am J Respir Crit Care Med, 1999;159:14901498. Mason CAE, Chang P, Fallery C, Rabinovitch M: Nitric oxide mediates LC-3 dependent regulation of fibronectin synthesis in ductus arteriosus smooth muscle cells. FASEB J, 1999;13:1423-1434. Mason TM, Goh T, Tchipashvili V, Sandhu H, Gupta N, Lewis GF, Giacca A: A prolonged elevation of plasma free fatty acids desensitises the insulin secretory response to glucose in vivo in rats. Diabetes, 1999;48:524-530. McKelvie RS, Yusuf S, Pericak D, Avezum A, Burns RJ...Rouleau J, et al: Comparison of candesartan, enalapril, and their combination in congestive heart failure. Randomized Evaluation of Strategies for Left Ventricular Dysfunction (RESOLVD) Pilot Study. Circulation, 1999;100:1056-1064. (Floras JS – Member of Steering Committee) Meana M, Stewart DE, Lickrish GM, Murphy J, Rosen N: Patient preference for the management of mildly abnormal PAP smears. J Women’s Health Gender Based Med, 1999;8:941-947. Mehta S, Liu PP, Fitzgerald FS, Allidina Y, Bradley TD: Effects of continuous positive airway pressure on cardiac volumes in patients with ischemic and dilated cardiomyopathy. Am J Respir Crit Care Med, 2000;161:128-134. Melo LG, Pang SC, Ackermann U: Atrial natriuretic peptide: Regulator of chronic blood pressure and fluid-electrolyte balance. NIPS, 2000;15:143-149. Melo LG, Steinhelper ME, Pang SC, Tse Y, Ackermann U: ANP in regulation of arterial pressure and fluid-electrolyte balance: Lessons from genetic mouse models. Am J Physiol Physiol Genomics, 2000;278:45-58. Melo LG, Veress AT, Ackermann U, Pang SC, Flynn TG, Sonnenberg H: Chronic hypertension in ANP knockout mice: Contribution of peripheral resistance. Reg Peptides, 1999;79:109-115. Melo LG, Veress AT, Ackermann U, Steinhelper M, Pang SC, Tse Y, Sonnenberg H: Chronic regulation of arterial blood pressure in ANP transgenic and knockout mice: Role of cardiovascular sympathetic tone. Cardiovasc Res, 1999;43:437-444. Melo LG, Veress AT, Chong CK, Ackermann U, Sonnenberg H: Salt-sensitive hypertension in ANP knockout mice is prevented by AT?1 receptor antagonist Losartan. Am J Physiol, 1999;277:R624-R630. Meneilly GS, Battistini B, Floras JS: Lack of effect of sodium nitroprusside on insulinmediated blood flow and glucose disposal in the elderly. Metabolism, 2000;49:373-378. Mitani Y, Zaidi SHE, Dufourcq P, Thompson K, Rabinovitch M: Nitric oxide reduces vascular smooth muscle cell elastase activity through cGMP-mediated suppression of ERK phosphorylation and AML1B nuclear partitioning. FASEB J, 2000;14:805-814. Moore JA, Yin K, Karlik S, Rutt BK, Steinman DA, Ethier CR: Computational blood flow modeling based on in vivo measurements. Ann Biomed Engineering, 1999;27:627-640. Najm JH, Wallen J, Belanger MP, Coles JG...Wittnich C: Does the degree of cyanosis affect myocardial adenosine triphosphate levels and function in children undergoing surgical procedures for congenital heart disease? J Thorac Cardiovasc Surg, 2000;119:515-524. Nanthakumar K, Dorian P, Paquette M, Hutchison S, Andrews J, Newman D: Effect of physiological mechanical perturbations on intact human myocardial repolarization. Cardiovasc Res, 2000;45(2):303-309. Nanthakumar K, Paquette M, Newman D... Heng D, Dorian P: Inappropriate therapy from atrial fibrillation and sinus tachycardia in automated implantable cardioverter defibrillators. Am Heart J, 2000;139(5):797-803. Noria S, Cowan DB, Gotlieb AI, Langille BL: Transient and steady state effects of shear stress on endothelial adherens junctions. Circulation Res, 1999;85:504-514. Opavsky MA, Sole MJ, Liu PP: Myocarditis. IN: Cardiology. (Eds. W.W. Parmley and K. Chatterjee) Lippincott Raven, New York, 1999, Ch.47. CD ROM Park H, Moore J, Trass O, Ojha M: Photochromic grid analysis of vorticity and pressure fields in a 2-D flow field, Experiments in Fluids, 1999;26:55-62. Parker JD, Brooks D, Kozar LF, Render-Teixeira CL, Horner RL, Bradley TD, Phillipson EA: Acute and chronic effects of airway obstruction on canine left ventricular performance. Am J Respir Crit Care Med, 1999;160:1888-1896. Preisman S, Cheng DCH: Life threatening ventricular dysrhythmias with inadvertent asynchronous temporary pacing after cardiac surgery. Anesthesology, 1999;91:880-883. Qi X, Newman D, Dorian P: The class III effect of azimilide is not associated with reverse usedependence in open-chest dogs. J Cardiovasc Pharmacol, 1999;34(6):898-903. Qi XL, Stewart DJ, Gosselin H...Rouleau JL: Improvement of endocardial and vascular endothelial function on myocardial performance by captopril in post-infarct rat hearts. Circulation, 1999;100:1338-1345. Rashid S, Shi ZQ, Niwa M, Vandelangeryt M, Bilinski D, Mathoo JMR, Lewis GF, Vranic M: Beta blockade, but not normoglycemia or hyperinsulinemia, improves the stress-induced hyperglycemia in diabetic dogs. Diabetes, 2000;49:253-262. Ritvo P, Robinson GE, Irvine J, Brown L, Murphy J, Stewart DE, et al: A longitudinal study of psychological adjustment to familial genetic risk assessment for ovarian cancer. Gyncecologic Oncology, 1999;74:331-337. Roy D, Talajic M, Dorian P, Connolly S, et al: Amiodarone to prevent recurrence of atrial fibrillation. Canadian Trial of Atrial Fibrillation Investigators. N Engl J Med, 2000;342(13):913920. Sakai T, Li R-K, Weisel RD, Mickle DAG, Jia Z-Q, Tomita S, Kim EJ, Yau TM: Fetal cell transplantation: a comparison of three cell types. J Thorac Cardiovasc Surg, 1999;118:715-725. Sakai T, Li R-K, Weisel RD, Mickle DAG, Kim E-J, Tomita S, Jia Z-Q, Yau TM: Autologous heart cell transplantation improves cardiac function after myocardial injury. Ann Thorac Surg, 1999;68:2074-2081. Sefton MV, May MH, Lahooti S, Babensee JE: Making microencapsulation work: Conformal coating, immobilization gels and in vivo performance. J Control Rel, 2000;65:173-186. Sefton MV: A status report on the microencapsulation of cells for immunoisolation. E-biomed: J Regenerative Med, 2000;1:49-54. Shahani R, Marshall JG, Rubin BB, Li R-K, Walker PM, Lindsay TF: The role of TNF-alfa in myocardial dysfunction following hemorrhagic shock and lower torso ischemia. Am J Physiol, 2000;278:H942-H950. Sin D, Fitzgerald F, Parker JD, Newton G, Floras JS, Bradley TD: Risk factors for central and obstructive sleep apnea in 450 men and women with congestive heart failure. Am J Respir Crit Care Med, 1999;160:1101-1106. 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Stirtzinger R, Robinson GE, Stewart DE: Parameters of grieving in spontaneous abortion. Intl J Psychiatry in Med, 1999;29:235-249. Stiskal JA, Ito S, Cox DW...Rabinovitch M, Dunn MS: Functional and antigenic concentrations of alpha1-proteinase inhibitor after administration for the prevention of chronic lung disease of prematurity. Biol Neonate, 1999;76:134-143. Taghibiglou C, Carpentier A, Van Iderstine S, Chen B, Rudy D, Aiton A, Lewis GF, Adeli K: Mechanisms of hepatic VLDL overproduction in insulin resistance: Evidence for enhanced lipoprotein assembly, reduced intracellular apo B degradation, and increased microsomal triglyceride transfer protein in a fructose-fed hamster model. J Biol Chem, 2000;275:8416-8425. Tai TC, Adamson SL: Developmental changes in respiratory, febrile and cardiovascular responses to PGE2 in newborn lambs. Am J Physiol, 2000;278:R1460-R1473. 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Bristol-Myers Squibb Medtronic Canada Merck Frosst Canada & Co. Solvay Pharma