Synapse (04.17.14)

SynapseThursday, April 17, 2014 synapse.ucsf.edu Volume 58, Number 27

The UCSF Student Newspaper

IN THIS ISSUENews Briefs » PAGE 3Grad School Illustrated » PAGE 7Puzzles » PAGE 11

FOODDreams vs. CREAMBattle of the Ice Cream Sandwich » PAGE 9

MIND&BODYLet's Get Physical...Top 10 Scariest Things I See at the Gym » PAGE 7

THE CSI EFFECT » PAGE 3

NEWS

The CSI Effect: Science ‘As Seen on TV’

OPEN ACCESS » PAGE 4

Are jurors' attitudes about forensic evidence influenced by watching too many TV crime dramas?

P&T COMPETITION » PAGE 7

By Nicole CroomStaff Writer

When was the last time you were sit-ting down after a hard day’s work, unwinding with your favorite TV

crime drama and you thought to yourself, “Really? They caught the guy because they found a leg from the Rubarura bug on the hem of the victim’s left pant leg and the killer just happens to live on the only street in the world that particularly bug inhabits? Uh huh, riiiiight.”

Which begs the question: how accurate are crime shows and do their inaccuracies have any effect on the real world, a so-called “CSI effect”?

Dr. Judy Melinek, a medical examiner and Assistant Clinical Professor of Pathology at the UCSF Medical Center, sat down with me to try and shed light on the topic. She recently posted an article, “7 CSI Fails,” on her Pathol-ogy Expert blog that goes into further detail about the errors television crime shows con-sistently make.

The “CSI effect” is a term that was first coined by prosecutors to describe their per-ceived drop in conviction rates due to ju-rors’ hesitancy to give a guilty verdict if a case is lacking in forensic evidence. Pros-ecutors attributed the drop to the por-trayal of how important forensic findings are in crime shows, like CSI and Bones. No studies have supported the claim that such a decline in conviction rates exists, but

Melinek does write that, “As an expert wit-ness in forensic pathology, I see the CSI ef-fect when I'm faced with questions like, ‘Why can't you tell us the precise time of death down to the minute, like on TV?’”

Forensic pathology isn’t the only medi-cal field that is portrayed imprecisely. Me-linek has also consulted for TV shows such as ER, and though she said that the produc-

ers take your advice into consideration, such as her consultation on the scene about how a patient’s make-up should be redone, unfortu-nately, “They often get the details right, but they get the sequence wrong.”

Many medical and medico-legal shows also utilize technology far beyond what is used today—call it creative license. TV inves-

NEWS

Open Access Inspires New Publishing Models

NEWS

UCSF Team Wins AMCP P&T CompetitionBy Linda ChenStaff Writer

It was all sunshine and smiles in Tam-pa, Florida for the UCSF Pharmacy and Therapeutics (P&T) team as they took

home first place in the 14th Annual AMCP P&T Competition on April 4.

The team, consisting of Edna Cheung (P1), Randal Du (P3), Isabel Fong (P1) and Thomas Lee (P2), accepted the honor and $2500 scholarship with faculty advisor, Glen Yokoyama before the cheers, roar, and tears of their UCSF family.

The prize money will be contributed to the school’s general scholarship fund.

The celebration quickly spread to UCSF after Dean Joseph Guglielmo, who had giv-en the team a pre-competition pep talk via phone, proudly shared the achievement with

Photo courtesy of CBS

UCSF School of Pharmacy representatives at the AMCP P&T Competition in Tampa, Fla.Photo by Michelle Nguyen/P2

This series explores the impact of open access journals on the scientific publishing industry. In this final installment, we look at how the industry's shifting fee structure is hurting sci-entists. We also explore the rise of alternative publishing models.

PART 3By Alexandra GreerScience Editor

Many scientists make the assump-tion that open access journals are non-profit entities because of their

“open” nature and the fact that they do not charge subscription fees.

In fact, few open access journals are tru-ly non-profit organizations; many are simply companies generating revenue using a differ-ent business model.

Whereas closed access journals make a majority of their money through subscrip-tion fees, open access journals must find rev-enue elsewhere. By far, the most recognizable model is to charge authors “article processing fees,” or APCs, to cover the costs associated with online publication.

In the span of a few years, open access journals have altered the scientific publishing landscape, making it cheaper and easier for researchers to access published research. But in doing so open access journals have shift-ed the cost of publication from the reader (or university library) to the scientist-author.

“To be self-sufficient, you have to have a way of generating income, and page charg-es are one of the ways,” said Dr. Alexander Johnson, professor of Microbiology and Im-munology and Biochemistry and Biophysics at UCSF. “Someone has to pay for it.”

With research funds increasingly difficult for new investigators to secure, every dollar is precious. And for investigators trying to make a name for themselves in the scientif-ic world, publications are the primary form of currency. Despite the surging popularity of the open access movement, the increasingly popular APC business model may not be sustainable for penny-pinching scientists in times of dwindling lab funds.

2 | April 17, 2014 | synapse.ucsf.edu

EVENTS

Journal Club

MISSION BAY EVENTSFOOD TRUCK THURSDAYS AT MISSION BAY Thursday, April 17, 11 a.m.-2 p.m., 4th Street & Nelson Rising Lane, Mission Bay Join the food truck lunch party every Thursday at Mission Bay and explore the tasty culinary options to break up your routine. Each week will feature two different vendors, so there will always be something new. Grab some friends, get some food, and take your lunch experience up a notch.

SYNAPSE NEWSPAPER Friday, April 18, noon-1 p.m., Graduate Division, CC-310, Mission Bay Synapse is looking for Mission Bay and Parnassus writers, bloggers, photographers and designers. Come to the lunch meeting, share your story ideas and enjoy a free lunch. RSVP to Steven Chin, [email protected].

MUSLIM FRIDAY PRAYER SERVICES Friday, April 18, 1-2:30 p.m., Helen Diller, 160, Mission Bay The Muslim Community at UCSF holds regular Friday prayer services (Jum’a) for the UCSF Muslim community every week. Come join your fellow brothers and sisters for prayer, lunch and socializing. All are welcome.

MISSION BAY RIPSFriday, April 18, 4-5 p.m., Genentech Hall Auditorium, Mission BayResearch In Progress Seminar is a seminar series at which one student and one postdoc present their current research. Talks are 15 minutes in length and are preceded by a 20-minute social. Snacks and beverages are provided.

MISSION BAY FARMERS’ MARKETWednesday, April 23, 10 a.m.-2 p.m., Gene Friend Way Plaza, Mission BayShop healthy, shop fresh, shop California-grown at the UCSF Farmers' Market, every Wednesday (rain or shine). Sponsor: Pacific Coast Farmers' Market Association.

PARNASSUS EVENTS

EXPERIMENTAL DANCE THEATRE WORKSHOPThursday, April 17, 8:30-9:30 p.m., Millberry Fitness Center, Studio 2, ParnassusCome dance with us! One of our members will be leading an all-levels *ballet* workshop!

NAHA SPRING CULTURAL EVENTFriday, April 18, 11 a.m.-2 p.m., Saunders Court, ParnassusThe Native American Health Alliance (NAHA) Spring Cultural Event brings together Native American drummers and dancers of various tribal origins to perform on the UCSF Parnassus Campus. Visitors are welcome. Traditional fry bread and Indian tacos are served for all attendees.

MUSLIM FRIDAY PRAYER SERVICES Friday, April 18, 1:30-2 p.m., Medical Sciences, 178, Parnassus The Muslim Community at UCSF holds regular Friday prayer services (Jum’a) for the UCSF Muslim community every week. Come join your fellow brothers and sisters for prayer, lunch and socializing. All are welcome.

ANNUAL KOREAN CULTURE SHOWFriday, April 18, 4-9 p.m., Cole Hall, ParnassusThe annual Korean Culture show which will be comprised of series of performance. The performances would be from traditional fan dance, musical ensembles, martial arts to contemporary music and K-pop!. This event is to enrich the awareness of Korean pop culture to public.

CAMPUS EVANGELISTIC FELLOWSHIPFriday, April 18, 7-10:30 p.m., Nursing, 517, ParnassusJoin the Campus Evangelistic Fellowship for its weekly meeting, with Bible study, hymn singing and fellowship.

INTEGRATIVE MEDICINE FOR THE FUTURESaturday, April 19, 8 a.m.-4:30 p.m., Cole Hall, ParnassusThe Integrative Medicine Forum will feature speakers and workshops on a variety of topics related to contemporary and future use of complementary and alternative medicine practices in modern healthcare. UCSF students may receive one unit of elective credit for the Spring 2014 term by enrolling in FCM 171.04 and by purchasing an eventbrite ticket. eventbrite.com/e/ucsf-forum-integrative-medicine-for-the-future-tickets-10512375799.

EXPERIMENTAL DANCE THEATRE WORKSHOPSunday, April 20, 6-7 p.m., Millberry Fitness Center, Studio 2, ParnassusCome dance with us! One of our members will be leading an hour long, all levels *Musical Jazz Theatre* dance workshop! No experience necessary.

PRECISION MEDICINE DISCUSSIONSMonday, April 21, noon-1 p.m., Health Sciences West, 302, ParnassusThe newly formed Precision Medicine Student Alliance (PMSA) is searching for motivated students to join its leadership and help form a successful culture. There are many positions available, and time commitments are minimal. Students from all disciplines and programs are encouraged to apply! PMSA is an interprofessional organization that aims to promote awareness about precision medicine across UCSF.

PARNASSUS FARMERS’ MARKET Wednesday, April 23, 10 a.m.-3 p.m., ACC, 400 Parnassus Ave. Shop the Farmers’ Markets on Wednesdays to pick up locally grown produce and more. Sponsor: Pacific Coast Farmers’ Market Association.

SYNAPSE NEWSPAPER Wednesday, April 23, noon-1 p.m., Millberry Union 123W, ParnassusSynapse is looking for Mission Bay and Parnassus writers, bloggers, photographers and designers. Come to the lunch meeting, share your story ideas and enjoy a free lunch. Email [email protected] to RSVP.

UCSF RUN CLUB Wednesday, April 23, 5:30-6:30 p.m., Millberry Union Central Desk, ParnassusPlease drop by and join UCSF Fit & Rec for a run. Each Wednesday night, the Run Club runs various distances (from 3-6 miles) at 9 to 11 minutes per mile.

ENGLISH CORNERWednesday, April 23, 6-8:30 p.m., Clinical Sciences, 130, ParnassusEnglish Corner is an informal conversational English class given as a free community service and provided on a voluntary basis by both people born and raised in the United States as well as many people who have, at one time in their lives, experienced life as a new immigrant to the United States.

VIETNAMESE STUDENT ASSOCIATION ANNUAL SPRING CULTURE SHOWWednesday, April 23, 6-8 p.m., Cole Hall, ParnassusThe Vietnamese Student Association would like to invite all UCSF students, faculty and staff to the Annual VSA Spring Culture Show. Enjoy free authentic Vietnamese food along while being immersed in a performance showcasing the three beautiful regions of Vietnam. Please join us for a night of food, fun and cultural dances!

OFF-CAMPUSOFF THE GRID: UPPER HAIGHT Thursday, April 17, 5-9 p.m., Stanyan and Waller Streets, SFOff the Grid is a roaming mobile food extravaganza that travels to different locations daily to serve delicious food, with a free side of amazing music, craft and soul.

CALIFORNIA ACADEMY OF SCIENCES: DANCE PARTY NIGHTLIFE Thursday, April 17, 6-10 p.m., Cal Academy, Golden Gate ParkShake, shimmy, twist and twerk your way into NightLife’s first ever museum-wide dance party. Whether you’ve got two left feet or can cut a rug with the best of them, NightLife invites you to try out popular dance styles from around the world. http://bit.ly/NightLifeTickets, http://bit.ly/CLSDiscounts.

EXPLORATORIUM: AFTER DARK Thursday, April 17, 6-10 p.m., Pier 15, SFExperience some of the fascinating and beautiful technologies that help us transcend our physical limitations. Featuring exoskeletons, wearable computers, 3D-printed prosthetics, electronically enhanced couture and more. exploratorium.edu/visit/calendar/after-dark.

EXTRAVAGANZASaturday, April 19, 11 a.m., Sharon Meadows, SFThe Annual Eggstravaganza in Golden Gate Park’s Sharon Meadow will include egg hunts, arts and crafts, carnival rides and more!

SPRING CELEBRATION & EASTER PARADESunday, April 20, 10 a.m.–5 p.m., Union Street, SFThis is definitely not your average formal Parade, with everything from roller-blading cows and creative self-propelled mini-floats to garden areas, sophisticated fashions and beautiful classic cars. sresproductions.com/union_street_easter.html.

APPLY TO BE A UCSA STUDENT REP: DEADLINE APRIL 29The University of California Student Association (UCSA) is recruiting for UC System-wide Committee Student Representatives, Student Observers to select Regent Committees and Collective Bargaining Program Representatives. Join thousands of other UC voices fighting for the quality, accessibility and affordability of the UC system. Apply today: http://ucsa.org/get-involved/

ANNOUNCEMENTS

TABULATHE SYNAPSE

LITERARY ISSUE IS COMING APRIL 24!

Submit poems, short stories and

photos with captions to Synapse by APRIL 20. [email protected].

BAPHON BLOOD DRIVEWednesday, April 23, 11 a.m.-3 p.m., In front of Millberry Union, ParnassusSchedule your life-saving appointment by visiting the Blood Centers of the Pacific website and clicking on Donate Blood. This event is sponsored by BAPHON (Bay Area Pediatric Hematology/Oncology Nurses). All donors will receive 1000 bonus hero points, which can be redeemed online for a pair of movie tickets or other awards! Please be sure to eat a good meal before donating, drink plenty of water, and bring identification. To schedule your life-saving appointment, please visit www.bloodheroes.com. Enter sponsor code: BAPHON.

UCSF LIVINGGREEN FAIR: VOLUNTEERS NEEDED – RSVP APRIL 20Thursday, May 8, 10 a.m.–2 p.m, Millberry Union Conference Center, ParnassusUCSF LivingGreen is seeking volunteers to assist on the day of the fair for one hour. Volunteers will recieve a light lunch, tasks include greeting attendees, check-in table, delivering lunch to vendors and more. Please send an e-mail for a list of the tasks and time to [email protected]. Please send by April 24.

NOMINATE A SUSTAINABILITY CHAMPION FOR UCSF SUSTAINABILITY AWARDS: DEADLINE APRIL 25Nominate a deserving champion of sustainability in you midst. Do you know a faculty, staff, student or a team who consciously models sustainable behavior and influences others to do the same? Nominate them! http://sustainability.ucsf.edu/1.128.

ARE YOU A FIRST GENERATION TO COLLEGE STUDENT (FG2C)? Register with the First Generation Support Services Office, for access to all of the First Generation Support Services and to help the office advocate for you. Register before April 15 to be entered to win one of three giveaways! bit.ly/firstgenregister.

FG2C BROWN BAG MENTORINGThis Brown Bag Mentoring program is designed to help UCSF first generation college students connect with first gen faculty, postdocs, residents, fellows and alumni who have generously offered to meet with you over lunch. Sign up at bit.ly/brownbagmentor.

FREE SYNAPSE CLASSIFIEDSUCSF students and staff can now post online classified ads for free on the Synapse website. All you need is an @ucsf.edu email account. Try it out! synapse.ucsf.edu/classifieds.

WALK WHILE YOU WORK IN THE PARNASSUS LIBRARYThe Parnassus Library has installed two new Walkstations so that you can walk while you work on a computer on the second floor of the Technology Commons. The library also has more height-adjustable workstations. library.ucsf.edu/content/new-walkstations-available-library-tech-commons.

synapse.ucsf.edu | April 17, 2014 | 3

STAFFYi Lu | EDITOR

Jenny Qi | EXECUTIVE EDITOR Angela Castanieto | ASSOCIATE EDITOR

Akshay Govind | ASSOCIATE EDITORSteven Chin | MANAGING EDITOR

About Synapse is the UCSF student-run weekly newspaper, which runs on Thursdays during the academic year and monthly during the summer. Synapse seeks to serve as a forum for the campus community. Articles and columns represent the views of the authors and not necessarily those of the Board of Publications or the University of California.

Submissions Announcements and letters should be submitted six days before publication. All submissions can be either emailed or mailed. All material is subject to editing. Letters to the Editor must be signed by the author.Subscriptions Subscriptions cost $20/year ($40/outside US).

Advertising Paid advertisements do not necessarily reflect the views of Synapse. Synapse and its editorial board reserve the right to decline advertisements promoting false or misleading claims, known health risks, or content deemed by the editors to be antithetical to the interests of UCSF students or the UCSF community. Synapse does not accept advertisements from tobacco or alcohol manufacturers, or sexually oriented personal ads. Synapse reserves the right to run any ad with a disclaimer.

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NEWS BRIEFSFour Receive UCSF Medal for 'Advancing Health Worldwide'

UCSF Interim Chancellor Sam Hawgood, MBBS, bestowed the UCSF Medal to four leaders for outstanding contributions in ar-eas associated with UCSF’s mission to "ad-vance health worldwide" at the 2014 Founders Day banquet. The celebration occured at the UCSF Mission Bay campus on the evening of April 10.

The recipients of the 2014 UCSF Medal are:

•CarrollL.Estes,PhD–founderandfor-mer director of the UCSF Institute for Health & Aging.

•RichardM.Rosenberg–directoroftheUCSF Foundation Board; chair of the UCSF Medical Center Executive Council.

•MarthaRyan–founderandexecutivedi-rector of the Homeless Prenatal Program.

•PabloD.T.Valenzuela–co-founderofChiron Corporation; co-inventor of the first recombinant vaccine against the Hepatitis B Virus; and adjunct professor in the UCSF De-partment of Biochemistry.

The UCSF Medal recognizes outstanding personal contributions in areas associated with the University’s mission, including pro-viding top-quality patient care, improving un-derstanding of the factors that affect human health through research and teaching the next generation of health sciences leaders.

Online Registry to Drive Brain Disease Research

A new online project led by researchers at UCSF promises to dramatically cut the time and cost of conducting clinical trials for brain diseases, while also helping scientists analyze and track the brain functions of thousands of volunteers over time.

With easy online registration, the Brain Health Registry is designed to create a ready pool of research subjects for studies on neu-rological diseases, such as Alzheimer’s and Parkinson’s, as well as depression, post-trau-matic stress disorder and many other brain ailments. About one-third of the cost of run-ning a clinical trial comes from having to recruit patients, and many trials fail or are delayed because of it.

The Brain Health Registry is the first neu-roscience project to use the Internet on such a scale to advance clinical research, according to Michael Weiner, MD, founder and princi-pal investigator of the initiative and a pro-fessor of radiology, biomedical engineering, medicine, psychiatry and neurology at UCSF. He will serve as principal investigator of the Alzheimer's Disease Neuroimaging Initiative, the largest observational study of Alzheimer's.

Pancreatic Cancer 'Dream Team' Tackles Deadly Disease

UCSF has been selected to join a national “dream team” on pancreatic cancer, part of a project designed to accelerate treatment and discoveries for one of the most deadly forms of cancer. The team was announced on April 7 during the annual meeting of the American Association for Cancer Research.

The fourth leading cause of cancer death in the U.S., according to the National Can-cer Institute, progress in treating pancreatic cancer has long been hobbled by a difficulty at detecting it early and by a poor response to therapies by patients. While it is relatively rare, it now kills nearly as many as breast can-cer and only about six percent of those diag-nosed with it live as long as five years.

The goal of the dream team is to turn pan-creatic cancer into a treatable disease. Mar-garet Tempero, MD, a UCSF professor of medicine and director of the UCSF Pancreas Center, will lead the UCSF portion of the re-search.

» FROM HOME PAGEtigators receive DNA and lab results within hours, when in reality such things take weeks to months to run. An official autopsy report, complete with toxicology and histology, takes months to complete.

Melinek also discussed whether crime shows can help criminals learn how to cover up their crimes and if it’s true that in order to work closely with the deceased you must be more detached than most people.

While it’s true that there has been at least one example of a serial killer planning out his crimes based on what he learned from televi-sion shows, “very few people are sociopaths,” said Melinek. “They end up giving themselves away in other ways.” And, in fact, the afore-mentioned killer, Cary Stayner (The Yosemite Killer), was caught due to several rectifiable oversights.

Citing the forensic anthropologist Dr. Temperance Brennan from Bones as a prime example of the misconception that the best forensic investigators are somewhat antiso-cial, Melinek emphasizes that, “empathy is important… having empathy doesn’t mean you can’t be objective.”

“If you can’t communicate, you’re not do-ing your job either,” she added.

The CSI Effect

Dr. Judy Melinek is a medical examiner and As-sistant Clinical Professor of Pathology at the UCSF Medical Center.

A prime example of this disconnect comes in an episode of Bones when Dr. Brennan, who is portrayed in the first several seasons as highly practical and unfeeling, must testi-fy against the defense’s very charismatic ex-pert witness. She has to learn how to alter her speech to win the jury’s favor.

Melinek also addressed the perception that medical examiners are an “arm of the prosecution,” which flies in the face of their work as objective investigators.

In a paper titled, “The Ethics of Working as a Retained Forensic Expert,” Melinek ex-plored the tactics used by the prosecution to persuade government-employed medical ex-aminers to serve, not as an independent ex-pert, but as a tool for conviction. She argued that this view of medical examiners might be changed if all counties hired medical examin-ers as private contractors instead.

So, if you are a crime show fan and you have the opportunity to serve as a juror, just remember to take everything you have watched on TV with a brick of salt and don’t apply the realities of the TV world to the trial in front of you.

To learn more about the science of foren-sic pathology, check out Melinek’s blog (www.pathologyexpert.com/drjudymelinek/) and look out for her book, Working Stiff, due out in August.

Nicole Croom is a second-year student in the School of Medicine.

NEWS

Paying it Forward: Dental Students Travel to California Care Force Clinic

By Jean CalvoContributing Writer

California Public Health Association at UCSF organized a group of nine dental students to volunteer at the

California Care Force Clinic in Indio, Calif. earlier this month.

Niloo Farhani (D3), Jean Calvo (D2), Sam Kim (D2), Randy Rosales (D2), Tim Wen (D2), Marilyn Nguyen (D2), Angeline Salvani (D2), Rose Odsinada Oji (D2), and Christina Chen (D1) traveled to Indio late Friday night and volunteered assisting with dental proce-dures from 6 a.m. to 5 p.m. on Saturday and Sunday, April 3-6.

The California Care Force clinic pro-vided a huge underserved population with access to dental, medical and vision servic-es over the four-day clinic. With the help of volunteers like students from UCSF the clin-ic was able to provide a total of $907,447 worth of services at zero cost to patients. UCSF students had a very rewarding and exciting experience volunteering. Pa-tients were extremely grateful to receive the treatment they desperately needed.

“It was a really awesome time, I definitely want to volunteer again next year,” said Sam Kim.

California Public Health Association is grateful to the generous donors who helped to cover the cost of travel.

California Care Force organizes free mo-bile medical clinics to provide communities short term medical, dental and vision care. California Care Force uses a community cen-ter, school or some other public space to setup dental stations, eye exam stations and medical care stations and provide patients with free services including making eye glasses on site.

The clinics are operated by volunteer pro-fessionals taking time from their practices to give back to the community. The goal of the organization is to be able to move from com-munity to community to provide this urgent care at least once a month. To do this it needs to raise the funds to purchase more equip-ment and supplies. If you are able to volunteer at a clinic or are in a position to make a dona-tion your help is very much appreciated. Vis-it the website at www.californiacareforce.org.

Jean Calvo is a second-year dental student.

Back row: Sim Kim and Tim Wen, Middle Row: Rose Oji Osidana and Marilyn Nguyen, Front row Randy Rosales and Angeline Salvani. All are second-year dental students.

Photo by Jean Calvo/D2


» FROM HOME PAGEA Numbers Game Biomedical sciences journals charge the highest APCs of any science, technology and medicine (STM) discipline, with the average fee in 2010 running just over $1,000, accord-ing to an article by Drs. David J Solomon and Bo-Christer Björk published in the Jour-nal of the American Society for Information Science and Technology. According to their calculations, the biomedical field spent over $64 million in APCs for open access jour-nals, with many journals charging between $700 and $1800.

“I’m seeing some pushback from faculty, mostly to the ‘author-pays’ model of open ac-cess,” said UCSF Library’s Director of Serials Anneliese Taylor. “Those who are opposed think that the university is pushing costs off on researchers, while at the same time their research awards are decreasing.”

But this should not be a disincentive for scientists to publish in open access journals, according to Johnson.

“The critical thing is to look at the entire cost of a research project—and the journal publication charges are a very small part of that,” he said. “Compared to the salaries that are being paid to people and the cost of sup-plies and the infrastructure, it’s a very small percentage of the overall cost.

Avoiding APCs

And for those authors who cannot afford to pay or refuse to pay APCs, there are many open access options.

“If you look at the Directory of Open Ac-cess Journals (which has close to 10000 jour-nals), not even 50 percent of those charge a fee or any processing or publication charge,” explained Taylor. “The reason that’s not as

Open AccessPeerJ, eLife and F1000 represent three new alternatives to the traditional scientific publishing subscription model.

widely known is just because the ones that have really made a rep-utation for themselves do charge.”

In fact, open access journals with APCs were more cited than their free counterparts, according to the Solomon and Bjork article.

Even if researchers limit their options to open access journals with impressive impact factors (and APCs that go along with them), many offer discounts and waivers for researchers with dwin-dling funds or located in foreign countries deemed worthy of dis-counts.

For example, PLoS, like many other open access journals, partic-ipates in a Global Participation Ini-tiative, which segregates countries into three groups: one that pays the normal fee without discount, one that pays a $500 flat fee for publi-cation and a group that pays no fee at all. Even Cell Reports, the open access journal with a $5,000 APC, will consider waiving its fee on a case-by-case basis if authors have difficulty paying.

For individual scientists, APCs are often manageable with discounts and careful jour-nal selection regardless of the scientist’s fund-ing level. Universities, on the other hand, see a larger shift—one that ultimately results in a higher cost of publication for the community as a whole.

“When we look at the output from UCSF—about 6000 articles every year—it would actually cost the university more to pay open access APCs compared to what we pay for subscriptions,” said Taylor. “We just can’t go there based on the current APC model—it wouldn’t be economically sustainable or sen-sible to do that.”

New Publishing Alternatives

If APC-based business models are ulti-mately unsustainable, is there a better model?

One option is to create an entirely new business model—one that doesn’t require fees from the authors or the subscribers.

eLife is a new journal, heavily subsidized by Max Planck, Wellcome Trust and the How-ard Hughes Medical Institute (HHMI), that is currently free to publish in.

Unlike many other journals, eLife plans to make the peer review process transpar-ent and faster by having the editor “and his/her referees confer online to arrive at a con-sensus decision on the fate of a paper under review,” said Dr. Randy Schekman, 2013 No-bel Prize Laureate and editor of eLife. “Im-portantly, the reviewers are identified to each other so that they know going into an eLife review session that they will have to consid-er the views of peers in their field and may not do so behind a screen of anonymity.” Dr. Randy Schekman is editor of eLife.

Photo by Hadar Green

“By their account, it’s not cheap to do what they’re doing (because they’re adding quite a bit of value to their publication) but they have the money to do it,” said Anneliese Taylor.

“The founding sponsors of eLife feel that they should support publishing the best work in the life sciences with no consideration of profit,” said Schekman.

eLife plans to remain APC-free for the next two years as a way to encourage submis-sions, and then initiate an APC some time af-ter that, according to Schekman.

“This will defray some of our expenses but I believe we will continue to rely on pri-vate and national foundations who believe in our model and will offer financial sup-port to help us achieve our goals,” he said. PeerJ, a journal funded by Drs. Jason Hoyt and Peter Binfield, is also trying a new model.

PeerJ founders Drs. Peter Binfield (left) and Jason Hoyt.Photo courtesy of PeerJ

Instead of charging a publishing fee for each article, PeerJ charges a low, one-time fee per author of the publication, which can be as low as $99/author for a basic membership. Mini-mal membership duties include performing a formal review of a submitted PeerJ manu-script or contributing informal comments on submissions or accepted papers at least once a year to maintain the lifetime membership.

After this one-time fee, authors can pub-lish as frequently as their plan allows—for ex-ample, the $99 plan allows for one publication in PeerJ per year.

“That was one of the reasons we started PeerJ—to try and make the process of pub-lishing open access content as cheap and as accessible as possible for the author,” said Bin-field, one of the cofounders of the company.

Not surprisingly, PeerJ has the potential to save scientists and institutions thousands of dollars per publication.

Some of the newest open access jour-nals are sticking with the tried and true APC. F1000Research, launched in early 2013, is an online open access journal unique for its post-publication peer review process. Their goals are three-fold:

“To massively speed up the publication process—from the time you’re ready to pub-lish to the time other researchers get to ben-efit from the research; get rid of bias in the refereeing system; and open up the data be-hind that research,” according to Rebecca Lawrence, Director of New Product Develop-ment at F1000Research.

F1000’s focus on transparent post-publica-tion review, in which invited peers make their formal reviews public along with the pub-lished manuscript, makes it a unique model of peer-reviewed scientific publications. But to cover the costs of publication, F1000 decided on “a standard APC model in some regards, but significantly cheaper than some of the major open access journals,” said Lawrence.

Indeed, APCs for F1000 range from $250 to $1000 and include web hosting of online data and article revisions and updates (along with new digital object identifiers, or DOIs) in addition to traditional APC benefits, which typically include peer review, journal produc-tion and article hosting and archiving.

With some open access journals getting pushback about high APCs, the traditional subscription-based publishing model could even find itself back in favor. Trade journals associated with a foundation, such as Science with the American Association for the Ad-vancement of Science (AAAS), or Molecular Biology of the Cell with the American Society for Cell Biology, are often non-profit enter-prises and use subscription fees for more than just covering journal cost.

For Science, excess income from subscrip-tions supports other activities of the society such as scholarships for students to visit an

Rebecca Lawrence is Director of New Product Development at F1000Research.

Photo courtesy of F1000

OPEN ACCESS » PAGE 5


Order Custom DNA & RNA Oligos, qPCR Probes, siRNA and PEPscreen® peptide libraries and receive a FREE gift of your choice when placing a $50 minimum order. Reference promo code 250 when ordering.

Offer valid for University of California San Francisco customers placing orders through BearBuy. Customers with qualifying purchase will be contacted in order to select their free gift. Gift options include a T-shirt, acrylic tumbler with lid & straw, or insulated travel mug. Please allow 6-8 weeks for receipt of your gift. One gift per customer. Valid until May 16, 2014.

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For questions, please contact:Lory Tan Account Manager | Phone: (650) 847-7220 | [email protected]

81755 UCSF Synapse Newspaper Ad Update.indd 1 2/25/14 11:09 AM

annual society conference, according to Dr. Bruce Alberts, the former editor-in-chief of Science.

“Highly selective journals like Science or Nature accept something like one paper in 20 submissions, making the operation so cost-ly that an open access fee would need to be something like $20,000 per article to cover journal publication costs,” he said.

While it seems unlikely that journals like Science will become open access, Al-berts makes the distinction that “open ar-chive seems to me to be the best bet for the future”—a model where articles aren’t imme-diately available for free but are archived in a way that makes them freely available after a certain period of time.

Institutional Funding Shift

One common concern amongst scien-tists is that page charges for open access jour-nals will continue to rise, thereby pricing out young laboratories with small budgets. It’s a serious enough concern that universities are taking note. Many universities have begun pilot funds for cash-strapped laboratories seeking to publish in open access journals, in-cluding Carnegie Mellon University, Harvard University, many UK universities through the Research Council UK, and the University of California. Information on UCSF’s open ac-cess pilot fund can be found at library.ucsf.edu/services/scholpub/oa/fund.

One option for scientists is to shift their publishing to journals without APCs, such as eLife and PeerJ, but it remains to be seen how popular these nascent jour-nals will become with the scientific com-munity, as measured by their impact factor. In the absence of these radically new pub-lishing models, how will universities adapt to

» FROM PAGE 4

Open Access

Bruce Alberts is the former editor-in-chief of Sci-ence.

Photo by Tom Kochel

the changing fiscal environment with regards to scientific publishing?

UCSF’s Keith Yamamoto, Vice Chancel-lor for Research, Executive Vice Dean of the School of Medicine, and Professor of Cellular and Molecular Pharmacology, thinks institu-tions should take on the responsibility for fi-nancing the publication of scientific research.

“I think that universities should consid-er publishing a cost of doing business, just like electricity,” he suggested. “If you don’t publish your work, it’s just like not doing it. The institution is outsourcing one of the crit-ical functions of the faculty, which is schol-arly publication of the work. They outsource electricity to PG&E. They outsource water to whatever it is. There’s a twin responsibility from the funder and the institution that paid for that work, and it’s completely justified."

Alexandra Greer recently received her PhD and is now a postdoc at Genetech.

By Carol Ann SimpsonContributing Writer

About to graduate from the School of Medicine, Dentistry or Nursing?

Congratulations!But before you leave us, you will need to

take care of a little business: An exit session is mandatory for anyone who received loan funds while at UCSF and attendance will be verified.

If you borrowed any university-based loans, (Perkins, Health Professions , Loan for Disadvantaged Students, Nursing Student Loan, Nurse Faculty Loan or University Loan) you must attend an exit session with Student Accounts and must call to schedule your at-tendance for one of the sessions listed below.

Bring two references (two relatives and two non-relatives and address and telephone information.

Direct (Stafford)/Grad PLUS-only loan re-cipients do not need to schedule an appoint-ment and may attend the session of their choice. All Direct (Stafford) and Graduate PLUS loan recipients must complete an on-line exit counseling session at www.student-

loans.gov. This online session usually takes about 15-20 minutes and can be done either before or after the scheduled sessions:

• Medicine: May 6, 2014, 3-5 p.m., HSW-302

• Medicine: May 7, 2014, 3-5 p.m., CS-701

• Nursing: May 14, 2014, 3-5 p.m., MS-214

• Nursing: May 21, 2014, noon-2 p.m., Toland Hall

• Dentistry: May 28, 2014, 10 a.m.-noon, Toland Hall

• Dentistry: May 29, 2014, 1-3 p.m., Toland Hall

To schedule you attendance at one of the sessions, university-based loan recipients should contact Student Accounts by April 25:

Cherry Lazaro (415) 502-8206 Last names beginning with A-L

Jackie Beddow (415) 476-8699 Last names beginning with M-Z

Thank you!

Carole Ann Simpson is the Resource Advisor in Student Financial Aid.

NEWSGraduating Professional Students: Set up Exit Session for Loans

Free Online Classifieds for UCSF Students & Staff on Synapse

Who needs CraigsList when you can post FREE classified ads on the Synapse website?

All you need is a ucsf.edu email account.Go to synapse.ucsf.edu/classifieds to sign up today!


Chancellor’s Concert Series S p r i n g / 2014

The Chancellor’s Concert Series is a professional,

classical music series funded by the Chancellor, to

enrich the quality of life at UCSF and in the community.

These half-hour concerts feature artists primarily from

the San Francisco Symphony and the San Francisco

Conservatory of Music faculty. This series was founded

in 1998.

Director: Pearl Toy, M.D.

Poetry: David Watts, M.D.

Program notes: Nelson B. Schiller, M.D.

Production: Arts & Events

Check updates at: www.campuslifeservices.ucsf.edu

Call: 415.476.2675

Silence must be maintained at all times during the performance. In consideration of the artists and the audience, please silence beepers, alarms, and phones. Taping of the performance is prohibited. Attendance by children under 5 is discouraged. Please come and go quietly at pauses during the performance.

Free Admission / Noon on Thursdays 12:00 – 12:10 pm Seating 12:10 – 12:15 pm Poetry reading by David Watts, M.D.12:15 – 12:45 pm Concert (No eating during performance)

Cole Hall / 513 Parnassus Avenue / San Francisco

April 3, 2014Schubert’s most difficult piano piece

Betty Woo, pianoSchubert: Wanderer FantasyGolijov: Fantasy on a Chorus from St. Mark’s Passion

April 10, 2014Yuna Lee, violinSebastien Gingras, cello Akimi Fukuhara, pianoBrahms: Piano Trio No. 3 in G minor, Op. 110

April 24, 2014Bartok, Liszt and Chopin piano works

Machiko Kobialka, pianoBartok: SonatinaLiszt: Hungarian Rhapsody No. 14Chopin: Ballade No. 4, Op. 52

May 1, 2014Contemporary piano trio

Lee Trio Philip Lasser: Piano trio in F-sharp

May 22, 2014 June Choi Oh, pianoSarn Oliver, violinGrieg Sonata for Violin and Piano No. 1 in F Major Op. 8

Presenting exceptional artists in classical music on a science campus

Select concerts will be available for live streaming or to conveniently watch at a later time. Please use this link: http://tinyurl.com/chancellorsconcerts

Welcome to UCaSeFiles, a column in which short case vi-gnettes are submitted by UCSF medical students, resi-dents and attendings based on the stories of real patients

seen on the wards, with each vignette followed by a brief discussion of salient learning points. Some cases are rare diagnoses; others are common ailments that might have had a unique or puzzling presen-tation. All are welcome to submit your medical mysteries to Theresa Poulos ([email protected]) for editing and final submission.

By Theresa Poulos and Jenny CohenStaff Writers

Multiple Chief Complaints: Can There B1 Unifying Diagnosis?Case Submitted by: Theresa Poulos, MS3, Marisa Hernandez-Morgan, MD, and Marcia Glass, MD

The Patient: A 48-year-old woman presented with five days of abdominal pain and diffi-

culty breathing, a week of hemoptysis and painful swelling of her left lower extremity. Her his-tory was notable for alcohol dependency with delirium tremens, COPD and hepatitis C. She was afebrile and tender to palpation in the epigastric area, with erythema and induration of the left abdomen. She had two-plus pitting edema to the mid-thigh bilaterally; both lower ex-tremities showed marked erythema and were warm and tender to touch. She had a tremor of the upper extremities bilaterally.

Her toxicology screen was positive for alcohol, and lactate was elevated at 2.6 mmol/L. Lower extremity Doppler was negative for deep vein thrombosis. CT of the abdomen was only remarkable for diffuse subcutaneous edema. Transthoracic echocardiogram findings were con-sistent with a high cardiac output.

The Diagnosis: Fluid accumulation resulting in edema is a common presentation. Distin-guishing between dependent and diffuse soft tissue edema can help to narrow the differential and result in more timely diagnosis and treatment. The underlying cause of this patient’s ana-sarca is high-output heart failure due to severe thiamine deficiency. Thiamine deficiency can manifest as a peripheral neuropathy (dry beriberi), or with predominantly cardiac symptoms (wet beriberi). Initially in wet beriberi, peripheral vasodilation results in a decreased SVR and increased venous return. Continued deficiency leads to impaired myocardial function because thiamine acts as a coenzyme in carbohydrate metabolism. Specifically, thiamine deficiency re-sults in impaired utilization of lactate, which then accumulates in the blood causing elevated

MEDICINE

UCaSeFiles: Clinical Cases from the UCSF Wardsserum lactate, as was seen in this patient. While elevated blood lactate is nonspecific, it has been used in the diagnosis of beriberi.

With continued vasodilation, the kidneys detect a relative volume loss and respond by con-serving salt. Fluid is re-absorbed, leading to diffuse edema, consistent with this patient’s oth-erwise odd pattern of fluid retention.

The body cannot produce thiamine, and is only able to store up to 30 mg in tissue. The half-life is 9 to 18 days, so individuals who lack thiamine in their diet will become deficient within a month. Thiamine deficiency is rare in developed countries because most foods are fortified, however the WHO has documented outbreaks of beriberi among refugees and in developing countries—particularly Thailand and in sub-Saharan African—where diets are based on thia-mine-poor staples such as polished rice and cassava. This patient was deficient as a consequence of poor nutrition associated with her chronic alcoholism. Gastric bypass patients and individ-uals on “fad” diets are also at risk. Therefore, physicians need to consider thiamine deficiency when evaluating a patient with diffuse anasarca. The diagnosis is largely clinical, because blood thiamine levels may not accurately represent the amount in tissue. IV thiamine should be ad-ministered whenever deficiency is suspected.

Theresa Poulos is a third-year UCSF medical student and Jenny Cohen is a doctor (R1 – UCSF Internal Medicine).


» FROM HOME PAGEP&T Competition

all pharmacy students, faculty and staff. “We could not thank the school enough times for everyone’s tremendous support,” said Edna Cheung. “They believed in us more than I believed in myself!”

Adding to the accomplishment, this win also marks the first time UCSF has nabbed back-to-back first place finishes.

As one of the top eight finalists selected to compete live, the UCSF P&T team present-ed and defended their formulary decision for Eylea® for a hypothetical health plan.

The other finalists were Rutgers Univer-sity, University of Washington, University of Illinois at Chicago (third place), Western University of Health Sciences, Loma Linda University, University of the Pacific and Uni-versity of Southern California (second place).

Linda Chen is a second-year pharmacy student.

Grad School Illustrated by Jillian Varonin

Jillian Varonin is a fourth-year BMS student.

MIND&BODY

Let’s Get Physical...Therapy! The Top 10 Scariest Things I See at the GymBy Ilka FelsenStaff Writer

As a physical therapy student at UCSF, I am often asked if I see people doing exercises incorrectly at the gym. My

answer: all the time! I’ve decided to share below some of the

most common gym errors I’ve witnessed in my time here. But, I’d like to make the fol-lowing disclaimer: first, that I am not (yet) licensed, and therefore excused from being the end-all, be-all source of exercise infor-mation. And second, that physical therapy exercise differs dramatically from fitness exer-cise, with the former focused on confronting a medical condition, and the latter focused on toning up and meeting fitness goals.

So, here are the scariest things I see at the gym:

1. Lifting weights with hyperextended backs, rounded backs, or anything but a stable back.

The core should basically always be en-gaged. Otherwise, harmful stress deforms the spine. Activate your abdominals during any and all gym activities, especially during lifting!

2. Working the same muscles every time.There are some people who hog the tread-

mills, or the row machine, or the quad press, or the weight room...every...single...day. That chick who is always on the stair stepper? Get

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off ! Workouts should be balanced to pre-vent overuse and imbalance syndromes. That means some days should be spent on the up-per body, and other days on the lower body, endurance or stretching. And some days should be spent resting!

3. Rounded back position during cycling. There will naturally be some flexed cur-

vature of the spine while leaning over to cy-cle. But too much spinal flexion is a red flag for back pain, and ultimately, a herniated disk.

4. The ponytail sign. Guys have this problem too, but it’s not

so apparent without a ponytail. The ponytail sign is a term we use for someone who bounc-es up and down so much when they run, that their ponytail wags side to side. The ideal ver-tical displacement during running should be no more than three inches.

5. The thunder sign.This a term I just dubbed myself, but any-

one who has jogged next to someone who treads heavily has experienced the thunder sign. This happens when the person next to you—or worse, you!—is landing so heav-ily that their footsteps drown out your music. Landing loudly is dangerous, and indicates excessive forces on the knees, ankles and hips of this poor runner.

6. Relying too much on the elliptical han-dles.

The author demonstrates poor plank form (above) and her best plank form (below).

I’m guilty of this myself, because it’s a lot more fun to coast on the elliptical while I watch Netflix, than to hold my body up. While using the handles can activate the shoulder girdle, I see more people use them as crutches, and end up excessively rounding over their machines (scary back problems on the horizon). So let’s all man up, and use those handles less!

7. Leaning obnoxiously forward over iPhones, magazines and iPads.

I get it—I too like to “lean in,” a la Sheryl Sandberg. But this is a time when that is ac-tually a bad idea. Our heads should be held high when we work out, for better cervical spine alignment and shoulder girdle place-ment. No more hunching over our technol-ogy!

8. Planks that look more like downward dog.

The plank is an amazingly powerful ab-dominal exercise. But that also makes it re-ally hard to do, and very tempting to sneak in some weird posturing instead. I’ve seen butts high in the air, backs sagging, shoul-der blades poking out, heads dropped almost to the floor, and some other very interesting

interpretations of the plank. The key to the plank is to be a plank—so think board!

9. Super buff dudes working all of the big muscle groups, and neglecting the more subtle stabilizers.

Bicep curls and bench presses are the sta-ple in many a gym-goer’s upper body work-out, while the smaller shoulder muscles (subscapularis, teres minor, infraspinatus, and supraspinatus) are overlooked in the mission to bulk up. But these smaller muscles are su-per important scapular stabilizers, and func-tion heavily in almost any arm movement and in injury prevention.

10. Knock-kneed squats.Squats should be done with the knees

moving in line with the toes, not inside or outside of the foot, and certainly never touch-ing. Watch your knees carefully, and if they deviate even the slightest hair side to side, your form needs a little extra love and atten-tion.

Ilka Felsen is a second-year physical therapy student who enjoys watching people walk, palpating joints and muscles and talking about physical therapy.


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Rocking chair.

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By Dawn MaxeyStaff Writer

CREAM is a Telegraph Avenue sta-ple, serving a big scoop of ice cream sandwiched between two freshly

baked cookies for the bare bones price of $2. The line regularly extends around the corner and down the block.

In January, a competitor shop named Scoop Dreams opened up directly across the street, offering its own homemade ice cream sandwiches for the same price.

Battling ice cream sandwich joints? This was an opportunity too good for The Scoop

team to pass up. With special guest reviewer pediatrician Abhay Dandekar, we traveled to Berkeley to assess the competition.

When we arrived, the clash was already in full swing. Taking advantage of people’s wan-ing patience in the stretched out CREAM line, a Scoop Dreams employee was periodically handing out buy-one-get-one-free coupons to people waiting. The trick worked—each time, a handful of people defected across the street and put their dollars down for the competitor sandwich instead.

Ever-hungry for a good deal, we got our hands on a few coupons and started our taste

FOODThe Scoop

CREAM2399 Telegraph Ave., Berkeley(510) 649-1000

Scoop Dreams2401 Telegraph Ave., Berkeley(510) 704-1146

Dreams vs. CREAM: Battle of the Ice Cream Sandwich

test at Scoop Dreams. The concept is simple: select your cookie (at the time: Chocolate Chip and Double Chocolate Chip) and then select your ice cream (a wide variety of Dou-ble Rainbow flavors).

We walked out with Coffee ice cream in Double Chocolate Chip cookies, Mint ice cream with Double Chocolate Chip, and a cup of the Lychee ice cream. Praise was given for a “no frills experience,” “a good, if stolen concept,” “great value for a large dessert” and “delicious soft cookie with melted chocolate chips.”

On the flip side, points were docked for cookie availability (they had run out of Choc-olate Chip), ambiance (it’s oddly located in-side of Rasputin Records) and the feeling that Scoop Dreams had been created without much foresight. For example, Dandekar not-ed the lack of branding on the ice cream cups, proclaiming, “I don’t want a Double Rain-bow cup. I want something that says Scoop Dreams.”

The shop has a basketball hoop mounted so that customers can hypothetically shoot for a free scoop. When we asked the only em-ployee about it however, she mumbled some-thing about needing to install a protective net to prevent stray shots from contaminating the ice cream.

Co-Scoop editor Theresa summed up our overall feelings: “There was nothing about it I didn’t like, but nothing I loved.”

Scoop Dreams sandwiches polished off, we moved on to our next conquest: CREAM. After a 15-minute wait in line (once inside the store, the line moves at a surprisingly rap-id pace), we stepped outside with a scoop of

Salted Caramel ice cream in between Cinna-mon Sugar and Double Chocolate Chip cook-ies, in addition to small cups of Peanut Butter Twist, Strawberry and Pistachio ice cream.

We spread our wares out on top of a rust-ing newspaper stand and systematically dug in. After a disappointing taste from one cup, I moved on to sample the next flavor, hoping that there’d be an improvement.

To my dismay, each bite was the same—a tasteless cold mass of saccharine, as if some-one had frozen bushels of cotton candy and bewitched it into a creamier form.

I wasn’t alone. The rest of the Scoop team described what they tasted as “gummy,” “fla-vorless” and “it coats your mouth—in a bad way.” Even the cookies were bland and sub-par, despite looking wonderfully soft and scrumptious.

After a few minutes, the scene was dismal: three largely unfinished cups of melting ice

cream alongside broken pieces of discarded cookie. And four medical students looking very sick to their stomachs.

Despite CREAM’s strategic location un-derneath the Princeton Review (what bet-ter shop to cater to legions of hypoglycemic hostages of standardized exams?) and rea-sonable price, we unanimously agreed that CREAM had sold us one of the worst tasting ice creams to date and that their hordes of fol-lowers are a drone-like mass that do not pos-sess taste buds.

The Scoop team overall learned a few valuable lessons: do not eat more than one ice cream sandwich at a time. And despite their clever marketing and fantastic concept, the ice cream sandwich shops on Telegraph un-equivocally leave patrons dreaming of some-thing more.

Dawn Maxey is a third-year medical student.

Mint ice cream sandwiched between two Double Chocolate Chip cookies from Scoop Dreams, a new ice cream sandwich shop on Telegraph Avenue in Berkeley.

Photo by Dawn Maxey/MS3

Photo by Dawn Maxey/MS3

The line for the popular ice cream shop CREAM in Berkeley regularly extends around the corner and down the block.


IS LUBE THE NEXT PrEP?help us find out.

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entering into a donor contract is advised.”

THE STRENGTH TO HEAL

To learn more, call (650)347-3967 or visitSan Mateo Medical Recruiting Center400 S. El Camino Real, STE 450San Mateo, CA 94402Email: [email protected]

You can begin training for the career you’ve always dreamed of withfinancial assistance from the U.S. Army. Through the Health ProfessionsScholarship Program (HPSP)*, you could be eligible to receive a fulltuition scholarship for an accredited medical program.

The HPSP provides reimbursement for books, laboratory equipmentand academic fees. You’ll also receive a sign-on bonus of $20,000 and amonthly stipend of $2,157. During breaks, you’ll have the opportunity totrain alongside other members of our health care organization.

starts with our scholarship.

*Certain requirements and eligibility criteria apply.©2013. Paid for by the United States Army. All rights reserved. Information subject to change.

www.goarmy.com/amedd.html

Capt. Ana Morgan, M.D., HPSP Medical RecipientBrooke Army Medical Center, Texas

The Resident Research Symposium is an annual event showcasing the laboratory research of residents, fellows and medical students in the Department of Surgery. For more information, visit our website at: http://www.surgery.ucsf.edu. This event is sponsored by educational grants from the Howard Naffziger Surgery Fund.

UCSF DEPARTMENT OF SURGERY RESIDENT & MEDICAL STUDENT EDUCATION OFFICE Telephone: (415) 476‐1239 Email: [email protected]

UCSF DEPARTMENT OF SURGERY

27thAnnual

ResidentResearchSymposium

Friday,April25,2014

9:00am–2:00pm Resident Presentations

2:00pm Keynote Presentation “Observations from the American College of Surgeons Quality Improvement Programs”

3:00pm Awards Presentation

TOLANDHALL

533 Parnassus Avenue, U‐142 San Francisco, CA

Clifford Y. Ko, MD, MS, MSHS, FACS J. Englebert Dunphy Visiting Professor Director, Division of Research and Optimal Patient Care Director, National Surgical Quality Improvement Program (ACS NSQIP) American College of Surgeons Professor of Surgery, University of California Los Angeles


PUZZLES

Parnassus Poets A New Life “A new life”, he says smiling,sitting up in bed.

“Not just a second chance”, he says firmly,“but a new life,with a new heart!”

And he looks at me and laughs.

Already the years drop off,his face looking younger,his body renewed with hope.

~ Rev. Malaena NahmiasChaplain-Intern, Spiritual Care Services

Piled Higher and Deeper by Jorge Cham www.phdcomics.com

title: "Comfort Zone" - originally published 3/10/2014

Week of 4/14/14 - 4/20/14

Edited by Margie E. Burke

HOW TO SOLVE:

(Answer appears elsewhere

in this issue)

Solution to Sudoku

Copyright 2014 by The Puzzle Syndicate

Difficulty : Medium

Week of 4/14/14 - 4/20/14

ACROSS1 Song section6 Waikiki's island

10 Cashless deal14 Muslim prince

(var.)15 Horner's rew ard16 Hankering17 Second crop18 Archaeologist's

discovery19 One-sidedness20 Radio problem22 At all24 Dead heat25 Ditzy type27 Neon or nickel29 Programmer's

output30 Aw esome!32 Calcutta coin33 Annapolis grad.34 Deep cut35 Show s the w ay36 Passed aw ay 61 Film part 8 Desert Storm 35 Type of hickory

for died, e.g. 62 Mrs. Peacock's vehicle 36 Sponsorship 38 Dicker over game 9 Carrot's f low er (var.)

price 63 Lazy sort cluster 37 Hotel w orker41 "Con Air" actor 64 Cry of disgust 10 Undersea 38 "Okie From Mus-42 NBA position, 65 Nelson of early prow ler kogee" singer

briefly f ilm musicals 11 Like some 39 Flyboy45 Sidestep 66 Little darlings candidates 40 Venetian boat46 Related (to) 12 80's f lick, "____ 42 "Apocalypse 47 Steamed up All Odds" Now " director48 Root used in DOWN 13 Old Spanish 43 Movie preview

energy drinks 1 Big name in coins 44 Apartment 50 Broom closet fashion 21 Cocktail party dw ellers

item 2 Poker face's serving 46 Long-standing52 Wander about lack 23 Calm state 47 Walked w ith 53 Yuletide tune 3 Perks 26 Cable competitor purpose55 La Brea sight 4 See red 28 Seriously injure 49 Present time56 Proton's place 5 "Sesame Street" 31 Chess 51 Appetizing58 Cubby hole regular declaration 54 ____ and clear60 First Pulitzer 6 Decide on 34 Netherlands 57 Brave

Prize novelist 7 Sunburn dollar, once opponent?soother 59 Anthem author

by Margie E. BurkeThe Weekly Crossword


1 2 3 4 5 6 7 8 9 10 11 12 13

14 15 16

17 18 19

20 21 22 23 24

25 26 27 28

29 30 31 32

33 34 35

36 37

38 39 40 41 42 43 44

45 46 47

48 49 50 51

52 53 54 55

56 57 58 59 60

61 62 63

64 65 66

This Year, Take TimeTake Time for Reflection, for Prayer, for Community

St. John’s United Church of ChristA progressive Christian community welcoming all

Maundy Thursday Supper & Service Thursday, April 17, 6:30 p.m.

Easter Sunday Worship of JoySunday, April 20, 10:00 a.m.

501 Laguna Honda Blvd at Woodsidewww.sfstjohnsucc.org 415- 731-9333

Forest Hill Muni Metro Station K, L & M linesMuni bus lines #43, #44, #36, & #52

HUMOR/FAKE NEWS

Student Hopelessly Lost After Forgetting Gmail PasswordBy Staff Humorist

In what nursing students are calling the saddest story they’ve encountered all year, classmate Jaclyn Hernandez has fall-

en from favor of the Great Google Deity after forgetting her Gmail password.

“I haven’t been able to access emails for eight days now,” said Hernandez. “I would look up the password, but I stored it on a draft email to myself that has all my pass-words on it. Not a very good idea in retro-spect.”

Hernandez admitted she may have be-come over-reliant on Gmail—she does not know what her schedule is, who her friends are or where even her house is.

Local support has provided a modicum of relief, but hasn’t come close to restoring the life Hernandez once enjoyed. “It’s all gone downhill so quickly. I wish I could look up a way to just fix it all. I don’t know why I’m here or why this has happened to me. What have I done to anger the Great Google?”

Hernandez said that sacrifices to the Great Google, including wailing and gnashing of teeth, have done nothing to sway her fick-le digital overlord so far, but that she would continue trying because managing her email and schedule through a program like Yahoo would be far worse.


look sharper

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Millberry Union, B1For appointment & information 415.476.3100Hours: M-F 8:30 am-5:00 pm

Vision Optical

You’re Funding Fun! A portion of every dollar you spend at campus retail vendors helps support Arts & Events at UCSF


Parnassus: Millberry Union I Level, Parnassus, 415.661.0199Open Daily 7:00 am-10:00 pm

Mission Bay: 550-B Gene Friend Way, Mission Bay, 415.865.0423Mon-Fri 7:00 am-9:30 pm / Sat-Sun 8:00 am-9:00 pm

Open at Parnassus & Mission Bay Campusesbreakfast, lunch, or dinner…

for your convenience we accept: All major Credit Cards • Recharge for catering

Bear Hugs • UCSF Resident Meal Card


Get a gourmet taste of Italy. panini, insalate, zuppa, hot pasta, gelato, dolci

We offer student discounts.

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Solu

tions

Week of 4/14/14 - 4/20/14

Edited by Margie E. Burke

HOW TO SOLVE:

(Answer appears elsewhere

in this issue)

Solution to Sudoku


Difficulty : Medium

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