AAOMR Special Year Research Project (fwd)

[Axel Ruprecht]

Howdy

I just got back from Saudi Arabia.

I am pretty sure that I have the IRB material, but in case I lost it,
please send me another copy at

Dr. Axel Ruprecht
University of Iowa - DSB
Iowa City  IA 52242-1001

Thank you.

Rgds
Axel

>---------- Forwarded message ----------
>Date: Fri, 21 Nov 1997 12:18:39 -0500 (EST)
>From: Laurie C Carter <lccarter at acsu.buffalo.edu>
>To: ORADLIST at LISTSERV.UCLA.EDU
>Subject: AAOMR Special Year Research Project (fwd)
>
>I WOULD LIKE TO FORWARD THIS MESSAGE ABOUT THE AAOMR SPECIAL YEAR RESEARCH
>PROJECT TO ORADLIST FOR THE EBENEFIT OF THOSE WHO WEREN'T ABLE TO ATTEND
>THE MEETING. ALSO PLEASE SEE PP.9,11,13 OF THE SUMMER 1997 ISSUE OF THE
>AAOMR NEWSLETTER. THANKS...
>
>---------- Forwarded message ----------
>Date: Fri, 21 Nov 1997 08:26:24 -0500 (EST)
>From: Laurie C Carter <lccarter at acsu.buffalo.edu>
>To: arid-list at listserv.buffalo.edu
>Subject: AAOMR Special Year Research Project
>
>Hello, everyone! Welcome to ARID-list (Atherosclerosis Risk in Dentistry).
>You have been suvscribed to this list as a result of your participation in
>the AAOMR 10/16-17/97 Focus Group "Detection of Carotid Calcifications on
>Panoramic Radiographs as a Means for Identification of Patients at Risk
>for Stroke". Use of this electronic list will facilitate communication
>among Academy members working on the Special Year Research Project. Some
>of those who attended the Focus Group may have done so solely for
>educational purposes. If you choose not to participate further in the
>research effort, you may leave this list by sending e-mail to
>listserv at listserv.buffalo.edu with the following command in the body of
>the e-mail message:
>unsub arid-list
>
>For those of you who are interested in participating in the research
>effort, the following message serves to summarize the salient points of
>the project and gives direction to get started.
>
>A. What is the research question being asked?
>"Is the incidence of panoramic radiographs which are positive for carotid
>calcifications higher in patients who have suffered a cerebrovascular
>accident (stroke) than among patients who haven't?" The known prevalence
>of carotid calcifications in the general dental outpatient population
>ranges from 2-5%, and we want to know if this number is higher in people
>who have already had a stroke.
>
>B. What is the organizational structure behind this project?
>1. Study Coordination Team
>Experimental design and oversight of this and subsequent Special Year
>projects in the carotid calcification stream.
>Composition: Laurie Carter, Stanley Dunn, Andre Mol, Paul van der Stelt
>2. Data Collection and Reduction, Statistical Management
>Still compiling this team...anyone who has expertise in this areaand
>wants to be part of this team, please let me know
>3. Collaborative Research Sites
>This team will involve most of you as participants in the clinical study.
>This group is comprised of all the folks out there in the trenches, the
>researchers laboring in the clinical fields, obtaining pans on stroke
>patients and harvesting the data as part of our multi-center investigatory
>team.
>4. Quality Control Team
>Composition: Technical - Art Goren, Larry Wolfgang; Interpretive - Laurie
>Carter
>
>Although there are some potential offshoot projects that may be explored
>this year, this is the organizational structure for our main project for
>the '97-'98 year.
>
>C. Is there an action plan with target dates?
>1. If you don't already have one, establish a relationship with a
>neurologist/neurosurgeon (or even vascular surgeon) in your area who is
>willing to send you a minimum of 50 stroke patients over the 1/98-12/98
>period on which you can take
>panoramic radiographs. The number is not absolutely cast in stone;
>however, to maintain quality control, we don't want to have 100 centers
>each contributing a few patients...
>The type of stroke is important. It is important that the physician
>has established the etiology of the stroke in each patient, which is
>the standard of practice anyway. These patients must have had either SMALL
>VESSEL (LACUNAR) STROKES OR ARTERY TO ARTERY EMBOLIC STROKES WITHIN THE
>LAST 120 DAYS.  PATIENTS WITH CARDIOGENIC EMBOLI AND/OR ATRIAL
>FIBRILLATION MUST BE EXCLUDED FROM THE STUDY AS THIS GROUP IS NOT AT RISK
>OF STROKE FROM CAROTID STENOSIS. Clinical data to be gathered includes
>age, gender, blood pressure (and history of previous hypertension),
>height, weight, lipid profile, triglycerides, diabetes mellitus, smoking
>status (current smoker, quit less than 6 months ago, quit between 6 and 12
>months ago, quit more than 1 year ago).
> 2. By 12/15/97, forward to me via e-mail, a letter of intent to
>participate in the project. Your letter should include the name and
>address of your cooperating physician, along with an estimate of how many
>patients can be provided over the next year. Include your snail mail
>address as we will send a copy of Kodak's publications Successful
>Panoramic Radiography and Quality Assurance in Dental Radiography
>(courtesy of Kodak, and thanks to David Allen) to each participating
>center. If more than one of you at an institution wish to participate,
>please indicate the list of all participants with the name of one
>principal "point-person" from each school. Also indicate the type of
>panoramic equipment screen/fim combination and chemistry which will be
>used to obtain these images.
>3. Obtain IRB approval at your institution to conduct this study. At the
>Focus Group I distributed copies of the IRB approval/informed consent
>being used in Buffalo as a template, feel free to use that as a starting
>point at your schools. If anyone needs another copy, send me your
>snail-mail address.
>4. Obtain the pans and enter the data on a spread sheet program. We will
>get back to you with details on that issue and QA checks in future
>mailings.
>
>D. What is the benefit of participating?
>1. We will request dedicated time at the AAOMR meeting each year to
>present the work doen on the Special Year project. We envision having a
>block of 3-4 presentations at the Santa Fe meeting, one by each of the
>teams, and the name of evry participant will be listed in the program.
>2. We will prepare a manuscript for publication in the refereed
>literature. The names of the study coordination team will be listed first,
>followed by all other participants listed alphabetically. The cooperating
>physicians will be listed alphabetically in an acknowledgement. It was
>discussed at the meeting that the MDs are merely providing patients, not
>participating in the scientific thought process/creative endeavor and
>therefore should not be co-authors per se. In terms of the panoramic
>radiographs, please retain the originals. If you wish to give the
>patient/their dentist a duplicate for their records, that's up to you, it
>might encourage participation to know they're getting a "free" pan out of
>it.
>3. We intend to use this data as part of a future grant proposal, and some
>of you may sign on as co-investigators during that phase of the program.
>
>Thanks to all who have encouraged this work to date. Feel free to ask for
>clarification if I've muddied anything up too much here. Best wishes in
>establishing your contacts (the first one may not "pan" out, but don't get
>discouraged), and a happy Thansgiving to all...


  *=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*
  "                                                                    "
  * Axel Ruprecht D.D.S., M.Sc.D., F.R.C.D.(C)  *
  " Professor and Director                                "
  * Oral and Maxillofacial Radiology                 *
  " College of Dentistry                                    "
  * Professor of Radiology                               *
  " College of Medicine                                     "
  * (O) 319-335-7341                                    *
  " (FAX) 319-335-7351                                 "
  * e-mail:axel-ruprecht at uiowa.edu                *
   " mail: University of Iowa - DSB                   "
  * Iowa City  IA 52242-1001                         *
  "                                                                   "
  *                                                                  *
  "The only man who ever got all his work        "
  *done by Friday was Robinson Crusoe.           *
  "                                                                   "
  *=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*