scholarly journals Indiana University School of Medicine

2020 ◽  
Vol 95 (9S) ◽  
pp. S175-S179
Author(s):  
Bradley L. Allen ◽  
Maureen A. Harrington ◽  
Jennifer Schwartz ◽  
Paul Ko ◽  
Paul Wallach
2021 ◽  
Author(s):  
WILLIAM H. SCHNEIDER ◽  
ELIZABETH J. VAN ALLEN ◽  
KEVIN GRAU ◽  
ANGELA B. POTTER

2012 ◽  
Vol 4 (4) ◽  
pp. 486-489 ◽  
Author(s):  
Dylan D. Cooper ◽  
Adam B. Wilson ◽  
Gretchen N. Huffman ◽  
Aloysius J. Humbert

Abstract Background Simulation can enhance undergraduate medical education. However, the number of faculty facilitators needed for observation and debriefing can limit its use with medical students. The goal of this study was to compare the effectiveness of emergency medicine (EM) residents with that of EM faculty in facilitating postcase debriefings. Methods The EM clerkship at Indiana University School of Medicine requires medical students to complete one 2-hour mannequin-based simulation session. Groups of 5 to 6 students participated in 3 different simulation cases immediately followed by debriefings. Debriefings were led by either an EM faculty volunteer or EM resident volunteer. The Debriefing Assessment for Simulation in Healthcare (DASH) participant form was completed by students to evaluate each individual providing the debriefing. Results In total, 273 DASH forms were completed (132 EM faculty evaluations and 141 EM resident evaluations) for 7 faculty members and 9 residents providing the debriefing sessions. The mean total faculty DASH score was 32.42 and mean total resident DASH score was 32.09 out of a possible 35. There were no statistically significant differences between faculty and resident scores overall (P  =  .36) or by case type (Ptrauma  =  .11, Pmedical  =  .19, Ppediatrics  =  .48). Conclusions EM residents were perceived to be as effective as EM faculty in debriefing medical students in a mannequin-based simulation experience. The use of residents to observe and debrief students may allow additional simulations to be incorporated into undergraduate curricula and provide valuable teaching opportunities for residents.


Blood ◽  
2004 ◽  
Vol 104 (11) ◽  
pp. 3446-3446
Author(s):  
Geling Li ◽  
Hal E. Broxmeyer

Abstract M-CSF Drives Human Cord Blood Monocyte Differentiation along an Alternative Pathway into Suppressive CXCR4highIL-10highIL-12absentTNF-αdefective Dendritic cells Geling Li and Hal E. Broxmeyer. Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, IN, USA; Walther Oncology Center, Indiana University School of Medicine, Indianapolis, IN, USA; Walther Cancer Institute, Indianapolis, IN, USA Macrophage colony-stimulating factor (M-CSF) in cooperation with TGF-β1 induces CD34+ hematopoietic progenitor cells to differentiate into Langerhans cells, a subset of immature dendritic cells (DCs) specifically localized in the epidermis. M-CSF levels are dramatically elevated in immunosuppressive conditions and M-CSF deficient mice are osteopetrotic. Therefore, we hypothesized that M-CSF might be involved in the generation of a novel subtype of suppressive DCs which may be located primary in bone marrow where large amounts of SDF-1 are constitutively produced. We also speculated that M-CSF-induced DCs might express the only known ligand of SDF-1, CXCR4 and migrate towards SDF-1. Highly purified umbilical cord blood monocytes (> 98% purity) cultured in the presence of M-CSF, IL-4 and TGF-β1 differentiated into a highly homologous population of cells with typical dendrites and acquired a langerhan cell (LC) phenotype by up-regulated expression of CD1a and E-cadherin. We termed these cells M-LC to distinguish them from regular LCs cultured in the presence of GM-CSF, IL-4 and TGF-β1. In comparison with LC, M-LCs produced a much higher level of IL-10, no IL-12 (detection limit, 4 pg/ml) and a minimal level of TNF-α (21.6 ± 37.5 pg/ml) upon LPS stimulation. LPS-activated M-LCs induced lower allogeneic mixed lymphocyte reaction (MLR) than LPS-activated LCs. Furthermore, exposure to LPS-activated M-LCs rendered a state of low-responsiveness in cord blood naïve CD4+ T cells to further re-stimulation with alloantigens in secondary MLR. M-LCs expressed much higher surface levels of CXCR4 than LCs regardless of their maturation status. M-LCs started to migrate towards SDF-1 at a lower concentration (≥10 fold lower than that required for LCs) and displayed enhanced responsiveness to SDF-1-induced chemotaxis. Our results demonstrate that M-CSF drives monocyte differentiation along an alternative pathway into suppressive CXCR4highIL-10highIL-12absentTNF-αdefective DCs. These novel DCs may be of use to suppress unwanted immune responses in vivo.


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