Surgery residency goes global

UW general surgery resident Dr. Callistus Ditah, local surgeon Dr. Nebyou, and UW vascular surgeon Dr. Paul DiMusto after a case in the OR. 

GOING GLOBAL IN GENERAL SURGERY: RESIDENT RETURNS FROM DEPARTMENT’S FIRST INTERNATIONAL ROTATION

Increasingly, a modern surgeon is a global surgeon. Whether through clinical service or research collaborations, today’s surgeons do global work. That’s why the Department of Surgery is excited to announce a new global health opportunity in our Department: an accredited four-to-six week elective international rotation, offered by the University of Wisconsin Hospitals and Clinics and our Department for 3rd and 4th year surgical residents.

WHY GO GLOBAL?

“Global health is a security issue, an economic issue, and an economic security issue,” Dr. Girma Tefera, Vice Chair of the Division of Vascular Surgery, and Medical Director of Operation Giving Back, an international service program in the American College of Surgeons, said. “And surgery is increasingly being recognized as a crucial component of public health, as important, for example, as vaccines.”

For our residents, the rotation will introduce them to practice in resource-limited environments, to disease states and advanced pathophysiology not encountered in the United States, and to culturally diverse, under-served populations.

“Global surgery is about much more than the operations that residents perform abroad,” Dr. Tefera said. “Our program participants learn things like better resource utilization, hands-on skills, and leadership skills. An international immersion experience also teaches residents to become better educators and collaborators.”

LONG-TERM CONNECTIONS WITH ETHIOPIA SUPPORTS NEW OPPORTUNITY

Since 2010, our Department has partnered with Tikur Anbessa Hospital in Addis Ababa, Ethiopia, including introducing laparoscopic surgery methods. Tikur Anbessa is the largest specialized hospital in Ethiopia, and serves as a training center for medical professionals that provide care to the entire country. The hospital has a large operative volume in both general and vascular surgery, making it an ideal learning environment for our surgeons and residents.

Tikur Anbessa residents attending an educational conference led by UW members.

At Tikur Anbessa, our residents and surgeons will primarily participate in inpatient and outpatient clinical rounds. They will also be involved in the operative and perioperative care of general and vascular surgery patients.

FIRST RESIDENT RETURNS

With the administrative legwork done, the international rotation program was ready for its first participant: Dr. Callistus Ditah, a third year general surgery resident. He recently returned from his month-long rotation.

Dr. Ditah looks to Dr. DiMusto for advice during a case.

“My time in Addis Ababa was amazing,” Dr. Ditah said. “The growth that I experienced during this month both professionally and personally is beyond measure!”

Dr. Ditah always knew global health was an important part of his calling to medicine.

“I came into residency with an interest in global surgery,” Dr. Ditah said. “I’m originally from Cameroon, and had the opportunity to experience firsthand the consequences of lack of care. These are magnified when it comes to surgery, especially given the dramatic nature of presentation of most surgical diseases.”

Thanks to strong support from our partners in Ethiopia, and Department faculty and administration, Dr. Ditah is the first, but not the last, resident to benefit from this new rotation.

We are incredibly excited that Dr. Ditah was able to spend time in Ethiopia and are committed to extending this experience to other residents in surgical training programs at the University of Wisconsin,” said General Surgery Residency Director Dr. Jacob Greenberg. “We are seeing an increasing pool of resident applicants with both a personal and academic interest in global health and we hope to expand our global health program to accommodate the increased interest amongst our trainees.”

GIVING BACK TO VASCULAR PROGRAM

Not only will residents learn valuable skills on the new international rotation, but they’ll also be contributing to a collaborative capacity-building project in vascular surgery. A portion of the resident’s time will be spent in a vascular surgery rotation, along with a vascular surgery faculty member.

This year, Assistant Professor Dr. Paul DiMusto joined Dr. Ditah for a week of operating and teaching about vascular disease.

Dr DiMusto assisting Tikur Anbessa Hospital’s pediatric surgeons on a case.

“Our goal is to help Tikur Anbessa start a Vascular Surgery fellowship training program, since there is only one surgeon in the country who currently practices Vascular Surgery,” Dr. DiMusto explained.

Want to learn more about this opportunity? Contact Molly Vaux, Department of Surgery Global Health Outreach Specialist, at vaux@surgery.wisc.edu.

This story was originally posted at surgery.wisc.edu on 

GHI Advisory Committee members Anne Pringle and Lyric Bartholomay among faculty honored with Vilas professorships

Extraordinary members of the University of Wisconsin–Madison faculty have been honored during the last year with awards supported by the estate of professor, U.S. senator and UW Regent William F. Vilas (1840-1908).

Vilas Research Professorship

Samuel Gellman, Ralph F. Hirschmann Professor of Chemistry, was named to a Vilas Research Professorship.

Created “for the advancement of learning,” Vilas Research Professorships are granted to faculty with proven research ability and unusual qualifications and promise. The recipients of the award have contributed significantly to the research mission of the university, and are recognized both nationally and internationally.

Gellman joined the UW–Madison faculty in 1987. His laboratory has since helped to establish a new discipline of chemistry, combining tools and concepts from organic chemistry, biophysics and biology to design, synthesize and evaluate unnatural molecules that mimic the structures and functions of proteins and nucleic acids.

This research — spanning more than 300 publications — has been conducted in conjunction with dozens of graduate students and undergraduates, and Gellman, a member of the National Academy of Sciences, has enjoyed introducing thousands of undergraduates to organic chemistry in the classroom.

The professorship provides a salary supplement, funding for research expenses and a retirement supplement for faculty who serve at least 15 years as a Vilas Research Professor.

Vilas Distinguished Achievement Professorships

Twelve professors were named to Vilas Distinguished Achievement Professorships, an award recognizing distinguished scholarship as well as standout efforts in teaching and service. The professorship provides five years of flexible funding — two-thirds of which is provided by the Office of the Provost through the generosity of the Vilas trustees and one-third provided by the school or college whose dean nominated the winner.

The recipients are:

Amy Quan Barry, English

AnHai Doan, Computer Sciences

Richard Hsung, Pharmacy

Ullrich Langer, French and Italian

Katherine Magnuson, Social Work

Melanie Matchett Wood, Mathematics

Joel Pedersen, Soil Science

Anne Pringle, Botany

Parmesh Ramanathan, Electrical & Computer Engineering

Jenny Saffran, Psychology

Lones Smith, Economics

Scott Straus, Political Science

Vilas Faculty Mid-Career Investigator Awards

Sixteen professors received Vilas Faculty Mid-Career Investigator Awards, recognizing research and teaching excellence. The award provides flexible research funding for one year.

The recipients are:

Andrea Arpaci-Dusseau, Computer Sciences

Jeri Barak, Plant Pathology

Lyric Bartholomay, Pathobiological Sciences

Guillermina De Ferrari, Spanish and Portuguese

Deborah Ehrenthal, Obstetrics and Gynecology

Felix Elwert, Sociology

Audrey Gasch, Genetics

Kristine Kwekkeboom, Nursing

Xuejun Pan, Biological Systems Engineering

M. Zachariah Peery, Forest and Wildlife Ecology

Marzena Rostek, Economics

Oliver Schmitz, Engineering Physics

Jennifer Schomaker, Chemistry

Lyn Van Swol, Communication Arts

Jason Yackee, Law

Tehshik Yoon, Chemistry

Vilas Faculty Early Career Investigator Awards

Eleven professors received Vilas Faculty Early Career Investigator Awards, recognizing research and teaching excellence in faculty who are relatively early in their careers. The award provides flexible research funding for one year.

The recipients are:

Christy Clark-Pujara, Afro-American Studies

Ricki Colman, Cell and Regenerative Biology

Christelle Guédot, Entomology

Chris Hittinger, Genetics

Sarah Paul, Philosophy

Robert Redfield, Surgery

Karu Sankaralingam, Computer Sciences

Raluca Scarlat, Engineering Physics

Linsey Steege, Nursing

Lu Wang, Mathematics

Stephen Young, Geography

This story originally appeared at news.wisc.edu.

By Chris Barncard

Madison startup completing 100 solar setups in rural Africa

Some NovoMoto customers in the Congo. PHOTO COURTESY OF NOVOMOTO

NovoMoto, a spinoff from the University of Wisconsin–Madison, is finishing its first 100 solar lighting installations in the Democratic Republic of Congo.

NovoMoto LLC distributes the systems on a rent-to-own basis on a plateau about 80 kilometers from the capital, Kinshasa. After a $10 down payment and three years of paying $2.15 a week, the customer owns the system.

If you take electric lighting for granted, you have not lived in the Democratic Republic of Congo, says company co-founder Aaron Olson. In rural villages, he says, lighting options come down to kerosene (dim and dangerous), candles (dim and short-lived) or flashlights with single-use batteries (dim, short-lived and expensive).

Lighting in rural Congo comes down to kerosene, candles and flashlights.

None of these sources are adequate, he says, yet they cost about one-third of the average family’s income.

Olson and his fellow co-founder, Mehrdad Arjmand, have a better idea: small electric systems equipped with a solar panel, battery and controller.

The company’s secret sauce is a digital code that unlocks the system, sent via text message after it receives each weekly payment. After the last payment, the final code unlocks it permanently.

Another 100 NovoMoto systems will reach the capital, Kinshasa, within three weeks or so, says Olson. NovoMoto has obtained financing for another 450 systems to be assembled and shipped later this year.

NovoMoto would not exist without UW–Madison, says Olson, who is completing a Ph.D. in engineering mechanics at UW–Madison.  Arjmand recently earned a Ph.D. in the field.

The germ of the idea arose in 2015 as Olson and Arjmand prepared for the Weinert Applied Venture in Entrepreneurship class in the school of business. Talking with Selam Zewdie, a native of Ethiopia, they narrowed their focus to a business involving solar electricity for underserved third world locations.

“As we started the class, we were thinking about Sub-Saharan Africa and India, where people were starting to sell pay-as-you-go solar electricity kits,” Olson says.

The rent-to-own solar lighting system was greeted with a smile recently in the Democratic Republic of Congo. PHOTO COURTESY OF NOVOMOTO

Congo was a natural focus, he adds, since he was born there and a cousin of his was trained in solar installation in Kinshasa. Rural parts of the nation of about 80 million were also severely underserved with electricity.

Olson left Congo with his parents shortly after his second birthday and returned to his father’s native Wisconsin. In January, 2015, Olson made his first visit as an adult. His father, a UW–Madison alum who had been in Congo in the Peace Corps and then worked in international agriculture, had passed away by then, so Aaron traveled for several weeks with his mother, Agnes, and brothers Amisi and Alvin.

“Visiting gave me a different perspective,” he says, and lighting seemed a particularly acute need – and business opportunity. “I knew that people were succeeding in the rent-to-own model for solar lighting in other places, and I had just seen a place that could benefit, a place where I had family ties. All of this molded how I thought about what we’d been talking about in class, and made it seem much more realistic.”

The original idea, designing their own equipment, was quickly pushed aside when they looked at existing equipment. “Do we spend money on product development at this point or work with an established solar kit supplier?” Olson says. “It was a matter of funds and time.”

Raising money is always difficult for startups, but by mid- 2016 NovoMoto had raised $110,000 from two U.S. Department of Energy grants, and an investment from the Clean Energy Trust of Chicago.

By May 17, 2017, NovoMoto was serving eight pilot customers in Mboka Paul, a village northeast of Kinshasa. Building on lessons from the pilot, they began planning the first 100 installations.

The company’s entry-level package can store 20 watt-hours even on a cloudy day. That is enough to charge a mobile phone, and power six hours each on two indoor lamps, plus 12 hours for one outdoor lamp.

Combined, these three bulbs emit as much light as a 40-watt incandescent bulb.  “This may not sound like much to those in a developed country, who get electricity from a utility, but it’s a stellar improvement over candles, batteries or kerosene. The response in Mboka Paul confirms this,” says Olson.

The larger package adds several hours of television usage to the mix.

This school for orphans in Mboka Paul now has a solar lighting system, donated by NovoMoto LLC. In blue shirts are founder Aaron Olson (center-left) and his brother, Alex Olson. PHOTO COURTESY OF NOVOMOTO

Although homeowners are the primary market, NovoMoto has done free installations in a school and a clinic in each village it serves, Olson says. NovoMoto is also developing packages tailored to larger business needs like refrigeration and electric bike charging.

The young spinoff has made an auspicious start, says Dan Olszewski, director of the Weinert Center for Entrepreneurship in the School of Business. “They went there for two reasons. Aaron is a Badger, a Wisconsin guy, but he has family there, and they are involved in the business. And though it’s a tough environment, they have opportunities as well. The fact is that many villages are off the grid and don’t have any power coming in, and don’t even have a real plan to get it. With entire cities off the grid, there is a large opportunity.”

NovoMoto is prepared for rapid growth, and is aiming for 2,000 customers at the end 2018 and 20,000 by the end of 2019. That expansion includes a gradual transition – already under way — to a “mobile money payment system that can eliminate the problem of having to go out and collect cash,” Olson says.

This story originally appeared at news.wisc.edu.

By David Tenenbaum

Araceli Alonso, GHI Advisory Committee member, receives 2018 Academic Staff Excellence Award

This story was originally posted at news.wisc.edu.
Nine University of Wisconsin–Madison professionals have been selected as recipients of the 2018 Academic Staff Excellence Awards, and Araceli Alonso, one of our Advisory Committee members, is among the recipients. The awards recognize achievements in leadership, public service, research, teaching and overall excellence.

“Academic staff are gifted teachers, award-winning researchers and dedicated administrators,” says Chancellor Rebecca Blank. “We depend upon them to have a vision that extends well beyond their own departments and, indeed, often well beyond campus.  They are critical thinkers and creative problem solvers who see limitless opportunities for collaboration, innovation and advancement of the university’s mission.”

Araceli Alonso wears several impressive hats: anthropologist, nurse, global health advocate. Many UW–Madison students would add another: favorite teacher.

For many years, Alonso taught the course Women and Their Bodies in Health and Disease, imbuing the flagship offering in the Department of Gender and Women’s Studies with great rigor and great heart. Each year, 700 or more students enroll; hundreds more are on a waiting list. This semester, she is teaching Global Women’s Health and Human Rights, as well as two courses at the School of Medicine and Public Health. Many students have been inspired to forge careers in global health after taking her classes. “She is that teacher who changes everything for a student. The one they never forget,” says Lori DiPrete Brown, distinguished faculty associate and director of Women & Wellbeing in Wisconsin & the World.

Alonso’s humanitarianism led her to create “Health by Motorbike,” a much-heralded program that has improved the health of thousands of impoverished Kenyans and changed the lives of the UW–Madison students who travel there to aid the effort. Other students accompany Alonso to Spain and Morocco to study human trafficking. Most recently, she spearheaded the effort to create the UNESCO Chair in Gender, Wellbeing and a Culture of Peace, which she co-directs within the department.

UniverCity Partners with Green County

This story originally was posted at news.wisc.edu.

UniverCity Year is traveling to Green County.

The UW-Madison program, aimed at improving the sustainability, resilience and livability of Wisconsin communities, will work with the south central Wisconsin county for the 2018-19 academic year and is seeking faculty who want to help strengthen the university’s connection with communities across the state.

“UniverCity Year helps faculty connect what students learn in the classroom to the real-world needs of our communities,” says UniverCity Year Program Manager Kelly Conforti Rupp. “Our staff work directly with local government leaders to identify projects based on the community’s annual plans and priorities. We also ensure that projects are rigorous, time bound and fit within a course’s learning outcomes.”

For its first year, UniverCity Year partnered with Monona, a city of about 7,500 just outside Madison. This year, it is working with the Dane County Board of Supervisors and will celebrate that partnership with an event in May.

After working with groups close to Madison, it was important to help the university collaborate with communities further away, Rupp says.

Green County, located in south central Wisconsin, is known for its rich agricultural history, pastoral scenery, and small-town atmosphere. Comprised of 16 towns, six villages, and two cities, it has a population of 36,842.

“We are most interested in projects that give students a direct opportunity to interact with citizens of our communities, so that they get a small taste of life in a rural community,” says Bryan Gadow, the New Glarus Administrator who is teaching an Urban and Regional Planning class already this semester as part of our partnership. “This includes working on updating park inventories, working on safe routes to school issues, and a wide assortment of community health related issues.”

Some of the other areas of interest include:

-Developing and analyzing quality of life metrics

-Attracting more businesses and residents to the area

-Designing communication and marketing plans

-Reviving downtowns

-Building hotels and community centers

-Improving parks and playgrounds

-Increasing physical activity and access to healthy food

-Developing breastfeeding resources and education

-Designing safe routes to school and other transportation plans

-Addressing the housing shortage

-Removing phosphorous and developing conservation plans

-Launching cooperatives and networks to support farmers

-Studying municipal staff workload and salary

“These projects not only help Green County communities, they will help students build their resumes and their experience,” says Cara Carper, executive director of the Green County Development Corp. “Not only will they get a front row seat into how rural communities work, they will have a seat at the table. These projects all have great community support and students and their input will be welcomed. Many of the projects have been simmering for years, but without community funding, they go nowhere. Students will have a huge impact on Green County and our region well into the future.”

UniverCity Year is based on the EPIC-N model, an initiative that started at the University of Oregon and has been adopted by more than 25 other universities. Leaders from those universities will be on campus in April when UW-Madison hosts the annual EPIC-N conference.

Michel Wattiaux, GHI Advisory Committee member, follows dairy cows’ carbon footprints from barn to field

This story was originally posted on news.wisc.edu.

April 4, 2018 / By Bob Mitchell

Michel Wattiaux examines the contents of a cow’s stomach. UW-MADISON

Sometimes dairy scientist Michel Wattiaux approaches his research like a cop at a traffic stop. He uses a breath analyzer to check for problematic products of fermentation.

Last spring, the University of Wisconsin–Madison researcher began using a specialized device to measure the methane being exhaled or belched by a group of Holsteins and Jerseys. It was the first step in an ongoing study by dairy scientists, engineers and agronomists to see how a cow’s breed and forage consumption affect the greenhouse gases generated by her gut and her manure.

Greenhouse gases, which collect in the atmosphere and trap the sun’s radiation, are a big issue for the dairy industry. Methane is a concern because it’s particularly potent — it traps about 30 times as much radiation as carbon dioxide does — and a cow generates a lot of it in her rumen, the huge stomach chamber where microbes are fermenting as much as 200 lbs. of plant material. Also worrisome is nitrous oxide, another potent greenhouse gas that is emitted from manure during storage and after it’s spread in the field.

The U.S. dairy industry has set a goal of reducing its greenhouse gas emissions by 25 percent by the year 2020, and UW–Madison researchers are helping identify strategies to accomplish that.

Sampling the cows’ breath was the first in a sequence of experiments designed to measure greenhouse gas emissions at three critical points: from the cow’s breath, from her manure during storage, and from the field where her manure is spread. The researchers are looking at how three variables — breed of cow, type of silage fed, and relative levels of forage in the diet — affect greenhouse gas emissions at each point.

While versions of each of these experiments have been done on a standalone basis on the UW–Madison campus, Wattiaux says this is the first time the three have been integrated so that emissions originating from a cow and her manure can be tracked from barn to manure storage to field.

“This is the first time where we do the nutrition part, the manure storage part and the field application part sequentially, and then put it all together to give the Wisconsin dairy industry a solid number for how much methane and nitrous oxide comes out of their farms depending on the breed, the kind of diet and the amount of forage in the diet,” he says.

For the first experiment, which began in June and ran for four months, researchers fed 24 Holsteins and Jerseys a ration that included either alfalfa silage or corn silage, the two primary forages fed on Wisconsin dairy farms, along with some grain. Some cows were fed high levels of forage relative to grain, while others got less silage and more grain. Researchers periodically sampled each cow’s exhaled breath using the GreenFeed system, an analytical tool designed to determine daily methane emission.

“It drops a bit of sweet feed to entice her to stick her nose up to it,” Wattiaux explains. “The equipment sucks the air in, measures airflow, measures the concentration of methane and then estimates the amount of methane.”

In the second experiment, the manure from the cows was collected and held in barrels for two months to simulate manure storage on a dairy farm. Graduate student Elias Uddin collaborated with biological systems engineering professor Rebecca Larson to measure emissions of both methane and nitrous oxide from each barrel for 60 days.

The third experiment began at the end of October to simulate the post-harvest manure spreading typical of many Wisconsin farms. Researchers applied the stored manure to 24 field plots at the Arlington Agricultural Research Station. Under the supervision of agronomists Greg Sandford and Randy Jackson, a team of students began monitoring emissions from the plots last fall and will resume this spring.

Wattiaux believes that the findings from this research will be useful to scientists who create whole-farm decision models that producers use to predict the outcome of various management practices. He likens it to software such as Wisconsin’s SnapPlus, which farmers use to minimize soil and nutrient loss from their fields.

“In SnapPlus, you provide the field characteristics such as location and slope and crop management practices, and the model gives your ‘T’, your tolerable soil loss, so you can make sure you stay below that,” he says. “I think we’re going the same direction with this research. A model might calculate a tolerable level of greenhouse gas emissions and provide information on how to stay below that total by adopting new techniques in the field, new techniques in storage and new techniques in feeding.”