NIDCR Deputy Director Kleinman to Retire January 1, 2007
Dr. Dushanka Kleinman, deputy director of the National Institute of Dental and Craniofacial Research (NIDCR), will retire from government service on
January 1 to assume the position of associate dean for research and academic affairs, College of Health and Human Performance, University of
Maryland-College Park. She will also have an appointment as professor in the Epidemiology and Biostatistics Department of the College, which is
transitioning to a School of Public Health.
Dr. Kleinman has served in the government for 28 years--26 of those years at the NIDCR. She joined the (then) NIDR in 1980, and during her early career
at the Institute conducted research on oral mucosal tissue diseases and conditions, directed planning and evaluation activities, and managed the
Institute's epidemiology and oral disease prevention program. She was named deputy director in 1991, and since that time has also assumed the role
of Institute acting director twice during transitions between directors.
A rear admiral in the U.S. Public Health Service (USPHS) Commissioned Corps, Dr. Kleinman spearheaded the first-ever Surgeon General’s report on oral
health, which was published in 2000. In 2001, she was named Chief Dental Officer, USPHS, the first woman to hold that position since it was established
in 1923. In that capacity, she coordinated dental programs for the Office of the Surgeon General and advised the Surgeon General on issues related
to dental practice and personnel in the Public Health Service.
Most recently, Dr. Kleinman was on a detail to the Office of the Director, National Institutes of Health (NIH). During her time there, she was the
assistant director for the NIH Roadmap for Medical Research Initiative, an effort to accelerate progress in biomedical research.
Dr. Kleinman earned a B.S. in zoology from the University of Wisconsin and a D.D.S. from the College of Dentistry at the University of Illinois. She
interned at the University of Chicago's Zoller Dental Clinic prior to studying at the Henry M. Goldman School of Graduate Dentistry at Boston University,
where she received a M.Sc.D. in dental public health.
Active in many professional organizations, Dr. Kleinman has served as president of the American Association of Women Dentists, the American Association
of Public Health Dentistry and the American Board of Dental Public Health.
NIH Director Zerhouni Desk-to-Desk Message
The fall 2006 desk-to-desk message from Dr. Zerhouni, "Making it Work for our Emerging Scientists" may be found at: www.nih.gov/about/director/newsletter/Fall2006.htm
Patient Advocate Spotlight: The American Academy of Pain Management
The American Academy of Pain Management was co-founded by Richard S. Weiner, PhD and Kathryn A. Weiner, PhD. The Academy was incorporated in 1988 as
a non profit 501c6 organization. At this time a Code of Ethics and a Patient Bill of Rights was established.
Kathryn A. Weiner, PhD and Richard S. Weiner, PhD have been recognized and honored as two of the forty most influential individuals in the field of
Pain from the UCLA Biomedical Library History of Pain Collection.
The Academy has held Sixteen Annual Clinical Meetings since it's founding. Focusing on cutting edge topics from multiple disciplines, information has
always been presented by experts in the field of pain management.
The Academy started by credentialing multidisciplinary pain practitioners. It's next accomplishment was creating quality publications such as the
American Journal of Pain Management, the newsletter; The Pain Practitioner and a text book; Pain Management: A Practical Guide for Clinicians. The
founders then focused on creating tools to assist clinicians in their practice and established Pain Program Accreditation and an outcomes measurement
tool; the National Pain Data Bank. General Membership was then established bringing together and providing networking opportunities for like minded
professionals. The Academy's dedication to excellence then transferred to the Continuing Education Department that has developed quality educational
programming in the field of pain management. The University of Integrated Studies was then a dream become realized. The University of Integrated
Studies provides graduate-level degree programs for health practitioners through distance learning. The focus of the University is the integration
of the disparate health care disciplines, philosophies and methodologies to form a cooperative working relationship that promotes social change and
creates an integrated health care system.
The Academy provides and open environment for clinicians to:
- Receive education on the diagnosis, treatment, and management of pain from an interdisciplinary perspective.
- Establish open communication and referral networks with practitioners from a variety of disciplines.
- Improve the availability, breadth, and quality of interdisciplinary healthcare for those in pain.
- Learn to serve as advocates for their patients and others who suffer with pain.
www.aapainmanage.org/aboutus/Welcome.php
Study Finds Periodontal Treatment Does Not Lower Preterm Birth Risk
Scientists supported by the National Institute of Dental and Craniofacial Research, part of the National Institutes of Health, report in this week's
"New England Journal of Medicine" that pregnant women who received non-surgical treatment for their periodontal, or gum, disease did not also
significantly lower their risk of delivering a premature or low-birthweight baby.
These results come from the largest clinical trial to date to evaluate whether treating periodontal disease during pregnancy reduces a women's risk of
early delivery, an idea that has emerged as a possibility in recent years. Non-surgical, or standard, periodontal treatment involves thoroughly cleaning
the teeth above and below the gums, commonly called scaling and root planing.
The study, called the Obstetrics and Periodontal Therapy Trial (OPT), also evaluated the safety of general dental care during pregnancy. It found that
dental treatment through the second trimester -- both general and periodontal care -- did not increase the number of adverse events for women during
pregnancy.
Until now, little research had been conducted on the subject, although dentists generally provide limited dental care to women only during the second
trimester when the fetus has reached a more stable developmental stage and before treatment becomes too physically cumbersome for the mother.
"Dental care during pregnancy has long been an issue dominated by caution more than data," said NIDCR director Dr. Larry Tabak. "The finding that
periodontal treatment during pregnancy did not increase adverse events is important news for women, especially for those who will need to have their
periodontal disease treated during pregnancy."
The article is titled "Treatment of Periodontal Disease and The Risk of Preterm Birth" and appears in the November 2, 2006 issue of the "New England
Journal of Medicine." The authors are: Bryan S. Michalowicz, James S. Hodges, Anthony J. DiAngelis, Virginia R. Lupo, M. John Novak, James E.
Ferguson, William Buchanan, James Bofill, Panos N. Papapanou, Dennis A. Mitchell, Stephen Matseoane, and Pat A. Tschida.
Babies with Cleft Conditions, Pierre Robin Sequence May Need Extended Treatment for Poor Feeding Skills
Newswise -- A new study looking at the feeding skills of newborns with cleft conditions found that the prevalence of poor feeding steadily
decreased within one year, but that longer treatment may prove necessary for those with Pierre Robin sequence (PRS) or a syndrome. The study is
published in the latest issue of The Cleft Palate-Craniofacial Journal.
Poor feeding skills are relatively common in newborns with cleft palate and cleft lip and palate. Previous studies have determined that babies with
cleft palate and cleft lip and palate have significantly more difficulty feeding than those with cleft lip alone.
In the study, one third of the newborns had poor feeding skills. The prevalence of poor feeding reduced to 19 percent at 3 months of age and 15 percent
at 14 months. At 2 weeks of age, babies with a syndrome or PRS were 15 times more likely to have poor feeding skills than those without syndromes. In
addition, parental reports of feeding efficiency were found to be predictive of poor feeding.
The study results suggested that early detection and management of feeding difficulties is important. Further, treatment for feeding problems may be
needed beyond the first year of life, especially for babies born with PRS or a syndrome.
To read the entire study, click here: www.allenpress.com/pdf/cpcj_44_403_702_709.pdf
The Cleft Palate–Craniofacial Journal is the bimonthly journal of the American Cleft Palate-Craniofacial Association. For more information, visit www.cpcjournal.org.
Teeth Tell the Tale
Newswise -- University of Arkansas researchers examined the dental landscapes of prehistoric creatures from a South African province and found
evidence for a dietary shift that suggests a corresponding change in the type of landscape that surrounded them. This marked change in the prehistoric
landscape from woods and shrubs to grasslands may help fill in the picture of environmental changes that accompanied our own evolution.
Peter Ungar, professor of anthropology in the J. William Fulbright College of Arts and Sciences, and postdoctoral researchers Gildas Merceron and Rob
Scott studied the teeth of bovids, or hoofed mammals, found in the fossil record at Langebaanweg, the site of a unique ecosystem on the coast of South
Africa. Ungar reported their findings as part of an address at a symposium last week in Langebaanweg.
They used a technique that he and colleagues pioneered to examine the microscopic wear on teeth using modified fractal analysis software and a
state-of-the-art laser scanning microscope. The pits and grooves in animals' teeth point to different dietary preferences. A pit-laden texture
indicates consumption of hard, brittle foods, such as nuts or woody plants. A scratched texture indicates the shearing of food, such as grasses.
Next, they examined the fossil teeth from ungulates whose remains were discovered in the Western Cape, South Africa, which lived just over 5 million
years ago. The data appear to show a shift in the markings on the teeth, indicating a shift in eating patterns from browsing to grazing.
“This might indicate the opening up of the grasslands in this area,” Ungar said. This is the first time that microwear texture data have suggested a
dietary shift within a group of animals before, Ungar said.
Consumers Perceive Strong Link Between Oral And Medical Health
New York, NY - A new study by MetLife reveals that most consumers (85%) believe there is a strong connection between oral health and overall
medical health. Additionally, more than one-third (37%) of working Americans have established long-term relationships with their dentists that span
six or more years. Consumers underscore their understanding of the link between oral health and medical health by citing preventive care as top on
the list of reasons that they visit the dentist. These are encouraging findings given that clinical studies have revealed a correlation between
periodontal disease and increased risk for serious conditions including heart disease and preterm births.
The MetLife Oral Health Insights study was conducted by GfK NOP, a global top-five market research firm during the third quarter of 2006 among a
nationally representative sample of 1,200 adults, ages 18 to 64, across the United States.
Tips and information on proper oral care, including risk assessment guides for periodontal disease and tooth decay, can be found at the online
MetLife Oral Health Library at www.whymetlife.com/oralhealth.
HHS Sect. Leavitt Comments On Dr. Chan Nomination to WHO
I congratulate Dr. Margaret Chan on her nomination as the next Director-General of the World Health Organization (WHO). The United States Government
looks forward to working with Dr. Chan, and to continuing our close collaboration with the WHO Secretariat on a range of pressing public-health and
scientific issues.
All of the candidates for the position of Director-General had impressive credentials, and the decision was a difficult one. The WHO is an important
body dedicated to the health needs of every person in the world, and I am honored to have led the U.S. delegation to take part in this historic election.
Dr. Chan is a strong leader, with a proven record on managing health programs as WHO Assistant Director-General for Communicable Diseases and
Representative of the WHO Director-General for Pandemic Influenza. And as Director of Health for Hong Kong, Dr. Chan led the successful response
to the outbreaks of Severe Acute Respiratory Syndrome (SARS) and highly pathogenic avian influenza. I am confident she will ensure WHO's role as
the premier global health agency, guided by scientific excellence and well- prepared to meet the many challenges it faces.
Funding Opportunities
Building the Tooth: Bridging Biology and Material Sciences. (Limited Competition)[U54] (RFA-DE-07-009)
National Institute of Dental and Craniofacial Research
Application Receipt Date(s): January 29, 2007
grants.nih.gov/grants/guide/rfa-files/RFA-DE-07-009.html
Understanding and Promoting Health Literacy (R21) (PAR-07-018)
National Institute of Dental and Craniofacial Research
Application Receipt/Submission Date(s): May 24, 2007; January 24, 2008; September 24, 2008; May 25, 2009; January 25, 2010
grants.nih.gov/grants/guide/pa-files/PAR-07-018.html
Understanding and Promoting Health Literacy (R03) (PAR-07-019)
National Institute of Dental and Craniofacial Research
Application Receipt/Submission Date(s): May 24, 2007; January 24, 2008; September 24, 2008; May 25, 2009; January 25, 2010
grants.nih.gov/grants/guide/pa-files/PAR-07-019.html