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Comparing World Health Systems

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The UCSF Student Newspaper

Thursday, May 15, 2014


Volume 58, Number 31


Is it Time Dr. Susan Kools Wins 2014 Outstanding for a Pub on Faculty Mentorship Award will receive her award at the Parnassus? Kools School of Nursing Commencement By Angela Castantieto Associate Editor


CSF students are currently in the thick of qualifying exam season, a time both of stress and celebration when it is all over. Looking back at when I took my exam at Parnassus, it would have been nice to have a place to grab a quick beer on campus with friends afterward. I’ve heard many students say they would like to take an hour or two to relax or celebrate, but don’t have the time to walk down to Ninth and Irving. Faculty and staff share similar sentiments. “As a postdoc, I’d like a closer location to drown my sorrows,” says Matt Cook. Mission Bay Has Two Watering Holes The pub is a fixture on many university campuses, including our own Mission Bay, which has The Pub and Terzetto, a coffee shop that serves a small selection of draft beers. My involvement in student organizations brings me to Mission Bay regularly, and more often than not I find myself at Terzetto discussing business over a beer. Whenever I see UCSF folks grabbing a beer and relaxing during those precious hours outside of lab, I wonder why we don’t have anything like The Pub or Terzetto on Parnassus campus. Surely we have enough students, faculty and staff to warrant a watering hole—and a good location for a pub (or coffee shop that serves beer)— on Parnassus. For an entire year I’ve had my eye on the empty Nursing Café (known by most as the Nurseteria), which will soon be occupied by San Francisco Soup Company. Why not a pub? The answer is not as simple as one might think. I spoke to Jennifer Dowd, Vendor Services Manager at UCSF, who provided some context. In the past there have been at least two places that served alcohol on Parnassus— the Faculty Club and, interestingly, Palio Caffé.

Ceremony on June 9. By Jenny Qi Editor


he Graduate Students’ Association (GSA) and the Graduate Division Alumni Association (GDAA) have selected Dr. Susan Kools, RN, PhD, FAAN, as this year’s Oustanding Faculty Mentorship Awardee. Dr. Kools is a professor in the Department of Family Health Care Nursing. She is also passionate about promoting diversity in nursing and has co-chaired the UCSF School of Nursing’s Diversity in Action Committee (DIVA) for nearly two decades. An adolescent psychiatric nurse scientist, Dr. Kools focuses her research on the mental health and development of adolescents. Specifically, she studies vulnerable adolescents in foster care and the influences of this lifestyle on their health and well being, with the goal of better understanding optimal interventions for adolescent care. In parallel, she studies adolescent illness experiences throughout the world, including hospitalization in China and HIV prevention in Africa. Notably, Dr. Kools is an internationally renowned expert in adolescence and qualitative research methods. Dr. Kools received glowing nomination letters from current and former mentees. It was clear from these letters that she is deeply committed to ensuring that her students succeed, regardless of their backgrounds and personal circumPhoto courtesy of Dr. Susan Kools stances, and to forming lifelong relationships with her mentees. Dr. Susan Kools is a professor in the Department of Family Health Care NursEach year, the GSA and GDAA call for students and postdocs to


ing and has co-chaired the School of Nursing’s Diversity in Action Committee (DIVA) for nearly two decades.


Cadaver Memorial Service Honors Donors By Priya Jayachandran Staff Writer


Palio Caffé Fail I was surprised to learn about the latter, a buzzing lunch spot in Millberry Union that serves sandwiches and other quick items. According to Dowd, Palio tried serving beer and


The annual Cadaver Memorial Service was held on May 7 in Cole Hall.

Photo by Mason Tran/D4

oetry and music highlighted a moving service commemorating the individuals who donated their bodies for the study of anatomy. The annual Cadaver Memorial Service, held on May 7 in Cole Hall, provides firstyear students from the Schools of Medicine, Pharmacy, Dentistry and Physical Therapy, and their faculty with an opportunity to share thoughts about working with the cadavers in the anatomy courses. The family members of the donors were not invited to attend in order to create an atmosphere of safety and openness for students and faculty to express their thoughts and emotions freely.


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you can become a donor. http://bethematch. org/.



Thursday, May 15, 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.


Friday, May 16, 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,


Friday, May 16, 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.


Friday, May 16, 4-5 p.m., Genentech Hall Auditorium, Mission Bay Research 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.


Wednesday, May 21, 10 a.m.-2 p.m., Gene Friend Way Plaza, Mission Bay Shop healthy, shop fresh, shop Californiagrown at the UCSF Farmers' Market, every Wednesday (rain or shine). Sponsor: Pacific Coast Farmers' Market Association.


Wednesday, May 21, 6-7 p.m., Byers Hall, 215, Mission Bay Food, friends and science! Join SACNAS for its next monthly seminar meeting. This month we will hear from Melissa Sandoval, a second-year BMS student, studying heart development. If you are interested in joining us, please do! For more info, contact us at


Wednesday, May 21, 6-9 p.m., Genentech Hall Atrium, Mission Bay Bring your favorite board games to share. Enjoy free beverages, pizza and raffle prizes provided by GSA. 


Thursday, May 15, 10 a.m.-2 p.m., Medical Science Lobby
, Parnassus You could be a possible match for a patient in need of a bone marrow transplant. ADEA will be hosting a bone marrow registration drive at UCSF. Come learn more about how

Thursday, May 15, noon-12:45 p.m., Cole Hall
, Parnassus Looking for a place to study or relax between classes? CLS Arts & Events has got just what you need. The Chancellor's Concert Series on Thursdays is a great place to set up your laptop and study or just take a break from classes while listening to classical music. Seating begins at noon. If you are unable to come, you can now listen to the music through live stream.


Thursday, May 15, 12-1 p.m., Room N-417, Parnassus UC Oracles is the “UCSF-only” chartered Toastmasters Club open to UCSF faculty, staff, students, postdocs & volunteers. Improve your speaking and leadership skills in a comfortable, nurturing, safe, and fun environment. Become the speaker and leader you want to be! Sponsors: UCSF Academic Business Officer’s Group (ABOG)



Tuesday, May 20, 8 a.m.-noon, Health Sciences West 3rd Floor Lobby, Parnassus The UCSF Student National Pharmacist Association will be selling delicious baked goods at our Diversity Bake Sale to raise money for our upcoming events this quarter and for the 2014-2015 school year. Come enjoy a wide array of tasty treats from different cultures such as mochi, chocolate chip cookies, bagels, and more! Please come support us and enjoy delicious baked goods for breakfast or stop by during lunch for a sweet snack.


Wednesday, May 21, 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.


Wednesday, May 21, noon-1 p.m., Millberry Union 123W, Parnassus 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. Email to RSVP.


Wednesday, May 21 5:30-6:30 p.m., Millberry Union Central Desk, Parnassus Please 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.


Thursday, May 15, 1-2:30 p.m., Medical Sciences, 20, Parnassus 
 All recent H-1B holders at UCSF are required to attend an H-1B orientation. Here you will learn about traveling while on an H-1B, how to apply for an H-1B visa stamp at a U.S. Consulate abroad, how to maintain your status, and many other things you need to know while living and working at UCSF under an H-1B.

Wednesday, May 21, 5:30-6:30 p.m., Library, CL 211, Parnassus The Integrative Medicine Network invites everyone in the UCSF community to experience a weekly guided meditation. All are welcome, whether you are looking to combat day-to-day stress using meditation or you'd like to uncover subtle layers of your self by diving deep. No experience in meditation is necessary. Both regular meditators as well as amateurs are welcome!



Thursday, May 15, 6-8 p.m., Health Sciences West, 300, Parnassus Come enjoy a FREE screening of the documentary Linsanity as a part of APASA's 2nd Annual Film Festival. This documentary tells the life story of Chinese American basketball player Jeremy Lin.


Friday, May 16, 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.


Friday, May 16, 6 p.m., Health Sciences West, 300, Parnassus Come enjoy a free screening of the documentary Don’t Stop Believin’: Every Man’s Journey as a part of Asian Pacific American System Wide Alliance's 2nd Annual Film Festival.


Friday, May 9, 7-10:30 p.m., Nursing, 517, Parnassus Join the Campus Evangelistic Fellowship for its weekly meeting, with Bible study, hymn singing and fellowship.

Wednesday, May 21, 6-8:30 p.m., Clinical Sciences, 130, Parnassus English 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.


Thursday, May 15, 5-9 p.m., Stanyan and Waller Streets, SF Off 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.


Thursday, May 15, 6-10 p.m., Cal Academy, Golden Gate Park, SF
 Make out like a bandit and pick up sweet gifts for friends (or treat yourself!) at a pop-up maker shop with vendors from SF Bazaar. Meet artists from SF Maker Faire as they display their handcrafted works in African Hall. Who says you need a degree to build a computer? Join the Computer & Technology Resource Center and help turn recycled e-waste into usable computers for underserved communities. Join Green Art Workshop to create your very own ecoanimal., http://


Saturday, May 17, 11 a.m.-6 p.m.,Larkin Street, from Grove Street to Ellis Streets, SF This is a fun, free event to go to, and make sure to stop by the Hill Physicians Health Pavilion as well as the UCSF Dental Screening booth. The Pavilion has different types of health screenings offered by both UCSF and Dignity Health, and you can stop by to ask MDs general questions regarding health. There will also be physicians giving talks at different times of the day. Just come by and no registration is necessary to attend these talks. Diabetes - Dr. Hoang Pham, 1 p.m., Asthma and inhalers - Dr. Schuman Tam, 2 p.m., Food allergies - Dr. James Chen, 4 p.m.


Tuesday, June 10, 1-4 p.m., Genentech Hall Auditorium, Mission Bay Life Science Angels is bringing its members to spend an hour with UCSF entrepreneurs who would like feedback on their venture. This is not a pitch day; it is a chance to get honest feedback from savvy angel investors. Take advantage of this unique opportunity to learn how to improve your business plan and become more attractive for investment. Your venture must be in therapeutics, research tools or devices to qualify for mentoring.To apply, email Kyra Davis, kyra.davis@ucsf. edu, a 1-2 page summary of your business idea, market and team.


Saturday, June 7, 11 a.m.-2 p.m., 1 Zoo Road, SF
 Campus Life Services invites you to come and enjoy UCSF Family day at the San Francisco Zoo. Discounted admission ticket includes: attractions, lunch, and musical entertainment! Cost: $12 for Adults and $8 for Children (4-14yrs), clsonlinestore.ucsf. edu/.


Bring your donations of textbooks, study guides, workbooks, and novels in clean, legible condition to any UCSF Library. The UCSF Library and its affiliates are hosting a book drive with Better World Books. A portion of every donated book sold will help support The National Center for Families Learning.


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.


UCSF students and staff can now post online classified ads for free on the Synapse website. All you need is an email account. Try it out!


The 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 available. a l k s t at i ons - av ai l abl e - l i br ar y - t e c h commons. | May 15, 2014 | 3


UCSF Outreach Programs Promote Diversity and Science Programs target traditionally underrepresented high school and college students



Carroll Wins Coveted Barringer Medal Photo by David Hand High School Outreach Conference organizer and second-year dental student Valentina Zahran welcomes program participants.

fill this mission. This year, two such events took place in the same weekend of April 25, aimed at reaching out towards both college and high school students. Inside UCSF On April 25, 86 students flocked onto Parnassus campus to be a part of Inside UCSF. Participants of the annual outreach program have described it as “life changing, mind blowing and a once in a lifetime opportunity.” Inside UCSF began eight years ago to give two- and four-year degree students an in-depth introduction to careers in health

500 Parnassus Ave. Millberry Union 108W San Francisco, CA 94143 tel: (415) 476-2211 | fax: (415) 502-4537

The UCSF Student Newspaper STAFF

Jenny Qi | EDITOR Akshay Govind | ASSOCIATE EDITOR Angela Castanieto | ASSOCIATE EDITOR Hannah Patzke | ASSOCIATE EDITOR Steven Chin | MANAGING EDITOR

and science. Tours, information sessions and hands-on labs allow participants to get a sense of what it’s like to be a student at UCSF. Prospective students also get multiple opportunities to network with current students, staff and alumni. “The students walk away with a better sense of self and a better understanding of what it takes to be a professional student here at UCSF,” according to Paul Day, events and communications manager of the Office of Diversity and Outreach. The office has hosted this program for the past three years. Inside UCSF is a particularly important opportunity for students who are traditionally underrepresented in the health sciences. In 2014, this demographic made up nearly 60 percent of participants, and over 40 percent of participating students were first generation. “Empower yourself to fulfill your dreams, no matter what obstacles you face,” urged this year’s guest speaker Ramon Resa, MD, a UCSF-Fresno residency alumnus. Heeding this message, many recent participants of Inside UCSF have been accepted into the Schools of Medicine and Dentistry, and others work in labs on campus. One student’s research has even given him the opportunity to travel to Burkina-Faso, his home country. High School Outreach Conference


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.


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).


UCSF Adult Lung Transplant Program Ranked Highest for Patient Survival

UCSF Medical Center has the highest one-year survival rate in the nation, among institutions performing more than 20 adult lung transplants each year, according to data from the Scientific Registry of Transplant Recipients (SRTR), a national database of transplant statistics. The most recently released statistics reviewed lung transplant outcomes from July 2010 through December 2012. Based on 104 adult lung transplants, 96 percent of patients treated at UCSF Medical Center were still alive one year after surgery. The expected rate nationally is 84 percent. UCSF Medical Center also is the only program to have achieved significantly better than expected outcomes for two consecutive report cycles from SRTR. “We don’t shy away from complex cases. Pushing the boundaries is how we develop our expertise,” said Steven Hays, MD, medical director of the UCSF Lung Transplant Program. UCSF Medical Center performs between 40-50 adult lung transplants annually.

By Jenny Qi Editor have this duty to respond to students who are inquiring about the universe as a career path, to respond to them in the way that Carl Sagan had responded to me,” remarked Neil DeGrasse Tyson, who has recently rebooted the late astrophysicist’s TV series Cosmos. In the first episode, he paid tribute to his mentor with a touching story of Sagan’s invitation to spend a day with Tyson, then a mere “17-year-old kid from the Bronx” who was applying to Cornell University with dreams of becoming a scientist. “At the end of the day, he drove me back to the bus station. The snow was falling harder. He wrote his phone number, his home phone number, on a scrap of paper, and he said, ‘If the bus can’t get through, call me. Spend the night at my home, with my family.’ I already knew I wanted to become a scientist, but that afternoon I learned from Carl the kind of person I wanted to become. He reached out to me and to countless others, inspiring so many of us to study, teach and do science. Science is a cooperative enterprise, spanning the generations.” Mentorship and outreach are critical to the development of young scientists, as DeGrasse Tyson points out with this anecdote, particularly for those who are traditionally underrepresented in the field. As a leader in health sciences, UCSF has presciently made outreach a cornerstone of its mission to serve the public. Annual programs, such as Inside UCSF, as well as independent efforts by dedicated students have helped ful-


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.

More than 300 high school students from schools throughout the Bay Area arrived on campus on April 26 for a program similar to Inside UCSF. Students rotated between demonstrations held by representatives from each of the schools to learn about the multitude of health sciences careers available. First-year medical student Katherine Wei, for example, helped put on a skit to demonstrate the process of treating a patient who had suffered a heart attack. They showed the program participants representative X-rays, EKGs, lab images and videos of the appropriate procedures to perform. The physical therapy demonstration by third-year PT student Andrew Tran led participants through a patient case, therapeutic exercises and appropriate use of assistive devices.


The American Association of Genitourinary Surgeons awarded its 2014 Barringer Medal toPeter R. Carroll, MD, MPH, chair of the UCSF Department of Urology, during the April annual meeting. This award recognizes a younger member of the organization who is achieving “distinguished accomplishments” and is meant to encourage and stimulate his or her continued work. Marshall Stoller, MD, professor and vice chair of the UCSF Department of Urology, presented the Barringer Medal to Carroll. "Peter's tireless effort in promoting active surveillance as a viable and safe option of treatment for men with low risk prostate cancer is commendable,” Stoller said. Created in 1954, the award honors Benjamin S. Barringer, the first chief of urology at Memorial Hospital in New York City. Carroll is currently co-investigator or principal investigator on numerous research studies including a grant of almost $10 million from the Department of Defense called the "Transformative Impact Award."

Two UCSF Professors Elected to National Academy of Sciences An eminent cancer researcher and a leading professor of immunology have been selected as members of the National Academy of Sciences—one of the highest honors that can be accorded an American scientist—in recognition of their distinguished and continuing achievements in original research. This year's class, which the Academy announced April 29, comprised 84 new members and 21 foreign associates, including the two from UCSF: Frank McCormick,PhD, FRS, is a molecular biologist who is internationally renowned for his work on the RAS signaling pathway. McCormick is leading the National Cancer Institute’s RAS Project, a new laboratory that will focus on the mutated RAS protein, which plays a key role in a third of all cancers. Jason G. Cyster, PhD, is a UCSF professor of microbiology and immunology and a Howard Hughes Medical Institute investigator. He is renowned for his research into the molecular cues that guide immune cells to identify pathogens and migrate within the lymphoid system to create immune responses.

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Comparing Health Systems Around the World

Chaufan: The first shock was the bad quality of care in the poor population—physicians not correctly treating and educating, especially with things like diabetes. You have to understand the basics very well since it is a self-managed disease. You can educate the patient to put the pieces together. It’s not ideal to do it by just an insulin regime. People don't have regimented lives. But then I saw the social system and the problems of access. I was so shocked at lack of access. I’m used to walking into a hospital and being seen. There is a lack of funding in Argentine, but they see all of the patients. Here, people don’t go because they can’t afford it. So that’s when I decided I wanted to study many health systems to see where healthcare was done well. Synapse: Can you talk about some of the health systems you have studied?

Photo courtesy of Dr. Claudia Chaufan Dr. Claudia Chaufan teaches a class called “Global and Comparative Policies and Systems,” which includes a series of documentary screenings open to all.

By Hannah Patzke Associate Editor Dr. Claudia Chaufan is an associate professor for the schools of Nursing and Sociology at UCSF. Originally a medical doctor from Argentina, she became interested in the social determinants of health when she moved to the United States. She subsequently earned a PhD in Sociology from University of California, Santa Cruz in 2006 and now teaches “Global and Comparative Policies and Systems” at UCSF. One of the highlights of the class is a documentary film series comparing multiple health systems across the world, which is open to all. The documentaries are screened Wednesday at 5 p.m. in Room U460. Synapse: Can you tell me a little about your background and education? Chaufan: My education was very conventional for the time. I went to medical school directly after high school as was common in Latin America. It was a bit rocky, due to formal education then lacking in understanding of how to truly be health professional. Now that I have the sociology background I feel it has truly rounded out my understand-

ing of how medicine should be practiced. I had a training (like a residency) focus on endocrinology—diabetes, etc. Then I spent years as a practicing physician in Latin America. I was very involved in patient education and chronic disease selfmanagement, especially with diabetes. If I had been able to continue practicing medicine here in the States, I would have liked to continue this work, but I never became licensed here because the process was too cumbersome. After moving to the United States, I landed a job as health educator with Latinos. I had come here with such high ideals of the United States having the best healthcare in the world, and I was in shock at the lack of care for all. Public hospitals were a shock. So then I pursued a PhD in sociology in order to understand social determinants of health. Synapse: What brought you to the U.S.? Chaufan: I came for a yearlong adventure and vacation. Then I met my husband here and stayed. Synapse: What shocked you most about U.S. healthcare?

Chaufan: Argentina is poor, but here in the United States there is so much money. How is more money not bettering health [care]? When I started studying I found Physicians for a National Healthcare Program advocating for single payer. I began to understand healthcare systems and saw that many Americans don't understand what single payer means or how it works. So I invented a class around this concept. No such class existed at the time where I was doing my PhD at UCSC. Sociology teaches us that the comparative approach is important to understand our lives. I devoured books until I nailed down the basic issues and prototypes and systems. The key to understanding each system is finances: who pays, and how the burden of finance is distributed. Then comes the actual healthcare that is given, but the organization of how it is delivered is so important. There are three models, and in the class we study several countries that have implemented each model. There is the National Health System where it is financed and administered publically— such as in Britain. There is the mutual funds approach like Germany uses. Finally there is the single payer system that Canada uses, where the funding is publically administered even though some of the physicians and hospitals may be private. The class developed over the years. When I started teaching I didn't teach Cuba or any South America. In 2009, I found material about Cuban healthcare and introduced the country. I wanted to see it for myself so I took study tours to the country and read about history and policies. One year I found news that Taiwan had implemented a single payer system. Taiwan was added to my curriculum, then I was invited by chance to teach there for spring semester 2012! So I designed a course for the students there. I learned an enormous

amount from them and their doctors, nurses, patients, the medical school and their policy folks. Synapse: Can you tell me a little about the documentaries? Chaufan: Well, I based them around the countries and themes we study to understand the three main systems. We used to watch Sicko by Michael Moore, but now everyone has seen it. It’s illustrative and lively but also has some critical errors. So I have chosen, among others, Sick Around the World. The producer of Sick Around the World draws parallels between Germany and the U.S. employer-based insurance, which are very different since in our system people are simply purchasing commercial insurance through an employer rather than individually, whereas in Germany they contribute to a social insurance pool. Synapse: Do you think we can make a difference as individuals? Chaufan: Not alone, but we can collaborate and join in organization together. Like workers who have more power in unions, we need collaborations that are participatory and united. Ordinary people have a lot more say in how to run their lives when they are united. We have no choice. We need to make a change. There are democratically elected governments that are responsible for wonderful public health benefits. Even in poor countries like Cuba they have free medical and nursing schools that train kids in the village to become doctors without having to leave their village. It builds the primary care infrastructure and it is all funded by the state as a single payer. If young people in the United States understand all of these alternatives they will start demanding change. Synapse: What is the last thought you would like to leave our readers with? Chaufan: It all goes back to what kind of healthcare system we want and, in fact, what kind of country we want. Unless we want a place where only the privileged can lead a decent life and realize their dreams, we have to get rid of the appalling corporate structure. We need a publicly financed system. Medicare, improved and expanded for all. We need to get rid of the profit-driven business model that is running our healthcare. We have fabulous doctors, nurses and professionals—all extraordinarily well-trained people. Nothing about the education needs to change. We just need to take back our power and dollars back and build a public system.

Hannah Patzke, RN, is a first-year student in the Advanced Practice Public Health Nursing program.

Class List of Documentaries Project Censored – discusses the media distortion we find from all of the major media centers in the United States. The Healthcare Movie – an award-winning documentary that that contrasts the private healthcare system in the United States with the public system in Canada. Sick Around the World – discusses the successes and failures of healthcare in five other capitalist democracies around the world. (Available at Salud! – a discussion of healthcare in Cuba. How one of the poorest countries has an amazing healthcare system, as well as serving other countries. The Revolution Will Not Be Televised (May 14, U460 at 5 p.m.) – a documentary about April, 2002, Venezuelan military coup that attempted to depose President Hugo Chavez. (Available at ) The Congressional Hearing (May 21, U460 at 5 p.m.) – called by Bernie Sanders on challenging the Affordable Care Act on its focus on privatization and having insurers still in the driver’s seat.

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Outstanding Faculty Award » FROM HOME PAGE

nominate faculty who have gone above and beyond their duties as professors, providing academic, professional and personal support and an inspiring dedication to student mentorship. The Outstanding Faculty Mentorship Award is an exceptional opportunity for students and postdocs to express their appreciation for the faculty mentors who have changed their lives. This year, the committee received 41 nomination letters for 13 inspiring faculty members. A Holistic Approach to Mentoring All of Dr. Kools’s nomination letters praised her compassionate and “holistic” approach to mentoring, adapting herself to the needs of her students and supporting her mentees not only as students but rather as human beings who must often face personal struggles on top of their rigorous graduate studies. As an educator, Dr. Kools has demonstrated a great passion for teaching and an ability to “quickly adapt to the situation at hand.” One student wrote about a class focusing on identity struggles for gay adolescents, a particularly painful topic for some students and an incomprehensible source of “awkward discomfort” for others. “Like a great symphony conductor, she orchestrated discussion among the students, and she listened [with] compassion… The students realized they were in a safe, warm environment, [and] in her own inimitable way, Dr. Kools had created a place for her students to learn and grow.” Dr. Kools supports her students with equal if not increased fervor outside of the classroom. “Susan has never made me feel that my education took precedent over my personal concerns and encourages me to address the personal issues first,” wrote another student. “During a very difficult time in my life, I was able to come to Susan, sharing very personal details of my life that had implications for changing the course of my academic studies.” Dr. Kools constantly goes above and beyond her role as an educator, making herself

by Jenny Qi

available to struggling students even when she is on sabbatical or at home and helping these students succeed in spite of personal crises. While Dr. Kools offers her unwavering support and guidance, she ultimately understands that she cannot fix problems for her students and enables them to find their own solutions. One student noted that “Susan nurtured a comfortable environment where I could not only express my feelings but brainstorm solutions for coping.” Other students echoed these sentiments, writing, “When I have moments of doubt, she reminds me that the decision to move forward is up to me. She has supported my every decision and continues to do so.” Unmatched Commitment Her great passion inspires her students to “pay it forward as mentors to [their] own students, with even half the grace, determination and impact that Susan has made on [their] lives.” Overwhelmingly, her students feel that “Susan’s commitment and diligence in mentorship and in caring are unmatched, and these words cannot express her value and my gratitude for her [presence] in my life… She is deserving of the Outstanding Faculty Mentorship Award and so much more.” Dr. David Vlahov, School of Nursing Dean and Professor, will accept the award on behalf of Dr. Kools at the Graduate Division Commencement Ceremony at the William J. Rutter Center on the Mission Bay Campus on May 23. Dr. Kools will be presented her award at the School of Nursing Commencement Ceremony at Davies Symphony Hall on June 9. Other Deserving Faculty While Dr. Kools was the recipient of the award, there were many other deserving nominees. Here is a list of all of the faculty members nominated by students who have benefited from their exceptional mentorship:

Jenny Qi is a third-year BMS student. • Patricia Babbitt, Biological and Medical Informatics • Pilar Bernal de Pheils, Family Health Care Nursing • Kevin Bozic, Clinical and Translational Medicine • Adam Carrico, Community Health Nursing • Carol Dawson-Rose, Community Health Nursing • Lynda Mackin, Physiological Nursing (AGCNS-CCT)

• Richard Schneider, Developmental and Stem Cell Biology • Joseph Shieh, Biomedical Sciences • Janet Shim, Social and Behavioral Sciences • Kevan Shokat, Chemistry and Chemical Biology • Elizabeth Watkins, History of Health Sciences • Julie Zikherman, Biomedical Sciences

Jenny Qi is a third-year BMS student.

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Medical Mythbusters


*Children 3 and under are not eligible for a meal ticket

wine and keeping their café open beyond the normal lunch hours. It was not successful, however, and they eventually removed alcohol from the menu. This apparent lack of demand is one reason why a pub has not opened on Parnassus. While there are students aplenty, they just don’t stay on campus after hours. Because Mission Bay has housing, people stop at Terzetto after a day in lab before heading to their apartments in the very same complex. Moreover, Portrero Hill, where the bars closest to Mission Bay are located, is somewhat far from campus, especially compared to the proximity of Inner Sunset bars to the Parnassus campus. Says Tetrad third-year Bryne Ulmschneider, “It’d be great to have a pub on campus, but it’s pretty easy to just head down to Inner Sunset to grab a drink too.” Another reason why a pub has not appeared on Parnassus is the lack of a feasible location. While places like the Nurseteria may have been up for grabs momentarily, liquor laws require that a pub be situated in a fully enclosed space, including seating. The seating area of the Nurseteria is open to the rest of the building, so that space is ruled out. And we already know what happened with Palio Caffé, the only feasible place on Parnassus campus with contained seating.

**You must use a UCSF campus computer or have VPN to access our campus online store. Computer kiosks are available at both UCSF Fitness Center lobbies.

Long Range Development Plan

UC San Francisco Family Day at the SF Zoo

Saturday, June 7, 2014 UCSF Reserved Area: Patas Lawn 1 Zoo Rd, San Francisco 11:00 am-2:00 pm Discounted tickets: Adults, $12; Children $8 (4-14 years of age) Children 3 & under are free* ✦ Catered Lunch ✦ Live Entertainment ✦ Playground ✦ Nature & Animal Exhibits ✦ Giveaways ✦ Meet & Mingle with UCSF Friends & Family Discounted tickets are limited and available to UCSF affiliates only.** Order yours now: Deadline to purchase tickets is Friday, May 30, 2014

For details visit:

With these two factors—relative demand and feasible space—absent, is it likely we

will ever get a pub on Parnassus? Our only hope may rest with the Long-Range Development Plan, which includes plans to convert the Millberry Union towers back to housing, their original function. Based on the Mission Bay example, we might see increased demand for a pub as more people stay on campus after hours. Regarding a place to put a pub, the Campus Planning office was not responsive to my inquiries on this, but in perusing the online Long Range Development Plan, I saw no explicit plan for more retail space, although the wording of the plan as an “Initial Study” might imply that there is room for suggestions. I know many thirsty students and staff on Parnassus who would be willing to suggest a pub going forward, for reasons beyond just having a place to grab a drink. “I think having a pub at Parnassus would help a lot of people get in touch with their communities, because otherwise everyone just goes home after work,” says Junior Specialist Dinara Azimova. Indeed, that is a big reason why a pub is so appealing—as a research campus, UCSF Parnassus needs a place for people to gather freely and communicate beyond the lab or the classroom, at any moment throughout the day, a place that promotes the flow of ideas.

Angela Castanieto is a fifth-year Tetrad student. | May 15, 2014 | 7

Outreach Programs » FROM PAGE 3

Impressively, HSOC is organized entirely by student volunteers. This year, second-year dental student Valentina Zahran led the volunteers, sending student representatives from each school to recruit directly from high schools in and around San Francisco and coordinating these demonstrations. To make the demonstrations more cohesive, Zahran also decided to give the event a superhero theme. The Graduate Division’s superhero was Wolverine, and appropriately, third-year Developmental and Stem Cell Biology (DSCB) student Matt Donne facilitated a discussion about regenerative medicine. “We discussed the body’s innate capacity to heal itself like Wolverine—how we are learning about these natural processes and how we are harnessing this potential both now and in the future.” Donne encouraged the students to the guide the discussion. “Ultimately, what helped the most was the students asking questions.” He found that the most important thing at an outreach event such as HSOC was not teaching science but showing students what it might be like to pursue a health sciences career. “I told them what grad school was like and what careers were available afterwards. I wanted them to remember having fun.”

Jenny Qi is a third-year BMS student.

Photo by David Hand

At Inside UCSF, prospective students get multiple opportunities to network with current students, staff and alumni..

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Photos by Priya Jayachandran

Thank you notes hang from tree branches located in the foyer of the Anatomy Lab on the 13th floor of the Medical Sciences Building.

Andrew Corson, coordinator of the UCSF Willed Body Program, opened the ceremony with a moving story that wove together the process of making a donation with his own personal experiences. The Willed Body Program receives more than 400 donations a year from Northern California. A small number of donors are selected for the first-year medical, pharmacy, physical therapy and dental classes. At the end of the year, the donors are cremated and their ashes are scattered at sea. Dr. Peter Ohara, professor of Anatomy and director of the UCSF Anatomy Lab, provided an insightful interpretation of a quote from Macbeth by William Shakespeare: “Life’s but a walking shadow, a poor player/That struts and frets his hour upon the stage/And is heard no more.” Dr. Ohara described the transmission of knowledge between faculty and students and suggested that this transmission over time is a measure of the impression we leave on the Earth. He related this idea to the knowledge that students gain from studying the cadavers and how that knowledge reflects the impression left by the donors on the future careers of the students. Musically gifted first-year medical students performed musical pieces written by Simon and Garfunkel, Franz Shubert and J.S. Bach. First-year medical student Catherine Burke read an emotional and personal letter to the cadaver she worked with expressing her sincere reactions, regrets, curiosity and appreciation to the donor she learned from this year.

During the first Open Mic session, Dr. Kimberly Topp, professor of Anatomy and chair of the Department of Physical Therapy and Rehabilitation Science, read an original poem written from the perspective of a donor. First-year medical student Jameze James read an excerpt from Stiff: The Curious Lives of Human Cadavers by Mary Roach to highlight how numerous students from UCSF over the years have been touched by the generous acts of the donors and have enjoyed attending the Cadaver Memorial Service. “An open-casket ceremony would not have been especially horrifying for the guests here today, for they have not only seen the deceased in their many and various pieces, but have handled them and are in fact the reason they been dismembered. They are the anatomy lab students.” These words epitomize the unique position held by attendees of the Cadaver Memorial Service and how the service is akin to a funeral for the men and women who selflessly dedicated their bodies for the future of medicine. The Cadaver Memorial Service Planning Committee, consisting of first-year students from the Schools of Medicine, Pharmacy, Dentistry and Physical Therapy, organized the memorial service. This year, the Committee passed out cards for attendees to write thank you notes. These notes now hang on the branches of a tree positioned in the foyer of the Anatomy Lab on the 13th floor of the Medical Sciences Building as a permanent tribute to the donors.

Priya Jayachandran is a first-year pharmacy student.


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Photo by Jonathan Young, 2014

A view of Tuolumne Meadows from atop Lembert Dome.


Tuolumne Meadows: A Tranquil Destination in Yosemite’s High Country By Akshay Govind Associate Editor


his past weekend, an old friend and I decided we needed a little time away from civilization to recharge. We made friendly bets on the outcomes of basketball and hockey playoff games and headed out in a rental car toward Yosemite National Park. Each year in late spring, as permitted by snowmelt, Tioga Road (Highway 120) is opened for the dry season, permitting access to the vast meadows in the high country north of the Yosemite Valley. At 8,600 feet elevation, Tuolumne’s climate is considerably cooler than that of the valley below, but this also provides a peaceful refuge from the swarming masses of both mosquitoes and tourists that can fill the park during warmer months. Formal campgrounds in the high country do not open for another month or so, but

wilderness permits can be obtained at ranger stations, which allow camping in the backwoods, and there is ample access to water along the Tuolumne River and its associated creeks. Running from Hetch Hetchy Reservoir (the Bay Area’s main water source), water in Yosemite’s high country is known for its fresh taste and relative cleanliness, but we still chose to use a water filter. As this year’s winter brought a lower than average amount of precipitation, terrains at this time are easily crossed with a typical pair of sturdy hiking boots and a couple layers of clothing. Temperatures ranged from the high 30s to the low 70s with clear skies this weekend, but you should obviously check weather conditions and plan accordingly before your trip. Tioga Road, the only access to Tuolumne Meadows, is a destination in itself. It starts by winding steeply through the Sierras, eventually opening up for expansive views of sever-

al surrounding peaks including Mount Clark and Mount Hoffman. Olmsted Point offers glorious views to the south, looking directly into Tenaya Canyon with the Tenaya Lake, glowing Prussian blue at its base. In the distance lies the backside view of Yosemite Valley’s Half Dome as well as Clouds Rest, a knife-edged ridge of rock left from the erosion of the glaciers that gave way to form Tenaya Canyon and Little Yosemite Valley. The road continues eastward along the canyon floor before ascending to nearly 10,000 feet through Tioga Pass to meet Highway 395 at Mono Lake. If you’d rather not brave the cold nights in Tuolumne, there are several lodges just west of the park that allow for quick enough access to day hiking, ranging from two to 14 miles in length. Our first stop was Soda Springs, a natural source of cool, lightly carbonated water amidst rust colored soil. Dog Lake, surprisingly difficult to find given its largest diameter of almost a quarter mile, was our mid-morning snack spot. We sat on a fallen log and looked at the thin sheet of ice at the surface of the water, protecting the activity below. Our last stop for the short hike was Lembert Dome, a granite monolith standing 800

feet above the meadow floor, with a sheer cliff at its peak giving spectacular views in 360 degrees of snowcapped mountains, flowing rivers and lightly frosted grasslands. Jean Baptiste Lembert, the dome’s namesake, is said to have penned stories of himself as ruler of a magic kingdom. The combination of the breathtaking views and the thin air from elevation would make even reasonable people come up with stories in their heads. We pondered a riddle we had heard a child tell his father: The maker doesn’t use it, and the user doesn’t know he is using it (if you know the answer, email me). Wildlife in the high country tends to stay to itself, but we did see Stellar’s Jays, heard the call of the dark-eyed Junco, saw a scampering yellow-bellied marmot and found fresh footprints of a coyote near our campsite one morning. On our way home, we stopped in the valley for a hot cup of coffee, a freshly made sandwich, a look at the gushing waterfalls and an earful of chaotic family vacations before returning to the city, playoff sports, showers and razors, cell phones and our normal lives.

Akshay Govind is a third-year resident in the Department of Oral and Maxillofacial Surgery.


Tell Me Again Reading Set for May 18 Staff Report


xpressive writing promotes both spiritual and physical healing,” according to Dr. David Watts, Clinical Professor of Medicine at UCSF, and his wife Dr. Joan Baranow, Associate Professor of English at Dominican University. As many recent studies suggest, reading and listening to such writing has a similar healing power. This was the impetus for the weeklong “Healing Art of Writing” Conference that took place at Dominican University in July 2012. Tell Me Again, published by UC Medical Humanities Press in February 2014, was the result.

Tell Me Again Reading May 18 at 3 p.m Diesel Books Marin Country Mart 2419 Larkspur Landing Circle Larkspur, CA 94939 The conference aimed to help bridge the gap between healthcare providers and patients through compassionate discourse. Health professionals, students and patients participated in this weeklong retreat to each produce and share dozens of pages of writing about healthcare and healing. The resulting anthology is a powerful volume that sheds light on the darkest hours of

grief and the strength with which we overcome that darkness. A review of Tell Me Again was featured in the February 27 issue of Synapse. To celebrate its recent publication, a reading will be held at Diesel Books in Larkspur on May 18 at 3 p.m. Bay Area contributors, including conference organizer Dr. Watts, will read selections from their poetry and prose. Copies of the anthology will be available for purchase on site.

FOOD 10 | May 15, 2014 |

The Scoop

Hey Diddle Diddle, There’s a New Ice Cream Shop in Town! By Theresa Poulos Staff Writer


fter our recent East Bay ice cream sandwich debacle (Synapse 4/17/14, “Dream vs CREAM”), the Scoop team approached our next tasting destination—Over The Moon—with a mix of hope and trepidation. This newcomer to the San Francisco ice cream scene has already opened two locations (one in the Marina district and another on the Embarcadero) since December of 2013. It has a 4.5 star rating on Yelp along with an enchanting website; and yes, they offer custom-made ice cream sandwiches in addition to scoops. With a sunny Saturday afternoon on hand, we made our way to Over The Moon’s Marina location to investigate. We were pleasantly welcomed into the small Chestnut Street shop by a friendly Over The Moon (two locations) scooper whose passion for ice cream was evidenced by the ice cream cone tattoo on her 2411 Chestnut St. inner wrist. She was sweet and patient as we 415-359-0055 checked out the shop, which was larger than Sunday -Thursday noon-10 p.m. it first appeared, with extensive seating in the Friday and Saturday noon-12 midnight back in addition to a few seats near the front window. 4 Embarcadero Center Hand-written chalkboards heralded the 50 Drumm St. on Justin Herman Plaza store’s offerings, which include handmade 415-445-9107 ice cream, frozen yogurt, cookies and cusMonday-Friday 11 a.m.-5:30 p.m. (closed tom-made ice cream sandwiches. The flavors Saturday & Sunday) were a nice mix of standard and innovative, and you can bet our samplings spanned the spectrum. I started with a taste of the Pistachio, which was absolutely scrumptious—true to the flavor of the nut, with a thick, creamy consistency. Next came a sample of the Ginger, which had a subtle spice to it for a mild but pleasant flavor. The Chocolate, Chocolate Peanut Butter and Cookies & Cream were all well done—

Photos by Dawn Maxey/MS4 This newcomer to the San Francisco ice cream scene has already opened two locations (one in the Marina district and another on the Embarcadero) since December of 2013.

nothing to write home about but certainly tempting in their own right. The Mint Chocolate Chip was dubiously green and the biggest flavor let-down of the day. Some of Over The Moon’s real winners were the Whiskey Praline, Coffee Caramel Crunch and Honey Lavender, all of which generated “ooohs” and “aahhhs” from The Scoop team. Other creative concoctions included the Peanut Butter & Jelly, Coconut and Cherries & Cream. The only sorbet option was a Lemon Sorbet, the tangy sweetness of which won Dawn over and earned high marks for its unique flavor and smooth texture. I was sold on the Pistachio, while Ian made the Whiskey Praline his indulgence of choice ($2.35 for one scoop, $3.35 for two scoops, and $4.35 for three scoops). None of us opted for an ice cream sandwich ($3.75); when we told the server that we were intrigued by the idea but hesitant to risk overwhelming our ice cream with too much cookie, she suggested that we could do a one-sided sandwich, with a cookie atop our scoops ($2 for two cookies, $5 for six). Brilliant! Flexible! Yes! The cookie recipes are inspired by the owner’s Grandma Millie, who was previously a bakery owner herself in SoCal. Ian opted for a chocolate chip cookie, and I got the snickerdoodle. While I thought the chocolate chip cookie was pretty tasty, Dawn and Ian disagreed, noting that it was too sweet for their tastes. Unfortunately we all thought that the snickerdoodle was too doughy to be enjoyable. Sitting near the window, we people-watched while enjoying our ice cream, catching up and reminiscing about our experiences during our third year of medical school. The shop created a pleasant atmosphere where families could peaceably mix with the Marina crowd, and the tatted server did a brilliant job catering to all. With our cups licked clean and some crumbles of cookie left over, The Scoop team agreed that Over The Moon is a solid ice cream option at a good price, although a step down from San Franciso’s trendier (and torrentially mobbed) ice cream locales.

Theresa Poulos is a fourth-year medical student. | May 15, 2014 | 11


The Weekly Crossword

ACROSS 1 Parlor piece 5 Gem holder 10 Heavy hammer 14 "Doctor" of Austin Powers films 15 Leave out 16 Make eyes at 17 Dennis the Menace's dog 18 Where the buffalo roam 19 Police squad 20 70's paramedics TV show 22 1040 sender 23 North Pole worker 24 Fancy duds 25 Hard bargaining 31 Without delay 32 Knock over 33 Little bit 36 Building toy 37 Blackboard material 38 Remote control button 39 Small bill 40 Soothing word, when repeated 41 Lawmaker of old Athens 42 Very upsetting 44 Mouth-watering 47 Wish undone 48 Canine cap 49 Manuscript part 55 Exasperate 56 Soil enricher 57 Operatic solo 58 Dot on a map






























43 47












or text ‘reachout’ to 877-877




Monday and Tuesday 4-8 p.m.

Copyright 2014 by The Puzzle Syndicate

59 Speak one's mind 60 Window option 61 Still-life fruit 62 Flamingo, e.g. 63 Upper hand

10 Type of van 11 Like a gymnast 12 Tummy trouble 13 Suspicious 21 Kind of club 22 Real bargain 24 Hunky-dory DOWN 25 Saintly circle 1 Bone-dry 26 Door sign Week of 5/12/14 - 5/18/14 2 Female 27 Temper gamete tantrum 3 Colonial flute 28 School tool 4 Like patio dining 29 Split up 5 Deprived (of) 30 Dissuade 6 Gusto 33 Supermarket 7 Galvanizing section 34 Soon, to a poet agent 8 Trendsetting 35 Keg stopper 9 "Clockers" 37 One-horse director carriage

38 Middle-of-theroader 40 Marine flier 41 Like a bug in a rug 42 Coyote, at times 43 School supply 44 Makeshift money 45 Popped up 46 Behold! 49 Cocoon occupant 50 Encircled by 51 Mystical mark 52 Desertlike 53 Engine sound 54 Loathe 56 By what means Funded by counties through the voter-approved Mental Health Services Act (Prop 63).

Edited by Margie E. Burke 15818-01 CalMHSA14 Mobilization Print 5x8 BW.indd 1

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Copyright 2014 by The Puzzle Syndicate

Piled Higher  and  Deeper  by  Jorge  Cham Solution to Sudoku

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Difficulty : Medium

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by Margie E. Burke

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5/8/14 12:36 PM

Write for Synapse HUMOR/FAKE NEWS

Undead Uprising Thwarted By Nicole Croom Staff Writer


CSF almost became Ground Zero for the zombie apocalypse last night when a patient who had supposedly died from systemic necrotizing fasciitis rose from the autopsy table in the Moffitt Hospi-

tal morgue. Luckily, intrepid third-year pathology resident Sherrie Winchester was able to stop the reanimated corpse—for good this time—using the electric bone saw to cut it’s face in two. “I’ve been preparing for the zombie apocalypse practically my whole life,” said Winchester, who is a self-proclaimed Romero groupie and a prominent member of the Zombie Research Society. Winchester said it was fortunate that she traded shifts with fellow resident Dezi Nile as he “wouldn’t know a zombie if it bit him in the face, which it would have, thereby setting off a world-ending pandemic.” Winchester is looking forward to conducting the first ever zombie autopsy under her chief resident’s watchful gaze, as the Center for Disease Control eagerly awaits the pathology department’s findings in the hope of preventing any future reanimations.

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

title: "Not  Pretty"  -­  originally  published  3/26/2014

12 | May 15, 2014 |


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Solution to Sudoku

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Synapse (05.15.14)  

Volume 58, Number 31

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