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Research Focus:
Basic Biomedical:
Emphasis on molecular mechanisms involved in age-related loss of muscle mass and atrophy, gene therapy approaches to hereditary diseases of muscle, molecular aspects of the decline in steroid hormone production during aging, intracellular lipid metabolism, cell processing of lipoprotein-derived cholesterol and cholesteryl esters, and molecular pharmacology of adrenergic receptors.
Applied Clinical:
Emphasis on endocrinological and metabolic diseases of the elderly. Effect of chronic disease on cognitive function, pharmacologic interventions to modify body composition, biomechanics of mobility patterns, exercise effects in the elderly, regulation of bone mass, acquisition of bone osteoporosis, IGF-I and II (Insulin Like Growth Factor I and II), and ethnic contributions to skeletal health.
Health Services:
Advanced care directives; the relationship between preference-weighted (utility) measures and health status measures, with focus on functional status and implementation of clinical practice guidelines using computer-generated patient-specific recommendations, with focus on hypertension.
Education Focus:
Education programs are targeted for students, medical residents, fellows, clinical faculty, VA staff, VA patients, and members of the surrounding community. Seminars offered through didactic classroom settings and via electronic means. Conferences sponsored which feature nationally recognized scholars. Communication of information among researchers and geriatric clinicians promoted through lectures and written materials. Joint programs developed in collaboration with Stanford Geriatric Education Center (SGEC). Physician geriatric fellowship program and residency training rotation in geriatrics provided. Geriatric traineeships in social work, psychology, physical therapy and other affiliated health professions sponsored by VA headquarters.
Clinical Focus:
Outpatient Geriatric Clinic for primary care and consultation, Hypertension Clinic, and affiliations with Home Based Primary Care, Palliative Care, Andrology Clinic, and Geriatric Veterans Itinerant Comprehensive Team Ocular Rehabilitation Services (G/Victor).
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