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IUSM Scope

September 24, 2010
Volume 14 Number 38 • Indianapolis, Indiana

Topics this issue:

Above the Fold

Arrow State of the University address announced

IU President President McRobbie will deliver his annual "State of the University address at 1:30 p.m. Tuesday, Sept. 28, in the IUPUI Campus Center, room 450.

All faculty, staff, and students are invited to view the president's address in person at the Campus Center or in the following ways:

  • Via live-stream broadcasting at;
  • on IU Bloomington Campus Cable (Channel 32);
  • on tape delay at 6 p.m. Tuesday, Sept. 28, on off-air on Digital Multicast Broadcast Channel WTIU-World 30.2 or on Comcast Cable Analog Channel 17 in Bloomington and repeated later that evening at midnight Wednesday, Sept. 29, on off-air on Digital Multicast Channel WTIU-HD 30.1 or on WTIU Comcast Cable Analog Channel 5 in Bloomington; or
  • via archived broadcast, available soon after the address at

This event is hosted by University Faculty Council. A reception with light refreshments will follow the address in the IUPUI Campus Center on the fourth floor terrace.


Arrow Bonanno named optometry dean

Joseph A. Bonanno, PhD, OD, associate dean and professor in the IU School of Optometry, has been selected as the new dean of that school, pending approval by the IU trustees.

Dr. Bonanno will succeed P. Sarita Soni, OD, vice provost for research at Indiana University, who has been serving as interim dean of the optometry school. His research interests include corneal physiology.

For more information, visit


Clarian News

Arrow Riley receives Hope on Wheels grant

Riley Hospital for Children has received a $30,000 grant from Hyundai as part of the 2010 Hope on Wheels Tour, the company's nationwide effort to donate more than $2.1 million to childhood cancer research institutions.

The funds will be used to support research to prevent nerve damage related to certain forms of chemotherapy. After the check presentation, Riley cancer patients participated in the Hope on Wheels Handprint Ceremony, in which they dipped their hands in finger paint and applied colorful handprints to a white Hyundai Santa Fe.

For more information, visit the Clarian Newsroom.


Events & Lectures

Arrow Practical Pearls 2010 — Sept. 25

General and Community Pediatrics, a section of the Department of Pediatrics, will present "Practical Pearls 2010," from 7:30 a.m. to noon Saturday, Sept. 25, in the Riley Outpatient Center, Ruth Lilly Learning Center, conference rooms A and B.

This event will advance participants' diagnostic and therapeutic skills by reviewing current scientific advances as they apply to daily practice. Topics will include "A Pediatric Infectious Disease Update" by John Christenson, MD, professor of clinical pediatrics; "Dermatoses in Children of Color" by Patricia Treadwell, MD, professor of pediatrics; "Medical Efforts After Natural Disaster: The Children of Haiti" by Deanna Reinoso, MD, assistant professor of clinical pediatrics; and "Evaluation and Management of Thyroid Disease in Children" by Emily Walvoord, MD, associate professor of clinical pediatrics.

This is aCME eligiable event. To register, visit

More information at the Riley Hospital web page.


Arrow Riley to host Autism Summit

The Association of University Centers on Disabilities will offer a regional summit on autism and developmental disabilities from 7:30 a.m. to 7 p.m. Monday, Sept. 27, and 7:30 a.m. to 2:15 p.m. Tuesday, Sept. 28, in the University Place Conference Center and Hotel, 850 W. Michigan St.

The AUCD is a non-profit network of university-based disciplinary centers and programs working to advance policy and practices for people living with disabilities and their families. The summit will examine state systems and initiatives, as well as provide dedicated time for state teams of experts to develop action plans.

This event is co-hosted by the Riley Child Development Center and Indiana Institute on Disability and Community. For more information, visit


Arrow Lecture to focus on childhood obesity

Indiana Children's Health Services Research will present "Good Health is a Top Priority but Healthy Behaviors May  Not Be: Exploring Prioritization of Healthy Behaviors Among Parents of Overweight Children," at 11:30 a.m. Monday, Sept. 27, in the Health Information and Translational Sciences (HITS) Building, Legacy Boardroom, second floor.

The presenter will be Kristin Hendrix, PhD, a research project coordinator with the Medicaid Health Advisory Committee.

To RSVP, contact Loyce Stultz at 278-0552 or


Arrow Exploring the ethics of dead bodies

The Indianapolis Peirce Seminar series will present, "Interpreting Dead Bodies: A Peircean Approach" from 4 to 6 p.m. Monday, Sept. 27, at the Institute of American Thought, located in the basement of the Education and Social Work building, room 0016.

Presenter Daniel Kersting, research assistant and lecturer in the Department of Philosophy, Philipps University, Marburg, Germany, will explore the ethical and legal debate surrounding the uses of dead bodies, including not only transplant medicine but also in situations such as crash test dummies by the car industry and as works of art in Gunthen von Hagen's Body World.

For more information, visit Questions to Cornelis de Waal at


Arrow Family Medicine information session

The Family Medicine Student Interest Group will present, "What is Family Medicine?" from noon to 1 p.m., Tuesday, Sept. 28, in Emerson auditorium, room 304.

This informational session is for all medical students with an interest in family medicine. A free lunch will be provided; participants are asked to bring their own drink.

RSVP to Kimbre Vogel at


Arrow Mini Medical School to focus on acupuncture

The second session of the fall 2010 Mini Medical School series will take place from 7 to 9 p.m. Tuesday, Sept. 28, in the IUPUI Campus Center, room 409.

Presenters Peter Johnstone, MD, William A. Mitchell Professor and chair of radiation oncology, and Jennifer Meador-Stone, MD, volunteer clinical lecturer in medicine, will talk about how they integrate acupuncture with the practice of medicine in treating cancer patients.

This event is free and open to everyone. To register, visit


Arrow Speaker to discuss medical education in Indiana

Richard Gunderman, MD, PhD, professor of radiology, pediatrics, medical education, philosophy, liberal arts, and philanthropy, will present a talk entitled, "Flexner's Legacy and Flexner's Vision: Implications for Medical Education in Indiana," from noon to 1 p.m. Wednesday, Sept. 29, in the VanNuys Medical Science Building, room B26.

The talk will focus on Abraham Flexner, author of The Flexner Report, issued in 1910, the most influential document in the history of American medical education.

This event is sponsored by the John Shaw Billings History of Medicine Society, IUSM and the Medical Humanities & Health Studies Program. It is free and open to everyone. Reservations are requested for a seat and lunch. To RSVP, contact Rebecca Cervenka at 278-1669 or

To watch a recorded and archived version of this presentation, visit the IUSM Media Access Site and click on "IUSM Events," located on the left-hand side of the screen, and select the "History of Medicine Society" folder.


Arrow Health and healing in different religions

The Religious Studies Student Association will present "Health and Healing in Different Religions" from 6 to 8 p.m. Wednesday, Sept. 29, in the University Library, Lilly Auditorium.

Panelists include a Christian Scientist, an acupuncturist and Johnny Flynn, assistant professor of religious studies, School of Liberal Arts and Sciences, representing Native American religions. Panelists will answer questions about health, healing and treatment in their respective traditions.

For more information, visit Questions to


Arrow Weight management in older adults

Sara Blackburn, DSc, associate professor of clinical nutrition, will present "Weight Management and Diet in Older Adults" from 7:30 to 8:30 p.m. Wednesday, Sept. 29, in Wishard Hospital, room T2008 A & B.

This event is a part of the IU Geriatrics Conference. It is a CME eligible event. For more information, contact


Arrow Fall faculty workshops

Tara Gray, PhD, an associate professor of criminal justice and director of the Teaching Academy at New Mexico State University, will present two workshops for IUSM faculty this fall. They are:

  • "Creating and Cultivating Mentors" from 11:45 a.m. to 1:15 p.m., Thursday, Sept. 30, in Fairbanks Hall, room 5005. Choosing and cultivating successful mentoring relationships can be key to a faculty member's success. Participants will define and identify the kind of mentors that will work best. Individual 35-minute mentoring sessions will also be available with Dr. Gray throughout the day.
  • "Publish and Flourish" from 2 to 5 p.m. Friday, Oct. 1, in the Riley Outpatient Conference Room A & B. The myth persists that prolific scholars are born not made, but research suggests otherwise. Participants will learn practical steps they can take to become more prolific. This session also will be offered by the IUPUI Center for Teaching and Learning at 8:30 a.m. Oct. 1.

Dr. Gray is the author of three books, including Publish and Flourish: Become a Prolific Scholar. She has presented workshops to more than 5,000 scholars in 20 states, and in Guatemala, Mexico, Thailand and Saudi Arabia. To register, visit


Arrow NASA astronaut to deliver keynote

NASA astronaut David Wolf, MD, will be the keynote speaker for the IU Simon Cancer Center's Combined Seminar Series from 3:30 to 4:30 p.m. Thursday, Sept. 30, and for Grand Rounds from 7:30 to 8:30 a.m. Friday, Oct. 1. Both events will take place in Walther Hall, room 203.

Dr. Wolf's Sept. 30 keynote is entitled, "Tissue Engineering Utilizing Controlled Gravity." His Oct. 1 keynote is "Building and Utilizing Laboratories in Space."

An Indianapolis native, Dr. Wolf was selected as a NASA astronaut in January 1990 and became qualified for space flight in July 1991. He has logged 168 days, 12 hours, 56 minutes, four seconds in space over four separate missions, including 128 days on the Russian MIR space station. He has conducted a total of seven spacewalks, utilizing both the American and Russian spacesuits, and has logged 47 hours and five minutes of extravehicular activity.


Arrow Writing workshop for life science researchers

The Indiana Center for Intercultural Communication will host a scientific writing workshop for life sciences researchers from 9 a.m. to 4 p.m. Friday, Oct. 8, in the Riley Outpatient Center Conference Room.

This workshop is aimed at international researchers seeking to improve their writing for publication. Christine Feak of the English Language Institute at the University of Michigan in Ann Arbor, Michigan, will lead the program. The fee for the workshop is $75 for IU/IUPUI affiliates, and $100 for others. To register, visit For more information, visit

Questions to 274-2555 or


Arrow Join the Walk to Cure Diabetes

Riley Hospital and the Wells Center for Pediatric Research will participate in the 14th annual Juvenile Diabetes Research Foundation Walk to Cure Diabetes starting at 10:30 a.m. Saturday, Oct. 9, at Military Park in downtown Indianapolis. Registration will begin at 9 a.m.

This two-mile fun walk and 5K walk/run will take participants through scenic downtown Indianapolis. There is no registration fee, but participants are encouraged to raise or donate money. All participants that register prior to the walk will receive a free team T-shirt. Any participant that raises $25 or more in pledges will be eligible to receive one of many door prizes the day of the event. The top fundraiser will receive two Colts tickets. This is a free, family-oriented event, including games and activities for everyone involved.

To join the Riley Hospital/Wells Center team, register at and select "Team Riley/Wells Center" as your team. Individuals unable to join a team may wish sponsor someone who is walking.

Questions to Shari Upchurch at or Jim Wallace at


Arrow Advanced life support course

The IU School of Dentistry's Advanced Cardiac Life Support Lab will offer a two-day "Advanced Life Support Course" from 8:30 a.m. to 4 p.m. Tuesday, Oct. 26, and 8:30 a.m. to 1:30 p.m. Wednesday, Oct. 27, in the Walker Plaza building, room 201A.

For more details, contact 274-8731.


Arrow Register for the Indiana Health Care Summit

BioCrossroads and Credit Suisse will present speakers from the local health care and business communities for the Indiana Life Sciences Summit Tuesday, Oct. 26, to Wednesday, Oct. 27, at the Westin Hotel, 50 South Capitol Ave.

Presenters include Sam Nussbaum, chief medical officer at WellPoint, and David Johnson, president and CEO of Biocrossroads, who will present Indiana's life sciences state of the state address. Other speakers and panelists will address topics such as the effect of healthcare reform on innovation, ways to acquire and retain capital in a constrained economy, and strategies for success from regional life sciences initiative leaders.

The event kicks off Tuesday evening with a networking reception hosted by Eli Lilly and Company and Cook Medical.  To register, see the online registration form. Cost is $179. Questions to Lori LeRoy at 238-2456 or


Arrow Midwestern Conference on Health Games

Meredith Golomb, MD, associate professor of neurology, will deliver the keynote address at the inaugural Midwestern Conference on Health Games from 8 a.m. to 5 p.m. Friday, Oct. 29, at the IUPUI Campus Center.

Interactive health games are emerging as effective tools in the future of health care and education and have been applied to medical objectives, including educating diabetics on how to manage their condition, helping smokers kick the habit, fighting childhood obesity and maintaining cognitive ability in Alzheimer's patients and senior citizens. This conference will gather medical researchers, academics, IT professionals, multimedia experts and other leaders from across the region to explore how health care is using games to encourage healthy behaviors, prevent disease, improve overall care and drive down medical costs.

Registration is now open. Early bird registration is $25 through Friday, Oct. 1. Registration after Oct. 1 and onsite is $50. Students may register at the special rate of $10.

The conference is sponsored by the IU School of Informatics at IUPUI with support from the Games for Health Project. For more information, visit Questions to Vicki Daugherty at 278-4123 or


News to Use

Arrow Submissions requested for Scientific Inquiry, Artistic Expression

Faculty, staff and students are invited to submit entries for the third annual IUSM Art Exhibition "Scientific Inquiry, Artistic Expression." The deadline for submissions will be 5 p.m. Friday, Oct. 1. For additional information, including details of how to submit entries, visit

The date of the exhibit, Scientific Inquiry, Artistic Expression has been changed to 10 a.m. to 6 p.m. Friday, Oct. 29, in the VanNuys Medical Science Building atrium. Voting for a People's Choice Award will take place during the exhibit. A Meet the Artists Reception will be from 4 to 6 p.m. with music provided by the IUSM students.

This year all the health related schools at IU have been invited to participate. Faculty, staff and students from all campuses of the IU schools of medicine, nursing, health and rehabilitation sciences and dentistry are invited to participate in "Scientific Inquiry, Artistic Expression."

Also, artists will have the option of submitting their works exhibited at the Oct. 29 show in a month-long exhibit at the IUPUI Campus Center Cultural Arts Gallery. That exhibit will be Nov. 1-26.  The Meet the Artist Reception for that show will be at the gallery from 3 to 6 p.m. Thursday, Nov. 18.

Questions to Kim Harper at 317-507-2258 or


Arrow Mock interview volunteers needed

The Medical Student Affairs Office is seeking faculty and house staff volunteers who are familiar with the residency interviewing process to provide mock interviews for fourth-year medical students to help them prepare for residency interviews. This will take place from 9 a.m. to 4 p.m. Tuesday, Oct. 19.

About 10 faculty or residents are needed for each date; volunteers must commit at least two hours during which they will conduct 20-minute interviews, each followed by an individual critique of the student's performance. The interviews will be held at the Simulation Center in Fairbanks Hall. Participating students' residency application materials, along with transcripts, will be forwarded to faculty interviewers for review prior to the interviews.

Faculty members from all disciplines are needed, but no guarantees can be made that volunteers will be matched to students interested in their specialty. To volunteer, contact Carlene Webb-Burton at 274-7173 or


Arrow Volunteer for CloudCom 2010

The Pervasive Technology Institute at Indiana University is recruiting student volunteers for CloudCom 2010, the second IEEE Cloud Computing Technology and Science conference from Tuesday, Nov. 30, to Friday, Dec 3 at the University Conference Center and Hotel.

Student volunteers will have the opportunity to learn about the latest developments in cloud computing and meet leading researchers from around the world while volunteering for the conference. Volunteers will receive complimentary conference registration for the days they work, as well as a free t-shirt, and must be available for two shifts (5-8 total hours each). They will guide conference participants to events, monitor meeting rooms, blog about the break-out sessions, set up posters and host a special event in the evening.

Applications are due Friday, Oct. 22. Successful applications will be notified by Wednesday, Nov.3. To apply, visit or email More information at


Arrow Employee Commitment Survey

Clarian Health is preparing to release the 2010 Employee Commitment Survey. This year's online survey will be a system-wide effort, including not only Clarian hospitals but also Methodist, IU and Riley Hospitals, as well as most other statewide partners. The dates for survey participation are: 

  • Clarian West: Monday, Sept. 27 to Sunday, Oct. 31 
  • Indiana Clinic: Sunday, Oct. 3 to Sunday, Oct. 17 
  • Clarian North: Monday, Oct. 4 to Sunday, Oct. 24 
  • Methodist, IU and Riley: Sunday, Oct. 10 to Sunday, Oct. 24


Arrow New mission statement from the Division of Diversity Affairs

The Division of Diversity Affairs is a newly created division within the Dean's Office of Faculty Affairs and Professional Development that replaces the Office of Multicultural Affairs. Its mission statement is:

Through an emphasis on inclusion, diversity and respect, the Division of Diversity Affairs seeks to enhance the cultural competence of the medical school community and foster the accomplishment of its tripartite mission through programming in the areas of recruitment, retention and community service.

For more information, visit


Arrow Get postal stamps on campus

Books of postal stamps are now available for purchase in the Jagtag Office, located on the second floor of the IUPUI Campus Center. The new service is possible due to a partnership between the IUPUI Jagtag Office and Mail Services. This service is available immediately and all forms of payment are accepted, including, MasterCard, Visa, American Express, Discover Card and Jagtag.

For more information, visit


Arrow Wireless email tutorial available

University Information Technology Services has released a video podcast for individuals interested in a tutorial on setting up Imail or Umail on their Blackberry, iPhone or other wireless device. This episode of the IT Help Podcast is available online at Quicktime video player is required.

Other IT Help topics include tips for common computing difficulties, information about software and hardware, and updates on keeping your computer secure. Subscribe to the IT Help podcast at


Arrow Weight management program

The National Institute for Fitness and Sport is inviting individuals to sign up for "Lite'n Up at NIFS," an eight-week weight management program held from 6 to 7:30 p.m. Tuesdays, Sept. 28 to Nov. 16.

This program focuses on a healthy attitude toward food and fitness. Participants will be provided with the tools to select healthy foods and to incorporate exercise into their daily life. Unlike many programs that promote a "quick fix" for weight loss, Lite'n Up encourages gradual changes in attitudes and behaviors related to nutrition, exercise and wellness.

For more information, visit


Arrow This week on Sound Medicine

This weekend, Saturday, Sept. 25, and Sunday, Sept. 26, Sound Medicine topics include multiple organ transplants; an effective test for diagnosing Alzheimer's disease; and acupuncture for cancer patients.

Dr. Rodrigo Vianna, director of intestinal and multivisceral transplantation at Clarian Hospital, is one of the few surgeons in the world who can perform multiple-organ transplant surgery, a procedure to replace just about everything in the patient's abdominal cavity. Dr. Vianna will discuss the medical conditions that benefit from such a procedure with Sound Medicine co-host Dr. David Crabb.

University of Pennsylvania researchers have developed a spinal fluid test for Alzheimer's disease. Ruben Vidal, PhD, associate professor of pathology and laboratory medicine at IUSM, will explain how the test works and when it may become available.

Jennifer Meador-Stone, MD, volunteer clinical lecturer in medicine at IUSM, will explain how acupuncture can be used to treat cancer patients  to alleviate pain and to lessen side effects from other treatments. Dr. Meador-Stone, also an acupuncturist, will give a talk on acupuncture as a cancer treatment at the IUSM Mini Medical School Tuesday, Sept. 28.

In part two of an interview with David Stipp, author of The Youth Pill, Stipp will discuss the ethics of longevity research with Sound Medicine host Barbara Lewis and IU bioethicist Eric Meslin, PhD.

In addition, Larry Cripe, MD, cancer specialist at the IU Simon Cancer Center, will read another essay in his Grace Notes series.

In this week's Checkup feature, Eric Metcalf will ask Tufts University researcher Michael Levin, PhD, how our internal organs "know" how to grow on the correct side of the body.

For archived editions of Sound Medicine, as well as other helpful information, visit

Sound Medicine is produced by IUSM in conjunction with WFYI Public Radio. The show is underwritten by Clarian Health, IU Medical Group and IUPUI. Reports on Primary Health Care topics are sponsored by Wishard Health Services.


Grants & Funding

Arrow Research Funding Update

The IU Office of the Vice Provost for Research and the Office of the Vice Chancellor for Research offer a weekly digest containing information about funding opportunities including those that limit the number of allowable pre-proposal or proposal submissions. Digests are published on Wednesdays but may be sent more frequently if deadlines are urgent.

View the current Research Funding Update



Arrow RESEPCT Center offers pilot funding

The Research in Palliative and End-of-Life Communication and Training (RESPECT) Center has announced a call for pilot proposals intended to facilitate the development of research focused on improved communication and decision-making for patients facing serious or advanced illness.

Funding will be award for two pilot projects, each worth up to $15,000, with a starting date of Jan. 1.  Recipients will present their work at a statewide conference to be held in spring 2013. All teaching and research faculty at IUPUI who are qualified to apply for NIH funding are eligible. Preference will be given to new investigators and to research that fosters transdisciplinary collaboration.

Pilot grant proposals are due 5 p.m. Monday, Nov. 15. To apply, go to Questions to Molly Donovan at 278-7749 or


Arrow LGBT awareness mini-grants available

The IUPUI Lesbian, Gay, Bisexual, and Transgender Faculty/Staff Council is awarding multiple mini grants up to $500 for faculty, staff and students who wish to promote or enhance  knowledge, tolerance, sensitivity or develop understanding of LGBT issues or the LGBT community through the development of co-curricular academic programming.

Examples are, but not limited to, attending or hosting LGBT-focused event(s), purchasing LGBT-related film/media or books, paying LGBT-focused speaker honorariums/fees and supporting LGBT-focused research.

Applications for Spring/Summer 2011 programs must be received by 11:59 p.m. Sunday, Oct. 30. Award notifications will be sent by Tuesday, Nov. 30. Applications are available at


Around Town

Arrow IUPUI Regatta community carnival

The Student Organization for Alumni Relations, the IUPUI Alumni Council, and the Central Indiana Chapter of the IUAA will host the IUPUI Regatta, a canoe relay race on the Downtown Canal, Saturday, Sept. 25, at Buggs Temple, 337 W. 11st St.

Students, alumni, and faculty/staff are invited and encouraged to participate in this new campus event, including a community carnival with fun, food and music. Teams will race against others in their respective categories, culminating in a final race between students, alumni, faculty and staff, with winners receiving bragging rights and a spot on the IUPUI Regatta Cup trophy.

For more information, visit Questions to Christina Bleeke at or Pete Hunter at


 At Your Fingertips 

Arrow Continuing Medical Education

The Continuing Medical Education office launched a new and improved website at In addition to online registration and listings of grand rounds, conferences and courses, the site provides in-depth tools and information for presenters and program developers. Included are forms, tips, links, contacts, maps, and a host of other handy resources to make it easier to participate in CME events, prepare a presentation or plan an event.


Arrow Resources

Want to find a room that has a Polycom hook-up? Need official IUSM templates for your PowerPoint presentation or poster about a guest lecturer? Check out the new “Resources For” page on the IUSM web site. Resources For is accessible from the school’s home page ( – look on the right-hand side of the page.

If you have suggestions of other resources that would be beneficial and could be added to this list, contact the Office of Public and Media Relations at


Arrow MedTV

The Office of Public and Media Relations now manages the MedTV screens on the medical school campus. This closed-circuit TV system, part of the IUPUI network, presents a wonderful opportunity for faculty, staff and students to communicate events and information of interest to others. It also serves as a source for broadcasting emergency information on campus.

The MedTVs are located in public areas of the HITS building, the VanNuys Medical Science Building atrium, the Daly Center, Research II, Walther Hall (R3) and the Cancer Research Institute (R4).

Announcements from departments and offices are welcome. To have your department or office announcements posted on MedTV, please read the MedTV guidelines: Questions? Phone 274-7722.


Arrow Scientific Calendar online

A comprehensive listing on IUSM seminars, lectures and Grand Rounds can be accessed at the new Scientific Calendar website. To place items on the Scientific Calendar, please forward them to Kelli Diener at


Arrow Scope submission guidelines

Scope wants your news items.

The deadline for submission is 8:30 a.m. on Thursdays. Scope is published electronically and sent to faculty, staff, students, and residents on Fridays (except on holiday weekends when it is published on the following Monday).

There are three easy ways to submit story ideas or information to Scope:

  • e-mail the information to
  • mail the information to Kevin Fryling, 1110 W. Michigan, LO 401, IUPUI
  • fax your information to (317) 278-8722

Contributions submitted by e-mail should be forwarded in 12 point, plain text format. Word document attachments in lieu of fliers are encouraged.

In the interest of accuracy, please do NOT use:

  • acronyms
  • abbreviations
  • campus building codes (use full, proper name of building and include the room number)
  • Dr. as a preface before names (designate MD or PhD)

To keep the electronic version of Scope as streamlined as possible, only seminars and lectures of general or multidisciplinary interest will be included.