December 31, 1999
Volume XXXII No. 50


Y2K weekend information provided

Soon the clock will strike midnight and the long-awaited Y2K Day will be here. As Y2K nears, employees should keep several things in mind.

Before leaving work on New Year's Eve or earlier, employees should turn off and unplug any computer that does not need to run continuously. This is a precaution against power spikes, although none are expected on Y2K Day.

Monday, Jan. 3, is designated the Y2K Holiday and is a skeleton crew workday at the Health Science Center.

Paychecks for salaried employees will be distributed Friday, Dec. 31, instead of Jan. 3. The checks will be dated Jan. 3 and reported as 2000 income. Employees paid by direct deposit will not be affected.

Hourly employees will receive their paychecks as usual on Dec. 31 and these checks can be deposited the same day.

Y2K updates from the Health Science Center will be provided only if significant developments occur. Any updates will be found on the Web or on a recorded message at 567-7000. The Web page includes a Y2K Update hyperlink on the bottom right portion of the screen.

Because of possible circuit overloads, telephone users nationwide are urged not to tie up the system on Y2K Day. Health Science Center leaders will be on campus to monitor events and are prepared to handle contingencies.

From 5 p.m. Dec. 31 until 6 a.m. Jan. 3, employees will be required to show and wear their identification badges to enter and remain in any Health Science Center building.

Common steps for emergency preparedness apply to the Y2K weekend. The American Red Cross offers excellent tips at a Web site.

The Briscoe Library will be open 8 a.m. to 6 p.m. Dec. 31, closed Jan. 1 and 2, and open 8 a.m. to 6 p.m. Jan. 3. The library resumes regular hours of 7 a.m. to midnight on Tuesday, Jan. 4.




Esthetic dentistry becomes treatment of choice

Dr. Barghi

The field of esthetic dentistry has exploded in the last few years. Fifteen years ago, esthetic dentistry accounted for less than 20 percent of the money spent on dental care; now it exceeds 60 percent. "There has been a major shift from pain-driven dentistry to elective dentistry. It is a quality-of-life issue--people are happy and willing to pay to look good," said Dr. Nasser Barghi, head of the Division of Esthetic Dentistry, Department of Restorative Dentistry.

The technique of bonding, for example, has made huge advances since the '80s. New adhesives that bond to the dentin of the tooth, the living material underlying the enamel, have largely been responsible for the revolution. Dentists once bonded teeth by attaching porcelain to enamel; if a patient's enamel was damaged, there was little a dentist could do, short of filing down the tooth and capping it.

With old bonding methods, the surface of the tooth could look unnatural or uneven, and the color seldom matched the rest of the teeth. Now, Dr. Barghi said, dentists can accomplish more "dynamic" restorations, called veneers.

With veneers, tooth color and appearance is much more even, because the color is determined by the color of the tooth itself. The tooth surfaces are lightly prepared, then porcelain is applied directly to the dentin. The tooth structure is reduced minimally, and the color comes from the inside, so color matching is less of a problem.

In as few as three visits, a patient can have a more attractive smile,Ó Dr. Barghi said.

If a patient's teeth are discolored or yellowed, then they should be bleached first, Dr. Barghi said. "If the color is not ideal, then it will be more difficult to change it with veneers," he added.

Bleaching has been another major development in esthetic dentistry and has created the most public awareness of the field. In fact, bleaching is the treatment of choice for patients who visit their dentists for cosmetic reasons.

The safest bleaching method, Dr. Barghi said, is the at-home treatment prescribed by a dentist and approved by the American Dental Association (ADA). Contrary to popular opinion, bleaching won't soften or weaken teeth. Some people can notice a difference within one week, others within three or four, depending on age or discoloration. After the initial treatment, dentists recommend a maintenance program, in which teeth are re-treated in one or two sessions at home every six months.

Patients may sometimes need a combination of treatments to improve the smile line. These may include measures to correct malocclusion (bad bite), orthodontics, jaw surgery and gum surgery to lengthen the teeth. People with a "gummy" smile can have their gums cut back and the bone moved up to improve their appearance.

The Dental School has been a front-runner in the field of esthetic dentistry. It was one of the first schools to offer a complete curriculum in this area. Dr. Barghi founded the division in the early '90s, and now speaks nationally and internationally on the subject.




Emergency closing policy

When severe weather hits, turn on TV, radio

We've had a mild November and December, but Old Man Winter isn't likely to stay asleep much longer.

For employees, that means paying attention to newscasts when the roads are icy. News notification is part of the Health Science Center's emergency closing policy found in the Handbook of Operating Procedures.

The policy states that the Health Science Center will remain open in severe weather unless conditions are such that the majority of faculty, staff and students are unable to travel safely to the campus.

If the president or his designee determines that the Health Science Center should be closed, the executive director of public affairs and development will be informed and will notify university police, other designated personnel and the news media, including major radio and television stations.

In general, this notification will take place no earlier than 9 p.m. the previous evening and no later than 6 a.m. of the day in question. If the media does not make an announcement, it may be assumed that the Health Science Center is open.

Faculty, staff and students are expected to make every reasonable effort to meet their assigned responsibilities. If the Health Science Center is not closed but an employee believes he cannot make it in safely, he should inform his supervisor by telephone as soon as possible and his absence will be charged to his leave balance or result in reduction of pay.

If an employee has essential responsibilities as defined by his department and carries them out during a time of official closing, that person may earn compensatory time equal to the time worked.

The Health Science Center also may close if a severe power outage or other emergency situation develops. The emergency closing policy includes a section on closures during the workday.




Calendar for Jan. 3 - 9

Monday, January 3
8:00 a.m.
Rehab Medicine Lecture Series "Nerve & Motor Point Blocks," & "Botulinum Injection: Patient Presentation," Drs. Robert Jensen & Mark Fredrickson (UH: Reeves Rehab Center 3rd-floor classroom)
8:00 a.m.
Medical Housestaff Specialty Conf. "Residents & Interns: M&M" (MED: 409L)

Tuesday, January 4
8:00 a.m.
Medical Housestaff Specialty Conf. (MED: 409L)

Wednesday, January 5
6:30 a.m.
Podiatry Grand Rounds (MED: 309L)
7:00 a.m.
Vascular Surgery Grand Rounds, Dr. Mellick Sykes (MED: 209L)
9:00 a.m.
Surgery Trauma M&M Conf., Dr. Ronald Stewart (MED: 309L)
Noon
Cellular & Structural Biology Seminar Series "Immunosenescence Beyond T Cells: Molecular Mechanisms, Therapeutic Interventions and Primary Cellular Targets," Dr. Raymond Daynes, University of Utah Health Science Center (MED: 209L)

Thursday, January 6
7:30 a.m.
Thoracic Surgery Resident Teaching Conf. (VA: 4th-floor CT Library A404)
Noon
Pulmonary, Thoracic & Oncology Conf. (MED: 309L)
Noon
Microbiology Seminar "Studies on the Replication & Natural History of Human Papillomavirus," Dr. Craig Meyers, Pennsylvania State University (MED: 444B)
4:00 p.m.
Surgery Tumor Conf., Dr. Anatolio Cruz (MED: 209L)
4:30 p.m.
Citywide Thoracic Grand Rounds "Case Presentation," Dr. Claudio Guareschi (MED: 309L)

Friday, January 7
7:30 a.m.
Pediatric Grand Rounds "The San Antonio Children's Blood Pressure Study," Dr. Myung Park (MED: 409L)
8:00 a.m.
Rehab Medicine Lecture Series "Management of the Immobilized Patient: A Review of the Literature," Drs. Anna-Louise Molette & Mark Fredrickson (UH: Reeves Rehab Center 3rd-floor classroom)

Saturday, January 8
No events reported.


Index of issues

THE NEWS is published Fridays by the Office of Public Affairs for faculty and staff of The University of Texas Health Science Center at San Antonio.
Vice President for University Relations.....Judy Petty Wolf
Executive Director of Development & Public Affairs.....Dr. Charles Rodriguez
News & Information Services Manager ..... Will Sansom
Editor.....Heather Feldman
Writers.....Myong Covert, Catherine Duncan, Jennifer Lorenzo
Photographers.....Jeff Anderson, Lee Bennack, Lester Rosebrock
Designer.....Kris Doyle
Web Editor.....Joanne Shaw
Production.....Printing Services


Office of Public Affairs, 7703 Floyd Curl Drive, San Antonio, Texas 78284-7768
(210) 567-2570