School of Medicine
Showing 701-800 of 811 Results
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Janine Bruce
Sr Research Scholar, Pediatrics - General Pediatrics
Current Role at StanfordAssociate Director, Office of Child Health Equity, Department of Pediatrics
Co-Director for the Scholarly Concentration in Community Engagement and Advocacy, Pediatric Residency Program
Co-director for the Scholarly Concentration in Community Health for Medical Students
Instructor for graduate level qualitative methods, social determinants and community engagement courses -
Anne Brunet
Michele and Timothy Barakett Endowed Professor
Current Research and Scholarly InterestsOur lab studies the molecular basis of longevity. We are interested in the mechanism of action of known longevity genes, including FOXO and SIRT, in the mammalian nervous system. We are particularly interested in the role of these longevity genes in neural stem cells. We are also discovering novel genes and processes involved in aging using two short-lived model systems, the invertebrate C. elegans and an extremely short-lived vertebrate, the African killifish N. furzeri.
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Axel Brunger
Professor of Molecular and Cellular Physiology, of Neurology and Neurological Sciences, of Photon Science and, by courtesy, of Structural Biology
Current Research and Scholarly InterestsOne of Axel Brunger's major goals is to decipher the molecular mechanisms of synaptic neurotransmitter release by conducting imaging and single-molecule/particle reconstitution experiments, combined with near-atomic resolution structural studies of the synaptic vesicle fusion machinery.
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Jennifer L. Bruno
Instructor, Psychiatry and Behavioral Sciences - Interdisciplinary Brain Sciences
Current Research and Scholarly InterestsDr. Bruno is a translational researcher at the interface of developmental cognitive neuropsychology and neurobiology. An overarching goal of her work is to understand developmental windows of vulnerability—periods of risk for falling off the trajectory of typical brain development. Her research utilizes genetics, brain imaging, and deep behavioral phenotyping to bridge computational science with clinical knowledge, translating cutting-edge science to solve problems of great clinical need.
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John B. Brunski
Senior Research Engineer, Surgery - Plastic and Reconstructive Surgery
BioJohn B. Brunski is currently Senior Research Engineer in the Division of Plastic and Reconstructive Surgery, Department of Surgery, School of Medicine, Stanford University, Stanford, CA. From 1977 to December 2009, he was Professor in the Department of Biomedical Engineering at Rensselaer Polytechnic Institute in Troy, NY. He received his B.S. degree at the University of Pennsylvania, his M.S. degree at Stanford University, and his Ph.D. at the University of Pennsylvania, all in Metallurgy and Materials Science. Dr. Brunski’s 1977 Ph.D. thesis identified factors responsible for development of fibrous tissue vs. bone at the oral implant interface, and it was the first doctorate degree to be granted for dental implant research at an engineering school in the US.
Dr. Brunski’s research has largely focused on bioengineering aspects of dental and orthopaedic implant design, bone-implant interactions, and the biomechanics of bone healing. Dr. Brunski is one of the Principal Investigators of an ongoing R01 research grant from NIH to Stanford University and the University of Montreal entitled “Mechanobiology at healing bone-implant interfaces.” Dr. Brunski has authored over 30 textbook chapters on oral implants, bone, and related topics, plus 125 papers and extended abstracts. He has also delivered over 160 public presentations on these and related topics at national and international meetings, including many keynote lectures. Over his career, Dr. Brunski has been the Principal Investigator or co-investigator on over 20 research grants.
For more than 10 years Dr. Brunski was a Consultant to the Dental Devices Panel of the FDA. From 2009-2012 he was a member of the Musculoskeletal Tissue Engineering (MTE) Study Section of the NIH. Dr. Brunski has also professionally consulted for over 20 legal firms and corporations on topics ranging from patent infringement to product design and product liability. Dr. Brunski serves as Section Editor for Biomechanics and Biomaterials for the International Journal of Oral and Maxillofacial Implants. He has also served on the editorial boards of Clinical Oral Implant Research, J Dent Research, J Biomechanics, and other journals, and has served as a reviewer for many other journals including Bone, J Orthopaedic Research, and J Biomechanical Engineering.
Dr. Brunski has received a number of awards for innovation and excellence in teaching and engineering education, including being a member of a 10-person Rensselaer team that won the first Boeing Outstanding Educator Award in 1995. Also, he was part of a Rensselaer faculty team that won the Premier Award for Excellence in Engineering Education Courseware, Dec. 2000, sponsored by NEEDS and John Wiley and Sons, as well as the 2001 American Society of Mechanical Engineers (ASME) Curriculum Innovation Award.
For his research, Dr. Brunski received the Isaiah Lew Memorial Research Award from the American Academy of Implant Dentistry Research Foundation in 2001, being only the third engineer to receive this award. In 2006, Dr. Brunski was appointed as the first William R. Laney Visiting Professor at the Division of Prosthodontics at the Mayo Foundation in Rochester, NY, and also received the Jerome M. and Dorothy Schweitzer Research Award from the Greater New York Academy of Prosthodontics, New York City, NY. In 2007 Dr. Brunski was the recipient of the Anders Tjellström Award from the Craniofacial Osseointegration and Maxillofacial Prosthetics Rehabilitation Unit, Edmonton, Alberta, Canada. In 2008 he received the Astra Tech Scientific Award for Applied Research in Osseointegration. -
Douglas L. Brutlag
Professor of Biochemistry, Emeritus
Current Research and Scholarly InterestsMy primary interest is to understand the flow of information from the genome to the phenotype of an organism. This interest includes predicting the structure and function of genes and proteins from their primary sequence, predicting function from structure simulating protein folding and ligand docking, and predicitng disease from genome variations. These goals are the same as the goals of molecular biology, however, we use primarily computational approaches.
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Madika Bryant
Administrative Director, Practice of Medicine, School of Medicine - Student Affairs
Current Role at StanfordAdministrative Director for the Practice of Medicine (POM) course.
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Zev Bryant
Associate Professor of Bioengineering and, by courtesy, of Structural Biology
Current Research and Scholarly InterestsMolecular motors lie at the heart of biological processes from DNA replication to vesicle transport. My laboratory seeks to understand the physical mechanisms by which these nanoscale machines convert chemical energy into mechanical work.
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Vivek P. Buch, MD
Assistant Professor of Neurosurgery
BioDr. Buch is a neurosurgeon with fellowship training in epilepsy, functional, and minimally invasive neurosurgery. He is an Assistant Professor of Neurosurgery, and Christina and Hamid Moghadam Faculty Scholar at Stanford University.
Dr. Buch focuses his expertise on the open and minimally invasive treatment of epilepsy, low grade brain tumors, movement and neuropsychiatric disorders, facial and body pain syndromes, and other complex neurological conditions. He uses advanced and innovative techniques to treat both adult and pediatric patients. For each patient, he develops a personalized care plan that is designed to be both comprehensive and compassionate.
Dr. Buch has conducted extensive research. His career goal is to develop restorative bioengineering approaches for complex neurocognitive, neurodevelopmental, and neuropsychiatric disorders. He is creating network-neuroprosthetics and focused ultrasound delivery mechanisms for precision cellular, gene, and molecular therapies to restore abnormal brain circuit function in these vulnerable patient populations. He is further pioneering novel intraoperative technologies including personalized network-based targeting, holographic mixed reality, and artificial intelligence platforms for minimally invasive cranial surgery.
He has co-authored articles on his research discoveries in Nature Medicine, Neuron, Brain, Annals of Surgery, Frontiers in Neuroscience, Epilepsia, Brain Stimulation, Stereotactic and Functional Neurosurgery, Surgical Innovation, Frontiers in Surgery, Journal of Neurosurgery, and many other journals. Articles focus on developing novel network control theory applications to human brain functions and new techniques and technologies to enhance neurosurgical effectiveness and patient outcomes.
He is the Section Editor for NEUROSURGERY, and a guest editor for Surgical Innovation and Brain Sciences. He also has co-authored chapters in the books Neurosurgical Atlas, Operative Techniques in Epilepsy Surgery, Deep Brain Stimulation, and The Encyclopedia of Medical Robotics.
Dr. Buch has presented the findings of his research at the national conferences of numerous professional associations. Among them are the American Association of Neurological Surgeons, Society for Neuroscience, Congress of Neurological Surgeons, and Society for Imaging Informatics in Medicine. Topics include understanding network mechanisms of cognitive control and advances in the use of augmented reality technology to enhance neurosurgical approaches.
For his clinical, research, and academic achievements. Dr. Buch has earned many honors. He has won awards from the American Association of Neurological Surgeons, American Roentgen Ray Society, Congress of Neurological Surgeons, and National Institutes of Health.
Dr. Buch is a member of the American Association of Neurological Surgeons, Congress of Neurological Surgeons, World Society for Stereotactic and Functional Neurosurgery, American Association of Stereotactic and Functional Neurosurgery, and Alpha Omega Alpha Medical Honor Society.
He holds patents on such topics as artificial intelligence systems designed to help guide surgery and neural control signals for behavioral modification and closed-loop stimulation therapy.
Essential tremor patient story: https://www.youtube.com/watch?v=fV6BzyU9b3c
Parkinson's disease patient story: https://www.youtube.com/watch?v=vAKP7SRKs08
Epilepsy patient story: https://www.youtube.com/watch?v=HXy-gXg0t94&t=3s
Deep brain stimulation treatment: https://www.youtube.com/watch?v=xLgEcb447gA&t=1s
Laser interstitial thermal therapy treatment: https://www.youtube.com/watch?v=z-nRUMbs2kY&t=2s
MR-guided focused ultrasound treatment: https://www.youtube.com/watch?v=3Bwq2YxD9eU -
Bruce Buckingham
Professor of Pediatrics (Endocrinology) at the Lucile Salter Packard Children's Hospital, Emeritus
Current Research and Scholarly InterestsMy major interest is in type 1 diabetes mellitus, continuous glucose sensor, and the development of an artificial pancreas. Other research interests include using continuous glucose monitoring and algorithms to control blood glucose levels in intensive care units.
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Paul Buckmaster, DVM, PhD
Professor of Comparative Medicine and of Neurology and Neurological Sciences
Current Research and Scholarly InterestsMechanisms of epilepsy, especially temporal lobe epilepsy.
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Marion S. Buckwalter, MD, PhD
Professor of Neurology and Neurological Sciences (Adult Neurology) and of Neurosurgery
On Partial Leave from 11/01/2024 To 10/31/2025Current Research and Scholarly InterestsThe goal of the Buckwalter Lab is to improve how people recover after a stroke. We use basic and clinical research to understand the cells, proteins, and genes that lead to successful recovery of function, and also how complications develop that impact quality of life after stroke. Ongoing projects are focused on understanding how inflammatory responses are regulated after a stroke and how they affect short-term brain injury and long term outcomes like dementia and depression.
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Sujatha Buddhe
Clinical Associate Professor, Pediatrics - Cardiology
Clinical Associate Professor (By courtesy), Radiology - Pediatric RadiologyBioDr. Buddhe earned her medical degree from the Osmania Medical College, Hyderabad, India. She completed her pediatrics residency and chief residency at the Brookdale University Hospital and Medical Center, NY and pediatric cardiology fellowship at the Children's Hospital of Michigan. Her advanced fellowship training in pediatric cardiac non-invasive imaging was completed at the Columbia University College of Physicians and Surgeons, Morgan Stanley Children's Hospital in New York. She earned her Masters degree in Clinical research and statistical analysis at the University of Michigan, Ann Arbor. She worked at Seattle Children's Hospital, University of Washington for almost ten years where she served as the Director of Non-invasive Imaging research and the Co-Director of cardiac MRI program. Her research interests include echocardiography and Cardiac MRI.
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Kelly Bugos MS, ANP-BC, NPD-BC, AOCNP
Affiliate, Central Mgmt-Misc AR
BioKelly Bugos MS, ANP-BC is a Director for the Center for Advanced Practice and a nurse practitioner specializing in cancer survivorship at Stanford Health Care. Ms. Bugos is the Director of Professional Development and the Advanced Practice Provider (APP) Fellowship Program. As director, Ms. Bugos focuses on APP leadership development. Opened in 2016, the APP Fellowship Program educates and trains APPs in transition to professional practice and specialty care, like administration and cancer care. She founded the cancer survivorship clinics at Stanford in 2012 and continues to focus her clinical work on helping people touched by cancer restore their health after treatment. Ms. Bugos has developed other professional roles and programs over her career at Stanford, like the nurse practitioner position in the 1990s. She has expertise in leadership of advanced practice providers, complex patient care in the outpatient setting, long term and late effects of cancer and its treatment, including symptom management. She is a frequent speaker and author on these topics at the regional and national level.
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Nam Quoc Bui
Clinical Associate Professor, Medicine - Oncology
BioDr. Bui is a Clinical Associate Professor of Medicine at the Stanford Cancer Institute and a specialist in Sarcoma. Dr. Bui earned an undergraduate degree in Computer Science at Stanford University and went on to earn his medical degree from the University of Texas Southwestern Medical Center. He completed Internal Medicine residency at Stanford Hospital and Hematology/Oncology fellowship at the University of California San Diego, where he performed extensive research in bioinformatics to analyze tumor sequencing data.
His research background and interests are in the field of bioinformatics as applied to large data sets and the study of novel compounds in rare malignancies. He is involved in numerous sarcoma clinical trials, leading efforts to take new therapeutics from the lab to clinical practice. He also is involved in education at the Stanford University School of Medicine, serving as a lecturer and mentor to students and trainees. Dr. Bui is the founding Editor-in-Chief of the journal “Current Problems in Cancer: Case Reports”, an international, peer-reviewed journal that publishes groundbreaking cases that give insight into redefining concepts in cancer. -
Kim Bullock, MD
Clinical Professor, Psychiatry and Behavioral Sciences
Current Research and Scholarly InterestsDirector of Virtual Reality & Immersive Techology (VR-IT) Clinic and Lab.
Use of technology to understand the interaction of sensation, embodiment, and emotional/ behavioral regulation.
Virtual reality treatments as a sensory modulating device to treat disorders involving body image, sensation, and control. Exploration of the use of mirrored visual feedback while inhabiting a virtual avatar to treat pain and somatic symptom related disorders. -
Philip Bulterys
Affiliate, Department Funds
Fellow in PathologyBioI am a clinical fellow in dermatopathology at Stanford Health Care. I completed my anatomic and clinical pathology residency (2019-2023), chief residency (2022-2023), and hematopathology fellowship (2023-2024) at Stanford Health Care. I received my MD and PhD (molecular biology/microbiology) in the UCLA-Caltech Medical Scientist Training Program, where I developed expertise in bacterial pathogenesis and drug discovery. I was an undergraduate at Stanford, where I studied biology. I am interested in emerging and neglected infections, lymphoma, infectious causes of cancer, global health, and therapeutics and diagnostics development.
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Jeffrey Bunker
Fellow in Medicine - Med/Infectious Diseases
BioJeffrey Bunker is an infectious diseases physician-scientist, immunologist, and microbiologist. He is currently a clinical fellow in infectious diseases at Stanford University; he previously completed residency training in internal medicine at Stanford University and an M.D. and Ph.D. in immunology at the University of Chicago. Bunker’s research investigates interactions between the microbiome and the immune system, including fundamental questions about how and why certain microbes generate immune responses and how this interplay influences both normal homeostasis and infectious or inflammatory diseases. His clinical interests include microbial pathogenesis, antimicrobial resistance, and the diagnosis and treatment of complex infections.
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Mark Burbridge
Clinical Associate Professor, Anesthesiology, Perioperative and Pain Medicine
BioI am an anesthesiologist who subspecializes in the perioperative care of patients undergoing complex neurosurgical procedures. I regularly publish clinical research and have presented this research at national and international meetings. I am also heavily involved in the education of medical students, residents, and fellows at Stanford.
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Thomas Burdon
Professor of Cardiothoracic Surgery (Adult Cardiac Surgery)
Current Research and Scholarly InterestsNew technologies in the area of catheters, clamps, and, visualization devices for aid in cardiac surgery; distribution of, cardioplegia, both anterograde and retrograde as determined by, techniques in technetium pyro-phosphate scans; glucose insulin, potassium as an adjunct in cardiac surgery.
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Alyssa Burgart (she/her)
Clinical Associate Professor, Anesthesiology, Perioperative and Pain Medicine
Clinical Associate Professor (By courtesy), PediatricsBioDr. Alyssa Burgart is a unique figure in the fields of pediatric anesthesiology and bioethics, with double board certification in anesthesiology and pediatric anesthesiology and over 20 years of experience in bioethics. Her role as a clinical associate professor at Stanford University in Anesthesiology, Perioperative, and Pain Medicine, and by courtesy in Pediatrics, underscores her interdisciplinary approach. This is further evidenced by her affiliation with the Stanford Program in Feminist, Gender, and Sexuality Studies in the School of Humanities and Sciences.
Dr. Burgart holds numerous leadership positions, including Associate Director of Pediatric Bioethics at the Stanford Center for Biomedical Ethics, Medical Director of Ethics for the Stanford Medicine Children’s Health, and physician co-chair of the Stanford Children’s Ethics Committee. She actively supports the Program in Medical Humanities and the Arts and is the Associate Director for Symposium. In the undergraduate school, she teaches a course called One in Five: The Law, Politics, and Policy of Campus Sexual Assault.
Dr. Burgart is an expert in difficult conversations and skillfully mediating complex choices with families and healthcare providers. She speaks nationally on bioethics, relationship-centered care, trauma-informed care, disability justice, gender equity, and reproductive justice issues.
Dr. Burgart's dedication to pediatric trauma mitigation is unwavering. She is committed to finding the most successful way for each child to interact with the anesthesia team, ensuring an overall positive experience and reducing the risk of medical trauma. She advocates specifically for children with unique needs, such as those with unique sensory integration needs. Her clinical focus within pediatric anesthesiology is on abdominal transplant anesthesiology, specifically on children weighing less than 10 kilograms (22 lbs).
Her current research projects are grounded in the just delivery of care: pediatric justice (especially pediatric algorithmic bias), mitigating moral distress and moral injury, reproductive care access (including anesthesiologists as barriers to access), and workplace violence prevention.
Dr. Burgart's influence in the field of bioethics extends beyond her clinical and academic roles. As an associate editor and digital media editor at the American Journal of Bioethics, her work is instrumental in shaping the discourse on ethical healthcare practices. Her writing, featured in JAMA, The Washington Post, USA Today, Slate, and Ms. Magazine, and her newsletter, Poppies & Propofol, are all part of her mission to enhance public education on bioethics issues in the news. She frequently engages with journalists to ensure accurate and comprehensive reporting on complex medical ethics issues. -
Jonathan Burgess, MD, MPH
Clinical Assistant Professor, Psychiatry and Behavioral Sciences
BioJonathan Burgess, MD, MPH is Clinical Assistant Professor in the Lifestyle Psychiatry Clinic at Stanford University School of Medicine. He is passionate about evidence-based lifestyle practices for psychiatric disorders. He has published two academic book chapters on diet and lifestyle interventions for psychiatric disorders. With over 30 publications and oral presentations, he is credited with nine Grand Rounds presentations, is a faculty presenter at the American Psychiatric Association Annual Meeting and Harvard School of Public Health’s national conferences, as well as an invited speaker at major academic hospitals. Dr. Burgess is co-author of the Lifestyle Interventions for Depression module of the American College of Lifestyle Medicine certification course. He graduated summa cum laude from the University of Pennsylvania, received a Doctor of Medicine from Geisel School of Medicine at Dartmouth, and a Master of Public Health from Columbia University Mailman School of Public Health.
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Tracy Burk
Sr. Program Manager, Quality and Clinical Initiatives, Rad/Radiology Finance and Administration
Current Role at StanfordSr. Program Manager, Quality and Clinical Initiatives
Department of Radiology, Stanford School of Medicine
Program Manager, Stanford/Intermountain Healthcare Collaboration Grant Program -
Mai Ly Tran Burke
Masters Student in Human Genetics and Genetic Counseling, admitted Autumn 2024
BioI am Mai Ly Burke, a junior at Stanford University majoring in molecular, cellular, and developmental biology. My interests lie in genetics, neurobiology, and cancer biology. I plan to apply my passion for these topics to develop innovative therapies and technologies to better treat diseases like cancer. Having grown up in Vietnam—a country that grapples with many serious diseases—my work is fueled by a genuine passion for improving lives and giving back to my community. Please feel free to reach out with any questions you may have!
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Elan Chanel Burton, MD, MHA
Clinical Associate Professor, Cardiothoracic Surgery
BioDr. Burton is a board-certified cardiothoracic surgeon. She is also a clinical associate professor in the Stanford University School of Medicine Department of Cardiothoracic Surgery and Section Chief for Stanford Medicine Affiliates.
She offers her patients exceptional expertise in advanced cardiothoracic surgical techniques. For each patient, she develops a customized, comprehensive, and compassionate care plan.
Dr. Burton has completed specialized training in robotic technique for minimally invasive direct coronary artery bypass (MIDCAB). This procedure enables surgical access to the heart with a smaller incision than other coronary artery bypass graft (CABG) procedures.
In addition to her clinical practice, Dr. Burton has conducted research on health disparities in cardiovascular disease, diversity in radiology and molecular imaging, and other topics. She received an innovation research grant from the National Science Foundation for her work on an app for emotional support during the COVID-19 pandemic.
Dr. Burton has made presentations to her peers as a guest lecturer on subjects including coronary artery disease, primary cardiac tumors, and minimally invasive cardiac surgery. In addition, she has made presentations to the Western Thoracic Surgical Association, American Heart Association, International Conference on Clinical Ethics and Consultation, and other organizations.
Dr. Burton has published articles on advanced surgical techniques as well as issues such as balancing work and family during the COVID-19 pandemic, plus health disparities, biases in healthcare, and social determinants of health. Her work has appeared in the JAMA Network Open, Journal of Cardiac Surgery, JTCVS Techniques, International Social Work, and elsewhere.
Dr. Burton has earned honors including the Coleman Connolly Award in Thoracic Surgery, which recognizes the exemplary efforts of thoracic surgery residents. She also won the Society of Laparoendoscopic Surgeons Resident Achievement Award and the Dr. Albert G. Marrangoni Research Award.
She is a member of the Society of Thoracic Surgeons, American College of Cardiology, American College of Physicians–American Society of Internal Medicine, Lillehei Surgical Society, Women in Thoracic Surgery, Western Thoracic Surgical Association, American Society of Professionals in Patient Safety, Women Health Care Executives, Association of Women Surgeons, Society of Black Academic Surgeons, and American Association of Healthcare Administrative Management.
She has volunteered her time and expertise as a high school medical club faculty mentor, as an elementary school community health nutrition interventionist, and with the Western Pennsylvania Humane Society. -
Blaz Bush
Executive Director -LGBTQ+ Health Program, LGBTQ+
BioWith over a decade of LGBTQ+ affirming healthcare experience from care coordination and program development to education and training, Bláz Bush joined Stanford Medicine as the inaugural Executive Director of the LGBTQ+ Health Program in 2022. Bláz expertly leads strategic growth for the program across the Stanford Medicine Enterprise, represents the program and initiatives to internal and external stakeholders, unifies the multidisciplinary efforts for LGBTQ+ health, develops equitable best practice curriculum and trainings, and facilitates restorative circles for students, faculty, and staff.
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Stephan Busque
Professor of Surgery (Abdominal Transplantation)
Current Research and Scholarly InterestsMy research interest is focused on the improvement of clinical immunosuppression. I am involved in the evaluation of new immunosuppressive drugs, potentially more efficacious or less toxic. My ultimate goal is to achieve tolerance, a state that would obviate the need for any drugs. I am an investigator part of a multidisciplinary tolerance induction project using total lymphoid irradiation and donor hematopoietic stem cells infusion after living donor kidney transplantation.
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Eugene Butcher
Klaus Bensch Professor of Pathology
Current Research and Scholarly InterestsOur interests include:
1) The physiology and function of lymphocyte homing in local and systemic immunity;
2) Biochemical and genetic studies of molecules that direct leukocyte recruitment;
3) Chemotactic mechanisms and receptors in vascular and immune biology;
4) Vascular control of normal and pathologic inflammation and immunity;
5) Systems biology of immune cell trafficking and programming in tumor immunity. -
M. Gohazrua K. Butler
Casual Employee, Med/TRAM
Current Role at StanfordTeaching Assistant - Master of Science in Translational Research and Applied Medicine
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Mary Buttner
Digital Licensing Librarian, School of Medicine - Lane Medical Library
Current Role at StanfordDigital Licensing Librarian
Resource Management
Lane Medical Library and Knowledge Management Center.
Digital Accessibility Committee, 2022-23.
Marketing and Communications Team, Member, 2018-19.
Collection Development Committee, Member -
MyMy Buu
Clinical Associate Professor, Pediatrics - Pulmonary Medicine
Current Research and Scholarly InterestsHer scholarly work has been focused on pediatric health in vulnerable communities. Her current research is pulmonary outcomes of patients with neuromuscular disease. She is involved in clinical trials in patients with neuromuscular disease.