PAMIA Newsletter
Issue #16 July/August 1994
Calendar of Events
September
14 PAMIA Meeting - Scott Medical Products Abington Memorial Hospital (1995 PAMIA Executive Board Nominations)
20-23 Hewlett-Packard Merlin School Valley Forge, PA
October
11 PAMIA Meeting - Physio-Control Stadium Holiday Inn
15-18 AAMI Mid-Year Cleveland, OH
16-22 Clinical Engineering Week
November
12 PAMIA Annual Dinner Cock 'N Bull at Peddler's Village
?? PAMIA Meeting - Protocol Systems Date & Site TBA
December
3 NICET CBET Testing
12 PAMIA Meeting 4th Annual PAMIA Roundtable Thomas Jefferson University Hospital
SEE ENCLOSED SEPTEMBER AND OCTOBER MEETING ANNOUNCEMENTS, AND NOTE THAT THE MEETINGS ARE NOT ON MONDAY NIGHTS!
Message from the President
What is PAMIA doing for you? Are monthly presentations generally to your liking? Could PAMIA be doing a better job? How about the PAMIA Newsletter? Does it represent PAMIA as well as it should? Are you satisfied with PAMIA? Does PAMIA do the things that you expect of a local clinical engineering society?
PAMIA Members should never overlook what PAMIA truly is, a SOCIETY. "PAMIA" is all of us, not just the PAMIA Board. If you or any other member you know questions PAMIA's performance, think first of what YOU are doing to help the cause of PAMIA.
One way to help is to provide feedback to the PAMIA Board, whether it be positive or negative. Another is to take action YOURSELF. Are you wondering why a certain vendor is not making presentations at the monthly meetings? Maybe it's because YOUR good idea was not heard. You ask why the newsletter does not have this or that for a regular feature? Maybe it's because you are the only one that conjured up that good idea YOU'RE thinking of.
Feedback to the PAMIA Board is always getting easier. The newest way to contact PAMIA may very well be the fastest, voice mail! Through the generosity of ECRI, PAMIA now has voice mail!!! The number is (610) 825 6000 Ex 886. We are hoping that our new VM# fulfills it's potential to greatly increase activity and progress for OUR SOCIETY.
It starts, of course, with YOU.
Lou Schonder, CBET
1994 PAMIA President
PAMIA Meeting Summaries
May
"Complying with the Mammography Quality Standards Act" was hosted by South Jersey X Ray. Ms. Catherine Ferrante outlined the clinical and technical requirements of the MQSA and the mandatory FDA requirements. The Act became effective February 22, 1994 and requires compliance by October 1, 1994. Non compliant mammography sites are subject to fines and citations.
PAMIA thanks South Jersey X-Ray for hosting our May 1994 Meeting!
June
Hewlett Packard has been hosting the June PAMIA Meeting for years, and each meeting has typically been heavily attended. This year, approximately 80 members were on hand for Hewlett Packard's presentation on Surgical OR Gas Monitoring Techniques.
The presenter was Hewlett Packard Technical Marketing Engineer Rick Aseltine from Waltham, MA. Explained to those in attendance was basic operational theory along with the advantages and disadvantages of various gas monitoring technologies, including Central Mass Spectometry, Raman Spectometry, Infrared Spectometry, and Photo Acoustic Spectometry. The presentation, although interesting and very helpful, covered only the basics in these extensive technologies due to limited time. A textbook, published by Butterworth Heinemann, Capnography in Clinical Practice, co authored by Hewlett Packard Product Manager Thomas J. Hayes, was recommended to attendees by Mr. Aseltine. A copy of the book was shown to attendees, and most agreed that the book appeared to be impressive.
PAMIA thanks Hewlett Packard for hosting our June 1994 Meeting!
July and August
No meetings! Hope you enjoyed the summer! A PAMIA Executive Board Meeting was held July 11th. Among topics discussed were the R.S.V.P. problem (which hopefully may ease with the PAMIA Voice Mailbox), and a decision to purchase promotional materials bearing the new PAMIA logo.
The Exit Poll
What did you think of the last two meetings? Your feedback can go a long way in helping to provide interesting subject matter for presentations. Did you see something you liked, or disliked? Ideas for improvement? Let us know! Send your comments to Alan Barbell at ECRI, 5200 Butler Pike, Plymouth Meeting, PA 19462. Fax: (610) 834 1275, or E mail on ECRInet (610) 825 9284.
PAMIA Treasurer Resigns
Due to personal commitments, PAMIA Treasurer Robert Warner of GHS Technology Management, Inc. has resigned his position as PAMIA Treasurer. An interim treasurer has been appointed by the PAMIA Executive Board to serve for the remainder of 1994, Steve Yorko of Kennedy Memorial Hospital in New Jersey. All correspondence pertaining to 1994 PAMIA Dues and other financial issues should be directed to Steve, effective immediately. Steve Yorko's address is: 6716 Githens Avenue, Merchantville, NJ 08109.
We have been receiving numerous calls from members inquiring why their check for PAMIA Dues payment hasn't been deposited. We apologize for any inconvenience, and we plan to correct the situation soon.
1995 PAMIA Executive Board
Official nominations will be made at the September PAMIA Meeting at Abington Memorial Hospital. PAMIA Board Membership is not a lofty position that only the elite can attain, it's available to all members who are willing to assume responsibility and work towards the advancement of PAMIA (sorry, student members cannot run for office per PAMIA By Laws). It appears that two Member At Large positions may be open, along with the Presidency! Of course, you are welcome to run against incumbents for other positions. Terms are for one calendar year. If you are interested, contact a PAMIA Board Member as soon as possible!.
Without "new blood" on the PAMIA Board, PAMIA, as we know it, cannot be expected to continue! We can use your help. Yes, YOU! Make that phone call, voicemail is standing by! Time to Retire the Soldering Iron? ...or "Effectiveness of Component Level Repairs in the Field"
It used to be the hallmark of the competent super-tech to get down and dirty and effect a repair by replacing a defective component that may cost $2.89 instead of replacing the entire board at $450 (typical exchange price, if available). It gives the tech a certain satisfaction of being able to nail that sucker. To those of us educated and trained on discrete semiconductors through simple analog and digital ICs, a good challenge in repairing a board to the component level felt like the vicarious thrill that Sherlock Holmes must have felt in solving a murder mystery.
Alas, things are a-changing. For one, the equipment is mostly microprocessor based. The old simulator / scope / meter / soldering iron techniques simply do not work effectively on surface mounted digital microprocessor circuits. There is simply no easy way for end users to diagnose to component level unless the manufacturer has built-in diagnostics that go down to such levels.
What about IC testers and equipment like Huntron? To proficiently use such tools, one must be trained well and have a sufficient volume of repairs to keep their skills sharp. Most hospitals that have bought these tools are finding that they are rarely used. They are certainly not cost effective when one considers the total cost of owning and using such sophisticated equipment.
Secondly, the equipment is now more reliable because of less moving parts, surface mounted technology, higher reliability components, materials and interconnects and better designs. This means that there are fewer hard failures. This, in turn, translates into less opportunity to really practice what one learns at service schools (in terms of troubleshooting). We also know it's difficult to master complex circuitry unless one reinforces training by working with them frequently enough. (Why do you think that the cardiac surgeons and hospitals who do complex procedures such as bypass surgeries more often are better in terms of the patient mortality-morbidity statistics that the HCFA and other agencies publish?) Practice makes perfect!
The service industry in general has given up on component level repairs in the field. It certainly is a lot easier to replace a board or module than to diagnose failure at the component level, not to mention actually replacing components that are surface mounted or mounted on 6-layer boards.
How cost effective are component level repairs done by end-user maintenance personnel? The cost of providing one man-hour (OOPS! I mean person-hour) of labor runs about $50 to $100 for a typical non-profit hospital in this area. Let's use a typical round number of $80 per hour. If one considers this all inclusive cost of labor, a typical service call that takes a half hour to complete (the no-problem-found type) costs the hospital $40. A service call that involves a module of board replacement typically takes about 1.5 hours if the module or board is in stock, 2 hours if it has to be ordered. This means the cost is between $120 and $160, plus parts.
The typical service call resulting in component level repair takes between 4-8 hours, unless the tech is very experienced or specialized, or the equipment is very simple. This means the cost of such repairs ranges from $320 to $640 in labor, plus parts, plus cost of phone support!
If one considers that typical board exchange costs about $350, no wonder that board exchange type repairs have become popular. Board exchange contracts are even simpler to budget for and use, particularly if a hospital has a consignment of boards. Not only is the cost lower for board level repairs, the equipment is back in service sooner, which is the real measure of effectiveness of a biomed department.
Equipment diagnostics, service schools, manuals are all being geared for module level or board level troubleshooting and repairs. Some manufacturers are using custom components (Application Specific ICs or ASIC) and are not supporting component level repairs anymore through their parts policies and pricing.
A typical hospital will have between 1000 to 2000 different models of equipment (not total pieces of equipment) in use. Getting familiar or experienced with even a small percentage of this equipment is impossible for the average BMET. I find it hard to understand or believe the proud department manager or biomed tech who claims to do most repairs to the component level. If they are indeed doing so, they are not being cost effective in the larger sense.
One must not overlook the amount of effort and investment in maintaining a spare component inventory. I don't know of many biomed shops knowing how many parts are in their stockroom and the value of the parts inventory, let alone scientifically managing their parts inventory. Industry average cost for carrying and scientifically maintaining each stock-keeping-unit or SKU is about $80 per year. This includes research time, vendor qualification, inventory management, purchasing costs, etc. If your stockroom has say 500 different items (SKUs), this means it will cost about $40,000 to effectively maintain that stock. (If you don't believe me, just try to do it and keep track of all the time spent in developing a scientific on-line parts inventory and control system.) Now, how cost effective is having that $0.10 resistor in stock?
Considering all possible replacement components for the 1000 to 2000 models of equipment, at about 200 parts each, would amount to between 200,000 to 400,000 different parts! (Well, some parts are common between models, and one could consider stocking ECG type replacements. Still, the numbers are enormous.) There is a tradeoff between costs of carrying and having the needed component in stock verses cost of not carrying the component in stock. Just how cost effective is getting next day air shipment on a component costing $4.50 verses a board that costs $350?
Well, I think I have made my point. Let's hang up that soldering iron- at least for component level repairs. (Those that still are not convinced are encouraged to write to this newsletter with their point of view.) The true measure of effectiveness of a BMET or biomed department has to be something else- customer satisfaction, turnaround time, reduction of downtime, etc. I hope to discuss this issue in a future PAMIA Newsletter article.
Shrikant Chaudhary is the President of SCITECS International, a consulting firm in areas of technology and service management and market development. SCITECS also provides low cost electronic circuit board repair services to manufacturers, distributors and soon to end users. Until last year, Shri led the Clinical Engineering Department at the Hospital of the University of Pennsylvania. He was President of PAMIA in 1991 and Treasurer in 1992 and 1993. He can be reached at 610-490-0315.
1994 PAMIA Directory
We promise to publish a directory this year. Please be patient, we have had problems obtaining submitted information from the membership, and it has brought the directory to a grinding halt ... temporarily.
Coming Soon!!! (maybe)
Are YOU looking for help?
Advertising in the local newspapers and elsewhere can be very effective, AND expensive. Don't forget about advertising in the PAMIA Newsletter! PAMIA Members faithfully read our "Jobs Looking for People" column. Take advantage of free advertising (and your PAMIA Membership) by posting your openings HERE, in YOUR newsletter!
Also, we are planning on taking this service one step further. Soon, a mailing is planned to target the Human Resources Departments of your facilities to make them aware of the advertising opportunity we offer. You can help us by providing a name to send this letter to (as opposed to a generic address).
We appreciate your help!
PAMIA Subsidized Service Schools
Do you have any ideas for local service schools, taught by either manufacturers, fellow PAMIA members, or yourself? The PAMIA Board is about to discuss a promotion to reward those who organize service or training schools in the Philadelphia Area. PAMIA can very likely provide subsidation. If you think you can help, call a PAMIA Board Member and discuss your idea today!
Are you a Manufacturer's Rep?
If you are, consider the benefits of sponsoring a service school for your equipment line here in the Philadelphia area. The PAMIA Membership totals over 300, is this the kind of market you are looking to target? PAMIA can advertise your school in the PAMIA Newsletter and even possibly assist in managing the roll call and handling funds if the school happens to have a charge of some sort associated with it. Interested? Contact a PAMIA Board Member and let's discuss your idea!
X Ray Diploma Available
DITEC, Inc. now awards a diploma in "Diagnostic Imaging Systems Applied Engineering and X Ray Maintenance", the only such diploma available in the field, according to DITEC. For more information, contact Manny Roman at (216) 765 1555.
Nellcor Service School
Nellcor, Inc. is offering to hold local on site training at a facility willing to host them. In return, Nellcor would provide free classes to a student of the host facility! Certain spatial and enrollment requirements, however, must be met.
PAMIA can assist an interested host facility in filling seats to Nellcor's requirements by advertising in this newsletter or by other means.
Device training available in the classes include the N 180, N 200, N 1000, N 1500 and the N 6000. CEU's are available by completing an examination at the conclusion of the course(s).
If your facility is interested in hosting, contact Mary Banfield at (510) 463 4489 to discuss costs and requirements, and contact a PAMIA Board Member.
1st Annual PAMIA Tech Fair (?)
Can we do it? Should we do it? What IS it?
The proposed 1st Annual PAMIA Tech Fair is an afternoon session of classes, all under one hour, covering technical topics that typically might not be covered in the standard educational settings. The proposed cost for the fair will be very reasonable (basically to insure commitment only).
Ideas presently include (but are not limited to) fuse technology, video signals, battery theory, water treatment, sterilization techniques and hardware/fastener technologies. Do you have any ideas? We are getting close to making this event a reality, call soon!
CBET Review Course
Are you taking the ICC Certification Test on Dec 3, 1994, or just want to review the basics of your field? Have you heard of the Review Course traditionally sponsored by PAMIA? This course has not only been conducted locally, but also at numerous AAMI meetings over the years. It has helped many BMET's in their quest for ICC CBET Certification. The course typically is two consecutive full days, and costs under or about $100.
As of now, there is no course presently scheduled. To have a course scheduled, the presenters require a head count of about 15 students to assure their efforts are worthwhile. If you are interested, please leave your name and phone number in the PAMIA Voice Mailbox, (610) 825 6000 Ex 668.
AAMI Mid Year Meeting & Exposition
The North Coast Clinical Engineering Technology Association is proudly co sponsoring the 1994 AAMI Mid Year in Cleveland, OH October 15 18, 1994. For more information, call AAMI at (800) 332 2264 Ex 260. Take advantage of this relatively close event!
1994 Clinical Engineering Week
Although it hasn't been finalized yet, the proposed (and very probable) CE week is October 16 22, 1994. Start making plans to celebrate CE week in your facility, you deserve it! If you are planning an event that you might feel is unusual or unique (cheeze and crackers with pepperoni and dry brocchli don't count), why not share your idea with PAMIA? Rest assured, if PAMIA publishes your idea in Issue #17, we'll give you credit!!! ...and Now, a Word from Our Sponsors...
September
Scott Medical Products, a division of Scott Speciality Gases, Inc. is a manufacturer and distributor of speciality medical diagnostic gases and related gas delivery equipment for the health care industry. Scott Medical's gaseous products are primarily used for calibration of diagnostic instrumentation, as breathable gases inhaled for testing purposes, and for surgical support applications. Scott Medical is the leading gas supplier to instrument manufacturers in the fields of:
- Anesthesia Monitoring - Blood Gas Determination - Pulmonary Function Testing - Respiratory Monitoring - Cardiopulmonary Testing - Surgical Lasers - Vascular Support Systems - Clinical / Research Environmental Gases
Scott Medical Products has a complete product offering with the assurance of product performance and integrity. We at Scott Medical Products look forward to presenting at your September PAMIA Meeting at Abington Memorial Hospital. Should you have any questions in the interim, please call Paul Spence at (800) 233-4334 Ex 497.
October
Background - Physio products and health care
Physio-Control founded in 1955 by Dr. Wm. K. Edmark, M.D., B.S.E.E.
Physio-Control was recently acquired by Bain Capital, Inc. from Eli Lilly & Co.
Headquartered at Redmond, WA and employs approximately 900
Physio Control products: External Defibrillators (manual and semi-automatic) Cardiac and Vital Signs Monitors External Transcutaneous Pacemakers Accessories (patient cables, adapters, electrodes, batteries & chargers, etc.)
Physio-Control markets: Hospital (LP6s, LP7, LP8, LP9, LP9P) Paramedic (LP5, LP10) First Responder (LP200, LP250, LP300)
Physio-Control has manufactured in excess of 150,000 defibrillators since 1980.
FDA Five State Survey of Defibrillators - 1988
Physio-Control = 70% of installed base, with remaining 30% = 17 other manufacturers
50% of surveyed units were > 6 years old
Recommendations predominantly involve user maintenance and training
"Continue improving defibrillator systems"
There are 600,000 cases of sudden cardiac death in the U.S. per year
Studies in defibrillation efficacy show varying success rates (from appox 30% to <5%). Successful conversion is most strongly correlated to time period from onset to therapy.
October's speaker:
Michael D. Willingham
Currently the Director of Regulatory Affairs & Standards at Physio-Control Corporation in Redmond, WA where he is responsible for corporate compliance to U.S. and international medical device regulations and product safety agency certifications. Mike holds a degree in electrical engineering with experience in the fields of reliability, quality and safety engineering. He is a member of AAMI, ASQC, HIMA and RAPS.
ELEC 301, "It's Baaaack..."
ELEC 301, Light and Optics in Biomedical Devices, is scheduled to be offered again at Community College of Philadelphia (CCP) this coming fall. The course will give an overview of the properties of light and explore how these properties are utilized in lasers, spectrophotometers, pulse oximeters, CO2 monitors, fiber optics, anesthesia gas monitoring, etc. We had excellent laser demonstrations presented by East Coast Technologies during the course last year, showing the inner workings of two types of lasers and offering practical repair and PM information. This fall, we will try to provide even more emphasis on the operating principles of medical devices. The course will be on Thursday nights, 5:30 to 8:30 PM, and will start on September 8, 1994.
Registration for ELEC 301 is going on now. If you have previously taken any course at CCP, you can simply register for ELEC 301. If not, you will need to complete an application for admission to the college. Please call Randy Libros at (215) 751 8318 if you have any questions about the course or the registration process.
Jobs Open Looking for People
Riddle Memorial Hospital has positions available for an Intermediate Clinical Equipment Specialist.
Minimum requirements include: A.S. Biomedical Engineering and three years of Clinical Engineering experience. Familiarity with the following modalities is preferred: Respiratory Therapy, Anesthesia, Diagnostic Ultrasound, Radiology, Radiology laser printers and imaging networks and steam sterilizers.
This position requires strong technical, customer, and organizational skills. Please send resume with salary requirements to: Riddle Memorial Hospital, Human Resources, 1068 West Baltimore Pike, Media, PA 19063 5177. FAX (610) 891 3592
Msg#:35105 *JOBS* 06 30 94 13:30:04 From: JIM BERGER To: ALL JOB HUNTERS Subj: JOB OPENING
Immediate opening for Senior Level Biomed Technician in the Pittsburgh, PA area. This is a Resident Tech/Manager Position in a 250 bed hospital. 5+ years experience in general biomed, including Nihon Kohden & Mennen monitoring; anesthesia & respiratory and enough radiology experience to make intelligent imaging service decisions would be a significant plus. We're a major ISO in the Pennsylvania area.
Reply to: Human Resources Department, International Shared Services, 525 Plymouth Road Suite 305, Plymouth Meeting, PA 19462. VOICE: (610) 825 7900, FAX: (610) 825 5439
Msg#:35224 *JOBS* 07 06 94 23:16:25 From: SCOTT LESHNER To: ALL Subj: JOB OPENING
The Biomedical Engineering Department at Albert Einstein Medical Center, located in Philadelphia, Pennsylvania has an immediate opening for a biomedical technician. Experience with respiratory or dialysis equipment is preferred, but not necessary.
For more information, please contact Scott Leshner at 215 456 7335, or FAX resume to 215 456 7344.
Msg#:35620 *JOBS* 07 26 94 11:59:56 From: KEVIN CARPENTER To: ALL Subj: RADIOLOGY SERVICE OPENING
MEDICAL IMAGING SERVICE TECHNICIAN
Individual will be responsible for PM & repair of radiology equipment. This position requires strong technical, customer & organization skills. We offer competitive salary and excellent benefits. To apply, fax or send resume with salary requirements to:
Riddle Memorial Hospital Human Resources Dept 1068 W. Baltimore Pike Media, PA 19063 5177. FAX: (610) 891 3644
Msg#:35672 *JOBS* 07 28 94 11:40:50 From: MARC SULE To: ALL Subj: DIRECTOR OF CLINICAL ENGINEERING POSITION
The Western Pennsylvania Hospital, a 542 bed regional referral center and advanced metropolitan teaching hospital, is looking for an experienced, motivated professional to manage all aspects of the Hospital's clinical engineering services. Qualified candidates must have a minimum of 10 years of experience in managing an equipment maintenance program in a healthcare setting. Bachelor's Degree in a related technical or engineering discipline required with an advance degree and/or certification in Clinical Engineering preferred. This position offers a competitive salary commensurate with education and experience and a excellent flexible benefit program.
For consideration, please send resume to Perry Giovannelli, Employment Office (c), The Western Pennsylvania Hospital, 4800 Friendship Avenue, Pittsburgh, PA 15224, or call 412 578 5046.
BMET Wanted
Chestnut Hill Hospital is seeking a BMET to perform a full range of medical instrumentation inspection, PM and repair. Minimum requirements include an AS Degree in biomedical equipment and 2 years experience. Certification preferred. Very good compensation package.
Reply to: Chestnut Hill Hospital, Human Resources Dept, 8835 Germantown Ave, Philadelphia, PA 19118.
How to Submit Articles to the PAMIA Newsletter
Submissions of whole articles or just ideas can be sent to Kevin Carpenter at Riddle Memorial Hospital, 1068 W. Baltimore Pike, Media, PA 19063. Phone: (610) 891 3162. CompuServe: 73523,2342. ECRInet E Mail: (610) 825 9284. Internet: l.schonder@genie.geis.com. Do you have any original ideas for the newsletter, or would you like to join the newsletter staff? Get in touch! A lot can be done to improve the newsletter. Are you the person to help bring the newsletter to new heights? PAMIA Online!
Courtesy of ECRI's "ECRInet" (610) 825 9284, 8/N/1, Up to 14,400 bps
PAMIA 1994 Executive Board
President ..................................................... Lou Schonder CITECH (610) 825 6700 Ex 540
Vice President ................................................ Jim Marsala Jefferson Biomedical Shared Services (215) 335 6600
Secretary .................................................. Kevin Carpenter Riddle Memorial Hospital (610) 891 3162
Treasurer ...................................................... Steve Yorko Kennedy Memorial Hospital (609) 663 0562
Member at Large ............................................ Alan Barbell ECRI (610) 825 6000 Ex 148
Member at Large ....................................Bridget Chadwick ECRI (610) 825 6000 Ex 527
Member at Large .............................................. Tom Gilroy Lankenau Hospital (610) 645 2140
PAMIA Voice Mail via ECRI (610) 825 6000 Ex 886
PAMIA Philadelphia Area Medical Instrumentation Association
September Meeting
Medical Gases
A Medical Gas Primer, explaining various uses and delivery of gases, will be made by several members of Scott Medical Products Engineering Department.
When: Wednesday, September 14, 1994
Where: Abington Memorial Hospital Doctor's Dining Room - Rorer Building
Schedule: 6:00 - 6:30 pm Social 6:30 - 7:15 pm Dinner - Courtesy AMH Biomed Dept 7:15 - 7:45 pm PAMIA Business Meeting (1995 PAMIA Board Nominations) 7:45 - 9:00 pm Medical Gas Presentation
R.S.V.P. by September 9, 1994 to PAMIA Voice Mail at (610) 825-6000 Ex 886.
Please duplicate and distribute this notice to all members and interested parties (including Plant Engineering) in your department/institution. PAMIA Philadelphia Area Medical Instrumentation Association
October Meeting
The Food and Drug Administration Enforcement, Trends and Regulations
Physio-Control Director of Regulatory Affairs & Standards, Michael D. Willingham, will speak about Physio-Control's recent experiences with the FDA, and several other FDA related topics.
When: Tuesday, October 11, 1994
Where: Stadium Holiday Inn 11th and Packer Ave Philadelphia, PA
Schedule: 6:00 - 6:30 pm Open Bar - Courtesy Physio-Control 6:30 - 7:15 pm Dinner - Courtesy Physio-Control 7:15 - 7:30 pm PAMIA Business Meeting 7:30 - 9:00 pm Presentation by Physio-Control
R.S.V.P. by October 7th, 1994 to PAMIA Voice Mail at (610) 825-6000 Ex 886
Please duplicate and distribute this notice to all members and interested parties in your department/institution.
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