InterContinental New Orleans February 20–22, 2014
CME Certification Provided by the Center for Continuing Education Tulane University Health Sciences Center
Accreditation
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Tulane University Health Sciences Center and the Southern Regional Meetings. Tulane University Health Sciences Center is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation
Tulane University Health Sciences Center designates this live activity for a maximum of 18.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Tulane University Health Sciences Center and the Southern Regional Meetings present this activity for educational purposes only and do not endorse any product, content of presentation or exhibit. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected because of their recognized expertise.
Overview
The missions of the organizations that make up the Southern Regional Meetings are to foster research from young investigators and provide a forum in which this research can be successfully submitted, discussed, debated and improved with respectful interactions with both peers and mentors. The Southern Regional Meetings bring together researchers, clinicians and students to review the current research and its impact on the future of medical care.
The Joint Plenary session for SRM 2014 is entitled Transition – More than “Graduating to the Cliff’s Edge”: Examining the Evidence that good Transition is Good Care. This session will focus the role of transitioning of patients with chronic diseases from pediatric caregivers to adult physicians. The session will use three common conditions (congenital heart disease, cystic fibrosis, and neural tube defects) as examples. The presenters will focus on the challenges and successes of each type of transition program as well as evidence regarding improved clinical outcomes.
Statement of Need
Clinicians and clinician scientists need to increase their competence in providing the best and most innovative treatment modalities for their specific patient populations. Collaboration among peers participating in these research and translational efforts is vital. These clinicians and clinician-scientists need to increase their competence in applying strategies by the clinical guidelines and current research into the treatment of their specific patient populations.
Goal
The goal of this activity is to improve patient care by increasing learner competence in evaluating and incorporating appropriate transition of care into practice while informing additional research projects.
Educational Objectives
After participating in this educational activity, the participant should be better able to:
Identify the current state of the art for pediatric chronic disease.
Discuss the need for transition of care programs as children age into adulthood.
Identify the specific challenges and needs for pediatric patients with neural tube defects.
Explain the specific challenges and needs for pediatric patients with congenital heart defects.
Identify the specific challenges and needs for pediatric patients cystic fibrosis.
Evaluate the current research from young investigators in the subspecialty areas.
Discuss the future development possible from current research trends and mentoring with colleagues and students.
Predicted Outcomes
Predicted Changes in Practice as a result of this activity may include:
Review the new discoveries for applicability to the clinical and quality guidelines for these patient populations.
Implement at least one new strategy into clinical practice.
Engage in the mentoring process for young investigators.
Develop/modify research to incorporate collaborative projects or improve current practice.
Assess practice according to at least one guideline presented in the conference to determine current practice effectiveness. (Could be the first step in an individual performance improvement project for submission as part of MOC.)
Tulane Disclosure Policy
It is the policy of the Center for Continuing Education at Tulane University Health Sciences Center to plan and implement all of its educational activities in accordance with the ACCME’s Essential Areas and Policies to ensure balance, independence, objectivity and scientific rigor. In accordance with the ACCME’s Standards for Commercial Support, everyone who is in a position to control the content of an educational activity certified for AMA PRA Category 1 Credit™ is required to disclose all financial relationships with any commercial interests within the past 12 months that creates a real or apparent conflict of interest. Individuals who do not disclose are disqualified from participating in a CME activity. Individuals with potential for influence or control of CME content include planners and planning committee members, authors, teachers, educational activity directors, educational partners, and others who participate, e.g. facilitators and moderators. This disclosure pertains to relationships with pharmaceutical companies, biomedical device manufacturers or biotech firms. Any real or apparent conflicts of interest must be resolved prior to the educational activity. Disclosure of off-label, experimental or investigational use of drugs or devices must also be made known to the audience.
A comprehensive DISCLOSURE List is available at the registration desk. The list includes all participating individuals who have:
▪ Financial relationships with a commercial interest (Any real or apparent conflicts of interest have been resolved prior to the educational activity).
▪ No financial relationships to disclose.
▪ Presentations that will involve comments or discussions concerning unapproved or off-label uses of a medical device or pharmaceuticals.
This CME Activity may address components of the following competencies:
IOM Competencies: Providing patient-centered care, Working in interdisciplinary teams, Employing evidence-based practice, Applying quality improvement, Utilizing informatics.
ABMS Competencies: Patient Care, Medical Knowledge, Practice-based Learning and Improvement, Interpersonal and Communication Skills, Professionalism, Systems-based Practice.
The ACCME Task Force on Content Validation and Eligibility for Accreditation states that the validity of content be based on evidence that is sound and reasonable justification.
“All the recommendations involving critical medicine in a CME activity must be based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients.”
“All scientific research referred to, reported or used in CME in support or justification of a patient care recommendation must conform to the generally accepted standard of experimental design, data collection and analysis.”
An Electronic Credit Request/Evaluation Survey Will Be Emailed To You After The Program. This electronic survey will allow you to provide your evaluation of this educational activity in addition to requesting AMA PRA Category 1 Credits™.
You will receive the link and instructions in your Email Inbox on Monday, February 24, 2014. If you do not receive your link to the evaluation in your email inbox, please contact us at cme{at}tulane.edu.
Please complete the evaluation and credit verification form by Monday, March 24, 2014. Certificates for this conference will be issued by Wednesday, March 26, 2014 . Original certificates for this conference may be claimed until February 22, 2015. Duplicate certificates are available at any time.
CARDIOVASCULAR CLUB I
Jointly sponsored by
SOUTHERN SOCIETY FOR CLINICAL INVESTIGATION
SOUTHERN SECTION – AMERICAN FEDERATION FOR MEDICAL RESEARCH
SOUTHERN SOCIETY FOR PEDIATRIC RESEARCH
ACADEMIC PEDIATRIC ASSOCIATION
AMERICAN SOCIETY OF NUTRITION
Thursday, February 20, 2014
11:00 AM – 2:00 PM
Cabildo – First Floor
STATE-OF-THE-ART LECTURES
Michael Hess and Jawahar L. Mehta, Presiding
WORKSHOP SESSIONS
SOUTHERN SOCIETY FOR CLINICAL INVESTIGATION
SOUTHERN SECTION – AMERICAN FEDERATION FOR MEDICAL RESEARCH
SOUTHERN SOCIETY FOR PEDIATRIC RESEARCH
ACADEMIC PEDIATRIC ASSOCIATION
SOUTHERN SOCIETY OF GENERAL INTERNAL MEDICINE
Thursday, February 20, 2014
12:00 PM – 4:00 PM
Pontalba – First Floor
MANUSCRIPT PREPARATION AND PEER-REVIEWED PUBLICATION
Workshop Leader: Thomas R. Welch, Associate Editor, Journal of Pediatrics, SUNY Upstate Medical University
This workshop will address multiple aspects of publication in scientific journals. Presenter will discuss preparation of materials, including the initial decision that the data are sufficient to justify publication. Issues related to manuscript writing will include length, focus, adherence to journal formats, and referencing. The editorial process from submission to publication will be described in-depth with particular attention to ways in which authors can interact with journal editors. Another section will cover ethical issues in publication including review boards, authorship, duplicate publication, intellectual property rights, and conflict of interest. There will be open discussion of sample cases and questions derived from the experiences of the participants.
1:00 PM – 4:00 PM
Acadian II – Third Floor
EFFECTIVE MENTORING IN ACADEMIC MEDICINE TODAY
Workshop Leaders: Adriana G. Ioachimescu and Darin Olson, Emory University
This will be an interactive activity beneficial for students, trainees and young faculty. Having a mentor can influence your professional goals, including research, clinical networking and other aspects of your academic career. This workshop will delve into the ingredients for a successful mentor-mentee relationship as well potential road blocks.
1:00 PM – 5:00 PM
Pan American Conference Center – Orleans Room
SSGIM PRE-COURSE
YOUR TECHIE TOOLBOX: CLINICAL, EDUCATIONAL, AND ADMINISTRATIVE “APPS” FOR THE GENERAL INTERNIST
Workshop Leaders: Richard Pittman and Daniel D. Dressler, Emory University
This pre-course will focus on expanding participant’s use of various electronic or mobile tools. Bring your mobile device—no matter the size—and be prepared for a highly interactive session with very practical take-aways.
ADULT CLINICAL CASE SYMPOSIUM
Jointly sponsored by
SOUTHERN SOCIETY FOR CLINICAL INVESTIGATION
SOUTHERN SECTION – AMERICAN FEDERATION FOR MEDICAL RESEARCH
SOUTHERN SOCIETY FOR PEDIATRIC RESEARCH
ACADEMIC PEDIATRIC ASSOCIATION
AMERICAN SOCIETY OF NUTRITION
Thursday, February 20, 2014
12:00 PM – 4:00 PM
Fulton Room – Third Floor
Robert T. Means and Aidar R. Gosmanov, Presiding
PEDIATRIC CLINICAL SYMPOSIUM
Jointly sponsored by
SOUTHERN SOCIETY FOR CLINICAL INVESTIGATION
SOUTHERN SECTION – AMERICAN FEDERATION FOR MEDICAL RESEARCH
SOUTHERN SOCIETY FOR PEDIATRIC RESEARCH
ACADEMIC PEDIATRIC ASSOCIATION
AMERICAN SOCIETY OF NUTRITION
Thursday, February 20, 2014
12:00 PM – 4:00 PM
Les Continents – Second Floor
Kathy Monroe, Michael P. Poirier and Annalise Sorrentino, Presiding
CASE REPORTS IN CARDIOVASCULAR MEDICINE
Jointly sponsored by
SOUTHERN SOCIETY FOR CLINICAL INVESTIGATION
SOUTHERN SECTION – AMERICAN FEDERATION FOR MEDICAL RESEARCH
SOUTHERN SOCIETY FOR PEDIATRIC RESEARCH
ACADEMIC PEDIATRIC ASSOCIATION
AMERICAN SOCIETY OF NUTRITION
Thursday, February 20, 2014
2:00 PM – 5:00 PM
Cabildo – First Floor
Kevin Newman and Dan Villarreal, Presiding
PLENARY POSTER SESSION
Jointly sponsored by
SOUTHERN SOCIETY FOR CLINICAL INVESTIGATION
SOUTHERN SECTION – AMERICAN FEDERATION FOR MEDICAL RESEARCH
SOUTHERN SOCIETY FOR PEDIATRIC RESEARCH
ACADEMIC PEDIATRIC ASSOCIATION
AMERICAN SOCIETY OF NUTRITION
Thursday, February 20, 2014
5:00 PM – 7:00 PM
LaSalle and Pelican Ballrooms – Third Floor
Adolescent Medicine and Pediatrics
Adult Clinical Case
Allergy, Immunology, and Rheumatology
Cardiovascular
Endocrinology and Metabolism
Gastroenterology
Health Care Research and Quality Improvement
Hematology and Oncology
Infectious Diseases, HIV and AIDS
Medical Education, Medical Ethics, and Advocacy
Pediatric Clinical Case
Perinatal Medicine
Pulmonary and Critical Care Medicine
Renal, Electrolyte, and Hypertension
Adolescent Medicine and Pediatrics
Poster
Number
CLUBS
THURSDAY, FEBRUARY 20, 2014
SOUTHERN GUT CLUB DINNER SYMPOSIUM
Poydras – Third Floor
7:00 PM – 9:30 PM
Richard McCallum, Presiding
SOUTHERN BLOOD CLUB
Acadian II – Third Floor
7:00 PM – 9:00 PM
SICKLE CELL DISEASE: IT’S NOT JUST ABOUT POLYMERIZATION ANYMORE
Clinton Joiner, Emory University
SOUTHERN ENDOCRINE CLUB
Fulton – Third Floor
7:00 PM – 9:00 PM
THE PROCESS OF TRANSITIONING FROM PEDIATRIC TO ADULT DIABETES CARE
Pablo F. Mora, University of Texas Southwestern
SOUTHERN CLINICAL IMMUNOLOGY CLUB
Vieux Carre A – First Floor
7:00 PM – 9:00 PM
BIOLOGIC THERAPIES FOR INFLAMMATORY DISEASES: WHAT’S OLD, WHAT’S NEW?
Gary Gilkeson, Medical University of South Carolina
SOUTHERN INFECTIOUS DISEASE CLUB
Vieux Carre B – First Floor
7:00 PM – 9:00 PM
POLIO ERADICATION –ENDING BOTH A VACCINE-PREVENTABLE AND VACCINE-CAUSED DISEASE?
Walter A. Orenstein, Emory University
SOUTHERN LUNG CLUB
Pontalba – First Floor
7:00 PM – 9:00 PM
THE GREAT FLU PANDEMIC OF 2014?
David M. Guidot, Emory University
SOUTHERN RENAL CLUB
Les Continents – Second Floor
7:00 PM – 9:00 PM
NEW THOUGHTS IN GLOMERULAR REPAIR IN PROTEINURIC DISEASES
Stuart Shankland, University of Washington
FRIDAY, FEBRUARY 21, 2014
SOUTHERN CHAIRS MEETING
Pelican II – Third Floor
7:00 – 8:00 AM
SSPR COUNCIL MEETING AND BREAKFAST
Pelican I – Third Floor
7:00 AM – 8:00 AM
PLENARY SESSION
SOUTHERN SOCIETY FOR CLINICAL INVESTIGATION AND SOUTHERN SECTION – AMERICAN FEDERATION FOR MEDICAL RESEARCH
Friday, February 21, 2014
LaSalle A Ballroom – Third Floor
8:00 AM – 12:15 PM
Jim Oates and Adriana G. Ioachimescu, Presiding
SSCI FOUNDERS’ MEDAL
SAFMR/SSCI TRAINEE RESEARCH AWARDEE PRESENTATION
SAFMR/SSCI FACULTY RESEARCH AWARDEE PRESENTATION
SAFMR/SSCI JUNIOR FACULTY RESEARCH TRAVEL AWARD
SAFMR/SSCI TRAINEE RESEARCH AWARDS
SAFMR/SSCI STUDENT RESEARCH AWARDS
PLENARY SESSION
SOUTHERN SOCIETY FOR PEDIATRIC RESEARCH
Friday, February 21, 2014
LaSalle BC – Third Floor
8:00 AM – 12:00 PM
Reed A. Dimmitt, Presiding
SSPR CLINICAL SCIENCE YOUNG INVESTIGATOR AWARD FINALISTS
Judges: Judson Barber, Jay Kerecman, and Margarita Vasquez
SSPR BASIC SCIENCE YOUNG INVESTIGATOR AWARD FINALISTS
Judges: Sunil Jain, Heidi Karpen, Steven Seidner, and Binoy Shivanna
2014 SSPR YOUNG FACULTY TRAVEL AWARD RECIPIENTS
Judges: Patricia Denning and James Moore
2014 SSPR/APA TRAINEE TRAVEL AWARD RECIPIENTS
Judges: Reed Dimmitt, Jay Kerecman, and Amir Khan
WORKSHOP SESSION
ACADEMIC PEDIATRIC ASSOCIATION
Friday, February 21, 2014
8:00 AM – 12:00 PM
Vieux Carre B – First Floor
DON’T RE-INVENT THE WHEEL: SHARING IDEAS FOR COMMUNITY PEDIATRICS AND ADVOCACY TRAININ
AN OBJECTIVE MEASURE OF PARENTING SKILLS FOR THE PEDIATRICIAN
CARDIOVASCULAR CLUB II
Friday, February 21, 2014
11:00 AM – 2:00 PM
Cabildo – First Floor
STATE-OF-THE-ART LECTURES
John Burnett and Sumanth Prabhu, Presiding
CONCURRENT SESSIONS
Jointly sponsored by
SOUTHERN SECTION – AMERICAN FEDERATION FOR MEDICAL RESEARCH
SOUTHERN SOCIETY FOR CLINICAL INVESTIGATION
SOUTHERN SOCIETY FOR PEDIATRIC RESEARCH
ACADEMIC PEDIATRIC ASSOCIATION
AMERICAN SOCIETY OF NUTRITION
Friday, February 21, 2014
InterContinental New Orleans
2:00 PM – 5:00 PM
Adolescent Medicine and Pediatrics...............................................................................................................Pelican I – Third Floor
Allergy, Immunology, and Rheumatology I.................................................................................................Pelican II – Third Floor
Cardiovascular I..................................................................................................................................................Cabildo – First Floor
Gastroenterology I...................................................................................................................................Vieux Carre B – First Floor
Hematology and Oncology I............................................................................................................................Poydras – Third Floor
Infectious Diseases I................................................................................................Vieux Carre A – First Floor
Medical Education, Medical Ethics, and Advocacy.........................................................................................Fulton – Third Floor
Neurology and Neurobiology ........................................................................................Magnolia – Second Floor
Perinatal Medicine I......................................................................................................................................LaSalle C – Third Floor
Pulmonary and Critical Care.............................................................................................Pontalba – First Floor
Renal, Electrolyte, and Hypertension I........................................................................................................LaSalle B – Third Floor
Adolescent Medicine and Pediatrics
Pelican I - Third Floor
Annamaria Church and Monique Naifeh, Presiding
Allergy, Immunology, and Rheumatology I
Pelican II - Third Floor
Linda Myers and Harry Schroeder, Presiding
Cardiovascular I
Cabildo - First Floor
Jacob Joseph and Mark Silver, Presiding
Gastroenterology I
Vieux Carre B - First Floor
Mel Wilcox, Presiding
Infectious Diseases I
Vieux Carre A - First Floor
Ajay J. Talati and Steve Buckingham, Presiding
Medical Education, Medical Ethics, and Advocacy
Fulton Room - Third Floor
Jennifer Andrews and Kimberly Northrip, Presiding
Neurology and Neurobiology
Magnolia - Second Floor
Taylor Harrison and Jaffar Khan, Presiding
Perinatal Medicine I
LaSalle C - Third Floor
Sarah N. Taylor and Joseph B. Philips, Presiding
Pulmonary and Critical Care
Pontalba - First Floor
Sushma K. Cribbs and Brian Fouty, Presiding
Renal, Electrolyte and Hypertension I
LaSalle B - Third Floor
Hui Cai and Elvira Gosmanova, Presiding
Friday, February 21, 2014
SOUTHERN SOCIETY FOR CLINICAL INVESTIGATION
RECEPTION
Honoring New Members and Award Winners
The Roosevelt New Orleans – Blue Room
6:00 PM – 7:30PM
SOUTHERN SOCIETY OF PEDIATRIC RESEARCH RED HOT “CHILI” TOPICS
Friday, February 21, 2014
Pontalba – First Floor
6:00 PM
In conjunction with the Southern Society of Pediatric Research Meeting
6:00 WELCOME AND INTRODUCTION
Margarita Vasquez, University of Texas at San Antonio
Featured Speaker
Robert Castro, Stanford University
THE ANATOMY OF PERINATAL/NEONATAL MALPRACTICE: PERSPECTIVES OF AN EXPERT WITNESS
SATURDAY, FEBRUARY 22, 2014
CHAIRS’ RESIDENTS’ FORUM
7:30 AM – 8:30 AM
Pelican II – Third Floor
TRAINING SUCCESSFUL INVESTIGATORS
John Oates, Vanderbilt University
ACADEMIC PEDIATRIC ASSOCIATION
BREAKFAST BUSINESS MEETING
8:00 AM – 9:00 AM
Vieux Carre B – First Floor
JOINT PLENARY SESSION
SOUTHERN SOCIETY FOR CLINICAL INVESTIGATION
SOUTHERN SECTION – AMERICAN FEDERATION FOR MEDICAL RESEARCH
SOUTHERN SOCIETY FOR PEDIATRIC RESEARCH
ACADEMIC PEDIATRIC ASSOCIATION
AMERICAN SOCIETY OF NUTRITION
Saturday, February 22, 2014
9:00 AM – 11:30 AM
LaSalle BC – Third Floor
Reed Dimmitt, Adriana Ioachimescu, and Jim Oates, Presiding
CARDIOVASCULAR II
Saturday, February 22, 2014
9:00 AM – 11:30 AM
Cabildo – First Floor
Brad Burlew and Frank Smart, Presiding
Brad Burlew and Kodangudi B. Ramanathan, Presiding
CONCURRENT SESSIONS
Jointly sponsored by
SOUTHERN SECTION – AMERICAN FEDERATION FOR MEDICAL RESEARCH
SOUTHERN SOCIETY FOR CLINICAL INVESTIGATION
SOUTHERN SOCIETY FOR PEDIATRIC RESEARCH
ACADEMIC PEDIATRIC ASSOCIATION
AMERICAN SOCIETY OF NUTRITION
Saturday, February 22, 2014
1:00 PM – 4:00 PM
InterContinental New Orleans
Allergy, Immunology, and Rheumatology II...........................................................................Poydras – Third Floor
Clinical Epidemiology and Preventive Medicine ............................................................Vieux Carre A – First Floor
(jointly with SSGIM)
Endocrinology and Metabolism.........................................................................................Pelican I – Third Floor
Gastroenterology II..........................................................................................................Fulton – Third Floor
Health Care Research and Quality Improvement..................................................................Pelican II – Third Floor
Hematology and Oncology II......................................................................................Vieux Carre B – First Floor
Infectious Diseases II....................................................................................................LaSalle B – Third Floor
Nutrition (co-sponsored by American Society for Nutrition)....................................................Acadian II – Third Floor
Perinatal Medicine II......................................................................................................Pontalba – First Floor
Renal, Electrolyte, and Hypertension II..............................................................................LaSalle C – Third Floor
Allergy, Immunology, and Rheumatology II
Poydras - Third Floor
Jim Oates, Presiding
Clinical Epidemiology and Preventive Medicine
Vieux Carre A - First Floor
Judy Theriot and Annamaria Church, Presiding
Endocrinology and Metabolism
Pelican I - Third Floor
Aidar R. Gosmanov and Darin Olson, Presiding
Gastroenterology II
Fulton Room - Third Floor
Bradford Waters, Presiding
Health Care Research and Quality Improvement
Pelican II - Third Floor
Paul Cooper and Michelle Stevenson, Presiding
Hematology and Oncology II
Vieux Carre B - First Floor
Robert T. Means and Vikas Dembla, Presiding
f
LaSalle B - Third Floor
Monica Farley and Michael Hagensee, Presiding
Nutrition
(co-sponsored by American Society for Nutrition)
Acadian II - Third Floor
Rebecca Costello and Steven Heymsfield, Presiding
Perinatal Medicine II
Pontalba - First Floor
Abhay Bhatt and Binoy Shivanna, Presiding
Renal, Electrolyte and Hypertension II
LaSalle C - Third Floor
Jeanie Park and Robert Hoover, Presiding
SOUTHERN SOCIETY OF GENERAL INTERNAL MEDICINE SCHEDULE AT A GLANCE February 20–22, 2014
Accreditation for SSGIM CME is offered through SGIM
Thursday, February 20, 2014
12:00 pm – 2:00 pm Registration – Orleans Foyer – PanAm Conference Center
1:00 pm – 5:00 PM SSGIM Pre-Course – Orleans – PanAm Conference Center
SSGIM PRE-COURSE
YOUR TECHIE TOOLBOX: CLINICAL, EDUCATIONAL, AND ADMINISTRATIVE “APPS” FOR THE GENERAL INTERNIST
Workshop Leaders: Richard Pittman and Daniel D. Dressler, Emory University
This pre-course will focus on expanding participant’s use of various electronic or mobile tools. Bring your mobile device—no matter the size—and be prepared for a highly interactive session with very practical take-aways.
FRIDAY, FEBRUARY 21, 2014
FRIDAY, FEBRUARY 21, 2014 SSGIM RESEARCH ABSTRACT SESSION A JAZZ - PanAm Conference Room
Caroline Powell and Stephanie Rose, Presiding
SSGIM RESEARCH ABSTRACT SESSION B
JAZZ - PanAm Conference Room
Caroline Powell and Stephanie Rose, Presiding
SSGIM RESEARCH ABSTRACT SESSION C
JAZZ - PanAm Conference Room
Caroline Powell and Stephanie Rose, Presiding
SATURDAY, FEBRUARY 22, 2014
SSGIM RESEARCH ABSTRACT ORAL PLENARY SESSION - JOINT WITH VIGNETTE PLENARY
Orleans - PanAm Conference Room
Caroline Powell and Stephanie Rose, Presiding
Southern Section – American Federation for Medical Research
Southern Society for Pediatric Research
Academic Pediatric Association
Southern Society of General Internal Medicine
Index to Southern Abstracts