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Although the absence of melanocytic proliferation has been a typical pathologic feature , one study recently noted an increase of nonnested intraepidermal melanocytes in the areas of clinical hyperpigmentation using S100 and L-3 ,4 dihydroxyphenylalanine immunohistochemistry studies ( Moore , 2004 ) . The clinical teaching rounds are held in the NIH Clinical Center . This self-paced course reviews etiology , clinical manifestation , clinical course , and general medical and rehabilitative management of common medical conditions ; emphasis on musculoskeletal , neurologic , cardiopulmonary , and psychiatric disorders . The computerized clinical database developed from these examination results provides valuable information about types of symptoms and illnesses experienced by GW participants . Another of the unique components of CRTP is clinical teaching rounds , which takes advantage of the rich patient population at the NIH . This clinical database is called the Persian Gulf Veterans Health Registry , which in addition to allowing VA to communicate with GW veterans , provides a mechanism to catalogue prominent symptoms , reported exposures , and diagnoses . Patrick R. Sosnay , a Department of Medicine fellow , took home the House Staff Award , given annually for excellence in clinical teaching by a member of the house staff . All areas of research dealing with the clinical neurobiology of drug abuse and addiction and encompassing a wide array of research studies that incorporate brain imaging are sought under this announcement . Tuffiash has participated in clinical teaching on neurologically impaired patients as a research assistant in the Johns Hopkins University School of Medicine Department of Neurology . The sponsor provides support to facilitate the entry of new investigators in the area of brain imaging / clinical neurobiology research , through the Imaging Science Track Award for Research Transition ( I / START ) program . Obviously the most frequent clinical manifestation was limb weakness ( it was part of the definition ) , sensory symptoms that were present in 21 patients , bulbar symptoms in eight , areflexia in 10 and respiratory failure , requiring the use of a ventilator in 13 . The aim of REMBRANDT is to be the access portal for a national molecular , genetic , and clinical database of several thousand primary brain tumors that is fully open and accessible to all investigators ( including intramural and extramural researchers ) , as well as the public-at-large .