Weeks of March 1, 8 and 15, 1998
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Show Number Air Week Title Program Description
SHOW #140 March1, 1998 Nerve Transplants In the past, the transplantation of donor nerves has been limited by the fact that the recipient has faced the necessity of taking drugs to suppress the immune system for a lifetime, to prevent rejection. Accident victims facing amputation have not been considered candidates, since amputation is not a life-threatening condition. But now, thanks to the work of Dr. Susan MacKinnon of Washington University, that profile is changing. She has developed a method to tranplant donor nerves that requires only a temporary course of immunosuppressant drugs. The six patients who have undergone this procedure thusfar have not only avoided amputation, but have regained at least partial use of the affected limb. Dr. MacKinnon predicts that within ten years, this work will have progressed to the point that the ability will exist to transplant entire limbs. CONTACT: Joni Westerhouse, Director for Medical Communications, Washington University (St. Louis), (314)286-0120
    CHECK-UP: Jim Jatich Jim Jatich was the patient featured in our story about Functional Neuromuscular Stimulation, or FNS (SEE Show #101, June 1, 1997). He has been a quadriplegic since a 1977 swimming accident. In 1986, he became the first person in world to receive the FNS system, which involves the implantation of an electronic device designed to replace the nerve impulses cut off by spinal cord injuries, restoring muscle function in the affected area. Since we first profiled him, he has become the first person to receive a second FNS system, this one for his right hand. CONTACT: George Stamatis, Public Affairs, Case Western Reserve School of Medicine, (216)368-3635; Cleveland FES Center/FES Information Center, (800)666-2353, website: feswww.fes.cwru.edu; American Paralysis Association, (800)225-0292, website: http://www.apacure.com; Neurocontrol (manufacturer) website: www.neurocontrol.com
    Macular Degeneration Scientists at four institutions have identified a gene defect associated with age-related macular degeneration, an untreatable vision disorder that robs elderly adults of their eyesight. The genetic mutation is similar to one associated with Stargardt disease, a rare inherited form of macular degeneration that typically begins in adolescence. This genetic discovery should lead to new methods of identifying people at risk of developing the disorder, as well as new treatments and preventions. CONTACTS: Moran Eye Center (University of Utah) (801)581-2352, website: www.insight.med.utah.edu; Eccles Institute of Human Genetics, (801)585-7523, email disease@genetics.utah.edu; Researchers would like to hear from (1)families with three or more living members who have been diagnosed with macular degeneration, (2)families with members diagnosed with Stargardt, juvenile onset macular degeneration (age 10-30) who have parents or grandparents with age related macular degeneration. Telephone: (801)581-6265 (Moran Eye Center) or (801)585-7537 (Eccles Institute of Human Genetics), email: disease@genetics.utah.edu, Clinical Coordinator email: lizbeth.malmquist@hsc.utah.edu; American Academy of Ophthalmology, (415)561-8500, website: www.eyenet.org, links to several vision-disorder related support group websites available at: www.eyenet.org/public/resources/res_sup_group.html
SHOW #141

(NOTE: Show #141 is a repeat of Show #125)
March 8, 1997 Umbilical Cord Blood Stem cells are the factories of our body's blood supply, replenishing and replacing red and white blood cells. They have proven extremely useful in transplantation into people with a variety of diseases in which the immune system needs a boost, or replacement. In the past, these cells have been extracted from donor bone marrow. Now researchers have discovered that the blood in the umbilical cords and placentas of newborn infants is an even richer source of stem cells. In the past, that blood has simply been thrown away, but now many new parents are donating it for transplantation. The simple extraction procedure involves no inconvenience or distraction for mother or child. Cord blood stem cell transplants have so far been used mainly in children, particularly children with leukemia. There are presently eight cord blood banks in the world, with three more soon to be established in the US. CONTACTS: Mary Thompson, Public Affairs, University of Massachusetts Medical Center at Worcester, (508)856-2000; Joanne Raymond, Executive Director, Caitlin Raymond International Registry of Bone Marrow & Cord Blood Donor Banks, (800)726-2824 or (508)756-6444, email:crir@tiac.net, Web site: www.tiac.net/users/crir American Cord Blood Program, Inc., (508)756-3076; Karen Hines, Public Affairs, Duke University Medical Center, (919)684-4148; Duke University Pediatric Bone Marrow Transplant Program, Duke U. Medical Center, (919)681-4253
    EVERYDAY BREAKTHROUGH: Das Occluder/Angel Wings Angel wings are tiny patches that can be used to cover holes in patients' hearts without the need for open heart surgery. They are particularly useful to correct two common heart defects - atrial septal defects, or holes in the upper chamber of the heart ( most common in children), and smaller holes in the same area of the heart in adults. CONTACT: Karen Hines, Public Affairs, Duke University Medical Center, (919)684-4148
    Visible Human An executed killer from Texas and a 59-year-old Maryland housewife who died of heart disease donated their bodies to science, and are now immortalized as the Visible Man and the Visible Woman. The Visible Human Project is one of the most important medical education tools to come along in years. Both cadavers were frozen, and then horizontally sawed, one wafer-thin slice at a time, with a digital picture taken each step along the way. The sum total of these images became a massive computerized data base, able to be accessed and manipulated in a variety of ways. The image bank is accessible via the Internet, and currently over 700 licensees in 26 countries are using the data sets. At the Center for Human Simulation at the University of Colorado, the home of the project, researchers are using the images for medical training and research, as well as adding touch-sensitive technology for surgical simulation. In the near future, they hope to add a pre-menopausal woman and an infant to the data base. CONTACT: Mitzi Schindler, Public Relations, University of Colorado, (303)315-5370; WorldWideWeb "Guided Tour" available at: http://medicine.wustl.edu/~ysp/MSN/annotes/VH/tour.html
    FUTUREX: Tuned Aperture CT Tuned Aperture Computed Tomography, or TACT, can take X-rays and create three-dimensional images that are practically holographic. As long as a single reference point can be identified, an off-the-shelf PC can take the pictures and fill in the blanks, with higher resolution depending on the number of images fed in. It is especially useful today in dentistry and mammography. CONTACT: Barbara Hahn, Public Relations, Bowman Gray School of Medicine, (910)716-4587
SHOW #142

(NOTE: Show #142 is a repeat of Show #127)
March 15, 1998 Chimerism Chimerism is a recently-discovered phenomenon in the area of organ transplantation in which cells from the donor organ migrate into the recipient's tissues, and vice versa, achieving a coexistence once thought impossible. Conventional wisdom has held that transplant recipients must take drugs that suppress their immune systems to prevent rejection of the "foreign" tissue. But it now appears that may not be permanently true, particularly if the recipient's immune system can be "re-educated" by the simultaneous introduction of bone marrow from the same donor. Clinical trials are now underway in an attempt to exploit and amplify this effect. If the achievement of chimerism can be controlled and perfected, it would be a major step forward in the ability of transplantation to save and extend lives. CONTACTS: University of Pittsburgh News Bureau, (412)647-3555. For information on organ donor cards: Coalition on Donations, 1-800-355-SHARE.
    FUTUREX: DNA Vaccines The next generation in vaccine technology is likely to be DNA vaccines, which use a piece of the genetic material from a virus to stimulate a powerful response from a person's immune system. Research into their use is progressing on several fronts. Among the most promising are DNA vaccines to confer immunity to influenza, malaria, genital herpes, Lyme disease, some cancers, and even HIV. The common goal is to generate a vaccine that will combat all strains of a disease. For example, a flu vaccine that would result in lifelong immunity to all strains of flu. If they live up to their potential, DNA vaccines will be one of the most significant developments in public health to come along in decades - they are seen as very safe, effective, inexpensive, and easy to manufacture. CONTACTS: Julie Rathburn, Media Relations, University of Washington, (206)543-3620; Frank Hoke, Science Writer, University of Pennsylvania Medical Center, (215)662-2560
    Guglielmi Detachable Coil The GDC is the first device to receive FDA approval for the treatment of intracranial aneurysms, a dangerous "bubble" on a blood vessel in the brain that can lead to debilitating or deadly stroke. It was developed by a team of UCLA researchers, led by neuroradiologist Dr. Guido Guglielmi. The GDC is a soft platinum micro-coil which is delivered to the site of the aneurysm through a micro-catheter fed into an artery supplying the brain. With the insertion of one, but more often several coils, the aneurysm can be essentially "plugged," reducing the risk of rupture. Prior to the approval of the coil, the only options were risky brain surgery, or bed rest and medication, which wouldn't necessarily prevent rupture. CONTACT: Roxanne Yamaguchi Moster, Public Information Office, UCLA Medical Center, (310)206-1958, Website: http://neurology.medsch.ucla.edu/stroke.htm
    EVERYDAY BREAKTHROUGH: Skin Microscopy Dermatologists at the University of Miami and other institutions are now using a new device called a skin surface microscope to examine skin spots. This can increase the accuracy of the doctor's diagnosis of melanoma (skin cancer) and other areas of concern. Using the naked eye only, melanoma is correctly diagnosed only 60-80% of the time. CONTACT: Dr. Mitra Zehtab, Office of Public Relations, University of Miami/Sylvester Comprehensive Cancer Center, (305)243-4829

 

 

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