Weeks of March 22, 29 and April 5, 1998
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Show Number Air Week Title Program Description
SHOW #143

(NOTE: Show #143 is a repeat of Show #133)
Week of March 22, 1998 Geriatric Care: Sticht Center With Americans aged 65 and older comprising the fastest-growing segment of the population, and with the aging of the Baby Boom generation increasing that trend, new approaches to geriatric care will be a necessity in the 21st century. The recently-opened J. Paul Sticht Center on Aging and Rehabilitation, conceived by the Wake Forest University/Baptist Medical Center in Winston-Salem, North Carolina, may represent a model of fresh ideas on elderly care. It's the only facility in the world offering acute care, rehabilitation, geriatric psychiatry, and transitional, or subacute care all under one roof. In addition, the Sticht Center is closely associated with two local nursing homes, providing a continuity of care. Basic research activities are also part of the comprehensive package. CONTACTS: Mark Wright, Senior PR Writer/Media Manager, (910)716-3382; Dr. William Hazzard, Director, Center on Aging, (910)716-2020
    EVERYDAY BREAKTHROUGHS: Breast-Feeding Doctors may finally be catching up to what women have known about all along - the benefits of breast-feeding. Dr. Gary Freed at the University of North Carolina School of Medicine has instituted a pilot program to make sure all medical students and residents at the school learn about breast-feeding as part of their education. He has developed a variety of teaching tools, and hopes to interest other schools in including the instruction in their medical curricula. CONTACT: Nancy Kochuk, Public Affairs, UNC School of Medicine, (919)966-6046
    New Cancer Drug Tirapazamine is the first drug to target so-called hypoxic cancer cells - cells deep at the core of solid tumors, far away from the blood vessels that feed tumor growth. As such, they are low in oxygen content, and divide slowly. These characteristics make them resistant to radiation, which requires oxygen, and chemotherapy drugs, which target rapidly dividing cells. Tirapazamine, developed by Dr. Martin Brown at Stanford and researchers at SRI International, specifically reaches and destroys these cells, filling a gap in cancer treatment, and allowing some patients to avoid otherwise inevitable surgery. The drug is currently in clinical trials at Stanford University Medical Center and other research facilities around the world. CONTACTS: M.A. Malone, Broadcast Media Manager, Stanford University Medical Center, (650)723-6912; Stanford University Medical Center Referral Center, (800)756-9000; Stanford Oncology, (800)-4-CANCER, website: www-radonc.stanford.edu/tirapaz.html; American Cancer Society, (800)ACS-2345
    GENEWATCH: Preeclampsia Geneticists at the University of Utah have discovered a gene that appears to put some women at greater risk of developing preeclampsia, a potentially dangerous condition that usually appears during the second trimester of pregnancy. Left untreated, it can lead to complications or death of the mother or the baby. Soon, there should be a test to determine whether a woman carries the gene, and the discovery could lead to improved treatments in coming years. CONTACTS: Dorothy Dart, Director for Communications, University of Utah, (801)585-3470; Researchers would like to hear from families who have two or more members who have experienced recurrent toxemia or premature labor - email: disease@genetics.utah.edu, Clinical Coordinator email: sheryl.martin@genetics.utah.edu, telephone: Dr. Kenneth Ward, Eccles Institute of Human Genetics, (801)581-5522; For more information on preeclampsia or pregnancy: American Academy of Family Physicians, website: www.aafp.org/patientinfo/health1.html or www.aafp.org/patientinfo/preeclam.html; Alexian Brothers Medical Center, website: www.alexian.org/babies/2ndindex.html or www.alexian.org/babies/secondtri/toxemia.html
SHOW #144 Week of March 29, 1998 Parkinson's Device (Pallidal Stimulation) Pallidal stimulation is the latest treatment option available for people with Parkinson's Disease, the progressive neurological disorder that robs its victims of their ability to control their own muscles. A pacemaker-like device is implanted in the chest, with leads attached to electrodes implanted in the pallidal region of the brain. The signals from the device interfere with the irregular signals in the brain, inhibiting the symptoms of Parkinson's. Unlike pallidotomy, the surgical procedure in which a lesion is created in the pallidal region, thus relieving symptoms, this procedure is non-destructive and reversible. CONTACTS: Teri Charest, Media Relations Representative, University of Minnesota Academic Health Center, (612)624-4604; University of Minnesota News Service website: www.umn.edu/urelate/news.html; National Parkinson Foundation, (800)327-4545; Parkinson's Disease Foundation, (800)457-6676, website: www.parkinsons-foundation.org
    EVERYDAY BREAKTHROUGH: Tomato Sauce A recent study indicates that a compound in tomato sauce may offer some protection against heart attacks. Researchers found that lycopene, an antioxidant found most commonly in the average diet in cooked tomato-based foods, seemed to have a protective effect. CONTACTS: David Williamson, University of North Carolina at Chapel Hill News Services, (919)962-2091, website: www.unc.edu/news/newsserv/research/octo97/kolm.html; Dianne Shaw, Public Relations, UNC Lineburger Comprehensive Cancer Center, (919)966-5905
    Fetal Surgery/Spina Bifida Astonishing progress has been achieved in recent years in surgeons' ability to operate on fetuses in urtero. Until recently, these procedures had only been used to repair life-threatening conditions. Now, fetal surgery has been employed to correct or reduce the severity of non-life-threatening birth defects, most particularly spina bifida. Spina bifida is the most common neurologic birth defect in the US. It's a condition in which one or more of the vertabrae fail to develop completely, leaving a portion of the spinal cord exposed to damaging amniotic fluid. Although not considered fatal, it is often severely handicapping. By surgically closing the opening in the spine while the fetus is still in the womb, it is thought that the severity of the disease can be reduced. Two types of fetal surgery are currently practiced: endoscopic, in which a television camera and tiny instruments are inserted directly into the uterine environment, and open, in which the fetus is partially removed from the womb. CONTACTS: John Howser, Media Director, Vanderbilt University Medical Center News & Public Affairs Office, (615)322-4747; Dr. Joseph Bruner, Director of Fetal Diagnosis and Therapy, Vanderbilt University Hospital, (615)322-0122; email:joe.bruner@mcmail.vanderbilt.edu at +inet; Spina Bifida Information Contacts: National Information Center for Children and Youth with Disabilities (NICHCY), (800)695-0285 (Voice/TT), email: nichcy@aed.org, website: www.nichcy.org; Spina Bifida Association of America (800)621-3141, email: spinabifda@aol.com, website: www.sbaa.org; Spina Bifida Association of Canada, (800)565-9488, website: www.sbhac.ca; March of Dimes Birth Defect Foundation, (914)428-7100, email: resourcecenter@modimes.org, website: www.modimes.org; National Center for Education in Maternal and Child Health, (703)821-8955, ext. 254 or 265; National Easter Seal Society, (800)221-6827, email: nessinfo@iseals.com, website: www.seals.com; National Rehabilitation Information Center (NARIC), (800)346-2742, website: www.naric.com/naric; Usenet Newsgroup: alt.support.spina-bifida; Children with Spina Bifida: A Resource Page for Parents, website: www.waisman.wisc.edu/~rowley/sb_kids.html; National Hydrocephalus Foundation, (800)431-8093; Guardians of Hydrocephalus Research Foundation, (800)458-8655
SHOW #145 Week of April 5, 1998 Lung Volume Reduction (Emphysema) In patients with emphysema, the alveoli or air sacs in the lungs break down, causing the lungs to lose their elasticity and over-inflate, making breathing progressively more difficult. Treatment options are relatively few - drugs and exercise can help, and in some cases lung transplant is indicated, but of course that procedure is risky, and donor lungs are scarce. Now, an operation called lung volume reduction can offer another alternative. In this surgery, damaged parts of the lungs are removed, reducing volume by 20-30%. This has the effect of returning some of the lungs' elasticity, making it easier to breathe. The operation is not a cure, but can provide significant relief. A major study is now underway to assess the procedure's long-term value. CONTACTS: Joni Westerhouse, Director for Medical Communications, Washington University (St. Louis), (314)286-0120; National Emphysema Foundation, (203)852-1009, website: emphysemafoundation.org; American Lung Association, (800)LUNG-USA, website: www.lungusa.org
    BREAKTHROUGH PROFILES: Dr. Thomas Starzl Dr. Starzl is one of the pioneers in the field of organ transplantation. He and his team at the University of Colorado performed the world's first liver transplant in 1963. Later, he moved to the University of Pittsburgh, which under his leadership has become one of the most active and innovative centers for transplantation research and innovation. He has championed the cause of new anti-rejection drugs, such as cyclosporine in the 1970's and FK-506 in the 80's. He and his colleagues at Pittsburgh have more recently discovered the phenomenon known as chimerism, is which cells from the donated organ migrate into the recipient's body, and vice versa. This has allowed some transplant recipients to successfully wean themselves from anti-rejection medication. SEE ALSO our story on chimerism in the Program Summary for Show #127, Week of October 10, 1997. CONTACT: Lisa Rossi, News Bureau, University of Pittsburgh Medical Center, (412)647-3555
    Cartilage Transplantation (Carticel) A new procedure called Carticel has recently been approved for the repair of damaged knee cartilage. First, a sample of a patient's own healthy cartilage is extracted and sent to a facility in Massachusetts. There, the tissue is bathed in enzymes and broken down to the cellular level. Those cells are then grown and multiplied into a quantity suitable for reimplantation at the site of the knee damage. Our bodies themselves are for the most part incapable of regenerating cartilage cells. Once the reimplantation has taken place, a lengthy period of rehabilitation begins, which gives the transplant the opportunity to "take," eventually replacing the damaged cartilage and restoring functionality. CONTACTS: Kathi Ovnic, Public Affairs, Emory University Woodruff Health Sciences Center, (404)727-5686, website: http://www.emory.edu/WHSC; Genzyme Corporation, Scott Gregg, (617)761-8923, website: www.genzyme.com; American Academy of Orthopedic Surgeons, website: www.aaos.org/wordhtml/pat_educ/knee2.htm
    Questionable Medical Devices Another in our continuing series of visits to the Museum of Questionable Medical Devices in Minneapolis, curated by collector and enthusiast Bob McCoy. We occasionally feature McCoy showing us some of the more unusual and interesting pieces in his renowned collection. CONTACT: Bob McCoy, (612)379-4046, website: www.mtn.org/~quack

 

 

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