Weeks of June 14, 21 and 28, 1998
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Show Number Air Week Title Program Description
SHOW #203 June 14, 1998 Bogalusa Heart Study The Bogalusa Heart Study has been in progress for 25 years now, and is the longest and most detailed study of children in the world. A multidisciplinary team studies the hereditary and environmental aspects of coronary artery disease among 14,000 children and young adults in Bogalusa, Louisiana, a small town north of New Orleans. Over the year, the study has made many significant contributions to our understanding of heart disease and hypertension, including the fact that early signs of coronary artery disease can appear in children as young as 5 to 8 years old. The investigators have conducted over 160 substudies of a wide variety of issues related to cardiovascular health, and have published more than 600 scientific papers. CONTACTS: Kelly Flanagan, Office of Public Relations, Tulane University Medical Center, (504)584-1620; Gerald Berenson, MD, Tulane Center for Cardiovascular Health, (504)585-7197, website: www.tmc.tulane.edu/cardiohealth; American Heart Association, (800)AHA-USA-1, website: www.americanheart.org; American College of Cardiology, (800)253-4636; American Academy of Pediatrics, website: www.aap.org
    BREAKTHROUGH PROFILES: Dr. Victor McKusick Dr. McKusick is generally considered to be the father of medical genetics, in which the science of genetics moves from the laboratory into clinical practice. In 1957, he founded a division of medical genetics at Johns Hopkins, one of the first in the world. Perhaps his greatest achievement is the three volume book, Mendelian Inheritance in Man, an indispensable reference work that he describes as "an encyclopedia of human genes and the genetic disorders that are related to them." Among his many awards is the 1997 Albert Lasker Award for Special Achievement in Medical Science. CONTACT: Michael Purdy, Office of Public Affairs, Johns Hopkins Medical Institutions, (410)955-8725, websites: www.jhu.edu/news_info/news; hopkins.med.jhu.edu/NewsMedia/press/related_news/ r970922.html; http://www.jhu.edu:80/~gazette/julsep97/sep2997/lasker.html; www.laskerfoundation.com/library/mckusick/index.html; http://www.ncbi.nlm.nih.gov/Omim
    Kidney Transplant The movement toward minimally invasive surgery has now reached the field of live donor kidney transplantation, with the development of a laparoscopic procedure for the removal of the live donor kidney. Thanks to the use of small incisions, the hospital stay for the donor is reduced to two or three days, recovery time now averages two to four weeks, and there is less post-operative pain and less scarring. Although the procedure is still relatively new, preliminary data show that it appears to be as safe as the open operation. By making the kidney donation process less demanding on the donor, it is hoped that the supply of available organs will increase. CONTACTS: Karen Infeld, Public Affairs, Johns Hopkins Medical Institutions, (410)955-1534; For information or referrals, (410)550-0403; National Kidney Foundation website: www.kidney.org
    EVERYDAY BREAKTHROUGH: Texas Science Hotline The Texas Science Hotline, started in 1993, is a free service of the University of Texas Health Science Center at San Antonio. The service provides answers to science questions from callers. Although it's aimed primarily at K-12 teachers and students in Texas, it has provided answers to callers from 29 states and several foreign countries. The service relies on an extensive pool of resource personnel, from university scientists to industry leaders. Despite their own demanding schedules, these science professionals make the time to call, fax, or e-mail answers to teachers and students. CONTACT: Texas Science Hotline, (800)566-5066; fax, (210)567-3708, email: tmsline@uthscsa
SHOW #204 Week of June 21, 1998 Liver Tumor Thermal Ablation Liver cancer is one of the deadliest cancers, and often the prognosis is very poor. Surgical removal of liver tumors is the most effective treatment, but for a variety of reasons some patients aren't good candidates for that procedure. Now, researchers are investigating another approach called thermal ablation. In this procedure, a needle is inserted through the skin directly into the tumor. Radio frequency energy is transmitted through the needle to the tip, causing it to heat the surrounding tissue, killing it. Thermal ablation is an outpatient procedure, and can be repeated as often as necessary. CONTACTS: Myong Covert, Public Affairs, University of Texas Health Science Center at San Antonio, (210)567-2570, Department of Radiology Clinical Research Coordinator: Mary Sueltenfuss, RN, BSN, (210)567-5604; American Cancer Society, (800)ACS-2345, website: www.cancer.org
    EVERYDAY BREAKTHROUGHS: Fibronectin Preterm delivery is one of the leading causes of infant mortality in the US, but it is difficult to diagnose and can be difficult to treat. Now, investigators have discovered a marker that can signal an increased risk for preterm delivery. It's called fetal fibronectin. Fibronectin is a substance found in high concentrations between the placenta and the lining of a pregnant woman's uterus. If the placenta is starting to separate from the uterine wall, the substance will be found in the cervix and vagina. Presence of fibronectin can be an indicator of labor within 7 to 14 days. If a woman tests positive, doctors can begin aggressive treatments and activity modification in an effort to postpone labor, giving the baby more of a chance to develop. CONTACTS: Nancy Kochuk, UNC Hospitals Marketing & Public Affairs, (919)966-6046; Greg Raybuck, Matria Healthcare, Inc., (800)456-4060; Adeza Biomedical Corp., (888)PRE-TERM, website: www.adeza.com; American College of Obstetrics & Gynecology, website: www.acog.com; Interactive Pregnancy Calendar, website: www.olen.com/baby
    Tubal Ligation Reversal/Falloposcope Tubal ligation is a form of sterilization typically considered to be permanent. But now, utilizing the latest in microsurgical techniques and specialized instruments, a doctor in North Carolina is having success reversing tubal ligations, often leading to pregnancies. The procedure is performed on an outpatient basis, and can usually expect to resume normal activities within a week. The falloposcope is a new diagnostic tool for evaluating a woman's fallopian tubes. Fallopian tube abnormalities reportedly account for 30 to 50% of female infertility. The falloposcope allows the physician to directly visualize the interior of the fallopian tubes with a real time, high resolution video image. CONTACTS: Chapel Hill Fertility Center, Gary S. Berger, MD, Julia Smith, RN, (919)968-4656, websites: www.citysearch.com/rdu/chfertilityctr, www.inciid.org/berger.html; InterNational Council on Infertility Information Dissemination, (520)544-9548, website: www.inciid.org
    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
SHOW #205 Week of June 28, 1998 ALS Drug ALS, or amyotrophic lateral sclerosis, also known as Lou Gehrig's Disease, is a fatal neurological disorder characterized by progressive degeneration of motor cells in the spinal cord and brain. As it progresses, voluntary muscular control is increasingly lost, ultimately affecting even breathing, chewing, and swallowing, while leaving the mind and senses unimpaired. The cause of ALS is unknown, and there is no cure, but two new drugs under investigation have shown promise in extending patients' survival. One of the drugs, myotrophin, slowed the decline in function experienced by patients 26% in a recently completed study. The other, known at this point by its experimental compound designation SR57746A, appears to enhance the body's nerve growth factors, thereby theoretically improving the survival of the remaining motor neurons and promoting nerve cell regeneration. It is being studied both as single treatment and in combination with an existing medication for ALS, riluzole. While a cure for this devastating disease seems distant, the hope is that eventually a combination of drugs will be effective in halting the progression of the condition. CONTACTS: Kathy Major, Senior Communications Specialist, Baylor College of Medicine, (713)798-4712, website: www.bcm.tmc.edu/neurol/struct/als/als1.html; ALS Association, (800)782-4747 (patients only), (818)340-7500, website: www.alsa.org
    EVERYDAY BREAKTHROUGHS: Endovascular Repair A new procedure called an endovascular repair is being tested by surgeons at fifteen medical centers around the country. It's used to repair dangerously enlarged blood vessels called aortic aneurysms. One small incision is made in an artery in the groin, through which a state-of-the-art graft is threaded up to the diseased area, where it is attached inside the damaged vessel. X-ray guidance is used for precise placement of the graft. Patients are usually ready to go home within three days. This repair procedure could replace conventional surgery, which involves making a large incision in the abdomen, leading to a typical hospital stay of ten days, followed by six to eight weeks of recovery. CONTACTS: Nancy Kochuk, UNC Hospitals Marketing & Public Affairs, (919)966-6046; Boston Scientific Corporation (graft manufacturer), website: www.bsci.com
    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

 

 

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