' T <’ •'£«** **j. "? (B^wSSSSmSSESSSSS T he P ori la n d O bserver • M ay «À.4&J6J -fc’r. : 29, 1996 P age N ew Drug Test for Respiratory Disease Morehouse School of Medicine (MSM) is participating in nation­ wide Phase III clinical trial for a new drug treatment for Acute Respirato­ ry Distress Syndrome (ARDS), a condition with a 40 percent death rate and no proven effective drug treatments. “ARDS develops in patients who have suffered serious injury, such as burns, severe trauma from a car acci­ dent, or serious infection,” said Mark Walker, M.D., ARDS principal in­ vestigator and program director, MSM Department of Surgery. “It affects approximately 150,00 Amer­ icans per year.” MSM aims to recruit 30 to 40 ARDS patients from the Atlanta area over the next 18 months to test TLC C-53, a drug that has shown considerable promise is Phase II clinical trials in patients with ARDS. The drug is manufactured by The Liposome Company, an independent biotechnology company in Princeton, N.J., that develops liposome and lip­ id-based pharm aceutical’s for the treatment, prevention and diagnosis of life-treating diseases. Liposomes are microscopic fat bubbles that can be used to encapsulate drugs. When combined Liposomes are microscop­ ic fat bubbles that can be used to encapsulate drugs. When combined with TLC C-53, they can control the activity of neutrophils and macroph­ age’s - cells that contribute to lung injury in patients with ARDS. According to Dr. Walker, patients who sustain serious injuries, such as trauma patients, have an overabun­ dance of overactive white blood cells fighting to help the body recover. In patients with ARDS, the overactive white blood cells and chemical me­ diators cause blood vessels in the lungs to leak, filling the lungs with fluid and causing the patient to have difficulty breathing. If severe enough, the condition can lead to ARDS. “TLC C-53 binds with infection­ fighting cells in the body to reduce the severity of ARDS by limiting these cells’ activity,” said Ignatius Akpele, M.D., co-investigator for the Protein responsible For Heart Failure The protein, CUG-BP, was found in the gene responsible for myotonic- dystrophy, a heart muscle disorder that runs in families. The disease occurs when the heart muscles fail to relax normally, usually leading to heart failure and death. Previous stud­ ies have reported discovering the genetic abnormality on chromosome 19. “A father or mother with this defective gene can pass it on to their children,” said Dr. Robert Roberts. “W hen these children reach their 20s, 30s, or 40s, the Brochure rings Tears To Your Eyes Most people moisturize their skin, and even their hair, but never think about moisturizing their eyes. Eyes, like the rest of the body, require moisture to stay healthy. Tears are moisturizers for the eyes. They pro­ tect, nourish, lubricate and cleanse the ocular surface. A lack of mois­ ture may result in dry, scratchy and irritated eyes. "Almost everyone suffers from dry, irritated eyes at one time or another," says Dr. Alan L. Shabo, Clinical Professor of Ophthalmolo­ gy, Jules Stein Eye Institute Univer­ sity of California at Los Angeles (UCLA). "Unfortunately, the major­ ity of people who have irritated eyes don', realize that the irritation may be caused by a lack of moisture. They blame their scratchy, red eyes on fatigue and, in many cases, just live with the discomfort. Or they use prod­ ucts to reduce redness, which can actually dry eyes out even more." Many eye specialists recommend using lubricating eye drops to keep eyes moisturized. A preservative- free formulation in a sterile, single­ use dropper is also recommended, because studies show that frequent use of preserved drops, such as those found in bottles, can lead to preser­ vative-induced irritation. A new brochure. Refreshing Tips For Dry & Irritated Eyes, offers a comprehensive guide to the symp­ toms and treatment of dry, irritated eyes. For a free copy, call 8(X)/999- ■ disease has already developed." Roberts, who collaborated with a team of researchers in Baylor’s pa­ thology department and Merck Re­ search Laboratories in West Point, PA., discovered that the protein binds to the gene which the team believes causes myotonic dystrophy. “Although the protein has been identified, we want to understand the actual mechanism that causes heart disease,” Roberts said. “Dis­ covering this protein is a major step toward learning more about this potentially fatal disease.” ARDS study and assistant professor, MSM Department of Surgery. “We suspect that TLC C-53 binds with key receptors on the surface of neutrophils to control their activity and, hence, stops the disease process from getting worse," said Marilyn Foreman, M.D., co-principle inves­ tigator for the ARDS study and chief of pulmonology, MSM Department of Medicine. "If the results of Phase III trails follow those of Phase II, this treatment could represent a break­ through in ARDS and help us save more lives.” In the Phase II, randomized dou­ ble-blind, placebo-controlled study of 25 patients, investigators found that eight days after treatment had started, all eight patients who had received no medication still required assisted ventilation. In contrast, 76 percent (13 of 17) of patients receiv­ ing TLC C-53 had at least a 25 per­ cent improvement in lung compli­ ance or had been removed from the ventilator by day eight. Nine of the TLC C-53 patients still required as- sisted ventilation. “Morehouse School of Medicine's goal is quality care," said Iva Katon, SA PA-C. ARDS study coordinator, who has been with MSM since the Department of Surgery was estab­ lished at Grady Hospital in 1990. "The tremendous growth in our De­ partments of Surgery and Medicine over the past decade has enabled us to extend the medical school’s reach beyond education and health promo­ tion. to the ability to treat more pa­ tients and participate in significance research studies that will benefit the community in the long run.” MSM's Department of Surgery and Medicine are at Piedmont Hall, 22 Piedmont Ave., S.W., Atlanta, across the street from Grady Hospital. Morehouse School of Medicine’s mission is to recruit and train physi­ cians and biomedical scientists who are committed to the health care needs of the medically undeserved. More than 80 percent of MSM alumni in practice serve in undeserved commu­ nities. Study Seeks Participants Calcium channel blockers or beta blockers are used to treat nearly half of the over 6.3 million Americans that suffer from coronary artery disease. The use of these drugs in combination with nitroglycerin, for angina or chest pain, allows many people to lead rela­ tively normal lives. A significant num­ ber of individuals taking calcium chan­ nel blockers and beta blockers, how­ ever, experience side effects from the medication. Common side effects in­ clude headaches, ankle swelling and constipation. Physician investigators at 25 med­ ical centers in the United States are testing a new type of calcium channel blocker that may have fewer side ef- fects. In addition to possibly reducing side effects, this new drug may also reduce the number of angina attacks individuals experience, allow for great­ er physical exertion without pain and reduce blood pressure. The name of the drug is mibefradil . People that decide to participate will receive comprehensive cardio­ vascular testing for their angina. 'They will also receive the investigational drug and nitroglycerin for use during the study at no charge. Before considering participation in the study, angina sufferers are encouraged to discuss the study with their treating physician. Call 8(H)- 393-9866. A 5 Non-smoking Vs Weight Gain Oregonians attempting to quit smoking must determined which is more important, gaining a few pounds or nsking lung health problems. To most people, the decision to quit is quite easy, but actually doing it is not. In fact, quitting smoking can be more difficult with the additional concern of putting on unwanted weight. Health experts at the Ameri­ can Lung Association of Oregon ad­ vise potential quitters that a modest weight gain is common, but should not be used as a rationale to continue to smoke. “The first three months after quit­ ting smoking are the most difficult,” says Bill Smith, Health Manager for the Lung Association. “A person not only has to contend with constant urges to smoke, but also with putting on 5 to 7 pounds. But, the truth is you’re never better off smoking. And there are ways of coping.” According to the American Lung Association of Oregon, an estimated 22% Oregonians overeighteen smoke cigarettes and more than 75% would like to stop Each year, .34% of smok­ ers actually attempt to quit. While the short-term consequences of quitting smoking is gaining approximately 5 to 7 pounds, the long-term conse­ quences of continuing to smoke are the increased risk of lung cancer and chronic lung disease. “A lthough the prevalence of sm oking among adults has d e­ creased overall since 1965, the rate of decline has begun to wane in recent years," says Smith. "With increased access to proven cessa­ tion programs, such as counseling support programs, self-help materi­ als and the availability of over the counter nicotine replacement thera­ pies, such as Nicorette gum, smok­ ers have yet another aid to easily turn to at the moment they’re ready to quit.” LOSE 20 POUNDS IN TWO WEEKS! Fam ous U S. 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