Fall 1995 Mission

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Fall 1995 Mission



Health Science Center's regional role in South Texas expands

Legislative action this year has placed the Health Science Center in a key role for the South Texas/Border Initiatives.

In addition to its regular operating appropriation, the Health Science Center received $14.25 million for the next two years to support enhanced health care and health education in South Texas.

"We all know we have already been involved throughout South Texas in many ways, and we are acutely aware of the need for more health education for Health Science Center students in the Lower Rio Grande Valley, the Laredo area and the Corpus Christi/Coastal Bend area, in accordance with our academic plan," said John P. Howe III, MD, president of the Health Science Center.

The appropriation was coupled with an additional $3 million for campus operations in support of the South Texas/Border Initiatives. The special appropriations represented a 6.2 percent increase in total state funds for the Health Science Center.

Dr. Howe said he was impressed by the bipartisan dedication in Austin to improving opportunities in South Texas.

"I have to give extra special credit to Sen. Judith Zaffirini, Sen. John Montford, chairman of the Senate Finance Committee, and Rep. Rob Junell, chairman of the House Appropriations Committee. Sen. Zaffirini had enormous responsibility placed on her shoulders this session -- and still found the time and energy to shepherd our concerns for South Texas through a complex process, with the important support of Sen. Eddie Lucio and Sen. Carlos Truan," Dr. Howe said.

"Great leadership was displayed by Sen. Montford and Rep. Junell; although they are from Lubbock and San Angelo, respectively, they care a great deal about San Antonio and South Texas, and their leadership resulted in some funding we might not otherwise have had," he said.

Related reading:
McAllen physician leads South Texas/Border Initiatives

Fall 1995 Mission



McAllen physician leads South Texas/Border Initiatives

Mario E. Ramirez, MD, of McAllen, former member of
The University of Texas System Board of Regents and longtime leader in South Texas medicine, has been named vice president for the South Texas/Border Initiatives at the Health Science Center.

"He is a physician's physician," said John P. Howe III, MD, Health Science Center president, who made the announcement.

"Dr. Ramirez is the single most qualified person in South Texas to work with local civic and medical leaders in communities throughout South Texas to insure the success of our important new outreach initiatives within this region. He not only knows most of the health professionals in this region, he knows the needs of the communities as well," Dr. Howe said.

For six years Dr. Ramirez served on the Higher Education Coordinating Board, which oversees the development and curriculum of colleges and universities in the state. Dr. Ramirez served as a UT System regent from 1989 through 1995.

Dr. Ramirez was a charter member and diplomate of the American Board of Family Practice and a charter fellow of the American Academy of Family Physicians. He is a former president of the Texas Academy of Family Physicians and the Texas Medical Association.

After attending The University of Texas at Austin, Dr. Ramirez received his doctor of medicine degree from the University of Tennessee College of Medicine.

He opened a family practice office in Roma, a city in the Rio Grande Valley, in 1950 and for many years was the only physician in the area. In 1975 he moved his practice to Rio Grande City. In 1958 he opened a 15-bed hospital in Roma; the hospital was later enlarged to include 21 beds and a surgical wing.

Fall 1995 Mission



Cellular biology funding near the top in the nation

The department of cellular and structural biology received $5.1 million from the
National Institutes of Health (NIH) during fiscal 1994 — the second highest federal grant total of any cell biology department in the nation.

The department ranked behind Harvard University's department ($6.9 million) and ahead of Johns Hopkins University ($4.4 million).

"The ranking of our department as second nationally testifies to the hard work and commitment of our faculty to timely research and teaching," said Barbara H. Bowman, PhD, professor and head of the department. "I am particularly proud of our young faculty who have succeeded in winning their grant support in a time when it is so difficult to get a grant funded by NIH."

The faculty conduct 20 projects funded by the national institutes, including research on isolation of a tumor-suppressor gene on human chromosome 3 and saturation mapping of genes and genetics markers on chromosome 3. Studies of the genetic mechanisms of aging; hormonal activity in the liver; and cancer development in genetically altered mice also are funded, along with a host of other projects.

Other departments on campus also ranked highly. The departments of obstetrics and gynecology, and orthopaedics each were ranked sixth among similar departments in total NIH funding, and the department of microbiology was ranked 16th.

NIH funded 182 projects at the Health Science Center during the 1994 federal fiscal year, up from 162 projects a year earlier. The grants totaled $44.6 million, up more than 15 percent from the 1993 total of $38.6 million.

Fall 1995 Mission



Medical School receives high primary-care rating

The
Medical School received nationwide attention in 1995 for its record of success in providing primary care physicians.

A survey published by U.S. News & World Report in March ranked the Health Science Center No. 8 of the 62 U.S. medical schools that excel in training primary care physicians. The Medical School was the only one in Texas to be ranked among the top 15 in the nation.

U.S. News evaluated the primary care areas of family practice, general internal medicine and pediatrics, and compared the 62 medical schools that have the highest proportion of graduates entering primary care. The schools were ranked according to reputation, faculty resources, student undergraduate grade-point average, scores on the Medical College Admission test and the rate of MDs going into primary care internships.

"I am immensely proud — and not at all surprised — at this outstanding ranking given to our faculty and students," said John P. Howe III, MD, Health Science Center president. "It is a well- deserved recognition of their teaching and research excellence and their dedication to bringing primary care to the citizens of Texas. It is also a great tribute to the leadership of Dr. Jim Young, Medical School dean.

"We are pleased that we have achieved this high ranking with a tuition less than half that of many of our fellow medical schools throughout the country. I am deeply grateful to the legislators who invest in us and the community that supports us. I hope they feel that both their confidence and their investment are well- placed," he said.

Fifty-five percent of last year's Medical School graduates entered residencies in primary care fields. The 1991, 1992 and 1993 medical classes also registered primary care residency totals of about 55 percent. Annually, the Health Science Center is among the leaders in the nation in this percentage.

Fall 1995 Mission



Center for organ transplant patients opens

They put J. Kent Trinkle's name on a new San Antonio center for organ transplant patients in June. The pioneering surgeon, known for his homespun humor, accepted the honor, but said:

"The thing that makes these institutions great is not just the bricks and mortar, it's the people. When I came here, we were starting new, but now we have the critical mass of really bright minds that it takes to do the kind of work that needs to be done."

Dr. Trinkle, professor and former division head of cardiothoracic surgery, led the first heart transplant operation in South Texas in 1986 and later the region's first heart-lung transplant and single-lung transplant.

"If you've been happy with the things we've done in the past," Dr. Trinkle said at the dedication ceremony, "you're really going to be ecstatic with the future because the best is yet to come."

Dignitaries helped dedicate the J. Kent Trinkle Center for Transplant Sciences in University Hospital, where Trinkle and his fellow surgeons have performed more than 400 transplants since 1986. The center has room for 29 patients and has special equipment and services designed for recovering transplant patients.

John P. Howe III, MD, Health Science Center president, praised Dr. Trinkle, saying: "This is a celebration of the unit and of the man with the best batting average in lung transplants in the entire world. We're very proud of that."

The transplant program continues to expand. Surgeons performed their first kidney/pancreas transplant earlier this year and plan to begin liver transplants on children.

The Health Science Center is seeking funds to increase the J. Kent Trinkle, MD, Professorship in Cardiothoracic Surgery, said Jocelyn L. Straus, president of the university's Development Board.

Dr. Trinkle, who came from Kentucky to join the faculty in 1972, acknowledged the applause at the dedication ceremony and said: "Thank you all for allowing a country doctor to come here and scratch out a living."

Fall 1995 Mission



Surgeons transplant kidney and pancreas

Robert M. Esterl, MD, assistant professor of surgery, led the first combined kidney-pancreas transplant in a San Antonio civilian hospital last spring.

The transplant recipient, Terri McCrae, 34, of San Antonio underwent 7 hours of surgery.

"She did quite well in the operation and the surgery went quite smoothly," Dr. Esterl said. The operation took place at University Hospital and involved a surgical team from the hospital and the Health Science Center.

"The pancreas is easily injured during surgery and the sometimes difficult procedure involves a lot of vascular work to prevent bleeding," Dr. Esterl said. The organ transplantation program received approval to perform pancreas transplants several months ago and found its first good combination of donor and recipient in McCrae. Surgeons hope to perform about five of the surgeries each year, although a shortage of organs may be the limiting factor.

"This patient was very motivated and didn't have any heart problems that would have prevented the surgery," Dr. Esterl said. McCrae suffered from Type I insulin-dependent diabetes since she was 10, and had developed eye problems, neuropathy, gastroparesis and numbness. She was in a wheelchair and could no longer work.

Immediately following the surgery, McCrae's blood glucose returned to normal and she no longer required injections of insulin. "I was a human pincushion before, getting four shots per day and doing blood testing four to eight times per day," she said.

Although Dr. Esterl called McCrae's transplant a form of control over her diabetes rather than a cure for it, she is hoping her surgery will free her from the wheelchair and some of the other problems she has endured while living in a nursing home the past three years. "I'm looking forward to doing normal things like going for a walk," she said. "I can't sit around all the time. I'm anxious to start my second life. I used to have a condo on my own and work as a bookkeeper. It would be fun to do something different this time."

Related reading:
Transplant team is a first in South Texas, (Mission, Fall 1993)

Fall 1995 Mission



Heart association funding helps accelerate research

Two specialists in cardiovascular medicine received special awards last summer from the Texas affiliate of the
American Heart Association.

David J. Haile, MD, assistant professor of medicine, received the Lyndon Baines Johnson Research Award. His research into intestinal iron uptake in the body will be funded with a two-year grant that totals $83,600.

J. Kent Trinkle, MD, professor and former division head of cardiothoracic surgery, received the affiliate's Paul V. Ledbetter, MD, Physician Volunteer of the Year Premium Award. The award recognizes his service to the American Heart Association.

The association's funding for Health Science Center researchers has nearly quadrupled since 1985. Funding this year will total $974,243, and support 24 projects.

Fall 1995 Mission



Project with VA seeks biological causes of aging

The National Institute on Aging has awarded a $1.6 million grant to establish a Nathan Shock Aging Center at the Health Science Center and Audie L. Murphy Memorial Veterans Hospital.

One of only two in the nation, the center will allow researchers to examine the biological processes that control aging and diseases of aging.

The grant covers five years and will permit the Health Science Center to develop transgenic animal models for investigators in San Antonio that are unavailable to other scientists. These animal models will provide local researchers with a unique opportunity to identify genes that underlie aging and disease processes.

"The center was built on the recognized strengths at San Antonio in basic biomedical research in aging," said Arlan Richardson, PhD, the center's director. Dr. Richardson is a professor of physiology at the Health Science Center and a career research scientist with the Geriatric Research, Education and Clinical Center at Audie Murphy hospital.

Edward J. Masoro, PhD, physiology professor and the center's co- director, and his colleagues have conducted groundbreaking studies on the relationship between dietary restriction and longevity. Barbara H. Bowman, PhD, professor and head of the cellular and structural biology department, and her colleagues developed the nation's first transgenic mouse facility dedicated to studying aging.

The Health Science Center is recognized internationally as one of the leading universities in aging research in biomedicine. More than 100 faculty members are involved in studying aging and related subjects.

Related reading:
Research opens new vistas on aging, (Mission, Fall 1993)
Fall 1995 Mission



President's Council fund campaign sets a record

The President's Council, a group of donors who give $1,000 or more in unrestricted gifts to the Health Science Center annually, completed its 1995 campaign with the highest total of donors ever.

Under the leadership of Claude Nabers, DDS, and Harold Walker, both of San Antonio, this year's campaign raised $111,000 from 110 donors. In the last three years, this annual campaign has raised more than $350,000 in unrestricted gifts for the Health Science Center.

"Unrestricted gifts to the President's Council are critical in providing funds to areas of need and also creating the margin of excellence in support of the missions of the Health Science Center. In a competitive environment, these gifts make a significant difference in our ability to recruit the best and brightest researchers, students and faculty," said W. Frank Elston, vice president for university relations. "Through the efforts of our co-chairs, we were able to exceed last year's totals and recruit 24 new donors to this important campaign."

For information about the President's Council, call Joseph F. Teague, director of development, at (210) 567-2056.

Fall 1995 Mission



Development board creates dental professorship

Michele J. Saunders, DMD, has been named to the new Development Board Professorship in Clinical Dentistry at the Health Science Center.

Dr. Saunders is professor and chief of the division of dental diagnostic science and also a professor of medicine. She has been on the Dental School faculty since 1980 and is associate director of the Geriatric Research, Education and Clinical Center at Audie L. Murphy Memorial Veterans Hospital.

The new position is the Dental School's first endowed professorship. Funds were donated by Health Science Center Development Board members and friends.

Dr. Saunders is an international authority in geriatric dentistry and gerontology, and is involved in federally-funded projects totaling more than $10 million. In addition to her research activities, Dr. Saunders has authored numerous book chapters and published widely; teaches dental, medical, allied and associated health students and fellows; and is active in numerous professional organizations.

Some of her major activities include heading the Oral Health: San Antonio Longitudinal Study of Aging, and directing the Health Science Center's South Texas Geriatric Education Center.

She plans to use a portion of her professorship to add geriatric information to the Dental School's on-line data base of medications used by dental patients.

Related reading:
Research opens new vistas on aging, (Mission, Fall 1993)

Fall 1995 Mission



Notables

Fall 1995 Mission



Organization honors Health Science Center's donors

The Health Science Center's Development Board has created the Pioneer Society, an organization designed to recognize thoughtful individuals who have included the university in their estate plans.

The Pioneer Society will include donors who make an estate gift or other form of planned gift to the Health Science Center. Other planned gift vehicles included are charitable remainder unitrusts, charitable gift annuities, pooled income funds, insurance policies and gifts of real estate.

"In creating the Pioneer Society, the university is recognizing those individuals with the vision to support the Health Science Center in a lasting and meaningful way," said Joseph F. Teague, director of development. "The Pioneer Society exemplifies the importance of will provisions and other planned gifts for the Health Science Center and expresses our grateful appreciation to individuals who make a planned gift in support of our mission."

The Health Science Center has received more than $3 million in planned gifts from individuals in the past four years.

For more information on the Pioneer Society, contact Teague at (210) 567-2056.

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