Program 558,
  January 4, 1999

 

A. Dispelling The Myth Of Schizophrenia
B. What The Dentist Knows May Not Hurt You
C. The Future Role Of Behavioral Medicine
D. Managing Those Aches And Pains
E. How To Reduce Radiation Exposure At The Dentist


A. Dispelling The Myth Of Schizophrenia

Narrator: This is Science Today. One of the most common misnomers about schizophrenia, a severe mental illness, is that it's associated with multiple personality. University of California, Berkeley anthropologist Karen Schmidt says the psychosis is almost never associated with split personality.

Schmidt: I think where that comes from is the word schism ..which means split and the word schizophrenia comes from a Swiss psychiatrist who made that word up to describe the illness and he was referring to a split between the person's consciousness and reality.

Narrator: Schmidt, who studied the cross-cultural aspects of schizophrenia says compared to multiple personality disorder, it's actually pretty common.

Schmidt: The rate is about one in a hundred in the United States and in many other places as well. And schizophrenia has a number of features, it's a confusing illness because we don't know exactly what causes it and we can't treat it all the time and it's a very frustrating illness.

Narrator: Schizophrenia is marked by hallucinations, hearing voices and delusions and is currently treated with drugs and psychotherapy. For Science Today, I'm Larissa Branin.


B. What The Dentist Knows May Not Hurt You

Narrator: This is Science Today. Contrary to popular belief, trips to the dentist are not often that painful. University of California, San Francisco research scientist Allan Bassbaum says that's because dentists commonly use local anesthetics, which block pain signals from going to the spinal cord, where they will be stored as a memory.

Bassbaum: In a sense the dentist is way ahead of the game, because when they do surgical procedures, in the rare case they might use nitric oxide, but most of the time what they're really doing is injecting local anesthetics. That's the best way because the local anesthetic makes sure that the spinal cord or the teeth in the case of a dentist, never experiences the injury that the dentist is inflicting.

Narrator: While a local anesthetic may block neurotransmitters from sending their messages of pain, Bassbaum says it does not eliminate post-operative pain completely.

Bassbaum: But the assumption is that the amount of post-operative pain one would have would be a lot worse if you did the procedure either without the local anesthetic in the first place, or under general.

Narrator: For Science Today, I'm Larissa Branin.


C. The Future Role Of Behavioral Medicine

Narrator: This is Science Today. Behavioral medicine, which focuses on how a person's own behavior relates to their health, is a growing field within the medical community. While such research continues in the area of heart disease and cancer, behavioral scientist Margaret Chesney of the University of California, San Francisco says new issues must also be addressed.

Chesney: We should be thinking about what are the leading causes of death and disability for people across the lifespan and what is the importance of behavior in those other arenas?

Narrator: In little children for example, Chesney says the leading cause of death and disability tends to be accidents.

Chesney: We should be doing research to see are there things that we can do to reduce the incidents of accidents and injuries.

Narrator: And that includes looking into aspects of firearm use.

Chesney: This is a tremendous cause of disability and injury to little people in our country and is this something that medicine should be attentive to and is it something that behavioral medicine should focus on? It's areas like that where we can maybe make a big difference. 0:16

Narrator: For Science Today, I'm Larissa Branin.


D. Managing Those Aches And Pains

Narrator: This is Science Today. Arthritis is one of the leading health problems today, affecting nearly 40 million Americans. In order to better manage these aches and pains, Dr. Nancy Lane of the University of California, San Francisco says common misnomers about arthritis must be addressed.

Lane: If your joints hurt when you walk, then you stop walking...that's a misconception. Probably another misconception is that there's nothing that can help it, so why take medicines.

Narrator: Instead, Lane says symptoms can be alleviated by a combination of anti-inflammatory medicines and non-medical treatment, such as exercise and weight control.

Lane: If you weigh too much, it's gonna hurt your joints when you walk around. So you better stay at a recommended weight, that's what's going to help your arthritis.

Narrator: And as for exercising ...

Lane: If your joints hurt, your knees hurt, you shouldn't be jogging. Low impact exercises or water aerobics or swimming ... the type of things that strengthen the muscles around your joint without making the joints become more painful is the most helpful.

Narrator: For Science Today, I'm Larissa Branin.


E. How To Reduce Radiation Exposure At The Dentist

Narrator: This is Science Today. Dental x-rays, are key to diagnosing and treating a patient's condition. But Dr. Stuart White, who heads UCLA's Oral Radiology Department, says patients should work with their dentist to minimize their radiation exposure.

White: The name of the game is getting the most diagnostic information with the least amount of radiation. The amount of radiation one gets from a dental x-ray exposure is very low. But it's not zero.

Narrator: White recommends patients bring records of old x-rays to new dentists and be aware of tools of the trade, such as film speed..

White: Dentists have been using D speed film, but for about the last ten years, there's a new type of film called E speed film, and it requires only half the exposure of D speed film.

Narrator: Another tip, is to ask if your dentist uses rectangular collimation, which reduces radiation exposure.

White: You know your dentist is using rectangular collimation when the shape of the tube coming from the x-ray machine pointed towards your jaw is a rectangle, rather than a large circle.

Narrator: For Science Today, I'm Larissa Branin.

 

 

 

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For comments or more information about Science Today, contact Larissa Branin at larissa.branin@ucop.edu