Program 614,
  February 1, 2000

 

A. Managed Care Is Not Always Best For Preventive Services

Narrator: This is Science Today. If you're enrolled in a managed care health plan, you may think you have better access to preventive services like disease screenings or immunizations than in non-managed plans. In fact, studies in the past have said as much - but new research from the University of California, San Francisco, has found this may not be the case. Kathryn Phillips, lead author of the latest study, says that's because managed care has changed dramatically over the last decade.

Phillips: What we found overall is that we really don't know whether managed care plans do or do not provide more preventive services than fee for service plans.

Narrator: That's because there's no longer just one type of managed care health plan, so Phillips recommends better consumer awareness.

Phillips: Consumers should know what type of plan they're in, what types of benefits they provide, how well their plan scores relative to other plans in terms of providing preventive services that are recommended.

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

B. A Simple Way to Reduce the Risk of Surgical Infection

Narrator: This is Science Today. A new study has found that boosting up the oxygen during surgical procedures can cut a patient's risk of post-operative infection in half. Lead author Dr. Daniel Sessler, a professor of anesthesia at the University of California, San Francisco, says white blood cells called neutrophils need oxygen to kill the bacteria that cause infection.

Sessler: The killing actually uses oxygen. It takes oxygen and turns it into something called a free radical, which is actually a poisonous substance, which is then injected into the bacteria to kill them. The speed of this process depends on the amount of oxygen in the tissues.

Narrator: All it takes during surgery is turning two knobs up and supplying the patient with about three cents worth more oxygen.

Sessler: Most patients do not get infected after surgery. Surgical infections are relatively rare, but they are very serious, very expensive complications. So, decreasing the incidence of this complication is well worth doing.

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

C. Committing to the Future of our Kids

Narrator: This is Science Today. As working parents of ten to twelve year-old kids are finding out, there's a lack of after-school programs for middle-school aged children. Rivka Polatnick, a research sociologist at the University of California, Berkeley studied this trend and says many kids are home alone at a very vulnerable time in their lives.

Polatnick: There's a lot of peer pressure. Middle school is probably the worst time in a kid's life in terms of peer pressure and wanting to look cool. So, suddenly there's a lot of pressure to act real grown up and be cool.

Narrator: Polatnick says this lack of supervision could lead preteens down the wrong path through adolescence.

Polatnick: The most important thing right now is to recognize that kids need support beyond age ten when they leave elementary school. Kids still need a lot of support in the way of supportive, enriching after-school activities and that we need to commit resources to that. We've got to be able to commit to the future of our kids.

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

D. How Astronomers Detect Extrasolar Planets

Narrator: This is Science Today. Our sun contains nine planets and scientists have long wondered whether or not other stars in the night sky might also harbor planets similar to our own. Geoff Marcy, a professor of astronomy at the University of California, Berkeley, says there's been an ongoing search for many years now to find extrasolar planets.

Marcy: You can't actually see directly the planet orbiting another star - the glare from the star is just too bright to see the little tiny dot of light that would be the planet. So instead, what we do is we watch the stars to see if they move in space - wobble around and around.

Narrator: That would indicate a gravitational tug from the orbiting planet. But Marcy recently witnessed one of these planets cross in front of its star, causing it to dim.

Marcy: We've always known that there was a chance that if you're lucky, the orbital plane of the motion of the planet would take the planet right in front of the star - just by luck. And so the transit of the planet actually happened just as we had imaged and always hoped.

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

E. How Anxiety Can Factor In Cesarean-Section Birth Rates

Narrator: This is Science Today. Women over forty who give birth for the first time have a higher rate of caesarian sections than first-time mothers half their age. Dr. William Gilbert of the University of California, Davis found this was largely due to the higher risk of pregnancy complications in older women. But Gilbert says other possible factors their study did not cover are maternal and physician anxiety levels.

Gilbert: Obviously if you're a woman having a first child over forty and you either paid the money with infertility drugs to get pregnant or you were pregnant spontaneously, this is what we would call a premium, quote/unquote, pregnancy. We actually think all pregnancies are premium but if you're twenty-two and you have a miscarriage, you still have time where if you're forty-two, you're chance of getting pregnant is even less and less.

Narrator: This may cause anxiety amongst health care providers and lead to delivering a patient earlier than normal.

Gilbert: By delivering earlier, they may have an increased risk of induction or outright caesarian section and this could be part of the cause for the increase in caesarian section rate.

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

 

 

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