Program 639,
  July 24, 2000

 

A. Understanding and Treating Eating Disorders

Narrator: This is Science Today. Over five million Americans are affected by eating disorders such as anorexia nervosa, bulimia and binge eating. Dr. Kim Peter Norman, a psychiatry professor and director of the Eating Disorder Clinic at the University of California, San Francisco, says these psychiatric disorders could be considered chronic medical illnesses that improve over time.

Norman: If people suffer from bulimia or binge eating disorder, they don't necessarily need to come and see psychiatrists like myself. Often, just focused treatment in a primary care setting can be sufficient for their recovery.

Narrator:But Norman says there's a tendency to avoid discussing eating disorders in the health care setting, out of fear of offending the patient.

Norman: Eating disorders are best addressed by an approach that mixes empathy and understanding but also clear confrontation. What most people will say is if my doctor doesn't confront me about my weight problem, I feel like he's given up on me. It's less likely that they'll experience confrontation as insulting, more likely that they'll experience a lack of confrontation as not caring.

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

B. The Dangers of Long-term Sleeping Pill Use

Narrator: This is Science Today. Using sleeping pills to alleviate sleeping problems or anxiety is only supposed to be for short-term use, but studies indicate about two-thirds of the market is going to long-term users. Because of this, Daniel Kripke, a professor of psychiatry at the University of California, San Diego says there should be more research conducted on long-term usage.

Kripke: The effects on the long-term user are almost never studied and physicians would be better guided if they had more information from which to work.

Narrator: Kripke has conducted previous studies that found there's an increased risk of death associated with long-term use of sleeping pills.

Kripke: We found that people who said they were taking sleeping pills every night of the month were more likely to have died after six years than people who didn't take them. And the increased risk of death with taking sleeping pills every night was about the same as the increased risk of smoking one or two packs of cigarettes a day.

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

C. The Potential Uses of Anti-angiogenesis Therapy

Narrator: This is Science Today. Cancer researchers have been working with an antibody that blocks a protein called vascular endothelial cell growth factor, or VEGF, in an effort to shrink tumors and slow disease progression. Dr. Emily Bergsland of the University of California, San Francisco, says this is called anti-angiogenesis therapy, because it inhibits new blood vessel growth.

Bergsland: And the appeal of this is that this is a therapy that can potentially be fairly, generally applicable because it's thought that many tumor types, if not all tumor types require the recruitment of blood vessels in order to grow and metastasize. So these agents could potentially be broadly applicable across tumor types.

Narrator: Bergsland and her colleagues have recently used anti-VEGF specifically with metastatic colon cancer patients and have found encouraging results.

Bergsland: What's exciting about this study is it lends support to the whole concept that angiogensis is important to tumor growth and metastasis and this has been suspected for a long time. But this was the first study that showed in a randomized fashion that an agent specifically developed to block this angiogenic factor, called VEGF, can be efficacious.

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

D. A New Insightful Look at Tooth Structure

Narrator: This is Science Today. An x-ray microscope originally developed to analyze jet engine components, has been found to also reveal the intricate mineral tissues of teeth and bone. Physicist John Kinney of the Lawrence Livermore National Laboratory says this microscope will give researchers an insightful look at these tissue structures.

Kinney: Because it's non-invasive, we can look at these tissues under a variety of imposed physiological stimuli. For example in the teeth, we can look at them during simulation of cavities. We can look at the bone tissue under mechanical load, so we can see how the tissue deforms or responds adaptively to external situations.

Narrator: And in some cases, such as in the teeth, there's so little tissue there that seeing any of it is highly beneficial.

Kinney: Most samples that we look at, nothing is really ever done to the specimen...so the worst case is we haven't hurt anything, the best case is we've added some value to the information.

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

E. Increasing the Awareness of Alzheimer's Disease

Narrator: This is Science Today. One of the most unsettling aspects about Alzheimer's Disease is the fact no one can really feel immune to it. Dr. Lennart Mucke, a neurology professor at the University of California, San Francisco, says while some cases do have clear inheritance patterns, they represent just a small percentage.

Mucke: It can happen to absolutely everybody. And that's I think, a very important awareness because I believe that our mental faculties are probably one of our dearest possessions.

Narrator: Mucke is one of many researchers working towards better treatment of Alzheimer's Disease, but he says public activism is lacking.

Mucke: Some of the lack of that activism may come from this sort of resignation - well, you know people are old and you lose your memories and that's just how it is. But I think that with more and more people living to be ninety-five and a hundred and some of them are crisp and clear mentally and active. I think more and more people will realize that there really is no reason why they shouldn't be like that.

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