Program 648,
  September 25, 2000

 

A. Organ Donations Rise, But Allocation Issues Persist
B. More Fuel for Anti-smoking Campaigns
C. An Environmentally Friendly Alternative to Dry-Cleaning
D. How Social Support Helps the Elderly
E. Cigar Smoking Deemed a Serious Public Health Risk


A. Organ Donations Rise, but Allocation Issues Persist

Narrator: This is Science Today. The Federal Department of Health and Human Services has announced that organ donations have increased during the first half of this year by almost four percent. But Dr. John Roberts, chief of transplant services at the University of California, San Francisco, says one of the biggest issues surrounding organ transplantation is still allocation.

Roberts: As the demand for transplantation increases, we're really left with these issues about how do we get organs distributed fairly or with justice?

Narrator: With limited resources, Roberts says a philosophy called triage often comes into play.

Roberts: Peacetime triage generally occurs in situations where you have enough of a resource, you just have to figure out who needs to go first. Where, wartime triage is you just say, I can't take care of this guy - let him die. That's sort of the battlefield triage kind of system and one that transplantation, particularly of the life-saving organs, heart and liver is sort of been moving toward.

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


B. More Fuel for Anti-smoking Campaigns

Narrator:This is Science Today. New research on the effects of cigarettes may add fuel to anti-smoking campaigns targeting children. One Massachusetts study found symptoms of nicotine addiction can begin within a few days of smoking just a few cigarettes. And University of California, San Francisco epidemiologist, John Weincke found a crucial link between the age a person starts smoking and how much DNA damage is present in the lungs.

Weincke: Our evidence strongly indicates that if a person starts smoking very early in life, before adolescence, the damage that accumulates persists much longer than if a person starts smoking, say when they're 20 years or so. It may actually take many years for it to clear out of the lungs and of course, once mutations are induced, theoretically, they're around forever.

Narrator: Weincke says there's been controversy over whether when a person starts smoking is an independent risk factor for lung cancer, as opposed to how much a person smokes.

Weincke: Because people that start smoking very early in life tend to smoke more cigarettes per day and they tend to be heavier smokers.

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


C. An Environmentally Friendly Alternative to Dry Cleaning

Narrator: This is Science Today. An environmentally friendly dry cleaning process using liquid carbon dioxide may provide a non-toxic solution to cleaning clothes. Researcher Craig Taylor of the Los Alamos National Laboratory says liquid CO2 can eliminate the current use of perchloroethylene, which is a suspect carcinogen.

Taylor: Wearing suspect carcinogens against your skin is a scary thought for most people and that's why most people, when they take their dry cleaning home, they hang it in the closet for a couple weeks to let the rest of the perchloroethylene evaporate off before they wear it.

Narrator:Taylor says clothes treated with CO2 emerge dry, cool and wrinkled - within minutes, however, the clothes reabsorb moisture from the air and become wrinkle-free.

Taylor:For the dry cleaner, it also eliminates a lot of the treatment that they have to do after a lot of the pressing steps. And things like that are going to be much easier for them.

Narrator: Such solutions are currently available, but not yet widely used. For Science Today, I'm Larissa Branin.


D. How Social Support Helps the Elderly

Narrator: This is Science Today. A National Institute on Aging study has found that frequent visits from family and friends, helped elderly people who have recently been hospitalized and live alone, improve their functional status. Aging expert, Dr. Kathryn Borgenicht of the University of California, San Francisco, says factors that keep the elderly at home are not just based on medical condition or functional status.

Borgenicht: A lot of it depends on what your social support system is, what your financial support is, that it may have very little to do with an actual medical system. It may have more to do with some of the other support systems in the community.

Narrator: Borgenicht says those who may need long-term health care should discuss with their family and doctors what their needs and goals are.

Borgenicht: We are constantly working with people about the issue of how much help does somebody need versus how much help caregivers think they need. And sometimes that can be dissparent. What is the goal for this individual person? Is it to stay at home? Then what are the pieces that may help that person stay at home? You've got to work on it this way.

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


E. Cigar Smoking Deemed a Serious Public Health Risk

Narrator: This is Science Today. The American Cancer Society has reported that cigar smoking poses as serious a public health risk as cigarette smoking. But unlike cigarette marketing, promotions for cigars are not required to mention potential health risks. Lisa Bero, a researcher at the University of California, San Francisco, has been conducting a study on how cigar smoking is portrayed in the media.

Bero: We looked at who's quoted in the articles, who talks at all in the articles and we have celebrities and we have a lot of people from the cigar industry. But less than a third of the articles mention anyone from the public health community so that view of cigars isn't getting out in these lay press articles.

Narrator: Bero says these articles also miss another important health risk found in the American Cancer Society's report.

Bero: The other big health effect is the passive smoking effects, because the toxic substances in cigar smoke are actually greater than in cigarette smoke. And that hasn't cropped up in any of the sample of articles that we've looked at so far.

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