Program 664,
  January 15, 2001

 

A. Dentists to Receive Training for Dealing with Domestic Violence
B. An Optical Solution for Surgically Treating Carpal Tunnel Syndrome
C. Using Dental X-rays to Detect Strokes
D. What Women Should Know about Fibroids
E. The Obstacles Many Young Couples Face Raising Children


A. Dentists to Receive Training for Dealing with Domestic Violence

Narrator: This is Science Today. The American Dental Association has recently begun efforts to enact domestic violence educational programs for dentists. In a recent survey, Barbara Gerbert, a behavioral scientist at the University of California, San Francisco, found many dentists didn't screen for domestic violence, even when patients had visible signs of abuse. In a previous study, Gerbert found both the victims and their doctors tended to avoid the subject.

Gerbert: We found that there was this very intricate dance that both parties played a part in of approaching the topic or avoiding the topic and very seldom did a woman describe that they had been asked directly and answered directly.

Narrator: But Gerbert says validating or compassionate messages from an authority figure had a powerful effect over victims.

Gerbert: Asking women, identifying the abuse and validating the women and their worth can plant seeds for change and have an enormous impact in the long run.

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


B. An Optical Solution in Surgically Treating Carpal Tunnel Syndrome

Narrator: This is Science Today. A more efficient, less-invasive technique to treat carpal tunnel syndrome is being developed at the Lawrence Livermore National Laboratory. Engineer Robert van Vorhis says the new technique involves endoscopes.

van Vorhis : Endoscopes are like little telescopes that you go into the body with and traditionally, they've been used in the abdomen and in the abdomen all the organs are different colors.

Narrator: But in joint spaces, the tendons, ligaments and nerves are the same white color, which make visualization a problem and can impede the success rate of surgery. So, researchers are using advanced optics to get a clearer picture without all the glare.

van Vorhis: You can think of it as image processing at the speed of light. The optic solution will become potentially part of the endoscope itself and the physician may never even know about this part in specific, but they'll be able to benefit from it's function.

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


C. Using a Dental X-ray to Detect Strokes

Narrator: This is Science Today. Too often, people at risk of a stroke don't find out until it's too late. That's why a panoramic dental x-ray has the potential to become a valuable screening test in asymptomatic patients. Dr. Arthur Friedlander, an oral surgeon at UCLA, says although cardiologists have their own sophisticated tests, doctors limit these tests to those who are already presenting with early signs of impending stroke.

Friedlander: Whereas dentists see millions of patients each year, who believe, probably incorrectly, that they're free of the danger of an impending stroke. .

Narrator: If white spots show up on a patient's neck during this x-ray, that's plaque in the carotid artery, which can break off and cause a stroke. But there are other implications.

Friedlander: The disease process that's taking place in the neck, known as atherosclerosis, is also taking place in all the other blood vessels in the body.

Narrator: So, getting patients to the doctor sooner may also prevent future heart attacks. For Science Today, I'm Larissa Branin.


D. What Women Should Know about Fibroids

Narrator: This is Science Today. Every year, nearly six hundred thousand women have hysterectomies, making the procedure the country's second most common major surgery after cesarean. Dr. Scott Goodwin, an interventional radiologist at UCLA, says one of the most common reasons for hysterectomies are fibroids.

Goodwin: Fibroids are a benign tumor of the muscle of the uterus. They tend to affect women who are in their forties or are approaching menopause. No one knows for sure why some women get fibroids, although there does seem to be some genetic component.

Narrator: Goodwin has been treating patients with a non-operative alternative to hysterectomy called embolization, in which the blood flow to the fibroid is blocked off and essentially dries up.

Goodwin: The way it's done is to put a small plastic tube or catheter in the arteries to the uterus and then inject some small plastic particles and they float out in the bloodstream and they then mechanically block the blood flow.

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


E. The Obstacles Many Young Couples Face Raising Children

Narrator: This is Science Today. In today's society, more and more young parents are living hundreds - sometimes thousands, of miles away from the families they grew up with. Phillip Cowan, a psychology professor at the University of California, Berkeley, says this lack of familial support can be trying on young couples who are trying to juggle raising a family while pursuing careers.

Cowan: This is happening in times that are really changing. They're isolated often in homes and away from the communities and friends. Work circumstances have changed so that men and women are both working in many, if not almost all families today.

Narrator: This is unlike the past, when it was presumed men would work and women would stay home to raise the family.

Cowan: And it worked to women's disadvantage in some ways as the whole feminist revolution talked about. But it did work because at least people thought that's what we're going to do and they did it. Now we don't know what to do. We call these couple's 'new pioneers' because they really are charting new territory - and they're not finding it easy.

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