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A.
Hospitals Under-prescribing Life-saving, Cholesterol-Lowering
Drugs
Narrator:
This is Science Today. If you or a loved one recently
suffered from a heart attack, chances are the doctor
did not prescribe cholesterol-lowering drugs upon
leaving the hospital. A nationwide UCLA study, led
by Dr. Gregg Fonarow, has found that less than half
of heart attack survivors receive lipid-lowering
drugs, despite studies demonstrating these medications
significantly lower mortality rates in high-risk
patients.
Fonarow:
Part of it is that traditionally, the view was
- we need to have a sort of period for patients
to sort of get over their acute event and that you
have time to actually initiate therapy.
Narrator:
Another reason for the low usage is a simple lack
of communication between the hospital and the patient's
primary care physician.
Fonarow:
I think for patients or family members that have
had heart attacks, that it's really essential to
make sure that lipid-lowering therapies have been
initiated and if not, ask the physician why not.
Narrator:
For Science Today, I'm Larissa Branin.
B.
A Test that Targets the Various Sources of Lead Exposure
in Children
Narrator:
This is Science Today. A new technique that detects
the chemical "fingerprints" of different
sources of lead exposure may help researchers zero
in on the causes of childhood lead poisoning, which
is typically hard to do. Donald Smith, a professor
of environmental toxicology at the University of California,
Santa Cruz, tested the technique and says even though
the United States has greatly reduced the major sources
of lead, a large number of children still suffer from
lead poisoning.
Smith : Because we've used lead
for so long in a number of different industrial materials,
including as an additive in gasoline. As a result
of all those industrial activities and the use of
lead as combustion in cars, there's enormous amounts
of lead, essentially stockpiled in the dust and soil
of urban areas.
Narrator: Another major source of lead
exposure in children is lead-based paints in old,
deteriorating housing.
Smith:
The most
prudent thing that parents can do to help reduce that
potential exposure is just to be aware of how the
children may be exposed and how they can, by keeping
their environment clean - whether it be the household
or the outside environment - how they can actually
reduce the intake of lead to the child.
Narrator:
For
Science Today, I'm Larissa Branin.
C.
New Research Questions the Effectiveness of Living
Wills
Narrator:
This is Science Today. Living wills are meant to ensure
that patients can pass on their end-of-life wishes
to loved ones, or surrogates, in the event they are
unable to make those decisions themselves. But Peter
Ditto, an associate professor of psychology and social
behavior at the University of California, Irvine,
has found that living wills - also known as advance
directives - are not doing the job.
Ditto:
The surrogates weren't able to predict patient's
wishes any better with an advance directive than without
one. And moreover, that even when they had discussions,
the surrogates still couldn't predict the patient's
wishes any better than they could without a directive.
Narrator:
The big question is why surrogates can't predict
patients' wishes better.
Ditto:
One of the things that we found is sort of a projection
bias. That surrogate's predictions typically look
more like their own wishes for themselves than they
do look like the patient's wishes.
Narrator:
Ditto says the point his research makes is to
not assume that simply filling out a living will document
will accurately communicate one's wishes. Instead,
Ditto recommends longer-term discussions. For Science
Today, I'm Larissa Branin.
D.
A New, Nationwide Breast Cancer Trial is Underway
Narrator:
This is Science Today. A drug therapy that blocks
the formation of new blood vessels will be tested
nationwide in a new breast cancer trial. Dr. Laura
Esserman, Director of the University of California,
San Francisco Breast Cancer Center - which is one
of the sites participating in this study - says the
process of new blood vessel growth is known as angiogenesis.
Esserman:
Tumors can't get big if they don't have food and food
comes from the blood. And there's specific ways in
which tumors recruit the growth of blood vessels to
help support them - it's like they're building roads
to themselves so they can get supplies in. So the
idea is, if you can block the road or destroy the
roads or the bridges, that you can stop tumors from
growing.
Narrator:
The ultimate goal of the study is to determine whether
an anti-angiogenic agent can effectively starve tumors
in women with earlier stages of breast cancer.
Esserman:
We ought to be able to see that and quantify it so
that we could have that as a target - say, instead
of waiting to see whether people die or don't die,
that we can say, well we can see it has an impact
on the tumor.
Narrator:
For Science Today, I'm Larissa Branin.
E.
A National Study Finds C-section Deliveries on the
Rise
Narrator:
This is Science Today. The National Center for Health
Statistics recently announced that Caesarean deliveries
are widespread among women of all ages. In a previous
study conducted by researchers at the University of
California, Davis, it was found that C-section rates
doubled in first-time mothers who were over the age
of forty. Dr. William Gilbert, chief of obstetrics
and gynecology, led that study.
Gilbert:
When I couldn't figure out why the caesarean rate
was so high, one of my colleagues said, "well,
Bill, if you have a 20-year-old woman, she can run
faster, jump higher than a forty-year-old woman. Why
would you think her uterus would be any different?"
Looking at it that way, even though the uterus hasn't
been used as in childbearing, it still undergoes the
same aging process as the muscles, the bones, the
fat tissue and other parts of our body and therefore,
looking at it that way, maybe the aging process has
more to do with it than we think.
Narrator:
Although the National Center for Health Statistics'
study was based on women of all ages, the upward trend
of older first-time mothers does factor in, as the
rates of women giving birth over the age of forty
is on the rise. For Science Today, I'm Larissa Branin.
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