Program 719,
  February 5, 2002

 

A. The Great Possible Threat of Smallpox

Narrator: This is Science Today. Recent events have linked biological warfare and anthrax in the minds of most Americans. But smallpox could pose a far greater danger. George Rutherford, head of the University of California, San Francisco's Preventive Medicine and Public Health Division, says that after a vaccine wiped out the highly infectious disease in the 1970s, many people believed it was no longer a threat.

Rutherford: Which is completely and absurdly wrong. This assumes that 100 percent of the population is immune to smallpox. The correct number for that is zero percent.

Narrator: The vaccine only protects for about twenty years and the United States stopped vaccinating civilians thirty years ago.

Rutherford: Basically, nobody's immune anymore. The U.S. has 15 million doses stored. There's a real worry that they've outdated. There are currently randomized, controlled trials going on in St. Louis trying to see if a half-dose of smallpox vaccine will be equally as protective as a full dose of smallpox vaccine just as a way to double the number of doses available.

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

B. Researchers Aim to Study the Biomechanics of Shaken Baby Syndrome

Narrator: This is Science Today. An expert on the biomechanics of head and neck injuries is hoping to build a more realistic model of a baby's skull and brain to better determine the forces involved in accidental falls versus child abuse - particularly, shaken baby syndrome. Mechanical engineer Werner Goldsmith, of the University of California, Berkeley says the brain injuries that lead many prosecutors to file charges of child abuse may also be caused by falls or even chronic bleeding in the brain.

Goldsmith: I am convinced that people have been convicted of child abuse that were innocent. I'm not saying that there are a large number, but there are cases I've examined where I know mathematically substantiated, that the fall caused the death or severe brain injury.

Narrator: Goldsmith says there should be more collaboration between pediatricians and biomechanicians.

Goldsmith: If we can get the two sides to come together, I think it will be a wonderful thing for science, for medicine and for humanity.

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

C. Deep-space Climate Satellite Set to Monitor the Earth

Narrator: This is Science Today. For the first time, researchers will be able to study the Earth from a vantage point a million miles away in deep space. Francisco Valero, director of the Atmospheric Research Lab at the University of California's Scripps Institution of Oceanography, will lead this NASA-sponsored study, called the Triana mission.

Valero: Normally, we put satellites in orbit very close to the Earth. This image is usually not complete. Satellites cannot see the whole Earth. So, Triana goes far away enough. You can take a look at the sunlit side of the planet in one image.

Narrator: The Triana spacecraft and all instruments are built, tested and calibrated and ready to explore how the planet's climate works as an integrated system.

Valero: That is one of the main scientific objectives of Triana. We want to understand the radiative balance, the energy balance of the planet and relate that to the issues of global change and the issues of climate.

Narrator: Triana's launch date has not yet been announced. For Science Today, I'm Larissa Branin.

D. The 'Hospitalist' Model of Inpatient Care is on the Rise

Narrator: This is Science Today. A recent University of California, San Francisco study has found that a growing method of inpatient care known as the hospitalist model, will one day be the dominant mode of hospital care in this country. According to Jonathan Showstack, a health policy expert at UCSF, this model provides hospitalized patients with a hospital-based general physician.

Showstack: A major concern among both physicians and patients regarding the hospitalist model is the transfer of care once the patient enters the hospital. The concern is that there will be a discontinuity.

Narrator: But Showstack says since hospitalists focus exclusively on hospitalized patients, they'd be more familiar with the complex hospital system than most outpatient physicians.

Showstack: The early evidence is that the hospitalist model does produce some savings in length of stay and fewer uses of resources and apparently at equal or possibly better outcomes of care.

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

E. How to Deal with Post-9/11 Stress Disorders

Narrator: This is Science Today. Mental health workers are only now starting to see some long-term effects of the September 11th attacks. It's been estimated that there are about 70 thousand cases of post-traumatic stress disorder in Lower Manhattan alone. So what can be done for those diagnosed with the disorder? Frank Schoenfeld is the director of the Post Traumatic Stress Disorder Clinic at the University of California, San Francisco.

Schoenfeld: Psychotherapy's maybe the most common thing used now because there aren't too many people who are specialists in treating acute stress with cognitive behavioral approaches - spiritual counseling probably being a big one.

Narrator: The problem, Schoenfeld says, is that treatment programs for post-traumatic stress disorder are only loosely organized.

Schoenfeld: It's important to bring in expert knowledge and clinical skills at the appropriate time and there needs to be a network that I think is more tightly integrated than what we have now with FEMA and the Red Cross, the Department of Defense, the Veterans' Administration.

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

 

 

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