Program 757,
  October 29, 2002

 

A. Overuse of Broad Spectrum Antibiotics is Leading to Resistance

Narrator: This is Science Today. A new study suggests practitioners are over-prescribing broad-spectrum antibiotics called fluoroquinolones, which target multiple organisms at once. Joseph Guglielmo, who led the University of California, San Francisco study, says this overuse accelerates bacterial resistance to the drugs and reduces their ability to treat infections.

Guglielmo: We believe that the very broad use of these antibiotics, these quinolones antibiotics - by using them inappropriately, it essentially is taking away a very important option that we did use in the past.

Narrator: Guglielmo says using narrow-spectrum antibiotics that target the offending organisms is a better approach.

Guglielmo: We believe that practitioners need to weigh the value of culturing up their patients, of using the results to streamline therapy toward the most narrow-spectrum antibiotic that possibly can be used.

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

B. The Genome of an Important Wine-making Microbe is Sequenced

Narrator: This is Science Today. Researchers have sequenced the genome of a bacterium that is critical to wine production. Called oenococcus oeni, this lactic-acid bacteria helps de-acidify wine after fermentation. David Mills, a professor of viticulture and enology at the University of California, Davis helped lead the genome sequencing project in an effort to gain more insight into these fermentation microbes.

Mills: Just from the simple perspective of we'd like to make those fermentations run smoother, we'd like them to be healthier for the public, we'd like them to certainly be as flavorful as possible.

Narrator: Mills points out they are not dealing with recombinant DNA, or gene alteration.

Mills: Here, we're talking about just the fundamental knowledge of what does the genome contain? And what will it tell us about the metabolism and the genetics of those organisms and how they perform all these wonderful fermentations that we truly enjoy on a daily basis.

Narrator: The genome was sequenced at the UC-operated Joint Genome Institute. For Science Today, I'm Larissa Branin.

C. Studying Executive Function Deficiency in Girls With ADHD

Narrator: This is Science Today. Researchers believe that while girls with Attention Deficit Hyperactivity Disorder, or ADHD, may not exhibit overt symptoms, such as impulsiveness or fidgetiness, there may be deficiencies in what is called their executive functions. Dr. Stephen Hinshaw, a professor of psychology at the University of California, Berkeley, explains.

Hinshaw: The executive functions by in large are those uniquely human attributes of planning, shifting, monitoring that appear to be quite disrupted in most children who have ADHD.

Narrator: Hinshaw warns that if girls continue to go undiagnosed, deficits in these executive functions could inhibit long-term academic, social, and occupational success.

Hinshaw: ADHD has a host of evidence now and our own studies show, particularly for girls with ADHD, they have real difficulties with these planful, self-monitoring, very human, kinds of attributes that help us to navigate our environment.

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

D. A Study Recommends Alternatives to the Existing Model of Dental Care

Narrator: This is Science Today. There are about 150 thousand clinically active dentists in this country and although the number of dentists has been on the rise over the last two decades, a recent University of California, San Francisco study has found a decreasing dentist-to-population ratio. Researcher Elizabeth Mertz says that's because there's a whole segment of the population who do not have access to oral health care.

Mertz: The public financing for care is extremely low, there's very little dental care available within the medical safety net - there really is no dental safety net - and so these people are simply going without or they're showing up in emergency rooms.

Narrator: The study recommends providing alternatives to the existing model of care including integrating oral health and primary health care.

Mertz: So looking at ways to have medical professionals and dental professionals refer back and forth to each other and work more as partners to maintain oral health of their patients and of the populations that they serve, rather than seeing them as two separate, totally distinct systems of care.

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

E. Scenario-based Counseling May Benefit Heart Disease Patients

Narrator: This is Science Today. When a heart attack strikes, every minute counts, but patients often delay seeking treatment by hours - sometimes, even days. Yet, the longer the wait, the more damage there is to the heart. Because of this, researchers are conducting a nationwide study to see whether or not one-on-one, scenario-based counseling for heart disease patients will increase the rates of early treatment. Kathleen Dracup of the University of California, San Francisco, is leading the study.

Dracup: The challenge for us as health professionals - nurses and doctors - is trying to help people be sensitive to their cardiac symptoms and know what to do right away so that they don't delay - they don't spend their time doing other things, self-treatment, taking Maalox, trying to call their doctor, which is not the right thing to do.

Narrator: Dracup says the right thing to do is take an aspirin and call 911 immediately.

Dracup: The data show that within an hour, if we can open up the blood vessel, there can be minimal or no damage to the heart muscle.

Narrator: For Science Today, Larissa Branin.

 

 

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