Program 769,
  January 21, 2003

 

A. January is National Glaucoma Awareness Month

Narrator: January is National Glaucoma Awareness Month. This is Science Today. Glaucoma is a sight-threatening condition in which the optic nerve is damaged and affects about 3 million Americans. Dr. Robert Weinreb of the University of California, San Diego says pressure builds in the eye because fluid cannot drain properly.

Weinreb: In the case of glaucoma, for some reason, the drain gets blocked and the fluid is entering the eye but cannot leave the eye at the same rate that it's entering. And this causes the fluid pressure to increase within the eye...very much like if you stop up a drain in the sink in your kitchen, the fluid level is going to rise.

Narrator: If the internal pressure is not alleviated, it can damage the nerve fibers in the optic nerve and cause vision loss.

Weinreb: Initially, our treatment consists of a series of eye drops that reduce the amount of fluid flowing into the eye or open up the drain.

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

B. Computers May Help Cancer Patients Manage Pain

Narrator: This is Science Today. Recent studies show that many cancer patients don't take the pain-management drugs prescribed to them. Doctor Chris Miaskowski, a researcher at the University of California San Francisco, says most physicians don't have enough time with patients to make them understand the importance of maintaining a regimen. But Miaskowski thinks computers can be a valuable tool to help educate patients about their drugs.

Miaskowski: We're going to need to use different assertive devices because I'm not sure if the time element is going to change in term of health care interaction. Computer-assisted intervention with patients that's shown some promise with other diseases.

Narrator: Miaskowski says preliminary studies with elderly breast cancer patients have already shown the Internet to be an effective tool -- even with people who aren't computer savvy.

Miaskowski: The stereotypes have been blown out of the water. At the end of the study, these older women didn't want to give their computers back. They really enjoyed the online support group and chat.

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

C. Fine Needle Biopsies Have Several Uses

Narrator: This is Science Today. Fine needle biopsies can help detect breast cancer by using a thin needle to extract tissue samples from the body. But Doctor Britt Marie Ljung, a researcher at the University of California San Francisco, says with proper training, physicians can use these biopsies in other situations as well.

Ljung: This technique can be used on lumps in any part of the body, and that includes lymph nodes in the neck, various types of tumors in salivary glands and so forth.

Narrator: Ljung says doctors need to perform at least 100 biopsies to truly master the procedure, but once they do, it can be a cheap way to find cancer in much of the body.

Ljung: The technique is essentially the same for all different organ systems, so it makes good sense to have one or a couple of practitioners in the medical community who have been trained in both aspects of sampling. They can serve the patients in all of these areas - that way you can make economic sense out of training people for this.

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

D. A Non-Surgical Treatment for Uncontrolled Sweating

Narrator: This is Science Today. Doctors are finding more uses for a toxin called Botox, which is widely used to treat facial wrinkles. Now patients who suffer from a condition called hyperhydrosis - or sudden uncontrolled sweating - can be treated with an injection of Botox. Dr. Richard Glougau, a dermatologist at the University of California, San Francisco, says Botox is a very diluted form of the deadly bacteria that causes botulism and works by temporarily paralyzing facial muscles that cause wrinkles.

Glogau: The effect of Botox on the nerve endings that controls the sweat glands is identical to the effect on nerves that control the muscles, so we can inject for instance, a sweaty palm and produce dryness from anywhere between six and twelve months.

Narrator: Glougau says this is a great improvement over the surgical procedure in which a nerve in the neck leading to the arm and palm is severed.

Glogau: That surgery, while it can be very effective, does have some risks. The main one being the body's tendency to compensate by sweating more in the non-treated area.

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

E. A Simple Way to Maintain Bone Health

Narrator: This is Science Today. Bone density stays level throughout women's twenties and early thirties, but by the time a woman is in her mid to late thirties, these levels begin to trail off and significantly plunge by the time menopause hits. Dr. Deborah Sellmeyer, director of the University of California, San Francisco's Osteoporosis Center, says that's when women usually start debating whether or not to start hormone replacement therapy. But, she says there are other options, other than medication.

Sellmeyer: There are many things you can do. Staying active - any kind of weight bearing exercise; we like to encourage people to walk. If you're in good health and very active, things like tennis or weight lifting - anything that's going to make those muscles and bones work - is going to preserve your bones.

Narrator: Sellmeyer says this can be done without having to join a gym or going to extremes.

Sellmeyer: You don't have to spend a lot of money. If you're sitting at home watching TV, get some canned goods out of the cupboard and just start lifting them. You could do it very cheaply, you could do it at home with out a whole lot of effort.

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

 

 

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