Program 853,
  August 31, 2004

 

A. Deep Brain Stimulation Surgery for Parkinson’s Disease

Narrator: This is Science Today. Patients with Parkinson’s disease, who develop side effects from their medication, may benefit from deep brain stimulation surgery, or DBS. At the University of California, San Francisco, Dr. Phillip Starr has performed hundreds of DBS operations at the university’s treatment center for Parkinson’s disease, which is the largest in Northern California.

Starr: A deep brain stimulator is basically a brain pacemaker. It’s a device where there is a wire electrode permanently implanted into the brain that is connected via wires that go under the scalp to a pulse generator and battery control unit that is implanted in the chest.

Narrator: Once implanted, the microelectrodes deliver signals to the brain that suppress the symptoms of Parkinson’s disease.

Starr: Those main symptoms are tremors, muscle rigidity, slowness of movement and difficulty walking. All of those symptoms will improve, although they won’t be completely made normal by brain stimulation.

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

B. A National Committee Reviews Mold Growth in Buildings

Narrator: This is Science Today. There’s long been some evidence that dampness and mold growth in buildings are associated with various health effects, including asthma. Scientist Bill Fisk, the head of the Indoor Environment Department at the Lawrence Berkeley National Laboratory, took part in the National Academy of Sciences committee to review all the scientific literature on the subject.

Fisk: The bottom line, major finding is that dampness and mold in buildings is an important public health problem and it’s also a health problem that we know how to reduce today. The key to doing that is to change how we design, construct, operate and maintain buildings.

Narrator: Although the committee could not determine if the health effects were caused directly by mold growth, they do think it’s a big contributor.

Fisk: But we haven’t done the detailed studies to say it’s clearly mold and it’s not bacteria or it’s not chemicals. So we certainly need a variety of research.

Narrator: The committee identified a long list of research needs pertaining to damp buildings and mold. For Science Today, I’m Larissa Branin.

C. Understanding the Underlying Biology of Disease

Narrator: This is Science Today. A consortium led by scientists at the Lawrence Livermore National Laboratory, are looking into providing the earliest possible diagnosis of human infection – whether it’s a new or known disease or from a bioterrorist threat. Ken Turteltaub is leading the Lab’s Biodefense Division’s study of pathomics.

Turteltaub: Pathomics is the idea that we need to understand more about the underlying biology, the way that pathogens work and really use that to develop new methods to detect and measure pathogens in people and in animals.

Narrator: Currently, there’s an emphasis on bioterrorism – helping with fundamental science and applying that towards protecting the public against bioterrorist concerns.

Turteltaub: But there are major spin-offs from this – that we also want to help the rest of the scientific community to use and do some research ourselves on. And that is the overlay of the bioterrorism problem with just disease diagnosis, because it’s all relevant. The challenge is where we put our heads together.

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

D. Schizophrenia Study Links Ethnicity to Low Rates of Drug Adherence

Narrator: This is Science Today. Despite improved drug therapies for schizophrenia – a serious mental illness that affects more than two million Americans – a recent study found only forty-one percent of patients take their antipsychotic medication on a regular basis. Dr. Dilip Jeste, a professor of psychiatry and neuroscience at the University of California, San Diego, says while it’s been known that African Americans were significantly less likely to adhere to their medication, their study identified for the first time a low rate among Latinos.

Jeste: It is a clearly worrisome finding that both African-Americans and Latinos have a low rate of adherence. It’s not clear what is the explanation – the explanation could be biological and or psychosocial.

Narrator: Biologically, Jeste says there is evidence that certain side effects of medications are more common in certain ethnic groups.

Jeste: What is needed is an understanding what are the factors associated with non-adherence in Latinos and then try to find ways in which we can improve the adherence rate in that group.

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

E. A Study Looks into HIV and Hepatitis C Co-Infection Rates

Narrator: This is Science Today. There are three common types of Hepatitis – namely, A, B and C. Hepatitis A is a mild illness, which people usually get from contaminated food. Hepatitis B is more severe and can lead to a chronic disease that can be acquired sexually, perinatally or through sharing needles. And finally, there’s Hepatitis C, a chronic infection, which is usually acquired through injection drug use.

Bangsberg: About ninety percent of people who will use injection drugs will become infected with Hepatitis C.

Narrator: Dr. David Bangsberg, director of the University of California, San Francisco’s Epidemiology and Prevention Interventions Center, has conducted a study of HIV-infected urban poor in San Francisco.

Bangsberg: The main finding was that Hepatitis C is very common. Seventy percent of the people have a Hepatitis C infection and that while Hepatitis C was very common, Hepatitis C treatment was very rare and among those people with Hepatitis C infection and HIV infection, only four percent of those individuals received Hepatitis C treatment.

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


 

 

Science Today is produced by the University of California
  Office of the President
and broadcast over the CBS Radio Network

For comments or more information about Science Today, contact Larissa Branin at larissa.branin@ucop.edu