VANTAGE POINT
Teaching Research Ethics
size of scientific research groups (some include
dozens of students and postdoctoral fellows esearch universities are special institutions
working under
olhigher Ieaming where knowledge
the limits of close supervision and good communi-
is
both
created and transmitted to students. other
a single professor) have strained
cation between the senior investigator and the individual student. Therefore, it is no longer
researchers and the public at large. At such univer"
sities. the faculty educate students, seek new
adequate to leave the responsibilify of educating
knowledge (research) and also teach what they
students on the ethical conduct ol research solely
have leamed through research. That is to say that
to the student's research supervisor. 0n such a
teaching and research, in spite of some widely
person will always fall the obligations to supervise
held misconceptions, are two interwoven misions
the research carefully and control the qualiff of the
of the research universities, each strengthening
results being generated. However, students today would benefit from a broader exposure to all kinds
the other for the benefit ol present and future generations.
of ethical dilemmas faced by researchers. They will
Teaching during research takes place as
be better prepared tomorrow to carry on indepen-
faculty members, undergraduate and graduate
dent research in an ethical manner if they have
students, research asociates and postdoctoral
opportunities to discus common dilemmas and to reflect on the potential consequences of their
fellows engage in collaborative efforts to develop and carry out different projects, In this setting,
decisions. lnitiatives contributing to the training
professors and students learn together from
of students at this level should be implemented
lheir
research. Equally important, but often overlooked,
close supervision and provide for many opportuni-
is the fact that through these
ties to
interactions faculty
discus c0ncerns about the gathering,
by lhe universitv, academic depanments and research units.
members are also teaching students how to do
recording, retention, interpretation and reporting
research. These learning opportunities are com-
of data. In this manner, students become well
monplace at research universities with strong graduate and postdoctoral training programs, such
informed about the standards followed by
and national levels by instituting educational
researchers in their disciplines. However, even
strategies for adequate training in research ethics.
in this ideal environment and despite its self-
Several new initiatives, targeted to reach all
correcting nature. research has not been devoid
students engaged in research and not iust those supported by federal training funds, are now in place or about to be implemented. They include
as the University of
Nonh Carolina at Chapel Hill.
Through the research enterprise, the faculty help students understand the relevance of research projects in advancing their fields of study, stimulate them to raise probing questions and testable hypotheses, teach them appropriate research
of fraud and misconduct. Cases o[ misconduct in research have been widely publicized in the last decade. They have
The Unrvercity of North Carolina at Chapel
Hill
is once more exerting its leadership at the state
university-wide colloquia, discussions of ethical
methods. guide them in the interpretation of results
fueled national debates on whether these are isolated instances of wrongdoing by a few "bad
isues durinq students' orientation, distribution of informative brochures, formal courses and regular
and oversee the preparation of repofts for publica-
apples'within a dedicated and trustworthy com-
discussion groups. The future succes of these
tion. It
munity, or reflective of a more pervasive behavior
initiatives will be a credit to the elforts of the
is
in this environment that faculty also teach
students another esential lesson: how to conduct
in a professional elite unable to police and disci-
faculty. student body and administrators of the
research in a responsible and ethical manner. In
pline its members. As educators charged with
oldest public university in the nation. O
the past by and large, the ieaching and learning of
the responsibility of training new generations of
this aspect of research has been left to examples of
scholars, we cannot dismis these cases of mis-
CommenE ond suggestions fron Dr. Joe W Grishom,
conduct by the faculty and the power of deduction
conduct in research as insignificant oddities, nor
Dr. Richard
and asimilation by the students.
can we remain silent while public trust in scholarly
Cornmittee on Research are achnouledged as
research erodes. Instead. we shorrld lind new ways
ualuoble contributions to this essly.
In much the same way as they learned from
their teachers and mentors, generations of scholars
ples of good research practices and raise their
learn lhe boundaries of acceptable behavior
awareness of conditions that might have negative
through their research experiences. This model has
effects on the ethical conduct of research. These
should still be vaiid today when
include the preoccupation with the number,
research training proceeds along the lines of indi-
instead of the quality of scientific publications
vidual apprenticeships. In some disciplines it is still common lor research to develop from one{oone
petition for research funds, and potential conflicts
relationships between proleson and students or
of interest as private research funds are sought.
from collaborations in small research groups, These circumstances foster good communication,
Clark ond memben of the Faculg
to educate our students about established princi-
have taken for granted that their students would
seru"ed us rvell and
L
(the publishor"perish syndrome), the stiff com-
In other disciplines the expansion of the research enterprise and the increase in the average
Marila CordeiroStone, Ph.D.
Asociate Profesor of Pathology Chair, Faculty Committee on Research
En
ors
Published by the Office of Research Services at the University of North Carolina at ChapelHill/ May 1994 lVolume XI, Number 2
COVER STORY
Endeavors The University ol North Carolina at Chapel Hill
77 I
Stalking the Culpris Behind Birth Defects Lrt'Christine Sneed
May 1994 Volume X, Number 2 Endeavors is a magazine published three times a year by the Office of Research Services at the
Defectiue mouse embryct
University of North Carolina at Chapel Hill. Each
page
DEPARTMENTS
2
7
issue of Endeavors describes only a lew of the many
in the Headlines
NEWSMAKERS: Carolina Faculty Rubble Rei,'als our Histol
research projects undertaken by faculty and students of the University.
3
MARKETPLACE:Universitylnnovations Rinsirrg a Li[*sar ing Liler
4
DIALOGUE: Issues in Research
Requests for pernrission to reprint material, read-
ers' conlments and requests for extra copies should be sent to Editor, Endeavors, 0ffice of Research Services, CB #4100,300 Bynum Hall,
Basic Science by lntLtrence L Gilbert
the University of North Carolina at Chapel Hill, Chapel Hill, NC 275994100 (919/96&5625),
Applied Science
6
Chanceilor Paul Hardin
Vice Chancellor for Graduate Studies and Research
iti ze nsh ip,
l8
Robert P. Lowman
Publications
l9
Katherine High Douglas Kelly
WHAT IS... & A CaLolina Professor Explains
r%g
Philip Carl
VITA: A Profile Pamela Conover
ffi w
Director, Office of Research Seruices
0N
c
page 18
Linda L. Spremulli
Aduisory Board for
CAROLINA OPINION: Tar Heels Speak Out Chanqinq Health Choices by Beuerly Wiggins
Conouer studies
lntetin
b1, Williant H. Glaze
20
SCHOLARTY PURSUITS: Student Research The Road to Immorlality
Carol Reuss
Editor Brenda Powell
FEATURES
A..,,''MY - '-1 \ 1/
E*lis.
'r
Assrstant fdttor.s
Dottie Horn
Health Department,
Scott Lowry
page
I O }^J:X::H.1H::CARE method for determining Medicaid
l0
reimbursable
Christine Sneed
rO I4
Designers
Southern Media Design & Production /llusfrdlom: Jane Filer, Robert You
Couer Photo; Professor Thonrus Sadler prepores to inhibit qene
of
O1994 by the University of North Carolina
seueral UNC-CH Bitih Defects
at Chapel Hill in the United States. Atl rights reserved. No part of this publication may be reproduced without the consent of the University of North Carolina at Chapel Hill.
Center researchers striuing kt discouer, treat and preDent the genetic and enuiron'
mental defects.
lt
Clristine Sneed
EATING AWAY AT POLLUTION
lnong ol Tinl'
embryo using " antisense " probes. Sadler is just one
costs
the
\l
rst Promising TLruls
ior
Neutralizrng Soil Pollution are a Host
expressbn in a mouse Pholographer Will 0wens
COSTS
causes behind brrth
Ild(
0rganisms
Dy Sccttt Lcttary
SMILING AND BEAUTIFUL \utionol Qs,qroplric's Photographs of Non-Westemers He)p Put Americans at
Ease
by'
Dottie Htn'n
Corolina Faculty in the Heodlines
NEWSMAKERS
historical archaeology to UNC-CH in
RUBBLE REVEAIS OUR HISTORY
fi \ \.f
to welcome alumnus President James K. Polk
1992.
Archaeological and anthropological research fills
during his i847 campus visit. By
in gaps left by traditional historical research, Ward
the building was in such a state of decay that "the
says. "My feeling is that the history and the docu-
general consensus was that no great
tudents and facultv from the Research
ments that historians use to write about the past are
*ooru,orres or Anrnropology grur,, srn
sometimes biased. Often they overlook the com-
through layers of earth and time. Here,
mon folk who formed the backbone of the society,
fragments of fine Staffordshire china
the yeoman farmers, the African-Americans
evoke the ghosts of elegant, ante-
and others. It's through the study of
bellum Southern hospitality.
material remains that we can learn a
Gun flints and cartridges
lot that might not necesarily be in a written record."
give grim testimony to diary accounts
1921, however,
los had occuned
when the building caught fire and bumed to the ground," Samford notes. Since earliest survivinS descriptions of the site date back only to the Iate 1800s, the researchers are seeking clues as to what the original structure Iooked like, Davis says.
From the available surviving docuof duels
ments, Samford was able to piece together a partial
fought on this
Although
history of the site.
spot. The researchers
Sometime between
dig deeper into the earth
1793
and the past. Siltencrusted
and
the site has
often been dis-
1797,
turbed over the years
keys and rough-hewn, iron nails
University steward John "Buck"
attest to a rustic bygone era. There lies
Taylor first erect-
power and sewer lines and
ed a wooden-
the construction of Graham
frame tavem on
Memorial, the researchers recently
a penny more than 150 years old, perhaps
dropped accidentally by a weary wayfarer reaching eagerly for a dram to wash the road dust
the edge of the
off his tongue.
uncovered evidence of the original
Univercity grounds.
These are just a few of the artifacts recovered
due to the installation of
tavern's foundations. Using patterns in the artifacts, the researchers
Over the years the site
from the site of an archaeological dig right on cam-
served at various times as tavern,
also hope t0 answer questions concerning lifestyle
pus. The site, located between Graham Memorial
hotel and men's dormitory before its final demise in
and Franklin Street, held one of Chapel Hill's first
1921. Severaltimes the
busineses, a tavern/hotel built in the late 1700s.
and rebuilt, changing from the original rustic tavern
show an increasing variety in the menus offered?
The excavation is part of a year-long project
to a Victorian*tyle hotel complete with turret and gingerbread porches at one point. During its hey-
Do the beverage containers found reflect changes
directed by Steve Davis and Trawick Ward, RLA archaeologists, and by RLA Director Vince
day as the Eagle Hotel, a special annex was added
building was demolished
changes-did hotel and tavern life become more elaborate 4s the community grew? Do food remains
Steponaitis. By examining this flotsam of yesteryear,
in drinking habits? One feature of the site that is helping researchers answer these questions is a depresion
the researchers are
just west of where the original tavern stood "This area was gradually filled in, and
adding to our
so there are layers of soil and artifacts
going down about two to two-and-ahalf feet," Davis remarks. "As you go
down layer through layer, the artifacts get progressively older. As we look at
individual layers we're actually looking how lifestyles changed
at slices of time. This
as both the University and
in seeing how things changed with
to give us a fuller understanding of the life-ways
us a
'"
Fragments of elegant
The project began in fall 1993 and
will run through the
1994 sprinQ semester.
During the first semester, the student and
china imported from Staffordshire, England contrast uith homely, rough.hewn iron nails, heys, and a coin with a mint date between 1816 and 1819. These recooered from an archaeolo$cat dig on
and reasembling the fragments. Eventually this
large part around the input of doctoral student
represent
evidence of the University and Chapel Hill's
Patricia Samford who brouqht her interest in
and Chapel Hill communities oaer the centuries.
of people who lived here during the founding days of the North Carolina colony right up to the 20thcentury," Ward explains. The hotel/tavern excavation developed in
lot
;Tlil:ffi#rfiT,ffirj, "-:&' .",.I
the surrounding community grew
over the years. "Right now we're looking at archaeology and anthropology as adjuncts to history,
will help
artifacts, campus, changes in the lifestyles of the llniaersity
f
aculty researchers concentrated on excavatinq
artifacts and arranging them in their proper historical context. Now they are also cleaning
heritage will be put on display on campus.
a
Uniuersity Innouations
MARKETPTACE
RINSING A LIFESAVING
IIVER
in storage, and increasing the success rate of transplants. Five to 15 percent of liver
Thurman developed a soiution to infuse into the liver after storage, just before it is transplanted. "The
transplants
fail and require re{ransplantation within 2-3
transplant.
liver
days
idea is that this fluid will sta( up the metabolism
ft rom the wreckage of an automobile accifi dent,rescueworkersextractaseriously LemastersandThurmanbeganbyusingarat model. They extracted and stored rat livers, then I injured person. After being rushed to the hospital and placed on life suppoft, the victim dies, used an apparatus to put artificial blood through though machinery keeps his or her heart beating. them to test their function. ln this way, the researchers determined specifically how the liver Hospital staff have found an organ donor card in the person's wallet. A doctor contacts the next of kin, who supports the accident victim's wish to donate organs. While the # of the original
under a less stressful condition," says Lemasters.
Usingtheirlabapparatus,theresearcherstestedthe function of rat livers that had been stored and then rinsed with their solution. They found that using the rinse, which they call the Carolina Rinse Solution,
had reduced injury to the liver. The researchers then tried transplanting into rats livers that had been stored and then rinsed. The rats
who received livers that had been rinsed
**+fl'ffiX;:-. ; :'W*' iYr,X;r*.,*o] l;+T[;;kr.$u:ffiil;[T ;d#i&],:;,I- -5:; ffihlfftll*-*ffi,';fll
-5' ii l,* 'afJ
tffi:#fr##n:i1ff1''J';ffi:; livers transplanted into l5 of lheir human llvtlstldllsPldllLCt LI , "Thev measured the performance perforr :,i;&$flP*, r;-fl1,*e patients. "They at Un;IfreXg'* posioperative rnost to be transplanterl. It has the best 'tr$ r1f7 : of the liver graft in the postoperative ,.}113!ffi*&T. , ffifr.period. says Lemasters. They found J chanceofsutvivinginitsrecipientifitisE:%Wfoeriod'.'saysLemasters..,Theyfoundthat
cold storaqe, That liver now has 24 hours
ansPanedwh;82"'Tilff$: At any given tine, appro
people in this country are wail
:ffilll-I.-#Iil;
Iiver. Hospitals that perform lit generally construct waiting Iis'
liver
Aboue, a diseased liuer remoued from a patient. Below, a healthy liuer thosrrvait- 'rror',:,A,oonrplantedintoarecipient.Atthepoint,justbeforetrans"ir*iirr. ing to receive livers generally live near hosthe liuer would be infused with the Carolina Rinse Solution, pitalswheretheoperationsareperformed,rt i"rlor,t inuente.dbvprofessorsJohnLemostersandRonaldThurman.
individuals' severity of need. Because a
mustbetransplantedsoquickly
1992, was enough to
elicit the interest of
CytosolLaboratoriesinBraintree, Massachusetts. "We're working with them
andhopethat inthenextsixto12months
North Carolina.livertransplantsareper1ormedre-"p--Lemasters.AtriaIof500_1,000patientsis ,, irE necessarytoproveboththeextentof effica ,'. '-'%II onlyathospitalsatUNCCHandDuke University,)Becausetimeissoimpor1ant,rc'5".'.:.pj,.sUcyandthesafetyofthesoIution,says liversaregenerallynottranspor1edfar:J,,f.-:,Wii."rl.l..1..','...ILemasters. ',:,tr,,f@ '\' .it_{, , , -"1,, " The researchers believe that the Unless an especially critical need exists in r* I t'r V;'t,.:"'' CarolinaRinseSolutioncouldaidliver anadiacentstate,forexample, liversclonat- J .I . *,. iW* transplant recipients and those waiting for eri in Nofth Carolina are generally given to a l, ;r; ,.'.,,7;. lffiSl I recipientinthestare o,.^,,';:T:fi,:t:1, thev are not alrearly hospitalized. (ln
where liver transplants are do
1i*6r' ;3 &
It
we can get a large clinical ttial stafied," says
l,:;,,;[,';,J::Iilffi,'l,.|;yin:.,]l:.:
and W,i&ii,,,,, ' :;ffiffi| t ." I a ot liver injury. In addition, the rinse could ., are Liver donations bring urrrrBUdLtrtrrcurBdrr'"''"'""irurrur.,'r, back the organ. 3:;:l:;;],ft'. X,,1,' | 3 rearce the number of livers transplants that from generally only accepted 8clleIdllydCCeptUUu,,.,,,.,,,,,.,,JI,i,JiJii.,,.,"W'-.-,,-:ffil;#ili,.,n.,1-*,oother.wiseturn S,',;&,:,W& &*.,:,,,,.,:,,,,.,.{l i.r}i.trrrr;il;l;.allowdoctors who wIlUulewllllellUUKcU,,,,,,:.;;:#;,;,.,Effi;ffi;i,.,,ol.o[,'.hcei1ainkinds die while hooked up to ro where a liver is available to extract
I
machinery. While approximal transplants are performed in this
country year
liver while on waiting lists for liven that are not available. damage was not occurring during storage, Rather. This is the situation which John Lemasters, the damage was precipitated by the stress of the professor of cell biology and anatomy, and Ronald liver's resuming its function as it received blood Thurman, prolessor of pharmacology, have sought and began metabolism again. "When we stafied up the lil,er," says Lemasters, "that was in essence to address. Lemasters and Thurman have been a harsh treatment of the liver, which had been studying organ presen,ation since 1988, with an weakened by the storage." eye to providing liver recipients with les injured Wanting to limit this iniury, Lemasters and Iivers, extending the time that a liver can remain annually, several hundred people clie every
was damaged. They also determined that the
of medical histories are prone to failure, If clinical trials show that the rinse solution lives up to its ptomise, it will provide more hope for the thousands of desperately ill people waiting for
livers.
i
Lemasters' research discussed in this article uos funded in full by $1,023,053.92 from the Nationol lnstitute of Diabetes ond Digestiue and Kidney Diseoses.
lssues in Research
DIATOGUE
In a climote of tight budgets and demands for public accountabilig, the Clinton administrotion and Congress are urgingresearch funding agencies to reorient thelr mrssions more toward technologt and applied science. Hou)euer, two UNC-CH researchers, a
biologist and an enuironmental engineer,
wam that if basic scientific inquiries are neglected, all scientific research
will suffer.
Basic ftience:
Ifuowledge for the Future's Sake by Lawrence I. Gilbert
[1he National lnstitutes of Health (NIH), the lil:il.Tilr# flxt dliij?,j,lil,litJ;,,
I
l
of basic research in the life sciences for about five decades. Now the government is requesting that NIH begin to concentrate more on applied research, i.e. quick cures forspecific diseases. However, NIH
already has a strong clinical research program.
4a
Moreover, NIH has funded programs in basic research that are absolutely requisite for the
alleviation of most diseases,
as the Nobel Prizes
in medicine, physiology, chemistry, etc. awarded
attempt t0 have universities share with industry
inevitably translate to a narowing of education for
to NIH-supported researchers over the last decades
both research and the application of basic con-
students, with rnevitable negative effects on future
cepts at the expense of funding for basic research
technology.
attest.
Applied science
is vital and certainly should
be supported, but not at the expense of basic
science. It would be a tragedy if university scientists
will be disastrous. [f any change
is
warranted, it is
an increase in our investment in basic research. If the unimaginable comes to pass, the
Emphasizing applied research also runs the risk of decreasing the collegiality of educational institutions. As research becomes focused on eco-
were enc0uraged to pursue excessively utilitarian
present misions of the university will change
nomic gains, the race for patents could endanger
goals at the expense of the long{erm fundamental
from education and the furthering of knowledge to
the present atmosphere of open communication.
questions upon which the advance of science
education and the furthering of knowledge that will result in "the quick {ix." Modern life sciences
Additionally, who decides what research is relevantl Short-term polilical and economic pressures
then the applied scientist will by necesity have to
research, particularly in the area of molecular biologv, is quite expensive. A junior faculty member in
could become even more intrusive, likely resulting in lost productivity and the slowing of basic and
become a basic researchersince knowledge of
this discipline who does not obtain a major grant
technological advances.
basic mechanisms is required forsignificant tech-
for support of his or her research has little chance
nological advances. As Louis Pasteur said, "There
of amasing the scholarly credentials required for
students to initiate the tortuous path toward a Ph.D.
with the aim of devoting their life's energies to
Indeed, today they are at times indistinguishable,
promotion and tenure. Organismic biology would no longer have any sponsor, and it would be most difficult to train the future generations of taxono-
e.g. the molecular biology of food crops.
mists, ecologists, behaviorists, etc. There would be
one's research has a decidedly applied slant. We
little support for graduate students in the basic
will have destroyed the seed corn for generations to come. a
depends. If the availability of funds for research of excellence in basic areas is decreased dramatically,
is only one science: science and the
application of
science are linked together as a fruit is to the tree.'
Economic growth depends more on the university's contributions being at the basic Ievel
sciences, nor funds to support undergraduate
than at the applied level since basic conceptual
research students; and, of course, a monumental
advances form the substratum for those changes
los of overhead funds that support
that will impact so greatly on our economy. To
campus programs. Narrowing research "goals" will
a variety of
Above all, no incentive will exist for young
basic research. There will no longer be careers in the basic life sciences for young faculty unles
Gilbert is Williom Rond Kenqn Jr. Professor of Biology ond Associote Vice Choncellor for Acodemic Affoirs.
*,:
\N
r{'\
\.d
'yei
what will be only "interesting." Indeed, what is only an obscure journal article today may turn out to be the key in a future application. Third, much of what results from "research" in the broadest sense of the
word
is the literature, art, history, and other works
that enrich us and make life worthwhile. In our present society, the university is one of the last
bastions of this type of inquiry, and this scholarly and artistic work would never rate support if
"applications" are the essential prerequisite. So saying, we must admit that someone
will
eventually have to make decisions on what research is to be suppo(ed. And we must understand that in our legislatures funding is a now zero sum game. If one new project is to be funded,
Applied Science: A Duty to the Public
UNC-CH faculty are exploring how their respective
another cannot be. We cannot entirely blame politi-
by William H. Glaze
expedse can be used to solve problems to make
cians who perceive that their constituents would
F{orseveral
life more healthy and fulfilling for Carolinians and
prefer retirement of the federal deficit, a national
H I
veam industrv has been cutting
f,act on lts baslc research ettorts. Now the
people all over the world. Moreover, applied
health care program, or defense from crime and
qovernment mlgnt De lo,owlng surt. LVen
research is not limited to UNC-CH profesional
violence over what they feel is esoteric university
the mision of the hallowed National Science
schools. In Arts and Sciences departments such as
research. We also cannot not blame those who call
Foundation has been questioned by congresional
city and regional planning and in programs such
for solutions to AIDS, for a nonpolluting automo-
committees who want it to be more applied. What
materials sciences, faculty clearly have an applied
as
bile, for recyclable polymers or for psychological
objective in mind. Much of this work would simply
research of the violently inclined over the basic
not be done if it were not done at a university.
knowledge that would have come from the (now
the exclusion of basic research? Indeed, is applied
Universities, including UNC-CH, are and should be
research even appropriate for a major research
an essential part of the applied research apparatus
unfunded) Superconducting Super Collider. By and large, these legislaton and policy makers are acting
university, orshould it be left to industry and
of this country.
does this mean for universities? Will
UNC{H be
forced to accept the applied research paradigm to
If we are already deeply involved in applied
government? My answer to the latter question is an
research, then why the concern over national
in what they believe is the national interest when they call for more "applied" research. What all of this means for the University
emphatic no. Applied research is already a vital
policies that seem to emphasize this activity? First,
communig
part of the mission of the university and it is no shame for UNC-CH to be deeply involved in research
applied research cannot flourish without a base of fundamental information which is the product of
support for all kinds of research in the University is
which seeks to have an immediate impact on soci-
basic research. For example, computer algorithms
a good investment for North Carolina and America,
ety. Much of the research in our outstanding
to solve the differential equations that characterize
Through our applied research it can benefit us
profesional schools
is clear. We must tell all of the citizens of North Carolina, especially our leaders, that
flow of pollutants in the environment are inconceiv-
now, and through basic research it can benefit
In medicine, phamacology. environmental
able without the results of fundamental mathemati-
our children and future generations t0 come.
sciences and engineering, human population
cal research. Second, it is extraordinarily difficult to predict what basic research will be "useful" and
is already
applied in nature.
studies, dentistry, law and many other areas,
a
Gloze is Choir ond Professor Enu
of
ironmental Sciences and Engineering.
Tar Heels Speak
)ut
CAROLINA OPINION This column features information from the Carolina Poll conducted by
the UNC-CH School of Journalism and Mass Communication and the Institute for Research in Social Science.
Changing Health Choices by Beverly Wiggins
in the
ometimes researchers find it is useful to not only
ases cur-
18-
to 24-year-old group are
also the most likely to say that they
have not tried to quit. Almost two out of
rent behavior patterns, but also to
five smokers in that aqe group say that they
measure how they have changed over time.
have not tried to quit smoking, compared with one in every five smokers ages 25 to 44, and one in four
This is particularly true for behaviors that have a direct impact on our health.
The fall 1993 Carolina Poll asked North
of those ages 45 to 64. Smoking is almost twice as common among
Carolinians about several ordinary activities that were also asked about in the fall of 1983-activrties
North Caro[nians with a high school education or
such as drinking alcoholic beverages, smoking, and
les than among
using seat belts. The Carolina Poll regularly tracks
(31% vs. 17%). Racial differences in smoking are
changes in health choices to keep researchers,
small. Twenty-three percent of blacks and 29
Use of Alcohol
policy makers and the public informed.
those with some college education
percent of whites repofi that they smoke. Men and
women are equally likely to smoke (28% males and Use
of Alcoholic
Betserages
29% females). Religious attendance was not related to smoking.
0f the activities asked about, drinking
These health trends might go unnoticed if
alcoholic beverages showed the least change. Differences between the 1983 and 1993 surveys are not significant, with 56 percent in the 1983
survey indicatinQ they sometimes drank alcoholic beverages such as liquor, wine, or beer, compared
to 54 percent in 1993. The most recent survey gives additional
information about North Carolinians' alcohol use. According to the 1993 poll, attendance at religious services is inversely related to drinking. Of those
who never attend, 67 percent drink; of those who
surveys weren't done periodically to track them.
0n the face of it, these trends might seem unim43%). Those who grew up in North Carolina are
les
meticulously track habit and lifestyle changes
they were age 16 (46% vs. 75%). Whites are more
to lormulate sound public policy.
are more likely to drink than women (66% vs. 46%).
Smohing
ever tried to give up smoking?" The results indicate
a week, 44 percent drink; and of those
that smoking among state residents has declined
Income is strongly related to drinking. North
considerably over the
10
year period. In 1983, 38
percent of North Carolinians smoked, compared
with 28 percent in
1993. This change mirrors the
than those with lower incomes to dnnk. Among
national trend. 0f those who do smoke, a larger
those with incomes over $60,000 a year, almost
percentage say they have tried to quit than was the
three-fourths (73%) drink; among those with incomes under $10,000 a year, just over a third
case l0 years ago (65% of smokers in 1983 said they
(37 %) drink. A similar pattern is found with education. The higher the education, the more likely the penon is to be a
drinker. For example, only 34 percent of
had tried to quit compared with 76% in 1993). The 1993 Carolina Poll tells us that smoking is more
common
am0ng younger resrdents of the state.
A
those with less than ninth grade education reported
third of adults under
that they are drinkers, compared with 74 percent of
age 44 smoke, com-
college graduates.
pared with
Residents of metropolitan counties are more
Iikely to drink than those in rural counties (60% vs.
fall 1993 Corolino Poll wos conducted between )ctober 7, 1993 by the UNC School
of Journalism
those who attend more than once a month to once
Carolinians with higher incomes are more likely
The
October 3 and
Respondents in the two surveys were asked, "Do you smoke?" Smokers were asked, "Have you
who attend
I
likely than blacks to drink (58% vs. 399r.) and men
attend once a month or les, 73 percent drink; of
more than once a week, 22 percent drink.
portant, but researchers and policy-makers must
likely to drink than those who moved here after
l gga
Smoking
les than
one{ourth of those and older. Smokers
45
1
ggs
ond
Mass Communication ond the
lnstitute for Research in Sociol Science. A rondom
somple of 605 aduk North Carolinians uas interuiewed by telephone. The
sonpling enor is plus or minus 4 percent for the
totol somple, but is larger for
co mp ori so ns be
tu een
groups.
Wiggins is associate director for research deuelopment ot
IRSS.
Stalking the Culprits Behind Birth Defects by Christine Sneed
f ! I
culture from gestation davs eight through
n Mart:h 1991. the mvsterious killerstruck
12,
which
would in the womb, but in a test tube they
agai,,r
conesponds approximately to weeks three to six of
can be obserued, manipulated and subjected
Jrrst
the human first trimester.
to microsurgery."
ln effect, this culture system gives investigators a window into orqanogenesis, the period of rapid organ development which occurs during
at the Lineberqer Cancer Center, pioneered the application of a technique called "antisense
in the srnlll torvn ol Brownslille. Texas orre dav apart. twrr childten wete l-rorn
with anencephall,-their brains were exposed and malformed. Thev died within minutes. Since Januarv 1989. 36 cases of children born with this rare defect have been recorded in Brownsviile.
lnd the cause or
causes still remain an enigml. s number one
Bifih defects are the nation
culprit behind infant death. At the same time, the
Recently, Sadler and Ed Liu, professor
the first trimester. It is during this period that most bi(h defects are induced. "The beauty of this system," Sadler explains, is that "all the
oligonucleotide technology" to cultured embryos. Antisense technology combined with the hands-on
developmental processes occur just as they
to study genes important in early development.
severe
model of the culture system enables the scientists Basically, antisense technology
origins of oler 70 percent of defects are unknown. lnvesttgators are
inhibits the genetic signalling that
st1'mied for simple solutions because
controls normal embryonic develop-
manv mal-formations are multi-facto-
ment, At a specific time. a qene inside a cell's nucleus "explesses" itself; that
rial. That is, they can be caused
b1'
is, it churns out copies of its genetic
external factors like drugs or pollutants. or bv qenetic factois, or bY a
message, its coded sequence of
combination.
nucleic acids, in the form of single-
In
medical and
stranded messengel RNA (mRNA).
health affairs researchers ioined forces to create the UNC CH Birth
somes attach to the mRNA strands
1992 severai
Defects Center. Their
Ball-shaped structures called ribo-
and form proteins by matching amino
misiort. in
acids to the code provided by the
par1. is to [erret out lhe factors
lurking behind developmental
mRNA. These proteins are the signall-
abnormalities. Some like Thornas Sadler. center director and professor
ing agents that tell the cell what to do
-
ol cell biology and anatomy, are
to multiply, to move, even to die. Using the original mRNA
investigating the baslc genetic
strand, Sadler creates an arlificial
mechanisms of embryonic
mRNA probe whose nucleic acid sequence is complementary, or "anti-
development. Others like Kathleen Sulik, professor of cell biology and anatomv. are also studying the role
sense," to the original. For example,
of external factors in creating
AUGC, then the probe's sequence
defects. Through research they hope
to find better lva)'s to treat, prevent and even cure the many abnotmalities afflicting over 250,000 infants each year in the United States.
if the original sequence began
{ --'â‚Ź,r.::t. a I i-
r* ^"
,ta -td
t.1,:: | .
%-..-:-:
lt{ir
t.:,..:r ..
-i
:-'::=: {-:.a-!.
&
I
would start UACG (the letters stand for the four nucleic acids that make up RNA)
,
When probes are injected into ,
l
an embryo, they target mRNA strands
, a,
t,
Sadleis labs in the Isaac Taylor Building are full of test-tube babies.
0f course. you might not realize that
and bind to them. When ribosomes come looking for single-stranded
Mahing Sense with Antisense
f{
\".h
mRNA, instead they find double strands which they cannot attach to.
Meanwhile, the cell's security system detects these abnormal double-
immediatell . because the babies are
stranded compounds and digests
hardll, more than specks, about the size of a digit in the date on a penny.
them with enzymes. The original genetic message is erased and the
These are mouse embryos temoved
Thomas Sadler, Birth Defects Center director, demonstrates the microiniection of
from their molhers and grown in
"antisense" probes into a cultured mouse embryo.
probes released to bind to additional strands. Eventually, most or all of the
E.N.D.E.A.V.O.R.S
targeted mRNA is destroyed. The result, says Sadler, is that "the cell can't make the protein; it doesn't have the message anymore." By inhibiting gene expression in cultured
Cunently, Sadler's research team is focusing
particularly on WNT-1 and WNT-3a. These genes are involved in development of the brain and spinal
embryos and seeing which organs and structures
cord. Although no links have been definitely estab-
develop abnormally, Sadler can begin pinpointing
lished between specific birth defects and the WNT
which developmental events are controlled by which genes. "Now we have the means to get right
genes, antisense offers a means for asking ques-
down to the level where these signals really might be working," he says, 'and if we can leam that, we
Kathleen Sulik's office bookshelf is lined with photo albums containing over 300 "snapshots" ol mouse embryos. These visuals, taken via an elec-
tron microscope, chart the stages of both normal and abnormal embryo development. 0ne micro graph shows an embryo developing normally; twin,
tions, Sadler says. By inhibiting both genes at the same time, Sadler's team has created such bizarre malforma-
hope we might find ways to prevent abnormalities
tions as duplications of the spinal cord. However, if
or to correct them once they occur."
the team targets only WNT-I, the defects do not occur. "WNT-I and WNT-3a are homologous genes,
Discovering links between specific genes and organ development is a difficult venture. "Almost
On the Trail of Prenatal Poisons
antisense technology onto the WNT gene family,
which means the proteins they code for are very
smooth bulbs swell into the cerebral hemispheres. In another picture, an embryo's head bulges into a single conical blob. Had this mouse grown to term it would have been born without a full brain. Sulik and her team are interested in
determining how chemicals introduced from the
every developmental event involves a cascade 0f gene signals as opposed to just one signal," Sadler
similar," Sadler explains. "So, if you inhibit one, the
environment affect embryos'cells to create such
others protein can do the job for the one that's
defects. Embryo cells are highly sensitive to stimuli;
notes. Also, many genes appear to expres them-
mising." Sadler concludes that this compensati0n
selves more than once during development.
gives the embryo a built-in resistance against the
Antisense technology improves on previous
development of defects. Inhibiting only WNT-3a still
techniques which knocked out the targeted genes
results in some spinal abnormalities, leading Sadler
altogether. First, Sadlels technique does not
to conclude that WNT-3a plays a more significant
destroy the gene itself, just the mRNA copy.
role in spinal cord development.
Moreover, since the probes, too, are eventually
Documenting gene expression patterns is the
destroyed by the cellular delenses after about 24
first step toward understanding the miracle of the
hours, eventually the gene, if it expreses itself later,
myriad events that ultimately create complex living
will be able to send out new mRNA and manufac-
organisms-and the possible genetic reasons why
ture the proteins needed then.
the miracle sometimes goes awry.
compounds such as alcohol, pollutants or drugs that may be only somewhat, if at all, harmful to the mother can be devastating to the fetus when passed through the umbilical cord. Sulik and her team examine the effects of environmental teratogens, chemicals that cause defects, by exposing pregnant mice and then removing the embryos a few days later. They examine which areas of cells were affected and chart the degree of malformations. For several years, Sulik has studied the
Using a lSM320 scanning electron
microscope, laboratory specialist Debbie Dehart
(front) and Kathleen Sulih, professor of
cell
biolog and anotomy, obserue details in the structures of a mouse
embryo. With this machine they create electron micrographs of embryos
lihe the images on page 9.
.*.%*.-.-*
...
"â‚Ź. -r{
;
I
E.N.D.E.A.V.O.R.S
effects of retionoids, compounds closely related
now must administer pregnancy tests before pre-
says, "we're using much lower doses than most
to Vitamin A. She is particularly interested in 13cis retinoic acid, better known as the oral acne treat-
scribing the treatment.
people consider teratogenic.' A critical factor is -Even relatively low doses of retinoic acid timing.
ment Accutane9 Sulik's work on retinoids has been aided by her research on another project,
known, the harmful potential of less potent Retin A, a topical form of retinoic acid, has not been fully
she says. Some researchers suggest that Retin A
Fetal Alcohol Syndrome (FAS).
determined. Yet the market for these skin creams,
poses no threat because not enough retinoic acid
used as both an acne treatment and a cosmetic
is absorbed through
wrinkle minimizer,
fetal development. Sulik cautions that in deter-
Back in 1983 Sulik heard about some alarming news coming into the Centen for Disease Control. Several infants from acros the nation
Although the risks of Accutane@ are well-
is booming.
In a collaborative effort with the Environmental
given early in gestation can cause defects in mice,"
topical application to affect
mining the harmful potential of low retinoic acid doses, investigators must be aware of what
were reported as being born with similar severe
Protection Agency, Sulik's team has exposed preg-
birth defects. One factor in common among the babies' mothers was that they were all using
nant mice to varying amounts of retinoic acid
to look for. "The orally administered retinoid gives
to determine the lowest dosage at which the
you a typical pattern of malformation, and that's
AccutaneP CDC docton dubbed the babies'
compound can still cause defects. So far, she
the pattem some researchers have been looking for as a result of the topical exposure," Sulik explains. "A lot of times you only see
ailment retinoic acid embryopathy (RAE) The infants' plight caught the interest
what you are looking for. What ['ve tried to
of Sulik and coinvestigators M. C. Johnston,
impress is that you shouldn't necesarily
profesor at the UNC-CH Dental Research Center, and W. S. Webster, a
expect to get the same pattem with the
prolesor at
the University of Sydney, Australia, when
topical treatment."
they noticed similarities to the defects resulting from FAS. "We had written a
posible risla, Sulik simply urges caution
paper describing a spectrum of malfor-
when using both oral and topical
Until further studies ascertain all
mations asociated with FAS called the
retinoids. Physicians recommend that
DiGeorge sequence. As it turned out,
women discontinue any retinoic acid
a lot of the kids that had RAE also had
usage at least a month before becoming
pregnant. Sulik concurs: "Nobody dies
the DiGeorge sequence. From our alcohol research experience we knew when during
from pimples or wrinkles, so the best thing to do is to avoid retinoids il you're
development the embryo is sensitive to the
induction of these malformations. So we decided to see if we could make them with retinoic acid.'
resulting cellular damage in the fetuses.
planning a pregnancy,'she advises.
fi
Toward a Cure
E
Sulik's team exposed pregnant mice to retinoic acid on their eighth or ninth day of gestation, and then examined the
g
Sutit'r und Sadlers research are just
E Mo
examples of the many projects going
on at the Birth Defects Center. The need
Mouse embryo deueloping normally (gestation day 11)
for this kind of investigation is presing.
The studies demonstrated that the infants
0f the 3600 babies bom with birth defects
with RAE had been exposed to the retinoid
each year in North Carolina, many could
very early in gestation, most likely early in the fourth week. "This is before many
have been prevented with proper prenatal
women are even aware that they've
defects are caused. But by building on the
care and better understanding of how
become pregnant," Sulik notes.
information they have uncovered so far,
Retinoid-induced birth def ects seem
these researchers are optimistic about the
to be a case of too much of a good thing.
future. "Our work is progresing toward not
Retinoic acid is naturally present in rela-
only achieving a better understanding of
tively low concentrations in embryos and plays a key role in governing structural
the causes of birth defects,' Sulik says, "but also toward their prevention."
I
formations such as fingers and facial features. The mechanisms by which
exces
retinoic acid upsets normal development
Sodler's research discussed in this article
are cunently under investigation.
is supported in full by $368,843
Since introducing Accutaneo on the
= Z
market in the early 1980s, manufacturers have been required to include package
fron the
Nationol tnstitute of Child Health and
E Humon Deuelopment. Sulih's reseorch
d
'3
wamings urging pregnant women to avoid the drug. However, due to the number of
children born with RAE and to studies like
Mouse embryo exhibiting aprosencephaly, no forebrain. This embryo
Sulik's, these warnings have been made much more prominent. Also, physicians
G.5 mg/hg on gestation day seuen.
uas remoued from a mother which had been exposed to retinoic acid
uas supported by $150,000 from the Enuironmentol Protection Agenq; it is also supported in port by $130,191 from
the National lnstitute of Child Health and
Human Deuelopment.
E.N.D.E.A.[r0.R.S
l0
ry for Public Health Care Costs neu method for determining Medicaid reimbursoble costs thot giues the state's public health deportments
UNC-CH researchers deuise o
a much needed transfusion of funds by Christine Sneed
f I I
n 1992 two nurses and a single part-time social
supporting health services for some of the state's
involved was multiplied by his/her hourly wage
worker handled a caseload of 326 needy chil-
neediest citizens never make it to the local level.
and the sum was considered the total cost of the
ar.n through the child senice coordination
Kilpatrick and his team undertook the chal-
program in Cleveland County, NC. In rural Swain and Craham Counties, patients faced a daunting
the invitation of Chris Hoke, Assistant State Health
six-month wait for an appointment at the health
Director for the NC Department of Environment,
department's child care clinic. While public health
Health and Natural Resources (DEHNR). Hoke
lenge to revamp the state's cost-finding method at
providers at all of the state's 87 local health depart-
turned to the UNC{H School
ments know services need improving, there simply
of Public Health for several rea-
has not been money available.
0r so it seemed
-ln
Kilpatrick's reputation.
CH researchers proved otherwise.
ing with the people at Medicaid
The state's health departments
will receive an
we knew that they had worked with Dr. Kilpatrick in the past on a major cost study involving
departments were entitled to Medicaid reimburse
this was a researcher recom-
ment all along. For example, in 1992 the cost for treating one child in a clinic was considered to be
mended by Medicaid," Hoke explains. "We re very comfort-
$48.76, and for serving one child through an out-
able working with the school,
reach program t0 be $60.00. According to the new
and we know the quality of the
is $52.69 per
intlinic
treatment
child. For service coordination, the
If properly adjusted for inflation, this figure
could be accurate if labor time and wages were all that go into the cost of providing a screening. But
talk-
fiscal year. The increase is the result of the new methodology that "finds" costs for which the health
methodology, the true cost of
was billed at $37.31 for 1992.
sons, not the least of which was
until a new cost{inding method created by UNC-
additional $12 million in Medicaid funds during this
service. For example, a cancer detection screening
pharmacies, so we knew that
people there," he adds. The University also gains from this kind of collaboration.
actual cost is $80.00. In the past, many of the health care expenses that could have been supported by Medicaid were simply not included in the cost determination
Michel Ibrahim, dean of the School of Public Health. says. "This is the type of qras-roots
process, says Deparlment of Health Policy and
assistance universities can pro-
Administration Chair Kerry
vide to our communities. Dr.
E.
Kilpatrick. Kilpatrick
directed the team of UNC-CH faculty and graduate
Kilpatrick
students that created the new method for determin-
ately applicable with direct
ing the statewide average cost per service for 40
benefit to North Carolinians."
types of health services provided to Medicaid
patients. When costs go unreported, both health
s
study was immedi-
Since Medicaid reimburses
on a fee per service basis, the state needs a method for accu-
department patients and state taxpayers get short-
rately determining the average
changed. Cunently the federal government covers
cost for providing each of the
about two{hirds of Medicaid service costs in Nofth
health services. In a nutshell,
Carolina. That is, for every dollar state and county
the old method developed rates
governments pay, the federal government pays two.
by asking staff at a few sample
F
But Medicaid covers reported costs only. If the
health departments to log the
-q
local health department "bills" Medicaid at a rate lower than the actual cost of providing the service,
vices over a one-month period.
Mothers ond infants like this young patient at the Orange Coung child care clinic stand to benefit most from the increased. Medicaid funds, Many
other sources of funds must be used to subsidize
For each service, the time
health department directors report matemal and child health programs to
Medicaid services. Ultimately, funds that should be
estimate of each staff member
be one of their top priorities for improuement.
time they spent providing ser-
E
E.N.D.E.A.V.O.R.S
11
improved services-even to services that were previously unavailable to them. As a result of the funds now becoming available, the Swain and Graham Counties'child care clinic has been able to increase staff and
cut waiting time by 50 percent, says District Director R. W. Childers. Jan Eckard, Cleveland County health department administrative assistant, notes that two nurses have been
hired in child coordination service. They are not only alleviating the current caseload, but are also reaching out to children not yet being served. With the new methodology, the cost-finding proces finally enters the aqe of modern technology. Doctoral student Richard Holmes,
who developed the cost models and data collection procedures for the project, also created a Lotus-based
g
!
<
Daniel Reimer, )range Coung health director, and Kerry Kilpattich, chair of health policy and administration, explore the aduantages of IINC{H deueloped cost finding software. The Lotus-based program enables health departments to accurately trach expenses and to determine the auerage cost of proliding Medicaid seruices.
software program of the model. With the efficiency of computerization, Hoke anticipates that DEHNR will soon begin conducting cost studies of the health departments annually.
"ln the past we did cost studies every five to six years-when we could get
around to it," he says. 0f course, he adds, "lf you're
what about the cost of electncity and heat? What
of stepdown allocation for building maintenance,
about the cost of laboratory tests? What about the administration that organizes the clinic? "The old
utilities, administrative costs, etc. until all expenses
not doing a cost study but every five years, then
have been accounted for. Thus the final cost for a
you're losing a bunch of money because you're
method just mised a lot of legitimate costs,"
cancer detection screening, $83.85, now more accurately reflects the true cost of providing that service.
not keeping up with inflation."
Kilpatrick sums up. "These are costs that are bome by the taxpayen and that ought to be supported by
"And that's fair," Kilpatrick asserts. "lf
Moreover, this software has been distributed to all 87 health departments, enabling them to track
Medicaid payment. But if you neglect to include
Medicaid has agreed to reimburse the actual
their own costs accurately and easily. The new
those things in the cost determinations, then the rates
costs, then they should pay their share for all costs
methodology will also enable the health depart-
Medicaid pays will be too low at the local level.' One of the UNC-CH team's priorities was to
properly attributable to Medicaid patients, n0 m0Ie
ments better to negotiate a niche for themselves
and no les."
in the new market evolving out of reforms in the
'find" these unreported expenses and to make
Another major source of inaccuracy in the old method was the small sample size of health depart-
nation's health care system. As Kilpatrick aserts, "There's no reason why
For example, the cost of a cancer screening does
ments-usually only seven to 1&-used to calculate
a local health department couldn't think of itself
involve the sum of the clinicians' wages per time
the statewide average costs. The UNC-CH team
as an accountable health plan to provide services."
spent, as the old method recognized. But it also
increased the sample size to 26 health departments.
However, he continues, "lf they're going to play
involves the management services of the health
These facilities were carefully selected to represent
that role, they're going to have to know what the
department director who keeps the clinic running
all of the state's 87 health departments from urban
costs are, and
every day. Furthermore, a cancer screening often
to rural, wealthy to needy and large to small. The team worked closely with the staffs of
fee schedule to be competitive in the bidding to
these health departments to make the new method
directors didn't have an accurate method to
figures for the director's salary and for the labora'
as user-friendly as posible. William Zelman, profes-
measure their
tory. These figures were gleaned from the state audited expense reports of the individual health
sor of health policy and administration and the team's expert in managerial accounting, notes,
provides them a vehicle to be more competitive
departments. Working from general to specific,
"The local health departments were an integral part
the method breals down the director's salary and
of developing the methodology. We designed a lot of it by going out and asking them, 'What ought to
efits either directly or indirectly. "lt's upgraded our
including the cancer detection clinic. Likewise the method proportionally "shares" the total laboratory
be in here? What makes sense to you?"'
side physicians and many, many things," Columbus
expense among all the clinics that use lab tests in
Medicaid patients can look forward to more
enthuses. She adds with a laugh, "[ wonder some-
their treatments. The method continues this proces
attention from larger staffs and to expanded and
times how we got along without
them a part of the individual costs per service.
entails laboratory tests. The UNC-CH methodology starts with the total
distributes it among all the clinics s/he ove$ees,
Thanks to the fairer reimbursements,
will have to be able to develop
a
provide services. Previously, health department
in
a
costs-now they do. This model
competitive marketplace." Thanks to the new model, the entire state ben-
equipment, our staff, our leverage working with outCounty Health Depa(ment Director Marian Duncan
it." a
E.N.ID.E.A.V.0.R.S
t2
EatingAway at Pollutip
Among the Most Promising Tools for Neutralizing Soil Pollution Are a Host of Tiny )rganisms by Scott Lowry
fitured out just a generation
water was pristine, that the microorganisms had
We're working on cleaning it up, but it's going
0r s0 ago that pollution is a problem.
been filtered out and the pollutants had stuck to all
to take awhile. The problems are large and the
The evidence was everywhere, Irom
the soil particles as the water worked its way down.
resources that are available are growing, but
the perpetual dull haze smudging Los Angeles to
Well, one ol the things we have found is that some
they're still not enough compared to the magnitude
millions of dead fish clogging Lake Erie to the
groundwater's not clean." 0ne ol our biggest envi-
of the problem."
chemical stew oozing underfoot in Love Canal.
ronmental challenges now is t0 clean up the water
Thirty years of research, legislation and coopera-
in our subtenanean aquifers; to do that we must
many towns and along major roads between them.
tion have made a real difference. Air pollution
also clean the soil through which it percolates.
You may occasionally have noticed a large dirt
e finally
alerts in Los Angeles decline in frequency every
That soil is often contaminated with poten-
The problem is as close as the gas stations in
pile, olten covered with plastic sheets, where a
year. Fishing in the Great Lakes is making a come-
tially hazardous stuff. Plumes of gasoline spread
back. Property values in Love Canal-well, two out
beneath many old gas stations. Military bases sit
probably contaminated by leakage from the large
of three isn't bad. Besides, the problems of Love
atop vast pools of various petrochemicals, volatile
storage tanks. To get rid of that contamination, the
Canal are a long way from Chapel Hill, right?
organic compounds, even toxins seeping from
soil is usually dug up and trucked to a landfill.
chemicals dumped as long ago as the end of
Cleaning up such a gas station, a smail job com-
are not as far away as many think, warns Frederic
World War II. No state is exempt from the eco-
pared to many contaminated sites, typically can
Pfaender of the Department of Environmental
logical nightmares of legal and illegal chemical
cost as much as $800,000 to $1,000,000.
Problems asociated with soil pollution
Sciences and Engineering. The UNC-CH
profesor
dumps and spills.
has spent years studying soil pollution and innova-
cleaning tools. Now he is increasingly directing his efforts to getting environmental experts together t0
leam from each other and to better educate those outside their field. As information accumulates,
approach takes advantage of the fact that nature
"We're mouing into an era where the really
significant questions, whether it's global climate change or deforestation or
the experts need to bring it before the public and
biodiuersig or uhateuer issues you uant to tolh about, are not going to be addressed
policy-makers who know Iittle about the problems
by indiu idual researchers, "
involved. For instance, many people do not realize
has provided us with a more efficient way t0 get rid
of contaminants. Living in the ground are countles
microorganisms-bacteria, of
f
ungi, even some kinds
worms-just waiting for the chance to take a bite
out of pollution. They work cheap, too. Pfaender estimates that using bioremediation to degrade
leakage from a gas station can cost as little as $100,000 to $200,000.
that it is our need for clean water that places a
premium on understanding processes in the soil.
Those big numbers are causing many to turn
to a cleanup technique called bioremediation. This
tive ways to clean up the mes, particularly techniques that use microorqanisms, nature's own
gas station was recently demolished. That soil was
While the lower cost of bioremediation is "North Carolina's problems may be trivial rela-
attractive to companies with toxic sites, researchers
"Half of all the people in this country drink groundwater," says Pfaender. "Until the early 1980s,
tive to places like New Jeney, Ohio, Pennsylvania
and regulators are excited by how thorough the
and New York," Pfaender says. "But we certainly
microorganisms are. As Pfaender puts it, "lf you do
we had always made the asumption that ground-
have contamination here, just Iike anyplace does.
physical-chemical methods, Iike air stripping where
13
the contaminants, what have you done? You've
Some chemicals are more difficult to clean up than
is relating the microbial breakdown activity to toxicrty," Pfaender says. "We found that during
you pump air through waste material and volatilize
It isn't always so simple, Pfaender continues.
transferred them from the water or soil to the air.
are petroleum hydrocarbons. Two such contami-
the cleanup of trichloroethylene, the microbes are
You haven't gotten rid of them; all you've done is
nants are polynuclear aromatic hydrocarbons and
move them. It's the same thing if you dig the conta-
volatile organic compounds.
producing a metabolic by-product that's actually more toxic than the trichloroethylene. Its existence
minated soil up and carry it away. You've iust moued il. The advantage of using microorganisms
hydrocarbons into the soil on a large scale for ovel
We have been dumping polynuclear aromatic
is transitory, but if someone were to use that
water
halfway through the proces or not run the treat-
a century. The Environmental Protection Agency
ment system properly, they might have something
break it down into its mineral elements. It's not just moved. it's gone. Other than some very expensive
estimates that as many as 3,000 sites are contami-
that's more toxic. And polynuclear aromatic hydro-
nated with wood treating wastes. "lt started when
carbons are toxic compounds to start with, so if you
incineration and chemical oxidation techniques, it's the only technology that actually gets rid of the
we started building railroads acros this country
clean up 50 percent of them with some bioremedia-
and we wanted railroad ties that didn't rot," he
tion strategr, that really may have very little impact
contaminants."
explains. "Creosote's what we used. What's
on the toxicity. In Iact it's the toxicity that we care
creosote? Creosote's a mixture ol polynuclear
about: an 80 percent reduction's lovely, but if it's
is that when they break
Bioremediation
down pollution, they often
is thorough because of
fundamental differences between our metabolisms and those of microorganisms. "lf you or l-or any
animal-qet a toxin into our body, we use the strategl of metabolizing it one or two steps, then com-
aromatic hydrocarbons, a bunch of chemicals that are very, very hazardous." Other soil pollutants result from more recent activities,
bining it with some natural molecule and excreting
Pfaender says. "Volatile organic
it," Pfaender explains. "The animal body isn't concerned with utilizing the stuff, it's just concemed
compounds (VOC), things like
with getting rid of it. For microorganisms in the
trichloroethylene (TCE), are the pollutant of the '90s. They're
soil or water, it's a different strategy. For them, it's
every.where, because for three
potentially something to eat. But they need a bal-
generations these chemicals were
anced diet, if you will. If they're going to break
used as degreasers. They're still
down something completely that has carbon as
used as degreasers. When you
parl of the molecule, they also need nitrogen and
take a machine apart, what's the
phosphorus. 0ne part of bioremediation strategy
first thing you do? You clean the
is to provide the rest of the things in their diet that
grease off of it, of course. When
they need."
you're done, you've got dirty solvent. What do you do with it? For several generations, we dumped
While the lower cost of bioremediation is attractiue to companies uith toxic sites, researchers and regulators are excited by
hou thorough the microorganisms are.
it on the ground. The groundwater becomes contaminated
with VOCs
as it percolates
through the ground."
Bioremediation may be
a
good way to get rid of these pollutants, but we need to understand
Sometimes, as in the cleanup of the oil spill
what happens down there.
in Alaska's Prince William Sound after the wreck
Pfaender emphasizes that we
of the Exxon Valdez in March 1989, we can fairly
must be concerned with more
easily bring the necesary nutrients to the pollution,
than whether cerlain microbes
with spectacular results. 0nce containment and
can break down a specific chemi-
removal efforls were complete, says Pfaender. the
cal. He is pleased that his group at
! I I
best gues was that natural weathering proceses
the University has taken a leading
would take about seven years to break down the
role in understanding what hap-
residue from the ll-million-gallon spill. But the
pens as microorganisms feed on
EPA and Exxon stimulated microorganisms able
Among the tools used to clean up this I l-milliongallon spill of crude oil
to break down crude oil. cutting clean-up time
contaminants in soil. "The contribution I'm
in half.
proudest of from our work at UNC
that cut the process from an estimated seuen years to less than four.
O
on the beaches of Prince William Sound, Alasha, were microorganisnts
t4
TIiQ
become engineering questions. We're moving towards the applications phase: how do you take the science that we understand in the laboratory
and move it out into the real world in a practical, cost-effective way?" Pfaender has decided to serue as an administrator as well as a researcher. He is now the director
I', I \l
[-L
of the Carolina Federation of Environmental
II
-l
Programs, established last fall to promote environ-
mental research, teachinq and service across the University's depa(ments, institutes and pr0grams. The Federation is also working to increase collaborative research among universities in the Research Triangle (Pfaender notes that environmental research strengths at UNC-CH, North Carolina State
I
and Duke University complement each other with
,l
very little overlap) and to communicate with policy-makers at the local, state and federal Ievel. His
{
new job, Pfaender acknowledges, will not be easy. "A large part of what the Federation is about,"
?'
*
says Pfaender, "is getting groups of people to
communicate and work together. That's hard for universities, because for the last two generations we've hired people based on their ability to func-
tion
as independent entrepreneurs. Now we're
Professor Frederic Pfaender and doctoral student Lisa Carmichael of the Department of Enuironmental Sciences and
moving into an era where the really significant
Engineering study microorganisms to determine their effectiueness for cleaning up a Superfund site in Minnesota.
questions, whether it's global climate change or deforestation or biodiversity or whatever issues you want to talk about, are not going to be addresed
still toxic, then you're not succesful."
there's more than one organism involved. The
by individual researchers. The diffrcult issue is
processes out in the real world generally are not
simply getting people to work together, getting
to elimination of toxins is a natural result of
catalyzed by individual organisms but by groups
people to be comfortoble working together."
Pfaenders emphasis on understanding what goes
of organisms, by what we call consortia. Different
on not in the laboratory but in the outside world.
types of organisms working together as a consor-
He argues that because the soil is such a complex
tium can do some things that the individual
"We're mouing towards the applications
environment, no laboratory experiment can hope
organisms can'1."
phase: how do you take the science that
Looking beyond breakdown of contaminants
to replicate it exactly. Indeed, the very techniques
Just because the organisms are out there
that provide the control needed for laboratory
doesn't mean they are always going to clean up
experiments produce potentially unrealistic results. biologists have spent the past century perfecting
pollution. Pfaender cites the persistence of trichloroethylene contamination as a good example. "Trichloroethylene is actually a fairly fragrle chemi-
techniques to study individual cultures of organ-
cal. There are a lot of dilferent microbial mecha-
isms, such methods offer limited usefulness in
nisms that break it down. Which raises the question
understanding basic processes in soil.
of why's there so much of it around? We need to
For instance, Pfaender points out that while
"lf someone uere to use that uater
halfway through the process or not run the treatment system properly, they might haue something that's more toxic."
"We've made a mistake for a long time by
we understand in the laboratory and moue it out into the real uorld in a practical, cost<ffectiDe uay?"
Still, people are learning to work together. The progress he has seen in his two decades at
understand what to do to make those organisms
the University makes Pfaender optimistic about
that we know are out there do it. It turns out that the en4rmes that break the TCE down need to be
our campaign to minimize soil pollution. "Bioremediation is a whole area of endeavor that
turned on; the organisms need the proper signal to
didn't exist
turn those enzymes on. Well, we need to find ways
ordinary economic potential and potential to
to get the signal there."
solve some of the environmental problems that
While there are still many such questions to be answered about how bioremediation works,
are out there, to make this a better, cleaner place
Pfaender believes that research will soon take a new direction. "We're trying to figure out where
to live."
15 years
ago. lt's one that has extra-
t
Professor Pfaender's reseorch discussed
in
this orti-
Iooking at individual organisms," he says. "We were thinking, 'Well, maybe we just don't know which
and for what pollutants bioremediation works and where it doesn't," he says. "We're coming close to
knob to turn or which button to push to make the
the point where we understand the biology well
Department of Energy of $122,000 and a three-yeor gront hom the National lnstitute for Enuironmentol
bugs do what we want.' What we've learned is
enough that many of the remaining questions will
ond Health Sciences of $508,000.
cle is funded in part by o onelear grant hom the
E.N.D.E.A.V.0.R.S
15
Smiling and Beautiful National Geographic's Photographs of Non-Westerners Help Put Americans at Ease by Dottie Hom
knowledge. In the proces, the reading public's
s Digest," say Lutz and Collins. The
wo profesors were eating lunch in a cam-
Reader
pus pub when the students around them
Geographic alimates that 37 million people world-
original vision of what was interesting or aestheti-
burst into cheers. [t was 1983. and a television had just announced that the United States had
wide see each isue. lndependent market research indicates that as many as 20 percent of all
cally pleasing about the world outside United States
invaded Grenada. The professors, Catherine Lutz
American adults look at each isue.
by its presentation as scientific fact." With its selec-
Founded in 1888, the Socieg was a burgeon-
and Jane Collins, then asistant profeson at the State University of New York at Binghamton, were
astounded.
-We
wondered what reality the wound-
ing profesional organization for its first
publishing
a scientif ic
10 years,
journal called,Natronol
Geographic. In 1889, the inventorAlexander
borders was validated, elaborated, and heightened tively chosen facts backed up by the Society's
scientific aura, the Geographic is in a unique and powerful position to create an image of the nonWestern world.
ed and dying Grenadians had for those students," say Lutz and Collins in their recently published
Graham Bell became head of the Society. Bell
book. "Had they heard of Grenada before that day?
hired Gilbert Hovey Grosvenor to build circulation
authority and prestige, Lutz and Collins turned
Did they know anl,thing of the history of U.S. inter-
in
to the photographs themselves. 0ne-quarter to
vention in the Caribbean? What preexisting Iideas] about America and the third world did they hold?"
him to make lValrbnol Ceographic les like a scholarly journal and more like popular magazines like flapers. 1899, encouraging
The magazine's editorial policy, in place since
The professors further wondered what role the
After looking into reasons for the Society's
onefifth of all Geographic articles feature nonWesterners. Lutz and Collins'sample consisted of
one randomly selected photograph from each of
American media had had in creating these
it was first articulated by Grosvenor in 1915, indi-
the 594 articles featuring non-Western people
students' ideas about the third world.
cates that 'nothing must be printed which is not
published between 1950 and 1986. Studying
strictly according to fact," that'everything printed
photographs from this period allowed the
pology at UNC{H, and Collins is an asociate
in the Magazine must have permanent value,'and
researchers to look at the effects of decolonization
profesor of sociology at the University of
that "nothing of a partisan or controversial charac-
and the Vietnam War. The researchers looked at 22
Wisconsin. The two have collaborated on a
ter is printed." By claiming to be strictly accurate,
specific characteristics of each photograph, allow-
research proiect evolving out of the questions that arose that day. "Our interest was, and is, in
non-partisan and of enduring value, the magazine "presents itself as on a mision that is educational,
ing for a quantification of pattems in the magazine.
the making and consuming of images of the nonWestem world," say the researchers. "We [want] to
scientific, and benign," say Lutz and Collins.
age of those depicted, whether people are smiling
know what [the] popular [media] tells Americans about who 'non-Westerners' are, what they want,
augment the Society's prestige. During World War
photograph, whether it focuses on a ritual, whether
Il, the Society furnished maps to the U.S. Army
there is female or male nudity, and whether the
and what our relationship is to them." Lutz and
Map Service and other government organizations.
people photographed look at the camera.
Collins chose to study a respected and powerful
"lts 1944 map of japan was used for planning air
Lutz is now an associate professor of anthro
Close ties to the federal govemment further
Characteristics studied included world location, the in the photograph, whether Westerners are in the
In addition, the researchers considered photo-
institution which regularly presents the rest 0f the
offensives against Japan," say Lutz and Collins.
graphic elements including color and composition.
world to Americans National Geogrophic maga'
"lts spellings of geographic locations were adopted
They looked at how the sample image related to
zine. Having more influence than the magazine's
by major wire services in the 1940s." Through its
other photographs in the article and at captions
text are its photos: Geogrcphrc marketing research
self-presentation, f ederal ties, scientif ic origins
explaining the sample photograph. Lutz and Collins
8l percent
and sponsorship of research, the Society today
were then ready to map out pattems in the images
maintains a reputation as a scientific institution.
Nationol Geographlc presents of the third world.
indicates that while
of subscribers
habitually look at all of the photographs, only
34
However, theGeoqrophic relies on reader
percent read all or most of the stories. Lutz and
The Nationol Geographic photograph, not
Collins chose to study photographs of non-
subscriptions for income and to attract further
surprisingly to those who have looked at the
Westemen in the magazine. The result is their
revenue from advertising. Its goals are not only
book, Reoding National Geogrophrc, published
to educate, but also to build circulation through entertaining its readers. "Editors tended to choose
magazine, p0rtrays non-Westemers as exotic. -Nearly one-fifth of all photographs with nonWesterners in them feature people engaged in or
photographs that were likely to appeal to an
preparing for a
selves, the researchers delved into the National
American audience," explain Lutz and Collins,
Geographic Society's history, trying to discover
citing
nanow sense of sacred and formally organized group behavior," say Lutz and Collins. "ln more
how the magazine has become such a revered
tographs the grotesquely exotic, including
American institution. " lN otiono I Geo graphic'sl subscription rate is the third largest for magazines
tographs of cannibalism, mutilation or tatoo. "These [images] were then fed back to the reading
in the United States-following W Guide and
public
by the Univenity ol Chicago pres in 1993. Before looking at the photographs them-
as one category
of interest-getting pho-
as examples of the latest, brightest,
pho
scientific
ritual-ritual being defined in the
than half of the photographs in the sample set, the non-Westerner is shown in indigenous dres, tribal Iashion, and/or ritual costume. "Exoticism involves the creation of an other
E.N.D.E.A.V.O.R.S
l6
who
but-at
imp0rtant-beauti-
Iin our sample] show one or more people smiling,"
in native dres of lavalava and loincloth use micro-
ful," say Lutz and Collins. The people depicted in
say Lutz and Collins. Americans' idealization of
scopes and pipettes in their clasrooms. The bright
is
strange
least as
Geographic photographs are not only diflerent, but
youth
are often picturesque and sexually alluring. "The
percent of photos in the magazine include at least
Indian woman is often dressed not simply in an
one older person and an older person is fore
crosed." Images like this one suggest that while the
everyday sari, but in a gold-embroidered one, and she is festooned with jewelry," say Lutz and Collins.
grounded in only a fraction of those photos.
West is seen as changing, and as an active agent of
As part of the magazine's idealization, it rarely shows non-Westerners engaged in conflict. "0nly
the change in its society, non-Westerners are seen
Appealingly clad the people photographed become objects of beauty, glamorous entities laid out on
four photographs from the entire sample show local
origin, and changing only now, in response to con-
the page for the Westem viewer's consumption.
people fighting or threatening to fight or giving
tact with Western civilization and modernization.
The photographed people's human
depth-their
is also reflected in the magazine:
only
10
evidence of previous violence," say Lutz and
lighting and the smiles seen in these pictures suggest that the threshold to modernity has been
as static, not having evolved since their societies'
"0ne of the themes of our book
is the
kind of
feelings, circumstances, and history-are often
Collins. "ln fully twelve percent of our sample pho-
work the lVolrbnal Geographic does for readers who
subjugated in the photographic image to the aes-
tographs, however, there is some military presence,
have anxieties about their place in the world," says
thetic appeal of their feathery headdreses or
particularly men in uniform. In these photos, the
Lutz, indicating that the book reassures readers that
streals of colorful body paint. The focus on dress
military
is presented as a regular, not unpleasant
and activity draws attention away from more sub-
part of everyday life in the third world, but is rarely
stantial differences and conflicts of interest that
seen in internal or cross-national conflict." Lutz and
may exist between cultures and "make[s] the entire n0ti0n of difference among people easily
Collins consider the magazine's coverage of the Vietnam War: "An early article in October 1961
digestible," say Lutz and Collins.
shows little evidence of the war itself. Only two of
Moreover, the magazine suggests that in the
its fortytwo pictures show soldiers, one of training
ways that really matter, beneath their dress and
exercises, the other of a patrol headed through and
rituals, non-Westerners are Iike us. The Ceographic's
dwarfed by a magnificently ornate city gate in Hue. Three pictures, on the other hand, focus on beauti-
depictions of non-Westem women are one way in
which the magazine draws parallels between
ful young women, with captions describing one
Western and non-Western culture. "The [nonWestern] woman is exotic 0n the surface (she is
with a 'face
dressed in an elaborate sari and has a golden nose
ring) but her difference
is erased at another, deeper
as radiant as the moon' or generalizing to 'the grace and charm of Vietnamese women."'
Lutz and Collins reflect on the effects of such
idealization. Representing non-Westerners as
level (she is really just a mother, and like the
healthy and happy, as neither suffering nor hungry,
American woman, interested in making herself
allays any anxieties Westerners may have about a
beautiful through fashion)," say Lutz and Collins.
need to change the world and help those in need,
"Photographs of women become one of the
say the researchers.
primary devices by which the magazine depicts 'universal human values,' and these include the
non-Westerners as timeles. For example, many
values of family love and the appreciation of emale beauty itsell." Geograp hrc photographs
TheGeographic also tends t0 present photographs of ritual in the magazine are accompa-
present the mother<hild relationship as timeless
nied by text indicating that the ritual is part of an ancient tradition. "The caption to a 1962 photo
and sacred, as "esentially and intensely loving
graph of a New Guinea marriage feast notes that
regardles of social and historical context," say the
'tribal life still lies locked in millenniumsold pat-
f
researchers. A picture that recurs intheGeogrophic is
ol a non-Western infant asleep in a cradle with its
terns,"' say the researchers. The Geographrc thus suggests that these rituals are timeless rather than
mother visible behind. Peaceful and harmles, the
a contemporary event that has evolved through
sleeping infant serves to neutralize any threatening
time into its present form.
difference between the adult in the photograph and the viewer, say Lutz and Collins.
ldealization
is another feature of
The Geogrophic also favors images and text that contrast ancient and Westem ways of life.
Notionol
Museum of Natural History, which never preserr'es
Often, the magazine seems to present only two worlds, say the researchers: "the world before 'the West' and its technological and social progress came t0 'the rest'and the world after. The narrative
old or feeble elephants or zebras for display. Until
structure of many images is one of progres or
Geogrophic's images of non-Westerners. Lutz and Collins compare the magazine to the American
the late 1970s, the ill, pockmarked, deformed, and
modernization." For example, the researchers
hungry were almost never present in,Nolrbnol
give the title of an article: "Progress and Pageantry
Geographic. Even since the late 1970s, these people
in Changing Nigeria: Bulldozers and penicillin,
have been presented only sparingly, in marked con-
science and democracy come to grips with colorlul
trast to the images presented by much of the
age-old customs in Britain's largest colony" (1956).
American media, of war and starvation in non-
The researchers describe one photograph, pub-
Western countries. "Almost onethird of all photos
lished in a 1967 afticle on Micronesia: "Teenagers
E.N.D.E.A.V.OrR.S
t7
people in other societies are much like them, share
people we spoke with expresed little skepticism
people in the third world and about how the United
common goals that are not in conflict with
about the photos as oblective documents,' say
States relates to third-world countries.
American goals, and are not living in poverty or
Lutz and Collins.
unhappines. It
is the
popularity of this message
How has the National Geographic Society
What effect does Lutz hope the book will
responded to the book, which has been reviewed
New York Times,The Neu Yorher, Science
that is largely responsible for the magazine's
have? "We would want people to have picked up
in
popularity, says Lutz.
the idea that you can do a critical reading of mas media photographs,'she says. "There are so many
magazine, The Notion and other publications? The
The
themselves, the researchers also set out to find how
ways in which a photograph can be a culturally
public aflairs oifice responds to inquiries with the statement: 'The National Geographic Society has
others read them. They interviewed 56 people,
constructed view of the subject. We hope to have
no comment on this book, except to say that it is
asking them a set of questions gauged t0 get at theil
taught people how to look at things like vantage
in our opinion without merit or relevance." Lutz
thinking about cultural differences. In addition, they presented each person with a set of 20 pho tographs from Notional Geographic, and asked him
point or to wonder about the selection proceses for this picture, to wonder which photographs were left out." The authors' other goal for the book is to
recalls what happened when she participated in a
or her to comment on each photograph. "The
encourage Americans to examine their ideas about
Not wanting to simply read the photographs
discussion of the book on National Public Radio's program "Talk of the Nation." "Some Geogrophic photographers were ready to join in on the discussion, and then were told not to participate," she says. "So,
n
Ithink there
is a diversity of
opinion
among staff members at the magazine." Given the researchers' Iargely critical reading of Geographic photographs, what does Lutz think is the magazine's most positive attribute? It is one of the few places where large numbers of Americans can find images of other cultures, says Lutz. "While they'd have to do this imaginative work themselves, readers might imagine a critique of our own society based on seeing that people elsewhere live in
different ways." Lutz also notes that while race
clearly
is an
isue in the magazine, lhe Geographic
hasn't presented heavily racist stereotypes. "[t is unlike some other American media outlets Iike
Hollywood movies that have horrible distortions and racist images," says Lutz. Having written the book, what does Lutz now think about the original question which was the impetus for the research: Why were those students cheering the U.S. invasion of Grenada? "[ would
gues a lot of those students had no idea where or what Grenada was," says Lutz. "The unreality of a lot of the,Natronol Geographic pictures corresponds to the unreality that the Grenadian people had for the students during the invasion." Lutz attributes lhe Geographic's unreality to the magazine's neglecting the history of non-Western cultures and instead presenting non-Westerners as timeles until they come into contact with the West. "lf you don't talk about history and about why people might o L E
! 6
actually be diflerent from us and have different goals, then you can't explain why, for example,
Saddam Husein invaded Kuwait. You can't explain conflicts of interest. You can't explain how people might feel dilferently about questions like, 'Who owns the oil of Kuwait?' or'What is America's place
@
o
in the world?' The Geographic rarely challenges
Contrasts between ancient and Westem ways of life are a fauorite theme in National Geographic photographs
people to question American goodnes and power
of non-Westemeru, says associale professor of anthropologt Catherine Lutz. Photographs /ifte tftts one, tahen in the city of Fez el Bali, Morocco, and published in the March 1986 National Geographic, suggest that the
and its place. Its kindly view of the rest of the world has involved decades of not covering the unpleas-
cultures of non-Westemers are unchanging until contact with the West brings new ways of life. Sugesting
ant facts of pove(y and of subtly suggesting
that these Moroccans are acquiing a teleuision, the picture inplies that the people depicted aspire to a
American culture is what all aspire to. Our way
more Westem lifestyle.
of life goes unquestioned."
i
A Profile
18
VITA
Pamela Conoaer Seven yean ago, the project was just getting
means to be a citizen? Sure, you voted in
political groups do you strongly disagree with? How much would you mind if your child's teacher was a
started. Today boxes and boxes full of data crowd
the election last November (didn't you?),
member of such a group? Do you consider yourself
Conover and Searing's offices. Already the proces
to be a good citizen? These and numerous other
of turning that data to useful information is under-
survey questions, along with focus groups, partici-
way, and Conover doesn't expect to lack things to
pant observation and community histories, help
do for a while. "This research project on citizenship is going
ave you given much thought to what it
but did you think about whether that makes you a good citizen?
0r do you just take it for granted?
Pamela Conover is not one to take citizenship
for granted. A profesor at the UNC-CH political
Conover and Searing determine how people in
science depa(ment for
these communities practice citizenship and how
10 years, she has
been fasci-
nated for at least twice that long with citizenship in all its aspects. Citizenship is not just an abstract
they socialize the next qeneration to become citizens.
book will have to do with the practice, the actual
Exploring citizenship is the guiding principle
with the nature of political communities, the role of qender in politics and the role of citizens-how citizens learn how to participate in politics and
How do you feel whenyou see someone burn
your country's flag? Do you recycle? What political groups do you strongly disogree with? Do you consider yourself to be a good citizen?
how they make their decisions," Conover says. "There's a lot more to citizenship than just
ing our first book on citizenship, having to do with the cultural and psychological context. The second
concept to Conover, it is an integral part of her life. for her research. "My research interests have to do
to occupy me for quite some time," she says with a laugh. "My husband and I are in the middle of writ-
voting," she continues. "We have a lot more respon-
behaviors. I've also begun work on a book on deliberation and discusion and the role they play in a democracy using the same data. I have projects strung out for the next
10 years."
These books are not intended just for other political scientists, Conover emphasizes. "We are
deliberately writing so that they're not written in
sibilities. We have a responsibility to discuss
academic jargonese, so that they are acces-
things, we have a responsibility to make
srble to the public. If people have a better
reasonable demands, we have a responsr-
undentanding of what their responsibilities
bility to work, to obey the laws, to educate our children to be good citizens."
as
as
their rights are
as citizens, that
citizenship. I hope that l0years from now
Wanting to understand how we live up to those responsibilities-and
well
can only help to improve the practice of that I could say that this citizenship project
rights-
in daily life, Conover and her co-researcher
would be something that would have
and husband Donald Searing, a political
broader impact than the normal academic project."
science profesor at Carolina who special-
a
The best place to implement these
izes in British politics, are immersed in an
ambitious project to compare what citizen-
lindings, Conover believes, is the educa-
ship means to a cross-section of residents
tional system. She anticipates that the civic
of the United States and England.
education component of the project will
ultimately lead to practical recommenda-
They are comparing responses from three very different cities in the United
tions for high schools and universities as
States with three corresponding cities in
they grapple with an increasingly frag-
England: "We looked at a farming commu-
mented society. But Conover isn't waiting
nity in Minnesota and a farming community
to apply what she learns from the project;
in the Yorlshire dales, a decaying urban
she already uses it to improve her teaching.
community in Philadelphia and one in Manchester. and for our yuppie community.
the political community, because that's
our upper middle class community, we
closely tied to the research I'm doing on
looked at Cary, North Carolina, and
citizenship," she says. "We try and create a
"My favorite is the course I teach in
Brentwood, which is a suburb of London,"
community in the clasroom-we have
says Conover. "ln addition, we went to an
weels to become a community-and stu-
old Hispanic neighborhood in San Antonio
dents learn what norms mean and what
so that we could deal with immierant popu-
happens when they violate norms. We have
15
community-clas-projects and they learn
lations in the United States."
when they don't do their share people are
How do you feel when you see some-
going to get angry at them. They learn
one burn your country's flag? Do you recycle? Would you recycle if the president
hofessor Pamela Conouer is excited rather than intimidated by the tow-
about the importance of civility and patrio
asked everyone to? Would you turn down
ering boxes holding data on citizenship she has collected with colleague
tism and discusion and deliberation in a
the furnace or start riding the bus? What
ond husband Donald Searing.
democracy. It's a lot of work for me and it's
19
WHAT IS.,.
&
'/'.^
4l*.
Frl
ffir ,.w,
A Carolina Professor Explain* An ampersand, explains Profesor David Canz of the Department of Clasics, is a ligature. That is, it is a symbol created by
joining letters into
new form. In this case. the letters are
E
a single
and T: Latin
el corresponds to English and. Lea{ing through photos and facsimiles ol ancient manuscripts, Ganz shows that the ampersand has taken various foms over the centuries and
it.*
t
lra
Citizenship includes not onb' duties lihe Doting but ulso cc,tmmunit,v actiuilies lhat help bring people tuQether, us ntembers of the Cut Tou,n Band can testih'.
acros cultures in medieval Europe. Some clearly show the et on which they are based, some look more like our numeral 7 than anything else and some from as far back as the seventh century look just like a modern ampenand. Some inscriptions from the third century use a monogram for the letters
^
a
'el' within
words, and
doeument in sixth<entury Roman cunive writing
uses a sort of tilted-umbrella shape for the same
"Teaching shills
rs
iusl as important as teaching
purpose. Not until the seventh century do we find a
knouledqe. A sood liberal arts education does both
ligature used for the conjunction et. meaning ond. Contrary to one imaginative theory. there was not a calligrapher named Amper who created the symbol and lor whom it was subsequently named:
"Ampefs and.' a lot o[ u'ork for the students. but it works because Im
verl excitecl by'it and I can brinq the research
she accepts the iloLk as a chance to parlicipate in
thc communit-v. She is currentll, chair of the Under-
that l'm doinq right at that moment into the class-
gradLrate Task Force, which is part of the current
room. It gets the students excited abolit the topics
Reaccreditation Study and co-chairs the Univeisitv
too and. rnore important. gets students to think
Commithe on the Status of Women. 'The unil,ersitl,
about lhem.'
is a
community and lust like anv other communih
rvhat Conover finds rnosl imporlant in a college edLrcation. "ln terms of turn-
you have to do some rvork to maintain the ties with-
inq out people ready'to play a part in societv. it mat-
become a series of workstations as opposed to an
ten
intellectual and learning community,"
This
abilih to think
is
less that the1, know and have memorized thc
mechanics of some electoral proces than that the-t
in the corrrnunitv. If I'ou don t do that, then you
So whit lr is
{'lnorer'S
mOSt
impnnant , ,rrrtri-
understand what questions the! need [o ask lvhen
bution
thei confront something in the future. Teachrng
Committee work? None of lhe above, she savs.
skills is iust as imporlant as teaching knowledge. A qorid liberal arls education does both."
It's raising her hvo sons. "Teenage bovs are a real
But citizenship in the academic setting goes
as a citizen? Is it teaching? Her research?
challenge. so Ispend a lot rif time riding roughshod
The word 'ampersand" is instead a contraclion ol and per se ond, the most common old name for the eI ligature. This Latin phrase means "& (the As the impenancl's
nime
has shortened, so
has its status diminished. Once medieval scribes
used it withoul a second thought in everything from government charters to Bibles. School children a
couple centuries ago began the alphabet with per se a" and ended it with "and per se and."
'a
But now the alphabet ends with z, and styls books unanimously caution against using the ampersand except when part ol a company's
oificial name. The once proud ligature has become little more than a curlicue above the seven on vour computer keyboard.
over them and making sure I turn #iem into good
bevond teaching students to be good citizens,
little citizens. Turning out new iittle human beings
Professors, Conover stresses, hal'e responsibilities
that will fit into society is a difficult, under-
Go oheod: Shore that question thot's been distracting wu from your own wark. Wite
not onlv outsrde the unil ersrn' but rvithin. Some
appreciated contribution. Being a parent has
Endeauors at CB* 4100 ar call 96&5625
mav shudder at the thouqht of committee wotk. but
been the most rewarding thing I ve done.' o
ond ue'll find someone to onswer it.
Student Reseorch
20
SCHOLARLY PURSUITS The Road to Immortality ome people may long for immortality, but we wouldn't want to wish that fate on all the
individual cells in our bodies. Most normal
p53 and retinoblastoma Gb) proteins. The virus' E6 protein attaches to the cell's p53 protein and promotes its degradation. The virus' E7 protein binds to
human cells are mortal: after a finite number of cell
the cell's rb protein, preventing it from performing
doublings, they die. Most cancerous cells, however,
its normal functions.
are immortal. As they divide and spread, they steal
These two cellular proteins that are inactivat-
the body's nutrients from normal cells which have
ed by the virus have well-documented functions.
vital functions to perform. It
They both help keep the cell from growing too
is because of this
ability
to grow beyond their normal lifespan that they posses the power to kill. Despite its consuming growth, a cancerous
cell
is not an intruder from outside the body,
but
much. Studies suggest that the p53 protein serves as a checkpoint: before the cell divides, the p53 pro-
tein works with other proteins to locate and repair any damage to the DNA. "By inactivating these cel-
rather a healthy cell that has gone aslray. En route Io
lular proteins, the virus is telling the cell to continu-
becoming cancerous, the normal cell g0es thr0ugh
ally grow," says White.
an unknown number of changes in its DNA. This acquisition of genetic instability may lead to what
0nce infected with the hunan papillomavirus
biologists call the cell's transformation to immortali-
proteins, White's cells fall into one of three Qroups: those producing both the E6 and E7 viral proteins;
gene or of an entire chromosome? Doctoral student
ty. But, what is the proces by which a normal cell's
those producing only the E6; and those producing
Alicia White wants to understand the genetic abena-
genes are thus led astray? Where do the changes
only the E7. Immediately after a cell begins produc-
tions that may be the first step a healthy cell tahes
begin? "What happens in that window between a
ing viral protein, White tests it to see if it is genetical-
on the path to becoming immortal and possibly cancerous.
normal cell and the immortalization of that cell?"
ly unstable. She looks for a form of genomic
asls Alicia White, doctoral student in the
instability called gene amplification, which means
Curriculum of Cenetics and Molecular Biology.
that there are more than the usual number of a par-
Along with her advisor, Thea Tlsty, associate profes-
ticular gene.
sor of pathology, White is seeking answers to these
questions.
iments with keratinocyte cells, which are a type of
pro
"Cells expresing both the E6 and the E7
teins, or only the E6 protein, had a detectable
To study genetic changes that may set in
Why does a cell suddenly gain an extra copy of a
fie
epithelial cell. Epithelial cells, found in mucous membranes like the mouth, cervix, the lining of the
quency of gene amplification," says White. ln cells
stomach and the deep skin layers, are the types of
motion a cell's progression to cancer, White must
that expresed only the E7 protein, the genomic
cells normally infected by the human papillo-
have some way of inciting cancerous developments
instability was of a different form. Rather than see-
mavirus. White initially studied fibroblast cells
in the strain of healthy human cells in her laborato-
ing an increase in single genes, which are the units
because she wanted to study cells before they had
ry. While most cancers are not associated with a virus, some are. In particular, cervical cancer in
out of which chromosomes are made, she saw
immortalized. While fibroblasts infected with the
duplications of entire chromosomes. These findings
human papillomavirus rarely immortalize,
women is often asociated with the human papillo-
suggest that genomic instability may be the first
keratinocytes infected with the same virus more
mavirus type 16. "Ninety percent of cervical cancer
change that a normal cell undergoes in its conver-
often do. However, now that she has studied that
cells from patients have a copy of type 16 of the virus in them," says White. To put her healthy labo-
sion to a cancerous cell. The results also suqqest that the p53 and rb proteins play important roles in
window before immortalization, White wants to see
ratory cells on the road to cancer, White puts them
a cell's transformation to cancer.
ical host cell.
in contact with proteins of the human papillo-
White next looked at the three groups of viral
how the virus affects cells of the same type as its typWhite says that her main goal is to better
protein-producing cells to see whether their cycle of
understand how cells acquire the genomic instabili-
cells provide a model of the normal cell's transfor-
growth was normal. When exposed to chemothera-
ty which may be the first step a healthy cell takes
mation to a cancerous cell.
peutic drugs, normal cells arrest their regular growth
cycle-they do not continue to proceed towards
toward immortality. "What celluar events turn on this rearranging of the genome?" she asks. "lt seems
cell division. In such a case, says White, "lt could be
that the cell's p53 gene may be a major player in
that these cells sense that there is a sub-optimal con-
this story." 0ther studies, which looked at cells from
dition for growth." When White exposed her viral
patients whose cervical cancer was not asociated with the human papillomavirus, have also implicat-
mavirus virus type
16.
The changes that ensue in the
The human papillomavirus, like all viruses, is a parasite. Merely
nucleic acid surrounded by a
protein coat, not even meeting all the criteria of life, a virus must invade a
living cell in order to repro-
protein-manufacturing machinery to produce pro-
protein-producing cells to the chemotherapeutic drug PALA, the cells continued to grow. "What that
teins dictated by its own DNA. The viral DNA may
told us," says White, "is that these cells are lacking
integrate into the cell's DNA so that every time the
the proper regulation of their growth cycle.'' This
proteins, which caused the cells to produce ver-
cell divides, it will replicate the virus
finding was the same whether the cells were pro-
sions of these proteins that were incapable of per-
ducing only the E6 protein, only the E7, or both.
forming their jobs. Whether the p53 and rb proteins
duce. 0nce inside a cell, the virus uses the cell's
as well.
0nce the human papillomavirus type
16
invades a cell, its DNA dictates that the cell produce
ed the p53 and rb proteins. In these studies, the can-
cerous cells had mutated genes for the p53 and rb
To finish her doctoral research, White is
are inactivated by viral intervention or are simply
repeating the experiments described above with a
too mutated to function properly, the lack of the
The E6 and E7 proteins are the most prevalent of the
different type of human cell, She first conducted her
normal operation of these proteins seems vital to
viral proteins produced in full-blown cancer cells. Once made, these two viral proteins interact with
experiments with fibroblast cells, which are found
the development of cancer. "The studies are point-
in the body's connective tissues, including tisue lin-
ing to the importance of the p53 and rb proteins in
some of the normal cellular proteins, including the
ings and muscles. She is going to repeat these exper-
cancer," says White.
viral proteins
as
well
as the usual
cellular proteins.
t