LSUHSC Research Finds Many Women Not Receiving Recommended Breast Cancer Adjuvant Treatment

A first-of-its kind study led by Xiao-Cheng Wu, MD, MPH, Associate Professor of Public Health at LSU Health Sciences Center New Orleans, reports that a significant number of women are not receiving guideline-recommended treatment for breast cancer and what factors contribute. The research is published online in the Journal of Clinical Oncology December 5, 2011 Early Release section.

The research team, which also included Vivien Chen, PhD, Professor and Director of the Louisiana Tumor Registry at LSU Health Sciences Center New Orleans School of Public Health, explored how race/ethnicity, insurance status, poverty, education, and hospital type were associated with the delivery of guideline-recommended adjuvant systemic therapy for breast cancers. Adjuvant systemic therapies like chemotherapy, a regimen of a group of specific chemotherapy drugs, and hormone therapy often follow an initial treatment like surgery to treat cells that may be too small to be seen and to reduce the chances of recurrence. Decisions about whether or not adjuvant systemic therapies are indicated, and which type, are determined by lymph node status, histology, tumor size, grade, and hormonal receptor status. The National Comprehensive Cancer Network (NCCN) guidelines were developed to improve cancer care and survival.

For this very large study of 6,734 women using Pattern of Care data from population-based cancer registries, the researchers grouped women by whether or not they received chemotherapy, chemotherapy regimen, or hormone therapy, according to the NCCN guidelines. The researchers found that 35% of the women studied received non-guideline chemotherapy (either no chemotherapy although recommended or use of chemotherapy when not recommended), 12% received non-guideline regimens (not treated with the chemotherapy drugs recommended), and 20% received non-guideline hormone therapy.

Significant predictors of non-guideline chemotherapy included Medicaid insurance, high poverty, and treatment at hospitals not accredited as Commission on Cancer (CoC) hospitals by the American College of Surgeons. Predictors of non-guideline regimens of specific chemotherapy drugs included lack of insurance and low education. Predictors of non-guideline hormone therapy included high poverty and treatment at non-CoC hospitals.

Previous studies focused primarily on racial differences and did not examine an association with poverty. This study found that women residing in high-poverty areas were less likely to receive guideline therapy. However, a number of other socioeconomic status factors may also contribute.

While women with Medicaid were less likely to receive guideline chemotherapy compared to women privately insured, uninsured women were not less likely to receive chemotherapy and hormone therapy according to the guidelines. They were, however, less likely to receive the recommended chemotherapy regimens than privately insured women. One of the reasons may be that uninsured women are often younger than privately insured women. Because younger women are more likely to receive chemotherapy than older women, the association may be diluted.

Not surprisingly, women were less likely to receive treatment according to the guidelines in hospitals not accredited by the American College of Surgeons. This is probably due to the multi-specialty approach, comprehensive care, and commitment to ongoing monitoring and improvement of cancer care by CoC hospitals. Women treated at CoC hospitals may also have greater access to oncology consultations.

“Guideline-recommended adjuvant systemic therapies for breast cancer are not disseminated proportionally in the community,” notes Dr. Wu, who is also Assistant Director of the LSU Health Sciences Center New Orleans’ Louisiana Tumor Registry. “Socioeconomically disadvantaged and medically under-served women are less likely to receive guideline therapies. Underlying causes for the disparities need to be identified so we can target interventions to help improve care and cancer prognosis for women across the board.”

According to the American Cancer Society, breast cancer is the most frequently diagnosed cancer in women, excluding cancers of the skin. An estimated 232,620 new cases of breast cancer are expected to be diagnosed this year, with 39,970 deaths.

The study was funded by the Centers for Disease Control and Prevention’s National Program of Cancer Registries. Besides LSU Health Sciences Center New Orleans School of Public Health, the team included researchers from Emory University, Duke University Medical Center, the Centers for Disease Control and Prevention, the University of Kentucky, the University of Wisconsin, and the California Cancer Registry.

“This is an example of how registry data, in conjunction with special studies, can help to ensure quality care for every cancer patient in Louisiana and beyond,” concludes Dr. Vivien W. Chen, Professor of Public Health and Director of LSU Health Sciences Center New Orleans’ Louisiana Tumor Registry.

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Teen Sexting Concerns Overblown

(Ivanhoe Newswire) — Teen sexting concerns have exploded in the recent years, but according to these two studies the concern for our youth was overblown. One study found the percentage of youth who send nude pictures of themselves that would qualify as child pornography is very low. The second study found that when sexting images do come to police attention, few teenagers are being arrested or treated like sex offenders.

In the first study, University of New Hampshire researchers surveyed 1,560 Internet users ages 10 through 17 about their experiences with sexting — appearing in, creating, or receiving sexual images or videos via cell phone or the Internet. The study found that 2.5 percent of youth surveyed have participated in sexting in the past year, but only 1 percent involved images that potentially violate child pornography laws — images that showed “naked breasts, genitals or bottoms.”

“Lots of people may be hearing about these cases discovered by schools and parents because they create a furor, but it still involves a very small minority of youth,” lead author Kimberly Mitchell, research assistant professor of psychology at the UNH Crimes against Children Research Center, was quoted as saying.

In the second study, researchers discovered that in the majority of sexting cases investigated by the police, no juvenile arrest occurred. There was an arrest in 36 percent of the cases where there were aggravating activities by youth, such as using the images to blackmail or harass other youth. In cases without aggravating elements, the arrest rate was 18 percent.

The second study was based on a national sample of 675 sexting cases collected from a systematic survey of law enforcement agencies. The study also found that the very few teens who were subjected to sex offender registration had generally committed other serious offenses such as sexual assault.

“Most law enforcement officials are handling these sexting cases in a thoughtful way and not treating teens like sex offenders and child pornographers,” lead author Janis Wolak, senior researcher at the UNH Crimes against Children Research Center, was quoted as saying

In both studies, researchers found that sexual images of youth rarely were widely distributed online as many parents, youth, and law enforcement fear. In the teen survey, 90 percent of the youth said the images they created did not go beyond the intended recipient. Even in the cases where the images came to the attention of the police, two-thirds of the images stayed on cell phones and never circulated online.

SOURCE: Pediatrics, published online December 2011.

Sleeping Late Is A Genetic Trait

Researchers found that sleeping-in when you don´t have to work the next day or not under the influence of sleeping pills is a genetic marker.

More than 10,000 people were studied and those with the ABCC9 gene needed around 30 minutes more sleep than those without the gene, reports BBC News.

The study participants reported how long they slept and gave a blood sample so their DNA could be analyzed. The study participants were from the Orkney Isles, Croatia, the Netherlands, Italy, Estonia and Germany.

The researchers then observed fruit flies and found that the flies without the ABCC9 gene also slept for three hours less than normal. ABCC9 helps control the body´s ability to sense energy levels of cells. This study may help open up a new line of research in sleep studies. Scientists may want to know how variants of the gene regulate how long people will sleep.

According to Dr. Jim Wilson from the University of Edinburgh, “A tendency to sleep for longer or shorter periods often runs in families despite the fact that the amount of sleep people need can be influenced by age, latitude, season and circadian rhythms. These insights into the biology of sleep will be important in unraveling the health effects of sleep behavior.”

The BBC notes that Margaret Thatcher required only 4 hours of sleep while Albert Einstein needed 11 hours of sleep daily.

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New Medicines To Benefit From UK Reforms

Britain´s Prime Minister has promoted the use of new medicines and has also allotted $280 million (180 million pounds) to bring modern technologies to market with the goal of luring in big pharmaceutical companies.

In a text slated to be given as a speech later today, Prime Minister David Cameron calls for the funds to be used to boost Britain´s $75-million life sciences industry. “The most crucial, fundamental thing we´re doing is opening up the National Health Society (NHS) to new ideas. The end-game is for the NHS to be working hand-in-glove with industry as the fastest adopter of new ideas in the world, acting as a huge magnet to pull new innovations through, right along the food-chain – from the labs to the boardrooms to the hospital bed,” he will say in his speech.

Drug companies have complained for years, saying Britain has been slow to adopt new medicines and use them in the state-funded NHS.

“Above all, there should be a very clear route from the idea in the publicly supported research lab, through to the application in the patient in the publicly-supported NHS. That is the way to get the businesses to grow for the future and, of course, it is the best thing for patients as well,” Science minister David Willetts told BBC radio.

Cameron will outline two areas where the funds will be implemented. The “Biomedical Catalyst fund” will be open to universities and small and medium-sized enterprises; while an “early access scheme” will be set up under which seriously ill patients could use new drugs up to a year before they are fully licensed.

“Patients are having to wait too long for new medicines because of the lengthy and extremely costly process for gaining full regulatory approval,” Richard Barker, director of the Center for Accelerating Medical Innovations, said in response to the government´s announcement. “Health systems ultimately have to pay for these costs in the price of new products. It makes sense for the UK, with its research strengths, respected regulators and major life science investments, to take a lead.”

Some concerns have arisen over at least one area of the new plan, which will be implemented to allow patient records and other NHS data to be shared with life sciences companies. Critics fear this could compromise patient confidentiality.

But Cameron will argue that giving researchers from private sector companies access to NHS data will make it easier for them to develop and test new drugs and treatments.

“The wealth of data collected by the NHS represents a vast and potentially very valuable resource that could be used to facilitate highly beneficial research. The concerns over privacy and confidentiality…are perhaps overblown,” said Sarah Chan, deputy director of Manchester University´s Institute for Science, Ethics and Innovations.

“As I understand it, the data that is to be released will be anonymized, and so cannot be used to target individual patients,” she added.

Britain has been particularly reliant on pharmaceutical firms for success in manufacturing. However, the industry has been under pressure in recent years and has been forced to make cuts.

Pfizer in February closed its research and development facility in southern England, resulting in more than 2,000 lost jobs. The move marked a sign of Britain´s vulnerability.

Willetts said while the Pfizer move was “certainly a wake-up call for us,” the government was now working hard to secure investment by contract research organizations who could continue to use the site and its facilities for scientific research.

A Deloitte and Thomson Reuters study, published last month, highlighted the productivity dilemma facing the pharmaceutical industry. The study found that investment returns from researching new drugs have fallen nearly 30 percent in the past year at the world´s 12 top pharmaceutical companies.

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Cold Plasma: Cure For The Common Cold?

Inhaling streams of electrically charged gas known as cold plasma could help cure the common cold, researchers from the Max Planck Institute for Extraterrestrial Physics in Germany are claiming.

According to a December 4 report by the Deccan Chronicle, an English-language publication in India, the scientists say that they have discovered that a stream of the ionized gas “deactivates” virus, including those that cause colds.

In fact, when those viruses were exposed to cold plasma for just four minutes, nearly all of them were made that they could no longer spread or cause illness. Only one in one million were still able to replicate, lead researcher Dr. Julia Zimmermann told Telegraph Science Correspondent Richard Gray.

The findings, which have been published in the Institute of Physic’s Journal of Physics D: Applied Physics, have led the researchers to believe that cold plasma devices could be effective as hand sanitizers in hospitals, treatments against colds and other respiratory viruses (including the flu), and possibly even to prevent the transmission viruses such as HIV through blood transfusion.

“The researchers are already working on developing the technique to treat respiratory infections and have received approval to test the device in animal models,” Gray reported on Sunday. “They believe that, in the long term, plasma could be inhaled directly into the lungs to treat viruses.

“Illnesses such as the common cold are difficult to treat and patients have to rely on their immune systems to fight off the infections,” he added. “Previous research has also shown that cold plasmas are effective at killing bacteria and can be used to sterilize water for up to seven days.”

Scientifically speaking, plasma is a fourth state of matter, joining solid, liquid, and gas. It is created when particles or either liquids or gases become electrically charges, and is said to be similar to the substance found inside plasma televisions or novelty plasma globes.

“Usually very high temperatures are needed to sustain plasmas, but scientists have recently found they can create cold plasmas at temperatures of around 104 degrees F (40C), which can be safely touched by the human hand,” Gray said.

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Study Finds Behavioral Therapy Helps Teens Cope With Fibromyalgia

Using behavioral therapy to teach children and adolescents how to cope with juvenile fibromyalgia (JFM) could make it easier to cope with the chronic musculoskeletal pain disorder, both mentally and physically, according to a new study.
A team of researchers from the University of Cincinnati, Vanderbilt University, the Medical University of South Carolina, the University of Louisville, the Shaare Zedek Medical Center in Jerusalem, and The Cleveland Clinic Foundation studied 114 subjects between the ages of 11 and 18, all of whom had been diagnosed with JFM.
“The objective of this multi-site single-blind randomized clinical trial was to test whether cognitivebehavioral therapy (CBT) was superior to fibromyalgia education (FE) in reducing functional disability, pain and depressive symptoms in JFM,” the authors wrote in their study, which was published online the journal Arthritis & Rheumatism on November 22.
“After being stabilized on usual medical care for 8 weeks, patients were randomized to either CBT or FE and received 8 weekly individual sessions with a therapist and 2 booster sessions. Assessments were conducted at baseline, immediately following the 8-week treatment phase and at 6-months follow up,” they added, noting that “patients in both groups showed significant reduction in functional disability, pain and depressive symptoms at the end of the study” but that behavioral therapy had proven to be “significantly superior” to education alone when it came to overcoming those symptoms.
According to Linda Thrasybule of Reuters Health, sixth months later, the CBT teens achieved an average disability score of 13 out of 30, compared to 17 out of 30 for those who only received lessons.
“This is the first major breakthrough in understanding how best to treat fibromyalgia in teenagers,” co-author Dr. Susmita Kashikar-Zuck, a pediatric psychologist at the Cincinnati Children’s Hospital Medical Center, told Thrasybule on Friday. “Because of their pain, these teens have trouble going to school, going out with friends, participating in social activities — things important to teenagers.”
Thrasybule says that individuals who have fibromyalgia tend to have intense feelings of pain throughout their bodies, as well as chronic fatigue, insomnia, anxiety and/or depression, and can also come down with other conditions, including arthritis or irritable bowel syndrome.
An estimated 850,000 American kids between the ages of 10 and 19 could have symptoms of the disorder, the cause of which is currently unknown but potentially linked to the way a person’s brain processes sensations of pain, Reuters Health reported.

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Study Suggests Afternoon Immunizations May Be Best For Infants

Infants who receive vaccination shots in the afternoon tend to sleep better than those who are immunized at other times during the day, claims a study published in the December issue of the journal Pediatrics.

The study looked at 70 children who were approximately two months of age and receiving their first vaccines. It focused specifically on how long those infants slept and their body temperature in the 24 hour periods before and after receiving the immunization shot.

While all of the infants tended to sleep longer after the immunization than before it, those who received the shots after 1:30pm and those who had elevated body temperatures caused by the vaccines slept the longest during the next 24 hour period, WebMD’s Jennifer Warner said in an article published November 29 on CBSNews.com.

“Half of the parents were also instructed to give their infant a dose of acetaminophen (baby Tylenol) 30 minutes before the immunization and every four hours thereafter for a total of five doses,” Warner wrote, adding that that “there are conflicting recommendations about whether parents should give their infants acetaminophen before and after receiving immunizations to ease discomfort or help them sleep,” but that the new study found that “acetaminophen was not a significant factor in sleep duration after accounting for other factors, such as fever or discomfort.”

According to Denise Mann of USA Today HealthDay, lead author Linda Franck and colleagues also report that the change in sleep habits was also unrelated to the infant’s age or weight, but that more research was needed before they can make any concrete recommendations regarding the best time of day to have a child vaccinated.

“Based on what we currently know about sleep and the immune system, parents should try to help their babies to sleep well in the days before as well as after immunizations,” Franck, a pediatric nurse at the University of California, San Francisco, told Mann on Friday. “What we are learning about sleep and immune response to vaccines is just another reason for parents to learn how to help their baby sleep well.”

Dr. Carol Baker, a professor of pediatrics, molecular virology and microbiology at the Baylor College of Medicine, is quoted by USA Today as pointing out that the study was “small” and confined to a single medical center, and that a “huge study with multiple sites” would be required to confirm that the afternoon would be the best time to have a youngster immunized.

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Couch Potatoes, Relaxing Can Make You Fatter

50% more fat can be produced by sustained stretching, TAU researchers say

Conventional wisdom says that exercise is a key to weight loss – a no-brainer. But now, Tel Aviv University researchers are revealing that life as a couch potato, stretched out in front of the TV, can actually be “active inactivity” – and cause you to pack on the pounds.

Such inactivity actually encourages the body to create new fat in fat cells, says Prof. Amit Gefen of TAU’s Department of Biomedical Engineering. Along with his Ph.D. student Naama Shoham, Prof. Gefen has shown that preadipocyte cells – the precursors to fat cells – turn into fat cells faster and produce even more fat when subject to prolonged periods of “mechanical stretching loads” – the kind of weight we put on our body tissues when we sit or lie down.

The research, which has been published in the American Journal of Physiology – Cell Physiology, demonstrates another damaging effect of a modern, sedentary lifestyle, Prof. Gefen notes. “Obesity is more than just an imbalance of calories. Cells themselves are also responsive to their mechanical environment. Fat cells produce more triglycerides, and at a faster rate, when exposed to static stretching.”

Stretching the fat

Prof. Gefen, who investigates chronic wounds that plague bed-ridden or wheelchair-bound patients, notes that muscle atrophy is a common side effect of prolonged inactivity. Studying MRI images of the muscle tissue of patients paralyzed by spinal cord injuries, he noticed that, over time, lines of fat cells were invading major muscles in the body. This spurred an investigation into how mechanical load – the amount of force placed on a particular area occupied by cells – could be encouraging fat tissue to expand.

In the lab, Prof. Gefen and his fellow researchers stimulated preadipocytes with glucose or insulin to differentiate them into fat cells. Then they placed individual cells in a cell-stretching device, attaching them to a flexible, elastic substrate. The test group of cells were stretched consistently for long periods of time, representing extended periods of sitting or lying down, while a control group of cells was not.

Tracking the cultures over time, the researchers noted the development of lipid droplets in both the test and control groups of cells. However, after just two weeks of consistent stretching, the test group developed significantly more – and larger – lipid droplets. By the time the cells reached maturity, the cultures that received mechanical stretching had developed fifty percent more fat than the control culture.

They were, in effect, half-again fatter.

According to Prof. Gefen, this is the first study that looks at fat cells as they develop, taking into account the impact of sustained mechanical loading on cell differentiation. “There are various ways that cells can sense mechanical loading,” he explains, which helps them to measure their environment and triggers various chemical processes. “It appears that long periods of static mechanical loading and stretching, due to the weight of the body when sitting or lying, has an impact on increasing lipid production.”

Counting more than calories

These findings indicate that we need to take our cells’ mechanical environment into account as well as pay attention to calories consumed and burned, believes Prof. Gefen. Although there are extreme cases, such as people confined to wheelchairs or beds due to medical conditions, many of us live a too sedentary lifestyle, spending most of the day behind a desk. Even somebody with healthy diet and exercise habits will be negatively impacted by long periods of inactivity.

Next, Prof. Gefen and his fellow researchers will be investigating how long a period of time a person can sit or lie down without the mechanical load becoming a factor in fat production. But in the meantime, it certainly can’t hurt to get up and take an occasional stroll, he suggests.

This research was done in collaboration with TAU’s Ruth Gottlieb, Dr. Uri Zaretsky, and Dr. Orna Shaharabani-Yosef from the Department of Biomedical Engineering and Prof. Dafna Benayahu of the Department of Cell and Developmental Biology.

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X-37B Space Plane Mission Extended

The US Air Force´s secretive X-37B space plane, launched on March 5, 2011, was designed to fly for 270 days. Day 270 came yesterday, but the military branch has decided to prolong its mission, with no sign of landing the craft any time soon.

“It´s still up there,” Major Tracy Bunko, a Secretary of the Air Force spokesperson, told MSNBC. “On-orbit experimentation is continuing.”

“Though we cannot predict when that will be complete, we are learning new things about the vehicle every day, which makes the mission a very dynamic process,” he added.

Exactly what the space plane is doing is top secret. The Air Force insists the X-37B, built by Boeing at its Huntington Beach facility, was developed to conduct orbital science experiments, but analysts say the craft is capable of much more than that.

Analysts believe X-37B could be an orbital spy plane or for tampering with enemy satellites. The spacecraft is also capable of hauling supplies to the International Space Station.

Boeing program manager Art Grantz in October proposed to build a bigger X-37C model that could ferry astronauts to the ISS, lessening NASA´s reliance on Russian Soyuz rockets to do the job at $50 million per seat.

Whatever X-37B is up to, it will be doing it for longer than the intended 270 days. The Air Force said last year that the X-37B could remain in orbit for nine months before its power and fuel ran out.

Circling 210 miles above us at 17,000 mph, the spaceship is designed to glide back to Earth guided precisely by GPS navigation signals and touchdown on a runway at Vandenberg Air Force Base in California. But when that will happen is anybody´s guess.

“We initially planned for a 9-month mission, but will continue to extend it as circumstances allow,” Bunko said in a statement released to Spaceflight Now. “This will provide us with additional experimentation opportunities and allow us to extract the maximum value out of the mission.”

Lt. Col. Tom McIntyre said in October that an extension might be possible for the X-37B when it goes up. Now that the scheduled timeline has passed, the Air Force will take it day by day, carefully monitoring the space plane.

“It´s working so well that they [the Air Force] are thumbing their noses at everyone else as they break their own records, and rightly so,” a source for the Air Force told David Axed of Wired.com.

The Air Force “gets greedy on X missions,” the insider added, using shorthand for “experimental” missions. In other words, the Air Force will want to squeeze every ounce of utility out of a unique spacecraft.

It´s not clear how long the X-37B might hold out. Once in space, the space plane unfurled solar panels to soak up the sun´s energy, increasing the craft´s power supply. Careful planning by Air Force engineers could extend the mission to up to a year, in theory. “It could be on station into April for all I know,” the source told Axe.

The X-37B resembles a space shuttle orbiter, but it is only about 25 percent its size. The X-37B has a wingspan of about 14 feet and is 29 feet long. Its payload bay is the size of a pickup truck bed, suggesting that it can deploy and retrieve satellites.

Its thermal blankets and heat shield tiles give the craft a checkered black, gray and white color. The tiles are tougher than the shuttle´s. Its electromechanical flight control system replaces the orbiter’s hydraulic actuators, and the X-37B is powered by a deployable solar panel instead of cryogenic fuel cells.

The upgrades allow the X-37B to stay in orbit far longer than the space shuttle, which was limited to about 18-day missions, according to Air Force officials.

The Air Force said it will not announce the return date of the X-37B until the time is near. When engineers do decide to end the mission, the X-37B will fire a thruster to drop from orbit and plunge back to the atmosphere, guided by GPS.

The X-37 space plane started off as a NASA project, but was taken over in 2004 by the Defense Department. The X-37 ended up becoming the Air Force´s responsibility in late 2006. The inaugural X-37 mission ended December 3, 2010 after 224 days in space.

Last year´s space flight demonstrated that the X-37 craft could operate in space successfully and also successfully return.

The Air Force plans to maintain its secretive stance on the progress of its current mission. “We won´t have anything else to say until we announce a landing date, which has not yet been determined,” Bunko told MSNBC.

Managed by the Air Force Rapid Capabilities Office, headquartered in the Pentagon, the Orbital Test Vehicle program tentatively plans a third flight in the future. But the Air Force will not release a date for the next mission.

Lt. Col. Tom McIntyre, the X-37 program director, said more information on another flight could be released by the end of the year.

Image Caption: An artist’s conception of the X-37 Advanced Technology Demonstrator as it glides to a landing on earth. Its design features a rounded fuselage topped by an experiment bay; short, double delta wings (like those of the Shuttle orbiter); and two stabilizers (that form a V-shape) at the rear of the vehicle. Credit: NASA

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Grace Mission Helps Monitor Drought In the US

The record-breaking drought in Texas that has fueled wildfires, decimated crops and forced cattle sales has also reduced groundwater levels in much of the state to the lowest levels in more than 60 years, according to new national maps produced by NASA using data from the NASA/German Aerospace Center Gravity Recovery and Climate Experiment (Grace) mission. The map are distributed by the National Drought Mitigation Center at the University of Nebraska-Lincoln.

The latest groundwater map, released on Nov. 29, shows large patches of maroon over eastern Texas, indicating severely depressed groundwater levels. The maps, publicly available on the Drought Center’s website at http://go.unl.edu/mqk , are generated weekly by NASA’s Goddard Space Flight Center in Greenbelt, Md., using Grace gravity field data calculated at NASA’s Jet Propulsion Laboratory, Pasadena, Calif., and the University of Texas Center for Space Research, Austin.

“Texas groundwater will take months or longer to recharge,” said Matt Rodell, a hydrologist based at Goddard. “Even if we have a major rainfall event, most of the water runs off. It takes a longer period of sustained greater-than-average precipitation to recharge aquifers significantly.”

The twin Grace satellites, which JPL developed and manages for NASA, detect small changes in Earth’s gravity field caused primarily by the redistribution of water on and beneath the land surface. The paired satellites travel about 137 miles (220 kilometers) apart and record small changes in the distance separating them as they encounter variations in Earth’s gravitational field.

To make the maps, scientists use a sophisticated computer model that combines measurements of water storage from Grace with a long-term meteorological dataset to generate a continuous record of soil moisture and groundwater that stretches back to 1948. Grace data go back to 2002. The meteorological data include precipitation, temperature, solar radiation and other ground- and space-based measurements.

The color-coded maps show how much water is stored now as a probability of occurrence in the 63-year record. The maroon shading over eastern Texas, for example, shows that the level of dryness over the last week occurred less than two percent of the time between 1948 and the present.

The groundwater maps aren’t the only maps based on Grace data that the Drought Center publishes each week. The Drought Center also distributes soil moisture maps that show moisture changes in the root zone down to about 3 feet (1 meter) below the surface, as well as surface soil moisture maps that show changes within the top inch (2 centimeters) of the land.

“All of these maps offer policymakers new information into subsurface water fluctuations at regional to national scales that has not been available in the past,” said the Drought Center’s Brian Wardlow. The maps provide finer resolution or are more consistently available than other similar sources of information, and having the maps for the three different levels should help decision makers distinguish between short-term and long-term droughts.

“These maps would be impossible to generate using only ground-based observations,” said Rodell. “There are groundwater wells all around the United States, and the U.S. Geological Survey does keep records from some of those wells, but it’s not spatially continuous and there are some big gaps.”

The maps also offer farmers, ranchers, water resource managers and even individual homeowners a new tool to monitor the health of critical groundwater resources. “People rely on groundwater for irrigation, for domestic water supply, and for industrial uses, but there’s little information available on regional to national scales on groundwater storage variability and how that has responded to a drought,” Rodell said. “Over a long-term dry period, there will be an effect on groundwater storage and groundwater levels. It’s going to drop quite a bit, people’s wells could dry out, and it takes time to recover.”

The maps are the result of a NASA-funded project at the Drought Center and NASA Goddard to make it easier for the weekly U.S. Drought Monitor to incorporate data from the Grace satellites. The groundwater and soil moisture maps are updated each Tuesday.

Image Caption: New groundwater and soil moisture drought indicator maps produced by NASA are available on the National Drought Mitigation Center’s website. They currently show unusually low groundwater storage levels in Texas. The maps use an 11-division scale, with blues showing wetter-than-normal conditions and a yellow-to-red spectrum showing drier-than-normal conditions. Image credit: NASA/National Drought Mitigation Center

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Heart Attack Risk Differs Between Sexes

Findings on coronary CT angiography (CTA), a noninvasive test to assess the coronary arteries for blockages, show different risk scenarios for men and women, according to a study presented Nov. 30 at the Radiological Society of North America (RSNA).
Coronary artery disease (CAD) is a narrowing of the blood vessels that supply blood and oxygen to the heart. It is caused by a build-up of fat and other substances that form plaque on vessel walls. According to the Centers for Disease Control and Prevention, heart disease is the leading cause of death for both men and women in the U.S.
Researchers at the Medical University of South Carolina analyzed the results of coronary CTA on 480 patients, mean age 55, with acute chest pain. Approximately 65 percent of the patients were women, and 35 percent were men. The possibility of acute coronary syndrome was ruled out for each of the patients.
Using coronary CTA, the researchers were able to determine the number of vessel segments with plaque, the severity of the blockage and the composition of the plaque.
“The latest CT scanners are able to produce images that allow us to determine whether the plaque is calcified, non-calcified or mixed,” said John W. Nance Jr., M.D., currently a radiology resident at Johns Hopkins Hospital in Baltimore, Md.
By comparing the coronary CTA results with outcome data over a 12.8-month follow-up period, the researchers were able to correlate the extent, severity and type of plaque build-up with the occurrence of major adverse cardiac events, such as a heart attack or coronary bypass surgery. The statistical analysis tested all plaques combined (calcified, non-calcified and mixed) and each individual plaque type separately.
“We found that the risks for cardiovascular events associated with plaque were significantly different between women and men,” Dr. Nance said.
Within the follow-up period, 70 of the patients experienced major adverse cardiac events, such as death, heart attack, unstable angina or revascularization. In total, 87 major adverse cardiac events occurred among the patients during the follow-up period.
When the outcome data were correlated with the CTA combined plaque findings, the results indicated that women with a large amount of plaque build-up and extensive atherosclerosis are at significantly greater cardiovascular risk than men.
Specifically, the risk for major adverse cardiac events was significantly higher in women than in men when extensive plaque of any kind was present or when more than four artery segments were narrowed.
“This research tells us that extensive coronary plaque is more worrisome in women than the equivalent amount in men,” Dr. Nance said.
However, when analyzing risk factors associated with the presence of individual types of plaque, the risk for major adverse cardiac events was greater in men, compared to women, when their artery segments contained non-calcified plaque.
Dr. Nance said the new data suggested that the atherosclerotic process, or hardening of the arteries, is not necessarily linear and that more research is needed to better understand the disease.
“Our research confirms that coronary CTA provides excellent prognostic information that helps identify risk, but there are gender differences that need to be considered,” Dr. Nance said.
Coauthors are U. Joseph Schoepf, M.D., Christopher Schlett, M.D., Garrett Rowe, B.S., J. Michael Barraza, B.S., and Fabian Bamberg, M.D., M.P.H.

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Are There Too Many Women In Medicine?

Student BMJ: Is medicine a woman’s world?

In the UK, women doctors are set to outnumber their male counterparts by 2017. The press has dubbed the rise “worrying” and “bad for medicine” but in an editorial published by Student BMJ today, Maham Khan asks is medicine becoming overfeminized and is having too many female doctors bad practice?

Jane Dacre, Medical School Director at University College London, believes feminization is a fact, but disagrees that medicine is becoming overfeminized and suggests that the rise of women doctors is bridging the gender divide. “I don’t think we have yet reached an era of feminization. What we are doing is reaching equality,” she says.

Many studies show women dominate in specialties such as general practice, pediatrics, and palliative care, but some branches of medicine, such as cardiology and general surgery, remain closed or unattractive to women, according to consultant cardiologist, Professor Jean McEwan.

Other prominent professors agree that women are not reaching the highest positions, and research shows that, unfortunately, a gender pay gap still exists in medicine.

“Medicine is not a profession of gender equality,” says Anita Holdcroft, Emeritus Professor of anesthesia at Imperial College. “Research shows women often feel uncomfortable in negotiations over pay. But yet they are doing the work. And the percentage of women who apply for clinical excellence awards is less than men.” She suggests we need to think about how to overcome some of these gender barriers and enable women to “become visible.”

So, why are men becoming an endangered species in medicine?

Will Coppola, a senior lecturer at University College London, believes the problem starts at secondary school. “There is a serious problem with underachievement of boys at school,” he says, and he suggests that medicine is becoming a less attractive career option for men for reasons such as loss of status, regulation and control, and decreased autonomy.

But is a female future bad practice, asks Khan?

Despite the fears propagated by the media, more women in the medical profession could lead to safer practice, she writes. A review of complaints received by the National Clinical Assessment Service (NCAS) shows women are less likely to be subject to disciplinary hearings.

And she adds that findings published in a report from the Equality and Human Rights Commission highlight the progress of women in medicine. “With the report saying it will take women 55 years to reach equal status with men in the senior judiciary and 73 years for women directors in FTSE 100 companies, it seems in terms of numbers, female doctors have made giant leaps for womankind,” she concludes.

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Ravens Use Gestures To Signal Potential Partners

Ravens use their beaks and wings to point and hold up objects in order to attract attention, much like humans use our hands to make gestures, according to a new study by German and Austrian experts.

The study is the first time researchers have observed such gestures in the wild by animals other than primates, suggesting that ravens (Corvus corax) may be far more intelligent than previously believed.

Simone Pika from the Max Planck Institute for Ornithology and Thomas Bugnyar from the University of Vienna found that the ravens also use these so-called deictic gestures in order to test the interest of a potential partner, or to strengthen an already existing bond.

Children frequently use distinct gestures — such as “pointing” (“look here”) and “holding up of objects” (“take this”) — to draw the attention of adults to external objects.  This typically begins around the age of nine to twelve months, before children utter their first spoken words.

Scientists believe these gestures are based on relatively complex intelligence abilities, and represent the starting point for the use of symbols and therefore also human language.  As such, deictic gestures are seen as milestones in the development of human speech.

However, observations of comparable gestures in our closest living relatives, the great apes, are relatively rare.  Chimpanzees (Pan troglodytes) in the Kibale National Park in Uganda, for example, use directed scratches to indicate precise spots on their bodies to be groomed.

Deictic gestures thus represent an extremely rare form of communication evolutionarily and have been suggested as confined to primates only.  The current study, however, finds that such behavior is not restricted to humans and great apes.

Pika und Bugnyar spent two years investigating the non-vocal behavior of individually marked members of a wild raven community in the Cumberland Wildpark in Grünau, Austria.

They observed that the ravens used their beaks to point to objects such as moss, stones and twigs.

These distinct gestures were predominantly aimed at partners of the opposite sex, and resulted in frequent orientation of recipients to the object and the signallers.   The ravens subsequently interacted with each other by, for example, billing or joint manipulation of the object.

Pika said the study provided the first evidence that ravens use gestures “to test the interest of a potential partner or to strengthen an already existing bond”.

Ravens are songbirds belonging to the corvid family, which includes crows and magpies, and surpass most other avian species in terms of intelligence.

The birds are characterized by their complex intra-pair communication, relatively long-time periods to form bonds and a high degree of cooperation between partners.

The current study shows that differentiated gestures have particularly evolved in species with a high degree of collaborative abilities.

“Gesture studies have too long focused on communicative skills of primates only,” Pika said.

“The mystery of the origins of human language, however, can only be solved if we look at the bigger picture and also consider the complexity of the communication systems of other animal groups.”

The study was published November 29 in the journal ҬNature Communications. November 29, 2011.

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Listen Up Men! Your Laptop’s Wi-Fi Could Be Killing Your Sperm

Wi-Fi technology could be dangerous to a man´s sperm quality, suggests a new study published in the journal Fertility and Sterility.

Argentinean scientists, led by Conrado Avendano of the Nascentis Center for Reproductive Medicine in Cordoba, describe in their report how they got semen samples from 29 healthy men, placed a few drops from those samples under a laptop with a Wi-Fi connection, and then used the laptop to do various everyday tasks.

Within four hours of use, 25 percent of the sperm were no longer swimming around, compared to just 14 percent from semen samples stored at room temperature away from the computer. And nine percent of the semen showed DNA damage, three times more than the comparison group.

The scientists noted that placing the sperm under the laptop without an active Wi-Fi connection did not result in significant levels of sperm damage or death.

Avendano and his team say electromagnetic radiation emitted by wireless communication is the key culprit.

“Our data suggest that the use of a laptop computer wirelessly connected to the internet and positioned near the male reproductive organs may decrease human sperm quality,” Avendano and his team wrote.

“At present we do not know whether this effect is induced by all laptop computers connected by Wi-Fi to the internet or what use conditions heighten this effect,” they added.

Avendano´s study is not the first to study the risks mobile communications can have on sperm quality.

A Canadian study from last year suggested that radiation from wireless devices cause DNA damage in sperm.

Heat generated by some computers can also have damaging effects on semen. A 2004 American study found that placing a laptop on the user´s lap could boost temperatures around the scrotum by as much as three degrees.

But Dr. Robert Oates, of Boston Medical Center and the president of the Society for Male Reproduction and Urology, said the picture isn´t totally clear on the new findings.

Oates, who has fathered two children despite frequently using a laptop and an iPad, told Reuters Health he doesn´t believe laptops are a significant threat to male reproductive health.

“This is not real-life biology, this is a completely artificial setting,” he told Frederik Joelving of Reuters about Avendano’s study. “It is scientifically interesting, but to me it doesn’t have any human biological relevance.”

He noted that no study has yet looked at whether laptop use has any influence on fertility or pregnancy outcomes. “Suddenly all of this angst is created for real-life actual persons that doesn´t have to be,” Oates added.

Nearly one in six couples in the US have trouble conceiving a child, and nearly half the time the problem stems from the man℠s reproductive health, according to figures from the American Urological Association.

Researchers say that lifestyle does matter when it comes to reproductive health.

A report appearing Fertility and Sterility earlier this month showed that men who eat a diet rich in fruit and grains and low in red meat, alcohol and coffee have a better chance of getting their partner pregnant during fertility treatment.

“You should be keeping yourself healthy,” including staying lean, eating healthy foods, exercising, not taking drugs and not smoking, agreed Oates.

But as far as laptops go, I wouldn´t be too worried, Oates told Reuters. “I don’t know how many people use laptops on their laps anyway.”

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New Evidence Links Stonehenge To Ancient Sun Worship

Researchers have reportedly uncovered new evidence that supports the theory that Stonehenge had been used to worship the sun before the legendary stones were erected at the location.

According to a report published online at the MyFoxHouston.com website Monday, representatives from the University of Birmingham and the Ludwig Boltzmann Institute for Archaeological Prospection have confirmed that a team of experts representing both institutions had discovered a pair of large pits that were “positioned on celestial alignment.”

“The team also discovered a gap in the middle of the northern side of the prehistoric Cursus enclosure located north of Stonehenge that could have been a point of entrance for processions believed to have taken place,” the report, which was credited to EndPlay Staff Reports, said.

“Researchers suggested there may have been tall stones, wooden posts or fires at the pits to mark the sun’s rising and setting. They could have been used to celebrate the sun as it passed across the sky at the summer solstice,” the article added.

In a separate report, also published Monday, BBC News reported that the archaeological survey team discovered the pits as part of the Stonehenge Hidden Landscapes Project. The British news agency said that the team was using geophysical imaging techniques to investigate the site, where they have been conducting subsurface survey work since last summer.

The discovery leads them to believe that the location had been used in sun-worshipping rituals even before Stonehenge’s trademark stones were placed over 5,000 years ago, the BBC added.

“This is the first time we have seen anything quite like this at Stonehenge and it provides a more sophisticated insight into how rituals may have taken place within the Cursus and the wider landscape,” Archaeologist and Professor Vince Gaffney, project leader from the IBM Visual and Spatial Technology Centre at the University of Birmingham, said in a statement.

“These exciting finds indicate that even though Stonehenge was ultimately the most important monument in the landscape, it may at times not have been the only, or most important, ritual focus and the area of Stonehenge may have become significant as a sacred site at a much earlier date,” he added. “Other activities were carried out at other ceremonial sites only a short distance away. The results from this new survey help us to appreciate just how complex these activities were and how intimate these societies were with the natural world.”

Likewise, Paul Garwood, Lecturer in Prehistory at the University of Birmingham, said, “Our knowledge of the ancient landscapes that once existed around Stonehenge is growing dramatically as we examine the new geophysical survey results. We can see in rich detail not only new monuments, but entire landscapes of past human activity, over thousands of years, preserved in sub-surface features such as pits and ditches. This project is establishing a completely new framework for studying the Stonehenge landscape.”

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Engineered Blood Stem Cells Fight Melanoma

Researchers from UCLA’s cancer and stem cell centers have demonstrated for the first time that blood stem cells can be engineered to create cancer-killing T-cells that seek out and attack a human melanoma. The researchers believe this approach could be useful in 40 percent of Caucasians with this malignancy.

Done in mouse models, the study serves as first proof-of-principle that blood stem cells, which make every cell type found in blood, can be genetically altered in a living organism to create an army of melanoma-fighting T-cells, said Jerome Zack, study senior author and a scientist with UCLA’s Jonsson Comprehensive Cancer Center and the Eli and Edythe Broad Center of Regenerative Medicine and Stem Cell Research at UCLA.

“We knew from previous studies that we could generate engineered T-cells, but would they work to fight cancer in a relevant model of human disease, such as melanoma,” said Zack, a professor of medicine and microbiology, immunology, and molecular genetics in Life Sciences. “We found with this study that they do work in a human model to fight cancer, and it’s a pretty exciting finding.”

The study appears Nov. 28, 2011 in the early online edition of the peer-reviewed journal Proceedings of the National Academy of Sciences (PNAS).

Researchers used a T-cell receptor from a cancer patient cloned by other scientists that seeks out an antigen expressed by this type of melanoma. They then genetically engineered the human blood stem cells by importing genes for the T-cell receptor into the stem cell nucleus using a viral vehicle. The genes integrate with the cell DNA and are permanently incorporated into the blood stem cells, theoretically enabling them to produce melanoma-fighting cells indefinitely and when needed, said Dimitrios N. Vatakis, study first author and an assistant researcher in Zack’s lab.

“The nice thing about this approach is a few engineered stem cells can turn into an army of T-cells that will respond to the presence of this melanoma antigen,” Vatakis said. “These cells can exist in the periphery of the blood and if they detect the melanoma antigen, they can replicate to fight the cancer.”

In the study, the engineered blood stem cells were placed into human thymus tissue that had been implanted in the mice, allowing Zack and his team to study the human immune system reaction to melanoma in a living organism. Over time, about six weeks, the engineered blood stem cells developed into a large population of mature, melanoma-specific T-cells that were able to target the right cancer cells.

The mice were then implanted with two types of melanoma, one that expressed the antigen complex that attracts the engineered T-cells and one tumor that did not. The engineered cells specifically went after the antigen-expressing melanoma, leaving the control tumor alone, Zack said.

The study included nine mice. In four animals, the antigen-expressing melanomas were completely eliminated. In the other five mice, the antigen-expressing melanomas decreased in size, Zack said, an impressive finding.

Response was assessed not only by measuring physical tumor size, but by monitoring the cancer’s metabolic activity using Positron Emission Tomography (PET), which measures how much energy the cancer is “eating” to drive its growth.

“We were very happy to see that four tumors were completely gone and the rest had regressed, both by measuring their size and actually seeing their metabolic activity through PET,” Zack said.

This approach to immune system engineering has intriguing implications, Zack said. T-cells can be engineered to fight disease, but their function is not long-lasting in most cases. More engineered T-cells ultimately are needed to sustain a response. This approach engineers the cells that give rise to the T-cells, so “fresh” cancer-killing cells could be generated when needed, perhaps protecting against cancer recurrence later.

Going forward, the team would like to test this approach in clinical trials. One possible approach would be to engineer both the peripheral T-cells and the blood stem cells that give rise to T-cells. The peripheral T-cells would serve as the front line cancer fighters, while the blood stem cells are creating a second wave of warriors to take up the battle as the front line T-cells are losing function.

Zack said he hopes this engineered immunity approach will translate to other cancers as well, including breast and prostate cancers.

The four-year study was funded in part by the National Institutes of Health, the California Institute for Regenerative Medicine, the Caltech-UCLA Joint Center for Translational Medicine, UCLA Center for AIDS Research and the UCLA AIDS Institute.

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LSUHSC Research Shows Rx With Hyperbaric Oxygen Improved TBI And PTSD In Vets

Research led by Dr. Paul Harch, Associate Clinical Professor of Medicine at LSU Health Sciences Center New Orleans, has found that treatment with hyperbaric oxygen nearly three years after injury significantly improved function and quality of life for veterans with traumatic brain injury and post-traumatic stress disorder. The findings are available online now in the Journal of Neurotrauma.

Sixteen US veterans injured in Iraq who had been diagnosed with mild-moderate traumatic brain injury/post-concussion syndrome (TBI/PCS) or traumatic brain injury/post-concussion syndrome/post-traumatic distress disorder (TBI/PCS/PTSD) were enrolled in the pilot study. They completed a history and physical exam as well as a clinical interview by a neuropsychologist, psychometric testing, symptom and quality of life questionnaires, and baseline SPECT (Single-photon emission computed tomography) brain blood flow imaging prior to treatment. The veterans then underwent 40 treatments of low-dose hyperbaric oxygen therapy during 60-minute sessions over a 30-day period. They were retested within a week after treatment.

Post-treatment testing revealed significant improvements in symptoms, abnormal physical exam findings, cognitive testing, quality of life measurements, and SPECT scans. Results showed improvement in 92% of vets experiencing short-term memory problems, in 87% of those complaining of headache, in 93% of those with cognitive deficits, in75% with sleep disruption, and in 93% with depression. They also saw improvements in irritability, mood swings, impulsivity, balance, motor function, IQ, and blood flow in the brain, as well as a reduction in PTSD symptoms and suicidal thoughts. These findings were mirrored by a reciprocal reduction or elimination of psychoactive and narcotic prescription medication usage in 64% of those for whom they were prescribed.

“This study strongly suggests that both post traumatic stress disorder and the post concussion syndrome of mild traumatic brain injury are treatable nearly three years after injury,” concludes Dr. Paul Harch, who is also Medical Director of the LSU Hyperbaric Medicine & Wound Care Department. “The magnitude of the improvements in memory, executive function, functional brain imaging, and quality of life, as well as reduction in concussion and PTSD symptoms cannot be explained with a placebo effect.”

Blast-induced TBI and PTSD are diagnoses of particular concern in the United States because of the volume of affected servicemen and women from the conflicts in Iraq and Afghanistan. A 2008 Rand Report estimates that 300,000 (18.3%) of 1.64 million military service members who have deployed to these war zones have PTSD or major depression and 320,000 (19.5%) have experienced a TBI. Overall, approximately 546,000 have TBI, PCS, or PTSD and 82,000 have symptoms of all three.

Evidence-based treatment for PTSD exists, but problems with access to and quality of treatment have been problematic in the military setting. Treatment of the symptomatic manifestation of mild TBI, the PCS, is limited. Treatment consists of off-label use of FDA blackbox labeled psychoactive medications, counseling, stimulative, and adaptive strategies. There is no effective treatment for the combined diagnoses of PCS and PTSD.

The research team also included Drs. Keith Van Meter, Susan Andrews, and Paul Staab at LSU Health Sciences Center, as well as researchers from The University of North Dakota School of Medicine and Health Sciences, University of California Irvine School of Medicine, and Georgetown University Medical Center. The research was supported by the Marine Corps Law Enforcement Foundation, the Semper Fi Fund, and the Coalition to Salute Americas Heroes, among others.

Further studies in Veterans are underway to confirm the present findings.

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Bad Boss, Bad Marriage?

Having an abusive boss not only causes problems at work but can lead to strained relationships at home, according to a Baylor University study published online in journal, Personnel Psychology. The study found that stress and tension caused by an abusive boss have an impact on the employee’s partner, which affects the marital relationship and subsequently the employee’s entire family.
The study also found that more children at home meant greater family satisfaction for the employee, and the longer the partner’s relationship, the less impact the abusive boss had on the family.
“These findings have important implications for organizations and their managers. The evidence highlights the need for organizations to send an unequivocal message to those in supervisory positions that these hostile and harmful behaviors will not be tolerated,” said Dawn Carlson, Ph.D., study author, professor of management and H. R. Gibson Chair of Organizational Development at the Hankamer School of Business at Baylor University, Waco.
A supervisor’s abuse may include tantrums, rudeness, public criticism and inconsiderate action.
“It may be that as supervisor abuse heightens tension in the relationship, the employee is less motivated or able to engage in positive interactions with the partner and other family members,” said Merideth Ferguson, PH.D., study co-author and assistant professor of management and entrepreneurship at Baylor.
Organizations should encourage subordinates to seek support through their organization’s employee assistance program or other resources (e.g., counseling, stress management) so that the employee can identify tactics or mechanisms for buffering the effect of abuse on the family, according to the study.
The study included 280 full-time employees and their partners. Fifty-seven percent of the employees were male with an average of five years in their current job; 75 percent had children living with them. The average age for the employee and the partner was 36 years. The average length of their relationship was 10 years. Of the respondents, 46 percent supervised other employees in the workplace, 47 percent worked in a public organization, 40 percent worked in a private organization, nine percent worked for a non-profit organization and five percent were self-employed. Of the partner group, 43 percent were male with 78 percent of these individuals employed.
Workers filled out an online survey. When their portion of the survey was complete, their partner completed a separate survey that was linked back to the workers’. The partner entered a coordinating identification number to complete his/her portion of the survey. The combined responses from the initial contact and the partner constituted one complete response in the study database.
Questions in the employee survey included; “How often does your supervisor use the following behaviors with you?” with example items being “Tells me my thoughts or feelings are stupid,” “Expresses anger at me when he/she is mad for another reason,” “Puts me down in front of others,” and “Tells me I’m incompetent.”
Questions in the partner survey included; “During the past month, how often did you . . .” feel irritated or resentful about things your (husband/wife/partner) did or didn’t do” and “feel tense from fighting, arguing or disagreeing with your (husband/wife/partner).”
“Employers must take steps to prevent or stop the abuse and also to provide opportunities for subordinates to effectively manage the fallout of abuse and keep it from affecting their families. Abusive supervision is a workplace reality and this research expands our understanding of how this stressor plays out in the employee’s life beyond the workplace,” Carlson said.
The research was conducted with support from the Texas A & M Mays Business School Mini-Grant Program.
Other co-authors of the study are Pamela L. Perrewe of Florida State University and Dwayne Whitten of Texas A & M University.

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Doctor Migration To Developed Nations Costs Sub-Saharan Africa Billions Of Dollars

Research: The financial cost of doctors emigrating from sub-Saharan Africa: Human capital analysis

Sub-Saharan African countries that train and invest in their doctors end up losing billions of dollars as the clinicians leave to work in developed nations, finds research published on bmj.com today.

According to the study, South Africa and Zimbabwe have the greatest economic losses in doctors due to emigration, while Australia, Canada, the UK and the US benefit the most from the recruitment of physicians educated in other countries.

The authors, led by Edward Mills, Chair of Global Health at the University of Ottawa, are now calling for destination countries to invest in training and health systems in the source countries.

The migration of health workers from poor countries contributes to weak health systems in low-income countries and is considered a primary threat to achieving the health-related Millennium Development Goals, says the study.

In 2010, the World Health Assembly adopted the first “Code of Practice on the International Recruitment of Health Personnel” that recognizes problems associated with doctor migration and calls on wealthy countries to provide financial assistance to source countries affected by health worker losses.

The Code of Practice is particularly important for sub-Saharan Africa as there is a critical shortage of doctors in the region and it has a high prevalence of diseases such as HIV/AIDS.

Mills and colleagues estimated the monetary cost of educating a doctor through primary, secondary and medical school in nine sub-Saharan countries with significant HIV-prevalence. These included Ethiopia, Kenya, Malawi, Nigeria, South Africa, Tanzania, Uganda, Zambia and Zimbabwe.

The research team added the figures together to estimate how much the origin countries paid to train doctors and how much the destination countries saved in employing them.

The authors used publicly available data to access the information including published reports on primary and secondary school spending from UNESCO.

The results show that governments spend between $21,000 (Uganda) to $59,000 (South Africa) to train doctors. The countries included in the study paid around $2 billion US dollars (USD) to train their doctors only to see them migrate to richer countries, say the authors. They add that the benefit to the UK was around $2.7 billion USD and for the United States around $846 million USD.

In an accompanying editorial, Professor James Buchan from Queen Margaret University in Edinburgh, says the study raises important issues about freedom of movement. He questions whether doctors and other health workers should have cost constraints placed on their mobility when other professionals such as engineers escape such restrictions.

Buchan says that while the WHO Code may help name and shame aggressive recruiters, the post recession labor market and changing health systems will also have an impact on doctors leaving developing countries. He says several destination countries are adjusting their projected need for new staff and “the UK, for one, has drastically reduced its level of active international recruitment for most types of health professionals.”

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Teens Turning Down Fruits And Vegetables

The Centers for Disease Control and Prevention (CDC) released a report yesterday highlighting the need for healthier school lunches. The report, based on data from the 2010 National Youth Physical Activity and Nutrition Study (NYPANS), shows that one-third of high school students do not eat vegetables each day and more than 25 percent do not always have a daily serving of fruit.
“Our basic findings are that fruit and vegetable consumption among high school students is low,” said Sonia A. Kim, a CDC epidemiologist and one of the authors of the study. “There´s more that schools and communities can do to encourage consumption.”
The least amount of vegetables were consumed by Black and Hispanic children, according to the report, and overall, only 16.8 percent of teens ate fruit more than four times a day and even fewer, 11.2 percent, ate vegetables that often, David Beasley reports for Reuters.
The CDC maintains that fruits and vegetables reduce chronic diseases and some cancers and can help manage proper weight. The CDC advises adolescents who exercise less than 30 minutes a day to eat 1.5 cups of fruit and 2.5 cups of vegetables daily for females and for males to eat two cups of fruit and three cups of vegetables.
The lack of fruit and vegetable consumption by teens shows a need for effective strategies to increase consumption of fruits and vegetables. Policy and environmental approaches to provide greater access to and availability of fruits and vegetables are among the strategies that schools and communities might choose to achieve this goal.
The reasons why high school students do not eat enough fruits and vegetables was not explicitly examined, but it does recommend increasing the availability of healthier foods in schools. A CDC program called “Let´s Move Salad Bars to Schools,” has a goal of putting 6,000 salad bars in schools over the next three years.
“There is evidence that salad bars do increase fruit and vegetable consumption among children,” Kim told Reuters. School and community gardening programs and farmer´s markets also encourage healthier eating, Kim said.

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The Dangers Of Snow Shoveling

Urban legend warns shoveling snow causes heart attacks, and the legend seems all too accurate, especially for male wintery excavators with a family history of premature cardiovascular disease. However, until recently this warning was based on anecdotal reports.

Two of the most important cardiology associations in the US include snow -shoveling on their websites as a high risk physical activity, but all the citation references indicate that this warning was based one or two incidents.

“We thought that this evidence should not be enough to convince us that snow -shoveling is potentially dangerous, ” says Adrian Baranchuk, a professor in Queen´s School of Medicine and a cardiologist at Kingston General Hospital.

Dr. Baranchuk and his team retrospectively reviewed KGH patient records from the two previous winter seasons and discovered that of the 500 patients who came to the hospital with heart problems during this period, 7 percent (35 patients) had started experiencing symptoms while shoveling snow.

“That is a huge number,” says Dr. Baranchuk. “7 percent of anything in medicine is a significant proportion. Also, if we take into account that we may have missed some patients who did not mention that they were shoveling snow around the time that the episode occurred, that number could easily double.”

The team also identified three main factors that put individuals at a high risk when shoveling snow. The number one factor was gender (31 of the 35 patients were male), the second was a family history of premature coronary artery disease (20 of the 35 patients), and the third was smoking (16 out of 35 patients). The second two factors may carry much more weight than the first, however, since the team could not correct for high rate of snow shoveling among men in their sample.

A history of regularly taking four or more cardiac medications was found to be preventative.

Dr. Baranchuk collaborated on this study with Wilma Hopman (Department of Community Health and Epidemiology, KGH Clinical Research Centre), William McIntyre, (Queen´s medical resident), and Salina Chan and David Schogstad-Stubbs (Queen´s medical students).

These findings were recently published in Clinical Research in Cardiology.

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Salt Consumption Debate: Too Much Or Too Little?

Doctors and health experts have warned us for years that too much salt intake is bad for our health, but a new study from researchers at McMaster University in Hamilton, Ontario, Canada suggests that too little salt intake may be just as bad for our heart health as higher doses.
The new study suggests that in people with heart disease, eating too little salt is linked to a higher risk of heart-related hospitalizations and deaths nearly as much as too much salt intake. It also suggests that clarification on what amounts are appropriate is sorely needed, especially for those with existing heart disease.
However, the study´s lead researcher said he believes the findings of his study, published in the Journal of the American Medical Association (JAMA), paints a clearer picture of how much is too much, as well as how little is too little.
“What we´re showing is that the association between sodium intake and cardiovascular diseases appears to be J-shaped,” said Martin O´Donnell, from McMaster University.
The J-shaped line depicting heightened risk at very low salt levels and at high levels, with low risk in the middle, could explain why studies in different groups of people have come to different conclusions on the effects of eating more or less salt, he added.
In theory, based on the findings, eating less salt could be linked to a reduced risk of heart problems in a group that generally eats a lot of salty foods, but also may be associated with an increase in those risks if salt consumption is already on the low end.
“We would hope earnestly that our study would not add to the controversy, but would provide some clarity to what appeared to be conflicting findings of previous studies,” O’Donnell told Reuters Health.
O´Donnell´s study looked at sodium excretion in the urine (measured for sodium intake in one´s diet) of 28,000 adults who were at high risk for heart disease or diabetes or who had heart disease. Both sodium and potassium excretion were measured for 24 hours, which added to a more clear picture of the impact of dietary salt on health.
The study, which was co-lead by Dr. Salim Yusuf, a professor of medicine and executive director of the Population Research Health Institute (PHRI) at McMaster, found that moderate salt intake (4.0 to 5.9 grams per day) was associated with the lowest risk of cardiovascular events, while higher intake (more than 7.0 grams per day) was associated with an increased risk of stroke, heart attack and other cardiovascular diseases, and a low intake (less than 3.0 grams per day) was linked to an increased risk of cardiovascular death and hospitalization for congestive heart failure.
The investigators cautioned, however, that the new findings do not prove that people can change their risks by changing the amount of salt in their diets, since salt is only one component linked to heart health and this type of study was not designed to extract cause-and-effect.
Still, the research does address “an important population health issue — the association between salt intake and cardiovascular disease,” said O´Donnell, who is also appointed at the Health Research Board Clinical Research Facility, National University of Ireland.
“In general, previous observational studies have either reported a positive association, no association or an inverse association between sodium intake and heart disease and stroke. This has resulted in a lot of controversy,” he added.
Dietary guidelines recommend a sodium intake of no more than 1,500 milligrams (1.5 grams) per day for most adults. But, on average, most adult consume 2,300 milligrams per day, according to past studies.
In the new study, participants were followed for an average of four to five years for any cardiovascular-related hospitalizations and deaths, including strokes and heart attacks. During the course of the study, the researchers recorded about 4,700 such events, including just over 2,000 deaths due to cardiovascular disease.
Compared to those who ate between 4.0 and 6.0 grams of sodium per day, those who got more than 8.0 grams were 50 to 70 percent more likely to suffer a heart attack or stroke or be hospitalized or die from heart disease. That was after the team took into account what medications the participants were on, and other aspects of health and lifestyle known to affect heart health, such as weight, smoking, and amount of fruits and vegetables consumed, as well as cholesterol levels.
Those who had low sodium intake, between 2 and 3 grams per day, also showed a 20 percent higher risk of cardiovascular-related death as well as hospitalization for congestive heart failure.
In people with heart risks, “very high sodium intake causes harm. What is emerging now is that going too low might also cause harm,” Dr. Jan Staessen, who studies salt and cardiovascular disease at the University of Leuven in Belgium, told Reuters.
“There´s a lot of evidence accumulating that going as low as (1,500 mg) of sodium might cause harm,” said Staessen, who was not involved in the new research.
His own research has suggested that in the general population, lower levels of sodium are linked to higher risk of death. And another recent review of past studies didn´t find an overall health benefit associated with cutting back on salt.
Staessen, in an interview with Reuters Health, emphasized that the people in the McMaster study were very high-risk, and the findings don´t necessarily apply to everyone.
O´Donnell agreed that the optimum amount of salt in the diet may be different in people without heart disease or diabetes, but he suspects that the J-shaped relationship between salt intake and heart risks will generally hold up.
“Our study confirms the association between high-sodium intake and cardiovascular disease. Our findings highlight the importance of reducing salt intake in those consuming high-salt diets and the need for reducing sodium content in manufactured foods that are high in salt,” said Yusuf, who is also vice-president of research at Hamilton Health Sciences.
“However, for those with moderate intake, whether further reduction of salt in the diet will be beneficial is an open question. We believe that large clinical trials are the most reliable way to determine if reducing sodium intake to lower levels is of benefit,” he concluded.
O´Donnell and Yusuf agree that more research is needed to refine the guidelines for sodium and potassium intake. But, they wrote in an accompanying editorial, most salt intake comes from processed foods, and those are the foods that should be avoided.
“This shift to a more natural diet would concurrently lead to an absolute increase in dietary potassium content and also lead to an improved sodium-potassium ratio, which may be more desirable than a change of either electrolyte [salt or potassium] on its own,” they wrote.
The research was conducted at the Michael G. DeGroote School of Medicine at McMaster University and the Population Health Research Institute (PHRI) at McMaster and Hamilton Health Sciences.

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Structural Mechanism Of Southern Chinese Traditional Timber Frame Buildings

The structural mechanism of typical mortise—tenon joints of southern Chinese traditional timber frame buildings was investigated. The investigation provides a scientific basis for the repair of these ancient buildings. The research was published in SCIENCE CHINA Technological Sciences.2011, Vol 54(7).

The timber members of Chinese traditional timber buildings are connected with mortise—tenon joints, which are the core technology of Chinese and East Asian traditional timber buildings. Scientific knowledge of mortise—tenon joints is the key to understanding the structural mechanism of Chinese traditional timber buildings.

As connection joints, mortise—tenon joints bear the transmission and distribution of forces in timber structures while also determining the overall stability of the structures. The mortise—tenon joints of Chinese traditional timber buildings can be classified as those for: a horizontal member and horizontal member; a horizontal member and vertical member; a vertical member and vertical member; and a horizontal member and inclined member. The configuration of a mortise—tenon joint depends on the system, age and geographical area. For example, in the south of China, the column-and-tie structure is the main structure type for traditional timber buildings, and it differs from post-and-lintel construction, which is the main structure of northern traditional timber buildings.

There are four main differences in mortise—tenon joints for southern and northern traditional timber buildings. (1) As mentioned, the main structural system of northern traditional timber buildings is post-and-lintel construction, and it obviously differs from the main structural system of southern traditional timber buildings, which is the column-and-tie construction system. (2) The mortise—tenon joints of northern timber buildings are thicker and shorter than the joints of southern timber buildings. (3) In terms of configuration, the Mantou mortise—tenon joint is often used at the top of a column in the north of China, whereas a straight mortise—tenon joint is often used at the top of a column in the south of China. (4) The main style is that of an official building in the north of China, whereas the main style is that of a residential building in the south of China. Although many scholars are now researching the structural mechanisms of Chinese traditional timber buildings, there has been no research on the difference in structural mechanisms between the north and south of the country.

In the paper Experimental study on seismic characteristics of typical mortise—tenon joints of Chinese southern traditional timber frame buildings written by Dr Chun Qing from the Key Laboratory of Urban and Architectural Heritage Conservation, Ministry of Education, Southeast University, the structural mechanism of mortise—tenon joints was investigated according to differences in the structural system and geographical area. The mechanical characteristics of typical mortise—tenon joints of Chinese southern traditional timber frame buildings were researched, which provides a scientific basis for the protection and repair of southern Chinese traditional timber buildings.

Existing domestic research has mainly focused on the northern Chinese traditional timber structure. The research objects were built following the rules of construction of the Song dynasty. The experimental specimens were always coarse. Mortise—tenon joints were mainly straight mortise—tenon joints and Yanwei mortise—tenon joints. Existing overseas research has mainly focused on local traditional timber structures that obviously differ from traditional Chinese timber structures. At present, the mechanical mechanisms of Chinese southern traditional timber frame buildings based on the rules of Yingzaofayuan have not been researched.

The present work is innovative in that it is the first to investigate experimentally the mechanical characteristics of typical mortise—tenon joints of southern Chinese traditional timber frame buildings, including the Yanwei mortise—tenon joint, Shizigutou mortise—tenon joint, Ban mortise—tenon joint and Mantou mortise—tenon joint. Failure modes, hysteresis curves, skeleton curves and rotational stiffness are presented. The results provide a scientific basis for seismic research and the protection and maintenance of southern Chinese traditional timber frame buildings. This research was supported by the National Natural Science Fund Project (grant number 51 008 059).

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How Does Your Brain Benefit From Meditation?

Experienced meditators seem to be able switch off areas of the brain associated with daydreaming as well as psychiatric disorders such as autism and schizophrenia, according to a new brain imaging study by Yale researchers.

Meditation’s ability to help people stay focused on the moment has been associated with increased happiness levels, said Judson A. Brewer, assistant professor of psychiatry and lead author of the study published the week of Nov. 21 in the Proceedings of the National Academy of Sciences. Understanding how meditation works will aid investigation into a host of diseases, he said.

“Meditation has been shown to help in variety of health problems, such as helping people quit smoking, cope with cancer, and even prevent psoriasis,” Brewer said.

The Yale team conducted functional magnetic resonance imaging scans on both experienced and novice meditators as they practiced three different meditation techniques.

They found that experienced meditators had decreased activity in areas of the brain called the default mode network, which has been implicated in lapses of attention and disorders such as anxiety, attention deficit and hyperactivity disorder, and even the buildup of beta amyloid plaques in Alzheimer’s disease. The decrease in activity in this network, consisting of the medial prefrontal and posterior cingulate cortex, was seen in experienced meditators regardless of the type of meditation they were doing.

The scans also showed that when the default mode network was active, brain regions associated with self-monitoring and cognitive control were co-activated in experienced meditators but not novices. This may indicate that meditators are constantly monitoring and suppressing the emergence of “me” thoughts, or mind-wandering. In pathological forms, these states are associated with diseases such as autism and schizophrenia.

The meditators did this both during meditation, and also when just resting – not being told to do anything in particular. This may indicate that meditators have developed a “new” default mode in which there is more present-centered awareness, and less “self”-centered, say the researchers.

“Meditation’s ability to help people stay in the moment has been part of philosophical and contemplative practices for thousands of years,” Brewer said. “Conversely, the hallmarks of many forms of mental illness is a preoccupation with one’s own thoughts, a condition meditation seems to affect. This gives us some nice cues as to the neural mechanisms of how it might be working clinically.”

Other Yale researchers are Patrick D. Worhunsky, Jeremy R. Gray and Hedy Kober.

The research was funded by the National Institutes of Health and U.S. Veterans Affairs New England Mental Illness Research, Education, and Clinical Center. The work of one researcher in the above study was partially funded by the Yale Clinical and Translational Science Award (CTSA) grant from the National Center for Research Resources at the National Institutes of Health.

Image 2: Experienced meditators seem to switch off areas of the brain associated with wandering thoughts, anxiety and some psychiatric disorders such as schizophrenia. Researchers used fMRI scans to determine how the brains of meditators differed from subjects who were not meditating. The areas shaded in blue highlight areas of decreased activity in the brains of meditators. Credit: Yale University

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Carbon Nanotube Forest Camouflages 3-D Objects

Carbon nanotubes, tiny cylinders composed of one-atom-thick carbon lattices, have gained fame as one of the strongest materials known to science. Now a group of researchers from the University of Michigan is taking advantage of another one of carbon nanotubes’ unique properties, the low refractive index of low-density aligned nanotubes, to demonstrate a new application: making 3-D objects appear as nothing more than a flat, black sheet.

The refractive index of a material is a measure of how much that material slows down light, and carbon nanotube “forests” have a low index of refraction very close to that of air. Since the two materials affect the passage of light in similar ways, there is little reflection and scattering of light as it passes from air into a layer of nanotubes.

The Michigan team realized they could use this property to visually hide the structure of objects. As described in the AIP’s journal Applied Physics Letters, the scientists manufactured a 3-D image of a tank out of silicon. When the image was illuminated with white light, reflections revealed the tank’s contours, but after the researchers grew a forest of carbon nanotubes on top of the tank, the light was soaked up by the tank’s coating, revealing nothing more than a black sheet.

By absorbing instead of scattering light, carbon nanotube coatings could cloak an object against a black background, such as that of deep space, the researchers note. In such cases the carbon nanotube forest “acts as a perfect magic black cloth that can completely conceal the 3-D structure of the object,” the researchers write.

Article: “Low density carbon nanotube forest as an index-matched and near perfect absorption coating” is accepted for publication in Applied Physics Letters.

Authors: Haofei Shi (1), Jong G. Ok (2), Hyoung Won Baac, (1) and L. Jay Guo (1).

(1) Department of Electrical Engineering and Computer Science, University of Michigan
(2) Department of Mechanical Engineering, University of Michigan

Image Caption: Scanning electron microscope images show a tank etched out of silicon, with and without a carbon nanotube coating (top row). When the same structures are viewed under white light with an optical microscope (bottom row), the nanotube coating camouflages the tank structure against a black background. Credit: L. J. Guo et al, University of Michigan/Applied Physics Letters

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Study Claims Senior Citizens With Active Sex Lives Are Happier

New research presented in Boston at the Gerontological Society of America’s (GSA) 64th Annual Scientific Meeting on Sunday has drawn a direct link between the sex lives of those in their mid-to-late 60s and their level of happiness with their lives and their marriage.

According to a GSA press release announcing the findings, this conclusion is the result of a 2004 survey of 238 individuals over the age of 65. The data from that study was analyzed by Adrienne Jackson, an assistant professor at Florida Agricultural and Mechanical University (FAMU)

Following her analysis, Jackson “discovered that frequency of sexual activity was a significant predictor of both general and marital happiness. The association even remained after accounting for factors such as age, gender, health status, and satisfaction with financial situation.”

The study found that only 40% of those who had not engaged in some form of sexual activity in the previous 12 months said that they were very happy with life in general, and 59% of them reported being very happy with the marriage. Conversely, 60% of those who had sex more than once again described themselves as very happy with their lives, and nearly 80% said they had very happy marriages.

“This study will help open the lines of communication and spark interest in developing ‘outside the box’ approaches to dealing with resolvable issues that limit or prevent older adults from participating in sexual activity,” Jackson said in a statement.

“Highlighting the relationship between sex and happiness will help us in developing and organizing specific sexual health interventions for this growing segment of our population,” she added.

The study comes after comments made by 73-year-old actress Jane Fonda, who according to Telegraph reporter Graeme Paton “attributed her youthful appearance to a continued healthy libido.”

It also follows previous research from the University of California San Diego (UCSD), which claimed that looked at women between the ages of 60 and 89 had a higher quality of life and were happier if they had an active sex life, Paton added.

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American Nonagenarians To Quadruple By 2050

The number of Americans who are 90 years of age or older has nearly tripled over the past 30 years, the US Census Bureau announced on Friday.

According to AFP reports, the number of nonagenarians increased to 1.9 million as of 2010. They now represent 4.7% of the 65-and-old population in the US, an increase from just 2.8% in 1980.

Furthermore, by 2050, that number will more than quadruple (to 8.7 million), meaning they will account for roughly 10% of all older Americans, the Associated Press (AP) added.

As astonishing as those numbers are, some experts believe they may be underestimating the growth of the 90-plus portion of the U.S. population.

“I think it’s going to grow even faster than predicted in the report,” Richard Suzman, the director of behavioral and social research at the National Institute on Aging, the organization that commissioned the study, told Reuters reporter Lauren Keiper on Thursday.

“A key issue for this population will be whether disability rates can be reduced,” he added in comments made to the AP. “We´ve seen to some extent that disabilities can be reduced with lifestyle improvements, diet and exercise. But it becomes more important to find ways to delay, prevent or treat conditions such as Alzheimer´s disease.”

The study also reports that a vast majority (88.1%) of American nonagenarians are white. African-Americans made up 7.6% of the group, Hispanics approximately 4%, and Asians just 2.2%, according to the AFP. It also reports that women over 90 outnumber their male counterparts nearly three to one.

“More folks over the age of 90 means increased stress on pension and retirement funds, health care costs and caretaker relationships with younger generations,” Keiper said, adding that the report also discovered that “A person who makes it to 90 years old today is expected to live almost another five years“¦ and, a person who lives to celebrate a 100th birthday is likely to live another 2.3 years.”

Some of the reasons for the increase in the number of people reaching this advanced age are increases in education level and improvements in the areas of nutrition and public health, including a decline in smoking, fewer strokes, and better methods for controlling diabetes, Suzman told Reuters.

The report also notes that people between the ages of 90 and 94 are 13% more likely to have disabilities than 85 to 89 year olds; that the annual median personal income for people 90 and older during 2006-2008 was $14,760 (half of which originated from Social Security payments); that 14.5% of people 90 and older lived in poverty from 2006 through 2008; that 80% of all women over the age of 90 were widowed while 40% of men in the same age group were married; and that 99.5% of all nonagenarians were covered by some form of health insurance.

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Training In ‘Concrete Thinking’ Can Be Self-Help Treatment For Depression

The study suggests an innovative psychological treatment called ‘concreteness training’ can reduce depression in just two months and could work as a self-help therapy for depression in primary care. Led by the University of Exeter and funded by the Medical Research Council, the research shows how this new treatment could help some of the 3.5 million people in the UK living with depression.

People suffering from depression have a tendency towards unhelpful abstract thinking and over-general negative thoughts, such as viewing a single mistake as evidence that they are useless at everything. Concreteness training (CNT) is a novel and unique treatment approach that attempts to directly target this tendency. Repeated practice of CNT exercises can help people to shift their thinking style.

CNT teaches people how to be more specific when reflecting on problems. This can help them to keep difficulties in perspective, improve problem-solving and reduce worry, brooding, and depressed mood. This study provided the first formal test of this treatment for depression in the NHS.

121 individuals who were currently experiencing an episode of depression were recruited from GP practices. They took part in the clinical trial and were randomly allocated into three groups. A third received their usual treatment from their GP, plus CNT, while some were offered relaxation training in addition to their usual treatment and the remainder simply continued their usual treatment. All participants were assessed by the research team after two months and then three and six months later to see what progress they had made.

The CNT involved the participants undertaking a daily exercise in which they focused on a recent event that they had found mildly to moderately upsetting. They did this initially with a therapist and then alone using an audio CD that provided guided instructions. They worked through standardized steps and a series of exercises to focus on the specific details of that event and to identify how they might have influenced the outcome.

CNT significantly reduced symptoms of depression and anxiety, on average reducing symptoms from severe depression to mild depression during the first two months and maintaining this effect over the following three and six months. On average, those individuals who simply continued with their usual treatment remained severely depressed.

Although concreteness training and relaxation training both significantly reduced depression and anxiety, only concreteness training reduced the negative thinking typically found in depression. Moreover, for those participants who practiced it enough to ensure it became a habit, CNT reduced symptoms of depression more than relaxation training.

Professor Edward Watkins of the University of Exeter said: “This is the first demonstration that just targeting thinking style can be an effective means of tackling depression. Concreteness training can be delivered with minimal face-to-face contact with a therapist and training could be accessed online, through CDs or through smartphone apps. This has the advantage of making it a relatively cheap form of treatment that could be accessed by large numbers of people. This is a major priority in depression treatment and research, because of the high prevalence and global burden of depression, for which we need widely available cost-effective interventions.”

The researchers are now calling for larger effectiveness clinical trials so that the feasibility of CNT as part of the NHS’s treatment for depression can be assessed.

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Black Hole Birth Announcement

For the first time, astronomers have produced a complete description of a black hole, a concentration of mass so dense that not even light can escape its powerful gravitational pull. Their precise measurements have allowed them to reconstruct the history of the object from its birth some six million years ago.
Using several telescopes, both ground-based and in orbit, the scientists unraveled longstanding mysteries about the object called Cygnus X-1, a famous binary-star system discovered to be strongly emitting X-rays nearly a half-century ago. The system consists of a black hole and a companion star from which the black hole is drawing material. The scientists’ efforts yielded the most accurate measurements ever of the black hole’s mass and spin rate.
“Because no other information can escape from a black hole, knowing its mass, spin, and electrical charge gives a complete description of it,” said Mark Reid, of the Harvard-Smithsonian Center for Astrophysics (CfA). “The charge of this black hole is nearly zero, so measuring its mass and spin make our description complete,” he added.
Though Cygnus X-1 has been studied intensely since its discovery, previous attempts to measure its mass and spin suffered from lack of a precise measurement of its distance from Earth. Reid led a team that used the National Science Foundation’s Very Long Baseline Array (VLBA), a continent-wide radio-telescope system, to make a direct trigonometric measurement of the distance. Their VLBA observations provided a distance of 6070 light-years, while previous estimates had ranged from 5800-7800 light-years.
Armed with the new, precise distance measurement, scientists using the Chandra X-Ray Observatory, the Rossi X-Ray Timing Explorer, the Advanced Satellite for Cosmology and Astrophysics, and visible-light observations made over more than two decades, calculated that the black hole in Cygnus X-1 is nearly 15 times more massive than our Sun and is spinning more than 800 times per second.
“This new information gives us strong clues about how the black hole was born, what it weighed and how fast it was spinning,” Reid said. “Getting a good measurement of the distance was crucial,” Reid added.
“We now know that Cygnus X-1 is one of the most massive stellar black holes in the Milky Way,” said Jerry Orosz, of San Diego State University. “It’s spinning as fast as any black hole we’ve ever seen,” he added.
In addition to measuring the distance, the VLBA observations, made during 2009 and 2010, also measured Cygnus X-1’s movement through our Galaxy. That movement, the scientists, said, is too slow for the black hole to have been produced by a supernova explosion. Such an explosion would have given the object a “kick” to a much higher speed.
“There are suggestions that this black hole could have been formed without a supernova explosion, and our results support those suggestions,” Reid said.
Reid, Orosz, and Lijun Gou, also of CfA, were the lead authors of three papers on Cygnus X-1 published in the Astrophysical Journal Letters.
The VLBA, dedicated in 1993, uses ten, 25-meter-diameter dish antennas distributed from Hawaii to St. Croix in the Caribbean. It is operated from the NRAO’s Domenici Science Operations Center in Socorro, NM. All ten antennas work together as a single telescope with the greatest resolving power available to astronomy. This unique capability has produced landmark contributions to numerous scientific fields, ranging from Earth tectonics, climate research, and spacecraft navigation to cosmology.
Ongoing upgrades in electronics and computing have enhanced the VLBA’s capabilities. With improvements now nearing completion, the VLBA will be as much as 5,000 times more powerful as a scientific tool than the original VLBA of 1993.
The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Image Caption: Artist’s conception of Cygnus X-1: Black hole draws material from companion star (right) into hot, swirling disk. CREDIT: Chandra X-Ray Observatory, NASA

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Broken Heart Syndrome More Common In Women Than Men

Researchers have found that women are about seven to nine times more likely to suffer from “broken heart syndrome” during sudden or prolonged stress.

The syndrome is caused during a stressful event like an emotional breakup or death, which then causes overwhelming heart failure or heart attack-like symptoms.

Japanese doctors first recognized the syndrome around 1990 and named it Takotsubo cardiomyopathy.

Tests show dramatic changes in rhythm and blood substances typical of a heart attack, but no artery blockages.  Most victims can recover within weeks, but in some cases it is fatal.

“I was very curious why only women were having this,” Dr. Abhishek Deshmukh of the University of Arkansas, who has treated some of these cases said at an American Heart Association conference in Florida.

He used 6,229 cases in 2007 from a federal database with about 1,000 hospitals.  Only 671 of the cases involved men.

Deshmukh took into account factors like high blood pressure and smoking, but women still seemed 7.5 times more likely to suffer the syndrome than men.

It was three times more common for a woman over 55 to suffer from broken heart syndrome than a younger woman.  Women younger than 55 were 9.5 times more likely to suffer it than men of that age.

“It’s the only cardiac condition where there’s such a female preponderance,” Dr. Abhiram Prasad, a Mayo Clinic cardiologist who presented other research on this syndrome at the conference, said.

He said that one theory is that hormones play a role, while another is that men have more adrenaline receptors on cells in their hearts than women do.

The new study has found that about 1 percent of broken heart syndrome cases prove to be fatal.

About 10 percent of victims will have a second episode sometime in their lives, and the condition is more common in the summer.

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1-in-4 Women Take Medication For Mental Health Condition

According to new research, over one-in-four women take medication to treat a mental health condition.

The report by Medco Health Solutions found that women of all ages take more mental health medications than males, with antidepressants being the most commonly used.

Anxiety treatments are also widely used by women and at almost twice the rate of men, and the greatest age group who uses these drugs were women between 45 and 65 years of age.

The number of women on ADHD drugs was 2.5 times higher than in 2001, which was higher than what number of men use the drugs.

Women between the ages of 20 to 44 years used ADHD drugs 264 percent times more often than what they did ten years ago.

“Over the past decade, there has been a significant uptick in the use of medications to treat  a variety of mental health problems; what is not as clear is if more people – especially women, are actually developing psychological disorders that require treatment, or if they are more willing to seek out help and clinicians are better at diagnosing these conditions than they once were,” Dr. David Muzina, a psychiatrist and national practice leader of the Medco Neuroscience Therapeutic Resource Center, said in a press release.

“Women are generally more frequent users of healthcare, but they may also be bearing the emotional brunt of a decade that started with the horror of 9/11 and since has seen several wars and economic turmoil.”

The amount of children on mental drug treatments also jumped up over the past ten years.  However, the use of antidepressants in children 19 and younger declined since the Food and Drug Administration (FDA) issued warnings in 2004 on risks of suicidal ideation linked to these drugs in children.

The number of children on atypical antipsychotics doubled from 2001 to 2010.

“The fact that more children are being treated with atypicals is concerning given that substantial weight gain is highly associated with the use of these drugs in this population, putting children at risk for diabetes and heart disease-related conditions,” Dr. Muzina said in a statement.  “When using these drugs, children need to be monitored on a frequent basis to prevent against these serious health risks.”

Older women are most apt to use an antidepressant, according to the research.  Nearly 24 percent of women over 64 take antidepressants.  This age category also saw a jump in use of antidepressants in 2001, posting a 40 percent increase in their numbers.

There was a steep decline in the number of elderly women taking anti-anxiety medications, which was down 47 percent from a decade ago.

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Autoimmune Diseases and Wounds that Won’t Heal

(Ivanhoe Newswire) — Millions of Americans suffer from wounds that don´t heal, and while most are associated with diabetes, this new study has identified autoimmune diseases as another underlying cause.

The study was sparked by the keen observation of Georgetown rheumatologist Victoria Shanmugam, M.D., who began noticing something rather unusual in her patients with autoimmune diseases – any open wound they had was very slow to heal. Their recovery was even more protracted than in patients with wounds who have diabetes, a disease that is notoriously damaging to blood vessels and to normal skin repair.

Shanmugam and her colleagues conducted a chart review of people who sought care at a high-volume wound clinic at Georgetown University Hospital to determine the prevalence of autoimmune diseases. The study included patients with open wounds – usually leg ulcers who were treated during a three-month period in 2009. Of the 340 patients, 49 percent had diabetes, which she says is a typical rate.

“But what was surprising is that 23 percent had underlying autoimmune diseases, and the connection between these relatively rare disorders and wounds that don’t heal is under-recognized,” Shanmugam was quoted as saying.

Of the 78 patients in the cohort who had autoimmune disease, most had rheumatoid arthritis, lupus or livedoid vasculopathy, a type of vascular disease.

Shanmugam says her findings also show that autoimmune disease-associated wounds were significantly larger at the patient’s first visit. These non-healing wounds can be “incredibly emotionally draining and financially costly,” Shanmugam says, because they require doctor visits over many months as well as an ever-present risk of serious infections. Sometimes, infections can lead to surgery and the amputation of limbs. More often, they require skin grafts or use of skin substitutes, which may still not solve the problem.

In fact, Shanmugam’s study found that skin grafts were more likely to fail in patients with autoimmune disease-associated wounds.

Shanmugam hopes the link she has made between autoimmune diseases and wound healing will make its way into the consciousness of the general practitioner. While it is much too invasive and costly to recommend that all patients with wounds be tested for autoimmune diseases, she said, “If a doctor has a patient with a leg ulcer that won’t heal after three or four months and they have done all the appropriate treatments, I hope they will look for the presence of an autoimmune disorder.”

SOURCE: annual meeting of the American College of Rheumatology in Chicago,  November 2011

Today’s Teens Will Die Younger Of Heart Disease

High blood sugar, obesity, poor diet, smoking, little exercise make adolescents unhealthiest in US history
A new study that takes a complete snapshot of adolescent cardiovascular health in the United States reveals a dismal picture of teens who are likely to die of heart disease at a younger age than adults do today, reports Northwestern Medicine research.
“We are all born with ideal cardiovascular health, but right now we are looking at the loss of that health in youth,” said Donald Lloyd-Jones, M.D., chair and associate professor of preventive medicine at Northwestern University Feinberg School of Medicine and a physician at Northwestern Memorial Hospital. “Their future is bleak.”
Lloyd-Jones is the senior investigator of the study presented Nov. 16 at the American Heart Association Scientific Sessions in Orlando.
The effect of this worsening teen health is already being seen in young adults. For the first time, there is an increase in cardiovascular mortality rates in younger adults ages 35 to 44, particularly in women, Lloyd-Jones said.
The alarming health profiles of 5,547 children and adolescents, ages 12 to 19, reveal many have high blood sugar levels, are obese or overweight, have a lousy diet, don’t get enough physical activity and even smoke, the new study reports. These youth are a representative sample of 33.1 million U.S. children and adolescents from the 2003 to 2008 National Health and Nutrition Examination Surveys.
“Cardiovascular disease is a lifelong process,” Lloyd-Jones said. “The plaques that kill us in our 40s and 50s start to form in adolescence and young adulthood. These risk factors really matter.”
“After four decades of declining deaths from heart disease, we are starting to lose the battle again,” Lloyd-Jones added.
The American Heart Association (AHA) defines ideal cardiovascular health as having optimum levels of seven well-established cardiovascular risk factors, noted lead study author Christina Shay, who did the research while she was a postdoctoral fellow in preventive medicine at Northwestern’s Feinberg School. Shay now is an assistant professor of epidemiology at the University of Oklahoma Health Sciences Center.
“What was most alarming about the findings of this study is that zero children or adolescents surveyed met the criteria for ideal cardiovascular health,” Shay said. “These data indicate ideal cardiovascular health is being lost as early as, if not earlier than the teenage years.”
The study used measurements from the AHA’s 2020 Strategic Impact Goals for monitoring cardiovascular health in adolescents and children. Among the findings:
TERRIBLE DIETS
All the 12-to-19-year-olds had terrible diets, which, surprisingly, were even worse than those of adults, Lloyd-Jones said. None of their diets met all five criteria for being healthy. Their diets were high in sodium and sugar-sweetened beverages and didn’t include enough fruits, vegetables, fiber or lean protein.
“They are eating too much pizza and not enough whole foods prepared inside the home, which is why their sodium is so high and fruit and vegetable content is so low,” Lloyd-Jones said.
HIGH BLOOD SUGAR
More than 30 percent of boys and more than 40 percent of girls have elevated blood sugar, putting them at high risk for developing type 2 diabetes.
OVERWEIGHT OR OBESE
Thirty-five percent of boys and girls are overweight or obese. “These are startling rates of overweight and obesity, and we know it worsens with age,” Lloyd-Jones said. “They are off to a bad start.”
LOW PHYSICAL ACTIVITY
Approximately 38 percent of girls had an ideal physical activity level compared to 52 percent of boys.
HIGH CHOLESTEROL
Girls’ cholesterol levels were worse than boys’. Only 65 percent of girls met the ideal level compared to 73 percent of boys.
SMOKING
Almost 25 percent of teens had smoked within the past month of being surveyed.
BLOOD PRESSURE
Most boys and girls (92.9 percent and 93.4 percent, respectively) had an ideal level of blood pressure.
The problem won’t be easy to fix. “We are much more sedentary and get less physical activity in our daily lives,” Lloyd-Jones said. “We eat more processed food, and we get less sleep. It’s a cultural phenomenon, and the many pressures on our health are moving in a bad direction. This is a big societal problem we must address.”
The research was funded by the National Heart, Lung and Blood Institute.

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Large Body Of Water Found On Jupiter’s Moon Europa

Lee Rannals for redOrbit.com – Your Universe Online

[ Watch the Video ]

Scientists from The University of Texas at Austin said they have discovered a body of liquid water the volume of the North American Great Lakes inside one of Jupiter’s moons.

The team said that the water could represent a potential habitat for life, and many more lakes might exist throughout the shallow regions of Europa‘s shell.

The lake is covered by floating ice shelves that appear to be collapsing, which could provide a mechanism for transferring nutrients and energy between the surface and a vast ocean already inferred to exist below the thick ice shell.

“One opinion in the scientific community has been, ‘If the ice shell is thick, that’s bad for biology – that it might mean the surface isn’t communicating with the underlying ocean,'” lead author Britney Schmidt, a postdoctoral fellow at The University of Texas, said in a press release. “Now we see evidence that even though the ice shell is thick, it can mix vigorously. That could make Europa and its ocean more habitable.”

The scientists focused on Galileo spacecraft images of two circular, bumpy features on Europa’s surface known as chaos terrain.

The researchers developed a four-step model to explain how the features form on Europa. The model resolves several conflicting observations, some of which suggest that either the ice shell is thick or that it is thin.

“I read the paper and immediately thought, yes, that’s it, that makes sense,” Robert Pappalardo, senior research scientist at NASA’s Planetary Science Section who did not participate in the study said in a press release. “It’s the only convincing model that fits the full range of observations. To me, that says yes, that’s the right answer.”

The only true confirmation of the inferred lakes would come from a future spacecraft mission designed to probe the ice shell. A mission like this was rated as the second-highest priority flagship mission by the National Research Council’s recent Planetary Decadal Survey.

“This new understanding of processes on Europa would not have been possible without the foundation of the last 20 years of observations over Earth’s ice sheets and floating ice shelves,” Don Blankenship, a co-author and senior research scientist at the Institute for Geophysics, said in a press release.

The research paper “Active formation of ‘chaos terrain’ over shallow subsurface water on Europa” will be published in the journal Nature.

Image 1: Europa’s “Great Lake.” Scientists speculate many more exist throughout the shallow regions of the moon’s icy shell. Credit: Britney Schmidt/Dead Pixel VFX/Univ. of Texas at Austin.

Image 2: Europa, as viewed from NASA´s Galileo spacecraft. Visible are plains of bright ice, cracks that run to the horizon, and dark patches that likely contain both ice and dirt. Image reprocessed by Ted Stryk.

Image 3: Four step process for building “chaos terrains” on Europa

Image 4: Thera Macula (false color) is a region of likely active chaos production above a large liquid water lake in the icy shell of Europa. Color indicates topographic heights relative to background terrain. Purples and reds indicate the highest terrain. Credit: Paul Schenk/NASA

Blood Disorders Are A Public Health Issue

Public health officials need to give more attention to needs of people with blood disorders: American Journal of Preventive Medicine supplement

Public health should focus not only on reducing the burden of common diseases but also address the needs of people with blood disorders, experts say in a supplement to December’s American Journal of Preventive Medicine.

Even relatively common blood disorders fly below the public health system’s radar with no established mechanisms for surveillance, supplement editors Scott D. Grosse, PhD, of the US Centers for Disease Control and Prevention (CDC); Andra H. James, MD, of Duke University; and Michele A. Lloyd-Puryear, MD, PhD, of the US National Institutes of Health, write in an introductory essay with Hani K. Atrash, MD, MPH, also of the CDC.

The authors contend that although most of the blood disorders discussed in the supplement are considered rare in the US and Western Europe–defined as affecting about 1 in 1,500 people–they should be ranked as a public health concern. “A public health framework is needed to address public health services and functions for all rare disorders, including blood disorders, regardless of the incidence or prevalence of a given disorder,” they say.

The most common blood disorder, venous thromboembolism (VTE), consists of deep vein thrombosis and pulmonary embolism. It involves blood clots that occur in veins, usually in the legs, which can break up and move to the lungs and kill. VTE affects at least 1 million people in the US and is a major cause of death in adults, but “little is definitively known about the magnitude of [its] public health burden.”

Hereditary hemochromatosis is a genetic disorder present in about 1 million Americans but “the opportunity to detect iron overload at an early stage and intervene “¦ to prevent the development of clinical disease “¦ remains a challenge,” they add. And while at least 3 million Americans have sickle cell trait or are carriers of the sickle cell gene mutation, “the extent to which the carrier status poses health threats is not well established.”

The supplement, comprised of 13 research papers and five workshop/meeting summaries, is authored by top medical educators and public health professionals. Its publication was supported by the CDC through a cooperative agreement with the Association for Prevention Teaching and Research.

Two papers focus on sickle cell trait screening policy in college athletes and military recruits, while seven address hemophilia and bleeding disorders, the most common of which are hemophilia A and B, and the hemoglobinopathies–sickle cell disease and thalassemia.

Grosse and his colleagues propose a public health framework to address such often-overlooked conditions. The framework is similar to the 10 essential public health services but focuses on rare disorders rather than common exposures or common health problems. The framework calls for public health officials to:

    Assess the prevalence/incidence of specific rare disorders;
    Monitor the health status and health-related quality of life of people with rare disorders and their families;
    Quantify the impacts of rare disorders on disability, mortality, and healthcare system use, particularly hospital-based care;
    Conduct research to identify preventable causes of health problems among people with rare disorders, including barriers to the consistent use of effective prophylaxis and treatment;
    Establish systems for early and continuous screening where appropriate;
    Educate and empower people with rare disorders along with their family members and primary care providers;
    Ensure access to cost-effective and affordable screening, diagnostic, primary care, and specialty health services;
    Evaluate the effectiveness, accessibility, and quality of health services for people with rare disorders and
    Inform program and policy decision makers about cost-effective strategies to improve health outcomes for people with rare outcomes.

“Blood disorders have a vital importance to public health and vice versa,” the authors conclude. “Whether relatively common or relatively rare, people with blood disorders have health challenges specific to their conditions that require knowledgeable healthcare providers, access to screening and diagnostic testing, and information to help them manage their conditions.”

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Orbiting Solar Power Plants ‘Technically Feasible’ Within 30 Years: Study

Orbiting solar power plants that harness the sun´s energy from space and beam it to Earth could be economically viable within three decades based on technologies currently being tested, according to a new study by scientists with the International Academy of Astronautics.

Reuters first reported on the study on Monday, having obtained a copy of the 248-page report ahead of its release.

The study is the first broad based international assessment of potential plans to collect solar energy in space and deliver it to markets on Earth via wireless power transmission.

“It is clear that solar power delivered from space could play a tremendously important role in meeting the global need for energy during the 21st century,” wrote the study´s authors, led by John Mankins, a 25-year NASA veteran and former head of concepts for the space agency.

The researchers did not estimate an overall cost for completing a space solar power project, but said that government funding would likely be needed to bring the concept to market.

Private sector funding alone would be difficult due to the “economic uncertainties” of the development and demonstration phases and the time lags, the authors wrote.

The idea behind the space solar power plants is to put first one, then a few, and later scores of solar-powered satellites in geosynchronous orbit over the Earth´s equator.   Each satellite would be more than half a mile wide, and would collect sunlight round the clock.  By comparison, traditional surface panels currently used to turn sunlight into electricity are, at most, half that size.

The space solar power would be converted to electricity on-board, and sent to Earth wherever it is needed by a large microwave-transmitting antenna or by lasers, then fed into a power grid.

Skeptics of such a system say the concept is unworkable until the cost of putting a commercial power plant into orbit declines by a factor of 10 or more.  Other barriers include space debris, a lack of focused market studies and high development costs.

However, the current study, conducted from 2008 to 2010 then subjected to peer review, found that the commercial case had improved markedly during the past ten years.
For instance, a pilot project to demonstrate the technology even as big as the International Space Station could proceed using low-cost expendable launch vehicles being developed for other space markets, Mankins said during an interview with Reuters.

A moderate-scale demonstration would cost tens of billions of dollars less than previously projected as a result of not needing costly, reusable launch vehicles early on, said Mankins, president of consultancy firm Artemis Innovation Management Solutions LLC.

“This was a really important finding,” he told Reuters.

Mankins´ firm has been awarded a NASA contract of nearly $100,000 to pursue space-based solar power options.  However, the International Academy of Astronautics study group found that tens of billions of dollars would ultimately be needed to develop and deploy a low-cost fleet of reusable, earth-to-orbit vehicles to launch a system of commercial solar power satellites.

The group said countries and organizations would need to collaborate to achieve the necessary research and development work.

Interest in the concept has grown during the past decade, driven by concerns over rising demand for energy to drive economic development and concerns that global production of petroleum and other fossil fuels will peak and begin to decline in the coming years.

The idea of harnessing solar power in space has been studied intermittently for decades.  In September, U.S. and Indian business, policy and national security analysts called for a joint feasibility study on a cooperative campaign to develop space-based solar power with a goal of deploying a commercially viable capability within twenty years.

The study group involved in the current research, which was co-sponsored by the Council on Foreign Relations and Aspen Institute India, included former U.S. Director of National Intelligence Dennis Blair and former Indian ambassador to the U.S. Naresh Chandra.

The academy is headed by Madhavan Nair, former chairman of the Indian Space Research Organization.

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Geron Halts Stem Cell Research, Sheds Staff To Conserve Cash

Geron Corp., the first company to conduct human embryonic stem cell trials, announced late Monday that it is halting development of its stem cell programs and laying off much of its staff as it shifts its focus towards developing cancer drugs.

The move carries bleak implications for a promising field that offers hope of future medicines for a variety of conditions that currently lack adequate treatments.

“This is a shock to the (stem cell research industry) system … because the unequivocal leader in the embryonic stem cell space is now getting out of the stem cell space,” said WBB Securities analyst Steve Brozak in an interview with Reuters.

The company said it would cut 66 full-time positions, or 38 percent of its workforce, and is actively seeking partners or buyers to takeover its stem cell programs.

The news sent shares of Geron´s stock down more than 17 percent during after-hours trading on Monday.  Shares continued plummeting on Tuesday, declining as much as 28 percent to a five-year low.

During a conference call on Tuesday, Geron executives said that getting out of the stem cell field was purely a business decision, and that investments in oncology pay off much faster than those in stem cells.

“We’re making these changes because in the current environment of economic scarcity and uncertain economic conditions, we need to focus our resources on advancing our Phase 2 trials … Both of these (cancer) drug candidates target major medical needs and have important clinical milestones that are occurring over the next 20 months,” said Geron Chief Executive Officer John Scarlett during a conference call with analysts.

The Menlo Park, California-based company said it saw potential in its two cancer programs — imetelstat and GRN1005.

Imetelstat is currently in mid-stage trials for breast cancer and non-small cell lung cancer, while GRN1005 is being tested in a mid-stage trial as a brain cancer treatment.

By focusing on oncology, Geron expects to have sufficient funds to complete its work without having to raise additional capital, said Scarlett, who took the helm a couple of months ago.

“These were business decisions we took on behalf of our shareholders … We still think the (stem cell) field has tremendous promise,” he said.

Geron officials said the decision was difficult since the company is widely seen as a leader in the field, but that it was in “a number of conversations” with potential partners to takeover its stem cell programs.

Brozak said investors’ focus will now be on which company will assume the stem cell leadership position, and how Geron shareholders might benefit from the transaction.

BioTime Inc., for instance, could be a potential partner since it is the closest in terms of its understanding the science and has sufficient resources, Brozak said.

Companies such as Athersys Inc., Pluristem Therapeutics Inc. and Australia’s Mesoblast Ltd are also working on stem cell therapies.

Geron was the first company to begin a government-approved clinical trial using human embryonic stem cells in patients with spinal cord injuries.  The company reported data in October from an early-stage trial that showed its therapy was safe in all four patients who received the treatment.

However, Geron said on Monday it would close further enrollment of patients for its GRNOPC1 trial for spinal cord injury, although any new partner would have the option to continue the trial.

Researchers see great potential in stem cells, which have the ability to differentiate into different type of cells and act as a repair system for the human body.  Experts believe these cells may one day be used to treat currently incurable diseases conditions such as Parkinson’s and Alzheimer’s.

With the restructuring, Geron Chief Financial officer David Greenwood said he expects the company to end 2011 with cash in excess of $150 million.

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Common Chemical Harms Turtles

MU, Westminster researchers find reduced bone density, stunted growth in turtles exposed to common chemical

Manufactured until 1977, and banned by the Environmental Protection Agency in 1979, pentachlorobiphenyls (PCBs) are chemicals still commonly found in the environment because they break down slowly. Now, a husband and wife research team at the University of Missouri and Westminster College in Fulton, Mo., have found that exposure to one of the chemicals has effects on growth and bone density in turtles. This knowledge could lead to insights on PCBs effects on humans and the environment.

“Turtles also are known as an ℠indicator species´ because they are often used as a gauge for the health of an entire ecosystem,” said Dawn Holliday, co-researcher and assistant professor of biology at Westminster College in Fulton, Mo. “By finding the effects of PCBs on turtles, we can understand possible effects the chemicals might have on humans.”

Researchers studied PCB 126, a version of the chemical compound once used in pesticides and electric transformers. PCBs are absorbed by eating exposed animals or drinking exposed water and are stored in fat cells. PCBs can affect the endocrine system and, thus, the regulation of hormones that control growth and other body functions.

Scientists know that people harbor PCBs in many tissues; however, little is known about the effect the chemicals have on people. Dawn Holliday said previous research on people accidentally exposed to the chemical through spills or accidents has shown correlations between exposure and stunted growth in humans.

“By studying the effect of PCB exposure on turtles, we can better understand how PCB exposure impacts people,” said Casey Holliday, co-researcher and assistant professor of anatomy in the MU School of Medicine. “People are high on the food chain, and thus more susceptible to accumulation of PCBs. Smaller animals ingest PCBs. As large animals eat these smaller animals, the chemical stays in the food chain, as it is deposited in fat cells and doesn´t leave the body. Even people not directly exposed to extreme amounts of PCB may see effects; this research will help us understand these effects better.”

In the study, turtles were exposed to an amount of PCB 126 that was equivalent to the exposure the reptiles would experience in an urban aquatic environment, such as the mid-Atlantic´s Chesapeake Bay or Louisiana´s wetlands. The turtles were exposed to the chemical for six months, and were compared to a group of unexposed turtles kept in the same laboratory. Exposed turtles were smaller, had more juvenile features, and lower bone density. In a previous study, Dawn Holliday found that PCB-exposed turtles had a lower metabolic rate.

The changes have an effect on the way the turtles function. When diving for long periods of time, turtles stored calcium in their shells to help maintain a normal physiological state while they hold their breath. Lower bone density means less calcium, possibly resulting in a reduced ability to stay underwater for very long. Additionally, turtles with low bone density may produce eggs with thinner shells, leaving them more susceptible to predators. Lower density may result in a softer shell, enabling more predators to eat turtles. Affected turtles may also have difficulty eating hard prey, such as crabs, because the reptiles have smaller, weaker jaws and cannot easily crack shells.

The study was published in Aquatic Toxicology.

Image 1: When diving for long periods of time, turtles store calcium in their shells to help maintain a normal physiological state while they hold their breath. Exposure to PCBs could affect their ability to do this. Credit: University of Missouri/Westminster College

Image 2: Turtles exposed to PCBs had lower bone density (right) and were smaller than their peers. Credit: University of Missouri/Westminster College

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Cleaning Cows From The Inside Out

U.S. Department of Agriculture (USDA) scientists and their collaborators have conducted a series of studies that explore non-antibiotic methods to reduce foodborne pathogens that are found in the gut of food animals.

The team consists of Agricultural Research Service (ARS) microbiologist Todd R. Callaway, with the agency’s Food and Feed Safety Research Unit in College Station, Texas; ARS animal scientist and project leader Jeffery Carroll with the agency’s Livestock Issues Research Unit in Lubbock, Texas; and John Arthington at the University of Florida in Ona.

ARS is USDA’s principal intramural scientific research agency, and this research supports the USDA priorities of promoting international food security and ensuring food safety.

Early studies showed that citrus products provide cows with good roughage and vitamins, and the essential oils in such products provide a natural antibiotic effect.

Callaway’s early data showed the feasibility of using orange pulp as a feed source to provide anti-pathogenic activity in cattle. He also showed that consumption of citrus byproducts (orange peel and pulp) by cattle is compatible with current production practices, and the byproducts are palatable to the animals.

Callaway then shed light on how to exploit the essential oils inside the peel and pulp that are natural antimicrobials. Collaborations with researchers Steven Ricke and Philip Crandall at the University of Arkansas in Fayetteville also have identified specific essential oils that kill the pathogenic bacteria.

From the time Callaway began studying citrus as an animal gut cleanser, he recognized that citrus peel can be heavy and expensive to ship long distances, so his latest studies have investigated the use of processed orange peel pellets.

For one study, the team fed dried orange peel pellets to sheep as a model for cows for eight days. They found a tenfold reduction in Salmonella populations in the animals’ intestinal contents. Callaway received a grant from the National Cattleman’s Beef Association (Beef Checkoff funds) to help fund the study. Results from the 2011 study were published in Foodborne Pathogens and Disease.

Image Caption: ARS microbiologist Todd Callaway has found that feeding orange peels and pulp to cattle can reduce the level of Salmonella and E. coli in the animals’ intestines.  Photo by Peggy Greb.

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‘Stomach Flu’ May Be Linked To Food Allergies

Researchers at the Medical College of Wisconsin have found a possible link between norovirus, a virus that causes “stomach flu” in humans, and food allergies. The findings are published in The Open Immunology Journal, Volume 4, 2011.

Mitchell H. Grayson, M.D., associate professor of pediatrics, medicine, microbiology and molecular genetics at the Medical College, and a pediatric allergist practicing at Children’s Hospital of Wisconsin, is the corresponding author of the paper.

The researchers took mice infected with norovirus and fed them egg protein. They then examined the mice for signs of an immunoglobulin E, or IgE, response against the food protein; an IgE response is what leads to an allergic reaction. The team of researchers has previously shown an IgE response to an inhaled protein during a respiratory infection in another a mouse model, which suggests early respiratory infections in children could lead to allergic diseases like asthma later in childhood. Likewise, an IgE response to a gastrointestinal virus could signify a likelihood of developing a food allergy after the viral infection.

Six million children in the United States have food allergies, and the Centers for Disease Control reports an 18 percent increase in the prevalence of food allergies from 1997 to 2007. Every three minutes, a food allergy sends a child to the emergency room.

“Food allergies are a dangerous, costly health issue not only in the United States, but worldwide,” said Dr. Grayson. “This study provides additional support for the idea that allergic disease may be related to an antiviral immune response, and further studies are planned to continue exploring the exact series of events that connect the antiviral response with allergic diseases.”

Other authors of the paper include Xiuxu Chen, Ph.D.; Daniel Leach, Desire A. Hunter, Daniel Sanfelippo, Erika J. Buell and Sarah J. Zemple, Division of Allergy and Clinical Immunology, Department of Pediatrics, Medical College of Wisconsin.

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Stem Cells Improve Blood-Pumping Ability In New Study

Researchers are reporting that adult stem cells from heart-attack patients helped to improve blood-pumping ability and restore vitality in cardiac muscle.

They said that the results triple the 4 percent improvement average the researchers projected for the Phase I trial.

The team conducted the “Cardiac Stem Cells in Patients with Ischemic CardiOmyopathy” (SCIPO) trial with 16 patients who were diagnosed with heart failure after a myocardial infarction.

They harvested cardiac stem cells from the patents during coronary artery bypass surgery conducted at Jewish Hospital in Louisville.

The stem cells were purified in a Boston lab and reintroduced into the region of the patient’s heart that had been scarred by the infarction.

They found an 8.5 percent improvement just four months after the reintroduction of stem cells and 12 percent after a year.

The team also conducted MRI studies on the patients’ hearts and saw that the size of the scarred regions had decreased.

Dr. Roberto Bolli of the University of Louisville, who is the leader author of a paper published in the journal The Lancet, said the adult stem cell protocol could become one of the greatest advancements in cardiac treatment in a generation.

“The results are striking,” Bolli said in a statement. “While we do not yet know why the improvement occurs, we have no doubt now that ejection fraction increased and scarring decreased. If these results hold up in future studies, I believe this could be the biggest revolution in cardiovascular medicine in my lifetime.”

The researchers said these findings are preliminary and larger-scale studies must be undertaken before the therapy can be widely used.

Bolli said he is already looking forward to a larger study, and they “plan to apply for funding to conduct a Phase II multi-center trial.”

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Depression In Women Linked To Less Exercise And More TV Time

According to a U.S. study, older women who spend more time exercising and less time watching television were less likely to be diagnosed with depression.

Researchers found that women who reported exercising the most in recent years were about 20 percent less likely to get depression than those who rarely exercised.

The team found that the more hours they spent watching TV each week, the more their risk of depression crept up.

“Higher levels of physical activity were associated with lower depression risk,” study author Michel Lucas, from the Harvard School of Public Health in Boston, wrote in the American Journal of Epidemiology.

She said that more time spent being active might boost self-esteem and women’s sense of control, as well as the endorphins in their blood.

The report included about 50,000 women who filled out surveys every couple of years from 1992 to 2006 as part of the U.S. Nurses’ Health Study.

The participants recorded the amount of time they spent watching TV each week in 1992, and also answered questions about how often they walked, biked, ran and swam between 1992 and 2000.

Women also reported on the survey if they had any new diagnosis of clinical depression or medication taken to treat depression.

The analysis only included women who did not have depression in 1996.   They found that over the next decade, 6,500 new cases of depression popped up.

The team then accounted for aspects of health and lifestyle linked to depression, including weight, smoking and a range of diseases.

Afterwards, they found that women who spent 90 minutes or more each day exercising were 20 percent less likely to be diagnosed with depression than those who exercised 10 minutes or less a day.

Women who watched three hours or more of television a day were 13 percent more likely to be diagnosed with depression than those who hardly watched TV.

Researchers said one explanation could be that women might have been experiencing symptoms of depression before they were diagnosed, which lead them to exercise less.

“Previous studies have suggested that physical activity is associated with a lower risk of depressive symptoms,” Gillian Mead, who studies geriatric medicine at Edinburgh’s Royal Infirmary but was not involved in the study, said in a statement.

“(The finding) adds to the growing body of evidence that physical activity is important to maintain brain health,” she added in an email to Reuters Health.

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Healthy Smile Equals Healthy Heart?

A multi-year study, presented at the American Heart Association scientific meeting in Orlando, claims that people who underwent regular, professional tooth cleaning enjoyed reduced bacterial growth that can lead to heart disease, reports Reuters´ Bill Berkrot.

Taiwan researchers showed a 24 percent lower risk of heart attack and 13 percent lower risk of stroke in more than 100,000 patients, compared to those who never had a dental cleaning. None of the study subjects had a history of prior heart attack or stroke, but the analysis did not adjust for risk factors such as smoking or obesity.

“Protection from heart disease and stroke was more pronounced in participants who got tooth scaling at least once a year,” said Dr. Zu-Yin Chen, a cardiology fellow at Veterans General Hospital in Taipei.

Scientists considered tooth scaling frequent if it occurred at least twice or more in two years; occasional tooth scaling was once or less in two years and the participants were followed for an average of seven years.

Chronic inflammation was most likely behind the association, reports Catherine Pearson for Huffington Post. Chen explained that prior research has suggested teeth scaling reduces inflammation-causing bacteria and improves blood vessel function, thus keeping blood flowing properly.

“They have identified an interesting association, but they haven´t explained why it is happening,” said Dr. Myerburg, a professor of medicine and physiology in the cardiovascular division at the University of Miami Miller School of Medicine.

“It could be direct, in the sense that inflammation in the gums may trigger inflammation in the heart. Or it may be indirect in that the population that is compulsive about scaling is also compulsive about other health care. They´re doing good things for their heart at the same time that they´re doing good things for their gums.”

The next-step, research-wise, would be to look at how other modifiable factors like weight and smoking affect their results, Chen explained.

Researchers are also considering whether tooth scaling might lower susceptibility to other diseases, as well. Studies suggest that people suffering from gum disease were more likely to develop heart disease and deliver preterm babies.

According to National Institute of Health´s National Institute of Dental and Craniofacial Research, it is unclear whether gum disease actually causes these issues and whether controlling it prevents them. As such research continues, experts agree it can´t hurt to play it safe.

“What I think is it´s a good idea to take care of your gums. And scaling can be an important part of that,” Myerburg said.

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70% Of US Smokers Want To Quit, CDC Study Claims

Approximately one in five Americans are still active cigarette smokers, but nearly 70% of them want to quit, a new Centers for Disease Control and Prevention (CDC) report has discovered.

However, while seven out of 10 would like to quit the habit, the CDC study shows that only half have attempted to do so and just 6% of them managed to succeed, according to a November 11 article by Reuters reporter Julie Steenhuysen.

Translating those statistics into real numbers, Steenhuysen reports that means approximately 45.3 million adults in the U.S. continue to light up on a regular basis. Doctors have advised 48.3% of those individuals to quit, the CDC claims, and while smoking rates have fallen, officials at the health agency are said to be concerned that the rate of decline has begun to slow down.

“We have seen over the past five years a flattening of the downward trend in youth initiation. We are very worried that there are a number of things that have been happening in terms of tobacco industry marketing techniques that affect youth,” Dr. Tim McAfee, director of the Office on Smoking and Health at the CDC, told reporters during a Thursday press conference, according to Steven Reinberg of USA Today’s HealthDay.

In spite of that, however, McAfee called the results of the study “reassuring,” admitting that the group had been concerned that many smokers would not be interested in quitting, regardless of the health risk. “In fact, what this study shows is quite the opposite,” he said. “There has been a decline in the last five years in the rate of smoking, and smokers are actually smoking less.”

The CDC report also discovered that only 32% of those who attempted to quit used smoking cessation aids, including patches or similar products; only 3.2% of those with just a high-school education were successful in their attempts to quit while 11.4% of college graduates were able to stop smoking; and that African-Americans were the demographic that was most interested in attempting to quit, as well as the least likely to use anti-smoking aids and the least likely to succeed.

“The CDC study also found that having health insurance was a big factor in a person’s ability to successfully quit smoking, as it meant they were more likely to be counseled by a doctor and to get reimbursed for nicotine patches or other aids,” Steenhuysen said. “According to the study, the uninsured had the lowest success rate of just 3.6 percent, while those with private insurance had a higher rate of 7.8 percent and people with military insurance had a success rate of over 9 percent.”

The research, which was published in the November 11 issue of the CDC’s Morbidity and Mortality Weekly Report (MMWR), was completed as part of the American Cancer Society-sponsored Great American Smokeout, which will take place on November 17, Reinberg said.

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Study Finds Shifting Disease Burden Following Universal Hib Vaccination

Vaccination against Haemophilus influenzae type b, or Hib, once the most common cause of bacterial meningitis in children, has dramatically reduced the incidence of Hib disease in young children over the past 20 years, according to a study published in Clinical Infectious Diseases and available online (http://www.oxfordjournals.com/our_journals/cid/prpaper1.pdf). However, other strains of the bacteria continue to cause substantial disease among the nation’s youngest and oldest age groups.

“The Hib vaccine was successful in reducing disease among children 5 years and younger, and now the epidemiology has changed,” said lead author Jessica MacNeil, MPH, of the Centers for Disease Control and Prevention, who, with colleagues, analyzed data for the current epidemiology and past trends in the invasive disease over the past two decades following the introduction of the Hib vaccine in the mid-1980s. Most H. influenzae disease in the United States is now caused by other, non-type b strains of the bacteria.

The study authors warn that the highest rates of disease from non-b type strains are in the oldest and youngest age groups, those 65 and older and infants less than a year old. Among children younger than 5 years old, young infants are the most likely to be diagnosed with the disease. Many of these cases occur during the first month of life, and among those, premature and low-birthweight babies are the most vulnerable.

The number of adults 65 and older who become ill due to H. influenzae is also high compared to the rest of the population, according to the study authors. Among those in this group who become sick, nearly 25 percent of the cases are fatal. Risk factors for this age group are harder to interpret, the authors note, as clinical outcomes may be due to underlying medical conditions.

American Indian and Alaska Native children continue to have a disproportionately large burden of both Hib and non-b type disease compared to others, the study found, but the reasons behind this are not fully understood. “Why these groups continue to be at a higher risk than other populations should be the focus of future studies,” MacNeil said. Understanding risk factors for H. influenzae disease in this population, such as household crowding, poverty, and poor air quality, could potentially help prevent transmission.

The study authors found that no substantial serotype replacement has been observed among young children in the U.S., which suggests the current Hib vaccine has been effective in preventing H. influenzae illness in this age group. However, the authors note, the burden of disease seen in older adults is an opportunity that could be addressed in the future with an H. influenzae vaccine for adults.

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Mom’s Mental Health Affects Fetus

As a fetus grows, it´s constantly getting messages from its mother. It´s not just hearing her heartbeat and whatever music she might play to her belly; it also gets chemical signals through the placenta. A new study, which will be published in Psychological Science, a journal of the Association for Psychological Science, finds that this includes signals about the mother´s mental state. If the mother is depressed, that affects how the baby develops after it´s born.

In recent decades, researchers have found that the environment a fetus is growing up in–the mother´s womb–is very important. Some effects are obvious. Smoking and drinking, for example, can be devastating. But others are subtler; studies have found that people who were born during the Dutch famine of 1944, most of whom had starving mothers, were likely to have health problems like obesity and diabetes later.

Curt A. Sandman, Elysia P. Davis, and Laura M. Glynn of the University of California-Irvine study how the mother´s psychological state affects a developing fetus. For this study, they recruited pregnant women and checked them for depression before and after they gave birth. They also gave their babies tests after they were born to see how well they were developing.

They found something interesting: what mattered to the babies was if the environment was consistent before and after birth. That is, the babies who did best were those who either had mothers who were healthy both before and after birth, and those whose mothers were depressed before birth and stayed depressed afterward. What slowed the babies´ development was changing conditions–a mother who went from depressed before birth to healthy after or healthy before birth to depressed after. “We must admit, the strength of this finding surprised us,” Sandman says.

Now, the cynical interpretation of our results would be that if a mother is depressed before birth, you should leave her that way for the well-being of the infant. “A more reasonable approach would be, to treat women who present with prenatal depression.   Sandman says. “We know how to deal with depression.” The problem is, women are rarely screened for depression before birth.

In the long term, having a depressed mother could lead to neurological problems and psychiatric disorders, Sandman says. In another study, his team found that older children whose mothers were anxious during pregnancy, which often is co morbid with depression, have differences in certain brain structures. It will take studies lasting decades to figure out exactly what having a depressed mother means to a child´s long-term health.

“We believe that the human fetus is an active participant in its own development and is collecting information for life after birth,” Sandman says. “It´s preparing for life based on messages the mom is providing.”

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Children Latch On To Parents Vocabulary Of Spatial Words

[ Watch the Video ]

According to a new study, children who hear parents use words describing the size and shape of objects do better on tests of their spatial skills.

University of Chicago researchers found that 1- to 4-year-olds who heard and then spoke 45 additional spatial words that described sizes and shapes seen had a 23 percent increase in their scores on a non-verbal assessment of spatial thinking.

“Our results suggest that children’s talk about space early in development is a significant predictor of their later spatial thinking,” University of Chicago psychologist Susan Levine, an author of a paper published on the research in the current issue of Developmental Science, said in a press release.

The team videotaped children between ages 14 months and 46 months, along with their interactions with their primary caregivers.

The team videotaped the caregivers as they interacted with their children in 90 minute sessions at four-month intervals.

The study group included 52 children and 52 parents from an economically and ethnically diverse set of homes.

The team recorded words that were related to spatial concepts used by both children and their parents.

The team found a great variation in the number of spatial words used by parents.  Parents used an average of 167 words related to spatial concepts, but the range was very wide with parents using from 5 to 525 spatial words.

Children produced an average of 75 spatial related words and a range of 4 to 191 words during the study period.

The children who used more spatial terms were more likely to have caregivers who used those terms more often.

The team tested them for their spatial skills to see if they could mentally rotate objects, copy block designs or match analogous spatial relations.

They found that the children who were exposed to more spatial words as part of their everyday activities did better on tests than children who did not hear as many spatial words.

The researchers said that for every 45 additional spatial words children produced during their talk with their parents, researchers saw a 23 percent increase in test scores.  Children who spokes 45 more spatial words saw a 15 percent increase in separate test assessing their ability to mentally rotate shapes.

They said the increased use of spatial language may have prompted the children’s attention to the depicted spatial relations and improved their ability to solve spatial problems.

They also said that language knowledge may have reduced the mental load involved in transforming shapes on the mental rotation task.

The research was published in the current issue of Developmental Science.

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New Experimental Drug Helps Monkeys Lose 11 Percent of Body Fat

A research team led by scientists at The University of Texas MD Anderson Cancer Center said that obese rhesus monkeys lost 11 percent of their body weight after four weeks of treatment with an experimental drug that destroys the blood supply of fat tissue.

The researchers have designed the new drug to bind to a protein on the surface of fat-supporting blood vessels and a synthetic peptide that triggers cell death.

“Obesity is a major risk factor for developing cancer, roughly the equivalent of tobacco use, and both are potentially reversible” co-senior author Wadih Arap, M.D., Ph.D., also professor in the Koch Center, said in a press release. “Obese cancer patients do worse in surgery, with radiation or on chemotherapy — worse by any measure.”

The rhesus monkeys in the study were “spontaneously” obese, according to study author Kirstin Rarnhart.  She said the monkeys became overweight by overeating the same foods provided to other monkeys in the colony and avoiding physical activity.

The researchers used Magnetic Resonance Imaging (MRI) to gauge abdominal body fat during the study, which dropped 27 percent.

“Development of this compound for human use would provide a non-surgical way to actually reduce accumulated white fat, in contrast to current weight-loss drugs that attempt to control appetite or prevent absorption of dietary fat,” co-senior author Renata Pasqualini, professor in MD Anderson’s David H. Koch Center for Applied Research of Genitourinary Cancers, said in a statement.

The team said they are preparing for a clinical trial in which prostate cancer patients would receive daily injections of Adipotide for 28 consecutive days.

“The question is, will their prostate cancer become better if we can reduce their body weight and the associated health risks,” Arap said in a press release.

Some prostate cancer treatments cause weight gain, and the greater weight on a patient can lead to arthritis.

The research was published in the journal Science Translational Medicine.

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Light Device Helps Beat Winter Blues

People who suffer from Seasonal Affective Disorder (SAD) — a condition that comes with a shortage of daylight hours — may have a new weapon to fight off those winter blues, according to a study by Finnish researchers.

These researchers explain that the human brain is as sensitive to light as the eyes, making it possible to treat SAD with a new headset — much like headphones — that beams light, rather than music, into the ears.

SAD is caused by the brain not receiving enough daylight which is needed to trigger serotonin, a hormone that regulates mood. Symptoms of SAD range from mild lethargy to depression, insomnia and anxiety.

Valkee, the inventor of the world´s first bright light headset, and scientists from the University of Oulu, Finland presented two clinical trials at the 11th International Forum for Mood and Anxiety Disorders (IFMAD) in Budapest on November 9-11. Results of their trials are also published in the International Journal of Psychiatry in Clinical Practice.

In one of the clinical trials, 89 participants suffering from SAD were tested. The team found that between 74 and 79 percent were cured of seasonal depression after using the device for 8 to 12 minutes every day for four weeks.

“In our first study, 92 percent of the patients with seasonal affective disorder achieved full remission measured by the self-rated BDI-21 questionnaire, during the four week study period,” noted professor Markku Timonen, MD, PhD, the lead investigator for the two trials at the University of Oulu.

“We presented earlier that the human brain is sensitive to light. These two clinical trials demonstrate that channeling bright light via ear canal into brain´s photosensitive areas effectively prevents and treats seasonal affective disorder,” added Juuso Nissilä, Valkee´s co-founder and chief scientist.

The human brain contains about 18 sites with photoreceptor proteins, which are also found in the eyes, the researchers said.

“Bright light channeled into the brain via ear canal is an important future method to treat seasonal affective disorder,” Professor Timo Takala, chief physician at Oulu Deaconess Institute, told Fox News.

Finland has long, dark winters, and this results in a high rate of people suffering from SAD. The country also has one of the world´s highest suicide rates, many likely stemming from prolonged SAD symptoms.

Valkee launched its headset in August 2010, and has been classified as a CE-certified Class II medical device under EU regulations, based on cross-functional science in neurology, biology, psychiatry and physiology at University of Oulu. The device costs nearly $300 (US) and looks like an iPod.

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The Genetics Of High Blood Pressure

Study co-authored by University of Leicester cardiovascular expert identifies key genetic mechanisms that help control blood pressure
A researcher from the University of Leicester’s Department of Cardiovascular Sciences has been involved in a ground-breaking study into the causes of high blood pressure.
The study, published in the academic journal Hypertension, analyzed genetic material in human kidneys in a search for genes that might contribute to high blood pressure. The findings open up new avenues for future investigation into the causes of high blood pressure in humans.
The study identified key genes, messenger RNAs and micro RNAs present in the kidneys that may contribute to human hypertension. It also uncovered two microRNAs that contribute to the regulation of renin — a hormone long thought to play to part in controlling blood pressure.
Although scientists have long known that the kidneys play a role in regulating blood pressure, this is the first time that key genes involved in the process have been identified through a large, comprehensive gene expression analysis of the human kidneys. It is also the first time that researchers have identified miRNAs that control the expression of the hormone renin.
The scientists studied tissue samples from the kidneys of 15 male hypertensive patients (patients with high blood pressure) and 7 male patients with normal blood pressure, and compared their messenger RNA (mRNA) and micro RNA (miRNA).
Messenger RNA (mRNA) is a single-stranded molecule that helps in the production of protein from DNA. Genetic information is copied from DNA to mRNA strands, which provide a template from which the cell can make new proteins. MicroRNA (miRNA) is a very small molecule that helps regulate the process of converting mRNA into proteins.
The study was co-authored by the University of Leicester’s Dr Maciej Tomaszewski, Senior Clinical Lecturer in Cardiovascular Medicine in the Department of Cardiovascular Sciences, and a Consultant Physician in Leicester Blood Pressure Clinic – European Centre of Excellence.
Dr Tomaszewski commented: “I am very excited about this publication. Renin is one of the most important contributors to blood pressure regulation. The novel insights into its expression within the human kidney from this study open up new avenues for the development of new antihypertensive medications. The collection of hypertensive and normotensive kidneys is available for our studies in Leicester thanks to a long-term international collaboration. We will continue using this unique research resource in our further studies to decipher the genetic background of human hypertension.”
Researchers described the discovery of these miRNAs as “the first real evidence to implicate renin” as a cause of high blood pressure. The findings also indicate which genes and miRNAs are involved in renin production. This increased understanding of the mechanisms underlying hypertension could lead to innovative new treatments for high blood pressure.
Researchers used samples of human kidneys stored in the Silesian Renal Tissue Bank (SRTB), all of which came from Polish males individuals of white European ancestry. The SRTB stores human kidney samples for use in genetic research into cardiovascular diseases. Samples were selected from 15 patients known to have high blood pressure, along with 7 patients with normal blood pressure who were used as a control group for the study. The scientists used a range of techniques to study the genes, mRNAs and miRNAs present in the medulla (the inner part of the kidney) and the cortex (the outer part).
The research was conducted jointly by scientists from the University of Sydney, the University of Ballarat (both in Australia) and the University of Leicester, along with the Silesian School of Medicine in Poland. Funding was provided by a University of Sydney Research Infrastructure grant, grants from the National Health and Medical Research Council of Australia and an Australian Research Council grant.

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