Knee injuries in children with tears of the anterior cruciate ligament (ACL) and meniscus have increased dramatically over the past 12 years, say orthopedic surgeons from The Children’s Hospital of Philadelphia who presented their findings today at the American Academy of Pediatrics annual meeting in Boston.
“Many people in sports medicine have assumed that these knee injuries have increased in recent years among children,” said J. Todd Lawrence, M.D., Ph.D., orthopedic surgeon at The Children’s Hospital of Philadelphia and primary investigator of this study. “Our study confirmed our hypothesis that, at least at our large academic pediatric hospital, knee injuries are an ever-growing problem for children and adolescents involved in sports.” Lawrence added that people have suggested that greater participation in sports, increased clinician awareness of the signs and symptoms of ACL and meniscus tears, and advances in imaging technology may account for this increase.
The study team performed a retrospective review of records for all patients under 18 with ACL and meniscus tears treated at The Children’s Hospital of Philadelphia from January 1999 through January 2011, and compared them to patients that sustained tibial spine fractures during that same time period. A total of 155 tibial spine fractures, 914 ACL tears and 996 meniscus tears were identified. Tibial spine fractures increased by only 1 per year, whereas ACL tears increased by more than 11 per year and meniscus tears increased by almost 14 per year. “Since tibial spine fractures were once thought to be the pediatric equivalent of an ACL tear,” said Lawrence, “this continued rise in ACL tears in children suggests that injury patterns are changing and that the true incidence of these injuries is increasing.”
Dr. Ted Ganley, one of the study’s co-authors and the director of the Sports Medicine and Performance Center at Children’s Hospital, noted that he hopes this research will call to light the importance of ongoing research efforts to identify pediatric and adolescent athletes who may be at risk for ACL and meniscus injuries and also encourage coaches, parents and athletes to consider incorporating injury prevention programs into their workouts. The Center has developed a sports injury prevention program called Ready, Set, Prevent which is designed to be performed on the field or the court in place of or as part of the traditional warm-up. The free video is available here: http://www.chop.edu/video/sports-medicine-performance/ready-set-prevent/home.html
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Mistaking Candy for Medicine
(Ivanhoe Newswire) — More than one in four kindergarten children, and one in five teachers, had difficulty distinguishing between medicine and candy in new research conducted by two, now seventh-grade students, who presented their findings at the American Academy of Pediatrics (AAP) National Conference and Exhibition in Boston.
Casey Gittelman and Eleanor Bishop conducted their study, “Candy or Medicine: Can Children Tell the Difference?” earlier this year at Ayer Elementary School in suburban Cincinnati, Ohio.
The girls obtained a medicine cabinet from The Drug and Poison Information Center at Cincinnati Children’s Hospital Medical Center with a mixture of 20 candies and medicines. They then randomly selected 30 teachers and 30 kindergarten students and asked them which items in the cabinet were candies, taking into consideration that many of the younger children were unable to read. In addition, participants were surveyed on how they stored medicine at home and their daily medicine usage.
Students correctly distinguished candy from medicine at a rate of 71 percent, while teachers did so at a rate of 78 percent. Students who couldn’t read did significantly worse at distinguishing between candy and medicine compared to students who could read. The most common mistakes among teachers and students were M&Ms being mistaken for Coricidin (43 percent), SweeTARTS for Mylanta (53 percent), Reese’s Pieces for Sine-off (50 percent), and SweeTARTS for Tums (53 percent).
“(The candy) most frequently mistaken were circular objects, those similar in color and shine, and those with no distinguishable markings,” Bishop was quoted as saying. In addition, 78 percent of the 60 students and teachers in the study said medicines in their homes were not locked and out-of-reach.
“We found that neither teachers nor students store their medicines appropriately at home,” Gittelman was quoted as saying. “Interventions to educate families about safe storage of medicines, and manufacturing medicines to have distinguishable appearances may help to reduce unintentional ingestions of medications.”
The study authors recommend interventions to educate families about safe storage practices for medications, and the development of medications with distinguishable appearances to reduce unintentional ingestions.
SOURCE: American Academy of Pediatrics (AAP) National Conference and Exhibition in Boston on October 17, 2011
Genome Of World’s Oldest Woman Sequenced
Scientists have sequenced the DNA of a Dutch woman who lived to age 115, overcame breast cancer at the age of 100, and never showed signs of dementia or Alzheimer’s disease, hoping that her genetic code might contain the secret to enjoying a long, healthy life.
According to Daniel Miller of the Daily Mail, the woman, Hendrikje van Andel-Schipper was born in 1890 and was the world’s oldest person until her death in August 2004.
In addition to remaining mentally sharp throughout her life, Miller also notes that she never suffered from many of the other ailments “normally associated with people who live over the age of 100 such as hardening of the arteries.”
BBC News editor Helen Briggs says that the scientists, who presented their findings during the annual International Congress of Human Genetics in Montreal, Canada, over the weekend, believe that van Andel-Schipper had genetic protection against dementia.
They also suggested that additional studies could reveal clues in her DNA that could shed some light as to why certain people have greater longevity than others.
“Dr. Henne Holstege, of the Department of Clinical Genetics at the VU University Medical Center in Amsterdam, says she appeared to have some rare genetic changes in her DNA,” Briggs wrote on October 14. “It is not yet clear what role they carry out, but it appears there is something in her genes that protects against dementia and other diseases of later life.”
Van Andel-Schipper, who was a premature child and was not expected to survive, originally offered to donate her body to the University of Groningen for study at the age of 82, then called the institute again at age 111 because she reportedly feared she would no longer be of interest to scientists.
“Dr. Holstege senior tested her mental abilities at the age of 112 and 113 and although she had problems with her eyesight, she was alert and performed better than the average 60 to 75-year-old,” Miller said of the woman who eventually succumbed to gastric cancer.
LiveScience columnist Christopher Wanjek further notes that Van Andel-Schipper did not enter a retirement home until the age of 105, and is one of less than 30 people to have made it past the age of 115 in modern times.
“Holstege and her Dutch and American colleagues are only in the initial stages of van Andel-Schipper’s genome analysis, and no results have been published,” Wanjek added. “Doctors hope that a better understanding of longevity genes can lead to medicines that can suppress the genes that cause disease and activate the genes that promote long life.”
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Toxin Could Help Immune System Beat Superbugs
Researchers said on Thursday that they have discovered a toxin that could help a body’s immune system beat superbugs.
The toxin, SElX, is made by 95 percent of Staphylococcus aureus bacteria. It is released by Methicillin-resistant Staphylococcus aureus (MRSA), which leads the body’s immune system to go into overdrive and damage healthy cells.
SElX belongs to a family of toxins known as super antigens that can invoke an extreme immune response.
The research looked at a strain of MRSA known as USA300 that can cause severe infections in healthy individuals.
“If we can find ways to target this toxin, we can stop it from triggering an over-reaction of the body’s immune system and prevent severe infections,” Dr. Ross Fitzgerald, from the Roslin Institute at the University of Edinburgh, said in a press release.
Superbugs account for an estimated $3.2 billion each year in health care costs in the U.S.
Gill Wilson, of The Roslin Institute and first author on the paper, said in a press release: “MRSA continues to be a global problem. This research could help us find a new way to target the infection.”
The research was funded by the Biotechnology and Biological Sciences Research Council, the National Institutes of Health, USA, the US Department of Agriculture and Pfizer Animal Health.
The study was published in the journal PLoS Pathogens on Thursday.
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UK Survey Reveals Cell Phones Are Contaminated
New research has found that one in six British mobile phones is contaminated with traces of E. coli bacteria because people all too often go without washing their hands.
The research was released ahead of Global Handwashing Day, which is this Saturday. Experts say the most likely reason for the bacteria found on so many gadgets is people are failing to properly wash their hands with soap and hot water after using the toilet.
Furthermore, more than nine in ten mobile phones have some form of bacteria on them, including Staphylococcus aureus, which is better known as MRSA.
The UK-wide study by scientists from the London School of Hygiene & Tropical Medicine and Queen Mary, University of London, also revealed that Britons have a tendency to lie about their hygiene habits.
The study team took 390 samples of bacteria from the hands and phones of people in 12 British cities. While 95 percent of the participants claimed to wash their hands with soap whenever they could, the team found 92 percent of phones and 82 percent of hands had some form of bacteria on them.
The team also found 16 percent of hands and phones contained E. coli, which is transmitted in feces. About 31 percent of hands and 25 percent of phones were also contaminated with MRSA, which is naturally present in our skin but can become dangerous if transferred between people.
Once bacteria is transported to a mobile phone or other handheld gadget, it can survive easily because the surfaces are hard to clean, frequently warmed up when the device is used, and usually sprayed with proteins when people speak into the receiver.
The bacteria can easily be transported back to our hands even after washing, and also to our ears and faces where they can infect any scratches or wounds, and can infect other people who handle the gadget.
Study leader, Dr. Ron Cutler, said some devices were “crawling” with germs. “We found a direct link between how dirty your hands were and how dirty your phone was … If people did wash their hands properly with soap this link would not exist.”
“Our analysis revealed some interesting results from around the UK. While some cities did much better than others, the fact that E. coli was present on phones and hands in every location shows this is a nationwide problem. People may claim they wash their hands regularly but the science shows otherwise,” added Cutler.
“This study provides more evidence that some people still don´t wash their hands properly, especially after going to the toilet. I hope the thought of having E. coli on their hands and phones encourages them to take more care in the bathroom — washing your hands with soap is such a simple thing to do but there is no doubt it saves lives,” said Dr. Val Curtis, from the London School of Hygiene & Tropical Medicine, who is also UK campaign leader for Global Handwashing Day and study co-author.
 
Every year, as many as 3.5 million children under the age of five are killed by pneumonia and diarrhetic diseases. One of the most effective ways of preventing these illnesses is washing hands with soap. In developed countries, hand washing with soap helps prevent the spread of viral infections such as norovirus, rotavirus and influenza.
“Today´s research is shocking and demonstrates the importance of effective hygiene. It is critical that people take hand hygiene seriously and that businesses offer their employees and customers a practical way of protecting themselves to help combat the spread of illness,” Peter Barratt, technical manager at Initial Washroom Solutions, which supports Global Handwashing Day, told The Telegraph.
Global Handwashing Day aims to transform the action of washing hands with soap into an automatic behavior. Initiatives and events to promote the practice in homes, schools, workplaces, hospitals and communities are held worldwide.
The UK Global Handwashing coalition includes several major companies, including GlaxoSmithKline, Initial Washroom Solutions, London School of Hygiene & Tropical Medicine, School Councils UK, University of London, and Wellcome Trust.
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More Teenage Boys Using Condoms During First Sexual Encounter
Four out of five boys between the ages of 15 and 19 are using a condom the first time they have sex, according to the results of a new federal survey of teenagers’ sex lives.
According to the National Center for Health Statistics’ (NCHS) National Survey of Family Growth, which features data collected between 2006 and 2010, the number of teen boys using condoms during their first sexual encounter increased 9%, from 71%, in 2002, Sharon Jayson of USA Today reported Wednesday.
The survey also found that 42% of boys and 43% of girls reported that they had had vaginal sexual intercourse, a decrease from 60% and 51% from 1988, she said. Results regarding oral sex habits are scheduled to be released at a later date.
Of the 2,284 girls surveyed, 78% said that they used a contraceptive the first time they had sex, and 86% reported using one during their most recent sexual encounter. Similarly, of the 2,378 boys surveyed, 85% said that they used a contraceptive the first time they had sex, and 93% during the last time that they had intercourse, USA Today also reported.
“Even though more teens used a condom the first time they had sex, just 49% of girls and 66.5% of boys said they used one every time they had sex in the past four weeks,” Jayson said. “Among the 57% of girls and 58% of boys who say they have never had sex, the most frequent reason given is ‘against religion or morals,’ cited by 41% of young women and 31% of young men.”
Furthermore, Associated Press (AP) Medical Writer Carla K. Johnson notes that the study discovered that teenagers were less likely to be sexually active if they came from a two-parent home, if their mothers had not become pregnant when they were teenagers themselves, and if their moms were college graduates.
“Most teens — 70 percent of girls and 56 percent of boys — had their first sex with someone with whom they were ‘going steady,'” Johnson said. “A minority — 16 percent of girls and 28 percent of boys — had their first sex with someone they just met or with whom they were ‘just friends.'”
“It comes as a general surprise to people that teenagers in general and teen boys in particular can behave responsibly when it comes to making decisions about sex,” Bill Albert, spokesman for the National Campaign to Prevent Teen and Unplanned Pregnancy, told the AP. “I think it is surprising.”
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Black Death Genome Could Reveal Secrets of Ancient And Modern Pathogens
Scientists have successfully mapped the complete genome of the Black Death – the bubonic plague that wiped out 50 million Europeans between 1347 and 1351 and remains one of the most severe epidemics of all time – various news agencies reported on Wednesday.
According to Kate Kelland of Reuters, an international team of researchers extracted and purified DNA from the remains from victims buried in the so-called plague pits of London.
“Building on previous research which showed that a specific variant of the Yersinia pestis (Y. pestis) bacterium was responsible for the plague“¦ a team of German, Canadian and American scientists went on to ‘capture’ and sequence the entire genome of the disease,” Kelland wrote.
“Their result — a full draft of the entire Black Death genome — should allow researchers to track changes in the disease’s evolution and virulence, and lead to better understanding of modern-day infectious diseases,” she added.
Kelland also noted that this information, combined with modern-day advances in DNA-related technology, should help discover a way to combat similar illnesses that exist today.
Surprisingly, says USA Today’s Elizabeth Weise, the researchers discovered that the Y. pestis bacteria did not appear to be excessively “more virulent than the plague of today,” leading them to believe that climate change, of all things, might have played a hand in the massive number of fatalities that resulted from the Black Death.
At the time, Europe was in the middle of an era of lower temperatures and increased rainfall known as the “Little Ice Age.” The conditions at the time left people without enough food from harvests, meaning they did not have enough food to eat to keep their health up.
The cold, damp climate would also have been conducive to the rat population, which likely carried the blood-sucking parasites (believed to be fleas or lice) which helped the pathogen to spread more quickly,
“You had an immuno-compromised population living in London under stressful conditions who were then hit with a new pathogen,” co-author Hendrik Poinar, an evolutionary geneticist at Canada’s McMaster University, told Weise.
According to Kelland, an estimated 2,000 people each year are killed by illnesses that can be traced back to the Black Death, which lead researcher and University of Tuebingen professor Johannes Krause told AFP’s Marlowe Hood was “the first plague pandemic in human history.”
“Based on the reconstructed genome, we can say that the medieval plague is close to the root of all modern human pathogenic plague strains,” Krause told AFP via email. “The ancient plague strain does not carry a single position that cannot be found in the same state in modern strains.”
Along with Poinar and Krause, Kirsten Bos, Brian Golding and David Earn of McMaster University, Verena Schuenemann of the University of Tubingen, Hernán A. Burbano and Matthias Meyer of the Max Planck Institute for Evolutionary Anthropology, and Sharon DeWitte of the University of South Carolina, were among those who worked on the study, which has been published online in the journal Nature.
“The genomic data show that this bacterial strain, or variant, is the ancestor of all modern plagues we have today worldwide,” Poinar said in a statement. “Every outbreak across the globe today stems from a descendant of the medieval plague“¦ With a better understanding of the evolution of this deadly pathogen, we are entering a new era of research into infectious disease.”
“Using the same methodology, it should now be possible to study the genomes of all sorts of historic pathogens,” added Krause. “This will provide us with direct insights into the evolution of human pathogens and historical pandemics.”
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Birth Control Pill Makes Relationships Last Longer, But Sex Less Satisfying
A new study has found that women who are on the pill are less attracted to their partners and less sexually satisfied than women not taking the pill.
However, the study of over 2,500 couples also found that women who met their partner when they were using this contraceptive method are happier with the non-sexual aspects of their relationships.
The scientists used questionnaires to gauge the quality of 2,519 women’s relationships with men. About half the women in the study were on the pill when they met their partners.
The researchers found both positive and negative consequences to using the pill and that these women are happier with non-sexual aspects of the relationship.
“Such women may, on average, be less satisfied with the sexual aspects of their relationship, but more so with non-sexual aspects,” Craig Roberts at the University of Stirling, whose work is published on Wednesday in Proceedings of the Royal Society B, said in a statement.
“Overall, women who met their partner on the pill had longer relationships — by two years on average — and were less likely to separate. So there is both good news and bad news for women who meet [their partner] while on the pill. One effect seems to compensate for the other.”
Roberts believes the finding could have something to do with a set of genes called the major histocompatibility complex (MHC). This is a key component of a person’s immune system and includes a set of genes that play an evolutionary role in guiding people to find mates.
“Women tend to find genetically dissimilar men attractive because resulting babies will more likely be healthy,” Roberts said in a press release. “It’s part of the subconscious ‘chemistry’ of attraction between men and women.”
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Diet Rich In Veggies And Fruit Reduces Heart Disease Risk
Researchers found a genetic risk for cardiovascular disease that may be modifiable through a change in diet.
The team wrote in the journal PLoS Medicine that the risk of the disease was decreased in individuals who ate a diet rich in raw fruits and vegetables.
“Despite having a high genetic risk for heart disease, a healthy lifestyle can actually turn off the gene,” Dr. Sonia Anand, Professor of Medicine and Epidemiology at the Michael G. DeGroote School of Medicine at McMaster University, said in a press release.
The researchers said the results suggest that gene-environment interactions are important drivers of cardiovascular disease and raise the possibility that a sound diet can mediate the effects of the Chromosome 9p21.
The team analyzed the diets of over 27,000 people from around the world, including Europe, China and Latin America.
Anand said those who ate at least two servings of fruit and vegetables a day lowered their risk of cardiovascular disease.
“Our results support the public health recommendation to consume more than five servings of fruits or vegetables as a way to promote good health,” said Anand.
The authors of the paper said the results will need to be confirmed in large studies that have similar genetic and dietary information.
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Nearly All Vertebrates Descended From Ancestor With Sixth Sense
A new study finds that sharks, paddlefishes and certain other aquatic vertebrates have a sixth sense: the ability to detect weak electrical fields in the water, and to use this information to detect prey, communicate and orient themselves.
The study, which caps more than a quarter century of work, found that the vast majority of vertebrates — roughly 30,000 species of land animals (including humans) and a roughly equal number of ray-finned fishes — descended from a common ancestor that had a well-developed electroreceptive system.
This ancestor was likely a predatory marine fish with good eyesight, jaws and teeth and a lateral line system for detecting water movements, visible as a stripe along the flank of most fishes. It lived some 500 million years ago.
The vast majority of the approximately 65,000 living vertebrate species are its descendants, the researchers said.
“This study caps questions in developmental and evolutionary biology, popularly called ‘evo-devo,’ that I’ve been interested in for 35 years,” said Willy Bemis, Cornell professor of ecology and evolutionary biology and a senior author of the paper.
Hundreds of millions of years ago, there was a major split in the evolutionary tree of vertebrates. One lineage led to the ray-finned fishes, or actinopterygians, and the other to lobe-finned fishes, or sarcopterygians. The latter gave rise to land vertebrates, Bemis said.
Some land vertebrates, including salamanders such as the Mexican axolotl, have electroreception and, until now, offered the best-studied model for early development of this sensory system.
As part of changes related to terrestrial life, the lineage leading to reptiles, birds and mammals lost electrosense as well as the lateral line.
Some ray-finned fishes — including paddlefishes and sturgeons — retained these receptors in the skin of their heads. With as many as 70,000 electroreceptors in its paddle-shaped snout and skin of the head, the North American paddlefish has the most extensive electrosensory array of any living animal, Bemis said.
Until now, it was not clear whether these organs in different groups were evolutionarily and developmentally the same.
Using the Mexican axolotl as a model to represent the evolutionary lineage leading to land animals, and paddlefish as a model for the branch leading to ray-finned fishes, the researchers found that electrosensors develop in precisely the same pattern from the same embryonic tissue in the developing skin, confirming that this is an ancient sensory system.
The researchers also found that the electrosensory organs develop immediately adjacent to the lateral line, providing compelling evidence “that these two sensory systems share a common evolutionary heritage,” Bemis said.
Researchers can now create a picture of what the common ancestor of these two lineages looked like, and better link the sensory worlds of living and fossil animals, Bemis added.
The study appears in the October 11 issue of Nature Communications.
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Researchers Turn Off Peanut Allergy In Mice
According to a new preclinical study, researchers have turned off peanut allergy by tricking the immune system.
Researchers attached peanut proteins onto blood cells and reintroduced them to the body. This method could one day be able to target more than one food allergy at a time.
“We think we’ve found a way to safely and rapidly turn off the allergic response to food allergies,” Paul Bryce, an assistant professor of medicine in the division of allergy-immunology at Northwestern University Feinberg School of Medicine, said in a press release.
This is the first time this method for creating tolerance in the immune system has been used in allergic diseases.
The approach also helps create a normal, balanced immune system by increasing the number of regulatory T cells. These cells are important for recognizing the peanut proteins as normal.
“T cells come in different ‘flavors’,” Bryce said. “This method turns off the dangerous Th2 T cell that causes the allergy and expands the good, calming regulatory T cells. We are supposed to be able to eat peanuts. We’ve restored this tolerance to the immune system.”
The team attached peanut proteins onto white blood cells of mice and infused them back into the rodents.
After two treatments, the mice were fed a peanut extract and did not show any life-threatening allergic reaction to it because their immune system now recognized the protein as safe.
“Their immune system saw the peanut protein as perfectly normal because it was already presented on the white blood cells,” Bryce said. “Without the treatment, these animals would have gone into anaphylactic shock.”
The researchers used an egg protein in a second part of the study. They attached the proteins to white blood cells and infused the cells back into the mice, just like the peanut proteins.
The mice were then given a taste of egg, and their lungs did not become inflamed, which is a reaction most suffer from an egg allergy.
“This is an exciting new way in which we can regulate specific allergic diseases and may eventually be used in a clinical setting for patients,” Stephen Miller, the Judy Gugenheim Research Professor at the Feinberg School, said in a press release.
The study was published in the Journal of Immunology.
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New Evidence That Chocolate Lowers Stroke Risk
Chocolate lovers may have a new reason to celebrate: A Swedish study suggests that women who have a couple of small chocolate bars every week are 20 percent less likely to suffer debilitating strokes than those who abstain from eating chocolate.
The study, published this week in the Journal of the American College of Cardiology, looked at more than 33,000 women and found that the more chocolate they ate, the lower their risk of stroke. This finding adds to the strong evidence that links cocoa consumption to heart health, but it doesn´t mean people have a free pass to gorge on chocolate.
“Given the observational design of the study, findings of this study cannot prove that it’s chocolate that lowers the risk of stroke,” Susanna Larsson, from Karolinska Institutet in Stockholm, told Reuters Health by email.
While she believes that chocolate does have health benefits, she has also warned that eating too much chocolate could be counterproductive. “Chocolate should be consumed in moderation as it is high in calories, fat and sugar. As dark chocolate contains more cocoa and less sugar than milk chocolate, consumption of dark chocolate would be more beneficial,” she said.
Larsson and colleagues analyzed data from a mammography study that included self-reports of how much chocolate women ate in 1997. The ages of the women ranged from 49 to 83 years. None of the women had any history of stroke, heart disease, cancer or diabetes when the study began.
The women were asked to complete a questionnaire that included questions on more than 350 diet and lifestyle factors.
Researchers reviewed the questionnaires and then grouped the women by frequency of their chocolate consumption, ranging from never to more than three times a day and looked for associations between strokes and the amount of chocolate the women regularly consumed.
During the 10-year study, 1,549 of the more than 33,000 women suffered a stroke. Most — around 1,200 — had an ischemic stroke. That means a blood vessel in the brain is blocked, starving an area of the brain of blood and oxygen. Another 224 had hemorrhagic strokes, which means an area of the brain is bleeding into the rest of the brain. The remaining 125 were unspecified.
Among those with the highest weekly chocolate intake, more than 45 grams, there were 2.5 strokes per 1,000 women per year. That figure was 7.8 per 1,000 among women who at the least, less than 8.9 grams a week.
“We observed that women with the highest consumption of chocolate [an average of about 2.3 ounces per week] had a significant 20 percent lower risk [of stroke] than those who never or rarely consumed chocolate,” said Larsson.
Larsson believes the results seen in women would be similar in men. And although US chocolate generally contains less cocoa than chocolate in Europe, there should be a benefit from consumption in that country as well. But suggested that “chocolate should preferably be consumed as dark chocolate, as it contains more of the beneficial flavonoids, as well as less sugar.”
About 90 percent of the chocolate consumed in Sweden in the 1990s was milk chocolate that contained about 30 percent cocoa solids. This is a much higher concentration of cocoa than what is found in most dark chocolate products sold in the United States.
“Cocoa contains flavonoids, which have antioxidant properties and can suppress oxidation of low-density lipoprotein [℠bad´ cholesterol] which can cause cardiovascular disease [including stroke],” explained Larsson.
“There’s an upside and a downside to everything. I don’t think people should eat all the chocolate they can, but some chocolate in moderation can have some benefit,” Dr. Nieca Goldberg, a cardiologist and medical director of the Joan H. Tisch Center for Women’s Health at NYU Langone Medical Center in New York City, told HealthDay reporter Serena Gordon.
Dark chocolate has been found to reduce blood pressure, lower insulin resistance and help keep your blood from forming dangerous clots, Larsson added.
However, it´s important to remember that chocolate has a lot of sugar and fat, and also contains caffeine, Goldberg noted. So, if you are prone to irregular heartbeat or high blood pressure, eating chocolate may affect those conditions as well.
“It’s important to keep findings like these in context. These findings don’t mean that people need to exchange chocolate for broccoli in their diet,” said Goldberg. “Chocolate does have antioxidants, and antioxidants are beneficial for your health. They can help make your arteries more flexible and they can help you resist the oxidation of cholesterol. But, what if they had tried this study with apple skins or grapes?” she said.
Larsson suggested that Americans stick with dark chocolate, but noted that US chocolate bars need only contain 15 percent cocoa to be called sweet dark chocolate. Dark chocolate typically is lower in sugar than milk chocolate and contains more of the important antioxidants that give cocoa its heart-healthy properties.
One drawback of the study was that it was based on people´s self-reports of what they ate, and self-reports are typically unreliable. Larsson said, like all other research into the health benefits of chocolate, there needs to be further research to confirm the findings seen in her study.
In late August, researchers announced at the European Society of Cardiology 2011 that a meta-analysis of previous studies found people who ate the most chocolate had a 37 percent lower risk of cardiovascular disease and a 29 percent lower risk of stroke than those who ate the least chocolate.
Nearly 800,000 people suffer a stroke each year in the US, with about 17 percent of them dying of it and many more left disabled. For those at high risk, doctors recommend blood pressure medicine, quitting smoking, exercising more and eating a healthier diet.
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Fish Jump Into Picture Of Evolutionary Land Invasion
Research sometimes means looking for one thing and finding another. Such was the case when biology professor Alice Gibb and her research team at Northern Arizona University witnessed a small amphibious fish, the mangrove rivulus, jump with apparent skill and purpose out of a small net and back into the water.
This was no random flop, like you might see from a trout that´s just been landed. The rivulus seemed to know what it was doing.
They hadn´t expected to see that behavior, even from a fish known to spend time out of the water. So before long, what began as a study on the evolution of feeding behavior was shifted to a study of how fish behave when stranded on land. And considering what is implied by the truism “like a fish out of water,” the results came as another surprise.
Some fully aquatic fishes, as the author´s video clips show, also can jump effectively on land even without specialized anatomical attributes. This has significant implications for evolutionary biology, Gibb said, because the finding implies that “the invasion of the land by vertebrates may have occurred much more frequently than has been previously thought.”
The study is summarized in a paper, “Like a Fish out of Water: Terrestrial Jumping by Fully Aquatic Fishes,” that appears online in the JEZ A: Ecological Genetics and Physiology.
Gibb said the study “supports a big-picture theory in evolution,” which is that the nervous system, in its control of bones and muscles, can allow a new behavior to appear without necessarily bringing about a physical change.
In the case of aquatic fish, Gibb said, “This shows that you don´t have to have legs or rigid pectoral fins to move around on land. So if you go back and look at the fossil record to try to say which fish could move around on land, you´d have a hard time knowing for sure.”
The original feeding study began with guppies, then moved to a relative, the mangrove rivulus. Once the rivulus exhibited the tail-flip jumping maneuver, Gibb shifted the focus of the research. Eventually, the guppy came back into the picture. Literally.
“When you do a study like this, you have to ask what your control is,” Gibb said. “If a known amphibious fish is a good jumper, then what´s a bad jumper?”
Enter the guppy, a fully aquatic fish.
“The guppy jumped almost as well as the amphibious fish did,” Gibb said. “And no one has ever suggested that a guppy is an amphibious fish.” As a result, “we put everything we could get our hands on” in front of a high-speed camera, Gibb said. Some of those additional subjects included the mosquitofish, which has been introduced into tributaries of Oak Creek, and a common pet store zebra fish, which is a very distant relative of guppies and mosquitofish.
The mosquitofish “has become our lab rat,” Gibb said. “It´s accessible, it comes from a group that has other jumpers, and it´s been reported that this fish jumps out of the water to get away from predators and then jumps back in.”
That particular escape behavior, Gibb said, has never been filmed. Similar stories about other fish add to mostly anecdotal literature on the topic that “tends to be old and very diffuse.”
Today´s high-speed video systems give Gibb an opportunity to change that. What the cameras reveal is that both species produce a coordinated maneuver in which the fish curls its head toward the tail and then pushes off the ground to propel itself through the air.
Gibb and her team have discussed going into the field to capture video of fish performing this behavior in the wild. But for now Gibb and her colleagues are endeavoring to determine if there is directionality to voluntary locomotion on land and to investigate the genetic basis of the jumping behavior.
“Maybe fishes that are very good at jumping are poor swimmers,” Gibb said. “We want to look at the compromises that may have been made to favor one behavior over another.”
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Percentage of Overweight, Obese Americans Falling
For the first time in three years, more Americans are considered to be of “normal weight” than “overweight,” according to the results of a Gallop poll released on Friday.
According to the Gallup-Healthways Well-Being Index survey, 36.6% of U.S. residents polled were said to be of normal weight, based on Body Mass Index (BMI) measurements calculated using the subject’s provided height and weight information.
That is an increase of one full percentage points over last year’s statistics. In comparison, 35.8% were deemed overweight (compared to 36.0% in 2010) and 25.8% were listed as obese (compared to 26.6% in 2010).
As Roy Strom of Reuters points out, combined more than 60% of the American population is still either overweight or obese. However, the study says that the shifting percentages were “an encouraging sign that obesity rates are trending downward in the U.S.”
The study points out that it is unclear whether or not this is a temporary trend or the beginning of a more permanent fitness movement. Likewise, the exact cause for the decline in overweight and obese Americans remains unclear.
“At this point, several possibilities exist,” Gallop’s Elizabeth Mendes wrote on the research firm’s website Friday. “Public awareness and government and business investment in changing Americans’ health habits may be playing some role.”
“Economic conditions could also be related to the decrease in unhealthy weight,” she added. “Americans continue to spend far less than before the financial crisis and so may be eating at home more and dining out on high-calorie foods less.”
“Regardless of the exact cause, if this downward trend continues, it could significantly reduce healthcare costs in the United States, a major portion of which are currently the result of obesity and related preventable chronic conditions,” Mendes concluded.
There is also some concern, according to Los Angeles Times blogger Michael Muskal, that respondents may not have been telling the truth when it came to their heights and weights, which were used by Gallop to compile BMI figures for all participants.
For the purposes of the survey, a BMI above 30 resulted in an obese classification. Participants scoring between 25.0 and 29.9 were deemed overweight, while those 18.5 to 24.9 were judged to be of normal weight. Those with a BMI under 18.4 were said to be “underweight.”
“African Americans, the middle-aged and those with low incomes continue to be the groups most likely to be far too plump, according to the survey data, which cover three quarters of 2011,” Muskal added. “Those with annual incomes of $36,000 to $89,999 had the biggest drop in obesity, a full percentage point from 2008. Asians showed the biggest gain, 3.3 percentage points, in obesity from 2008.”
The results of the study were compiled via telephone interviews conducted from July 1 through September 30, 2011. A random sample of 90,070 adults over the age of 18, representing all 50 U.S. states as well as the District of Columbia, were selected for participation through the use of random-digit-dial sampling, Gallop officials said.
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Air Force Drones Affected By Virus
U.S. military drones have been infected by a computer virus that logs their pilots’ keystrokes while they fly missions over other countries, including Afghanistan, Wired revealed in an exclusive report on Friday afternoon.
According to a report by Noah Shachtman, the virus, which affects the Predator and Reaper drones, was first detected by Host-Based Security System at Nevada’s Creech Air Force Base approximately two weeks ago.
The malware has not prevented missions from continuing as planned, and there have been no confirmed reports of classified information being lost or obtained by a third-party, Shactman said. However, officials have reportedly been unable to remove it from the base’s computers.
“We keep wiping it off, and it keeps coming back“¦ We think it´s benign. But we just don´t know,” a source familiar with the network infection told Wired.
Shachtman said that network security specialists with the military are not sure whether or not the virus was intentionally introduced to Creech’s computers, or if it was accidental.
Regardless, he points out, “the infection underscores the ongoing security risks in what has become the U.S. military’s most important weapons system.”
“The specialists don´t know exactly how far the virus has spread. But they’re sure that the infection has hit both classified and unclassified machines at Creech,” Shachtman added. “That raises the possibility, at least, that secret data may have been captured by the keylogger, and then transmitted over the public internet to someone outside the military chain of command.”
TG Daily Reporter Trent Nouveau contacted the Air Force regarding the incident.
“We generally do not discuss specific vulnerabilities, threats, or responses to our computer networks, since that helps people looking to exploit or attack our systems to refine their approach,” Air Combat Command spokesman Lt. Col. Tadd Sholtis, which oversees the drones and all other Air Force tactical aircraft, told Nouveau.
“We invest a lot in protecting and monitoring our systems to counter threats and ensure security, which includes a comprehensive response to viruses, worms, and other malware we discover,” he added.
Stephen Shankland of CNET attempted to contact the Department of Defense for comment on Friday, but reports that they declined to be interviewed on the matter.
Shachtman said that technicians have struggled to combat the virus. Originally, they attempted to use instructions posted to the Kaspersky security firm, but sources said that the malware continued to return. Ultimately, he says that they were forced to use a software tool known as BCWipe to completely erase the affected systems’ hard drives, which required them to be rebuilt “from scratch.”
According to Shachtman, senior officials at the Nevada Air Force base are receiving daily briefs on the virus, and a source told him, “It’s getting a lot of attention“¦ But no one´s panicking. Yet.”
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Image Caption: MQ-1 Predator unmanned aircraft. Credit: U.S. Air Force, Lt Col Leslie Pratt
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On the Net:
Bad Air Quality Ups Risk For Premature Birth
A new study claims that air pollution can leave women with a 30 percent higher risk of giving birth prematurely.
The study focused on 100,000 births and found that “toxic” chemicals emitted by urban traffic damages the health of unborn babies as well as their mothers.
“Air pollution is known to be associated with low birth weight and premature birth,” Dr Beate Ritz from the University of California said in a statement. “Our results show that traffic-related polycyclic aromatic hydrocarbons (PAH) are of special concern as pollutants, and that PAH sources besides traffic contributed to premature birth.”
The researchers looked at the births registered within five miles of air quality monitoring stations in Los Angeles County.
They used information from health officials about the babies and their mothers together with air pollution levels to work out the effects.
The researchers found that exposure to “critical pollutants” like PAH led to a 30 percent increase in risk of giving birth prematurely
Chemicals produced by diesel fumes were associated with a 10 percent higher risk of premature birth, while ammonium nitrate fine particles were linked to a 21 percent increase
“The increase in premature birth risk due to ammonium nitrate particles suggests secondary pollutants are also negatively impacting the health of unborn babies,” Ritz said in a statement. “To reduce the effects of these pollutants on public health, it is important that accurate modeling of local and regional spatial and temporal air pollution be incorporated into pollution policies.”
The study was published in BioMed Central’s open access journal Environmental Health.
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UMass Amherst Researcher Finds Racial Disparity Un Post-Hospital Arrival Homicide Deaths At Trauma Centers In The U.S.
New research based on post-hospital arrival data from U.S. trauma centers finds that even after adjusting for differences in injury severity, gun use, and other likely causes of race difference in death from assault, African-Americans have a significantly higher overall post-scene of injury mortality rate than whites. The study was conducted by Anthony R. Harris, emeritus professor of sociology at the University of Massachusetts Amherst, and colleagues and published in August by the Journal of Trauma, Injury, Infection and Critical Care.
The study, from a nationally representative sample of trauma centers, covered the period from 2005-08 and adjusted for types of weapons used, severity of injury, age, physiological condition, year, and trauma center differences. It concluded that, in addition to insurance status, among patients brought to the Level I and II trauma centers, race is a substantial independent predictor of who dies from assault. Blacks, especially the uninsured, have significantly worse outcomes overall, though there is some evidence that this pattern is minimized at higher levels of injury severity.
Black patients showed higher overall raw mortality rates from assault than whites (8.9 percent vs. 5.1 percent), but after statistical adjustment, the researchers found the black to white adjusted risk ratio for death from assault (homicide) dropped significantly. After adjustment, estimated black deaths were 29 percent in excess of white deaths for firearm injuries, 36 percent in excess for cutting/piercing injuries, and 61 percent in excess for blunt injuries. Uninsured blacks comprised 76 percent of all excess trauma center deaths from assault.
Harris says that the findings are consistent with the bulk of the medical research findings on race and insurance disparities in hospital outcomes from causes other than intentional assault. But he also notes that, as is the case with almost all of these studies, the causes of the disparities are not easily identified. He adds:
“The observed disparities raise questions about the social causes of the very large black/white difference in overall U.S. homicide victimization rates (about 7 to 1) and have important implications for individual lives, including whether or not a victim remains a victim in an assault case or becomes a victim in a homicide case. The victim´s outcome is, in turn, likely to impact the chances the offender will be apprehended and, if so, faced with a charge of aggravated assault or of homicide. Unlike other medical outcomes, in the case of intentional assault, insurance and racial disparities in hospital mortality are thus likely to affect no less than two separate parties, and, often, two or more unrelated families.”
The study, by Harris and Gene A. Fisher, both of UMass Amherst, and Dr. Stephen H. Thomas, of the University of Oklahoma School of Medicine, is based on data from the National Sample Program, the National Trauma Data Bank´s representative sample of 100 Level I and Level II U.S. trauma centers.
The analysis represents an estimated 137,618 black and white assault cases aged 15 years and older. The sample includes 35 percent white, and 65 percent black patients, with 46 percent of the whites and 60 percent of the blacks identified as uninsured.
In 2009, Harris, received a two-year grant from the Harry Frank Guggenheim Foundation to research race differences in homicidal outcomes from criminal injury. The study was conducted in part by Harris as visiting scientist with the department of criminology and criminal justice at the University of Maryland, College Park.
Harris received national and international media attention in 2002 with a study, also co-authored with Fisher and Thomas, that found improvements in emergency medical services dramatically suppressed murder rates in the U.S. from 1960-99. The study noted that this 40-year trend held even though weapons became more lethal and available during the period, and overall criminal assault rates rose steeply.
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On the Net:
Assets Increase Incidence of Marriage
A new study published in the American Journal of Sociology indicates that the incidence of marriage drops when people have no personal wealth such as a car or financial assets.
The study shows that in the past few decades Americans are getting married when they are older and may forego marriage altogether. Statistics in the study indicate that between 1970 and 2000 the median age of first marriage rose by four years and the percentage of unmarrieds increased from 5 percent to 10 percent.
Daniel Schneider of Princeton University, the study author, said “What is perhaps most striking is the increasing stratification in marriage by race and education. From 1980 to 2000, the percentage of white women who had been married by ages 25 to 29 had dropped by 13 percentage points to 68 percent, but the drop was far larger for blacks, dropping 25 points to just 38 percent.”
Schneider thinks that this gap may be the difference in income and employment status. Studies show that having a good job and income are important in determining who becomes married. Therefore the gaps between blacks and whites may be because blacks typically have less education than whites decreasing their chances for gainful employment, thus they may hold off longer getting married increasing the gaps in marriage rates.
Schneider says, “In all, I find evidence to support the argument that wealth is an important prerequisite of marriage, especially for men. What people own, not just what they earn or know, shapes entrance into marriage and so may perpetuate disadvantage across generations.”
Schneider believes the inequality in marriage rates makes a strong argument for social programs designed to help people build assets. He says, “Contrary to concerns that such programs are unlikely to make a meaningful difference in the lives of the poor because these individuals are unlikely to accumulate significant savings, I argue that even small amounts of wealth may help disadvantaged men and women meet the economic standard of marriage.”
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Are End-of-life Surgeries Overused?
A new Harvard study has found that it is surprisingly common for older people to undergo surgery in the last year, month and even week of their life, a finding that is likely to fuel the debate over whether medical care is overused and needlessly driving up medical costs.
The study also found that age and where the people live may have even more to do with whether elderly Americans undergo surgery than their actual medical need or desire for the procedures.
Nearly a third of the 1.8 million Medicare recipients who were at least 65 years old and died in 2008 had surgery in the last year of life, nearly 20 percent had it in the last month of life, and 10 percent in the last week of life, researchers from Harvard School of Public Health reported in an online publishing in the medical journal The Lancet.
Ashish Jha, a professor of health policy and management at Harvard and study author, said many of the operations probably failed to improve dying patients´ lives. “In a lot of places, we´re doing a lot of these surgeries I think unnecessarily,” he said. “We´re not having the kinds of conversations with patients that we need to have, about what they want out of their last few days and how we help them achieve those goals.”
In Muncie, Indiana, where end-of-life surgeries were most common, more than 34 percent of elderly Medicare recipients had procedures in the year before they died, according to the report released Wednesday. The lowest rate of end-of-life surgeries came from Honolulu, Hawaii, where less than 12 percent underwent surgery in that period.
The likelihood of undergoing end-of-life surgery declines as patients age, the study found. More than 38 percent of Medicare recipients who died in 2008 had surgery in the last year of life, while 35 percent of those who died at age 80, had the end-of-life surgery. Of those who died between the ages of 80 and 90, only 24 percent underwent such operations.
“My sense is that a lot of surgeons are still uncomfortable with doing surgery on the very elderly, and that´s why they back off,” Jha told Bloomberg’s Molly Peterson. Many physicians shy away discussing how dying patients want to spend their remaining days on Earth.
“We need a much more concerted effort to encourage and train physicians to talk to their patients about their wishes at the end of life,” he added.
But such analyses are controversial. By looking only at the people who died, researchers can get a biased picture of what is happening, according to critics of the study.
“Because the patient died, you can´t assume that the treatment and therapies were not of value,” Dr. Peter B. Bach of Memorial Sloan-Kettering Cancer Center, told the New York Times. “Although in that individual, things may not have worked out, you have no insight into whether the decision to operate was appropriate.” Nor is it known how many similar patients who had the same surgery did not die.
The researchers acknowledged that they did not know why the operations they analyzed had been done, or why there were so many in the study period. They speculated that some were necessary to relieve pain and suffering or to prolong life. But, they said, they know from experience that doctors often operate to repair something that can be fixed but that will not save a dying patient, avoiding difficult discussions with patients about their prognosis and whether the surgery will improve quality of life or not.
Dr. Scott Ramsey, an economist and a physician who is director of cancer outcomes research at the Fred Hutchinson Cancer Research Center in Seattle, criticized the researchers for citing regional differences but then suggesting a long list of factors that might be causing them, including the health of the population, the patterns of medical practice, and the availability of hospice care and other end-of-life services.
Their list of potential explanations “covers about everything and says absolutely nothing,” Dr. Ramsey told Gina Kolata of the New York Times.
But the researchers said their study probably pointed to a real problem in American medicine: surgery, which can be painful, expensive and debilitating, is tempting for doctors and patients alike.
“I will admit to being guilty of this,” Dr. Jha told Kolata. “Often we say, ℠If you have this intervention, we will be able to fix that problem. You have an intestinal blockage. Surgery will fix it.´ But will it let you walk out of the hospital alive? Will it let you return to your old life?”
“Evidence like this – and a lot of previous evidence, directly from patients and their families – shows that we need much better support for patients and their families when they have serious illnesses and may need intensive treatments,” Dr. Mark McClellan, a former commissioner of the Centers for Medicare and Medicaid Services, who directs the Engelberg Center for Health Care Reform at the Brookings Institution, told NY Times.
Jha said he would continue to study causes and consequences of surgery at the end of life, adding, “It is hard to take these data and make clear policy recommendations about what is appropriate and what is not.”
But he said difficult conversations that should precede a decision to operate often never occur. “As clinicians, we often end up focusing on something narrow and small that we think we can fix,” he said. “That leads us down the path of surgical intervention. But what the patient cares about is not going to get fixed.”
Jha provided a recent example from his hospital. A man had metastatic pancreatic cancer and was dying. A month earlier, he had been working and looked fine.
“No one had talked to him about how close he was to death,” Jha told Kolata. “It´s the worst kind of conversation to have.”
Instead, doctors performed an endoscopy and a colonoscopy because the man had internal bleeding. Then they did an abdominal surgery. “We did all of this because we were trying desperately to find something we could fix,” Jha explained.
The man died of complications from the surgery.
“The tragedy is what we should have done for him but didn´t,” Jha said. “We should have given him time to have the conversation he wanted to have with his family. You can´t do that when you are in pain from surgery, groggy from anesthesia. We should have controlled his pain. We should have controlled his nausea.”
Reasoning behind taking the option to perform surgery could have something to do with the fact that doctors and hospitals are guaranteed to receive pay from Medicare for performing the procedures, “regardless of the patient´s preferences or goals,” said Amy Kelley, an assistant professor of Geriatrics and Palliative Medicine at Mount Sinai School of Medicine in New York.
“Policy makers must align incentives for insurance plans, health-care institutions, and providers with individual patients´ goals,” Kelley said in a commentary that accompanied the study.
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On teh Net:
Chagas Disease May Be A Threat In South Texas
Epidemiological maps suggest South Texas, in particular, is an area of high risk for infection
Chagas disease, a tropical parasitic disease that can lead to life-threatening heart and digestive disorders, may be more widespread in Texas than previously thought, according to research from The University of Texas at Austin.
“We’ve been studying this for four years now, and this year the number of disease-causing insects is quite amazing,” says Sahotra Sarkar, professor of integrative biology and philosophy at The University of Texas at Austin and lead author of a paper on the disease published in PLoS Neglected Tropical Diseases.
Endemic to rural areas of Latin America, Chagas disease is often transmitted by triatomine bugs, also known as “kissing bugs.”
In order to assess the prevalence of Chagas disease in Texas, Sarkar is working with a network of health professionals and researchers around the state. After collecting and classifying insects from the field, Sarkar sends them to Philip Williamson, an assistant professor at The University of North Texas Health Science Center. Williamson determines how many of the bugs carry the protozoa Trypanosoma cruzi, which causes the disease.
From the data Sarkar creates epidemiological maps showing the number and location of carrier insects, recorded human Chagas infections and hospitable habitats for the insects.
The maps suggest South Texas is an area of high risk for Chagas infection. Sarkar says there may already be hundreds of undiagnosed cases of the disease.
Chagas can be hard to detect because it can look like the flu at first, with symptoms similar to pains and fever. The symptoms appear to go away but the disease can live in a person for decades, sometimes reappearing in the form of digestive or heart failure.
In Texas, where most doctors are not familiar with the disease and are not required to report it to public health officials, they may misinterpret its late-onset symptoms as an old age problem, says Sarkar.
“So it doesn’t get diagnosed at the beginning, and it doesn’t get diagnosed at the end,” he says.
Until further research is done, Sarkar and his colleagues won’t be able to say for sure how widespread the disease is. They believe the risks are high enough, however, to recommend a few low-cost, low-impact changes to the way the Texas public health system deals with Chagas.
They say Chagas should be designated as a reportable disease, which would require health professionals to report incidences of it to the Texas Department of State Health Services. Efforts should be launched in South Texas to more thoroughly determine the prevalence of Chagas in humans, dogs and wild species (particularly rats) that often act as reservoirs of the disease. And there should be mandatory screening of blood donations for the presence of Chagas. Currently, screening is voluntary and only done with about 65 percent of samples.
In the future, Sarkar would like to see Mexico and the U.S. collaborate on a multi-layered attack on the disease. He points to the success of the Southern Cone Initiative in South America as a model. Simple changes in lifestyle, such as keeping piles of wood away from the home and encouraging people to switch from adobe or wooden houses to concrete, have been effective. Selective spraying for the insects has also been key to decreasing the burden of the disease in South America.
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Image 1: One of the varieties of “kissing bugs” that can be carriers of the parasite that causes Chagas disease. Credit: Marsha Miller
Image 2: Sahotra Sarkar inspects one of the triatomine species that may be a carrier of the parasite that causes Chagas disease. Credit: Marsha Miller
Image 3: A composite risk map for Chagas disease in Texas. According to Sarkar’s analysis eleven counties are at particular risk: Bee, Bexar, Brooks, Cameron, DeWitt, Goliad, Hidalgo, Jim Wells, Kenedy, Kleberg, and Nueces. Credit: Sahotra Sarkar
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On the Net:
Survival Increased In Early Stage Breast Cancer After Treatment With Herceptin And Chemo
Treating women with early stage breast cancer with a combination of chemotherapy and the molecularly targeted drug Herceptin significantly increases survival in patients with a specific genetic mutation that results in very aggressive disease, a researcher with UCLA’s Jonsson Comprehensive Cancer Center reported Wednesday.
The study also found that a regimen without the drug Adriamycin, an anthracycline commonly used as a mainstay to treat breast cancer but one that, especially when paired with Herceptin, can cause permanent heart damage, was comparable to a regimen with Adriamycin. The data shows that anthracyclines aren’t necessary to treat early stage breast cancer effectively, and that the cardiac and other associated toxicities can and should be avoided, said study lead author Dr. Dennis Slamon, whose basic laboratory and clinical research led to the development of Herceptin.
“We’re encouraged that the survival advantages found in this study have been maintained and continue to be significant,” said Slamon, director of clinical/translational research at UCLA’s Jonsson Comprehensive Cancer Center. “I believe there’s room for even further improvement.”
The study appears Oct. 6, 2011 in the peer-reviewed New England Journal of Medicine.
The three-armed study compared the standard therapy of Adriamycin and Carboplatin followed by Taxotere (ACT), the same regimen plus one year of Herceptin (ACTH), and a regimen of Taxotere and Carboplatin with one year of Herceptin (TCH).
Slamon said this is the first time that overall survival has been measured this far out — a little more than five years — in this population of breast cancer patients.
The study shows a survival advantage for patients in the Herceptin-containing arms, with 92 percent of patients on ACTH and 91 percent of patients on TCH still alive at five years, compared to 87 percent in the ACT arm. Estimated disease-free survival, or the time from treatment to recurrence, was 75 percent the ACT arm, 84 percent among those receiving ACTH and 81 percent in the TCH arm.
The study set out to specifically test Herceptin with and without anthracylines to determine whether oncologists could provide a therapy as effective as ACTH without the resulting toxicities, including congestive heart failure and other cardiac problems. The study, Slamon said, showed that the women who did not receive Adriamycin had outcomes similar to those who did, but had much less heart toxicity.
The women who did receive Adriamycin and Herceptin had a five-fold greater increase of experiencing congestive heart failure and a two-fold increase of sustained cardiac dysfunction without symptoms. The women getting Adriamycin and Herceptin also experienced worse “acute” toxicities, such as nausea, diarrhea, vomiting, neuropathy, fatigue and falling white blood counts, Slamon said. Additionally, seven women in the anthracycline arms developed acute leukemia, a rare and deadly side effect of Adriamycin. One woman in the non-Adriamycin arm did develop an acute leukemia after receiving an anthracyline outside the study, Slamon said.
“Given the data in this study, it makes one really question what role Adriamycin should play in the treatment of HER-2 positive early breast cancer, or in the treatment of early breast cancer at all,” Slamon said. “This trial should impact the way these breast cancers are treated, with a non-anthracycline regimen being our preferred option. I think this is a change that is going to be slow in coming, unfortunately, as many of our adjuvant treatments for breast cancer are built on the backbone of anthracyclines. While they’re effective, whatever gain patients may receive is more than made up for in the serious and chronic long-term side effects.”
Herceptin is effective in women with HER-2 positive breast cancer, about 20 to 25 percent of those diagnosed with the disease every year or 200,000 to 250,000 women annually worldwide. HER-2 positive breast cancer is more aggressive and results in a poorer prognosis and shorter survival times, said Slamon, who discovered the link between HER-2 positivity and aggressive breast cancer in 1987.
Conducted by the Breast Cancer International Research Group (BCIRG), the study enrolled 3,222 women with early stage breast cancer between April 2001 and March 2004. Patients were randomized to one of the three arms.
The study’s primary endpoint was disease-free survival, but it also measured overall survival, safety, including cardiac toxicities, pathologic and molecular markers and quality of life.
“An improved understanding of the molecular basis of malignant disease is allowing the development of rational treatment strategies that are more effective and less toxic than traditional empiric regimens,” the study states. “The identification and characterization of the HER-2 alteration in a subset of human breast cancers and the subsequent development of Herceptin represent the practical realization of this translational ideal. Our findings show that we can further exploit this new and translational knowledge to optimize efficacy while simultaneously minimizing acute and chronic toxic effects.”
An editorial that accompanies the article states that the data in the study “suggest that a non-anthracycline regimen is an acceptable standard of care. The present is clearly brighter for patients with HER-2 positive breast cancer and the future promises to shine even more.”
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Progression Of Lung Fibrosis Blocked In Mouse Model
Study points to a phosphorylation pathway that may contribute to the development of lung injury and fibrosis
A study by researchers at the University of California, San Diego School of Medicine may lead to a way to prevent the progression, or induce the regression, of lung injury that results from use of the anti-cancer chemotherapy drug Bleomycin. Pulmonary fibrosis caused by this drug, as well as Idiopathic Pulmonary Fibrosis (IPF) from unknown causes, affect nearly five million people worldwide. No therapy is known to improve the health or survival of patients.
Their research shows that the RSK-C/EBP-Beta phosphorylation pathway may contribute to the development of lung injury and fibrosis, and that blocking this phosphorylation — a regulatory mechanism in which proteins and receptors are switched on or off — improved Bleomycin-induced lung fibrosis in mice. The study appears on-line October 5 in Proceedings of the Library of Science (PloS ONE).
Bleomycin is a common chemotherapy drug used to treat many forms of cancer, according to study authors Martina Buck, PhD, associate professor of medicine, and Mario Chojkier, MD, professor of medicine, both researchers at UC San Diego Moores Cancer Center and the VA San Diego Healthcare System. “Unfortunately, use of Bleomycin has damaging side effects, including lung fibrosis. We are hopeful that this discovery could provide a way to stop such lung damage so that cancer patients could better tolerate this chemotherapy,” said Buck.
The downstream molecular mechanism that causes Bleomycin-induced lung fibrosis remained unknown. The scientists set out to identify the specific signaling involving a single amino acid within a specific domain of one protein that could be blocked the half the progression of such injury, in order to design effective targeted therapeutics.
They found that blocking RSK phosphorylation of a binding protein called C/EBP-Beta on the RSK macromolecule Thr217 with either a single point mutation or a blocking peptide ameliorated the progression of lung injury and fibrosis induced by Bleomycin in mice.
“We hypothesized that this pathway was critical given similarities between liver and lung fibrogenesis. RSK plays an important role in both the macrophage inflammatory function and survival of activated liver myofibroblasts — cells that contribute to maintenance and tissue metabolism,” said Buck. “Therefore, we proposed that a similar signaling mechanism is also responsible for lung injury and fibrosis.”
By identifying the peptide that shuts down this process, the researchers were essentially able to sequester a small piece of an important regulatory protein, C/EBP Beta, responsible for fibrosis, thereby stopping phosphorylation. “Basically, the kinase protein gets hung up, trying again and again — unsuccessfully — to ‘turn on’ the fibrous growth,” Buck added.
In addition, phosphorylation of human C/EBP-Beta was induced in human lung fibroblasts in culture and in situ in lungs of patients with severe lung fibrosis, but not in control lungs, suggesting that this signaling pathway may be also relevant in human lung injury and fibrosis.
The researchers add that it is premature to assess whether this pathway will provide an effective therapeutic target. However, blocking progression of lung fibrosis could decrease the need for lung transplantation, since IPF is the main indication for lung transplants worldwide.
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A Year Of Terrible School Lunches Exposed
What started as an innocent, if unwelcome school lunch meal, turned into a year-long quest to document what meals were being served to school children daily, Huffington Post reports. In all, Sarah Wu ate 162 school lunches in one year.
Posting in her anonymous blog as Mrs. Q, Sarah Wu, 34, a speech pathologist in the Chicago public schools, wasn´t happy with the choices that the school presented her with: a soggy hot dog, six tater tots, a Jell-O cup and chocolate milk. “That particular meal seemed barely recognizable as food,” she told Good Morning America this week.
“I was struck by the fact that the students I´m working with really rely on the school for so much, including potentially their best meal of the day,” she added
Mrs. Q ate the same school lunches that the students received and published descriptions and photographs of every meal on her blog ℠Fed up With Lunch´, which received 1 million hits last year , she tells GMA.
Ninety percent of the kids in the large elementary school where she works qualified for free and reduced lunches. “Many of my students were coming from poverty,” says Wu. “Their families were living paycheck to paycheck. Many of my students relied on school lunch for their best meal of the day.”
Wu is hoping to point out a troublesome fact about the quality of school lunches, that they are just plain unhealthy. With a third of children in the US overweight or obese, many consumer advocates and parents have been struggling for years for healthier school meals, USA Today reports.
From her Day 42 post on lasagna: Wow. Truly monumentally bad. I couldn´t get through the main entree. I was hungry too“¦ I bit the cheese lasagna and it didn´t even pass muster as pasta! Al dente? No, al crappy. The pasta couldn´t hold its form and it crumbled. I ate two bites and I was done. Yuck.
Producers at Good Morning America reached out to Chicago Public Schools, and the system responded, “Our nutritional standards are designed to exceed the USDA´s gold standard of the healthiest US school challenge guidelines.”
“Chicago Public Schools has increased its choices of fruits and vegetables as well as whole grains and eliminated deep fat frying.”
The Healthy, Hunger-Free Kids Act was signed into law last year by President Barack Obama. The act in part aims to bring healthier meals to schools. And in an effort to reduce starches served in schools, the US Department of Agriculture announced last week a plan to eliminate potatoes from school breakfasts and cut the amount of potatoes served during lunches.
School districts however, to comply with new federal regulations that bring in fresh fruits and vegetables, have seen a rise in prices, The New York Times reported.
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The Secrets Minerva And Its Two Moons
Since the discovery of its two moons, the triple asteroid Minerva has been the focus of space and ground-based telescope studies that have attempted to unravel the secrets of this intriguing system. A multiple-telescope campaign has now revealed that Minerva is unusually round for an asteroid, and has a possibly unique structure.
The campaign to “weigh” the asteroid and derive its density and other characteristics was undertaken by an international team of planetary astronomers led by Franck Marchis, researcher at the Carl Sagan Center of the SETI Institute. Marchis will report on their findings at the EPSC-DPS Joint Meeting 2011 in Nantes, France,
Minerva is the fourth asteroid located in the main-belt known to possess two moons. With a diameter of 156 km and two tiny 5-km size moons, this triple system orbits around the Sun between Mars and Jupiter. The two moons were discovered in 2009 using the Keck II telescope by members of this team. Other triple asteroids in the main-belt are 87 Sylvia (triplicity discovered in 2005), 45 Eugenia (2006), and 216 Kleopatra (2008). Marchis and his team were involved in the discovery of the triplicity of these asteroids and the follow-up studies.
“Very little was known about Minerva apart from the asteroid´s orbit around the Sun and a rough estimate of its size and shape. Shortly after the discovery of its two moons our group focused on re-analyzing previous data from ground-based and space telescopes, and organizing a campaign of new observations to better understand the nature of this intriguing asteroid,” said Marchis.
The team studied the asteroid in detail using the large W.M. Keck telescope in Hawaii and a small robotic telescope at Kitt Peak. Together, these observations enabled the astronomers to make precise determinations of the orbits of the moons by directly imaging the system and by detecting an eclipse event.
“Eighteen months after the discovery of the moons with the 10-m Keck II telescope we requested telescope time with the super-LOTIS telescope, a small 60cm robotic telescope at Kitt Peak, to refine the spin period and shape of the large 156-km asteroid” said Descamps, an astronomer at the Institut de Mecanique Celeste et de Calcul des Ephemerides at Paris, France.
This new result on the shape of Minerva was derived by combining optical data recorded over the past 30 years, the high-resolution images from the sophisticated optics system available at the Keck Observatory, and the result of a stellar occultation observed by US-based amateur astronomers on December 24 2010.
“The determination of the shape was complicated by Minerva´s unusually round form” emphasized Josef Durech, astronomer at Charles University in Prague, Czech Republic, “the shape model could not have been derived without combining these three types of data”.
Interestingly, the three other main-belt asteroids known to have moons have very elongated shapes, suggesting that Minerva may have a different interior composition or structure.
The existence of moons around an asteroid provides a direct means of measuring the mass of the system, and if the size of the central asteroid is well known astronomers can derive its density as well. In the case of Minerva it was possible to determine the size of the asteroid in two different ways: by analyzing the stellar occultation event observed on December 24 2010 and by re-analyzing archived data of the IRAS infrared space telescope obtained in 1983. Both methods indicate that Minerva has a diameter of about 156 km. Assuming a similar composition for the moons and the asteroid, and using the adaptive optics observations from the Keck telescope, the team of astronomers have now concluded that the moons are tiny: around 5 km in diameter.
From the shape, size and mass of the asteroid, the astronomers calculated its density to be 1.9 grams per cubic centimeter. Minerva appears to be a primitive type of asteroid known as a carbonaceous chondrite. Assuming it has the same composition as the denser carbonaceous chondrite meteorites collected on Earth, its macro-porosity, or percentage of empty space, is around 30 percent.
“All large main-belt asteroids known to possess one or several moons have large porosities, possibly due to a rubble-pile interior,” Marchis said. “However Minerva has a significantly higher density than other carbonaceous-type asteroids in multiple systems. We may finally be detecting subtle differences in the compositions of these types of asteroids, something we suspected from studying the composition of carbonaceous chondrite meteorites. These results may provide insight not only into the history and formation of multiple asteroid systems but also the structure and origin of asteroids in general.”
The asteroid 93 Minerva was discovered by J. C. Watson in 1867 at Ann Arbor, Michigan and named after Minerva, the Roman equivalent of Athena, the goddess of wisdom. The moons orbit around the 156-km asteroid at distances of 650 km and 380 km in 58 hours and 27 hours, respectively (near the equator of the primary and in almost perfectly circular orbits). The moons have not yet received official names.
The coauthors of the EPSC-DPS presentation are F. Marchis and his student J.E. Enriquez of the Carl Sagan Center at the SETI Institute, CA; P. Descamps, J. Berthier, F. Vachier of the Institut de Mecanique Celeste et de Calcul des Ephemerides, France; J. Durech Charles University in Prague, Czech Republic; P. Dalba, student at UC Berkeley, CA; A.W. Harris of the DLR Institute of Planetary Research, Berlin, Germany; J.P. Emery of the University of Tennessee at Knoxville; J. Melbourne of Caltech, Pasadena, CA; A. Stockton, H.-Y. Shih, K. Larson and T.J. Dupuy of the University of Hawaii, Honolulu; C.D. Fassnacht of the University of California at Davis, CA. The authors would like to thank the IOTA group for helping to coordinate and gather observations of the December 24 2010 stellar occultation especially the observers: R. Peterson, G. Lucas, J. Ray, S. Herchak, J. Menke, W. Thomas, D.J Dunham , B. Jones, S. Conard
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Image Caption: An artist´s impression depicting the 156-km asteroid Minerva and its two moons. Credit: D Futselaar.
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Cloning Used To Create Human Stem Cells
Scientists have for the first time used a form of cloning to create personalized embryonic stem cells, an important advancement that could impact the study and treatment of diseases such as diabetes, Parkinson´s and Alzheimer´s.
The researchers derived embryonic stem cells from individual patients by adding the nuclei of adult skin cells from patients with type-1 diabetes to unfertilized donor oocytes.
Stem cells are primitive cells that differentiate into the various tissues of the body. Scientists believe stem cells may someday be used in humans to create replacements for diseased or damaged organs.
The idea behind the current research is to take versatile stem cells from early-stage embryos that have been “cloned” to the same DNA as the patient, so that any cells are recognized as friendly by the patient’s immune system. By comparison, conventional cloning involves taking an egg and removing its nucleus, which contains the vital DNA code. The core is then replaced with the nucleus of a cell from the donor, and the two parts are fused together using electricity.
“The specialized cells of the adult human body have an insufficient ability to regenerate missing or damaged cells caused by many diseases and injuries,” said study leader Dr. Dieter Egli at The New York Stem Cell Foundation (NYSCF) Laboratory in New York City.
“But if we can reprogram cells to a pluripotent state, they can give rise to the very cell types affected by disease, providing great potential to effectively treat and even cure these diseases.”
Pluripotent stem cells can give rise to any fetal or adult cell type. However, alone they cannot develop into a fetal or adult animal because they lack the potential to contribute to extra-embryonic tissue, such as the placenta.
“In this three-year study, we successfully reprogrammed skin cells to the pluripotent state. Our hope is that we can eventually overcome the remaining hurdles and use patient-specific stem cells to treat and cure people who have diabetes and other diseases,” he said.
But the scientists were able to demonstrate for the first time that the transfer of the nucleus from an adult skin cell of a patient into an oocyte, without removing the oocyte nucleus, results in reprogramming of the adult nucleus to the pluripotent state. Embryonic stem cell lines were then derived from the oocyte containing the patient´s genetic material.
But since these pluripotent stem cells also have a copy of the chromosome from the oocyte, they contain an abnormal number of chromosomes and are not ready for therapeutic use.
Future work will focus on understanding the role of the oocyte chromosome so that patient- specific stem cells can be made that contain only the patient´s DNA, the researchers said.
In the current study, skin cells from patients with type-1 diabetes and those from a control group were reprogrammed, allowing the derivation of pluripotent stem cells that could potentially be used to create beta cells that produce insulin.
Patients with type 1 diabetes lack insulin-producing beta cells, resulting in insulin deficiency and high blood sugar levels. Producing beta cells from stem cells for transplantation holds promise for the treatment and potential cure of type-1 diabetes.
The study raises the possibility of using somatic cell reprogramming to create banks of stem cells that could be used for a wide range of patients, said Dr. Robin Goland, co-director of the Naomi Berrie Diabetes Center and another collaborator on the work.
However, the researchers caution that further work is necessary before these cells can be used in cell-replacement medicine.
“This research brings us an important step closer to creating new healthy cells for patients to replace their cells that are damaged or lost through injury,” said NYSCF CEO Susan L. Solomon.
“This is an important step toward generating stem cells for disease modeling and drug discovery, as well as for ultimately creating patient-specific cell-replacement therapies for people with diabetes or other degenerative diseases or injuries,” said Dr. Rudolph Leibel, co-director of Columbia´s Naomi Berrie Diabetes Center and a collaborator in the study.
The study was published Wednesday in the journal Nature.
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Steve Jobs, Father Of Innovation, His Legacy Will Live On
Lee Rannals for RedOrbit.com
It couldn’t seem any more appropriate than writing about one of the most influential people in the realm of technology on the very machine he helped design.
Steve Jobs, a man who has encouraged many people by his ambitions and dreams through his work at Apple, passed away on October 5, 2011 after battling with what one could say was the malware of the human body, cancer.
He had been struggling with pancreatic cancer since 2004 and has taken two leave of absences since then to try and straighten things out.
At the moment of his death, Jobs has seen what started in a garage in 1976 become the world’s most valuable company in 2011.
It seems as if everything he touched had pure innovation and integrity in an industry that was mostly driven by rip-offs of whatever he helped create.
Jobs left his post as CEO of Apple on August 24 this year, leaving the reigns of his position to Tim Cook. This was not the first time he left the position at the empire he helped to build.
He originally left the company in 1985 and started other endeavors that still live on to this day as million dollar companies.
Jobs helped start Pixar Animation Studios in 1986, seeing blockbuster hits like Toy Story and A Bug’s Life take off under his command as CEO.
Apple knows the value of Jobs as a business leader more than any other company he has been a part of.
The company brought back Jobs into the picture after almost filing for bankruptcy in 1996. Since then, Apple has sold over 300 million iPods, holds over 68 percent of the tablet computer market share with the iPad, and has one of the most popular smartphones in the world with its iPhone.
Despite the popularity of all the products Jobs saw come out under his leadership, the most influential in my life was his innovative software. Any designer that has the intuitiveness of Steve Jobs could pull out an eye-appealing product, but no other company has been able to back it up with software as well as the company Jobs co-founded.
Jobs reliability in software, and obviously choosing his programmers, was the reason my dad first introduced me to a Mac in the 1980s. Jobs made sure everything was pristine and slick with his Mac computer line, right down to the packaging.
When his new iMac computer entered our household, my family sat around a box and took pictures of each step of unpacking the new product, including the instruction manual (which consisted of a couple of images to show how to plug it into a wall).
New York Times released a report after Jobs resigned in August saying that he had 317 patents to his name in Apple products, including a glass staircase he designed for an Apple Store.
Jobs was more than a business man, but an innovator, and one who will live on with how our world has been shaped because of his standard. My only hope is that another young mind as brilliant and creative as Steve Jobs is out there somewhere, tinkering with a new idea or concept in their garage.
Apple and the world of technology will not quite ever be the same without the father of innovation, but we know his thumbprint in our world of devices is so big that we will be able to move on in a fashion only Jobs himself could’ve designed.
Study Finds Non-English Speaking Head And Neck Cancer Patients Have Significantly Worse Outcomes
Researchers from Boston Medical Center (BMC) and Boston University School of Medicine (BUSM) have found that among advanced head and neck cancer (HNC) patients receiving radiation-based treatment (RT), being non-English speaking (NES) was a more significant predictor of treatment outcome than being of non-white race. The findings, to be presented at the 53rd annual American Society for Radiation Oncology (ASTRO) annual meeting in Miami, Florida, suggest that language barriers may play a role in health-care disparities and that further interpreter/translation services are warranted in the care of such diverse patients.
The United States has tremendous ethnic and linguistic diversity. According to the 2005-2007 American Community Survey, minorities comprise 26 percent of the population, and nearly 20 percent of Americans speak a language other than English at home. By 2050, it is projected that minorities will comprise about half of the US population, with a similar increase in individuals speaking a language other than English at home.
According to the researchers cultural disparities have been identified within cancer care in the United States. The purpose of this study was to evaluate how race and language affect treatment outcomes in patients treated with curative intent radiotherapy in head and neck cancer.
To do this, the researchers performed a retrospective study of 132 individuals (68.2 percent male, 31.8 percent female) with non-metastatic and non-recurrent HNC, with no prior history cancer who underwent curative intent RT. Analyses were conducted to assess differences between patient, treatment and tumor characteristics by race and language spoken.
“Interestingly, we showed that while race does impact cancer outcomes, non-English speaking patients had significantly worse outcomes,” explained co-author Minh Tam Truong, MD, Clinical Director of Radiation Oncology at BMC and assistant professor of radiation oncology at BUSM. “It is important for health-care providers to be aware of these differences and take steps to ensure open communication in directing cancer treatment,” she added.
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Green Tea Can Help Keep Extra Pounds Off
Green tea may slow down weight gain and serve as another tool in the fight against obesity, according to Penn State food scientists.
Obese mice that were fed a compound found in green tea along with a high-fat diet gained weight significantly more slowly than a control group of mice that did not receive the green tea supplement, said Joshua Lambert, assistant professor of food science in agricultural sciences.
“In this experiment, we see the rate of body weight gain slows down,” said Lambert.
The researchers, who released their findings in the current online version of Obesity, fed two groups of mice a high-fat diet. Mice that were fed Epigallocatechin-3-gallate — EGCG — a compound found in most green teas, along with a high-fat diet, gained weight 45 percent more slowly than the control group of mice eating the same diet without EGCG.
“Our results suggest that if you supplement with EGCG or green tea you gain weight more slowly,” said Lambert.
In addition to lower weight gain, the mice fed the green tea supplement showed a nearly 30 percent increase in fecal lipids, suggesting that the EGCG was limiting fat absorption, according to Lambert.
“There seems to be two prongs to this,” said Lambert. “First, EGCG reduces the ability to absorb fat and, second, it enhances the ability to use fat.”
The green tea did not appear to suppress appetite. Both groups of mice were fed the same amount of high-fat food and could eat at any time.
“There’s no difference in the amount of food the mice are eating,” said Lambert. “The mice are essentially eating a milkshake, except one group is eating a milkshake with green tea.”
A person would need to drink ten cups of green tea each day to match the amount of EGCG used in the study, according to Lambert. However, he said recent studies indicate that just drinking a few cups of green tea may help control weight.
“Human data — and there’s not a lot at this point — shows that tea drinkers who only consume one or more cups a day will see effects on body weight compared to nonconsumers,” said Lambert.
Lambert, who worked with Kimberly Grove and Sudathip Sae-tan, both graduate students in food science, and Mary Kennett, professor of veterinary and biomedical sciences, said that other experiments have shown that lean mice did not gain as much weight when green tea is added to a high fat diet. However, he said that studying mice that are already overweight is more relevant to humans because people often consider dietary changes only when they notice problems associated with obesity.
“Most people hit middle age and notice a paunch; then you decide to eat less, exercise and add green tea supplement,” said Lambert.
The National Institutes of Health supported this work.
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Overweight Kids Have Greater Risk Of High Blood Pressure
Overweight or obese kids are at three times greater risk for high blood pressure compared with children of normal weight, according to researchers from the Regenstrief Institute and Indiana University School of Medicine.
The four and a half year study of 1,111 healthy Indiana school children revealed that when the children’s body mass index (BMI) reached or passed the 85th percentile, the adiposity effect on blood pressure was more than four times that of normal weight children. Adiposity is fat under the skin and surrounding major organs.
BMI levels are not typically used to classify weight status in children because change in BMI is normal and expected as children grow and develop. Instead, BMI percentiles are used, which adjust for age and gender.
The researchers found when children reached categories of overweight or obese, the influence of adiposity on blood pressure increased.
“Higher blood pressure in childhood sets the stage for high blood pressure in adulthood,” said Dr. Wanzhu Tu, the study´s lead author and Professor of Biostatistics at Indiana University School of Medicine in Indianapolis, Indiana.
“Targeted interventions are needed for these children. Even small decreases in BMI could yield major health benefits.”
Among study participants, 14 percent of the blood pressure measurements from overweight/obese children were in prehypertensive or hypertensive levels, compared with just 5 percent in normal weight children.
Blood levels of leptin, a hormone in fat tissues, and heart rate had a similar pattern as blood pressure, so leptin may have played a mediating role in obesity-induced blood pressure elevation, the researchers said.
The study underscores the importance of separately considering overweight and obese children from those of normal weight. Otherwise, the adiposity effect is overestimated in normal weight children and underestimated in overweight children.
“The adiposity effects on blood pressure in children are not as simple as we thought,” Tu said.
On average, children in the study underwent 8.2 assessments each, for a total of 9,102 semi-annual blood pressure and height/weight assessments to determine BMI. The average enrollment age was 10.2 years, with children stratified into 10 years and under, 11-14 and 15 and older. Children with BMI percentile values over 85 percent were considered overweight and those with BMI values over 95 percent were considered obese.
“Important questions that remain unanswered are what makes the blood pressure go up when you have an increase in the BMI percentile and what mechanisms are involved in the process,” Tu said.
“This study wasn’t set up to answer those questions.”
Further study may determine how the increase in adiposity affects blood pressure and whether other factors such as leptin, insulin or inflammatory cytokines may play a role.
In the meantime, Tu said healthcare providers and parents should pay attention to children’s weight.
“If they see a dramatic weight gain in a child who already is overweight, they need to intervene with behavioral measures, such as dietary changes and increased physical activity, to improve overall health and minimize cardiovascular risk.”
The study appears in the November 2011 issue of the journal Hypertension, with advance online publication on Oct. 3.
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Brain Makes Memories Rhythmically
The brain learns through changes in the strength of its synapses — the connections between neurons — in response to stimuli.
Now, in a discovery that challenges conventional wisdom on the brain mechanisms of learning, UCLA neuro-physicists have found there is an optimal brain “rhythm,” or frequency, for changing synaptic strength. And further, like stations on a radio dial, each synapse is tuned to a different optimal frequency for learning.
The findings, which provide a grand-unified theory of the mechanisms that underlie learning in the brain, may lead to possible new therapies for treating learning disabilities.
The study appears in the current issue of the journal Frontiers in Computational Neuroscience.
“Many people have learning and memory disorders, and beyond that group, most of us are not Einstein or Mozart,” said Mayank R. Mehta, the paper’s senior author and an associate professor in UCLA’s departments of neurology, neurobiology, physics and astronomy. “Our work suggests that some problems with learning and memory are caused by synapses not being tuned to the right frequency.”
A change in the strength of a synapse in response to stimuli — known as synaptic plasticity — is induced through so-called “spike trains,” series of neural signals that occur with varying frequency and timing. Previous experiments demonstrated that stimulating neurons at a very high frequency (e.g., 100 spikes per second) strengthened the connecting synapse, while low-frequency stimulation (e.g., one spike per second) reduced synaptic strength.
These earlier experiments used hundreds of consecutive spikes in the very high-frequency range to induce plasticity. Yet when the brain is activated during real-life behavioral tasks, neurons fire only about 10 consecutive spikes, not several hundred. And they do so at a much lower frequency — typically in the 50 spikes-per-second range.
In other words, said Mehta, “spike frequency refers to how fast the spikes come. Ten spikes could be delivered at a frequency of 100 spikes a second or at a frequency of one spike per second.”
Until now, researchers had been unable to conduct experiments that simulated more naturally occurring levels. But Mehta and co-author Arvind Kumar, a former postdoctoral fellow in his lab, were able to obtain these measurements for the first time using a sophisticated mathematical model they developed and validated with experimental data.
Contrary to what was previously assumed, Mehta and Kumar found that when it comes to stimulating synapses with naturally occurring spike patterns, stimulating the neurons at the highest frequencies was not the best way to increase synaptic strength.
When, for example, a synapse was stimulated with just 10 spikes at a frequency of 30 spikes per second, it induced a far greater increase in strength than stimulating that synapse with 10 spikes at 100 times per second.
“The expectation, based on previous studies, was that if you drove the synapse at a higher frequency, the effect on synaptic strengthening, or learning, would be at least as good as, if not better than, the naturally occurring lower frequency,” Mehta said. “To our surprise, we found that beyond the optimal frequency, synaptic strengthening actually declined as the frequencies got higher.”
The knowledge that a synapse has a preferred frequency for maximal learning led the researchers to compare optimal frequencies based on the location of the synapse on a neuron. Neurons are shaped like trees, with the nucleus being the base of the tree, the dendrites resembling the extensive branches and the synapses resembling the leaves on those branches.
When Mehta and Kumar compared synaptic learning based on where synapses were located on the dendritic branches, what they found was significant: The optimal frequency for inducing synaptic learning changed depending on where the synapse was located. The farther the synapse was from the neuron’s cell body, the higher its optimal frequency.
“Incredibly, when it comes to learning, the neuron behaves like a giant antenna, with different branches of dendrites tuned to different frequencies for maximal learning,” Mehta said.
The researchers found that not only does each synapse have a preferred frequency for achieving optimal learning, but for the best effect, the frequency needs to be perfectly rhythmic — timed at exact intervals. Even at the optimal frequency, if the rhythm was thrown off, synaptic learning was substantially diminished.
Their research also showed that once a synapse learns, its optimal frequency changes. In other words, if the optimal frequency for a naïve synapse — one that has not learned anything yet — was, say, 30 spikes per second, after learning, that very same synapse would learn optimally at a lower frequency, say 24 spikes per second. Thus, learning itself changes the optimal frequency for a synapse.
This learning-induced “detuning” process has important implications for treating disorders related to forgetting, such as post-traumatic stress disorder, the researchers said.
Although much more research is needed, the findings raise the possibility that drugs could be developed to “retune” the brain rhythms of people with learning or memory disorders, or that many more of us could become Einstein or Mozart if the optimal brain rhythm was delivered to each synapse.
“We already know there are drugs and electrical stimuli that can alter brain rhythms,” Mehta said. “Our findings suggest that we can use these tools to deliver the optimal brain rhythm to targeted connections to enhance learning.”
Funding for the study was provided by the National Science Foundation, the National Institutes of Health, the Whitehall Foundation, and the W.M. Keck Foundation. The authors report no conflict of interest.
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Multiple Surgeries And Anesthesia Exposure
Every year millions of babies and toddlers receive general anesthesia for procedures ranging from hernia repair to ear surgery. Now, researchers at Mayo Clinic in Rochester have found a link among children undergoing multiple surgeries requiring general anesthesia before age 2 and learning disabilities later in childhood.
The study, which will be published in the November 2011 issue of Pediatrics (published online Oct. 3), was conducted with existing data of 5,357 children from the Rochester Epidemiology Project and examined the medical and educational records of 1,050 children born between 1976 and 1982 in a single school district in Rochester.
“After removing factors related to existing health issues, we found that children exposed more than once to anesthesia and surgery prior to age 2 were approximately three times as likely to develop problems related to speech and language when compared to children who never underwent surgeries at that young age,” says David Warner, M.D., Mayo Clinic anesthesiologist and co-author of the study.
Among the 5,357 children in the cohort, 350 underwent surgeries with general anesthesia before their second birthday and were matched with 700 children who did not undergo a procedure with anesthesia. Of those exposed to anesthesia, 286 experienced only one surgery and 64 had more than one. Among those children who had multiple surgeries before age 2, 36.6 percent developed a learning disability later in life. Of those with just one surgery, 23.6 percent developed a learning disability, which compares to 21.2 percent of the children who developed learning disabilities but never had surgery or anesthesia before age 2. However, researchers saw no increase in behavior disorders among children with multiple surgeries.
“Our advice to parents considering surgery for a child under age 2 is to speak with your child’s physician,” says Randall Flick, M.D., Mayo Clinic pediatric anesthesiologist and lead author of the study. “In general, this study should not alter decision-making related to surgery in young children. We do not yet have sufficient information to prompt a change in practice and want to avoid problems that may occur as a result of delaying needed procedures. For example, delaying ear surgery for children with repeated ear infections might cause hearing problems that could create learning difficulties later in school.”
This study, funded by the U.S. Food and Drug Administration, examines the same population data used in a 2009 study by Mayo Clinic researchers, which reviewed records for children under age 4 and was published in the medical journal Anesthesiology.
The 2009 Mayo Clinic study was the first complete study in humans to suggest that exposure of children to anesthesia might affect development of the brain. Several previous studies suggested that anesthetic drugs might cause abnormalities in the brains of young animals. The study released today is significant because it examines children experiencing anesthesia and surgeries under age 2 and removes factors associated with existing health issues.
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Fat Tax For Denmark, More Countries To Follow?
Denmark – known for its propensity for fatty, rich foods – will now require its residents to pay a bit more for the privilege of tucking into chips and fried foods. A so-called “fat tax” has been enacted by Denmark´s outgoing government in a bid to limit the population´s intake of fatty foods, The Guardian is reporting.
Everything from milk to oils, meats and pre-cooked foods such as pizzas will be targeted with the additional revenue to be used for funding obesity-fighting measures.
Consumers on Saturday, the day before the tax went into effect, hoarded butter, pizza, meat and milk to avoid the immediate price increases. “We have had to stock up with tons of butter and margarine in order to be able to supply outlets,” Soeren Joergensen of Arla Distribution told AFP.
“The way that this has been put together is an administrative nightmare, and I doubt whether it will give better health. It´s more just a tax,” said DI foodstuffs spokeswoman Gitte Hestehave.
Setting prices on domestically produced or imported goods was complicated, with computer systems having to be adjusted, adding many man-hours to administrative tasks for producers and sellers, Hestehave told BBC News.
“Products that include other products that include saturated fats also have to have new prices worked out. Imported goods require a declaration from the producers abroad on exactly how much saturated fat has been used in production.”
“Hopefully the tax will be short-lived,” EU legal expert Jeppe Rosenmejer of the Danish Federation of Small and Medium-sized Enterprises said, addign that the European Union is currently studying the tax as there may be a competition issue.
A Danish producer will have to pay the tax on all of the saturated fat used, including for example what a product is fried in, he said. An importer may only be paying according to what is actually in the finished product.
Elsewhere in Europe, similar taxes are growing in popularity, Hungary recently imposed a tax is on all packaged foods containing unhealthy levels of sugar, salt, and carbohydrates, as well as products containing high levels of caffeine, The Telegraph reports.
And a 2007 study in Britain concluded that a combination of taxes on unhealthy foods and tax breaks on fruit and vegetables could save 3,200 lives a year in the UK, reports The Guardian.
UK´s Health Minister Andrew Lansley has up until now resisted calls for taxes on unhealthy foods, but there is a growing chorus calling for some action to combat Britain´s obesity problem.
Many Parents Do Not Follow Vaccination Schedule
More than one in ten parents use an “alternative” vaccination schedule for their young children, with many either delaying or skipping vaccinations altogether, putting their kids at serious risk, a new study has found.
US government health officials say that, by age 6, children should have vaccinations against 14 diseases, in as many as two dozen separate doses.
But researchers worry that more and more parents may be refusing to vaccinate their children, which raises the risk that diseases like measles and whooping cough will run rampant through schools and communities.
One in 5 parents believe that delaying shots is safer than the recommended schedule. The results of the study suggest that more than 2 million infants and young children may not be fully protected against preventable diseases, including some that can be deadly or disabling.
In the national survey of 750 parents of children age 6 or younger, conducted last year and released online Monday in the journal Pediatrics, researchers found that many parents have doubts about the safety of vaccinations, even among those who fully vaccinate their children. Twenty-eight percent of the parents in the study believe that an alternative vaccination schedule — which spaces out shots over time — is safer than receiving several shots at once.
The results are very disconcerting. Health officials from the US Centers for Disease Control and Prevention (CDC) said that unvaccinated people have fueled an outbreak of measles, which have sickened nearly 200 people in the first eight months of this year. Mumps and whooping cough have also broken out in the US over the past two years.
Much of the skepticism and confusion about vaccine safety could stem from a 1998 study in The Lancet, which linked vaccines to autism. That evidence has since been refuted and revealed as fraudulent, said Ari Brown, a doctor and spokeswoman for the American Academy of Pediatrics.
“I was stunned at the high number of parents who choose a selective vaccination schedule,” she said. “That number is much higher than the number of parents who do this in my office.”
The study found that parents were most likely to skip vaccinations against swine flu and seasonal flu. Parents were least likely to skip the polio vaccine. Researchers noted that white parents were more likely to follow an alternative vaccine schedule, as were families who didn´t have a regular physician.
Claire McCarthy, a pediatrician at Children´s Hospital Boston, said doctors need to take time to address parents´ questions. “Some of the people who refuse vaccines are anti-vaccine people whose minds are made up. But many are just worried parents who want to do the right thing, who have heard misinformation and don’t know whom to trust. Taking the time to talk to talk with them and give them good information could make all the difference,” she told Liz Szabo of USA TODAY.
Children whose parents opt out of one or more vaccines are 22 times more likely to contract measles and nearly six times more likely to contract whooping cough, according to background research cited in the study.
Unvaccinated babies are even more vulnerable, because they are at greater risk of complications from many infections, Douglas Diekema, a doctor and bioethicist at Seattle Children’s Research Institute, told Szabo.
Dr. Amanda Dempsey, a pediatrician and researcher at the University of Michigan, and lead author of the study, said skepticism about vaccination is fueled by flawed information found online and media reports that dramatically play up misconceptions. And some parents dismiss the severity of preventable diseases because they have never seen a child seriously ill with such illnesses.
“The vaccines that we recommend have been so effective in largely eliminating the vaccine-preventable diseases that most parents don’t have first, second or even third hand experience with these diseases,” Dempsey told Reuters Health.
Whether or not to get their kids vaccinated “is more of a theoretical concern or concept for them,” she said. But, she added, “These are really real risks that are out there. None of these diseases are completely eradicated.”
“From being someone in the trenches seeing children die every year from influenza and its complications … I would not do a single thing to risk the health of my kids,” Dr. Buddy Creech, associate director of Vanderbilt University’s Vaccine Research Program, who also has two fully-vaccinated school-age children and an infant, told the Associated Press (AP).
Because no vaccine protects 100 percent of children who get it, epidemiologists rely on “herd immunity” to make sure enough kids are well enough protected to keep a disease from spreading. But that immunity gets thrown off when there are more youngsters who haven’t had their recommended vaccines.
Dr. Larry Pickering, an infectious disease specialist at the CDC, told AP that the new survey is important and well done, and indicates that doctors need to do a better job of communicating vaccine information to patients.
Pickering supports the idea of parents being actively involved in medical care for their children, but cautioned: “If they’re going to do that, they need to be fully informed about the risks and benefits of vaccines and need to obtain the information from a valid source.”
The CDC, the American Academy of Pediatrics and the American Academy of Family Physicians are among groups that provide online vaccine information based on medical research.
The CDC´s vaccination schedule for kids six and younger includes shots for the protection against measles, mumps, rubella, whooping cough, chicken pox, hepatitis and seasonal flu (including swine flu). The full recommended schedule can be found here.
Dempsey has been a paid advisor to Merck on issues regarding a vaccine for older children but said that company made no contributions to the survey research. Knowledge Networks conducted the survey, which had an error margin of plus or minus 5 percentage points.
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Helicopter View Feature for Google Maps Unveiled
Over this past weekend, Google Maps rolled out a new, 3D bird’s-eye view which allows users of the navigation service to explore as if they were traveling in a virtual helicopter, various media outlets reported on Sunday.
According to Simon Tomlinson of the Daily Mail, “The new feature gives you a moving aerial perspective of your route when you enter start and end destinations in Google Maps“¦ The journey is automatically followed, although you can pause it anywhere in the 3D display and drag the map around to explore the surrounding area or landmarks.”
Viewers will have to have the Google Earth plug-in installed in order for the new helicopter mode to work, notes Chris Davies of Slashgear. Furthermore, Davies says that in order to even locate the 3D button, which appears next to “driving directions” in the left-hand bar, users must first have clicked the “Earth” mapping option that appears by mousing-over the upper right corner.
“To help you keep track of which step you are on, the current leg of the trip is highlighted in the left panel. You can also jump to a different part of the trip by clicking on a different step,” Google Maps Engineer Paul Yang wrote in a September 29 blog entry announcing the new feature.
Yang added that users can switch back to 2D at any time by pressing the “2D” button in the left panel.
Yang’s blog entry includes a photo of the California coastline, as it appears in Helicopter View, while Tomlinson’s October 2 article features 3D renderings of London’s Buckingham Palace and Canary Wharf, which can be viewed from multiple perspectives using the new Google Maps feature.
“Getting directions is one of the most popular features on Google Maps, whether it be for driving, walking, biking or transit,” said Yang, adding that Helicopter View “allows you to bring your upcoming trip to life.”
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Teenagers Feeling Pressure To Be Involved In ‘Sexting’
New government-funded research says teenagers are “sexting” because they are facing pressure from peers and media.
Melbourne University researcher Shelley Walker told the Australasian Sexual Health Conference on Thursday that men were made to feel their masculinity was in question if they did not partake in sexting.
Walker said her study involved interviews with 15 male and 18 female participants between the ages of 15 and 20. She said all of the participants had “at least one story to share, if not more.”
She said the study highlighted the need for young people to have a greater say in how to respond to sexting.
The study participants talked about the increasingly sexual nature of advertising and the sexual behavior of adult role models.
A 16-year-old boy in the study said he thought sexting was a big problem no one was taking seriously.
The researchers said both genders in the study talked about the pressure girls experienced from boyfriends or strangers to reciprocate on exchanging sexual images.
They said some young women talked about the expectation to be involved in sexting.
Walker said sexting is becoming out of control as young people keep up with new technologies being made available through smartphones.
“Our study reveals how complex and ever-changing the phenomenon of ℠sexting´ is and that continued meaningful dialogue is needed to address and prevent the negative consequences of sexting for young people,” she said in a press release.
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Alarm Clock Gene Controls When You Wake Up
Did you wake up before your alarm clock this morning? Don´t blame the neighbor´s barking dog, it may be your own genes telling you to get out of bed. Researchers at the Salk Institute for Biological Studies have identified a gene responsible for starting the your biological clock from its restful state in the morning.
Your biological clock ramps up our metabolism early each day, initiating important physiological functions that tell our bodies that it´s time to rise and shine.
Discovery of this new gene highlights the genetic underpinnings of sleeplessness, aging and chronic illnesses, such as cancer and diabetes, and researchers are hoping to lead to new therapies for these illnesses.
Satchindananda Panda, an associate professor in Salk´s Regulatory Biology Laboratory, who led the research along with Luciano DiTacchio, a post-doctoral research associate says, “The body is essentially a collection of clocks.”
“We roughly knew what mechanism told the clock to wind down at night, but we didn´t know what activated us again in the morning. Now that we´ve found it, we can explore more deeply how our biological clocks malfunction as we get older and develop chronic illness.”
In a report published in the journal Science, the Salk researchers and their collaborators at McGill University and Albert Einstein College of Medicine describe how the gene KDM5A encodes a protein, JARID1a, that serves as an activation switch in the biochemical circuit that maintains our circadian rhythm.
The discovery fills in a missing link in the molecular mechanisms that control our daily wake-sleep cycle. The central player of our biological clock is a protein called PERIOD (PER). The number of PER proteins in each of our cells rises and falls every 24 hours.
Our cells use the level of PER protein as an indicator of the time of the day and tell our body when to sleep or be awake. As we age, the biological clock declines, which can cause older people to suffer difficulty sleeping and there is strong evidence that shift workers, nurses and emergency personnel working long shifts are at higher risk for certain diseases.
Diabetes, another chronic disease, is tied to metabolic cycles controlled by the biological clock. The conversion of sugars into fat, which normally occurs only at certain times of day, often seems to take place all day long in diabetics´ bodies, suggests the clock has lost control.
Daily metabolic cycles are fundamental to operation of our genetic mechanisms controlling how cells grow and divide, both in normal development and in cancer.
“So much of what it means to be healthy and youthful comes down to a good night´s sleep,” Panda says. “Now that we have identified JARID1a in activating our daytime cycle, we have a whole new avenue to explore why some people´s circadian rhythms are off and to perhaps find new ways to help them.”
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Image 2: The circadian clock depicts a person’s regular physiological events during certain hours of the day. Credit: Courtesy of Salk Institute for Biological Studies
Image 3: The circadian clock illustrates the many diseases that manifest in a person during certain times of the day. Credit: Courtesy of Salk Institute for Biological Studies
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Cheap Soviet-era Pill Could Help Smokers Quit
A Soviet-era pill from Bulgaria, used for smoking-cessation, may be the cheapest and most effective method to help cigarette smokers quit their unhealthy habit, according to the first large study of the remedy.
The tablets, called Tabex, have been shown to more than triple a smoker´s chances of quitting. The research could aid in the in the lead to a rush of Internet orders from smokers who are hooked on nicotine.
Tabex uses the drug Cytisine, which is an extract from the laburnum seeds of the Golden Rain acacia that was first marketed in Bulgaria in 1964.
Dr. Robert West, a professor at the University College London whom led the recent study on cytisine, told The Associated Press (AP) that it was discovered by the Soviet Union when it expanded its drug research to Bulgaria. Russian soldiers referred to it as “fake tobacco.”
It is believed the drug could become a new weapon to combat smoking in poor countries, but it remains unclear whether it will ever make it to US or Western European markets.
“It is possible that extensive bureaucracy and overcautious regulations will prevent its use in the U.S. and Europe,” Peter Hajek, director of the Tobacco Dependence Research Unit at Queen Mary University Hospital in London, told AP reporter Maria Cheng.
Currently, Cytisine is only used in Eastern Europe, where smokers usually take the pill for three to four weeks. Generic versions cost anywhere from $5 to $17 per month, compared with about $100 for a two-month supply of nicotine patches or about $300 for a three-month supply of Pfizer´s Chantix pill.
The study, published in the New England Journal of Medicine, tested 740 volunteers from Poland. It found that 8.4 percent of those who were given cytisine for 25 days quit smoking for one year, compared to 2.4 percent in the placebo group.
That success rate is comparable to treatment with nicotine patches and other anti-smoking drugs like Chantix and Zyban, West told Reuters Health.
Cytisine “is so cheap that even in developing countries, if you can afford to smoke, you can afford to stop,” he said.
Although, if a big drugmaker got involved, the price would probably jump, said Hajek.
About 95 percent of smokers who try to quit without a smoking-cessation aid fail to do so within six months, and more than two-thirds of the world´s 1 billion smokers live in developing countries.
Nearly 14 percent of people taking cytisine in the study reported stomach problems such as nausea, compared to 8 percent in the placebo group. Two deaths had occurred in the cytisine group, one from lung cancer and one from cardiac arrest. There were three deaths in the placebo group; one from lung cancer, one from stroke and the third from respiratory illness. Cytisine users also reported more dizziness and sleep problems.
There have been no signs of any serious side effects in the more than 7 million people who have used cytisine in the past 40 years, according to data taken from health agencies in countries where the drug is licensed.
Experts expect Tabex to prove as effective as many existing smoking-cessations aids on the market today and could ultimately save the National Health Service (NHS) tens of millions of dollars annually because the drug is so cheap.
A spokesman with the Department of Health the Guardian: “This drug sounds promising, especially as a lower cost alternative to help smokers to quit in developing countries. We will look at whether the medicine has prospects for use in the UK.”
“We recognize that stopping smoking can be extremely difficult and we hope that by using cytisine as a substitute for nicotine, the results of this trial could transform the health of nations around the globe by offering a practical option, even for the poorest smokers,” West added.
“We need some bigger trials first, but this pill may yet offer a low-cost treatment to help people break this harmful habit,” Doireann Maddock, a senior cardiac nurse at the British Heart Foundation told the Guardian.
Although some previous studies have suggested that cytisine can help smokers quit, they have not been definitive.
“Cytisine has been lurking in the background in tobacco control for quite a while,” said Thomas Glynn, director of international cancer control for the American Cancer Society, who was not connected with the new research. “There has never been a large well-conducted study done before. This isn’t definitive, but it’s a breakout study for cytisine.”
The study was paid for by Britain’s Medical Research Council, while the cytisine and the placebo pills were provided by Sopharma AD.
Cytisine “looks promising, but the jury is still out,” said Dr. Michael Fiore, director of the Center for Tobacco Research and Interventions at the University of Wisconsin, Madison, who had no role in the study. Fiore said that more studies are needed to confirm the findings, but that an inexpensive anti-smoking drug would be useful anywhere.
The World Health Organization reports most of the six million people who die from tobacco each year are located in poor countries. The organization reports that tobacco will likely lead to the premature deaths of about half of the estimated one billion people who currently smoke cigarettes.
Extab, a Sopharma subsidiary, has purchased the worldwide rights to market cytisine in developing nations such as China and India.
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Astronomy Team Looking For Lost ‘Snoopy’ Module From Apollo 10
A team of amateur astronomers have teamed up with scientists at the University of Glamorgan to search for a Lunar Module known as “Snoopy” sent off during Apollo 10 in May 1969.
Snoopy was sent off in an orbit around the Sun, and it is still traveling through space somewhere.
The Faulkes Telescope team is working with other astronomers and schools to try and find Snoopy.
“The whole history of Apollo is remarkable and include some of the most inspiring scientific and explorative missions in history” Nick Howes, a U.K. amateur astronomer working on the project, said in a press release. “After the success of our recent asteroid detection project, where we regularly discovered extremely faint, fast-moving objects, we were considering what we could do next.”
Other attempts to find Snoopy have had no success, but the team is aware of the challenge and ready to give the search another go.
“To say it´s like finding a needle in a haystack is doing a disservice to the haystack,” Dr. Paul Roche, head of astronomy at Glamorgan University said in a press release. “Whilst there are records of the last known movements and orbital information for Snoopy, this is going back over 40 years.”
“The module has been affected by the gravity of the Sun, Earth and Moon for all that time, and all sorts of other factors mean we need to search a very big chunk of sky for this thing,” Roche added.
The project will attempt to post regular coordinate data which the teams will then examine on a daily basis.
“There will be a huge search field to examine, so this is not something which will happen overnight. It could take weeks, months, years – or we may possibly never find it,” Dr. Sarah Roberts, Education Director of the Faulkes Telescope Project at Glamorgan said in the press release. “But we´re going to try, and as a bonus, the areas we´ll be searching will hopefully throw up new asteroids, so there will be useful results whether we find Snoopy or not.”
The team will use NASA archives to determine the last known speed and direction of the module. They said they are encouraged by the re-discovery of the Apollo 12 third stage rocket in 2002.
The team will also be working with Mike Loucks of “Space Exploration Engineering.”
“When I first heard about this project I was very intrigued. I did similar work in 2003 to investigate the trajectory of an Apollo 12 Saturn V rocket stage,” Loucks, who worked to reconstruct the Apollo 13 trajectory in 2000, said in a press release.
“Using the techniques from both of those cases, along with some advanced trajectory tools we use to fly real lunar missions; hopefully we can narrow down the search areas to something manageable and give the team a fighting chance of finding Snoopy.”
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Image Caption: Ascent stage of Apollo 10 Lunar Module seen from Command module Description: The ascent stage of the Apollo 10 Lunar Module (LM) is photographed from the Command Module prior to docking in lunar orbit. The LM is approaching the Command and Service Modules from below. The LM descent stage had already been jettisoned. The lunar surface in the background is near, but beyond the eastern limb of the moon as viewed from earth (about 120 degrees east longitude). The red/blue diagonal line is the spacecraft window. ID: AS10-34-5112 Credit: NASA Johnson Space Center (NASA-JSC)
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Drunken Behavior The Fault Of Our Immune System
Researchers from the University of Adelaide are finding out that how your body responds to alcohol is strongly tied to the reaction of immune cells in your brain. Some well-known reactions to alcohol include impaired ability to control the muscles involved in walking and talking.
“It´s amazing to think that despite 10,000 years of using alcohol, and several decades of investigation into the way that alcohol affects the nerve cells in our brain, we are still trying to figure out exactly how it works,” says lead researcher Dr. Mark Hutchinson, ARC Research Fellow with the University´s School of Medical Sciences.
“Alcohol is consumed annually by two billion people world-wide with its abuse posing a significant health and social problem,” Hutchinson explains. “Over 76 million people are diagnosed with an alcohol abuse disorder.
This immune response from the brain could help explain why some imbibers are quickly affected after a few drinks. Some people begin slurring their words and losing their inhibitions after a single glass of wine, while others can enjoy many drinks with few ill effects.
The researchers who carried out the study focused on how alcohol affects glial cells, which comprise 90 percent of the brain, The Telegraph is reporting. Glial cells play are important in immune responses, helping to fight infections such as meningitis.
The research showed that shutting off the immune response prevented the mice in the study that were given alcohol from getting drunk, according to the British Journal of Pharmacology study. The reflexes of the mice were much better and they also found it much easier to balance and walk than animals whose brain immune cells were allowed to work normally after consuming the alcohol.
“When a mouse gets drunk, it is quite similar to a human that´s drunk. It can´t work its motor coordination properly. If you stop these immune cells from working, the animals didn´t get drunk,” Hutchinson said.
This research has important implications for understanding how alcohol affects us in immunological and neuronal responses. Individuals who may have bad outcomes after consuming alcohol could benefit greatly and further research could detect people who are at greater risk of developing brain damage after long-term drinking.
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Image Caption: University of Adelaide researchers have found that immune cells in your brain may contribute to how you respond to alcohol. Image Credit: Nomad_Soul / Shutterstock
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Hip Fractures Associated With Death Rates in Elderly Women
(Ivanhoe Newswire) — Hip fractures are associated with death within one year for women ages 65-79 years and healthy women ages 80 years and older. The risk returns to previous level after one year for women ages 70 and older, according to this study.
Nearly 300,000 hip fractures occur each year in the United States, causing substantial short- and long-term disability and increased mortality. Previous research to determine the mortality risk associated with hip fracture has not always accounted for differences in health status.
“Such methodological limitations have made it difficult to determine whether the noted increase in mortality after hip fracture is the result of underlying poor health or the hip fracture itself,” the authors were quoted as saying. Additionally, studies that explored the influence of age on mortality after hip fracture have conflicting results. The researchers sought to determine the short-term (one year or less), intermediate-term (between one and five years) and long-term (between five and 10 years) mortality associated with hip fracture, as well as whether healthy women ages 80 years and older would have increased mortality associated with hip fracture when compared with healthy controls of the same age.
Erin S. LeBlanc, M.D., M.P.H., from the Center for Health Research, Kaiser Permanente Northwest, Portland, Ore., and colleagues prospectively studied participants in the Study of Osteoporotic Fractures. The researchers selected 1,116 women with hip fracture and matched each with four control participants of the same age who did not have hip fracture (n = 4,464) for a total of 5,580 participants. Through a healthy older subset (n = 960) of participants ages 80 years or older who attended a 10-year follow-up examination and reported good or excellent health, the researchers were able to examine the association with health status. The authors determined incident (new-onset) hip fractures by examining radiology reports, and used death certificates to confirm participant deaths.
For participants with hip fracture, the odds of death were twice as high in the year after the fracture as were controls (16.9 percent vs. 8.4 percent). The odds of short-term mortality increased in participants ages 65 to 70 years (16.3 percent vs. 3.7 percent) and 70 to 79 years (16.5 percent vs. 8.9 percent); an increase was also observed in women ages 80 years or older with good or excellent health (15.1 percent vs. 7.2 percent). After one year following fracture, participants with fracture and controls had similar mortality, except those with fracture ages 65 to 70 years who continued to have an increase in mortality.
“If our findings are replicated, they would suggest that research should focus on hip fracture prevention and interventions in these groups that could decrease mortality during that high-risk period,” the authors explained. “Women who are 65 to 70 years of age continue to have an increased risk of mortality for up to five to 10 years; therefore, prevention of hip fractures in these women should be of high priority.”
SOURCE: Archives of Internal Medicine, published online September 2011
Link Found Between Smoking And Chronic Pain In Women
Kentucky women who smoke heavily may experience more chronic musculoskeletal pain, suggests a new study led by University of Kentucky researchers.
More than 6,000 Kentucky women over the age of 18 were surveyed on their smoking habits and symptoms of chronic pain. Syndromes included in the analysis were fibromyalgia, sciatica, chronic neck pain, chronic back pain, joint pain, chronic head pain, nerve problems, and pain all over the body.
Results showed that women who smoke, or who were former smokers, had a greater chance of reporting at least one chronic pain syndrome in comparison to nonsmokers. Former smokers showed a 20 percent increase, occasional smokers showed a 68 percent increase, and in daily smokers the odds more than doubled (104 percent).
In addition, daily smoking was associated more strongly with chronic pain than older age, lower educational attainment, obesity, or living in an Appalachian county.
There’s a definite connection, but the direction of it is uncertain, says Dr. David Mannino, a pulmonary physician in the UK College of Public Health and co-author of the study.
“This study shows a strong relationship between heavy smoking and chronic pain in women,” Mannino said. “But what is the direction of this association? Does smoking cause more chronic pain, or do more women take up smoking as a coping mechanism for experiencing chronic pain?”
Mannino describes acute pain as a “protective response” and theorizes that perhaps female smokers experience acute pain that develops into chronic pain because their normal protection and mechanisms are damaged by exposure to smoke.
From here, researchers should look into a link between smoking, smoking cessation, psychopathology, and management of chronic pain, says Dr. Leslie Crofford, director of the Center for the Advancement of Women´s Health and co-author of the study.
“Our results show there is a dose-response relationship between smoking classification and chronic pain syndromes,” Crofford said. “It’s possible that patients experiencing chronic pain could benefit from smoking cessation treatment in addition to the treatment for their pain. Similarly, it’s possible that appropriate treatment of chronic pain could increase a smoker’s chances of successfully quitting. Right now, more research is needed on these interventions.”
The study was conducted through the Kentucky Women’s Health Registry, a database created by UK’s Center for the Advancement of Women’s Health and run by Crofford. The registry is open to all Kentucky women ages 18-89, and includes questions pertaining to an individual’s health, demographic, and socioeconomic status. So far, nearly 15,000 Kentucky women have joined the registry, though Crofford’s goal is to reach 25,000 members.
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Image Caption: New research from the University of Kentucky shows a link between women who smoke heavily and chronic musculoskeletal pain. Credit: University of Kentucky
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Removal Of Fibroids That Distort The Womb Cavity May Prevent Recurrent Miscarriages
Researchers have found the first, firm evidence that fibroids are associated with recurrent miscarriages. They have also discovered that if they removed the fibroids that distorted the inside of the womb, the risk of miscarriage in the second trimester of pregnancy was reduced dramatically — to zero.
The study, which is published online in Europe’s leading reproductive medicine journal Human Reproduction today (Wednesday), is the culmination of 20 years of investigation into recurrent miscarriage by Professor Tin-Chiu Li and his team at the recurrent miscarriage clinic at the University of Sheffield and Sheffield Teaching Hospitals (Sheffield, UK). In addition, for the first time it has given a reliable estimate of the prevalence of fibroids in women who have recurrent miscarriages.
Fibroids in or around the womb (uterus) are benign tumours composed of muscle and fibrous tissue. Although they have been associated with spontaneous miscarriage, until now there has been no evidence of their role in recurrent miscarriages (RM). The prevalence of fibroids has been estimated to be between 3-10% in women of reproductive age, but the prevalence is unknown in women who experience RM, which is defined as three or more consecutive miscarriages.
The researchers analysed data from 966 women who attended the Sheffield RM clinic. The women were scanned for uterine anomalies, including fibroids, via transvaginal ultrasound and radiology, and 79 were found to have fibroids. “This enabled us to calculate that the prevalence of fibroids was 8.2% among women with recurrent miscarriages; this has never been accurately reported before,” said one of the researchers, Dr Sotirios Saravelos, who is a clinical research Fellow at the University of Sheffield.
Fibroids were diagnosed and grouped into three classifications:
* Submucosal — these grow in the muscle beneath the inner lining of the womb wall and grow into the middle of the womb, distorting the cavity
* Intramural — these develop in the muscle wall of the womb and are the most common type of fibroid. They do not distort the cavity and have less than 50% protrusion into the serosal surface — the outer membrane lining the womb
* Subserosal — these grow outside the wall of the womb into the pelvis, do not distort the womb cavity, and have a greater than 50% protrusion out of the serosal surface.
Prof Li used minimally invasive surgery (hysteroscopy) to remove cavity-distorting (submucosal) fibroids from 25 women; 54 women with fibroids that did not distort the cavity had no surgery and they were matched with a control group of 285 women whose recurrent miscarriages were still unexplained after all investigations found nothing abnormal; these women also had no intervention.
In the 25 women who had undergone surgery, miscarriage rates in subsequent pregnancies during the second trimester fell from 21.7% to 0%. This translated to an increase in the live birth rate from 23.3% to 52%.
Dr Saravelos said: “This is the first time that it has been shown that removing fibroids that distort the uterine cavity may increase the chances of a subsequent live birth in women with recurrent miscarriages.”
The 54 women with fibroids not distorting the uterine cavity and who had had no surgery also did better after referral to the RM clinic. Pre-referral, the miscarriage rate during the second trimester was 17.6% and this fell to 0% after referral. Live birth rates went up from 20.6% to 70.4% in subsequent pregnancies. This was similar to results from the 285 women with unexplained RM; the second trimester miscarriage rate was 8% pre-referral to the clinic, falling to 1.8% post-referral, while live birth rates increased from 20.6% to 71.9% after referral.
Dr Saravelos said: “These results are interesting because they suggest that the finding of fibroids in women with recurrent miscarriage does not necessarily imply that the fibroids are the only cause of the miscarriage. In addition, they suggest that surgical intervention is not the only means whereby patients with recurrent miscarriage benefit from attending a specialised, dedicated clinic. However, for women with fibroids that distort the uterine cavity, our work shows that removing the fibroids can eliminate miscarriage during the second trimester and double the live birth rate in subsequent pregnancies.
“It has been recognised since the 1980s that women with unexplained recurrent miscarriage have very good pregnancy outcomes following referral to a dedicated clinic without the need for any intervention, and with psychological supportive care, i.e. tender loving care, alone. This usually takes the form of regular visits to a dedicated recurrent miscarriage clinic, regular antenatal scans to check the condition of the baby, reassurance to the mother from the specialist that everything is progressing well and specialist antenatal counselling throughout the pregnancy.
“Interestingly, although women may increase their live birth rate by up to 50% after psychological supportive care, the exact underlying mechanisms involved in this process are not entirely understood. In the present study, the fact that women with fibroids not distorting the uterine cavity do so well, suggests that they also do not have an underlying cause for recurrent miscarriage. As a result, they can also be considered as having ‘unexplained recurrent miscarriage’, and should be counselled that they have very good chances of a successful pregnancy without the need for any intervention or surgery and with the psychological supportive care offered by a dedicated recurrent miscarriage clinic.”
The main limitation of the study is that there was no control group for the women who had their fibroids removed and so it is not possible to tell whether they would have done better without surgery, after referral to the RM clinic. The researchers say that their work highlights the need to perform a randomised controlled trial to investigate this.
“The definitive study requires the recruitment of a rather large number of patients to be randomised between intervention and no intervention. This would require the input of several clinics in a multi-centre randomised controlled trial and its success would depend on the support of all clinics along with that of Sheffield,” said Dr Saravelos.
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Early Use Of Non-Parental Childcare Is Not Harmful For Most Children
What type of childcare arrangements do parents choose before their children are 18 months old? Does the choice of childcare affect children’s language skills and mental health at the age of five? These are some of the questions that are explored in a new report prepared by the Norwegian Institute of Public Health as part of a collaborative project with the Ministry of Education and Research. The report indicates that there is no evidence that early centre-based childcare is harmful for most children.
Most pre-school children in Norway attend different types of childcare arrangements on a daily or weekly basis, and by far the majority are in centre-based childcare (kindergarten). In contrast to most other countries, children with physical and/or mental disabilities are not separated from the other children, but attend regular groups or classes in public kindergartens and schools.
Childcare is an important arena for language development and learning and for preventing and coping with mental health issues, regardless of the child’s functional level. Because most children in Norway participate in childcare we have opportunities to learn about what the best arrangements are for learning, as well as how best to cope with daily challenges for children with different levels of functioning. The significance of different types of childcare for children’s development is frequently discussed in many research groups as well as in the preschool education sector.
The aim of this report “Barnepass fram til 18 mÃ¥neder. Sammenhenger mellom barnepass fram til 18 mÃ¥neder og sprÃ¥klige ferdigheter og psykisk fungering ved fem Ã¥r” (English: Childcare up to 18 months. Relations between child care up to 18 months and language skills and mental function at five years) has been to provide more knowledge about the use of different childcare arrangements and how they affect children’s functioning as well as the impact of starting in childcare at an early age.
The report provides an overview of the current status and is based on data from the Norwegian Mother and Child Cohort Study (MoBa) at the Norwegian Institute of Public Health. Part one of the report presents information about childcare arrangements based on questionnaire data from more than 60 000 children in MoBa aged 18 months, in the period between 2001 and the end of 2009. Then impact of childcare (up to 18 months of age) was studied in the context of language skills, language-related difficulties and psychological function in 13 000 children who had reached five years by the end of 2010.
What works for whom?
Overall, the report shows that neither the language skills nor the psychological function of most children varies with the type of childcare, their age when starting in childcare outside the home, whether they used a combination of childcare arrangements or just one type, or how many hours per week they were in childcare.
“For most children there is no evidence from our findings to suggest that it is harmful to begin in centre-based childcare at 12 months,” said Synnve Schjølberg, researcher and specialist in clinical psychology. “The small effect sizes of the findings indicate that the differences between children attending childcare at an early age and those starting later have no clinical implications for most children” she explains.
“Neither do the findings suggest that most children who are cared for at home up to 18 months of age are better prepared than children cared for by others in the same period,” said Schjølberg.
“It is possible that the small differences found could be attributed to some children´s particular vulnerability. Low quality childcare could be hypothesized as another explanation,” said Schjølberg. “We will investigate these relationships further. The debate around centre-based childcare needs to be more nuanced and now rather focus on what works for whom” she added.
Main findings
The report is only available in Norwegian but here is a summary of the main findings:
1. The majority of children cared for outside the home before they are 18 months were in centre-based childcare. A larger proportion of children were in non-maternal care outside the home in 2009 relative to previous years. Although most children are cared for at home until they are 10-12 months old, with increasing age there is an increase in the number of children who are cared for outside of their home.
Across year of data collection, and thus coverage of child-care centers, we found that 40 per cent of 18 month old children attended centre based childcare, while one in four children (26 per cent) are with a nanny/family-based care. In 2008 and 2009 we found that 59 per cent of the children attended centre-based childcare at 18 months, while 15 per cent were with a nanny/family-based care.
2. The number of hours children are in child care outside the home at 18 months increases. In the interval between 2001 and 2009, most of the 18 month old children (63 per cent) were in childcare between 25 to 40 hours per week. The average number of hours children were cared for by others increased from 27 hours for children who were 18 months old between 2001 and 2003 to 31 hours for children who were 18 months old between 2007 and 2009.
3. Approximately half of five year olds attend public childcare centers. 98 per cent of the five year olds participating in MoBa attend centre-based childcare. Approximately half of the children (52 per cent) attend public childcare centers while a slightly smaller proportion (45 per cent) attends privately run childcare centers.
4. Choice of childcare is related to the length of mothers´ education. A smaller proportion of 18-month-old children were cared for at home in 2009 relative to 2003. The most substantial change across time was found among mothers without any completed higher education. In 2003, 40 per cent of mothers with low levels of education utilized non-maternal care outside home, whereas this number had increased to 63 per cent in 2009. Relative to mothers with higher education, a larger proportion of mothers with lower education levels care for their children at home until 18 months (50 per cent vs. 14 per cent). Child-minder / family-based childcare were found to be more often used by mothers who did not have higher education.
5. Children of parents with a non-Norwegian mother tongue begin care outside the home later than children of two Norwegian speaking parents. At 18 months of age, 74 per cent of the children with two Norwegian speaking parents were cared for outside the home whereas 65 per cent of children from families where neither parent has Norwegian as their mother tongue were cared for outside the home.
6. Girls who attend child care outside the home from 12 months are not negatively affected in language development or language related problems. The same holds true for girls being cared for in different types of child care. There are no advantages in the girls´ language development to being cared for at home in the first 18 months compared to being in childcare at an earlier age.
7. Boys who attend child care outside the home are rated as having slightly higher score on language related difficulties at five years relative to those who were cared for at home until 18 months. The effect size is small. Being cared for in childcare before 18 months only explains about one per mille (“°) of the variation in language-related difficulties at five years. Thus, the difference between the two groups is not of clinical significance for most of the boys.
8. Boys who began in childcare outside the home before 18 months are rated with slightly higher scores on behavioral symptoms at five years relative to those who were cared for at home until 18 months. The effect sizes are small. Childcare experience only explains about one per mille (“°) of the variation in behavioral symptoms and is thus not likely to be of clinical significance.
9. Children who are cared for more than 40 hours a week outside the home are rated with slightly more behavioral symptoms at five years of age. Both girls and boys who were cared for outside the home for 40 hours or more per week at 18 months were found to have slightly more behavioral problems at five years of age relative to children who were cared for less than 40 hours per week outside the home at 18 months. The effect sizes are small. The difference in childcare experience only explains about 1.2 per mille (“°) of the variation in behavioral symptoms and thus for most of the children is not of clinical significance.
10. There is no association between childcare history and emotional problems at five years. Independent of the age when children start with care outside the home, neither girls nor boys who were cared for by others were found to be more anxious or sad than those who are cared for at home.
11. Many children have documented developmental difficulties or increased risk for developing such difficulties already during the first year of life. When the children reached five years of age, it is reported that five per cent had birth defects, syndromes or have had serious medical problems. It is also reported about seven per cent were at risk of developmental difficulties due to birth related factors. In addition, the parents of a third of all five year olds reported either having been concerned about the child´s development at some point or that the child had been diagnosed with a developmental disability by a healthcare professional.
It is important to stress that all significant differences that were identified were very small. This implies that the reported effects of childcare history are not likely to be of any clinical importance. The small differences between the groups could potentially be due to a small number of children being particularly sensitive to the time at which they start care outside the home or for the amount of time they spend away from home. Qualitative differences across the types of childcare institutions may also potentially influence these outcomes. However, these mechanisms will be explored further in future publications.
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Researchers Uncover Gene Associated With Blood Cancers
New genetic insights could facilitate screening for mutation
A genomic study of chronic blood cancer – a precursor to leukaemia – has discovered gene mutations that could enable diagnosis using only a blood test, avoiding the need for an invasive and painful bone marrow biopsy.
Researchers at the Wellcome Trust Sanger Institute identified the SF3B1 gene as being frequently mutated in myelodysplasia, one of the most common forms of blood cancer. Myelodysplasia is particularly prevalent among people over the age of 60, and often the only symptom is anaemia, which makes it a challenge to give a positive diagnosis. Patients with mutations in the SF3B1 gene frequently had a specific abnormality of red blood cells in their bone marrow, called ring sideroblasts.
The findings have significant potential for clinical benefit, as the disease is often under-diagnosed. It is hoped that patients will soon be able to be screened for mutations in the SF3B1 gene through a single blood test.
“This discovery illustrates the promise of genome sequencing in cancer,” says Dr Elli Papaemmanuil, lead author from the Sanger Institute. “We believe that by identifying SF3B1, and working to characterize the underlying biology of this disease, we will be able to build improved diagnosis and treatment protocols.
“Significantly, our analysis showed that patients with the SF3B1 mutation had a better overall chance of survival compared to those without the mutation. This suggests that the SF3B1 mutations drive a more benign form of myelodysplasia.”
In order to piece together the genomic architecture of myelodysplasia, the team sequenced all genes in the genome of nine patients with the disease. To their surprise, six had mutations in the SF3B1 gene. To expand their analysis, the researchers sequenced the SF3B1 gene in 2,087 samples across many common cancers.
In myelodysplasia, SF3B1 mutations were found in 20.3 per cent of all patients, and in 65 per cent of those patients with ring sideroblasts, making it one of the most frequently mutated genes so far discovered in this disease. Researchers found mutations of the same gene in up to 5 per cent of a range of other common cancers, such as other leukaemias, breast cancer and kidney cancer.
“Anaemia affects 1 in 10 people over the age of 65, and we cannot easily find a cause for the anaemia in a third of cases,” says Peter Campbell, senior author, from the Sanger Institute and a practicing Haematologist at Addenbrooke’s Hospital, Cambridge. “To diagnose myelodysplasia, we often have to resort to an invasive and painful bone marrow biopsy, but we hope this and future genetic insights will provide more straightforward diagnosis for patients through a simple blood test.”
“Ever since I first saw these unusual and damaging blood cells – ring sideroblasts – down the microscope while training to become a haematologist, I have been fascinated by them and determined to find a cause. To discover a major genetic clue to their origins is very exciting, and I look forward to piecing together how the mutations cause these curious cells to develop and lead to this disease.”
The SF3B1 gene encodes a core component of RNA splicing, an important editing mechanism that controls how the genome’s message is delivered to the cell. The team discovered a strong association between the gene and the presence of ring sideroblasts, making it the first gene to be strongly associated with a specific feature of the disease. Ring sideroblasts are abnormal precursors to mature red blood cells with a partial or complete ring of iron-laden mitochondria (energy generators) surrounding the nucleus of the cell. Their presence is frequently associated with anaemia.
“These genetic discoveries are very important and could potentially assist clinicians when diagnosing blood cancers in patients, avoiding the need for invasive bone marrow biopsies. Myelodysplasia is becoming increasingly prevalent in people over 60, and cases will continue to rise with our increasing ageing population, particularly among those who suffer from anaemia,” says Dr David Grant, Scientific Director at Leukaemia & Lymphoma Research. “We are delighted to have supported research into the genomic architecture of myelodysplasia which will contribute towards making a difference for the diagnosis and treatment for patients.”
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Gold Nanowires Offer Breakthrough In Cardiac Patches
Researchers at Massachusetts Institute of Technology (MIT) and Children´s Hospital Boston have developed cardiac patches using gold nanowires, which could create parts of tissue whose cells beat in time, mimicking the way the natural heart muscle works, MIT reported on Monday.
The breakthrough, which was published this week in the journal Nature Nanotechnology, could someday help those who have suffered a heart attack.
The research improves on existing cardiac patches, which fall short of achieving the level of conductivity needed to ensure a smooth, continuous “beat” throughout a large tissue, MIT said.
“The heart is an electrically quite sophisticated piece of machinery,” said Daniel Kohane, a professor in the Harvard-MIT Division of Health Sciences and Technology (HST) and senior author of the paper.
“It is important that the cells beat together, or the tissue won´t function properly,” the MIT News Office quoted her as saying.
The innovative new approach uses gold nanowires scattered among cardiac cells as they´re grown in vitro, a technique that “markedly enhances the performance of the cardiac patch,” Kohane said.
The researchers said they believe the technology may ultimately result in implantable patches that would replace tissue that´s been damaged in a heart attack.
The current technique for building new tissue typically involves using miniature scaffolds resembling porous sponges to organize cells into functional shapes as they grow to build new tissue.
However, these scaffolds have usually been made from materials with poor electrical conductivity. This is significant problem when creating cardiac cells, which rely on electrical signals to coordinate their contraction.
“In the case of cardiac myocytes in particular, you need a good junction between the cells to get signal conduction,” said co-first author Brian Timko, a MIT postdoc student.
But the scaffold acts as an insulator, blocking signals from traveling much beyond a cell´s immediate neighbors, he explained.
This makes it virtually impossible to get all the cells in the tissue to beat together as a unit.
To solve the problem, Timko and co-author Tal Dvor, a former MIT postdoc student now at Tel Aviv University in Israel, designed a new scaffold material that would allow electrical signals to pass through.
“We started brainstorming, and it occurred to me that it´s actually fairly easy to grow gold nanoconductors, which of course are very conductive,” Timko said.
“You can grow them to be a couple microns long, which is more than enough to pass through the walls of the scaffold.”
The researchers used alginate — an organic gum-like substance that is often used for tissue scaffolds — as a base material. Then they mixed the alginate with a solution containing gold nanowires to create a composite scaffold with billions of the tiny metal structures running through it. They seeded cardiac cells onto the gold-alginate composite, testing the conductivity of tissue grown on the composite compared to tissue grown on pure alginate.
Because signals are conducted by calcium ions in and among the cells, the researchers could check how far signals travel by observing the amount of calcium present in different areas of the tissue.
“Basically, calcium is how cardiac cells talk to each other, so we labeled the cells with a calcium indicator and put the scaffold under the microscope,” Timko said.
There, they observed a significant improvement among cells grown on the composite scaffold, finding that he range of signals conduction improved by about three orders of magnitude.
“In healthy, native heart tissue, you´re talking about conduction over centimeters,” Timko said.
This is a significant improvement over conventional methods, in which tissue grown on pure alginate showed conduction over only a few hundred micrometers.
By comparison, the combination of alginate and gold nanowires achieved signal conduction over a scale of “many millimeters,” Timko noted.
“It´s really night and day. The performance that the scaffolds have with these nanomaterials is just much, much better,” Kohane added.
The researchers plan to conduct studies in vivo to determine how the composite-grown tissue functions when implanted into live hearts.
In addition to implications for heart-attack patients, the current research “opens up a bunch of doors” for engineering other types of tissues, Kohane said.
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Image 1: A scanning electron microscope (SEM) image of nanowire-alginate composite scaffolds. Star-shaped clusters of nanowires can be seen in these images. Image courtesy of the Disease Biophysics Group, Harvard University
Image 2: A wider SEM image of the nanowire-alginate composite scaffolds. Image courtesy of the Disease Biophysics Group, Harvard University
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Sleep Deprivation In Teens Leads To Risky Behaviors
According to the 2007 national Youth Risk Behavior Survey, 68.9 percent of adolescents were found to be sleep deprived. And the students who were rated as sleep deprived were more likely to engage in risky health behaviors.
Ten major health risk behaviors have been associated with students who are considered sleep-deprived. Students drank one or more soda daily, did not participate in 60 minutes of physical activity in 5 of the last 7 days, computer use for more than 3 hours a day, in a physical fight more than once, Current cigarette, alcohol, and marijuana use, current marijuana use, currently sexually active, felt sad or hopeless and seriously considered attempting suicide.
Dr. Lela McKnight-Eily, PhD, with CDC’s Division of Adult and Community Health says, “Many adolescents are not getting the recommended hours of sleep they need on school nights. Insufficient sleep is associated with participation in a number of health-risk behaviors including substance use, physical fighting, and serious consideration of suicide attempt. Public health intervention is greatly needed, and the consideration of delayed school start times may hold promise as one effective step in a comprehensive approach to address this problem.”
MSNBC notes that sleep deprivation in students should be seen as a warning sign for parents. Parents should be looking deeper into their teen´s lives and check if their teens have other problems.
The survey covered more than 12,000 teens nationwide and was published online by the Preventive Medicine Journal. The CDC told MSNBC that this is believed to be the first large, national survey of its kind.
Dr. McKnight-Eily told MSNBC, “I definitely wouldn´t ignore it. I think it is important for parents and adolescents themselves to both be aware o the issue and what can be associated with it.
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Nest Building A Learned Behavior
According to research published in the journal Behavioral Processes on September 26, 2011, birds may build better nests with each consecutive one.
According to the Daily Mail Online, Scientists studied the building habits of the male Southern Masked Weaver, in Botswana, which build grass nests. The birds were found to vary their technique from nest to nest. The birds were able to refine their construction and make fewer mistakes as the months went past. Some birds were found to build their nests from right to left, while others built left to right.
Dr. Patrick Walsh of the University of Edinburgh´s School of Biological Sciences said,” If birds built their nests according to a genetic template, you would expect all birds to build their nests the same way each time. However this was not the case.” The BBC notes, as birds gained more experience, they dropped grass blades less often.
But, Dr. Walsh, who participated in the study, cautions that this behavior may not apply to all birds. He says, “For example the nests of gulls are just slight depressions scrapped into the ground or sand. So there may be less scope for experience to play a role in those cases. However, it does definitely challenge the assumption that all nests built by birds are carried out without learning playing a role.”
The colorful African bird was chosen because of their highly complex nests, possibly a sign of intelligence. These birds build dozens of nests during the breeding season, allowing the researchers to monitor differences in nests built by the same bird.
According to the BBC Dr. Walsh continues, “If birds built their nests according to a genetic template, you would expect all birds to build their nests the same way each time. However this was not the case.”
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Internet Can Be Crucial To A Teen’s Psychological Development
American teenagers are spending an ever-increasing amount of time online, much to the chagrin of parents who can’t seem to tear their children away from Twitter, YouTube, and Facebook. But despite the dangers that lurk on the web, the time that teens spend on the Internet can actually be beneficial to their healthy development, says a Tel Aviv University researcher.
Prof. Moshe Israelashvili of TAU’s Jaime and Joan Constantiner School of Education, with his M.A. student Taejin Kim and colleague Dr. Gabriel Bukobza, studied 278 teens, male and female, from schools throughout Israel. They found that many teens were using the Internet as a tool for exploring questions of personal identity, successfully building their own future lives using what they discover on the Web.
Prof. Israelashvili’s research, which was published in the Journal of Adolescence, encourages parents and educators to look at engagement with the online world as beneficial for teens. Social networking, he says, is a positive example of Internet use: “Facebook use is not in the same category as gambling or gaming.” As a result, Prof. Israelashvili says, researchers should redefine the characteristics of the disorder called “Internet addiction” in adolescents.
Redefining internet addiction
The TAU researchers asked the teens to rate themselves in terms of Internet use, ego clarification, and self-understanding, and how well they related to their peer group. The researchers discovered that there was a negative correlation between Internet overuse and the teens’ levels of ego development and clarity of self-perception. Prof. Israelashvili refers to it as an indication that some Internet use is destructive and isolating while some is informative and serves a socializing function.
These results show that the current understanding of adolescent Internet addiction demands redefinition. Psychiatrists now classify an “Internet addict” as a person who spends more than 38 hours on the Internet every week. But it’s the quality, not the quantity that matters, argues Prof. Israelashvili. The researchers determined that many teens who participated in the study met the psychiatric standard of “Internet addiction,” but were actually using the Internet as a tool to aid in their journey of self-discovery.
Prof. Israelashvili says that there are two different kinds of teenage “Internet addicts.” The first group is composed of adolescents who really are addicted, misusing the Internet with things like online gaming and gambling or pornographic websites, isolating themselves from the world around them. The other group of teens can be defined as “self clarification seekers,” whose use of the Internet helps them to comprehensively define their own identities and place in the world. These teens tend to use the Internet for social networking and information gathering, such as on news sites or Twitter.
Adding in family time
Parents and educators should change the conversations they have with teens about Internet use, the researchers urge. The Internet is a big part of our modern lifestyle, and both adults and children are spending more time there. As a result, what is important is how that time is used. Students must learn to use the Internet in a healthy way – as a source of knowledge about themselves in relation to their peers around the world, recommends Prof. Israelashvili.
If parents still don’t like the amount of time their teens are spending in front of the computer, they should consider becoming an information resource for their adolescent children, encouraging a healthy flow of conversation in the household itself. “Too many parents are too preoccupied,” says Prof. Israelashvili. “They demand high academic achievements, and place less importance on teaching their children how to face the world.” Teens won’t give up the Internet, but they may spend less time online if family interactions meet some of the same needs.
By the time teens reach the age of 18 or 19, they enter a new phase of life called “emerging adulthood,” in which they take the lessons of their adolescence and implement them to build a more independent life. If they have spent their teenage years worrying only about their academic performance or gaming, they won’t be able to manage well during their emerging adulthood and might have difficulties in making personal decisions and relate well to the world around them, Prof. Israelashvili concludes.
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City Cyclists Are At Increased Risk From Lung Injury From Inhaled Soot
People who cycle through London and other major cities have higher levels of black carbon in their airway cells, experts from the UK have shown.
The research, which will be presented at the European Respiratory Society’s Annual Congress in Amsterdam today (25 September 2011), suggests that cyclists inhale more black carbon than pedestrians, which may cause damage to the lungs.
The combustion of fossil fuels results in the generation of large numbers of inhalable particles of soot (black carbon). There is increasing evidence that inhalation of black carbon particles is associated with a wide range of health effects – including heart attacks and reduced lung function.
The researchers, led by Professor Jonathan Grigg from Barts and the London School of Medicine, aimed to identify whether the way healthy adults commute to work affects their exposure to black carbon. Specifically, they tested the hypothesis that cyclists have higher personal exposure to black carbon.
To test this theory the study compared the lung dose of black carbon in cyclists and pedestrians. To measure lung dose the researchers sampled a lower airway cell called the airway macrophage – a specialized cell that sits on the airway surface and ingests foreign material.
The researchers collected sputum samples from five adults who regularly cycled to work in London and five pedestrians and analyzed the amount of black carbon found in their airway macrophages. All participants in the study were non-smoking healthy urban commuters aged between 18 and 40 yrs.
The results showed that in this small sample, cyclists have 2.3-times more black carbon in their lungs when compared with pedestrians. The probability that this difference occurred by chance is less than 1 in 100.
Dr Chinedu Nwokoro, one of the researchers of the study and an active cyclist, said: “The results of this study have shown that cycling in a large European city increases exposure to black carbon. This could be due to a number of factors including the fact that cyclists breathe more deeply and at a quicker rate than pedestrians while in closer proximity to exhaust fumes, which could increase the number of airborne particles penetrating the lungs. Our data strongly suggest that personal exposure to black carbon should be considered when planning cycling routes. Whether cycling by healthy individuals is in itself associated with adverse health effects is currently being assessed in a larger ongoing study.”
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More Young People Uneducated About Having Safe Sex
According to a new study, young people are having more unprotected sex and know less about contraception options.
The study reported that the number of young people having unsafe sex with a new partner jumped up by 111 percent in France, 39 percent in the U.S. and 19 percent in Britain in the last three years.
Jennifer Woodside of the International Planned Parenthood Federation, an NGO partner of WCD, said in a press release, “What the results show is that too many young people either lack good knowledge about sexual health, do not feel empowered enough to ask for contraception or have not learned the skills to negotiate contraceptive use with their partners to protect themselves from unwanted pregnancies or STIs.”
The Bayer Healthcare Pharmaceuticals survey questioned over 5,426 young people from 26 countries.
The study found that only half of respondents in Europe received sex education from school, compared to three-quarters in Latin America, Asia Pacific and the U.S.
Many of the respondents said they felt too embarrassed to ask a healthcare professional for contraception.
Over a third of respondents in Egypt believe bathing or showering after sex could help prevent pregnancy, while over a 25 percent of those in Thailand and India believe having intercourse during menstruation is an effective form of contraception.
“What young people are telling us is that they are not receiving enough sex education or the wrong type of information about sex and sexuality. It should not come as a surprise then that the result is many young people having unprotected sex and that harmful myths continue to flourish in place of accurate information,” Woodside said in a press release.
“How can young people make decisions that are right for them and protect them from unwanted pregnancy and STIs, if we do not empower them and enable them to acquire the skills they need to make those choices?”
The study was prepared for World Contraception Day on Monday.
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