News november 2009


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News 4 november 2009


A link between heart disease and gum disease?

It’s possible, he notes, that the bacteria that cause gum disease directly trigger the inflamed plaques in blood vessels that can rupture and cause heart attacks. But it’s more likely that local inflammation in the gums “spills over’’ and causes body-wide inflammation. Chronic inflammation is an underlying cause of a number of diseases.

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A MRSA strain linked to high death rates

A strain of MRSA that causes bloodstream infections is five times more lethal than other strains and has shown to have some resistance to the potent antibiotic drug vancomycin used to treat MRSA, according to a Henry Ford Hospital study. The study found that 50 percent of the patients infected with the strain died within 30 days compared to 11 percent of patients infected with other MRSA strains. The average 30-day mortality rate for MRSA bloodstream infections ranges from 10 percent to 30 percent. Researchers say the strain USA600 contains unique characteristics that may be linked to the high mortality rate. But they say it is unclear whether other factors like the patients' older age, diseases or the spread of infection contributed to the poor outcomes collectively or with other factors. The average age of patients with the USA600 strain was 64; the average age of patients with other MRSA strains was 52. The study is being presented at the 47th annual meeting of the Infectious Diseases Society of America Oct. 29-Nov.1 in Philadelphia.

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A Potential Anti-cancer Agent

Pateamine A (PatA), a natural product first isolated from marine sponges, has attracted considerable attention as a potential anti-cancer agent, and now a new activity has been found for it, which may reveal yet another anti-cancer mechanism. That’s the assessment of Daniel Romo, a Texas A&M chemistry professor, and his colleagues at Johns Hopkins University who are pioneers in research involving this novel marine natural product. Messenger RNA (mRNA), as its name indicates, copies messages from genes on DNA and uses these messages to produce proteins, and the human body functions well only with the right types and amount of proteins. So, what happens when mRNA gets damaged? Will the wrong proteins produced by the wrong messages carried by mRNA damage a person’s body?

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A scramble to harness the metabolic power of brown fat

The discovery in adults of brown fat, a metabolic dynamo, may open weight-loss doors down the road.

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Acne Drug Tied to IBD

Use of the acne medication isotretinoin (Accutane) is associated with an increased risk of inflammatory bowel disease (IBD), researchers said here.

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Adapting Space-Industry Technology to Treat Breast Cancer

Researchers at Rush University Medical Center and Argonne National Laboratory are collaborating on a study to determine if an imaging technique used by NASA to inspect the space shuttle can be used to predict tissue damage often experienced by breast cancer patients undergoing radiation therapy. The study is examining the utility of three-dimensional thermal tomography in radiation oncology.Preliminary results from the study are being displayed during the American Society for Radiation Oncology (ASTRO) Annual Meeting in Chicago, being held from November 1 – 5, 2009. Approximately 80 percent of breast cancer patients undergoing radiation treatment develop acute skin reactions that range in severity. The more severe reactions cause discomfort and istress to the patient, and sometimes result in treatment interruptions. The severity is quite variable among patients and difficult to predict. “Because reactions usually occur from 10 to 14 days after the beginning of therapy, if we could predict skin reactions sooner we may be able to offer preventative treatment to maximize effectiveness and minimize interruption of radiation treatment,” said Dr. Katherine Griem, professor of radiation oncology at Rush.

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Aggressive people have wider faces

Aggressive people are easy to spot because they have instantly recognisable wide faces, researchers claim.

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Aluminum Hydroxide in Vaccines Linked to Neurological Damage

"Possible causes of GWS include several of the adjuvants in the anthrax vaccine and others. The most likely culprit appears to be aluminum hydroxide," says Shaw and Petrik, researchers at the Departments of Ophthalmology and Visual Sciences, University of British Columbia, Canada.

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Antipsychotics linked to weight gain in kids

While weight gain is a known possible side effect of new antipsychotics in adults, a new study finds a similar relation in children and teens.

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Are Proposition 65 warnings healthful or hurtful?

Two lawyers who have worked cases involving the labels about potentially harmful chemicals disagree.

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BPA Safer Than Contraceptives In Rat Study

The plastic additive bisphenol A (BPA) may not be so bad after all, according to results from a new animal study funded by the federal government.

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Brain tumors in childhood leave a lasting mark on cognition, life status

Brain tumors in childhood cast a long shadow on survivors. The first study of the lasting impact of these tumors -- the most common solid malignancies in childhood -- shows that survivors have ongoing cognitive problems. They also have lower levels of education, employment and income than their siblings and survivors of other types of cancer, according to a report published by the American Psychological Association. Given the risks now seen to confront survivors of brain (also called central nervous system, or CNS) cancer, programs to support their transition to independent adult life are essential, according to the study in the November issue of Neuropsychology. The findings, part of a massive Childhood Cancer Survivor Study conducted by nine major medical centers, were based on a study coordinated by Leah Ellenberg, PhD, a clinical faculty member of the David Geffen School of Medicine at the University of California, Los Angeles. Researchers sent a 25-item neurocognitive questionnaire to cancer survivors at least 16 years after a cancer diagnosis. Some 785 CNS cancer survivors; 5,870 survivors of non-CNS cancers such as leukemia, Hodgkin's disease, and bone tumors; and 379 siblings of CNS cancer survivors returned enough information to analyze. In a significant minority of cases, someone else responded for CNS cancer survivors, an informal sign of the difficulties some may be having, according to the authors.

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Burn pit smoke may be making local soldiers sick

The Department of Defense says its studies don’t bear out that burn pit smoke causes chronic illnesses.

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C8 linked to high cholesterol in children

Children with more of the toxic chemical C8 in their blood are more likely to have high cholesterol, according to a new scientific study filed Friday in Wood Circuit Court.

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Can charcoal fight heart disease in kidney patients?

Charcoal may provide a new approach to managing the high rate of heart disease in patients with advanced kidney disease, according to preliminary research being presented at the American Society of Nephrology's 42nd Annual Meeting and Scientific Exposition in San Diego, CA. Patients with advanced kidney disease have high rates of atherosclerosis ("hardening of the arteries") and death from heart disease. Oral activated charcoal—a product called AST-120—has traditionally been used as an emergency treatment for certain types of poisoning. Recent studies have suggested that AST-120 may exert beneficial effects in kidney disease. "We found that oral activated charcoal lessens atherosclerotic lesions in experimental mice with kidney damage," comments Valentina Kon, MD (Vanderbilt University). "This is especially important because there is no effective treatment to reduce the high rate of cardiovascular mortality in patients with end-stage renal disease." The researchers studied the effects of AST-120 in mice genetically engineered to develop atherosclerosis. The effects were assessed in mice with different levels of kidney mass.

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Cause of common chronic diarrhea revealed in new research

A common type of chronic diarrhoea may be caused by a hormone deficiency, according to new research published in the November issue of Clinical Gastroenterology and Hepatology. The authors of the paper, from Imperial College London, with collaborators from King's College London and the University of Edinburgh, say their results could help more doctors recognise this type of diarrhoeal illness, and may lead to the development of more effective tests and treatments to help improve the lives of many people suffering with chronic diarrhoea.Chronic idiopathic bile acid diarrhoea affects an estimated one in 100 people in the UK and it can cause people to have up to ten watery bowel movements a day, often for months at a time. This type of diarrhoea occurs when an overload of bile acid reaches the colon and causes excess water to be secreted into the bowel. Today's study suggests that bile acid diarrhoea is caused by the body producing too much bile acid, because of a deficiency in a hormone called FGF19, which normally switches off bile acid production. The authors of the study say that new hormone-based treatments could be developed in the future to treat the condition and doctors could potentially test people's hormone levels to diagnose it.Dr Julian Walters, lead author of the study from the Division of Medicine at Imperial College London, said: "Bile acid diarrhoea is a common condition, likely to affect more people than Crohn's disease or ulcerative colitis, yet until now we did not understand exactly what causes it. People with bile acid diarrhoea need to use the toilet urgently many times during the day and night. This can have a big impact on their lives, at home, at work and while they are travelling, as they always need to be near a toilet. "If they are diagnosed, we have treatments that can remove bile acid from the colon, alleviate the symptoms and improve their quality of life. However, the current test used to diagnose the condition is not available in many countries and requires patients to attend the hospital twice. This means many people are not diagnosed. Our new findings mean that in the future doctors may be able to diagnose the condition by doing a quick and simple blood test," added Dr Walters.

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CDC Flu Mask Decision Based on Flawed Study, Authors Say

Authors Retract Study CDC Used to Decide on Surgical Masks to Prevent Flu

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Childhood cancer survivors less likely to marry, Yale researchers find

Adult survivors of childhood cancer are 20 to 25 percent more likely to never marry compared with siblings and the general population, Yale School of Medicine researchers report in a new study published in Cancer Epidemiology, Biomarkers & Prevention, a journal of the American Association for Cancer Research. Nina Kadan-Lottick, M.D., assistant professor of pediatrics at Yale School of Medicine, and colleagues studied almost 9,000 adult survivors of childhood cancer participating in the multisite Childhood Cancer Survivor Study. The team evaluated the frequency of marriage and divorce rates among survivors compared with their sibling groups in the U.S. Census data. Participants completed mailed surveys every two to three years on their health and psychosocial status in an ongoing study. Results showed that an estimated 42 percent of survivors were married, 7.3 percent were separated or divorced and 46 percent were never married. Patients who were previously treated for a brain tumor were 50 percent more likely than siblings and the general U.S. population to never marry. Of the childhood cancer survivors who did marry, divorce patterns were similar to their peers. "Our findings suggest that in addition to the long-term physical effects of cancer, such as short stature, poor physical functioning and cognitive problems, social implications also exist," said Kadan-Lottick, who is a member of Yale Cancer Center.

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Chronic-stress reliever for women is often high-fat food

But people under chronic stress are more likely than others to say they eat fattening foods and feel that their eating is out of control, according to a study presented at a recent meeting of the Obesity Society.

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Climate change threatens lives of millions of children, says charity

Save the Children urges world leaders at talks in Barcelona to prioritise effects of droughts, cyclones and floods on children

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Coca-Cola link spurs Contra Costa doctors to quit national association

Nearly 20 Contra Costa County physicians resigned in disgust Wednesday from a national professional association because of its alliance with the Coca-Cola Co., which they said conflicts with their fight against obesity.

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Common Links in Swine Flu Deaths

A recent study by the Centers for Disease Control and Prevention (CDC) found that of the 36 children who died from H1N1 from April to August, six had no chronic health conditions. But all of them had a co-occurring bacterial infection.

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Critics blast Kellogg's claim that cereals can boost immunity

"I am concerned the prominent use of the immunity claims to advertise a sugar-laden chocolate cereal like Cocoa Krispies may mislead and deceive parents of young children," said Dennis Herrera, the city attorney.

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Decrease in physical activity may not be a factor in increased obesity rates among adolescents

Decreased physical activity may have little to do with the recent spike in obesity rates among U.S. adolescents, according to researchers at the Johns Hopkins Bloomberg School of Public Health. Prompted by growing concern that the increase was due to decreased physical activity associated with increased TV viewing time and other sedentary behaviors, researchers examined the patterns and time trends in physical activity and sedentary behaviors among U.S. adolescents based on nationally representative data collected since 1991. The review found signs indicating that the physical activity among adolescents increased while TV viewing decreased in recent years. The results are featured in the October 30 online issue of Obesity Reviews. "Although only one third of U.S. adolescents met the recommended levels of physical activity, there is no clear evidence they had become less active over the past decade while the prevalence of obesity continued to rise," said Youfa Wang, MD, PhD, MS, senior author of the study and an associate professor with the Bloomberg School's Center for Human Nutrition and the Department of International Health. "During the recent decade, U.S. adolescents had greater access to TV, but significantly fewer of them watched TV for three or more hours per day. In addition, daily physical education attendance rates improved along with the use of physical education class in engaging in physical activity. However, there are considerable differences in the patterns by age, sex and ethnicity."

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Dendritic cells spark smoldering inflammation in smokers' lungs

Inflammation still ravages the lungs of some smokers years after they quit the habit.

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Depression Linked to Processed Food

Eating a diet high in processed food increases the risk of depression, research suggests.

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Developmental drug may help bone fractures heal after radiation exposure

A drug currently under development by the University of Pittsburgh School of Medicine may help bone fractures heal more quickly after radiation exposure, according to a study by Pitt researchers. The study's results will be presented at 1 p.m. today during the American Society for Radiation Oncology (ASTRO) annual meeting in Chicago. The drug, JP4-039, is a free-radical scavenger targeted to the mitochondria, the energy generator of all cells. For this study, researchers compared the healing time of fractures in a mouse model system treated immediately after radiation exposure with JP4-039 against a control group of mice that did not receive the drug. The fractured bones in the group treated with JP4-039 healed much more rapidly than the control group. "This study has important implications on two levels," said study author Abhay S. Gokhale, M.D., M.B.A., chief resident in the Department of Radiation Oncology. "From a patient care standpoint, this drug could eventually be beneficial to pediatric cancer patients who are vulnerable to the late effects of radiation treatment on bone growth and development. From an emergency response perspective, if the ideal dosage of the drug is developed and we find a way to have it easily administered, it could potentially help people exposed to radiation in an accident or attack."

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Discovery offers potential new pancreatic cancer treatment

Tiny particles that can carry drugs and target cancer cells may offer treatment hope for those suffering with pancreatic cancer. New research to be presented in November at the American Association of Pharmaceutical Scientists (AAPS) Annual Meeting in Los Angeles reveals that tumor-penetrating microparticles (TPM) have been specifically designed to break through hard-to-infiltrate barriers and deliver drugs more effectively and efficiently than the standard form of chemotherapy such as those injected through a vein. According to Jessie L.S. Au, Pharm.D., Ph.D., an AAPS fellow and a distinguished university professor at Ohio State University who initiated the study, TPM are designed to treat cancer in the peritoneal cavity. The peritoneal cavity contains organs, including the pancreas, that are home to more than 250,000 new cases of cancer a year in the United States alone (www.cancer.org). "Pancreatic cancer cells are surrounded by specialized cells that protect them from chemotherapy," explains Dr. Au. "Our goal is to use TPM to pass this barrier and successfully deliver drugs to the tumor cells, which is currently the biggest hurdle a physician faces in pancreatic cancer treatment." According to the American Cancer Society, pancreatic cancer is the fourth leading cause of cancer in the U.S., with more than 80 percent of the 38,000 patients stricken with the disease dying within one year of diagnosis.

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Early-stage, HER2-positive breast cancer patients at increased risk of recurrence

Early-stage breast cancer patients with HER2 positive tumors one centimeter or smaller are at significant risk of recurrence of their disease, compared to those with early-stage disease who do not express the aggressive protein, according to a study led by researchers at The University of Texas M. D. Anderson Cancer Center. The findings, published today online in the Journal of Clinical Oncology, is the first large study to analyze this cohort and represents a shift in the way women with early-stage HER2 positive breast cancer should be assessed for risk of recurrence and considered for treatment, said the study's senior author, Ana M. Gonzalez-Angulo, M.D, associate professor in M. D. Anderson's Departments of Breast Medical Oncology and Systems Biology. The research was first presented at the CRTC-AACR San Antonio Breast Cancer Symposium in December, 2008. Herceptin, also known as trastuzumab, was approved for use in 1998 for women whose advanced breast cancer expresses Human Epidermal growth factor Receptor 2, or HER2. Approximately 15-20 percent of breast cancer cells produce an excess amount of the HER2 growth protein on their surface, which makes the cancer more aggressive. Herceptin is a monoclonal antibody that latches on to these proteins and inhibits tumor growth. "This study represents a current debate within clinical practice - the risk of recurrence for early-stage breast cancer patients with HER2 positive tumors one centimeter or smaller," said Gonzalez-Angulo. "Our findings show that women with early stage HER2 positive breast cancer have a 23 percent chance of recurrence. In contrast, the five-year survival rate of all women with such early-stage breast cancer is more than 90 percent.

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FDA urged to ban feeding of chicken feces to cattle

Food and consumer groups say the practice increases the risk of cattle becoming infected with mad cow disease. A beef industry trade group say a ban isn't needed.

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Finding a Better 'Position' to Deal With Disease

Patients Fighting Cancer and ADHD Find Hope Using Yoga to Battle Their Diseases

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Flu vaccine given to women during pregnancy keeps infants out of the hospital

Infants born to women who received influenza vaccine during pregnancy were hospitalized at a lower rate than infants born to unvaccinated mothers, according to preliminary results of an ongoing study by researchers at Yale School of Medicine. The team presented the study October 29 at the 47th annual meeting of the Infectious Diseases Society of America in Philadelphia. Influenza is a major cause of serious respiratory disease in pregnant women and of hospitalization in infants. Although the flu vaccine is recommended for all pregnant women and children, no vaccine is approved for infants less than six months of age. Preventive strategies for this age group include general infection control and vaccination of those coming in close contact with them. Few studies have examined the effectiveness of the flu vaccine during pregnancy. Led by Marietta Vázquez, M.D., assistant professor of pediatrics at Yale School of Medicine, this new study is a case-control trial of the effectiveness of vaccinating pregnant women to prevent hospitalization of their infants. During nine flu seasons from 2000 to 2009, Vázquez and colleagues identified and tracked over 350 mothers and infants from 0 to 12 months of age who were hospitalized at Yale-New Haven Hospital. They compared 157 infants hospitalized due to influenza to 230 influenza-negative infants matched by age and date of hospitalization. The team interviewed parents to determine risk factors for influenza and reviewed medical records of both infants and their mothers to determine rates of vaccination with the influenza vaccine. "We found that vaccinating mothers during pregnancy was 80 percent effective in preventing hospitalization due to influenza in their infants during the first year of life and 89 percent effective in preventing hospitalization in infants under six months of age," said Vázquez.

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Friendly Bacteria Blunt Anti-Nutrient Action

The “good” bacteria strain Bifidobacterium may reduce levels of phytate and phytic acid, compounds which are thought to be behind fiber’s impairment of mineral absorption.

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Gene Increases Susceptibility to Post-Traumatic Stress, Yale Researchers Find

A gene variant makes people who experienced trauma as children or adults more susceptible to post-traumatic stress disorder (PTSD), Yale researchers have found. The study, published in the November edition of the Archives of General Psychiatry, sheds light on how environmental forces and genes interact to make some people more prone to psychiatric diseases. “This study helps us understand how genetic factors can contribute to vulnerability in different people,” said Joel Gelernter, senior author of the study and professor of psychiatry, genetics and neurobiology at the Yale School of Medicine. Between 40 to 70 percent of Americans have experienced a traumatic event, yet only 8 percent develop PTSD. The Yale team studied more than 1,200 people who had reported experiencing childhood adversity and/or traumatic events as adults. The type of childhood adversity included physical and sexual abuse or neglect. Traumatic events in adulthood included combat, sexual assault and natural disasters. Researchers found the risk of PTSD significantly increased if adversity and trauma were experienced both as a child and an adult.

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Genes and environment may interact to influence risk for post-traumatic stress disorder

Individuals who experience both childhood adversity and traumatic events in adulthood appear more likely to develop post-traumatic stress disorder than those exposed to only one of these types of incidents, according to a report in the November issue of Archives of General Psychiatry, one of the JAMA/Archives journals. In addition, the risk was further increased in individuals with a certain genetic mutation. Although 40 percent to 70 percent of Americans have experienced traumatic events, only about 8 percent develop PTSD during their lifetimes, according to background information in the article. PTSD is a complex anxiety disorder that involves re-experiencing, avoidance and increased arousal following exposure to a life-threatening event. "In addition to the obvious effect of environmental factors, PTSD has a heritable component," the authors write. Recent studies estimate that genetic factors account for approximately 30 percent of the difference in PTSD symptoms. Pingxing Xie, B.S., of Yale University School of Medicine, New Haven, Conn., and VA Connecticut Healthcare Center, West Haven, and colleagues studied 1,252 individuals who had experienced childhood adversity (including abuse or neglect), adult trauma (such as combat, sexual assault or a natural disaster) or both. Participants age 17 to 79 (average age 38.9) were interviewed and assessed for a variety of psychiatric and substance use disorders. DNA was extracted and used to differentiate between versions of a particular polymorphism or gene mutation—known as the 5-HTTLPR genotype—previously found to be associated with emotional response after stressful life events. About one-fifth of the participants (229, or 18.3 percent) met criteria for PTSD. A total of 552 of the 1,252 participants (44.1 percent) experienced both childhood adversity and traumatic events in adulthood. These individuals were more likely to have a lifetime diagnosis of PTSD than were those who experienced trauma in only one life stage (29 percent vs. 9.9 percent).

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Green tea fights blood and liver cancer, as well as pneumonia

Three new studies by Japanese scientists add even more evidence to what already is an astounding mountain of data showing green tea protects and heals the human body. All of the research is based on findings from the huge Ohsaki National Health Insurance Cohort Study in Japan which involved 41,761 Japanese adults between 40 and 79 years of age. None of the research subjects had a history of cancer when the study started and their diets, along with other lifestyle factors and any health problems they developed, were followed for about ten years.

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Greenland is warming up

Greenland is warming faster than the computer models predicted, and that is a worry.” The Arctic has warmed at three times the rate of the rest of the world in the past 100 years, and temperatures continue to rise.

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Hearing aid guide cuts through the noise

high prices and a confusing array of products and providers, helps explain why most of the USA's 35 million adults and children with hearing loss don't have hearing aids.

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Help your kidneys - Pass on salt and diet soda

Individuals who consume a diet high in sodium or artificially sweetened drinks are more likely to experience a decline in kidney function, according to two papers being presented at the American Society of Nephrology's annual meeting in San Diego, California. Julie Lin MD, MPH, FASN and Gary Curhan, MD, ScD, FASN of Brigham and Women's Hospital studied more than 3,000 women participating in the Nurses' Health Study to identify the impact of sodium and sweetened drinks on kidney function. "There are currently limited data on the role of diet in kidney disease," said Dr. Lin. "While more study is needed, our research suggests that higher sodium and artificially sweetened soda intake are associated with greater rate of decline in kidney function." The first study, "Associations of Diet with Kidney Function Decline," examined the influence of individual dietary nutrients on kidney function decline over 11 years in more than 3,000 women participants of the Nurses' Health Study. The authors found that "in women with well-preserved kidney function, higher dietary sodium intake was associated with greater kidney function decline, which is consistent with experimental animal data that high sodium intake promotes progressive kidney decline."

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Hepatitis B does not increase risk for pancreatic cancer

A Henry Ford Hospital study found that hepatitis B does not increase the risk for pancreatic cancer – and that only age is a contributing factor. The results contradict a previous study in 2008 that suggested a link between pancreatic cancer and previous hepatitis B infection. Hepatitis B is an inflammation of the liver caused by a viral infection. Study results will be presented at the American Association for the Study of Liver Diseases' Annual Meeting in Boston. Using data from Henry Ford Health System, physicians looked at more than 74,000 patients who were tested for hepatitis B between 1995 and 2008. In the overall analysis, only age was found to be a significant predictor for pancreatic cancer. "We looked at the incidence of pancreatic cancer among hepatitis B-infected patients over a 13-year period and found that we could not confirm a higher risk for those with a previous exposure to hepatitis B, as a prior study suggested," says Jeffrey Tang, M.D., gastroenterologist at Henry Ford Hospital and lead author of the study. "When other factors are considered – such as age, race, sex, HIV status, and the presence of diabetes – only older age and presence of diabetes proved significant, whereas prior exposure to hepatitis B was no longer an important variable."

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Hypertension, inflammation common in offspring of Alzheimer's disease patients

High blood pressure, evidence of arterial disease and markers of inflammation in the blood in middle age appear more common in individuals whose parents have Alzheimer's disease than in individuals without a parental history of the condition, according to a report in the November issue of Archives of General Psychiatry, one of the JAMA/Archives journals. Previous twin studies estimate that as much as 60 percent of the risk for Alzheimer's disease is under genetic control, according to background information in the article. Other research has identified several vascular and inflammatory risk factors in midlife that may be associated with the later transition into cognitive decline related to Alzheimer's disease. Eric van Exel, M.D., Ph.D., of VU University Medical Center, Amsterdam, and colleagues compared some of these vascular and inflammatory factors, such as high blood pressure and levels of pro-inflammatory proteins known as cytokines in the blood, between 206 offspring of 92 families with a history of Alzheimer's disease and 200 offspring of 97 families without a parental history. Researchers measured blood pressure; obtained blood samples to assess genetic characteristics and levels of cholesterol, along with cytokines and other inflammation-related substances; and collected sociodemographic characteristics, medical history and information about diet, exercise and stress levels. More individuals whose parents had Alzheimer's disease carried the APOE ?4 gene, known to be associated with the condition, than did those with no family history (47 percent vs. 21 percent). In addition, those with a family history had higher systolic (top number) and diastolic (bottom number) blood pressures, a lower ankle brachial index (ratio of ankle to arm systolic blood pressure, a sign of artery disease) and higher levels of several different pro-inflammatory cytokines.

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Immune therapy can protect against or treat later lymphoma

Specially developed immune system cells that target the common Epstein-Barr virus can protect immune-suppressed bone marrow transplant recipients against lymph system disease and cancers that arise from the viral infection, said a group of researchers led by those from Baylor College of Medicine, The Methodist Hospital and Texas Children's Hospital. "Therapy with EBV-specific CTLs (cytotoxic lymphocytes) was effective for these patients who were severely immune-compromised, as the cells successfully reached the tumor, multiplied and were able to kill tumor cells" said Dr. Helen Heslop, lead author of the study and professor of pediatrics and medicine and a member of the Center for Cell and Gene therapy at BCM, The Methodist Hospital and Texas Children's. The cell remained in the body for up to nine years, providing long-term protection. Patients who undergo the transplants are often immune-suppressed. Because most people have been infected with Epstein-Barr virus, the lack of immune protection makes their lymph system vulnerable to adverse effects of the virus, especially lymphomas that can be traced directly back to the infection. In this study, 114 patients who had received hematopoietic or blood-related stem cell transplants from an unrelated donor or a family member whose bone marrow was not a perfect match also received infusions of immune components called T-cells that were design to target Epstein-Barr virus-infected cells. The treatment was preventive in 101 patients, none of whom developed lymphomas associated with Epstein-Barr virus infection. Eleven of 13 patients who had this disease or symptoms of it had sustained remissions. Because the cells were marked, researchers determined that the special cells remained in the body for as long as nine years. The cost of the therapy, which spares normal cells, was estimated at just over $6,000, which compares favorably to other treatments for the disorder.

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Intervals between lung cancer diagnosis and treatment displays a health care disparity

Research published in the November 2009 issue of the Journal of Thoracic Oncology has found that intervals between lung cancer suspicion, diagnosis and treatment may be attributed to health care system discrepancies. To gain better insight on this topic, researchers studied the timing of lung cancer diagnosis and treatment a t U.S. medical center providing care to a diverse patient population within two different hospital systems. David E. Gerber, MD of the University of Texas Southwestern Medical Center and his team of researchers conducted a retrospective analysis of 482 patients diagnosed with non-small cell lung cancer among a diverse population. Researchers learned that health care system factors such as hospital type (public vs. private), insurance type, age and race play a significant role in the length of time between lung cancer diagnosis and treatment. Patients treated at the public hospital were more likely to have advanced stage lung cancer than those patients in the private hospital (59% stage III, as opposed to 37%). Also, the makeup of the patient population in public and private hospitals varies significantly in terms of age, race and socioeconomic status. "This study demonstrates that in a contemporary U.S. health care system, intervals among suspicion, diagnosis and treatment vary widely and are predominantly associated with system variables such as insurance and hospital type," says Dr. Gerber. "An organized and timely approach to subsequent diagnostic and therapeutic measures may benefit these individuals and reduce this health care disparity."

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Is running marathons damaging your health?

Research demonstrates an interesting correlation between inflammation and artrial fibrillation in chronic endurance training and racing.

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Is the disorder that causes dementia hereditary?

New research shows that a rare brain disorder that causes early dementia is highly hereditary. The study is published in the November 3, 2009, issue of Neurology®, the medical journal of the American Academy of Neurology.The brain disorder, called frontotemporal dementia, is formerly known as Pick's disease and destroys parts of the brain, leading to dementia, including problems with language or changes in behavior and personality. The disease often affects people under the age of 65. "Knowing your family's health history may be one way for people to better predict their risk of developing dementia," said study author Jonathan Rohrer, MRCP Clinical Research Fellow at the Dementia Research Center at the University College London in the United Kingdom. For the study, blood was drawn from 225 people who were diagnosed with frontotemporal dementia. The people were asked about family history of dementia and given a score of one through four. A score of one represents a person who had at least three relatives with dementia and an autosomal dominant inheritance, meaning that an affected person has one mutant gene and one normal gene and has a 50-percent chance of passing the mutant gene and therefore the disorder on to their offspring. A score of four represents a person with no family history of dementia. The study found that nearly 42 percent of participants scored between a one and a 3.5, meaning they had some family history of dementia. However, only 10 percent had an autosomal dominant gene history.

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It's a wonderful, mixed-up world

There are now more mixed-race children than ever before - and that is something for us all to celebate, says the scientist Aarathi Prasad.

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Lead-mining - the ugly truth about Mount Isa

In the boom town next to Australia's biggest lead mine, mothers fear their children are being poisoned, reports Kathy Marks from Queensland

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Lifestyle Changes May Stave Off Diabetes for a Decade

Sustaining modest weight loss for 10 years, or taking an anti-diabetic drug over that time, can prevent or lower the incidence of type 2 diabetes in people at high risk for developing the disease, according to the Diabetes Prevention Program Outcomes Study (DPPOS), a long-term follow-up to a landmark 2001 diabetes prevention study. Jill Crandall, M.D.Jill Crandall, M.D., associate professor of clinical medicine at Albert Einstein College of Medicine of Yeshiva University, was a principal investigator in the follow-up study, which appears online in the current edition of the British medical journal The Lancet. The original study?the Diabetes Prevention Program (DPP)?was a large, randomized trial involving 3,234 people at high risk for developing diabetes. At the start of the study, all were overweight or obese adults with elevated blood glucose levels. Researchers disclosed the findings from DPP in 2001?a year earlier than scheduled?because results were so clear. After three years, intensive lifestyle changes (modest weight loss coupled with increased physical activity) reduced the rate for developing type 2 diabetes by 58 percent compared with placebo. The oral diabetes drug metformin (850 milligrams twice daily) reduced the rate of developing diabetes by 31 percent compared with placebo.

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MRSA Strain Linked to High Death Rates

A strain of MRSA that causes bloodstream infections is five times more lethal than other strains and has shown to have some resistance to the potent antibiotic drug vancomycin used to treat MRSA, according to a Henry Ford Hospital study. The study found that 50 percent of the patients infected with the strain died within 30 days compared to 11 percent of patients infected with other MRSA strains. The average 30-day mortality rate for MRSA bloodstream infections ranges from 10 percent to 30 percent. Researchers say the strain USA600 contains unique characteristics that may be linked to the high mortality rate. But they say it is unclear whether other factors like the patients' older age, diseases or the spread of infection contributed to the poor outcomes collectively or with other factors. The average age of patients with the USA600 strain was 64; the average age of patients with other MRSA strains was 52. The study is being presented at the 47th annual meeting of the Infectious Diseases Society of America Oct. 29-Nov.1 in Philadelphia.

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Nearly 80% adolescents in UAE suffer from acne

Nearly 80 per cent adolescents in the UAE suffer from acne, which is now considered a disease in medical circles, and some of them resort to wrong treatments based on cosmetics products.

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New mothers most anxious after five months

Anxiety experienced by first-time mothers peaks around five months and one week after they give birth, according to new research.

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New neurodegenerative disease study findings have been published by scientists at University of Florida

"The role of microglial cells in the pathogenesis of Alzheimer's disease (AD) neurodegeneration is unknown. Although several works suggest that chronic neuroinflammation caused by activated microglia contributes to neurofibrillary degeneration, anti-inflammatory drugs do not prevent or reverse neuronal tau pathology," researchers in the United States report (see also Neurodegenerative Disease).

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New study finds shock-wave therapy for unhealed fractured bones

When fractured bones fail to heal, a serious complication referred to as "nonunion" can develop. This occurs when the process of bone healing is interrupted or stalled. According to a new study published in the November 2009 issue of The Journal of Bone and Joint Surgery (JBJS), certain cases involving nonunions respond very well to shock-wave therapy. Researchers say this non-invasive treatment is equally effective as surgery when it comes to healing the bone. "We found that extracorporeal (external to body) shock-wave therapy was just as effective as surgery in helping to heal and repair nonunions," said lead author of the study Angelo Cacchio, MD, a physiatrist who conducted the study with colleagues from the Division of Orthopaedic Surgery and the Department of Physical Medicine and Rehabilitation at San Salvatore Hospital in L'Aquila, Italy. Study authors say sparse surrounding vascular tissue and limited blood supply can lead to a nonunion and can subsequently delay or prevent healing. This complication -- a nonunion -- often is very difficult to treat. Dr. Cacchio and his colleagues analyzed data from 126 patients who had nonunions of the femur (thigh bone), tibia (shinbone), ulna (forearm) or radius (forearm). Patients were randomly assigned to one of three groups and all patient outcomes were evaluated from 2001 to 2004. The patients in the three groups had similar demographic characteristics and similarly timed and developed nonunions. The first two groups of patients received surgery to help repair their fracture. The third received four shock-wave therapy sessions at weekly intervals, with 4000 impulses per session.

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New Study Shows Probiotics Reduce Cholesterol

Probiotics seem to be all the rage these days, and for good reason! They have a number of potential health benefits, including improving digestive health and possibly preventing colon cancer. And now there’s one more reason to introduce probiotics to your diet: a recent study showed that a diet combining soy and probiotics significantly reduced harmful lipids.

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New therapy gives hope for very severe depression

Thanks to a new method there is a reason for hope for patients with very severe depression. Physicians at the University Clinics of Bonn and Cologne have treated ten patients with deep brain stimulation. This involved implanting electrodes in the patients' nucleus accumbens. This centre has a key role in as the brains reward system, whose function may be impaired in depressive people. Subsequent to this treatment, the patients' depression improved significantly in half of the patients. All patients had suffered from very severe depression for many years and did not respond to any other therapies. The results of the study will be published in the journal Biological Psychiatry (doi: 10.1016/j.biopsych.2009.09.013). In deep brain stimulation, doctors specifically target the impaired function of certain areas of the brain with an electric brain pacemaker. For the purpose of this study, they implanted electrodes in what is known as the nucleus accumbens. That is an important part of the 'reward system' which ensures that we remember good experiences and puts us in a state of pleasant anticipation. Without a reward system we would not forge any plans for the future as we would not be able to enjoy the fruits of these plans. Inactivity and the inability to experience pleasure are two important signs of depression. A total of ten patients with very severe depression participated in the study. In all patients, symptoms did not improve despite many therapies using psychotherapy or pharmacotherapy. Overall, all participants showed signy of improvement, in half of them symptoms of depression improved significantly. Initial effects could sometimes be seen just after a few days. 'Thus, inter alia we observed increasing activity of the patients,' Professor Thomas E. Schlaepfer from the Bonn Clinic of Psychiatry and Psychotherapy explains. 'This was so successful that some of them were even able to work again, after having been incapacitated for many years. None of our patients had ever responded to any other therapy to a comparable extent before.'

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Obesity significantly increases side effects of stereotactic body radiation therapy in lung cancer patients

Obesity, not the amount of radiation given, is the greatest factor in whether early-stage lung cancer patients develop chest wall pain after receiving stereotactic body radiation therapy to the chest wall, with obese patients being more than twice as likely to develop chronic pain compared to those who have less body weight, according to a first-of-its-kind study presented Tuesday, November 3, 2009, at the 51st Annual Meeting of the American Society for Radiation Oncology (ASTRO). Researchers studied other factors associated with obesity, such as diabetes, to find out why obesity in patients increased chest wall pain. Findings show that obese patients who are diabetic are over three times more likely to develop chest wall pain after receiving stereotactic body radiation therapy to the chest wall, compared to patients who do not have diabetes.

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On the Track of DNA Methylation - An Interview with Adrian Bird

Long before the word “epigenome” was coined, Bird began mapping the distribution of DNA methylation (occurring at the cytosine of CpG dinucleotides) in the genomes of a variety of species. His work emerged just as agarose gels, restriction enzymes, and Southern blots were being developed. Bird later spawned the idea of CpG islands, pockets of DNA rich in unmethylated CpGs and frequently found in conjunction with the promoter regions of mammalian genes. Bird's observation provided a roadmap for disease gene discovery for about 15 years, until human genome draft sequences began to emerge.

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One dose of swine flu vaccine is enough, say experts

THE United Nations health agency has issued reassurance that swine flu vaccines are safe and only one dose is needed to protect adults and children over ten against the H1N1 strain.

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Ormus - modern alchemy

In recent years, the search for the Philosopher's Stone of the alchemists has centered on discoveries made by an Arizona rancher named David Hudson in the late 1970s. While mining for gold on his land, he noticed some associated metallic minerals that exhibited very unusual properties. Hudson spent several million dollars over the following decade figuring out how to isolate and work with these strange materials. In 1989, he was granted several foreign patents on these materials and methods for obtaining them. During the early 1990s, He toured the United States giving lectures and workshops about what he had found. The strange substances have been named ORMES (Orbitally Rearranged Monatomic Elements), although some researchers prefer the more general term of ORMUS. ORMES are metallic microclusters in a non-metallic state consisting of one or more atoms which Hudson felt were in a high-spin state that endows them with unusual properties such as superconductivity, superfluidity, supercurrent (or Josephson tunneling) and magnetic levitation.

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Possible origins of pancreatic cancer revealed

MIT cancer biologists have identified a subpopulation of cells that can give rise to pancreatic cancer. They also found that tumors can form in other, more mature pancreatic cell types, but only when they are injured or inflamed, suggesting that pancreatic cancer can arise from different types of cells depending on the circumstances. Why it matters - There are few good treatment options for pancreatic cancer, which kills an estimated 35,000 Americans per year — making it the country's fourth-leading cause of cancer death. Learning more about the origins of pancreatic cancer cells could help scientists develop better treatments and tools for early diagnosis. "By the time pancreatic disease is typically diagnosed, it's already very advanced and non-curable. Our new findings can help scientists focus their drug development efforts and lead them to new ways to detect the disease in early stages," says Sharon Friedlander, a postdoctoral associate at MIT's David H. Koch Institute for Integrative Cancer Research and lead author of a paper describing the work in the Nov. 3 issue of Cancer Cell.How they did it - The team found that in mice, tumors originate from a subpopulation of pancreatic cells that express a protein called pdx1. This protein plays a critical role in pancreas development and differentiation, a process of specialization that normally occurs during embryonic development but can also occur later in life. This suggests that under normal conditions, pancreatic cancer may arise from a type of adult stem cell that can differentiate into mature pancreatic cells, says Friedlander.

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Potential Health Dangers from GM Foods

Genetically Modified Foods may cause new diseases, antibiotic resistant disease and nutritional problems that are normally caused by toxins, allergens and carcinogens.

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Precuneus region of human and monkey brain is divided into 4 distinct regions

A study published this week in PNAS provides a comprehensive comparative functional anatomy study in human and monkey brains which reveals highly similar brain networks preserved across evolution. An international collaboration co-led by scientists at NYU Langone Medical Center in New York City examined patterns of connectivity to show that the precuneus, long thought to be a single structure, is actually divided into four distinct functional regions. These areas were identified using "resting state" functional Magnetic Resonance Imaging (fMRI) – a recently emerging approach that allows scientist to map a multitude of brain networks using only 6 minutes of data acquired while an individual lies in the scanner at rest. The results of these brief imaging sessions were comparable to definitive findings in monkeys examined microscopically. Located in the posterior portion of the brain's medial wall, the precuneus has traditionally received little attention in the neuroimaging and neuropsychological literatures. However, recent functional neuroimaging studies have started to implicate the precuneus in a variety of high level cognitive functions, including episodic memory, self-related processing, and aspects of consciousness. "The findings confirm that higher order association areas in the brain have complex functional architectures which appear to be preserved and or expanded during the evolutionary process," said study co-leader, Michael P. Milham, MD, PhD, the associate director of the Phyllis Greene and Randolph Cowen Institute for Pediatric Neuroscience at the NYU Child Study Center and assistant professor of child and adolescent psychiatry at NYU Langone Medical Center. "The fMRI approaches provide a powerful tool for translational science, making comparative studies of the brain's functional neuroanatomy studies across species possible."

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Preventative brain radiation for lung cancer patients

A new study is taking a closer look at the benefits versus risks for lung cancer patients to undergo preventative brain radiation therapy as a means to stop cancer from spreading to the brain. Study results show that while preventative brain radiation for patients with non-small cell lung cancer – the most common form of lung cancer – does reduce the chance of developing brain metastases, it impacts some short-term and long-term memory. The study also reveals that preventative brain radiation does not increase survival and has no significant impact on quality of life, says study co-investigator Benjamin Movsas, M.D., chair of the Department of Radiation Oncology at Henry Ford Hospital in Detroit. "These findings offer a more complete perspective regarding this intervention for patients with non-small cell lung cancer," Movsas says. "We now need to develop strategies to help shift the benefit-risk ratio for this treatment." Dr. Movsas will present the study results Nov. 2 at the plenary session for the 51st annual American Society for Radiation Oncology (ASTRO) meeting. Out of nearly 1,000 abstracts submitted, only a handful of study abstracts, including the one from Henry Ford, were selected for the ASTRO plenary session.

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Probing blood loss, fatigue in the elderly

What are the causes of blood loss and fatigue in the elderly? If the cause is not found, what can be done? Will iron tablets help?

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Pumpkin rind can fight yeast infection

Long been known for its medical properties, pumpkin also contains a powerful antifungal protein that can effectively fight many common yeast infections.

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Putting Farm Animal Protection on the Map, One Step at a Time

Within this decade, we've gone from 0 to 7 states having anti-cruelty laws for animals in agribusiness laws.

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RDH inflammation sleuth

Gingivitis and periodontitis, together with most other forms of inflammation, are largely adaptive responses to microbial infections or, less commonly, tissue injuries. But whereas microbial infections of the biofilm on the tooth surfaces and gingival sulcus generally initiate these diseases, it is the variable inflammatory responses that drive the subsequent pathological changes of bleeding on probing and increased pocket depth. In fact, these acute and/or chronic inflammatory responses are well established, although much less is known about the dynamics of “systemic chronic inflammatory syndrome” or “para-inflammatory states” that characterize such diseases as obesity, type 2 diabetes, atherosclerosis, myocardial infarctions (heart attacks), cerebro-vascular accidents (strokes), asthma, preeclampsia (preterm births), rheumatoid arthritis, Alzheimer’s disease, erectile dysfunction, malignancies, and periodontal disease.

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Researchers develop innovative imaging system to study sudden cardiac arrest

A research team at Vanderbilt University has developed an innovative optical system to simultaneously image electrical activity and metabolic properties in the same region of a heart, to study the complex mechanisms that lead to sudden cardiac arrest. Tested in animal models, the system could dramatically advance scientists' understanding of the relationship between metabolic disorders and heart rhythm disturbances in humans that can lead to cardiac arrest and death, and provide a platform for testing new treatments to prevent or stop potentially fatal irregular heartbeats, known as arrhythmias. The research is supported in part by the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health. The design and use of the dual camera system is described in the Nov.1 issue of Experimental Biology and Medicine. Additional support for the project has also been provided by the Vanderbilt Institute for Integrative Biosystems Research and Education (VIIBRE), the American Heart Association, and the Simons Center for Systems Biology at the Institute for Advanced Study. "The challenge in understanding cardiac rhythm disorders is to discern the dynamic relationship between multiple cardiac variables," said one of the coauthors of the paper and the project's principal investigator, John P. Wikswo, Ph.D., Gordon A. Cain University Professor and VIIBRE director. "This dual camera system opens up a new window for correlating metabolic and electrophysiological events, which are usually studied independently."

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Researchers discover links between city walkability and air pollution exposure

A new study compares neighborhoods’ walkability (degree of ease for walking) with local levels of air pollution and finds that some neighborhoods might be good for walking, but have poor air quality. Researchers involved in the study include University of Minnesota faculty member Julian Marshall and University of British Columbia faculty Michael Brauer and Lawrence Frank.The findings highlight the need for urban design to consider both walkability and air pollution, recognizing that neighborhoods with high levels of one pollutant may have low levels of another pollutant. The study, done for the city of Vancouver, British Columbia, is the first of its kind to compare the two environmental attributes, and suggests potential environmental health effects of neighborhood location, layout and design for cities around the globe. The research study is published in the November 2009 issue of Environmental Health Perspectives, the peer-reviewed journal of the United States’ National Institute of Environmental Health Sciences, part of the U.S. Department of Health and Human Services.

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Researchers discover links between city walkability and air pollution exposure

A new study compares neighborhoods' walkability (degree of ease for walking) with local levels of air pollution and finds that some neighborhoods might be good for walking, but have poor air quality. Researchers involved in the study include University of Minnesota faculty member Julian Marshall and University of British Columbia faculty Michael Brauer and Lawrence Frank. The findings highlight the need for urban design to consider both walkability and air pollution, recognizing that neighborhoods with high levels of one pollutant may have low levels of another pollutant. The study, done for the city of Vancouver, British Columbia, is the first of its kind to compare the two environmental attributes, and suggests potential environmental health effects of neighborhood location, layout and design for cities around the globe. The research study is published in the November 2009 issue of Environmental Health Perspectives, the peer-reviewed journal of the United States' National Institute of Environmental Health Sciences, part of the U.S. Department of Health and Human Services. The research team found that, on average, neighborhoods downtown are more walkable and have high levels of some pollutants, while suburban locations are less walkable and have high levels of different pollutants. Neighborhoods that fare well for pollution and walkability tend to be a few miles away from the downtown area. These "win-win" urban residential neighborhoods--which avoid the downtown and the suburban air pollution plus exhibit good walkability--are rare, containing only about two percent of the population studied. Census data indicate that these neighborhoods are relatively high-income, suggesting that they are desirable places to live. Neighborhoods that fare poorly for both pollution and walkability tend to be in the suburbs and are generally middle-income.

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Researchers identify the three killer indicators that are even worse than high cholesterol

Researchers at the University of Warwick have identified a particular combination of health problems that can double the risk of heart attack and cause a three-fold increase in the risk of mortality. The team, led by Assistant Clinical Professor of Public Health at Warwick Medical School Dr Oscar Franco, has discovered that simultaneously having obesity, high blood pressure and high blood sugar are the most dangerous combination of health factors when developing metabolic syndrome. Metabolic syndrome is a combination of medical disorders that increase the risk of developing cardiovascular disease and diabetes. The main five health problems normally associated with metabolic syndrome are abnormal levels of blood pressure, high cholesterol, high triglyceride levels (the chemical form in which fat exists in the body), too much sugar in the blood and central obesity (excess of fat around the waistline). In his study, published in the American Heart Association journal Circulation, Dr Franco has identified the most dangerous combination of these conditions to be central obesity, high blood pressure and high blood sugar. People who have all three of these conditions are twice as likely to have a heart attack and three times more likely to die earlier than the general population. His team looked at 3,078 people to track the prevalence and progress of Metabolic Syndrome as part of the Framingham Offspring Study.

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Researchers unlock the 'sound of learning' by linking sensory and motor systems

Learning to talk also changes the way speech sounds are heard, according to a new study published in Proceedings of the National Academy of Sciences by scientists at Haskins Laboratories, a Yale-affiliated research laboratory. The findings could have a major impact on improving speech disorders. "We've found that learning is a two-way street; motor function affects sensory processing and vice-versa," said David J. Ostry, a senior scientist at Haskins Laboratories and professor of psychology at McGill University. "Our results suggest that learning to talk makes it easier to understand the speech of others." As a child learns to talk, or an adult learns a new language, Ostry explained, a growing mastery of oral fluency is matched by an increase in the ability to distinguish different speech sounds. While these abilities may develop in isolation, it is possible that learning to talk also changes the way we hear speech sounds. Ostry and co-author Sazzad M. Nasir tested the notion that speech motor learning alters auditory perceptual processing by evaluating how speakers hear speech sounds following motor learning. They simulated speech learning by using a robotic device, which introduced a subtle change in the movement path of the jaw during speech.

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Scientists Propose New Explanation For Flu Virus Antigenic Drift

Influenza viruses evade infection-fighting antibodies by constantly changing the shape of their major surface protein.

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Sedatives Increase Risk of Suicides in Elderly

Taking sedatives or sleeping pills increases the suicide risk of senior citizens by 300 percent, according to a study conducted by researchers from Gothenburg University in Sweden and published in the journal BMC Geriatrics.

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Sewer plants pollute water

Iowa's outdated sewage treatment plants regularly dump excess pollution into rivers and streams that provide drinking water for up to 900,000 people and recreation for many more, a Des Moines Register analysis of state records shows.

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Short-term hormone therapy added to radiation increases survival for medium-risk, but not low-risk, prostate cancer patients

Short-term hormone therapy given prior to and during radiation treatment to medium-risk prostate cancer patients increases their chance of living longer, compared to those who receive radiation alone, however there is no significant benefit for low-risk patients, according to the largest randomized study of its kind presented at the plenary session November 2, 2009, at the 51st Annual Meeting of the American Society for Radiation Oncology (ASTRO). This phase III study is one of the largest clinical trials of prostate cancer therapy ever completed, with 2,000 low- and intermediate-risk patients enrolled in the trial from October 1994 to April 2001. Researchers from the Radiation Therapy Oncology Group (RTOG) followed men with early-stage prostate cancer for a period in most cases of more than nine years. This timeframe was sufficient to show improved survival benefits of short-term hormone therapy added to what was then the standard radiation treatment for prostate cancer, which involved slightly lower doses of radiation than are currently used today with newer techniques, such as intensity modulated radiation therapy (IMRT). "The study provides strong scientific evidence that shows us when to deliver hormone therapy with radiation in patients with localized prostate cancer," Christopher U. Jones, M.D., an author of the study and a radiation oncologist at Radiological Associates of Sacramento in Sacramento, Calif., said. "Our findings show that men with low-risk disease, which is the vast majority of prostate cancer patients, have little to gain from adding hormone therapy to radiation. However, men with intermediate-risk disease, which is a significant minority of patients, gain a benefit in overall survival from the addition of only four months of hormone therapy. Prior to this trial, it was unclear whether or not combining hormone therapy with radiation for medium-risk prostate cancer patients improves survival."

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Short-term hormone therapy and intermediate dose radiation increases survivial for early stage prostate cancer

Short-term hormone therapy given prior to and during intermediate dose radiation treatment for men with early stage prostate cancer increases their chance of living longer, compared to those who receive the same radiation alone, according to a Radiation Therapy Oncology Group (RTOG) study, the largest randomized trial of its kind, presented November 2, 2009, at the American Society for Radiation Oncology (ASTRO) annual meeting. The RTOG trial noted that this benefit appeared to be greatest for men currently defined as at medium-risk for disease failure. The phase III study is one of the largest clinical trials of prostate cancer therapy ever completed, with 2,000 low- and intermediate-risk patients enrolled in the trial from October 1994 to April 2001. This trial was conducted by the RTOG and followed men with early-stage prostate cancer in most cases for more than nine years. This time period is sufficient to show improved survival benefits of short-term hormone therapy added to what was then the standard radiation treatment for prostate cancer, which involved slightly lower doses of radiation than are currently used today with newer techniques, such as intensity modulated radiation therapy (IMRT). "This landmark RTOG study provides strong scientific evidence that shows us when to deliver hormone therapy with radiation in men with localized prostate cancer. Prior to this trial, it was unclear whether or not combining hormone therapy with radiation for medium-risk prostate cancer patients would increase survival," said Christopher U. Jones, M.D., an author of the study and a radiation oncologist at Radiological Associates of Sacramento in Sacramento, Calif. "It remains uncertain whether the addition of hormone therapy to the higher radiation dose and new technology treatments being employed today would provide the same or greater benefit to that documented in this study. It is possible that it could."

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Sights and sounds of emotion trigger big brain responses

Researchers at the University of York have identified a part of the brain that responds to both facial and vocal expressions of emotion. They used the MagnetoEncephaloGraphic (MEG) scanner at the York Neuroimaging Centre to test responses in a region of the brain known as the posterior superior temporal sulcus. The research team from the University's Department of Psychology and York Neuroimaging Centre found that the posterior superior temporal sulcus responds so strongly to a face plus a voice that it clearly has a 'multimodal' rather than an exclusively visual function. The research is published in the latest issue of Proceedings of the National Academy of Sciences (PNAS). Test participants were shown photographs of people with fearful and neutral facial expressions, and were played fearful and neutral vocal sounds, separately and together. Responses in the posterior superior temporal sulcus were substantially heightened when subjects could both see and hear the emotional faces and voices, but not when subjects could both see and hear the neutral faces and voices.Researchers believe that the finding could help in the study of autism and other neuro-developmental disorders which exhibit face perception deficits.

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Slimming gene regulates body fat

Scientists at the University of Bonn have discovered a previously unknown fruit fly gene that controls the metabolism of fat. Larvae in which this gene is defective lose their entire fat reserves. Therefore the researchers called the gene 'schlank' (German for 'slim'). Mammals carry a group of genes that are structurally very similar to 'schlank'. They possibly take on a similar function in the energy metabolism. The scientists therefore have hopes in new medicines with which obesity could be fought. Their research bas been published in 'The EMBO Journal' (doi: 10.1038/emboj.2009.305). If scientists decipher the function of a gene, they are allowed to name it. With the fruit fly Drosophila there is a rather paradox convention. The names always indicate what the fly looks like if the respective gene is defective. That is also the case with the schlank gene. If it is unimpaired the fly larva can build up fat reserves. It becomes fat. 'Larvae with a mutation of schlank, however, remain slim,' Professor Michael Hoch from the University of Bonn explains. 'In extreme cases the defect can even lead to death.' Together with Dr. Reinhard Bauer and other employees the development biologist has explored what exactly 'schlank' does. According to their research the gene contains the instructions of what is known as ceramide synthase. Ceramides serve as raw materials for the gauzy membranes that enclose all of the cells in the body. Moreover, schlank also has a regulatory function. It promotes lipid synthesis and at the same time inhibits the mobilisation of fat from the fat reserves.

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Smokers with common autoimmune disorder at higher risk for skin damage

As if there weren't enough reasons to stop smoking, a team of researchers at the Research Institute of the McGill University Health Centre (RI-MUHC) have just found another. A study led by Dr. Christian A Pineau, Co-Director of the Lupus and Vasculitis clinic at the MUHC, has clearly linked skin damage and rashes to smoking in people with systemic lupus erythematosus (SLE). The study was published in a recent issue of the Journal of Rheumatology. SLE is a long-term autoimmune disorder affecting about one in every 2000 people. About 90 per cent of SLE patients are women, many of them young. Symptoms are caused by an overactive immune system, and the disease can cause inflammation and damage in almost any organ system, including the skin. "Up to 85 per cent of people with SLE develop skin involvement at some point," explains Dr. Pineau. "Our study shows that the risk of skin damage such as permanent hair loss and scarring from skin inflammation is significantly increased in smokers. So is the rate of active lupus rash."

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Soft drink manufacturers using GM corn in syrup for beverages

Major Japanese soft drink manufacturers are using high-fructose corn syrup (HFCS) -- a sweetener made using corn that has been genetically modified (GM) -- in their beverages, the Mainichi has found.

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Stereotactic radiosurgery as effective in eliminating Parkinson’s disease tremors as other treatments, but less invasive

Stereotactic radiosurgery (SRS) offers a less invasive way to eliminate tremors caused by Parkinson’s disease and essential tremor than deep brain stimulation (DBS) and radiofrequency (RF) treatments, and is as effective, according to a long-term study presented November 2, 2009, at the 51st Annual Meeting of the American Society for Radiation Oncology (ASTRO). “The study shows that radiosurgery is an effective and safe method of getting rid of tremors caused by Parkinson’s disease and essential tremor, with outcomes that favorably compare to both DBS and RF in tremor relief and risk of complications at seven years after treatment,” Rufus Mark, M.D., an author of the study and a radiation oncologist at the Joe Arrington Cancer Center and Texas Tech University, both in Lubbock, Texas said. “In view of these long-term results, this non-invasive procedure should be considered a primary treatment option for tremors that are hard to treat.”

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Study claims meat creates half of all greenhouse gases

Climate change emissions from meat production are far higher than currently estimated, according to a controversial new study that will fuel the debate on whether people should eat fewer animal products to help the environment.

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Study examines associations between antibiotic use during pregnancy and birth defects

Penicillin and several other antibacterial medications commonly taken by pregnant women do not appear to be associated with many birth defects, according to a report in the November issue of Archives of Pediatrics & Adolescent Medicine, one of the JAMA/Archives journals. However, other antibiotics, such as sulfonamides and nitrofurantoins, may be associated with several severe birth defects and require additional scrutiny. Treating infections is critical to the health of a mother and her baby, according to background information in the article. Therefore, bacteria-fighting medications are among the most commonly used drugs during pregnancy. Although some classes of antibiotics appear to have been used safely during pregnancy, no large-scale studies have examined safety or risks involved with many classes of antibacterial medications. Krista S. Crider, Ph.D., of the Centers for Disease Control and Prevention, Atlanta, and colleagues analyzed data from 13,155 women whose pregnancies were affected by one of more than 30 birth defects (cases). The information was collected by surveillance programs in 10 states as part of the National Birth Defects Prevention Study. The researchers compared antibacterial use before and during pregnancy between these women and 4,941 randomly selected control women who lived in the same geographical regions but whose babies did not have birth defects. Antibacterial use among all women increased during pregnancy, peaking during the third month. A total of 3,863 mothers of children with birth defects (29.4 percent) and 1,467 control mothers (29.7 percent) used antibacterials sometime between three months before pregnancy and the end of pregnancy. "Reassuringly, penicillins, erythromycins and cephalosporins, although used commonly by pregnant women, were not associated with many birth defects," the authors write. Two defects were associated with erythromycins (used by 1.5 percent of the mothers whose children had birth defects and 1.6 percent of controls), one with penicillins (used by 5.5 percent of case mothers and 5.9 percent of controls), one with cephalosporins (used by 1 percent of both cases and controls) and one with quinolones (used by 0.3 percent of both cases and controls).

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Study finds lack of VEGF can cause defects similar to dry macular degeneration

Scientists at Schepens Eye Research Institute have found that when the eye is missing a diffusible form of vascular endothelial growth factor (VEGF), i.e. one that when secreted can reach other cells at a distance, the retina shows defects similar to "dry" macular degeneration, also called geographic atrophy (GA). This finding, published in the November 3, 2009 print edition of PNAS (Proceedings of the National Academy of Sciences), not only increases the understanding of the causes of this blinding disease, but it may also impact the use of anti-VEGF drugs, such as Lucentis, which are designed to neutralize VEGF in eyes with "wet" macular degeneration. "These results are significant for several reasons. We know little about what causes GA or how to treat it. Our discovery may be an important piece of the puzzle. It shows that reduced VEGF from the retinal pigment epithelium (RPE), RPE, the bottommost layer of the retina, to the choriocapillaris (CC) - the small blood vessels beneath retina-- leads to degeneration of the CC. Therefore, the continuous blockage of VEGF may contribute to the development of or a worsening of GA," says Patricia D'Amore, principal investigator of the study and senior scientist at Schepens. VEGF is a protein that stimulates the growth of new blood vessels. The eye produces several different forms of VEGF that differ in their size and their ability to move away from the producing cell.

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Study finds link between childhood physical abuse and arthritis

Adults who had experienced physical abuse as children have 56 per cent higher odds of osteoarthritis compared to those who have not been abused, according to a new study by University of Toronto researchers. University of Toronto researchers investigated the relationship between self-reported childhood physical abuse and a diagnosis of osteoarthritis (OA). After analyzing representative data from the 2005 Canadian Community Health Survey, the researchers determined a significant association between childhood physical abuse and osteoarthritis in adulthood. The study is published in the November issue of the journal Arthritis Care & Research. Osteoarthritis is an often debilitating chronic condition that affects millions of adults. "We found that 10.2 per cent of those with osteoarthritis reported they had been physically abused as children in comparison to 6.5 per cent of those without osteoarthritis," says lead author Esme Fuller-Thomson of U of T's Factor-Inwentash Faculty of Social Work and Department of Family and Community Medicine. "This study provides further support for the need to investigate the possible role that childhood abuse plays in the development of chronic illness."

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Study reveals a 'missing link' in immune response to disease

The immune system's T cells have the unique responsibilities of being both jury and executioner. They examine other cells for signs of disease, including cancers or infections, and, if such evidence is found, rid them from the body. Precisely how T cells shift so swiftly from one role to another, however, has been a mystery. In a new study, investigators at Dana-Farber Cancer Institute, Harvard Medical School, and the Massachusetts Institute of Technology used an array of techniques -- including "optical tweezers" that exploit laser light to press molecules against surface structures found on T cells -- to find out what operates the switch. Their answer: sheer mechanical force. Hence, the T cell receptor is a mechanosensor. When a T cell's "receptors" lock onto their targeted structures called antigens on the surface of a diseased cell, parts of the receptors bend in a way that signals the T cell to change from disease-scanning to disease-fighting mode, the researchers report. (Antigens are made of peptides bound to histocompatibility proteins, or pMHCs.) They also found that after T cell receptors (TCRs) and antigens meet, an additional force generated during scanning triggers the T cell's response to disease.

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Study Shows that Sleep Deprivation Can Negatively Affect Information Processing

A study in the Nov.1 issue of the journal SLEEP showsthat sleep deprivation causes some people to shift from a more automatic, implicit process of information categorization (information integration) to a more controlled, explicit process­ (rule based). This use of rule-based strategies in a task in which information-integration strategies are optimal can lead to potentially devastating errors when quick and accurate categorization is fundamental to survival. Results show that sleep deprivation led to an overall performance deficit on an information-integration category learning task that was held over the course of two days. Performance improved in the control group by 4.3 percent from the end of day one to the beginning of day two (accuracy increased from 74 percent to 78.3 percent); performance in the sleep-deprived group declined by 2.4 percent (accuracy decreased from 73.1 percent to 70.7 percent) from the end of day one to the beginning of day two. According to co-principal investigators W. Todd Maddox, PhD, professor of psychology, and David M. Schnyer, PhD, associate professor of psychology at the Institute for Neuroscience at the University of Texas in Austin, fast and accurate categorization is critical in situations that could become a matter of life or death. However, categorization may become compromised in people who often experience sleep deprivation in fast-paced, high pressure roles as doctors, firefighters, soldiers and even parents. Many tasks performed on a daily basis require information-integration processing rather than rule-based categorization. Examples include driving, making a medical diagnosis and performing air-traffic control.

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Study shows that sleep disturbances improve after retirement

A study in the Nov.1 issue of the journal Sleep shows that retirement is followed by a sharp decrease in the prevalence of sleep disturbances. Findings suggest that this general improvement in sleep is likely to result from the removal of work-related demands and stress rather than from actual health benefits of retirement. Results show that the odds of having disturbed sleep in the seven years after retirement were 26 percent lower (adjusted odds ratio of 0.74) than in the seven years before retiring. Sleep disturbance prevalence rates among 14,714 participants fell from 24.2 percent in the last year before retirement to 17.8 percent in the first year after retiring. The greatest reduction in sleep disturbances was reported by participants with depression or mental fatigue prior to retirement. The postretirement improvement in sleep also was more pronounced in men, management-level workers, employees who reported high psychological job demands, and people who occasionally or consistently worked night shifts. Lead author Jussi Vahtera, professor in the department of public health at the University of Turku in Finland, noted that the participants enjoyed employment benefits rarely seen today, including guaranteed job stability, a statutory retirement age between 55 and 60 years, and a company-paid pension that was 80 percent of their salary. "We believe these findings are largely applicable in situations where financial incentives not to retire are relatively weak," said Vahtera. "In countries and positions where there is no proper pension level to guarantee financial security beyond working age, however, retirement may be followed by severe stress disturbing sleep even more than before retirement."

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Study spotlights efficacy of questionnaire to identify patients at high risk for lung cancer

A study featured in the November issue of the Journal of Thoracic Oncology confirms the success of a simple questionnaire designed to identify patients at high risk of lung cancer. Initiated in 2001, the current study confirmed 18 cases of cancer of the original 430 patients who qualified as high risk after completing a five-minute questionnaire. The study was conducted in primary care physician offices among patients seeking care for general health issues. The evaluating physician incorporated a simple questionnaire focused in three areas: risks, environments and genetics. Specific questions included smoking habit, occupational environments (mining, construction or railroad),subsequent exposure to chemicals and family history. Colorado's Primary Care Partners surveyed more than 1,000 patients to evaluate their corresponding risk of lung cancer. Almost half of those surveyed qualified as high risk, and 126 of these identified underwent spinometry, a non-invasive breath measurement procedure. Of the patients with airflow obstruction, 88 underwent a full lung cancer screening. After five years, the study confirmed lung cancer in eight patients with obstructed airflow and 10 in of the patients without. The study opened the door to mitigate late diagnosis through embedding these simple questions into the patient-physician dialogue. "Simple by design, our initiative received widespread community support from physicians, patients and hospitals," said lead investigator Thomas Petty, MD. By providing the guidelines for pointed questions when patients are face-to-face with physicians, we can begin to identify those at risk."

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Switching immunosuppressants reduces cancer risk in kidney

Switching to a newer type of immunosuppressant drug may reduce the high rate of skin cancer after kidney transplantation, according to research being presented at the American Society of Nephrology's 42nd Annual Meeting and Scientific Exposition in San Diego, CA. "In spite of the life-saving nature of organ transplantation, the need for transplant recipients to continue treatment with drugs that suppress the immune system to prevent rejection of the organ is associated with a number of side effects, one of which is the development of cancer," said lead researcher Graeme Russ, MD (The Queen Elizabeth Hospital, Australia). "So the search for an immunosuppressive drug which prevents rejection effectively but is associated with lower rates of cancer will be of significant advantage to transplant recipients." The study included 86 kidney transplant patients who previously had skin cancer (other than melanoma)—placing them at particularly high risk of new skin cancers. In Australia, skin cancer is the most common type of cancer occurring post-transplant. One group of patients remained on standard immunosuppressant drug treatment. The other group was switched to treatment with sirolimus—one of a newer class of immunosuppressants called mTOR inhibitors. "Previous studies have suggested that mTOR inhibitors are associated with less cancer than other commonly used agents," according to Russ.

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Task force develops new radiation guidelines for brachytherapy

Radiation dose delivered to the prostate and nearby organs in every brachytherapy procedure should be carefully analyzed using post-implant CT or MRI and uniformly documented in every patient, according to a new guideline co-authored by Yan Yu, Ph.D., director of Medical Physics in the department of Radiation Oncology at Thomas Jefferson University. The guideline was issued by a task group commissioned by the American Association of Physicists in Medicine (AAPM), and will be published in the November 2009 issue of Medical Physics. With the widespread use of image-guided dosimetry, there is a need for developing a consensus methodology for dose prescription and reporting for prostate brachytherapy. The dosimetric parameters used for evaluating an implant are dependent on physician's delineation of the prostate, rectum, bladder and urethra on post-implant imaging such as CT. Many research groups have reported that such delineation can be quite variable. With the intent of providing consistent and reproducible dosimetric information without increasing healthcare costs, the AAPM Task Group 137 issued new recommendations and guidelines on the timing, imaging techniques, dose planning criteria and dose evaluation parameters that should be followed in documenting each brachytherapy treatment.

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Teeth grinding linked to sleep apnea

There is a high prevalence of nocturnal teeth grinding, or bruxism, in patients with obstructive sleep apnea (OSA), particularly in Caucasians. New research presented at CHEST 2009, the 75th annual international scientific assembly of the American College of Chest Physicians (ACCP), found that nearly 1 in 4 patients with OSA suffers from nighttime teeth grinding; this seems to be especially more prevalent in men and in Caucasians compared with other ethnic groups. It is estimated that 8 percent of the general US population suffers from bruxism, a condition frequently associated with a preexisting dental or jaw disorders, as well as stress. "The relationship between obstructive sleep apnea and sleep bruxism is usually related to an arousal response. The ending of an apneic event may be accompanied by a number of mouth phenomena, such as snoring, gasps, mumbles, and teeth grinding," said Shyam Subramanian, MD, FCCP, Baylor College of Medicine, Houston, TX. "Men typically have more severe sleep apnea, and perhaps may have more arousal responses, which may explain the higher prevalence of teeth grinding in men. Besides, men characteristically tend to report more symptoms of sleep apnea than women, such as snoring, loud grunting, and witnessed apneas." Other factors that might help explain the relationship between sleep apnea and teeth grinding include anxiety and caffeine use.

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Tests on Pesticides Criticized

A program to test pesticides to make sure they do not affect human hormone systems will be compromised by an Office of Management and Budget order allowing data from studies by pesticide companies to susbstitute for new studies, according to some scientists involved in developing the new program.

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The Key Role of Genomics in Modern Vaccine and Drug Design for Emerging Infectious Diseases

We predict that genomics will greatly aid the control of EIDs because of the increased efficiency with which vaccine and therapeutic targets can be identified using the genome-based approaches described above. Furthermore, we anticipate the continual refinement and development of novel genome-based approaches as sequencing becomes faster and more affordable. Several challenges remain, however, in the identification of these targets and in the processes needed to bring a new vaccine or drug to the market. Understanding the molecular nature of epitopes, the mechanisms of action of adjuvants, and T cell and mucosal immunity are key priorities to be tackled in the coming years.

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Toxic Contaminants - The Other Scourge

As the world focuses on the impact of climate change, little attention is being paid to yet another environmental bane = increasing contamination of air, water and soil.

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Toxic waste trickles toward New Mexico's water sources

Radioactive debris has been found in canyons that drain into the Rio Grande, but officials at the Los Alamos National Laboratory say there's no health risk.

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Two members of drugs panel quit

Two members of the scientific panel that offers guidance to the Government on drug policy have resigned over the treatment of chief adviser Professor David Nutt.

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UIC researchers have immune cells running in circles

University of Illinois at Chicago College of Medicine researchers have identified the important role a protein plays in the body's first line of defense in directing immune cells called neutrophils toward the site of infection or injury.Their results are described online in the Proceedings of the National Academy of Sciences. Neutrophils are white blood cells that are activated by chemical cues to move quickly to the site of injury or infection, where they ingest bacteria. When alerted to infection, neutrophils move by changing shape, developing a distinct front and back, sending a "foot" out in front of them, and "crawling" toward the site of infection. Hoping to better understand the role of a protein called p55 or MPPI that they had previously identified as highly expressed in neutrophils, the UIC researchers bred the first mice that completely lacked this protein. The "knockout" mice had marked difficulty fighting infection and were slow to heal, according to Athar Chishti, professor of pharmacology and principal investigator in the study. Instead of forming a single large pseudopod, or foot-like extension, in the direction of the infection, neutrophils from the knockout mice formed a number of small extensions all around the cell, said Chishti. Neutrophils lacking p55 would follow a meandering path, wandering in circles. "It was as though the neutrophils had lost their sense of direction," said Brendan Quinn, graduate assistant researcher in pharmacology and first author of the study. Neutrophils are part of the body's innate immunity and its first line of defense, so the speed of the response is key to healing. "The neutrophils eventually get to the infection site, but they would get there late," Quinn said.

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Undetectable PSA after radiation is possible and predicts good patient outcomes

Fox Chase Cancer Center researchers report that radiation therapy alone can reduce prostate specific antigen (PSA) levels below detectable amounts in prostate cancer patients. Patients who have an undetectable level of PSA after therapy have less chance of biochemical failure than other patients and a good chance of being cured. The data was presented today at the annual meeting of the American Society for Radiation Oncology. "With high quality radiation––whether it is from an implant or external beam––it is possible to get really low PSAs," says Eric M. Horwitz, M.D., acting chairman and clinical director of radiation oncology at Fox Chase. "And if you do, you have a really good chance of being cured." Prostate cancer patients have several options for therapy, including radiation or surgery. After surgery, patients are expected to have an undetectable PSA because the entire prostate has been removed. However, patients treated with radiation alone may still have viable prostate tissue after treatment because the radiation beam is narrowly focused on the tumor. Therefore, radiation oncologists have not expected their patients to have the same very low PSA scores as surgical patients. That expectation appears to be changing, according to Horwitz. "We used to tell our patients that they wouldn't have an undetectable or really low PSA, but we are seeing that some do," Horwitz says.

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Unraveling swine flu's greater toll on children

Doctors and researchers believe young people lack immunity to the H1N1 strain because it has not been seen in a couple of generations.

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Vigilant Parents Say They Are Often Unaware of Marketing Techniques That Draw Teens, Kids

Advertising Industry Says Regulations Effective, but Watchdog Groups Disagree

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Widespread Chemicals May Affect Cholesterol Levels

A study published November 2, 2009 ahead of print in the peer-reviewed journal Environmental Health Perspectives (EHP) suggests that polyfluoroalkyl chemicals (PFCs) may affect serum cholesterol levels in people.

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Working with poultry linked to certain cancers

Poultry workers may be at particularly high risk of developing several forms of cancer, according to a new study that points to viruses carried by birds as a possible cause.

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