Science and Engineering: Innovation, Research, Education and Economics
Health Care and Medical Category
Posts on health, medicine and health care.
Recommended posts: Six-legged Intestinal Robot - Oliver Sacks podcast - Using Design to Reduce Medical Error - Another Strike Against Cola
related: Curious Cat Management Improvement Blog - Health Care Category
May 5, 2008

Fat Cell Count Set in Childhood

Fat cell number is set in childhood and stays constant in adulthood

As fat people have an abundance of fat tissue, the natural assumption is that fat people have more fat cells, or ‘adipocytes’. That’s only part of the story - it turns out that overweight and obese people not only have a surplus of fat cells, they have larger ones too.

During adulthood, about 8% of fat cells die every year only to be replaced by new ones. As a result, adults have a constant number of fat cells, even those who lose masses of weight. Instead, it’s changes in the volume of fat cells that causes body weight to rise and fall.

we couldn’t have a clearer indication of the importance of childhood as a window for preventing obesity and the chronic diseases affected by it - cancer, heart disease, diabetes and more.

The message is especially stark following the recent Foresight report, which estimated that if current trends are left unchecked, by 2050 a quarter of all UK children under the age of 16 will be obese. The knowledge that their fat cell count will then be set for life makes the cost of inaction even higher. Fortunately, it seems that the UK Government is taking appropriate steps and recently pledged over a third of a billion pounds on a concerted strategy to tackle childhood obesity.

Related: $500 Million to Reduce Childhood Obesity in USA - Obesity Epidemic Explained - Kind Of - Drinking Soda and Obesity

April 25, 2008

Gecko-inspired Bandage

MIT creates gecko-inspired bandage

Drawing on some of the principles that make gecko feet unique, the surface of the bandage has the same kind of nanoscale hills and valleys that allow the lizards to cling to walls and ceilings. Layered over this landscape is a thin coating of glue that helps the bandage stick in wet environments, such as to heart, bladder or lung tissue. And because the bandage is biodegradable, it dissolves over time and does not have to be removed.

Gecko-like dry adhesives have been around since about 2001 but there have been significant challenges to adapt this technology for medical applications given the strict design criteria required. For use in the body, they must be adapted to stick in a wet environment and be constructed from materials customized for medical applications. Such materials must be biocompatible, meaning they do not cause inflammation; biodegradable, meaning they dissolve over time without producing toxins; and elastic, so that they can conform to and stretch with the body’s tissues.

When tested against the intestinal tissue samples from pigs, the nanopatterned adhesive bonds were twice as strong as unpatterned adhesives. In tests of the new adhesive in living rats, the glue-coated nanopatterned adhesive showed over a 100 percent increase in adhesive strength compared to the same material without the glue. Moreover, the rats showed only a mild inflammatory response to the adhesive, a minor reaction that does not need to be overcome for clinical use.

Among other advantages, the adhesive could be infused with drugs designed to release as the biorubber degrades. Further, the elasticity and degradation rate of the biorubber are tunable, as is the pillared landscape. This means that the new adhesives can be customized to have the right elasticity, resilience and grip for different medical applications.

Related: Gecko Tape - Gel Stops Bleeding in Seconds

April 24, 2008

Walking Without Shoes

You Walk Wrong

Last year, researchers at the University of the Witwatersrand in Johannesburg, South Africa, published a study titled “Shod Versus Unshod: The Emergence of Forefoot Pathology in Modern Humans?” in the podiatry journal The Foot. The study examined 180 modern humans from three different population groups (Sotho, Zulu, and European), comparing their feet to one another’s, as well as to the feet of 2,000-year-old skeletons. The researchers concluded that, prior to the invention of shoes, people had healthier feet. Among the modern subjects, the Zulu population, which often goes barefoot, had the healthiest feet while the Europeans - i.e., the habitual shoe-wearers - had the unhealthiest

My new Vivo Barefoots aren’t perfect - they’re more or less useless in rain or snow, and they make me look like I’m off to dance in The Nutcracker. But when I don’t wear them now, I kind of miss them. Not because they’re supposedly making my feet healthier, but because they truly make walking more fun. It’s like driving a stick shift after years at the wheel of an automatic - you suddenly feel in control of an intricate machine, rather than coasting on cruise control. Now I better understand what Walt Whitman meant when he wrote (and I hate to quote another Transcendentalist, but they were serious walking enthusiasts): “The press of my foot to the earth springs a hundred affections.”

Related: Ministry of Silly Walks - Treadmill Desks

April 23, 2008

Potential Viral Therapy for Difficult Cancers

Potential viral therapy weapon for difficult cancers is safe and effective in study

Combining a herpes virus genetically altered to express a drug-enhancing enzyme with a chemotherapy drug effectively and safely reduced the size of highly malignant human sarcoma grafted into mice. This new finding may add to the growing arsenal of so called oncolytic viruses under development as novel cancer treatments, especially for difficult, inoperable tumors

“Based on these findings and other preclinical studies, we expect oncolytic viral therapy will be one additional treatment modality available in the future for oncologists,” Dr. Cripe said. “The challenge over the next decade will be determining which viruses work best for which cancers, at what doses, schedules, routes of administration, and in what combinations with other treatments.”

Related: Virus Engineered To Kill Deadly Brain Tumors - Cancer Cure, Not so Fast - Leading Causes of Death - posts on using viruses in various ways

April 18, 2008

Medical Study Integrity (or Lack Thereof)

Merck wrote drug studies for doctors

The drug maker Merck drafted dozens of research studies for a best-selling drug, then lined up prestigious doctors to put their names on the reports before publication, according to an article to be published Wednesday in a leading medical journal.

The article, based on documents unearthed in lawsuits over the pain drug Vioxx, provides a rare, detailed look in the industry practice of ghostwriting medical research studies that are then published in academic journals.

“It almost calls into question all legitimate research that’s been conducted by the pharmaceutical industry with the academic physician,” said Ross, whose article, written with colleagues, was published Wednesday in JAMA, The Journal of the American Medical Association, and posted Tuesday on the journal’s Web site.

Merck acknowledged Tuesday that it sometimes hired outside medical writers to draft research reports before handing them over to the doctors whose names eventually appear on the publication. But the company disputed the article’s conclusion that the authors do little of the actual research or analysis.

It is sad that the integrity of journals and scientists is so weak that they leave them open to such charges. The significant presence of the corrupting influence of too much money leaves doubt in my mind that the best science is the goal. Which is very sad. In, Funding Medical Research, I discussed my concern that universities are acting more like profit motivated organizations than science motivated organizations. I am in favor of profit motivated organization (those getting the micro-financing in this link, for example) but those organization should not be trusted to provide honest and balanced opinions they should be expected to provide biased opinions.

If universities (and scientists branding themselves as … at X university) want to be seen as honest brokers of science they can’t behave as though raising money, getting patents… are their main objectives. Many want to be able to get the money and retain the sense of an organization focused on the pursuit of science above all else. Sorry, you can’t have it both ways. You can, and probably should, try stake out some ground in the middle. And for me right now, partially because they fail to acknowledge the extent to which money seems to drive decisions I don’t believe they are trying to be open and honest, instead I get the impression they are leaning more toward trying to market and sell.
(more…)

April 13, 2008

Study challenges notion of ‘pandemic’ flu

Study challenges notion of ‘pandemic’ flu

Peter Doshi, a graduate student in the History, Anthropology, and Science, Technology and Society Program at MIT, based his study on an analysis of more than a century of influenza mortality data. He found that the peak monthly death rates in the 1957-1958 and 1968-1969 pandemic seasons were no higher than–and were sometimes exceeded by–those for severe nonpandemic seasons.

Doshi says the pandemic-equals-extreme-mortality concept appears to be a generalization of a single data point: the 1918 season, a period in which “doctors lacked intensive care units, respirators, antiviral agents and antibiotics.” He argues that “had no other aspect of modern medicine but antibiotics been available in 1918, there seems good reason to believe that the severity of this pandemic would have been far reduced.”

As may be expected given improvements in living conditions, nutrition and other public health measures, influenza death rates substantially declined across the 20th century. Doshi calculates an 18-fold decrease in influenza deaths between the 1940s and 1990s, a trend that began far before the introduction of widespread vaccination.

Related: Why the Flu Likes Winter - Reducing the Impact of a Flu Pandemic - Drug-resistant Flu Virus - Avian Flu

April 12, 2008

Eating Breakfast Keeps Teenagers Leaner

Breakfast ‘keeps teenagers lean’

In a five year study of more than 2,000 youngsters, those who skipped breakfast weighed on average 5lbs (2.3kg) more than those who ate first thing. This was despite the fact that the breakfast-eaters consumed more calories in the course of the day. But the study in Pediatrics found they were likely to be much more active.

The University of Minnesota research adds weight to a growing body of evidence that those who eat breakfast - whether young or old - are leaner than those who do not.

“The real problem is the profusion of messages about obesity. We need to make clear that eating regular meals is vital - and that a proper breakfast is very important. “If you eat well first thing, you’ll feel brighter, you’ll have more get up and go - and that will mean you’ll expend more energy.”

Teenagers are not the only ones who may benefit from sitting down to a proper breakfast. In a study of nearly 7,000 middle-aged people in Norfolk, a team from Cambridge University found that those who ate the most in the morning put on the least amount of weight.

Related: Breakfast Eating and Weight Change in a 5-Year Prospective Analysis of Adolescents: Project EAT (Eating Among Teens) - $500 Million to Reduce Childhood Obesity in USA - Eat food. Not too much. Mostly plants - Food Health Policy Blog

April 10, 2008

Self-assembling Nanofibers Heal Spinal Cords in Mice

Self-assembling Nanofibers Heal Spinal Cords by Prachi Patel-Predd

An engineered material that can be injected into damaged spinal cords could help prevent scars and encourage damaged nerve fibers to grow. The liquid material, developed by Northwestern University materials science professor Samuel Stupp, contains molecules that self-assemble into nanofibers, which act as a scaffold on which nerve fibers grow.

Stupp and his colleagues described in a recent paper in the Journal of Neuroscience that treatment with the material restores function to the hind legs of paralyzed mice.

The new work is the first test for the material to heal spinal cord injuries in animals. And Kessler says that it worked better than the researchers expected. The researchers stimulated a spinal cord injury in mice and injected the material 24 hours later. They found that the material reduced the size of scars and stimulated the growth of the nerve fibers through the scars. It promoted the growth of both types of nerve fibers that make up the spinal cord: motor fibers that carry signals from the brain to the limbs, and sensory fibers that carry sense signals to the brain. What is more, the material encouraged the nerve stem cells to mature into cells that create myelin–an insulating layer around nerve fibers that helps them to conduct signals more effectively.

Related: Using Bacteria to Carry Nanoparticles Into Cells - Micro-robots to ’swim’ Through Veins - Nanowired at Berkeley

April 3, 2008

High Fructose Corn Syrup is Not Natural Food

HFCS is not ‘natural’, says FDA

Products containing high fructose corn syrup cannot be considered ‘natural’ and should not be labeled as such, the US Food and Drug Administration (FDA) has said.

Industry group Sugar Association, as well as consumer groups such as the Center for Science in the Public Interest categorically maintain that HFCS cannot be considered natural because its chemical bonds are broken and rearranged in the manufacturing process. The debate raged on for one simple reason: FDA does not define the term ‘natural’, and it has therefore been left open to different interpretations.

However, in response to an inquiry from FoodNavigator-USA.com, the regulatory agency examined the composition of HFCS, which it said is produced using synthetic fixing agents. “Consequently, we would object to the use of the term ‘natural’ on a product containing HFCS,” the agency’s Geraldine June said in an e-mail to FoodNavigator-USA.com. June is Supervisor of the Product Evaluation and Labeling team at FDA’s Office of Nutrition, Labeling and Dietary Supplements.

High fructose corn syrup is also high on the list of problem foods from a health perspective.

Related: Obesity Epidemic Explained, Kind Of - Eat food. Not too much. Mostly plants. - Drinking Soda and Obesity - Another Strike Against Cola - Eat Less Salt to Save Your Heart

April 1, 2008

Cancer Deaths Increasing, Death Rate Decreasing

Last year I questioned this quote “confirming” a declining trend of cancer deaths: “Cancer deaths in the United States dropped for the second year in a row, health officials reported yesterday, confirming that the trend is real and becoming more pronounced, too.” Well the data is in for the next year (2005) and cancer deaths increased - so much for the 2 year “trend.”

Despite a continuing decline in the cancer death rate from 2004 to 2005, there was an increase of 5,424 deaths (559,312 cancer deaths in 2005 compared to 553,888 cancer deaths in 2004). This increase follows a decrease in the number of cancer deaths in the two previous years.

The American Cancer Society provides much better wording this year, I believe:

“The increase in the number of cancer deaths in 2005 after two years of historic declines should not obscure the fact that cancer death rates continue to drop, reflecting the enormous progress that has been made against cancer during the past 15 years.” said John R. Seffrin, Ph.D., American Cancer Society chief executive officer. “While in 2005 the rate of decline was not enough to overtake other population factors, the fact remains that cancer mortality rates continue to drop, and they’re doing so at a rate fast enough that over a half million deaths from cancer were averted between 1990/1991 and 2004.”

Good news, and well stated. Related: Leading Causes of Death - Cancer Cure - Not so Fast

March 31, 2008

Don’t Eat What Doesn’t Rot

Here is a nice interview of Michael Pollan by Amy Goodman - Don’t Eat Anything That Doesn’t Rot:

Another assumption of nutritionism is that you can measure these nutrients and you know what they’re doing, that we know what cholesterol is and what it does in our body or what an antioxidant is. And that’s a dubious proposition.

if you look at the layout of the average supermarket, the fresh whole foods are always on the edge. So you get produce and meat and fish and dairy products. And those are the foods that, you know, your grandmother would recognize as foods. They haven’t changed that much. All the processed foods, the really bad stuff that is going to get you in trouble with all the refined grain and the additives and the high-fructose corn syrup, those are all in the middle. And so, if you stay out of the middle and get most of your food on the edges, you’re going to do a lot better.

Related: Research on Why Healthy Living Leads to Longer Life - Eat food. Not too much. Mostly plants. - Raised Without Antibiotics - Another Strike Against Soda - Energy Efficiency of Digestion

March 30, 2008

Warning on Two Cholesterol Drugs

Journal Issues Warning on Two Cholesterol Drugs

Two widely prescribed cholesterol-lowering drugs, Vytorin and Zetia, may not work and should be used only as a last resort, The New England Journal of Medicine said in an editorial published on Sunday.

The journal’s conclusion came as doctors at a major cardiology conference in Chicago saw for the first time the full results of a two-year clinical trial that showed that the drugs failed to slow, and might have even sped up, the growth of fatty plaques in the arteries. Growth of those plaques is closely correlated with heart attacks and strokes.

Merck and Schering-Plough, the companies that make Vytorin and Zetia, said on Sunday that despite the results of the trial, they would continue to promote their medicines as first-line treatments for high cholesterol.

Related: Drug Price Crisis - New Questions on Treating Cholesterol - Lifestyle Drugs and Risk

March 17, 2008

Drug Price Crisis

I don’t think the suggestion below really solves the drug price crisis. But I do think it is an example of an educational and research institution actually proposing sensible role for themselves. As I have said too many universities now act like they are for-profit drug or research companies: Funding Medical Research. For some background on drug prices read my post on the Curious Cat Management blog from 2005.

Solving the drug price crisis

The mounting U.S. drug price crisis can be contained and eventually reversed by separating drug discovery from drug marketing and by establishing a non-profit company to oversee funding for new medicines, according to two MIT experts on the pharmaceutical industry.

Following the utility model, Finkelstein and Temin propose establishing an independent, public, non-profit Drug Development Corporation (DDC), which would act as an intermediary between the two new industry segments — just as the electric grid acts as an intermediary between energy generators and distributors.

The DDC also would serve as a mechanism for prioritizing drugs for development, noted Finkelstein. “It is a two-level program in which scientists and other experts would recommend to decision-makers which kinds of drugs to fund the most. This would insulate development decisions from the political winds,” he said.

Book - Reasonable Rx: Solving the Drug Price Crisis by Stan Finkelstein and Peter Temin

Related: Lifestyle Drugs and Risk - From Ghost Writing to Ghost Management in Medical Journals - USA Spent $2.1 Trillion on Health Care in 2006 - Measuring the Health of Nations - Economic Strength Through Technology Leadership - USA Paying More for Health Care

March 11, 2008

Google Tech Webcasts #4

While I worked in the Eisenhower Executive Office Building (EEOB) - part of the white house complex, I was able to hear some great speakers. However, those talks were only available to those of us that could make it to room 450 of the EEOB when it was scheduled. Google has far more speakers and they have posted webcasts of those talks online. It is great stuff, some excellent recent examples:

Related: Google Technology Talks - Science and Engineering Webcast Libraries - Google Tech Webcasts #3

March 7, 2008

Vaccine For Strep Infections

Engineered Protein Shows Potential as a Strep Vaccine

A University of California, San Diego-led research team has demonstrated that immunization with a stabilized version of a protein found on Streptococcus bacteria can provide protection against Strep infections, which afflict more than 600 million people each year and kill 400,000.

Group A Streptococcus (GAS). GAS causes a wide variety of human diseases including strep throat, rheumatic fever, and the life-threatening “flesh-eating” syndrome called necrotizing fasciitis. Studies were performed using M1 protein, which represents the version of M protein present on the most common disease-associated GAS strains.

“We created a modified version of M1 with a more stable structure, and found that it is just as effective at eliciting an immune reaction, but safer than the original version of M1, which has serious drawbacks to its use in a vaccine.”

Related: New and Old Ways to Make Flu Vaccines - MRSA Vaccine Shows Promise - New Approach Builds Better Proteins Inside a Computer

March 2, 2008

Exercise to Reduce Fatigue

Low-Intensity Exercise Edges Out Fatigue — Without Requiring Lots of Sweat

If fatigue hounds your days, a little exercise may shoo it away without leaving you drenched with sweat. So say University of Georgia researchers. In a new study, they report that healthy young adults who say they’re tired all the time got an energy boost from a low-intensity workout plan.

Here’s all it took: three sessions per week of pedaling a stationary bicycle at a mild pace. They didn’t need to train every day, and they didn’t push themselves too far — just far enough to shake their fatigue

As I have said before, I have found exercise reduces fatigue myself.

Related: Treadmill Desks - Another Paper Questions Scientific Paper Accuracy - Regular Aerobic Exercise for a Faster Brain

Curious Cat Science and Engineering Blog © curiouscat.com 2005-2006 powered by WordPress
Resources for improving the health care system

Internal Links

Categories

Author

 

John Hunter

Other

Search Blog

Web Search

Science and Engineering web search

Recent Comments

  • Ray Barron: I’m glad to see the ‘Chemical engineering’ is up, due to me being a chemistry...
  • Anonymous: Very useful information. A bid discouraging though, I will finish my bachelors degree in...
  • No name provided: It’s nice to see a steady flow of solid research on this. I’ve had so many...
  • Sandra Prangenberg: Based on my experience now I would say their malware attempts are so flawed as to far...
  • Robin: I’ve always wondered how birds know where to fly. This new hypothesis is exciting and I...
  • curiouscat: Yes I did notice. I followed Google’s instructions which tell you to login to the...
  • Ron: Thought I’d let you know that in Google search results, Google thinks your blog will harm...
  • Chodrin: when i child, i and my villager always walk without shoes. i never feel sick. yes, my feet...

Archives

May 2008
M T W T F S S
« Apr    
 1234
567891011
12131415161718
19202122232425
262728293031  

Translate to

Translate to German Translate to Japanese Translate to Chinese Translate to South Korean Translate to Spanish Translate to French

Post Spotlight