Posts about human health

iPhone Addition as Alternative to Expensive Ophthalmology Equipment

Researchers at the Stanford University School of Medicine have developed two inexpensive adapters that enable a smartphone to capture high-quality images of the front and back of the eye. The adapters make it easy for anyone with minimal training to take a picture of the eye and share it securely with other health practitioners or store it in the patient’s electronic record.

The researchers see this technology as an opportunity to increase access to eye-care services as well as to improve the ability to advise on patient care remotely.

The standard equipment used to photograph the eye is expensive — costing up to tens of thousands of dollars — and requires extensive training to use properly. Primary care physicians and emergency department staff often lack this equipment, and although it is readily available in ophthalmologists’ offices, it is sparse in rural areas throughout the world.

“Adapting smartphones for the eye has the potential to enhance the delivery of eye care — in particular, to provide it in places where it’s less accessible,” said Myung. “Whether it’s in the emergency department, where patients often have to wait a long time for a specialist, or during a primary-care physician visit, we hope that we can improve the quality of care for our patients, especially in the developing world where ophthalmologists are few and far between.”

“A picture is truly worth a thousand words,” he added. “Imagine a car accident victim arriving in the emergency department with an eye injury resulting in a hyphema — blood inside the front of her eye. Normally the physician would have to describe this finding in her electronic record with words alone. Smartphones today not only have the camera resolution to supplement those words with a high-resolution photo, but also the data-transfer capability to upload that photo securely to the medical record in a matter of seconds.

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Looking Inside Living Cells

Johns Hopkins’ molecular biologist Jin Zhang explains how she uses light to see where and when within cells specific molecular processes occur and what happens when they go wrong.

Related: How Lysozyme Protein in Our Tear-Drops Kill BacteriaScience Explained: How Cells React to Invading VirusesNobel Prize in Physiology or Medicine 2012 for Reprogramming Cells to be PluripotentWebcast Exploring Eukaryotic Cells

A Healthy Lifestyle is More About Health Care than the Sickness Management That We Call Health Care Is

American Heart Association Recommendations for Physical Activity in Adults

Being physically active is important to prevent heart disease and stroke, the nation’s No. 1 and No. 4 killers. To improve overall cardiovascular health, we suggest at least 150 minutes per week of moderate exercise or 75 minutes per week of vigorous exercise (or a combination of moderate and vigorous activity). Thirty minutes a day, five times a week is an easy goal to remember. You will also experience benefits even if you divide your time into two or three segments of 10 to 15 minutes per day.

For people who would benefit from lowering their blood pressure or cholesterol, we recommend 40 minutes of aerobic exercise of moderate to vigorous intensity three to four times a week to lower the risk for heart attack and stroke.

The simplest, positive change you can make to effectively improve your heart health is to start walking. It’s enjoyable, free, easy, social and great exercise. A walking program is flexible and boasts high success rates because people can stick with it.

It really is important for giving yourself the best chance for health by taking sensible steps to exercise based on your own situation (obviously some health conditions may limit your ability to exercise safely, which is something each person has to judge and see a doctor about if necessary).

Doing small things like using a treadmill while you watch TV or taking the stairs instead of the elevator for short trips can help. Another option is to walk instead of driving your car, or if you drive parking a few blocks away (or at the far side of the parking lot) walking, or if you are running several errands walk between those that you can even if you are using your car. Biking to work is another healthy lifestyle choice (if you city has made this safe – too often they fail to do sensible things).

photo of a forest

Forest hike on Hole in the Wall trail, Olympic National Park, Oregon, USA by John Hunter

Swimming is good exercise and something I took up several years ago (I was super lame at first but within a month or two it was better. I love hiking through national parks. A standing desk (or treadmill desk) is another option to reduce the damage of our sedentary lives.

Another thing to remember is losing weight is hard. It is better to avoid gaining too much weight in the first place. Avoiding the weight gain may also be a challenge but it is better than the alternative.

Too often we treat “health care” as sickness management. Doing things like creating a healthy lifestyle are are health care. Taking pills and antibiotics is mainly about sickness management.

Related: Better Health Through Exercise, Not Smoking, Low Weight, Healthy Diet and Low Alcohol IntakePhysical Activity for Adults: Inactivity Leads to 5.3 Million Early Deaths a YearHealthy Diet, Healthy Living, Healthy WeightStudy Finds Obesity as Teen as Deadly as Smoking

Massive Blast of Measles Vaccine Wiped Out Cancer In Study

Unfortunately these stories are not uncommon but the hoped for follow through of practical solutions that work at all are rare. But we keep learning and while the breakthroughs based on these news stories is rare we do keep finding new and better methods to cope with health issues.

Mayo Clinic trial: Massive blast of measles vaccine wipes out cancer

Stacy Erholtz was out of conventional treatment options for blood cancer last June when she underwent an experimental trial at the Mayo Clinic that injected her with enough measles vaccine to inoculate 10 million people.

The 50-year-old Pequot Lakes mother is now part of medical history.

The cancer, which had spread widely through her body, went into complete remission and was undetectable in Erholtz’s body after just one dose of the measles vaccine, which has an uncanny affinity for certain kinds of tumors.

Erholtz was one of just two subjects in the experiment and the only one to achieve complete remission. But the experiment provides the “proof of concept” that a single, massive dose of intravenous viral therapy can kill cancer by overwhelming its natural defenses, according to Dr. Stephen Russell, a professor of molecular medicine who spearheaded the research at Mayo.

Researchers have known for decades that viruses can be used to destroy cancer. They bind to tumors and use them as hosts to replicate their own genetic material; the cancer cells eventually explode and release the virus. Antiviral vaccines that have been rendered safe can produce the same effects and can also be modified to carry radioactive molecules to help destroy cancer cells without causing widespread damage to healthy cells around the tumors. The body’s immune system then attacks any remaining cancer that carries remnants of the vaccine’s genetic imprint.

Mayo started out giving patients 1 million infectious units and gradually cranked up the dosage — but it didn’t work until Erholtz and another patient were injected with 100 billion infectious units, he said.

While the treatment worked in Erholtz, whose tumors were primarily in her bone marrow, the results weren’t sustained in the second patient, whose tumors were largely confined to her leg muscles. Russell said researchers need to study how the nature of the tumor affects the lethality of the virus.

One challenge of health research on fatal health conditions is that the experimentation with people is usually limited to people that have no available options left from the approved treatments. So, in general they are very sick. And the great complexity of dealing with human immune systems, the variation in the disease and in people create a very difficult research environment. Thankfully we have many great scientists dedicated to finding new treatments.

Related: Virus Kills Breast Cancer Cells in LaboratoryVirus Engineered To Kill Deadly Brain TumorsUsing Bacteria to Carry Nanoparticles Into CellsWebcast of a T-cell Killing a Cancerous Cell

Science Explained: How Cells React to Invading Viruses

This illustrated webcast introduces the microscopic arsenal of weapons and warriors that play a role in the battle for your health.

TED education has been putting out some good videos which is a wonderful thing to see. It is wonderful to let people everywhere (kids and adults) that are interested in learning (and that have internet access) can learn about the world around us. Traditional educational institutions have not done much with this opportunity to broaden their impact.

The video looks at the cells reaction to a virus infiltrating the cell.

Related: Cells AliveScience Explained: Cool Video of ATP Synthase, Which Provides Usable Energy to UsThis webcast is packed with information on the makeup and function of eukaryotic (animal) cellsCool Animation of a Virus Invading a Person’s BodyCell Aging and Limits Due to TelomeresWebcast of a T-cell Killing a Cancerous Cell

How Healthy Is Squid for Us?

I try to eat healthfully, especially when I can tweak what I eat to gain a health advantage. I know fish have good qualities. I live in Malaysia now and squid (called sotong here) is often available. I often prefer squid to fish here as the fish use here are often fairly small with bones to deal and not much meat for the effort (it is great sometimes but I am often lazy).

photo of squid dinner

Sambal Sotong (squid) with bitter gourd (home delivery). Very tasty. The bitter gourd is very bitter, but a few bites are ok.

So I looked online for some details, it wasn’t as easy I would have hoped. The Shellfish Association of Great Britain offered a good overview.

They say 100g of raw squid (pre cooking weight) provides about 200% of Vitamin B12, 100% of Selenium, 80% of Copper, 50% of Vitamin B6, 35% of Vitamin E, 34% of Phosphorous, 30 % of Protein, 20% of Niacin, 10% of B1 (Thiamin), 8% of Potassium, 10% of Magnesium, 14% of Zinc.

From various sources online it seems there are 92 calories in 100 grams of Squid with a calorie breakdown of 72% protein, 14% fat and 14% carbs.

From the Heart Association of Australia “omega-3s are found primarily in oily fish, such as Atlantic and Australian salmon, blue-eye trevalla, blue mackerel, gem fish… Other fish such as barramundi, bream or flathead, and seafood such as arrow squid, scallops and mussels, are also good sources of omega-3… To reduce the risk of heart disease, the Heart Foundation recommends that Australian adults consume about 500 milligrams of omega-3 (marine source) every day.”

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Using Drones to Deliver Medical Supplies in Roadless Areas

This is an awesome use of technology to tackle important problems. Engineers are great.

Humanitarian drones to deliver medical supplies to roadless areas

That idea soon became a start-up called Matternet – a network for transporting matter – which aims to help the one billion people who do not have year-round access to roads.

[Andreas] Raptopoulos said the new system would be used to leapfrog the building of infrastructure, in the same way mobile networks have overtaken fixed lines in poorly connected countries.

In sub-Saharan Africa, 85% of roads are inaccessible during the wet season, cutting off huge swaths of the population and hindering the transport of medical supplies, he said.

There are three parts to the system delivering medical goods: the UAVs themselves, landing stations where packages can be dropped off and transferred, and the software that ensures vehicles get securely from point to point. Because of their short battery life, networks of drones are needed to work together, shuttling between ground stations

Approximate costings from Matternet put the price of unmanned aerial vehicles at £6,000 each and ground stations at £3,000 each. A network of five ground stations and 10 UAVs, as well as setup and training, would cost a charity in the region of £90,000, according to Raptopoulos. An eight-propeller drone can carry 2kg and travel 10km in good weather. Batteries need to be replaced every 600 cycles.

They are hiring: software engineer and avionic engineering right now. They are Palo Alto, California.

Related: Appropriate Technology Health Care Solution Could Save 72,000 Lives a YearCellphone MicroscopePay as You Go Solar in IndiaWater and Electricity for All

More Muscle Mass Appears Linked to Longer Life

New UCLA research suggests that the more muscle mass older Americans have, the less likely they are to die prematurely. The findings add to the growing evidence that overall body composition — and not the widely used body mass index, or BMI — is a better predictor of all-cause mortality. The study was published in the in a closed science journal (it is too bad UCLA promotes such anti-science practices). The research was funded by the NIH (who also shouldn’t allow such anti-science practices).

Dr. Preethi Srikanthan: “many studies on the mortality impact of obesity focus on BMI. Our study indicates that clinicians need to be focusing on ways to improve body composition, rather than on BMI alone, when counseling older adults on preventative health behaviors.”

The researchers analyzed data collected by the National Health and Nutrition Examination Survey (NHANES) III, conducted between 1988 and 1994. They focused on a group of 3,659 individuals that included men who were 55 or older and women who were 65 or older at the time of the survey. The authors then determined how many of those individuals had died from natural causes based on a follow-up survey done in 2004.

The body composition of the study subjects was measured using bioelectrical impedance, which involves running an electrical current through the body. Muscle allows the current to pass more easily than fat does, due to muscle’s water content. In this way, the researchers could determine a muscle mass index — the amount of muscle relative to height — similar to a body mass index. They looked at how this muscle mass index was related to the risk of death.

They found that all-cause mortality was significantly lower in the fourth quartile of muscle mass index compared with the first quartile.

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80% of the Antibiotics in the USA are Used in Agriculture and Aquaculture

Citing an overabundance in the use of antibiotics by the agriculture and aquaculture industries that poses a threat to public health, economics professor Aidan Hollis has proposed a solution in the form of user fees on the non-human use of antibiotics.

In a newly released paper published (closed science, sadly, so no link provide), Hollis and co-author Ziana Ahmed state that in the United States 80% of the antibiotics in the country are consumed in agriculture and aquaculture for the purpose of increasing food production.

This flood of antibiotics released into the environment – sprayed on fruit trees and fed to the likes of livestock, poultry and salmon, among other uses – has led bacteria to evolve, Hollis writes. Mounting evidence cited in the journal shows resistant pathogens are emerging in the wake of this veritable flood of antibiotics – resulting in an increase in bacteria that is immune to available treatments.

If the problem is left unchecked, this will create a health crisis on a global scale, Hollis says.

Hollis suggest that the predicament could be greatly alleviated by imposing a user fee on the non-human uses of antibiotics, similar to the way in which logging companies pay stumpage fees and oil companies pay royalties.

“Modern medicine relies on antibiotics to kill off bacterial infections,” explains Hollis. “This is incredibly important. Without effective antibiotics, any surgery – even minor ones – will become extremely risky. Cancer therapies, similarly, are dependent on the availability of effective antimicrobials. Ordinary infections will kill otherwise healthy people.”

Bacteria that can effectively resist antibiotics will thrive, Hollis adds, reproducing rapidly and spreading in various ways.

“It’s not just the food we eat,” he says. “Bacteria is spread in the environment; it might wind up on a doorknob. You walk away with the bacteria on you and you share it with the next person you come into contact with. If you become infected with resistant bacteria, antibiotics won’t provide any relief.”

While the vast majority of antibiotic use has gone towards increasing productivity in agriculture, Hollis asserts that most of these applications are of “low value.”

“It’s about increasing the efficiency of food so you can reduce the amount of grain you feed the cattle,” says Hollis. “It’s about giving antibiotics to baby chicks because it reduces the likelihood that they’re going to get sick when you cram them together in unsanitary conditions.

“These methods are obviously profitable to the farmers, but that doesn’t mean it’s generating a huge benefit. In fact, the profitability is usually quite marginal.

“The real value of antibiotics is saving people from dying. Everything else is trivial.”

While banning the use of antibiotics in food production is challenging, establishing a user fee makes good sense, according to Hollis.

Such a practice would deter the low-value use of antibiotics, with higher costs encouraging farmers to improve their animal management methods and to adopt better substitutes for the drugs, such as vaccinations.

Hollis also suggests that an international treaty could ideally be imposed. “Resistant bacteria do not respect national borders,” he says. He adds that such a treaty might have a fair chance of attaining international compliance, as governments tend to be motivated by revenue collection.

Hollis notes that in the USA, a move has been made to control the non-human use of antibiotics, with the FDA recently seeking voluntary limits on the use of antibiotics for animal growth promotion on farms.

Related: Raising Food Without AntibioticsOur Dangerous Antibiotic Practices Carry Great RisksWhat Happens If the Overuse of Antibiotics Leads to Them No Longer Working?Antibiotics Too Often Prescribed for Sinus Woes

Study After Study Find No Benefits to Multivitamins

The largest study of its kind concludes that long-term multivitamin use has no impact on the risk of common cancers, cardiovascular disease or overall mortality in postmenopausal women.

“Dietary supplements are used by more than half of all Americans, who spend more than $20 billion on these products each year. However, scientific data are lacking on the long-term health benefits of supplements,” said lead author Marian L. Neuhouser, Ph.D., an associate member of the Public Health Sciences Division at the Hutchinson Center.

The study focused the effects of multivitamins because they are the most commonly used supplement. “To our surprise, we found that multivitamins did not lower the risk of the most common cancers and also had no impact on heart disease,” she said.

The study assessed multivitamin use among nearly 162,000 women enrolled in the Women’s Health Initiative, one of the largest U.S. prevention studies of its kind designed to address the most common causes of death, disability and impaired quality of life in postmenopausal women. The women were followed for about eight years.

Nearly half of the study participants – 41.5 percent – reported using multivitamins on a regular basis. Multivitamin users were more likely to be white, live in the western United States, have a lower body-mass index, be more physically active and have a college degree or higher as compared to non-users.

The study found no significant differences in risk of cancer, heart disease or death between the multivitamin users and non-users.

These findings are consistent with most previously published results regarding the lack of health benefits of multivitamins, Neuhouser said, but this study provides definitive evidence. Since the study did not include men, Neuhouser cautions that the results may not apply to them.

So what advice do Neuhouser and colleagues offer to women who want to make sure they’re getting optimal nutrition? “Get nutrients from food,” she said. “Whole foods are better than dietary supplements. Getting a wide variety of fruits, vegetables and whole grains is particularly important.”

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Better Health Through: Exercise, Not Smoking, Low Weight, Healthy Diet and Low Alcohol Intake

These 5 activities/state reduce the risk of chronic diseases: regular exercise, not smoking, healthy bodyweight, healthy diet and low alcohol intake. How these were defined

  • not smoking
  • body mass index (BMI): 18 to under 25
  • diet: target was to be 5 portions of fruit and/or vegetables a day, but since almost no one meet that target they reduced the acceptable rate to 3 as accepted as ‘healthy.” Also a diet with less than 30% of calories from fat was required.
  • physical activity: walking two or more miles to work each day, or cycling ten or more miles to work each day, or ‘vigorous’ exercise described as a regular habit
  • alcohol: three or fewer units per day, with abstinence not treated as a healthy behaviour.

Healthy Lifestyles Reduce the Incidence of Chronic Diseases and Dementia: Evidence from the Caerphilly Cohort Study (PLoS open science publication).

The numbers of men judged to be following a healthy lifestyle were as follows: 179 (8%) followed none of the five behaviours, 702 (31%) followed one behaviour, 814 (36%) followed two, 429 (19%) followed three, 111 (5%) followed four or five behaviours and only two (0.1%) followed all five behaviors.

Within a representative sample of middle-aged men, the following of increasing numbers of healthy behaviours was associated with increasing reductions in several important chronic diseases and mortality: an estimated 50% reduction in diabetes, 50% in vascular disease and 60% for all-cause mortality. These results therefore confirm previous studies and provide further data on the association of lifestyle with cognitive impairment and dementia, with a reduction of about 60% in cognitive impairment and about the same in dementia. These reductions, and especially those in cognitive function, are of enormous importance in an ageing population.

Healthy habits reduce dementia risk (Cardiff University press release):

The people who consistently followed four or five of these behaviors exp
experienced a 60 per cent decline in dementia and cognitive decline – with exercise being the strongest mitigating factor – as well as 70 per cent fewer instances of diabetes, heart disease and stroke, compared with people who followed none.

Principle Investigator Professor Peter Elwood from Cardiff University’s School of Medicine. “What the research shows is that following a healthy lifestyle confers surprisingly large benefits to health – healthy behaviours have a far more beneficial effect than any medical treatment or preventative procedure.

Christopher Allen, Senior Cardiac Nurse at the British Heart Foundation, which part-funded the study, said:

“The results of this study overwhelmingly support the notion that adopting a healthy lifestyle reduces your risk of cardiovascular disease and dementia.

Related: Examining the Scientific Basis Around Exercise and Diet ClaimsHealthy Diet, Healthy Living, Healthy WeightStudy Finds Obesity as Teen as Deadly as SmokingPhysical Activity for Adults: Inactivity Leads to 5.3 Million Early Deaths a YearToday, Most Deaths Caused by Lifetime of Action or Inaction

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