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Jul 16
Rising stress causing headaches; women more affected
"I have a splitting headache". Be it your colleague at work or your spouse at home, this has probably become one of the most often heard complaint today.

Considering the statistics - one-third of Indian women and one-fifth of Indian men suffer from migraine - the frequency is hardly of any surprise. Doctors blame lifestyle changes and stress for this literally gnawing headache and say that women suffer more than men.

At the very outset, it`s important to know the difference between a headache and a migraine.

"Headache is a pain in the head region, while migraine is a type of headache. Migraine is not a disease but a syndrome. One should know that not every headache is a migraine, but a migraine can be termed as a headache," P.N. Renjen, senior consultant, neurology, at the Apollo Hospital said. Migraine is usually accompanied by a throbbing headache, photophobia and vomiting.

According to Renjen, around 30 percent of the patients he sees every day are cases related to headache and migraine.

"Women are more prone to headache and migraine because of hormonal changes in their body and the stress and strain of daily life," he said. Erratic meal timings and a bad sleep cycle are contributing factors.

"Around 75 percent of migraine sufferers are women," Manoj Khannal, consultant, neurology, at Max Hospital, Shalimar Bagh said. "Although the incidence of migraine is similar in boys and girls during childhood, it increases in girls after puberty. Migraine most commonly affects women in the age group of 20-45 years."

"Fluctuation of female hormones like estrogen and progesterone appear to increase the risk of migraine and its severity in some women. About half the women with migraine report headaches associated with their menstrual cycle. For some women, migraines also tend to be worse during the first trimester of their pregnancy, but improve during the last trimester," he added.

Warning against popping of pills at the drop of a hat, Rajashekhar Reddi, consultant in the neurology department of Max healthcare, said that too much medication can itself cause you a headache!

"It is not advisable to frequently pop pills. Too much medication can cause medication-overuse headache," he said. Too much of painkillers can also harm the kidneys and other organs.

Migraine can be controlled. Khannal talked about one of his patients, a 35-year-old woman who came to him in December 2012 complaining of a throbbing type of headache for the last 10 years. Now the headache had become continuous. "We started her on anti-migraine medications and after reaching the adequate dose of prophylactic medications, her migraine was treated. She is headache- free for the last two months."

Neurologists, however, advise to watch out for symptoms that may indicate health complications beyond a headache or migraine attack.

Renjen gave the example of one of his patients, a 40-year-old woman who came to him complaining of a headache on one side of her head and of migraine. "Migraine is more common among those in the age bracket of 20-25 years, so we sent her for some tests. Her MRI scan revealed a clot in the brain," he said.

The advice, therefore?

Try to lead a stress-free life, eat and sleep well and, when in pain, go to the doctor instead of frequently popping painkillers.

Jul 16
Proteins associated with immunity may cause cancer
Scientists have discovered that a set of proteins that are a part of the body`s natural defences cause mutations in human DNA, which could potentially lead to cancer, says a study.

According to a study led by researchers at the National Institutes of Health, these naturally occurring mutations are just as powerful as known cancer-causing agents in producing tumours, reports Science Daily.

The proteins are part of a group called apolipoprotein B mRNA like (APOBEC) cytidine deaminases. The investigators found that APOBEC mutations can outnumber all other mutations in some cancers, accounting for over two-thirds in some bladder, cervical, breast, head and neck, and lung tumours.

The scientists published their findings online July 14 in the journal Nature Genetics. Dmitry Gordenin, Ph.D., is corresponding author of the paper and a senior associate scientist at the National Institute of Environmental Health Sciences (NIEHS), part of NIH.

He said scientists knew the main functions of APOBEC cytosine deaminases were to inactivate viruses that attack the body and prevent ancient viruses present in the human genome from moving around and causing disrupting mutations.

Because they are so important to normal physiology, he and his collaborators were surprised to find a dark side to them; that of mutating human chromosomal DNA.

Jul 15
Common acid reflux drug could cause heart disease
A new study suggests that drugs that help millions of people cope with acid reflux may also cause cardiovascular disease.

It is the first time researchers have shown how proton pump inhibitors, or PPIs, might cause cardiovascular problems.

In human tissue and mouse models, the researchers from Houston Methodist Hospital found PPIs caused the constriction of blood vessels.

If taken regularly, PPIs could lead to a variety of cardiovascular problems over time, including hypertension and a weakened heart.

In the paper, the scientists call for a broad, large-scale study to determine whether PPIs are dangerous.

"The surprising effect that PPIs may impair vascular health needs further investigation," John Cooke, M.D., Ph.D., the study`s principal investigator, said.

"Our work is consistent with previous reports that PPIs may increase the risk of a second heart attack in people that have been hospitalized with an acute coronary syndrome.
"Patients taking PPIs may wish to speak to their doctors about switching to another drug to protect their stomachs, if they are at risk for a heart attack," he said.

The study is published in the journal Circulation.

Jul 15
Obesity leading to deaths worldwide
Obesity has reached epidemic proportions worldwide, with around 2.8 million people dying each year as a result of being overweight or obese, according to international health experts.

Globalisation has brought fast food culture to Chinese cities, contributing to major obesity problems. A study in 2006 found that over one-fifth of the one billion obese or overweight people in the world are Chinese, Xinhua reported.

One of the fattest nations in the developed world, Australia also shares this obesity problem. If Australians` weight gain continues at current levels, almost 80 percent of adults will be overweight or obese by 2025, according to Monash University.

To discuss the problem of obesity and evaluate a solution being developed by the Public Health Association of Australia, international nutrition experts met at an obesity and nutrition conference in Sydney.

The rise of multinational fast food outlets has been a key change in our environment leading to fatter foods and fatter people, said Bruce Neal, professor at the George Institute for Global Health in Sydney.

"As fast as we get rid of all our traditional vectors of disease -- infections, little microbes, bugs -- we are replacing them with the new vectors of disease, which are massive transnational, national, multinational corporations selling vast amounts of salt, fat and sugar," Neal said.
Over time, consumers in developed countries have become acculturated to larger serving sizes that are well above what`s necessary for an enjoyable, sensible and nutritious meal, said Tim Gill, associate professor at the University of Sydney`s Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders.

"People will consume a portion that`s put in front of them. People will seek value by purchasing the largest portion size, because it`s relatively cheap compared to the smaller size. We`ve just had a disconnect in terms of what we need to eat and what we can purchase," he said.

A 2005 study by American scientists found that diners who ate from a bowl of soup that kept refilling would not only eat far more than normal, but they did not notice that they had eaten more, and did not feel more sated.

Most shoppers base their food choices on price rather than nutritional value, with lower socio-economic status consumers more likely to eat high energy-dense foods such as sugary drinks, said Marion Hetherington, a professor of biopsychology at the University of Leeds.

However, Jennie Brand-Miller, a professor at the University of Sydney`s School of Molecular Bioscience, said low-fat diets may not in fact be best for our health.

"Low-fat dietary advice has not been helpful on a population level. It is consistently associated with weight regain. It does not reduce the risk of chronic disease," said Brand-Miller.

"We need to pay more importance to protein. Protein is satiating, and we`ve undervalued it. We need to pay more attention to the sources of carbohydrate -- we need to switch from high GI to low GI carbohydrates," she said.

At the heart of the obesity issue is the question of responsibility, and whether it`s up to the consumers to look after their own needs, or industry to provide more healthy foods.

"In Britain, the public health responsibility has been an important initiative in the sense that companies will sign up, they will pledge to reduce the amount of calories in their food, to reduce the amount of salt," said Hetherington.

By lowering salt, sugar and calorie content of their foods independently, industry will not face competitive pressure caused by only some producers providing more healthy foods in the marketplace, she said.

Jul 13
Cheap condoms could cause skin infections, diarrhoea: Research
Every year the government spends exorbitant amounts of money on advertisements and campaigns to educate people about safe sexual intercourse. But a recent research conducted on condoms in Pune presents a grim and disconcerting picture.

Recently a research was conducted on condoms by four Microbiology students and one Botany student, under the guidance of Prof Bharat Ballal, assistant professor at Yashwantrao Mohite College (YMC), Bharati Vidyapeeth Deemed University .The results of this research has revealed that three out of 12 brands of condoms popular in the market contain traces of disease-causing pathogens which raises pertinent questions about their safety and genuinity.

These three varieties are locally-produced and are thoroughly purchased. These brands are priced at Rs 30 for a pack of 10, compared to high-end brands that are sold for Rs 100 or 110 for a pack of 10. And one of these brands in the red is recognized by the government and is freely distributed by Population Services International, India (PSI).

"The results are shocking. The pathogen found in one brand showed similarities to Bacillus anthracis, which is an anthrax agent," said Harpreet Matey, one of the researchers. "The two other varieties had microorganisms similar to Bacillus endophyticus and Micrococcus luteus respectively. "Bacillus anthracis can cause cuteneous anthrax (severe skin infection), pulmonary anthrax (haemorrhagic pneumonia) and intestinal diseases like bloody diarrhoea," said Professor Ballal. Although Bacillus endophyticus and Micrococcus luteus are not proven pathogens, Ballal said, "They might be harmful if they come in contact during intercourse."

Researchers took 12 different samples across high-end, medium-end and low-end condom brands for the study.They took the surface culture of the contraceptives, using sterile cotton swabs and plated them. After 25 hours, 10 samples (all of which were medium-end and low-end brands) showed signs of microbe colonisation.

On performing cultural morphological and biochemical tests of the colonies, it was found that seven medium-end contraceptives had organisms which are found in the human body anyway and were thus considered non-pathogenic. However, the other three were found to have microorganisms that showed unusual characteristics, which could not be confirmed by biochemical tests.

The samples were then sent to National Centre for Cell Sciences (NCCS), located in University of Pune for 16S ribosomal typing - a test to match the microorganisms with the ones existing in the database. The sequences were then scrutinised and submitted to the National Centre for Biotechnology Information(NCBI) to include in their database.

"The infected samples were sourced from Budhwar Peth`s red light area," said Ankush Jee Bhat, another researcher. "One of the brands is recognised by the government and the one that was found to have Bacillus anthracis is popular amongst homosexuals," said Tejaswi Sevekari, director of Saheli, an NGO that works for sex workers.

When questioned, a PSI official said all freely distributed condoms were safe to use. "All condoms are tested in World Health Organisation labs. Only after the tests, does the government send them to us in sealed packets, which are then distributed," he said.

Jul 13
Human trial for wonder drug to fight cancer to start in 2014
Stanford researchers are on track to begin human trials of a potentially potent new drug against cancer by next year, it has been revealed.

The progress comes just two months after the groundbreaking study by Dr Irv Weissman, who developed an antibody that breaks down a cancer`s defense mechanisms in the body, the New York Post reported.

A protein called CD47 tells the body not to "eat" the cancer, but the antibody developed by Dr Weissman blocks CD47 and frees up immune cells called macrophages - which can then engulf the deadly cells.

The new research shows the miraculous macrophages effectively act as intelligence gatherers for the body, pointing out cancerous cells to cancer-fighting "killer T" cells.

The T cells then "learn" to hunt down and attack the cancer, the researchers claimed.

The clinical implications of the process could be profound in the war on cancer.

When macrophages present "killer T" cells with a patient`s cancer, the T cells become attuned to the unique molecular markers on the cancer.

This turns them into a personalized cancer vaccine.

The team of researchers at Stanford plan on starting a small 10-100 person phase I clinical human trial of the cancer therapy in 2014.

Jul 12
Why breast milk is deemed best for baby
Scientists have tried to explain how the age old maxim "breast milk is best for the baby" holds true even now.

Jyllian Kemsley, Chemical and Engineering News senior editor, points out that their findings reveal many intriguing and sometimes counterintuitive ways in which sugars, proteins and fat in milk interact with microbes in infants` intestines to nourish babies and protect their health.

For instance, scientists have discovered that breast milk contains oligosaccharides, complex sugars that babies can`t even digest.

It turns out these oligosaccharides, rather than providing nutritional value directly to infants, actually confers protection.

They feed beneficial intestinal bacteria that seem to crowd out harmful E. coli strains that might otherwise thrive.

The findings are published in the Chemical and Engineering News.

Jul 12
Kids who sleep less tend to have severe behavioural problems
A new study has found that 4-year-olds with shorter than average sleep times have increased rates of "externalizing" behaviour problems.

"Preschool children with shorter night time sleep duration had higher odds of parent-reported overactivity, anger, aggression, impulsivity, tantrums, and annoying behaviours," according to the new research by Dr. Rebecca J. Scharf of University of Virginia, Charlottesville, and colleagues.

They recommend that parents and health care providers discuss steps to improve sleep habits for preschool-age children with behaviour problems.

The researchers analyzed parent responses from a nationally representative study of approximately 9,000 children, followed from birth through kindergarten age.

When the children were four years old, night time sleep duration was estimated by asking the parents what time their child typically went to bed and woke on weekdays.

On a standard child behaviour questionnaire, parents rated their child on six different "externalizing" behaviour problems such as anger and aggression. (Externalizing behaviour problems are outward behaviours, distinguished from "internalizing" problems such as depression and anxiety.)

The relationship between sleep duration and behaviour scores was assessed, with adjustment for other factors that might affect sleep or behaviour.

The average bedtime was 8:39 pm and wake time 7:13 am, giving a mean night time sleep duration of about 10 and a half hours. Eleven percent of children were considered to have "short sleep duration" of less than 9 hours 45 minutes (calculated as one standard deviation below the average).

On the child behaviour questionnaire, 16 percent of children had a high score for externalizing behaviour problems.

Behaviour problems were more common for boys, children who watched more than two hours of television daily, and those whose mothers reported feeling depressed.

After adjustment for other factors, "Children in the shortest sleep groups have significantly worse behaviour than children with longer sleep duration," Dr Scharf and colleagues write.

The effect was greatest for aggressive behaviour problems, which were about 80 percent more likely for children with night time sleep duration of less than 9 hours and 45 minutes.

The study is published in the Journal of Developmental and Behavioral Pediatrics, the official journal of the Society for Developmental and Behavioral Pediatrics.

Jul 11
Brain tumours in children have a common cause
Scientists have found that an overactive signalling pathway is a common cause in cases of pilocytic astrocytoma, the most frequent type of brain cancer in children.

Scientists coordinated by the German Cancer Research Center (as part of the International Cancer Genome Consortium, ICGC) in 96 gemone analyses of pilocytic astrocytomas found defects in genes involved in a particular pathway.

They believe that drugs can be used to help affected children by blocking components of the signalling cascade.

Pilocytic astrocytomas are the most common childhood brain tumours. These tumours usually grow very slowly. However, they are often difficult to access by surgery and cannot be completely removed, which means that they can recur.

In previous work, researchers led by Professor Dr Stefan Pfister and Dr David Jones had already discovered characteristic mutations in a major proportion of pilocytic astrocytomas.

All of the changes involved a key cellular signalling pathway known as the MAPK signalling cascade. MAPK is an abbreviation for `mitogen-activated protein kinase`.

This signalling pathway comprises a cascade of phosphate group additions (phosphorylation) from one protein to the next - a universal method used by cells to transfer messages to the nucleus.

MAPK signalling regulates numerous basic biological processes such as embryonic development and differentiation and the growth and death of cells.

"A couple of years ago, we had already hypothesised that pilocytic astrocytomas generally arise from a defective activation of MAPK signalling," said Jones, first author of the study in journal Nature Genetics.

"However, in about one fifth of the cases we had not initially discovered these mutations. In a whole-genome analysis of 96 tumours we have now discovered activating defects in three other genes involved in the MAPK signalling pathway that have not previously been described in astrocytoma," he said.

"Aside from MAPK mutations, we do not find any other frequent mutations that could promote cancer growth in the tumours. This is a very clear indication that overactive MAPK signals are necessary for a pilocytic astrocytoma to develop," said study director Pfister.

"The most important conclusion from our results is that targeted agents for all pilocytic astrocytomas are potentially available to block an overactive MAPK signalling cascade at various points," said Pfister.

"We might thus in the future be able to also help children whose tumours are difficult to access by surgery," he said.

Jul 11
Nearly six million die from smoking every year: WHO
Despite public health campaigns, smoking remains the leading avoidable cause of death worldwide, killing almost six million people a year, mostly in low- and middle-income countries, the World Health Organization has said.

If current trends hold, the number of deaths blamed on tobacco use will rise to eight million a year in 2030, the WHO said yesterday in a briefing unveiled at a conference in Panama.

About 80 percent of tobacco-related deaths forecast for 2030 are expected in low- and middle-income countries, the report added.

"If we do not close ranks and ban tobacco advertising, promotion and sponsorship, adolescents and young adults will continue to be lured into tobacco consumption by an ever-more aggressive tobacco industry," said WHO Director-General Dr Margaret Chan.

"Every country has the responsibility to protect its population from tobacco-related illness, disability and death."

Among the dead this year, five million were tobacco users or former users, while more than 600,000 died from second-hand smoke, according to the WHO.

Tobacco use is believed to have caused the deaths of 100 million people in the 20th century.

Barring dramatic change, the tally for this century could soar to one billion people, the WHO warned.

"We know that only complete bans on tobacco advertising, promotion and sponsorship are effective," Dr Douglas Bettcher, the Director of the WHO`s Prevention of Noncommunicable Diseases department, told the Panama conference.

"Countries that introduced complete bans together with other tobacco control measures have been able to cut tobacco use significantly within only a few years," he said.

The report noted that 2.3 billion people from 92 countries benefit from some form of smoking restrictions, more than double the number who did five years ago.

However, that figure still represents just a third of the world`s population, it said.

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