World's first medical networking and resource portal

News & Highlights
Please make use of the search function to browse preferred content
Medical News & Updates
Jul 10
Improving communication in diabetes treatment yields dramatic results: Study
More than a quarter of people over the age of 70s with type 2 diabetes could benefit simply from improving communication and education in the clinic, new research has revealed.

A study led by the University of Exeter Medical School and published in The Lancet found that 27 percent achieved better glycaemic control through individualised care alone.

At the moment, patients over the age of 70 are treated using a blanket method of aggressively reducing blood glucose levels, but that does little to take their complex needs into account.

"People over the age of 70 are more likely to have multiple complications, such as heart disease, as well as type 2 diabetes. Yet perversely, these patients have so far been excluded from clinical trials, precisely because of these complications. It means they are generally treated with a `one-size-fits-all` approach," Dr David Strain, from the University of Exeter Medical School, who led the study, said.

"We found that simply by individualising goals and setting realistic targets, then spending time talking to patients rather than aggressively chasing targets resulted in nearly a quarter of patients achieving better glycaemic control, without the need for medication," he added.


Type 2 diabetes is one of the most common chronic disorders in older adults. The number of people over the age of 65 has grown worldwide, and could now be as high as one in five. Older patients are more susceptible to complications caused by hyperglycaemia, when blood sugar levels are not properly balanced. These complications can increase the risk of falls and dizziness.

The situation has led to calls for treatment to be individualised, but so far evidence to support the case has been lacking.

Jul 10
Working in night shifts up miscarriage risk
Women working in irregular shifts are likely to experience reduced fertility and greater menstrual disruption than those working in regular shifts, according to a new research.

The team of researchers led by Dr Linden Stocker and Dr Ying Cheong, Southampton's Princess Anne Hospital, assessed the impact of non-standard working schedules, which included night and mixed shifts, on the reproductive outcomes of 119,345 women.

The study found that women who worked only nights had 29 percent increased rate of miscarriage.

Women who worked in rotational shifts had an 80 percent higher rate of subfertility - meaning that they were unable to conceive within a year compared with those working regular hours.

Women working out of the typical 9 am to 6 pm schedule also had a 33% higher rate of menstrual disruption, the study found.

"We don't fully understand why shift workers have an increased risk of certain diseases but obviously shift work impacts on your biological functioning, your psychological functioning and your social functioning", Dr Stocker was quoted as saying by an English news website.

The researchers, however, have asked women not to jump to a conclusion and quit jobs as the study is still in the preliminary stage.

Working odd hours is often linked to sleep loss, decreased exercise and poorer diet thereby drastically disrupting a woman's body clock.

In a previous study, researchers had claimed that women who had worked in nights shifts for 30 or more years are twice as likely to suffer from breast cancer.

Jul 09
Half of all cancers caused by a single gene: Study
A new study has found that more than half of all cancerous tumours are associated with defects in a single gene.

The researchers hope that the new findings can lead to new strategies for targeting cancer through genetic manipulation.

A team of cancer scientists - from the University of Cincinnati, Bellvitge Biomedical Research Institute, and Catalan Oncology Institute - said they have determined how the so-called p53 gene acts as a tumour-suppressing gene to protect healthy cells and prevent the development of abnormal cancerous cells.

Researchers believe that the gene produces proteins that can either repair damaged cells or cause tumour cells to die.

But when the gene is not working properly, due to a defect or mutation, the proteins that repair cells or target tumours are not produced, and the cancer grows.

The new study, led by George Thomas, identified the molecular processes that regulate the stability of p53 to keep the gene functioning properly to keep cancer cells in check.

The results suggest genetics play a significant role in cancer development and point the way to potential new treatments based on that the emerging scientific understanding of how tumours grow and spread.

Thomas said understanding how p53 is regulated and function is critical as "more than 50 percent of tumours have mutations in p53."

The findings are published online in the journal Cell Reports.

Jul 09
Irregular bedtimes can affect children`s brains
Irregular bedtimes in early childhood have been linked with low scores in reading, maths in both boys and girls, a study has suggested.

The study authors looked at whether bedtimes in early childhood were related to brain power in more than 11,000 seven year olds, all of whom were part of the UK Millennium Cohort Study (MCS).

The research drew on regular surveys and home visits made when the kids were 3, 5, and 7, to find out about family routines, including bedtimes.

The authors wanted to know whether the time a child went to bed, and the consistency of bed-times, had any impact on intellectual performance, measured by validated test scores for reading, maths, and spatial awareness.

And they wanted to know if the effects were cumulative and/or whether any particular periods during early childhood were more critical than others.

Irregular bedtimes were most common at the age of 3, when around one in five children went to bed at varying times. By the age of 7, more than half the children went to bed regularly between 7.30 and 8.30 pm.

Children whose bedtimes were irregular or who went to bed after 9 pm came from more socially disadvantaged backgrounds, the findings showed.

When they were 7, girls who had irregular bedtimes had lower scores on all three aspects of intellect assessed, after taking account of other potentially influential factors, than children with regular bedtimes. But this was not the case in 7 year old boys.

Irregular bedtimes by the age of 5 were not associated with poorer brain power in girls or boys at the age of 7. But irregular bedtimes at 3 years of age were associated with lower scores in spatial awareness in both boys and girls, suggesting that around the age of 3 could be a sensitive period for cognitive development.

Girls who had never had regular bedtimes at ages 3, 5, and 7 had significantly lower reading, maths and spatial awareness scores than girls who had had consistent bedtimes. The impact was the same in boys, but for any two of the three time points.

The authors point out that irregular bedtimes could disrupt natural body rhythms and cause sleep deprivation, so undermining the plasticity of the brain and the ability to acquire and retain information.

They wrote that sleep is the price that people pay for plasticity on the prior day and the investment needed to allow learning fresh the next day.

They added that early child development has profound influences on health and wellbeing across the life course, therefore, reduced or disrupted sleep, especially if it occurs at key times in development, can have important impacts on health throughout life."

Jul 08
Want to get fit? Chuck your cell phone
Spending too much time with mobile phones can harm your health, a new research has revealed.

The study conducted by Kent State University found that students, who spent lot of time on their phone- up to 14 hours each day- were less fit than those spending about 1 and a half hour a day, New York Daily News reported.

The report also said that people, who spent more time on their mobile devices, were more likely to engage in other sedentary forms of entertainment, like playing video games or watching films.

The authors wrote that the possibility that cell phone use could encourage physical activity among people who use it heavily while disrupting physical activity and encouraging sedentary activity among high-frequency users may help explain the significant negative relationship between cell phone use and cardiorespiratory fitness identified in the study.
The study has been published online in the International Journal of Behavioral Nutrition and Physical Activity.

Jul 08
Why aspirin helps some and not others
Researchers including an Indian origin have shed some light on why aspirin benefits some people and not others.

Researchers at Duke Medicine developed a blood-based test of gene activity that has been shown to accurately identify who will respond to the therapy.

The study showed that the new gene expression profile not only measures the effectiveness of aspirin, but also serves as a strong predictor of patients who are at risk for heart attack.

The Duke researchers enlisted three groups of participants - two of healthy volunteers and one comprised of patients with heart disease seen in outpatient cardiology practices.

The healthy volunteers were given a dosage of 325 mg of aspirin daily for up to a month; the heart disease patients had been prescribed a low dose of aspirin as part of their treatment.

Blood was then analyzed for the impact of aspirin on RNA expression and the function of platelets, which are the blood cells involved in clotting.

The RNA microarray profiling after aspirin administration revealed a set of 60 co-expressed genes that the researchers call the "aspirin response signature," which consistently correlated with an insufficient platelet response to aspirin therapy among the healthy subjects as well as the heart disease patients.

The researchers also examined the aspirin response signature in another group of patients who had undergone cardiac catheterizations. They found the signature was also effective in identifying those patients who eventually suffered a heart attack or died.

Deepak Voora, M.D., assistant professor of medicine at Duke and lead author of the study, said that the aspirin response signature can determine who is at risk for heart attack and death.

He said that there is something about the biology of platelets that determines how well we respond to aspirin and we can now capture that with a genomic signature in blood.

The study has been published in the online edition of the Journal of the American College of Cardiology.

Jul 06
New blood test detects sensitivity to aspirin
Scientists have developed a new blood test that deciphers gene activity and predicts an individual`s response to aspirin, says a study.

The new gene expression profile not only measures the effectiveness of aspirin, but also serves as a strong predictor of patients who are at risk for heart attack, according to a study posted Wednesday in the online edition of the Journal of the American College of Cardiology, reports Science Daily.

"We recognised the concept of aspirin resistance among a population of patients who have cardiac events or stroke," said senior author Geoffrey S. Ginsburg, director of genomic medicine at Duke University`s Institute for Genome Sciences and Policy.

"We give the same dose to all patients, but maybe some patients need a larger dose of aspirin, or maybe they need to try a different therapy entirely. We need better tools to monitor patients and adjust their care accordingly, and the findings from our study move us in that direction," said Ginsburg, who is also the executive director of Duke`s Centre for Personalised Medicine.

Jul 06
New urine test can diagnose and predict kidney transplant rejection
A urine test can now determine whether a transplanted kidney recipient is in the process of rejecting the donated organ, as well as identifying who is at risk of rejection several weeks and even months before symptoms appear.

By measuring just three genetic molecules in a urine sample, the test accurately diagnoses acute rejection of kidney transplants, the most frequent and serious complication of kidney transplants, says the study`s lead author, Dr. Manikkam Suthanthiran, the Stanton Griffis Distinguished Professor of Medicine at Weill Cornell Medical College and chief of transplantation medicine, nephrology and hypertension at NewYork-Presbyterian Hospital/Weill Cornell Medical Center.

"It looks to us that we can actually anticipate rejection of a kidney several weeks before rejection begins to damage the transplant," Dr. Suthanthiran says.

"It looks to us that we can actually anticipate rejection of a kidney several weeks before rejection begins to damage the transplant," Dr. Suthanthiran says.

The test may also help physicians fine-tune the amount of powerful immunosuppressive drugs that organ transplant patients must take for the rest of their lives, Dr. Suthanthiran, whose laboratory developed what he calls the "three-gene signature" of the health of transplanted kidney organs, said.

"We have, for the first time, the opportunity to manage transplant patients in a more precise, individualized fashion. This is good news since it moves us from the current one-size-fits-all treatment model to a much more personalized plan," he says, noting that too little immunosuppression leads to organ rejection and too much can lead to infection or even cancer," the researcher said.

Such a test is sorely needed to help improve the longevity of kidney transplants and the lives of patients who receive these organs, says study co-author Dr. Darshana Dadhania, associate professor of medicine and medicine in surgery at Weill Cornell Medical College and associate attending physician at New York-Presbyterian Hospital.

The study is published in The New England Journal of Medicine (NEJM).

Jul 05
World's first 'human liver' created from stem cells
Scientists in Japan have used stem cells to grow tiny functioning livers in the laboratory.

The team at the Yokohama City University is hoping that liver failure could be reversed by transplanting thousands of liver buds.
They were trying to reproduce the earliest stages of liver development, which is similar to that in an embryo and for that they mixed 3 types of cells - two types of stem cells and material taken from the umbilical cord.

However, to their surprise the cells started to organise themselves and started curling to form a liver bud.

And when these buds were transplanted into mice, they hooked themselves up with the blood supply and began functioning as little livers, the BBC reported.

The transplants raided the lifespan of mice with liver failure.

However, turning this process into a treatment is still a distant thought, as the buds are 4-5mm long, however, researchers say that they will need to develop buds which are much minuscule and could be injected into the blood.

Though the buds will not grow into a whole new liver, but will embed themselves in the one which is failing and help restore it.

The findings have been published in Nature.

Jul 05
Avoid dementia by keeping brain 'active'
Staying mentally active by reading books or writing letters helps protect the brain in old age, says a new American study.

The study, published in Neurology, says performing mental challenges leads to slower cognitive decline. It adds weight to the idea that dementia onset can be delayed by lifestyle factors, BBC reported.

In the study by the Rush University Medical Center in Chicago, 294 people over the age of 55 were given tests that measured memory and thinking, every year for about six years until their deaths.

They also answered a questionnaire about whether they read books, wrote letters and took part in other activities linked to mental stimulation during childhood, adolescence, middle age, and in later life.

After death, their brains were examined for evidence of the physical signs of dementia, such as brain lesions and plaques.

The study found that after factoring out the impact of those signs, those who had a record of keeping the brain busy had a rate of cognitive decline estimated at 15 percent slower than those who did not.

Robert Wilson, of the Rush University Medical Center, who led the study, said the research suggested exercising the brain across a lifetime was important for brain health in old age.

"The brain that we have in old age depends in part on what we habitually ask it to do in life. What you do during your lifetime has a great impact on the likelihood these age-related diseases are going to be expressed," Wilson told BBC.

Commenting on the study, Simon Ridley, head of research at Alzheimer`s Research UK, said there was increasing evidence that mental activity may help protect against cognitive decline. But the underlying reasons for this remained unclear.

"By examining donated brain tissue, this study has shed more light on this complex question, and the results lend weight to the theory that mental activity may provide a level of `cognitive reserve`, helping the brain resist some of the damage from diseases such as Alzheimer`s," he told BBC.

Browse Archive