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Oct 11
Depression during pregnancy may affect child's brain development
A new study suggests the children of women who are depressed during pregnancy succumb to depression more likely during their teenage.

Researchers at Bristol University have suggested that stress hormone cortisol, which is higher in depressed mothers, may affect the developing brain of the foetus in the womb as they are able to cross the placenta.

The research has been carried out by Rebecca Pearson, research epidemiologist at Bristol University's school of social community medicine.

Depression during pregnancy may affect a baby through stress hormones that move across the placenta, Rebecca Pearson and her colleagues said.

This goes against the suggestion of some researchers that depression is only important if it continues past the end of pregnancy and impacts parenting.

"It should be treated during pregnancy, irrespective of if it continues during birth. It's as important during pregnancy," Pearson said.

Further, the study also showed that postnatal depression in the mother was a risk factor for children's depression in late adolescence, but only in mothers with low educational attainment.

Pearson also said women should do what they can to put their own mental health first during pregnancy, and know that by doing this they are also looking after their baby.

The study is published in JAMA (Journal of the American Medical Association) Psychiatry.

Oct 11
WHO launches drive against mercury thermometers
The World Health Organization and campaigners launched a drive Friday to try to wipe out mercury in medical thermometers, a day after nations signed a UN treaty to control the toxic liquid metal.

"Mercury is one of the top ten chemicals of major public health concern and is a substance which disperses into and remains in ecosystems for generations, causing severe ill health and intellectual impairment to exposed populations," WHO head Margaret Chan said in a statement.

Working with the campaign group Health Care Without Harm, the UN agency said it aims by 2020 to eliminate mercury from fever thermometers, as well as blood pressure devices which use it.

It explained that the goal would be achieved if the manufacture, import and export of such devices was halted, and accurate, affordable, and safer non-mercury alternatives were deployed.

On Thursday in Japan, delegates from some 140 countries and territories signed a UN treaty on mercury, in the city of Minamata.

The location was highly symbolic, as Minamata was the scene of a mercury scandal exposed in the 1950s.



Tens of thousands of people were poisoned -- around 2,000 of whom have since died -- by eating fish and shellfish taken from waters polluted by discharge from a local factory.

The Minamata Convention on Mercury, which is the world`s first legally binding treaty on the highly toxic metal, will take effect once ratified by 50 countries, something the UN expects will take three to four years.

The treaty sets a phase-out target of 2020 for a long list of products -- including mercury thermometers -- and gives governments 15 years to end all mercury mining.

But it stipulates that countries can continue to use mercury in medical measuring devices until 2030 under certain special circumstances.

The WHO said that the negative consequences of mercury use are such that all countries should hold to the 2020 target.

Mercury and its various compounds are of global public health concern and have a range of serious health impacts including brain and neurological damage especially among the young, it said.

Other risks include damage to the kidneys and digestive system.

The WHO said its campaign would also tackle mercury antiseptics and skin-lightening cosmetics, seek to phase out its use in dentistry, and help deal with the health impact of its use in small-scale gold mining.

The latter area is a major concern for environmental groups, which say the Minamata Convention stops short of addressing the issue even though mercury threatens the health of miners, including child labourers, in developing countries.

Oct 10
Lonely, depressed in increasingly connected world
Shweta Mathur has 700 'friends' on a popular social networking site. Yet, when she sat in a psychologist's office after her parents' suspected suicidal tendencies, she said she didn't have a "real friend". In an increasingly connected world, the boundary between the real and the virtual is blurring. Mental health experts say this is a key reason for rising cases of depression among youngsters, driving some to suicide.

According to National Crime Records Bureau (NCRB) data, 135,445 people committed suicide in India in 2012 - an average of about 15 suicides an hour. A large number of the suicides were in the 15-29 age group.

"Adolescent suicides have quadrupled in the last two decades. In 90 percent of the cases, the person was suffering from an undetected and unidentified psychiatric disorder," Samir Parikh, director of Mental Health and Behavioural Sciences at Fortis Hospital, told IANS.

He added that in most cases, the underlying depression takes root for months before an event, like a failed love affair or bad academic result, becomes the final breaking point.

Changes in the social structure and lack of interpersonal touch are some of the main factors that contribute to increasing vulnerability of the young.

"We have moved away from joint family to nuclear family, and now to the micro-nuclear structure where young people stay alone. This means that the support system when a child is growing, of having someone to share his feelings with even if both parents are not there, is now missing," said Sayar Ansari, psychologist at the Columbia Asia Hospital.

"Field sports which was given a lot of emphasis earlier and encouraged interpersonal contact is also increasingly being replaced by virtual gaming. All of this leaves a void."

Mental health expert Sameer Malhotra of Max Hospital goes on to say that while social networking is not a villain, and that it's "good to be connected", it's important to recognise that there are flip sides to it as well.

"Social networking can be exploited because it's a public platform which one can misuse and use foul language to display emotions. There have been cases of vulnerable people being victims of group bullying.

"Plus, too much of anything is bad. Staying up late to 'connect' with friends virtually and losing on your sleep can cause neurochemical changes, and this along with lack of interpersonal contact with family, no clear goals and high competition levels can all lead to emotional turmoil," Malhotra added.

Added Deepak Raheja, psychiatrist and psychotherapist at Paras Hospital: "Kids, especially in the urban set up, are raised with all the luxuries and hardly face any difficulties. So when they grow up and face failure, sometimes they cannot cope with it and withdraw. Then again, unlike earlier times when choices were limited, now there is plenty of choice (careerwise) but youngsters don't pursue one goal for too long and give up, sinking into gloom."

There is no simple solution to such problems, experts say, but a beginning must be at home, with good parenting.

"Parents need to spend ample time with their children, talk to them and encourage interpersonal communication with others. They also need to tell them that success is important but failure is not the end of everything," Ansari said.

"It's also important to tell adolescents to always look at the big picture and think beyond material acquisition," Raheja added. "The ability to detach and maintain a good work-life balance is very important."

Oct 10
Foods to help reduce your breast cancer risk
Breast cancer affects one in eight women in the United States, with 20-25 percent of cases proving fatal. While heredity is a risk factor, you can take steps to reduce your chances developing it.

A diet containing specific foods with properties known to provide some protection against estrogen-sensitive cancers, as well as certain supplements can help.

"Diet, neutraceuticals and properly balanced hormones give women the lowest risk of breast cancer - and the best chance for surviving it," said Dr. Gary Donovitz, an Ob-Gyn from the Institute for Hormonal Balance in Arlington, Texas, and the Founder and Medical Director of BioTE Medical, LLC.

These four foods are an important part of a diet focused on reducing breast cancer risk:

1. Cruciferous vegetables, such as broccoli and cauliflower, are excellent for breast health. They contain the substance indole-3-carbinol, which has been found to have protective properties for estrogen-sensitive cancers. Glucosinolates, also found in cruciferous vegetables, can help eliminate carcinogens from the body before they cause damage to the cells.

2. Coffee contains antioxidants that may help protect cells from damage that can lead to cancer. According to a study published in Breast Cancer Research, drinking coffee on a daily basis may lower the risk of an aggressive form of breast cancer.

3. Fiber has been reported to help lower the risk of breast cancer in a study published by The American Journal of Clinical Nutrition. Researchers found that adding as little as 10 grams of fiber to the daily diet was shown to reduce breast cancer risk by up to 7 percent.

4. Sea vegetables contain trace minerals, such as iodine, which have been found to have a positive effect on breast health. They also have relatively high levels of calcium, which is thought to give seaweed a chemo-preventative effect when combined with its other components. And both brown and red seaweeds have been shown to inhibit cancer cell growth.

"Iodine is very protective to the breast in terms of breast cancer, but can be difficult to get in large enough quantities through diet alone, and Diindolymethane (DIM) is also important because it increases the metabolism of estrogen through the 2-hydroxy estrone, which is also protective to the breast," said Donovitz of supplements that reduce the risk of breast cancer.

Donovitz also recommended women begin getting their hormones checked in their late 20s or early 30s, when testosterone levels typically begin to decline. He warned against hormone-replacement protocols that are based on estrogen and synthetic progestins which may increase the risk of breast cancer if testosterone is not taken into account.

To further decrease your risk of breast cancer, opt to decrease the toxic load on the body on a daily basis. Switch to hormone-free, free-range, organic meats and dairy whenever possible, reduce processed foods and eliminate or reduce the use of chemical pesticides and insecticides, opting instead for natural, chemical-free products.

You should always talk to your doctor before making any diet or lifestyle changes.

Oct 09
Sprite could help get rid of hangovers
Researchers have claimed that a drink, known as Sprite in Britain could help you cure your hangover from yesterday.

After boozing, the human body undergoes 2-stage-metabolic-process to break down the ethanol.

In the beginning the liver metabolises ethanol into acetaldehyde through an enzyme, alcohol dehydrogenase (ADH), before breaking it into acetate by aldehyde dehydrogenase (ALDH).

Researchers from Sun Yat-Sen University in Guangzhou observed the way a number of drinks affected the way in which the body metabolised alcohol.

They analysed 57 different drinks, which includes herbal infusions, teas, and carbonated beverages, and measured their effects on ADH and ALDH and found that each brew had a different effect.

They also found that while some herbal teas slowed the process, thus prolonging a hangover, Sprite was found to actually speed the enzyme's work up, which meant that the beverage could ease a hangover as it shortened the body's exposure to acetaldehyde, the Independent reported.

The study's findings have been published in the Royal Society of Chemistry journal Food and Function.

Oct 09
Almonds best for reducing hunger pangs without piling on the pounds
A new study has found that people who eat 1.5 ounces of dry-roasted, lightly salted almonds every day experience reduced hunger and improved dietary vitamin E and monounsaturated ("good") fat intake without increasing body weight.

Snacking has become nearly universal behavior in the United States, with an estimated 97 percent of Americans consuming at least one snack per day.

In light of increasing snacking frequency and snack size among US adults, combined with continued increases in obesity rates and widespread nutrient shortfalls, it becomes increasingly important to identify snacks that pose little risk for weight gain while providing health benefits.

Snacking reportedly increases risk for weight gain, but this broad generalization may mask different responses to select foods.

The newly published randomized, controlled clinical study, led by researchers at Purdue University, investigated the effects of almond snacking on weight and appetite.

"This research suggests that almonds may be a good snack option, especially for those concerned about weight," Richard Mattes, PhD, MPH, RD, distinguished professor of nutrition science at Purdue University and the study's principal investigator, said.

"In this study, participants compensated for the additional calories provided by the almonds so daily energy intake did not rise and reported reduced hunger levels and desire to eat at subsequent meals, particularly when almonds were consumed as a snack," he said.

The findings are published the European Journal of Clinical Nutrition.

Oct 08
How binge drinking slows healing of fractured bones
A group of researcher have tried to explain how alcohol slows healing on the cellular and molecular levels.

Now a study by Loyola University Medical Center researchers could lead to treatments to improve bone healing in alcohol abusers, and possibly non-drinkers as well.

Senior author John Callaci, PhD, and Roman Natoli, MD, PhD, studied the effects that alcohol consumption had on bone healing in mice. One group of mice was exposed to alcohol levels roughly equivalent to three times the legal limit for driving. A control group was exposed to equal amounts of saline (salt water).

The study found three ways in which alcohol impaired bone healing after a fracture:

There were differences between the control group and the alcohol-exposed group in the callus, the hard bony tissue that forms around the ends of fractured bones. In the alcohol-exposed group, the callus was less mineralized, meaning not as much bone was forming. Moreover, the bone that did form was not as strong.

Mice exposed to alcohol showed signs of oxidative stress, a process that impairs normal cellular functions.

The alcohol-exposed mice had significantly higher levels of malondialdehyde, a molecule that serves as a marker for oxidative stress.

During the healing process, the body sends immature stem cells to a fracture site. After arriving at the site, the stem cells mature into bone cells. Two proteins, known as SDF-1 and OPN, are involved in recruiting stem cells to the injury site. In the alcohol-exposed group, OPN levels were significantly lower.

The study has been funded by the Orthopaedic Research and Education Foundation.

Oct 08
New therapeutic agents that may benefit blood cancer patients identified
Researchers including an Indian origin scientist have discovered new therapeutic targets and drugs that could benefit people with certain types of leukemia or blood cancer in future.

Dr Reuben Kapur, Ph.D., the Frieda and Albrecht Kipp Professor of Pediatrics at the Indiana University School of Medicine and a researcher at the Indiana University Melvin and Bren Simon Cancer Center, and colleagues discovered in pre-clinical and pharmacological models that cancer cells with a mutation in the KIT receptor-an oncogenic/cancerous form of the receptor-in mast cell leukemia and acute myeloid leukemia can be stopped.

According to Kapur, activating mutations of KIT receptors are almost always associated with a type of leukemia called mast cell leukemia. The mutations in the KIT receptor are found in about 90 percent of patients with this type of leukemia.

In addition, activating mutations of KIT are also exclusively associated with a subtype of acute myeloid leukemia known as core binding factor leukemia. When KIT is associated with these two types of leukemia, the survival rate for patients is profoundly reduced in comparison to patients who do not have this mutation.

Kapur said that his team identified two new targets in leukemic cells bearing this mutation, which when targeted or inhibited, cause leukemia cells to die.

The researchers discovered that the two targets are Rac GTPase and Pak (p21-activated kinase). In return, they designed a novel Rac inhibitor-EHop-016 -- that is considerably more potent than previously described inhibitors of Rac. They also demonstrated a novel role for Pak inhibition in leukemia using an existing Pak inhibitor.

The study has been published online in the Journal of Clinical Investigation.

Oct 07
Clinical trials needed to develop new medicines: Industry body
Clinical research would enable India to find newer and better medicines to treat its population and reduce mortality rates for various diseases, according to an apex association of clinical research professionals.

"We strongly believe in the need to create a sound clinical research ecosystem that encourages local research and innovation," Indian Society for Clinical Research (ISCR) President Suneela Thatte told PTI.

There is a need to encourage such innovation and not deter the scientific and medical community from continuing in the quest to find safer and more effective treatment for the country's disease burden, she added.

Earlier, a Supreme Court bench headed by Justice R M Lodha had said that a system must be put in place to protect the lives of people and asked the Centre not to allow clinical trials for untested medicines.

Emphasising that clinical trials need to be encouraged in India, she said: "At present less then 2 per cent of global clinical trials are happening in India which has around 16 per cent of the world's population and has 20 per cent of the disease burden."

On being asked about the need for robust regulation of clinical trials in India Thatte said: "ISCR is fully supportive of the need for a more robust and regulated environment for the conduct of clinical trials in India which ensures the practise of the highest standards of ethics and quality and where patient rights and safety are protected."

However, it is also important to ensure the continuity of clinical trials for thousands of patients for whom clinical trials are the last option, she added.

In September this year, the Centre had informed the Supreme Court that an apex committee, headed by the Health and Family Welfare Secretary, has been formed to supervise the regulation of clinical trials based on the recommendation of the Technical Committee constituted under the chairmanship of the Director General Health Services.

It had also said that a new Bill containing penal provisions for violation on conduct of trials for untested medicines has already been introduced in Parliament.

Oct 07
Indian scientist-led team set to develop universal flu vaccine
A group of researchers, led by a prominent Indian scientist has taken a big step towards developing an universal vaccine that would protect people from every kind of flu.

"We know the exact subgroup of the immune system and we've identified the key fragments in the internal core of the virus. These should be included in a vaccine," Ajit Lalvani, the leader of the group said.

Seasonal flu kills between 2,50,000 and 5,00,000 people each year and new pandemics have the potential to take doctors by surprise. The influenza virus is constantly shifting target making seasonal vaccines useless and new ones needed each year.

"In truth, in this case it is about five years (away from a vaccine). We have the know-how, we know what needs to be in the vaccine and we can just get on and do it," said Lalvani, a professor at Imperial College, London.

Their discovery has been published in the Nature Medicine journal.

This vaccine would take a distinct approach compared with other forms of vaccination, such as the MMR jab. The new vaccine will trigger the immune system to produce antibodies that can attack an invader.

Researchers admit it is harder to develop this kind of vaccine than to provoke an antibody response. The challenge will be to get a big enough T-cell response to offer protection and a response that will last.

John Oxford of Queen Mary University of London said, "This sort of effect can't be that powerful or we'd never have pandemics. It's not going to solve all the problems of influenza, but could add to the range of vaccines. It's going to be a long journey from this sort of paper to translating it into a vaccine that works."

Sarah Gilbert, who is also trying to develop an universal flu vaccine at the Jenner Institute in Oxford, said, "Live attenuated influenza vaccines which are given by nasal spray and will be used in children in the UK from this autumn are much better at increasing the number of influenza-specific T-cells."

"But, these vaccines only work in young children who haven't yet had much exposure to influenza virus, so we need an alternative approach for adults," she added.

"The new publication contains information on the precise characteristics of the influenza-specific T-cells which were protective, and this information will be useful in monitoring the immune response to vaccination when testing novel influenza vaccines which are designed to provide protection against pandemic as well as seasonal influenza viruses," Gilbert said.

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