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May 06
High Blood Pressure Reduced With Low-Fat Dairy
New research has revealed that dairy products such as low-fat milk may help to reduce risk of high blood pressure in older age.

It is estimated that one in three adults in the UK suffers from hypertension, yet only a third of individuals are aware of their condition.

High blood pressure is one of the most significant risk factors for stroke, heart attack, heart failure and kidney disease. The lack of immediately identifiable symptoms has led it to be known as 'the silent killer'.

The research published by the American Journal of Clinical Nutrition measured blood pressure in 2245 participants over the age of 55, across a six year period. Individuals were split into five categories depending on the type of dairy intake in their diet: "milk and milk products", "cheese", "low fat dairy", "high fat dairy" and fermented milk group.

The study showed people eating more low-fat dairy (561grams) and milk products daily (651grams) had a lower risk of hypertension than those consuming less low-fat dairy (21 grams) and milk products (127grams) and adding one extra serving of dairy a day lowered hypertension risk by 7%. Interestingly this study also found eating cheese and higher fat dairy products did not increase hypertension risk.

Dr Judith Bryans, Director of the Dairy Council says: "Dairy provides minerals such as calcium and potassium which are important for blood pressure regulation. This study is an extra building block to an increasing body of evidence which suggests that dairy proteins and minerals play an important role in maintaining a healthy blood pressure.

"Significantly, the study also shows that dairy products with higher fat contents, like hard cheese, are not associated with increased levels of blood pressure. Therefore, these foods may be part of a healthy balanced-diet; one which is rich in fruit and vegetables and a variety of foods.

May 06
Academy Of General Dentistry Access To Care White Paper
The Academy of General Dentistry (AGD), the only voice exclusively for the general dentist, reminds legislators that dentistry is very different from the practice of medicine and these differences must be taken into consideration in any effort by Congress to enact an overhaul of the health care system. A critical issue for general dentistry is access to care. The AGD created a white paper on access to oral health care to provide real and workable solutions for improving access to oral health care as part of any broader health care reform undertaken by the 111th Congress.

The white paper, titled, "Increasing Access to and Utilization of Oral Health Care Services" offers more than 30 recommendations in eight broad subject areas:

-- Attracting students to careers in dentistry

-- Enhancing existing federal training programs

-- Incentives for establishing dental practices in underserved areas

-- Improvements to the Medicaid program relative to the provision of oral health care

-- Continuing education and cultural awareness training for general dentists

-- Public health enhancements and health literacy improvements

-- Support for the "dental team" concept

-- Greater collaboration between private organizations and government entities

"Adoption of the specific recommendations included in the white paper with each of these broad subject areas is likely to dramatically increase access to oral health care and reduce the incidence of dental disease and associated systemic ailments," says AGD President Paula S. Jones, DDS, FAGD. "The AGD asks Congress to seriously consider the solutions outlined in the white paper in preparing health care overhaul legislation."

"In order to bridge the gap between those who receive proper dental attention and those who do not, professional organizations, as well as local, state, and national governments and even community organizations, must all make a collaborative effort," comments Dr. Jones. She says that the AGD has put forth several well thought out solutions to bridging the gap, many of which urge greater funding for dental care through Medicaid and Title VII programs, encourage practice in underserved areas through loan forgiveness programs, grants and scholarships, as well as promote recruiting dental school applicants to commit to working in underprivileged areas upon graduation.

"The AGD white paper provides the dental profession and policy makers with 30 substantive and workable solutions to access to care that can be implemented by organizations, governmental entities, and communities of interest," says John T. Sherwin, DDS, FAGD, chairperson, AGD Task Force on Access to Care. "The AGD asks federal lawmakers and administration officials to consider and include these suggestions in any comprehensive health care reform discussions and debates."

May 06
RPSGB Warns Against Counterfeit Drugs For Swine Flu
The Royal Pharmaceutical Society of Great Britain (RPSGB) issued a warning to the public about the risks of buying online medicines for swine influenza, such as Tamiflu or Relenza.

David Pruce, RPSGB Director of Policy said:

"With the current fears about swine flu, we are concerned that unscrupulous people are exploiting the public's fears about swine flu by offering to sell the antiviral drugs Tamiflu and Relenza over the internet.

"This is a golden opportunity for counterfeiters to offer fake supplies of these drugs. People can be at real risk if they buy medicines from unknown sources.

"In particular, the public should not be taken in by spam e-mails offering to supply Tamiflu or Relenza. Most of the drugs offered in this way turn out to be counterfeit and may contain anything from sugar to more dangerous substances that can seriously put health at risk.

"The public should also be reminded that it is never a good idea to obtain a prescription-only medicine without a valid prescription. The medicine may not be suitable for you or could result in unpleasant side-effects or serious health risks.

"If you have any concerns about swine flu, or think you may be infected, stay at home and seek advice from your GP or NHS Direct."

May 06
Salt Intake And Hypertension
A high salt intake has been implicated in cardiovascular disease risk for 5000 years. But salt-sensitive hypertension still remains an enigma. Now, investigators from Germany at the University of Erlangen, the Max Delbrück Center for Molecular Medicine (MDC) Berlin-Buch and Regensburg, collaborating with researchers from Finland and Austria have shed new light on the relationship between salt intake, bodily processes, and blood pressure regulation. Within the skin, they have detected a new storage area for salt in the body. They also found out that if the process behind this storage is defective, animals become hypertensive (Nature Medicine, doi 10.1038/nm.1960)*.

Salt (natrium chloride, NaCl) is required for life. Herbivores (plant-eating animals) risk their lives to go to "salt licks" and carnivores (meat-eating animals) go to salt licks to eat herbivores in order to obtain salt.

Salt is responsible for water regulation in the body. It is taken up by the gastro-intestinal (GI) tract and, in large part, excreted by the kidneys. However, salt is also stored in cells and in the interstitium, the area between cells in the body.

Dr. Jens Titze and colleages, among them Dominik N. Müller, Wolfgang Derer, and Friedrich C. Luft from the Experimental and Clinical Research Center at the MDC, could now show that a high-salt diet in rats leads to the accumulation of salt in the interstitium in the skin. This process is carefully regulated by special white blood cells, the macrophages.

In those macrophages, the scientists found a gene regulator (transcription factor) called TonEBP (tonicity-responsible enhancer binding protein). TonEBP is activated in these cells in response to high salt and turns on a gene (VEGF-C - vascular endothelial growth factor C) that controls the production of lymphatic blood vessels. With a high-salt diet the lymphatic vessels increase.

The investigators also showed that when these macrophages are depleted or if the receptor for VEGF-C is absent, the animals are not able to "store their salt" and become hypertensive. However, this process and its relevance to human disease are not yet completely understood..

Macrophages regulate salt-dependent volume and blood pressure by a vascular endothelial growth factor-C-dependent buffering mechanism

May 04
Presentation Of New Data On The Early Detection Of Lung Cancer
New data from several studies evaluating new techniques for early diagnosis and treatment of lung cancer were presented at the first European Multidisciplinary Conference on Thoracic Oncology (EMCTO) in Lugano, Switzerland (1-3 May 2009).

"Lung cancer is the leading cause of cancer deaths worldwide and also in Europe. One of the reasons for this is that symptoms of lung cancer are very often lacking or occur only late in the course of the disease," said Prof Rudolf M. Huber from the University of Munich in Germany.

"The prognosis of lung cancer patients is very dependent on how advanced their disease is. In stage I for example, where the tumour has not yet spread, 5-year-survival rates are about 70%; whereas in stage IV, where it has metastasised to other parts of the body, survival is about 1%. Even for patients with locally advanced tumours, survival over 5 years is only about 10%. Therefore every effort should be undertaken to diagnose early in the course of the disease."

"Developing better tools for distinguishing between lung cancer and other lung diseases will help us offer greater hope for patients," added Prof Huber.

In one study presented at the conference, Italian researchers compare two computed tomography techniques for diagnosing indeterminate lung lesions, finding that a form of single-photon emission computed tomography could offer an alternative method in situations where positron emission tomography is not available.

In another abstract, UK scientists reported that a new approach to diagnosis that ensures a patient has had a chest CT scan before they attend a clinic has the potential to reduce the time between their first abnormal chest X-ray and final diagnosis.

Also during the conference, Greek investigators suggested that they may have found a new factor that will help indicate a patient's prognosis at the time of diagnosis. Their work indicates that the expression of specific cell surface molecules on tumour cells correlates with clinical parameters. The results "could comprise a promising prognostic factor in lung carcinomas, thus presenting exciting possibilities for the future."

May 04
High-Risk Alert: Sun Protection Tips For Tweens And Teens
It's never too early to start protecting your children against sun damage, and if you are the parent of a young girl this message is especially important.

"Even one blistering sunburn can increase your risk of skin cancer. As few as five sunburns can double your risk of skin cancer," says Dr. Anjali Dahiya, a dermatologist at the Iris Cantor Women's Health Center at NewYork-Presbyterian Hospital/Weill Cornell Medical Center.

Teenage girls and their parents should be particularly careful, since melanoma, a potentially fatal skin cancer, is the most common cancer in young women between the ages of 25 and 29. Much of the damage from the sun in these patients will already have occurred in their teens.

"Sun exposure plays a significant role in the development of melanoma. Although more adults are using sunscreens during outdoor activities, many are unaware of how important it is to make sure that their children are getting the necessary skin protection," says Dr. Desiree Ratner, director of dermatologic surgery at NewYork-Presbyterian Hospital/Columbia University Medical Center.

Drs. Dahiya and Ratner recommend the following guidelines to help protect teens, tweens and infants from the harmful effects of the sun:

-- Use self-tanning creams. Tanning beds are not good for anyone. Teenagers and young adults looking to get that perfect tan should use tanning creams to get a safe summer glow.

-- Be wary of freckles. Developing freckles may be a sign that the skin has sustained early sun damage.

-- Apply sunscreen generously. Teens and tweens should apply sunscreen to the entire surface of their body about 30 minutes before going outside; if they are swimming, they should reapply once they are out of the water. Parents should apply approximately one ounce of sunscreen to their infant's body as well.

-- Make it easy. Parents of tweens should find a spray-form sunscreen that is waterproof and sweat proof. This will make it more convenient to apply sunscreen to your growing child every day, and more effective.

-- Minimize exposure to the sun. In addition to applying sunscreen, everyone should be guarding against the sun with hats, sunglasses and umbrellas when appropriate. Babies up to 6 months of age should be kept out of the sun completely.

May 04
Scientists Find The Cellular On And Off Switch For Allergies And Asthma Just In Time For Spring
If you're one of the millions who dread the spring allergy season, things are looking up. A research study appearing in the May 2009 issue of the Journal of Leukocyte Biology shows how a team of American scientists have identified a previously unknown cellular switch that turns allergies and asthma both on and off. Equally important, this study also suggests that at least for some people with asthma and allergies, their problems might be caused by genes that prevent this switch from working properly. Taken together, this information is an important first step toward new medications that address the root causes of allergies, asthma and other similar diseases.

"This study uncovers some of the basic mechanisms that control whether or not people have asthma and allergies and the severity of the symptoms," said John Ryan, Ph.D., Professor of Biology at Virginia Commonwealth University, and a senior scientist involved in the research. "This understanding opens new avenues for treating these and other related diseases."

Ryan and colleagues made this discovery in mouse experiments that examined cells from bone marrow and umbilical cord blood that ultimately help create a type of immune cell (mast cells). Too many mast cells lead to an over-aggressive immune response, which causes allergies and asthma. The scientists found that when chemicals (cytokines IL-4 and IL-10) used to initiate an immune response (the "on switch") are added to developing mast cells, the developing cells die. Because bone marrow makes both mast cells and these cytokines, the researchers conclude that just as the cytokines serve as the "on switch" for the immune system, bone marrow cells also use them as the "off switch" to stop mast cells from getting out of hand. Further supporting their discovery was the finding that strains of mice prone to allergies and asthma had genes which affected the production of this chemical "off switch" in their bone marrow.

May 02
Infection Preventionists Urge Public To Stay Calm, Heed Advice From Health Officials About Swine Flu
The Association for Professionals in Infection Control and Epidemiology (APIC) today encouraged the public to remain calm, listen to public health authorities and follow common sense health precautions during the swine influenza A (H1N1) virus outbreak.

"This is the time for heightened awareness about proactive steps we all can take to protect our families," said Christine J. Nutty, RN, MSN, CIC, APIC 2009 president. "Public health officials are monitoring the situation and are making recommendations based on the latest information. We urge consumers to follow the advice of local health authorities and observe good health practices."

The symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting associated with swine flu. Flu viruses are spread mainly from person to person through coughing or sneezing of people with influenza. Sometimes people may become infected by touching something with flu viruses on it and then touching their mouth or nose.

APIC advises consumers to contact their healthcare provider if they develop flu-like symptoms and to follow their instructions.

"So far, most US cases have been mild, but this could change and we expect that there will be many more cases of this disease," said Nutty. "The best defense is for consumers to follow basic health practices - wash hands frequently, cover your coughs and sneezes with your sleeve or a tissue and stay home if you are sick."

The number one way to prevent infection is through frequent handwashing with soap and water for 20-30 seconds. If soap and water are not available, use an antiseptic hand cleaner that contains at least 60% alcohol. APIC also urges consumers to remind healthcare workers to wash their hands before and after coming in contact with patients.

The Centers for Disease Control and Prevention recommends that consumers practice these steps to protect against the flu:

* Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.

* Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.

* Avoid touching your eyes, nose, or mouth. Germs spread that way.

* Try to avoid close contact with sick people.

* If you get sick, stay home from work or school and limit contact with others to keep from infecting them.

May 02
Disrupting A Brain Protein Produces Antidepressant-Like Effect In Mice
A brain protein involved in fear behavior and anxiety may represent a new target for depression therapies, according to a study by researchers at the University of Iowa and the Iowa City Veterans Affairs Medical Center. The results appear in the April 29 issue of the Journal of Neuroscience.

Depression affects at least 14 million American adults and can be severely disabling. However, the causes of depression are not well understood. In addition, up to half of people diagnosed with depression are not helped by current therapies because either the drug is not effective for them, or the side effects are intolerable.

The UI research team found that disrupting ASIC1a -- an ion channel protein found in the brain -- produced an antidepressant-like effect in mice. The effect was similar to that produced by currently available antidepressant drugs, but the team also showed that ASIC1a's effect arose through a new and different biological mechanism.

"The mechanism issue is important because if a patient doesn't respond to one drug, the chances of them responding to another drug that works through the same mechanism are low," said study investigator John Wemmie, M.D., Ph.D., associate professor of psychiatry and neurosurgery at the UI Carver College of Medicine and a staff physician and researcher at the Iowa City Veterans Affairs Medical Center. "We need antidepressants with new mechanisms of action to help those people who don't respond to what is currently available."

Wemmie added that although there is no immediate therapy available based on the new findings, the results suggest that ASIC1a inhibition represents a new approach to antidepressant therapy. The channel can be blocked pharmacologically. In addition, manipulating brain pH (a measure of acidity) might be used to inhibit this ion channel, which is activated by acid (low pH).

The study also indicated that using antidepressant drugs and inhibiting ASIC1a at the same time produced an additive effect in mice, suggesting that ASIC1a inhibition used in conjunction with current medications might boost antidepressant effects in patients.

The researchers focused on ASIC1a because recent studies have pointed to a role for this ion channel in depression. In particular, previous animal studies from Wemmie's lab showed that ASIC1a plays an important role in fear responses (panic) and anxiety, conditions that often accompany depression. Other research has suggested a strong relationship between anxiety, depression and the brain's fear circuitry, including the amygdala, where ASIC1a is abundant.

In their latest study, Wemmie's team used experiments targeting the amygdala to show that this brain region is a key site of action for ASIC1a's antidepressant effect. The results support the idea that depression may be caused, at least in part, by abnormal amygdala activity.

"Because the ASIC1a protein is especially abundant in areas of the brain that regulate emotion, it is possible that interventions targeting ASIC1a could treat depression while having fewer effects on other brain areas and thus fewer side effects than available treatments. But much more work is needed to determine if this approach can be used therapeutically," said Matthew Coryell, Ph.D., lead study author and a recent graduate of the UI Neuroscience Program.

The researchers also found that ASIC1a function might underlie the connection between stress and depression. Stress can precipitate depression, and research from other labs has suggested this might be because stress lowers levels of protective brain hormones called neurotrophic factors. The UI team found that removing ASIC1a prevented stress from reducing levels of one neurotrophic factor called BDNF in mice. The findings might mean that inhibiting ASIC1a could increase the brain's ability to resist the negative effects of stress and perhaps reduce a person's likelihood of developing depression.

May 02
New Treatment Discovered For Restless Legs Syndrome Improves Sleep
A drug widely used to treat seizures and anxiety appears to be an effective treatment for restless legs syndrome (RLS) and helps people with the disorder get a better night's sleep, according to a study that will be presented as part of the Late-breaking Science Program at the American Academy of Neurology's 61st Annual Meeting in Seattle, April 25 - May 2, 2009. RLS affects up to one in ten people.

The 12-week study involved 58 people with RLS. Of the group, 30 people received the drug pregabalin and the rest received placebo. Sleep studies were performed at the beginning and end of the research.

Researchers found nearly two-thirds of the people who took pregabalin had no RLS symptoms while taking the drug. For people who still had symptoms, those symptoms had improved by 66 percent while taking the drug, compared to the placebo group where symptoms worsened by 29 percent.

Sleep also improved for those taking pregabalin. The study showed the group spent more time in slow wave sleep, otherwise known as Stage 3 or deep sleep, and they spent less time in the lighter sleep stages known as Stage 1 or Stage 2 sleep compared to those taking placebo.

"Since RLS symptoms get worse at night, it's difficult for people with RLS to get adequate sleep," said study author Diego Garcia-Borreguero, M.D., Director of the Sleep Research Institute in Madrid, Spain. "However, our findings show pregabalin helped people get more deep sleep. The drug was well tolerated and is a promising alternative to current treatments because of its superior effects on quality of sleep."

Pregabalin has been approved for epilepsy, nerve pain, generalized anxiety and fibromyalgia.

RLS is characterized by an urge to move the legs, generally accompanied by unpleasant numbness, tingling, or burning sensations; an increase in symptoms during rest and a partial and temporary relief from symptoms through activity.

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