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Free diabetes checks from Coalition

DiabetesFeb 09 11

A MILLION free health checks to detect the early onset of chronic diseases such as diabetes will be given at work places and chemists under a state Coalition government.

In the battle of the bulge ahead of next month’s poll, the Opposition will today announce a $10 million health check plan aimed at keeping people out of hospital. People will be offered free tests for blood pressure, cholesterol, diabetes and even waist measurements to detect obesity.

If an abnormal or “at risk” result is returned, the chemist will then recommend the patient visit a doctor.

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Treating mild strokes with clot-busting drug could save $200 million annually, study shows

Public Health • • StrokeFeb 09 11

Treating mild strokes with the clot-busting drug approved for severe stroke could reduce the number of patients left disabled and save $200 million a year in disability costs, according to new research from the University of Cincinnati (UC).

The study led by Pooja Khatri, MD, an associate professor in the department of neurology, examined the public health impact of treating mild strokes with the clot-busting drug intravenous tissue plasminogen activator (tPA). It is being presented Wednesday, Feb. 9, in Los Angeles at International Stroke Conference 2011, the annual meeting of the American Stroke Association.

The research is part of the Greater Cincinnati/Northern Kentucky Stroke Study, begun in 1993 at the UC College of Medicine, which is funded by the National Institutes of Health (NIH) and identifies all hospitalized and autopsied cases of stroke and transient ischemic attack (TIA) in a five-county region. The NIH also funded the study led by Khatri.

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Research Explores Little-Understood Brain Disease

Brain • • NeurologyFeb 09 11

The population of aged persons worldwide is expanding rapidly, and it is becoming increasingly clear that there are many different diseases that affect the minds of these individuals. Researchers at the University of Kentucky are breaking new ground in the ongoing project of identifying and defining those diseases most likely to affect an aged population. Dr. Peter Nelson of the University of Kentucky Sanders-Brown Center on Aging is the lead author on a paper soon to be published in the journal BRAIN; the paper deals with the little-understood but serious condition hippocampal sclerosis (HS-AGING). He is also the recipient of a newly approved grant from the National Institutes of Health (NIH) to conduct a study of HS-AGING genetics.

Many different diseases may produce symptoms of dementia - defined as cognitive decline and impaired memory - in aged persons. Although Alzheimer’s disease is probably the most recognized cause of dementia, HS-AGING also causes serious cognitive impairment in older adults. In those who live to a very advanced age (beyond the age of 95) HS-AGING is roughly as prevalent as Alzheimer’s.

It is important for physicians and scientists to understand the unique pathology of HS-AGING, and to be able to differentiate it from other diseases, as it is only by making an accurate diagnosis that clinicians can hope to treat people who present with signs of cognitive decline.

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Hope for stroke victims

StrokeFeb 08 11

Much of the devastation of stroke and head trauma is due to damage caused the overproduction of a substance in the brain called glutamate. Preventing this damage has been impossible, until now, as many drugs don’t cross the so-called blood-brain barrier, and those that do often don’t work as intended. But a method originally devised at the Weizmann Institute of Science may, in the future, offer a way to avert such glutamate-induced harm.

Prof. Vivian I. Teichberg of the Institute’s Neurobiology Department first demonstrated a possible way around these problems in 2003. Glutamate – a short-lived neurotransmitter – is normally all but absent in brain fluids. After a stroke or injury, however, the glutamate levels in brain fluid become a flood that over-excites the cells in its path and kills them. Instead of attempting to get drugs into the brain, Teichberg had the idea that one might be able to transport glutamate from the brain to the blood using the tiny “pumps,” or transporters, on the capillaries that work on differences in glutamate concentration between the two sides. Decreasing glutamate levels in blood would create a stronger impetus to pump the substance out of the brain. He thought that a naturally-occurring enzyme called glutamate-oxaloacetate transaminase (GOT, for short) could “scavenge” blood glutamate, significantly lowering its levels. By 2007, Teichberg and his colleagues had provided clear evidence of the very strong brain neuroprotection that oxolacetate (a chemical similar to GOT) afforded rats exposed to a head trauma.

Two new studies – conducted by Fransisco Campos and others from the lab of Prof. Jose Castillo in theUniversity of Santiago de Compostela, Spain – now provide a definitive demonstration of Teichberg’s results.

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Childhood sexual abuse may be a risk factor for later psychotic illness

Children's Health • • Psychiatry / Psychology • • Sexual HealthFeb 08 11

An Australian study suggests that children who are sexually abused, especially if it involves penetration, appear to be at higher risk for developing schizophrenia and other psychotic disorders, according to a report in the November issue of Archives of General Psychiatry, one of the JAMA/Archives journals. Previous studies have established that abused children are more likely to develop depression, anxiety, substance abuse, borderline personality disorders, posttraumatic stress disorder and suicidal behavior, according to background information in the article. “The possibility of a link between childhood sexual abuse and later psychotic disorders, however, remains unresolved despite the claims of some that a causal link has been established to schizophrenia,” the authors write

Margaret C. Cutajar, D.Psych., M.A.P.S., of Monash University, Victoria, Australia, and colleagues linked data from police and medical examinations of sexual abuse cases to a statewide register of psychiatric cases. Rates of psychiatric disorders among 2,759 individuals who had been sexually abused when younger than age 16 were compared with those among 4,938 individuals in a comparison group drawn from electoral records.

Over a 30-year period, individuals who had experienced childhood sexual abuse had significantly higher rates than those in the comparison group of psychosis overall (2.8 percent vs. 1.4 percent) and schizophrenia disorders (1.9 percent vs. 0.7 percent).

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Can breastfeeding transmit yellow fever after maternal vaccination?

Children's Health • • InfectionsFeb 07 11

A five-week old infant most likely contracted a vaccine strain of yellow fever virus through breastfeeding, according to a case report published in CMAJ (Canadian Medical Association Journal) (pre-embargo link only)

“Until recently, avoidance of vaccination of breastfeeding women with yellow fever vaccine had been based on theoretical grounds only,” writes Dr. Susan Kuhn, with coauthors. “We report the probable transmission of vaccine strain of yellow fever virus from a mother to her infant through breastfeeding,” which supports current recommendations for breastfeeding mothers to avoid the vaccine.

The yellow fever vaccine is a live-virus vaccine that has been used since the 1940s.

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Childhood Chronic Illness Affects Future Income, Education, Career

Children's Health • • Public HealthFeb 03 11

Today, more children than ever survive serious chronic illness. Many thrive as young adults, but a large new study finds that for some, early illness can lead to fewer years of education, more joblessness and lower pay.

The good news is that when they grow up, these kids are just as likely to blossom socially, enjoy romantic relationships and get married as healthy kids, finds the study in the Journal of Adolescent Health online.

Researchers led by Gary Maslow, M.D., looked at two sets of interview data from the National Longitudinal Study of Adolescent Health. The more than 13,000 respondents were middle or high school students during the 1994-1995 school year.

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FREE Dental Services for Low-Income Children

Dental HealthFeb 03 11

Up to 150 low-income children will receive free dental services on Saturday, Feb. 5 from Nova Southeastern University’s College of Dental Medicine.

Known as “Give Kids a Smile” day, the event will provide services such as X-rays, exams, cleaning, prophylaxis, fluoride treatment, sealants and restorations to low-income children between the ages of 2 and 18, who have been referred to the College of Dental Medicine from Boys & Girls clubs in South Florida. It will be held from 9 a.m. to 1 p.m. at the university’s Health Care Centers’ dental clinic, located at the corner of 30th Street and University Drive in Davie.

Give Kids a Smile is an annual national event sponsored by the American Dental Association.

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Food industry partnerships may carry risks

Public HealthFeb 01 11

Health charities and health organizations must tread carefully when partnering with the food industry as it may risk compromise health promotion goals, states an editorial in CMAJ (Canadian Medical Association Journal) (pre-embargo link only).

Partnerships with major food companies are attractive for health charities and organizations because they bring additional funding and support. For the food industry, these relationships can help burnish their brands, support marketing efforts and help with lobbying but they may obscure the very messages that health organizations are promoting.

“Corporations are not the problem,” write Drs. Paul Hébert, Editor-in-Chief, CMAJ and Yoni Freedhoff, Medical Director, Bariatric Medical Institute, Ottawa. “By definition, corporate spending must serve to increase shareholder value - a transparent fiduciary requirement that should encompass philanthropic efforts. Health organizations, even when desperate for money or resources, should avoid co-branding with the food industry.”

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