Breast-Feeding Moms Who Consume Too Much Fructose Sweetener More Likely to Have Obese Kids
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Mothers who drink an excessive amount of fructose-sweetened beverages during pregnancy or breast-feeding may be likelier to have children—at least sons—who are more prone to becoming overweight and developing type 2 diabetes, authors of a new study reported. The results will be presented Thursday at The Endocrine Society’s 91st Annual Meeting in Washington, D.C.
The study, conducted in rats, found that the first male offspring had signs of metabolic endocrine disorders in adulthood, even though the sons ate a normal diet with no extra fructose, said co-author Eduardo Spinedi, PhD. He is head of the Neuroendocrinology Research Unit at the Multidisciplinary Institute of Cell Biology in La Plata, Buenos Aires, Argentina.
Fructose, as in high-fructose corn syrup, is widely found in regular soda pop, fruit juices and other drinks. Many researchers believe that high fructose intake plays a role in the development of prediabetes and the metabolic syndrome, which increases the risk of type 2 diabetes.
Cardiologist Urges People to Get Informed about Angioplasty
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A report broadcast during the CBS Evening News on June 8 noted that one in 200 patients die during elective coronary angioplasty procedures and suggested that patients may be safest at institutions where surgical backup is readily available when complications occur. The report also noted that as many as 40 percent of the angioplasties performed may be unnecessary because patients could experience the same benefits from drug therapies.
Coronary angioplasty is widely practiced and is also known as percutaneous coronary intervention, or PCI. The procedure is minimally-invasive and performed both in emergency situations and on an elective basis. During PCI, interventional cardiologists thread a catheter up through a small incision in a patient’s groin or wrist into the coronary artery. There, they inflate a surgical balloon to clear away plaque blockages and insert stents to keep arteries open.
Michael Ragosta, M.D., Director of Cardiac Catheterization Laboratories and Director of Interventional Cardiology at the University of Virginia Health System, recommends that patients considering elective angioplasty do their homework before deciding to proceed. “Make sure you know if medications or other therapies would work just as well for you, and find out about your hospital’s PCI mortality rates, PCI experience levels and surgical back-up capabilities,” he says. “Do your best to learn about the risks and benefits of this procedure. Make the most informed decision possible.”
New Algorithm for Ruptured Aneurysms Improves Mortality Rate
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Researchers from the University of Washington in Seattle report that algorithms for the management of ruptured abdominal aortic aneurysm (rAAA) with a preference for endovascular repair (EVAR), serve as surrogates for an organized approach to managing the disease process and reducing overall mortality. These findings are from a study presented today at the 63rd Annual Meeting of the Society for Vascular Surgery®.
“The staff at Harborview Medical Center treat between 30 and 50 patients per year with rAAAs,” said Benjamin W. Starnes, MD, chief in the division of vascular surgery and associate professor of surgery at the University of Washington. “In this study we sought to evaluate the effect on mortality with the implementation of an algorithm to manage these patients with a preference for EVAR when feasible.”
During the study period, 187 patients with rAAA underwent attempted repair at Harborview Medical Center. Thirty-day mortality ratios were calculated and compared using Chi Square and Fisher’s Exact Test where appropriate, continuous variables were compared with a Mann-Whitney U test. Before implementation of the algorithm, (between July 1, 2002 and June 30, 2007) a total of 131 patients with rAAA were managed and treated. One-hundred and twenty-eight underwent surgical treatment and the 30-day mortality rate was 58 percent. Sixty-five percent of these patients were hypotensive at presentation.
Doctor Works to Reduce Cancer Burden in Africa
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In 2010, cancer will be the single leading cause of death worldwide, overtaking chronic illnesses such as heart disease and stroke. Already cancer causes more deaths than HIV/AIDS, tuberculosis and malaria combined. Almost three-quarters of new cases will occur in developing countries, with more than a million cases in sub-Saharan Africa by 2020, according to World Health Organization projections.
Scot Remick, M.D., director of the Mary Babb Randolph Cancer Center at West Virginia University, is leading U.S. efforts to help prepare for the growing cancer burden in Third World nations. He heads the International Working Group of the National Cancer Institute’s AIDS Malignancy Consortium, which has been instrumental in training doctors and building clinical trials for AIDS-related diseases in Uganda and Kenya.
“Most people don’t realize that by 2010 cancer will be the single greatest cause of mortality worldwide,” said Remick after returning from the May-June meeting of the American Society of Clinical Oncology, where he chaired an education session on the topic. “Anywhere from 15 to 20 percent of cancers are due to transmissible causes, and healthcare professionals in the industrialized world are likely to underestimate the role of infectious agents – even though they constitute a significant burden.”
Depression Medications May Reduce Male Fertility
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As many as half of all men taking the antidepressant medication paroxetine (trade names Seroxat, Paxil) may have increased sperm DNA fragmentation—a predictor of compromised fertility. Research led by NewYork-Presbyterian Hospital/Weill Cornell Medical Center also found that the changes are reversible with normal levels of sperm returning after discontinuation of the drug.
The study is currently published in the online edition of the journal Fertility & Sterility, and represents one of the first scientific investigations into the effect of antidepressants on sperm quality.
“It’s fairly well known that SSRI antidepressants negatively impact erectile function and ejaculation. This study goes one step further, demonstrating that they can cause a major increase in genetic damage to sperm,” says Dr. Peter Schlegel, the study’s senior author. “Although this study doesn’t look directly at fertility, we can infer that as many as half of men taking SSRIs have a reduced ability to conceive. These men should talk with their physician about their treatment options, including non-SSRI depression medications.”
Hormone May Help Combat Frailty in Older Women
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Frail elderly women with unexplained weight loss may benefit from supplementation with the body’s appetite-stimulating hormone, ghrelin, or with similar agents, according to a new study. Results of the study, which was funded partially by the National Institutes of Health, were presented at The Endocrine Society’s 91st Annual Meeting in Washington, D.C.
Unexplained weight loss is a common problem in older adults. It can lead to the development of frailty, a debilitating syndrome of declines across multiple body systems.
Frail individuals have much higher rates of functional decline, hospitalization and death than healthier people their age, said study lead investigator Anne Cappola, MD, ScM, assistant professor of medicine at the University of Pennsylvania School of Medicine, Philadelphia.
63 percent of RA patients suffer psychiatric disorders, with depressive spectrum conditions most lik
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Copenhagen, Denmark, Friday 12 June 2009: Over half (63%) of patients with rheumatoid arthritis (RA) also suffer from psychiatric disorders, with the majority of these (87%) occurring in the depressive spectrum, according to the results of a new study presented today at EULAR 2009, the Annual Congress of the European League Against Rheumatism in Copenhagen, Denmark. Interestingly, over half (52%) of the patients studied indicated that they had experienced stress events before the onset of their RA.
The study also revealed a number of other interesting findings about the emotional burden of RA:
* Cognitive dysfunction was diagnosed in 23% of patients, with 16% of this attributed to depression
* A third (33%) suffered from sleep disorders
* Those with depression also exhibited more severe RA (measured by X-ray), greater functional insufficiency and pain, as well as having received less aggressive treatment than patients without depression. (No significant differences in age, duration of illness, gender or DAS28* scores were noted between the two groups)
* Significantly, cognitive impairments were found more often (p=0.02) in patients older than 50 years (39% vs. 9%)
* The age of the first prednisone intake was significantly higher (p<0.05) in patients with depression compared to those without (48 vs. 30 years)
3 studies confirm the value of etanercept therapy in treating juvenile idiopathic arthritis
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Copenhagen, Denmark, Friday 12 June 2009: Three new studies have individually shown the anti-TNF (tumour necrosis factor) therapy etanercept to be effective, with a good safety profile, in children under four years of age with juvenile idiopathic arthritis (JIA), and associated with improved Health-Related Quality of Life (HRQoL) in a substantial proportion of children with JIA. The data are being presented at the Paediatric Rheumatology European Society Congress (PReS) 2009, a joint congress with the 2009 Congress of the European League Against Rheumatism (EULAR) in Copenhagen, Denmark.
The first study, conducted in Italy, showed entanercept to be effective, with a good safety profile, in children under four years of age (an as yet unlicensed patient population for the treatment). Thirty-three patients under four years of age with unresponsive JIA (24 female, 9 male) were treated with etanercept for an average of 23 months. After the first 6 months of treatment, 82% achieved the ACR Pedi 30* response and 48% achieved the ACR Pedi 70* response. There was a low rate of mild adverse events, whilst one patient temporarily suspended treatment following hospitalisation for an infection.
The second study, conducted in The Netherlands, from the Arthritis and Biological in Children (ABC) project, observed impressive improvements in the Health-Related Quality of Life (HRQoL) of 53 patients with previously refractory (unresponsive) JIA in seven Dutch centres during entanercept use of at least 27 months. These comprised both disease-specific improvements (inflamed joints, functional impairment, erythrocyte sedimentation rate (ESR), a laboratory marker of inflammation) (p<0.001) and all generic HRQoL outcomes impaired by JIA (including pain, movement and dexterity) (p<0.05).
RA individuals from lower GDP countries keep working despite worse symptoms than richer countries
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Copenhagen, Denmark, Friday 12 June 2009: Individuals diagnosed with rheumatoid arthritis (RA) in lower gross domestic product (GDP) countries (GDP below $11,000) are more likely to continue working despite higher disease activity and functional disability scores compared to their counterparts in higher GDP countries (GDP >$24,000) according to a new multinational study presented today at EULAR 2009, the Annual Congress of the European League Against Rheumatism in Copenhagen, Denmark.
Among 1,650 individuals from 30 countries whose symptoms had begun during the 2000’s and who remained working after RA diagnosis, disability levels according to the Health Assessment Questionnaire (HAQ*) were 0.25 vs. 0.82 in men and 0.50 vs. 0.94 in women (p<0.001) in higher-GDP and lower-GDP countries, respectively, and the Disease Activity Scores (DAS28**) were 3.1 vs. 4.7 in men, and 3.5 vs. 4.8 in women (p<0.001). A Kaplan-Meier analysis (95% CI) showed that the probability of individuals continuing work for 2 years was 80% and the probability of continuing to work for 5 years was 68%.
Dr Tuulikki Sokka, Jyväskylä Central Hospital, Finland, who leads the project said: “Work disability is the most costly consequence of RA, and the rheumatology community would welcome better treatment strategies to effectively address this. However, real-life data from 30 countries indicate that work disability is still a major issue in early RA during this decade, and especially in low-GDP countries where people continue to work with considerable disease activity and functional limitations.”
Inactivity, Obesity Factors in Adult Asthmatics Higher Health Care Use
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Health care use is higher in adult asthmatic patients when compared with non-asthmatic patients, and inactivity and obesity are contributing to this increase, according to a report published this month in Annals of Allergy, Asthma & Immunology, the scientific journal of the American College of Allergy, Asthma and Immunology (ACAAI).
Shilpa Dogra, MSc, of the Lifespan Health and Performance Laboratory at York University in Toronto, Ontario, Canada, and colleagues, also found that overnight hospital stays were more common in inactive asthmatic patients regardless of body mass index (BMI), whereas both BMI and physical activity were important determinants of physician consultations.
Investigators analyzed self-reported data of an adult population of 6,835 with asthma and 78,051 without asthma from the 2005 Canadian Community Health Survey (CCHS), a nationally representative population-based cross-sectional survey. Their findings include:
WHO getting close to declaring H1N1 pandemic
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The World Health Organization is getting close to declaring a full H1N1 influenza pandemic but wants to make sure countries are well prepared for such a move to prevent a panic, its top flu expert said Tuesday.
Keiji Fukuda, acting WHO assistant director-general, voiced concern at the sustained spread of the new strain in countries, including more than 1,000 cases in Australia, following major outbreaks in North America where it was first detected.
The disease, widely known as swine flu, which has infected over 26,500 people in 73 countries, with 140 deaths, has also spread widely in Britain, Spain and Japan.
Kansas abortion clinic won’t reopen after murder
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The family of a murdered Kansas abortion doctor said on Tuesday they would not reopen his clinic, which was one of only a few in the United States willing to provide late-term abortions.
George Tiller, 67, died in the foyer of his church, shot once in the face as he served as an usher at Sunday services on May 31.
Police quickly arrested anti-abortion protestor Scott Roeder, 51, and have charged him with first-degree murder and aggravated assault in the killing.
Relationship found between napping, hyperactivity, depression and anxiety
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Napping may have a significant influence on young children’s daytime functioning, according to a research abstract that will be presented on Monday, June 8 at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies.
Results indicate that children between the ages of 4 and 5 who did not take daytime naps were reported by their parents to exhibit higher levels of hyperactivity, anxiety and depression than children who continued to nap at this age.
According to lead author Brian Crosby, PhD, postdoctoral fellow of psychology at Pennsylvania State University, previous studies have shown that poor or inadequate sleep is linked with symptoms of hyperactivity, anxiety and depression; researchers involved in this study were happy to demonstrate the potential importance of napping for optimal daytime functioning in young children, as napping is often overlooked in favor of nighttime or total sleep.
Antidepressant curbs cancer-related mental ills
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People with cancer often suffer mental impairment, but it seems this can be alleviated by treatment with Paxil, an SSRI-type antidepressant, according to results of a National Cancer Institute-supported study.
The findings were reported this week at the American Society of Clinical Oncology’s annual meeting in Orlando.
“Cancer and its treatment impact important areas of cognitive function such as attention and memory, which are essential to patients’ effective psychosocial functioning and quality of life,” Dr. Pascal Jean-Pierre, from the University of Rochester, New York and colleagues point out in a meeting paper.
Chinese researchers find way to make pig stem cells
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Researchers have found a way to transform ordinary cells from pigs into powerful stem cells in a move that may have implications for human health.
With these stem cells, they hope to modify porcine genes that are related to the immune system so that pigs’ organs may some day be used for people in need of transplants.
In an article published in the Journal of Molecular Cell Biology, the researchers from China described how they managed to re-programme ordinary cells taken from the ear and bone marrow of a 10-week-old pig using a virus.
“The cells changed and developed in the laboratory into colonies of embryonic-like stem cells,” wrote the researchers, led by Xiao Lei, who heads the stem cell lab at the Shanghai Institute of Biochemistry and Cell Biology.
