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Americans oppose yanking healthcare law funds: poll

Public HealthJan 26 11

Most Americans do not want Congress to block funding for various new healthcare measures even as the nation remains split on the sweeping overhaul passed last year, a poll published on Tuesday found.

More than half of those surveyed—62 percent—said they did not approve of lawmakers cutting off funds needed to implement changes, which range from new rules for health insurance companies to tax credits for small businesses and state grants.

The Republican-controlled House of Representatives this month passed legislation that would repeal the healthcare reform law signed by President Barack Obama last year, but the Senate is not expected to act on that bill. House Republicans say they now will try to disrupt the flow of money needed to implement the law.

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Heart disease costs to triple in U.S. by 2030: report

Heart • • Public HealthJan 24 11

The costs of heart disease in the United States will triple between now and 2030, to more than $800 billion a year, a report commissioned by the American Heart Association predicted on Monday.

Treating high blood pressure will be the most expensive part of the cost, rising to $389 billion by 2030, the report projects, with overall heart disease rising by 10 percent by then.

The report is bad news for the United States, which already has the highest per capita healthcare costs in the developed world and is struggling to lower expenses. Last week the Republican-led House of Representatives voted to repeal President Barack Obama’s healthcare reform, in part, they said, because it did not cut costs.

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Genetic sequencing alone doesn’t offer a true picture of human disease

Public HealthJan 24 11

Despite what you might have heard, genetic sequencing alone is not enough to understand human disease. Researchers at Duke University Medical Center have shown that functional tests are absolutely necessary to understand the biological relevance of the results of sequencing studies as they relate to disease, using a suite of diseases known as the ciliopathies which can cause patients to have many different traits.

“Right now the paradigm is to sequence a number of patients and see what may be there in terms of variants,” said Nicholas Katsanis, Ph.D. “The key finding of this study says that this approach is important, but not sufficient. If you really want to be able to penetrate, you must have a robust way to test the functional relevance of mutations you find in patients. For a person at risk of type 2 diabetes, schizophrenia or atherosclerosis, getting their genome sequenced is not enough – you have to functionally interpret the data to get a sense of what might happen to the particular patient.”

“This is the message to people doing medical genomics,” said lead author Erica Davis, Ph.D., Assistant Professor in the Duke Department of Pediatrics, who works in the Duke Center for Human Disease Modeling. “We have to know the extent to which gene variants in question are detrimental – how do they affect individual cells or organs and what is the result on human development or disease? Every patient has his or her own set of genetic variants, and most of these will not be found at sufficient frequency in the general population so that anyone could make a clear medical statement about their case.”

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Study of nutrition, Alzheimer’s links hampered by research approach

Brain • • Food & Nutrition • • NeurologyJan 24 11

Research is trying to determine whether Alzheimer’s disease might be slowed or prevented with nutritional approaches, but a new study suggests those efforts could be improved by use of nutrient “biomarkers” to objectively assess the nutrient status of elderly people at risk for dementia.

The traditional approach, which primarily relies on self-reported dietary surveys, asks people to remember what they have eaten. Such surveys don’t consider two common problems in elderly populations – the effect that memory impairment has on recall of their diet, or digestive issues that could affect the absorption of nutrients.

This issue is of particular concern, experts say, because age is the primary risk factor for Alzheimer’s disease, and the upcoming wave of baby boomers and people 85 years and older will soon place many more people at risk for dementia.

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Cell binding discovery brings hope to those with skin and heart problems

Heart • • Public Health • • Skin CareJan 24 11

A University of Manchester scientist has revealed the mechanism that binds skin cells tightly together, which he believes will lead to new treatments for painful and debilitating skin diseases and also lethal heart defects.

Professor David Garrod, in the Faculty of Life Sciences, has found that the glue molecules bind only to similar glue molecules on other cells, making a very tough, resilient structure. Further investigation on why the molecules bind so specifically could lead to the development of clinical applications.

Professor Garrod, whose Medical Research Council-funded work is paper of the week in the Journal of Biological Chemistry (JBC) tomorrow (Friday), said: “Our skin is made up of three different layers, the outermost of which is the epidermis. This layer is only about 1/10th of a millimetre thick yet it is tough enough to protect us from the outside environment and withstand the wear and tear of everyday life.

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Thousands protest in Berlin over dioxin scandal

Public HealthJan 24 11

Thousands of German protesters marched in Berlin on Saturday to demand a change in farming methods and vent their anger at a food scandal in which cancer-causing dioxin was found in some eggs, poultry and pork.

The scandal, caused by contaminated animal feed, has outraged consumers, triggered international health alerts and hit sales of German eggs and meat.

Organizers said 22,000 people took part in the demonstration, entitled “We are sick of it. No to genetic engineering, animal factories and dumping exports.” Onlookers put the turnout at close to 10,000.

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Strong social ties benefit breast cancer patients

Cancer • • Breast CancerJan 20 11

Breast cancer patients who have a strong social support system in the first year after diagnosis are less likely to die or have a recurrence of cancer, according to new research from Vanderbilt-Ingram Cancer Center (VICC) and the Shanghai Institute of Preventive Medicine. The study, led by first author Meira Epplein, Ph.D., assistant professor of Medicine at VICC, was published in a recent edition of the Journal of Clinical Oncology.

Patients in the study were enrolled in the Shanghai Breast Cancer Survivor Study, a large, population-based review of female breast cancer survivors in China, which Vanderbilt University Medical Center and the Shanghai Institute of Preventive Medicine have carried out since 2002 under the leadership of principal investigator Xiao Ou Shu, M.D., Ph.D., professor of Medicine at VICC, and senior author of the study.

From 2002 to 2004, a total of 2,230 breast cancer survivors completed a quality of life survey six months after diagnosis and a majority responded to a follow-up survey 36 months after diagnosis. The women were asked about physical issues like sleep, eating and pain, psychological well-being, social support and material well-being. The answers were converted to an overall quality of life score.

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Genes map study finds clues to pancreatic cancer

Cancer • • Pancreatic cancerJan 20 11

xperts in the genetics of cancer said on Thursday they have found out why some people can live for years with the same kind of rare pancreatic cancer that affects Apple CEO Steve Jobs.

They identified new genes that, when mutated in a certain way, appear to cause a relatively less harmful form of pancreatic neuroendocrine tumor.

Patients with these mutations lived twice as long as those whose tumors carried other mutations, the team at Johns Hopkins University in Baltimore report in the journal Science.

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Minimum alcohol price levels planned by coalition

Public HealthJan 20 11

Ministers have unveiled plans to set a minimum price for alcohol in England and Wales.

They say banning shops and bars from selling drinks for less than the tax paid on them will cut crime and set a “base price” for the first time.

It works out at 38p for a can of weak lager and £10.71 for a litre of vodka.

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Killer paper for next-generation food packaging

Public HealthJan 19 11

Scientists are reporting development and successful lab tests of “killer paper,” a material intended for use as a new food packaging material that helps preserve foods by fighting the bacteria that cause spoilage. The paper, described in ACS’ journal, Langmuir, contains a coating of silver nanoparticles, which are powerful anti-bacterial agents.

Aharon Gedanken and colleagues note that silver already finds wide use as a bacteria fighter in certain medicinal ointments, kitchen and bathroom surfaces, and even odor-resistant socks. Recently, scientists have been exploring the use of silver nanoparticles — each 1/50,000 the width of a human hair — as germ-fighting coatings for plastics, fabrics, and metals. Nanoparticles, which have a longer-lasting effect than larger silver particles, could help overcome the growing problem of antibiotic resistance, in which bacteria develop the ability to shrug-off existing antibiotics. Paper coated with silver nanoparticles could provide an alternative to common food preservation methods such as radiation, heat treatment, and low temperature storage, they note. However, producing “killer paper” suitable for commercial use has proven difficult.

The scientists describe development of an effective, long-lasting method for depositing silver nanoparticles on the surface of paper that involves ultrasound, or the use of high frequency sound waves.

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New research examines how HIV infections occur on the molecular level

AIDS/HIV • • InfectionsJan 18 11

The UK’s National Physical Laboratory (NPL) with the University of Edinburgh and IBM’s TJ Watson Research Center have published new research about the structure of an HIV-1 protein that could help to develop new drugs to stop the virus infecting healthy cells.

The research provides a new insight into how the changes in structure of a small part of an HIV protein (a membrane proximal peptide) may alter the infection of the virus into healthy cells. The team was able to observe key changes in this part of the protein implicated in the early stages of the infection by using a combination of powerful experimental and computational tools. This is the first attempt to demonstrate that the inducible binding of the peptide with membrane-like surfaces can serve as a responsive molecular anchor underpinning HIV fusion to target cells.

This information is important as it gives us a better understanding of how HIV infections take hold at the molecular level. Drug designers could use this information to develop treatments that stop HIV from entering a healthy cell and infecting it.

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Functional boost for magnetic resonance imaging

Public HealthJan 18 11

Over the last few years, researchers have used a type of brain scanning, known as functional magnetic resonance imaging fMRI, to help them map changes in blood flow in the brain and to correlate this with thoughts and behavior. A new way to analyze fMRI data, which could improve is reported in the International Journal of Computational Biology and Drug Design.

Scientists have known since the 1890s that changes in blood flow and blood oxygenation in the brain (hemodynamics) are correlated with activity in brain cells, neurons. When a neuron is active it needs more energy from glucose and this demand increases blood flow to the regions of the brain where there is more neural activity. This leads to local changes in the relative concentration of oxyhemoglobin and deoxyhemoglobin and changes in local cerebral blood volume and in local cerebral blood flow, which researchers have been measuring using fMRI since the early 1990s. Since then, brain mapping using this relatively non-invasive technique, which also avoids exposure to ionizing radiation has become more and more widely used.

Researchers have used fMRI to study brain development and function, to diagnose problems following injury and to predict when a person might be fit enough to return to work, as an alternative to lie detectors, to allegedly peer into a person’s dreams, and even to communicate with patients in a vegetative state. Many of the experiments that have received attention in the news media are controversial in that interpreting images of changing blood flow in the brain is only a proxy of actual activity Moreover, extrapolating those proxy images to thoughts and behavior involves a not in significant extrapolation.

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Cheney to consider heart transplant at some point

Public HealthJan 18 11

Former Vice President Dick Cheney said in an interview aired on Tuesday that he will have decide whether to undergo a heart transplant to replace the heart pump that is now keeping him alive.

“I’ll have to make a decision at some point whether or not I want to go for a transplant,” he told NBC News. “But we haven’t addressed that yet.”

Cheney, who turns 70 later this month, has had five heart attacks, the latest in February 2010.

He opted for a heart pump in July after experiencing increasing congestive heart failure, a chronic condition that develops as the heart loses its ability to pump properly and gradually enlarges.

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Scientists bring cancer cells back under control

CancerJan 18 11

Scientists at The University of Nottingham have brought cancer cells back under normal control - by reactivating their cancer suppressor genes. The discovery could form a powerful new technology platform for the treatment of cancer of the breast and other cancers.

Breast cancer is diagnosed in about 1.4 million women throughout the world every year, with half a million dying from the disease. A common cause of cancer is when cells are altered or mutated and the body’s tumour suppressor genes are switched off.

Research, published today in the Journal Molecular Cancer, reveals how Dr Cinzia Allegrucci from the School of Veterinary Science and Medicine and Dr Andrew Johnson in the Centre for Genetics and Genomics reactivated tumour suppressor genes and stopped the cancer from growing by treating them with Axolotl oocyte extract. After 60 days there was still no evidence of cancerous growth.

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Projections of cancer care costs in the US: 2010-2020

Cancer • • Public HealthJan 13 11

The estimated total cost of cancer care in the United States in 2020 is expected to be $158 billion assuming the most recent observed patterns of incidence, survival, and cost remain the same. This represents a 27% increase from 2010 due only to the projected aging and growth of the US population, according to a study published online January 12th in The Journal of the National Cancer Institute. However, the authors also note the cost of cancer care could rise even more quickly under some reasonable assumptions such as a 2% annual increase in costs of the initial and final phases of cancer care.

Cancer disproportionately affects the elderly population, which is expected to increase from 40 million in 2009 to 70 million in 2030. With changes in risk factor prevalence and stage at diagnosis, and development of new diagnostic tools and treatments for cancer in the 1990s, in general cancer incidence declined and survival improved, but cancer care became more expensive. Under a different scenario of continuing trends in cancer incidence, survival, and costs of care, the total cost of cancer care in 2020 is expected to be $173 billion, an even larger increase (39% from 2010).

To estimate the national medical cost of cancer care through the year 2020 for 13 cancers in men and 16 cancers in women, Angela Mariotto, Ph.D., and colleagues from the National Cancer Institute, analyzed data on cancer incidence (the rates of newly diagnosed cancer in any given year) and survival from the (SEER) Surveillance, Epidemiology, and End Results database http://url.health.am/80/ and Medicare expenditures associated with cancer from the linked SEER-Medicare database http://url.health.am/79/.

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