Although implantable cardioverter-defibrillators (ICDs)/cardiac resynchronization therapy-defibrillators (CRT-Ds) have a significant role in preventing sudden cardiac death (SCD) in high-risk patients, especially for secondary prevention, inappropriate ICD shocks are common (8-40%). They are associated with high morbidity as well.
Hypothesis: Programming ICDs to increased detection intervals before therapy administration would be safe and efficacious as compared with conventional programming. Patients undergoing ICD implantation were randomized in a 1:1 fashion to either prolonged detection (30 of 40 intervals) or routine programming (18 of 24 intervals). All ICDs were programmed to detect arrhythmias with a cycle length of ≤320 msec. A
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The Space GlucoseControl system (SGC) is a nurse-driven, computer-assisted device for glycemic control combining infusion pumps with the enhanced Model Predictive Control algorithm. The authors aimed to investigate the performance of the SGC in medical critically ill patients. Two open clinical investigations in tertiary centres in Graz, Austria and Zurich, Switzerland were performed. Efficacy was assessed by percentage of time within the target range (4.4
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The preliminary results of a groundbreaking trial into the use of tablet-based ultrasound in emergency services vehicles have been released in late October. A total of six emergency services vehicles at Bedford, Hurst and DFW Airport Fire Departments in the Dallas-Fort Worth metropolitan area have been equipped with Samsung
The tenth edition of Medical Fair Asia was a sell-out success. With a 50% increase in exhibiting companies compared to the previous edition in 2012, this year 800 exhibitors from 35 countries showcased the latest medical technologies at Suntec Singapore. Anchoring the international line-up of companies was a record-setting 15 national and group pavilions from Austria, Canada, China, France, Germany, Hungary, Italy, Japan, Korea, Malaysia, Singapore, Taiwan, Thailand, UK and USA. Attracting a notable 10,780 trade visitors of which 40% came from outside of Singapore, Medical Fair Asia 2014 has proven to be the preferred strategic business and procurement platform for the region
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A Loughborough University graduate has won the International James Dyson Award with his life saving low cost inflatable baby incubator for use in the developing world.
Over one in ten babies worldwide are born prematurely. According to the World Health Organisation, 75% of deaths resulting from premature birth could be avoided if inexpensive treatments were more readily available across the globe.
Created by James Roberts, MOM provides the same performance as a
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Scientists at the Cancer Science Institute of Singapore (CSI Singapore) at the National University of Singapore (NUS) and their collaborators have developed a scoring scheme that predicts the ability of cancer cells to spread to other parts of the body, a process known as metastasis. This system, which is the first of its kind, opens up the possibility to explore new treatments that suppress metastasis in cancer patients.
Led by Professor Jean Paul Thiery, Senior Principal Investigator, and Dr Ruby Huang, Principal Associate, both from CSI Singapore, the scientists developed a scoring scheme which monitors the epithelial-mesenchymal transition (EMT) mechanism. This process was shown to play a role in a large number of cancer-related events, including cancer invasion, metastasis, and chemo-resistance. To date, there are no existing tools to systematically quantify the EMT status of tumours. The newly-developed EMT scoring is thus a promising, versatile tool for investigating EMT roles and dynamics in the progression, treatment response and survival across different types of cancer. It can also be integrated with other molecular tests, such as the detection of mutations of cancer genes, to help identify patients at higher risks for treatment failure and decreased survival.
Cancer metastasis is responsible for 90 per cent of cancer deaths. One of the mechanisms of metastasis is through the EMT process, where tumour cells lose adhesion contacts with their neighbouring cells at the primary tumour site, and gain the ability to move to a secondary site. The ability to stay in tight contact is an important feature of epithelial cells whereas the ability to gain movement is a characteristic of mesenchymal cells. Tumour cells which undergo the EMT process lose their epithelial features and gain invasive, migratory properties typical of mesenchymal cells.
The EMT mechanism has a varying impact on different populations of cancer cells as they respond differently to the EMT cues. Not every cancer cell will undergo the same degree of loss of cell adhesion ability or gain the ability to move spontaneously, which is known as motility. As a result, tumours from different patients will exhibit a wide range of differences in the status of their EMT. To determine with precision the EMT status of the tumour, the research team developed a quantitative modelling system.
In this study, the researchers utilised a total of 13,000 samples from publicly available databases containing gene expression information for more than 15 different types of cancers. A computational modelling scheme of EMT was established to define tumours having the most epithelial features and tumours having the most mesenchymal features. Subsequently, the tumours were rated on a continuous spectrum of different EMT scores. Tumours with mixed epithelial and mesenchymal features are at the in-between state. This transitional state signifies cancer cell populations that might become truly mesenchymal. Patients who have tumours at this intermediate state may be at higher risks compared to those with tumours at the epithelial state.
The clinical information from the databases, including patient survival and treatment responses, was compared against the EMT scoring scheme. The research team showed that the EMT scoring they developed has a good correlation with previously published, cancer-specific EMT signatures. They used this scoring scheme to establish an EMT spectrum across various cancers and noted good correlation between cancer cell lines and tumours. The scientists concluded that this scoring scheme may enable the objective and systematic investigation of EMT in cancer progression, survival and throughout the clinical response to therapy.
EurekAlert
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Needles almost too small to be seen with the unaided eye could be the basis for new treatment options for two of the world’s leading eye diseases: glaucoma and corneal neovascularization.
The microneedles, ranging in length from 400 to 700 microns, could provide a new way to deliver drugs to specific areas within the eye relevant to these diseases. By targeting the drugs only to specific parts of the eye instead of the entire eye, researchers hope to increase effectiveness, limit side effects, and reduce the amount of drug needed.
For glaucoma, which affects about 2.2 million people in the United States and is the second leading cause of blindness worldwide, the goal is to develop time-release drugs that could replace daily administration of eye drops. A painless microneedle injection made once every three to six months – potentially during regular office visits – could improve treatment outcomes by providing consistent dosages, overcoming patient compliance issues.
In the second disease, corneal neovascularization, corneal injury results in the growth of unwanted blood vessels that impair vision. To treat it, the researchers developed solid microneedles for delivering a dry drug compound that stops the vessel growth.
‘The power of microneedles for treating eye conditions is the ability to target delivery of the drug within the eye,’ said Mark Prausnitz, a Regents’ professor in the School of Chemical and Biomolecular Engineering at the Georgia Institute of Technology. ‘We are developing different microneedle-based systems that can put the drug precisely into the part of the eye where it’s needed. In many cases, we hope to couple that delivery with a controlled-release formulation that would allow one application to treat a condition for weeks or months.’
EurekAlert
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In a potential breakthrough against ovarian cancer, University of Guelph researchers have discovered how to both shrink tumours and improve drug delivery, allowing for lower doses of chemotherapy and reducing side effects.
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VCU Massey Cancer Center and VCU Institute of Molecular Medicine (VIMM) researchers discovered a unique approach to treating pancreatic cancer that may be potentially safe and effective. The treatment method involves immunochemotherapy
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