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Archive for category: E-News

E-News

Progesterone may protect women from worst effects of the flu

, 26 August 2020/in E-News /by 3wmedia

In mouse studies, researchers from the Johns Hopkins Bloomberg School of Public Health have found that progesterone – a female sex hormone contained in most forms of hormone-based birth control – appears to stave off the worst effects of influenza infection and, in an unexpected finding, help damaged lung cells to heal more quickly.

The findings suggest that sex hormones have an effect far beyond the reproductive system and that progesterone may one day be a viable flu treatment for women

The World Health Organization reports that more than 100 million young adult women around the world are on progesterone-based contraception. And women of reproductive age are twice as likely as men to suffer from complications related to the influenza virus.

‘Despite the staggering number of women who take this kind of birth control, very few studies are out there that evaluate the impact of contraceptives on how the body responds to infections beyond sexually transmitted diseases,’ says study leader Sabra L. Klein, PhD, an associate professor in the Bloomberg School’s Department of Molecular Microbiology and Immunology. ‘Understanding the role that progesterone appears to play in repairing lung cells could really be important for women’s health. When women go on birth control, they don’t generally think about the health implications beyond stopping ovulation, and it’s important to consider them.’

The World Health Organization (WHO) has already listed hormonal contraceptives as an essential medication because of the profound benefits these compounds can have on women’s health by widening the interval between pregnancies, including decreased rates of maternal mortality and improved outcomes for babies and children.

For their research, Klein and her colleagues placed progesterone implants in female mice and left other mice, also female, without. The mice were then infected with influenza A virus. Both sets of mice became ill, but those with implants had less pulmonary inflammation and better lung function and saw the damage to their lung cells repaired more quickly.

The researchers found that progesterone was protective against the more serious effects of the flu by increasing the production of a protein called amphiregulin by the cells lining the lungs. When the researchers bred mice that were depleted of amphiregulin, the protective effects of progesterone disappeared as well. Klein says she was not surprised that progesterone lessened the inflammation and damage associated with the flu. What she didn’t expect was to find that progesterone also helped induce repair.

When female mice (and possibly humans) get sick with the flu, their natural levels of progesterone fall. Women on hormonal contraceptives – be it a birth control pill, intrauterine device (IUD) or injection – get a steadier level of progesterone, which overrides what the ovaries make naturally or what the virus takes away during infection.

Klein says there is no scientific data to date showing whether progesterone in humans has any relationship to flu severity, since no researchers have asked those questions. Building on this research, Klein says researchers at the Johns Hopkins Center of Excellence for Influenza Research and Surveillance doing flu surveillance have added questions about specific forms of birth control to their questionnaires so they can get a better idea of how this protective effect may work in humans.

Johns Hopkins Bloomberg School of Public Health www.jhsph.edu/news/news-releases/2016/female-sex-hormone-may-protect-women-from-worst-effects-of-the-flu.html?utm_source=feedburner&utm_medium=feed&utm_campaign=Feedpercent3A+JHSPHNews+percent28Public+Health+News+Headlines+from+Johns+Hopkinspercent29

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Doctors use lung ultrasound to diagnose hidden disorders

, 26 August 2020/in E-News /by 3wmedia

Researchers have discovered that ultrasound is a better diagnostic test for early diagnosis of pulmonary embolism and other disorders than current tests.
The study, by Dr. Peiman Nazerian, shows that transthoracic lung ultrasound can detect alternative diagnoses including pneumonia and pleural effusion in lungs more accurately than the commonly used Wells score, as well as detecting early signs of pulmonary embolism.
The Wells score is the most commonly used test to predict the clinical probability of a person developing a pulmonary embolism, or blood clot that travels to their lungs.
‘One of the largest criticisms of the widely used Wells score for estimating likelihood of potentially fatal blood clots in the lung [PE] is the vagary that surrounds the definition of its term, alternative diagnosis more likely than PE,” Jeffrey Kline, vice chair of research in the Department of Emergency Medicine and professor in the Department of Cellular and Integrative Physiology at Indiana University School of Medicine and study author, said in a press release.
‘Most clinicians who believe an alternative diagnosis is more likely than PE cannot name the diagnosis. Nazerian et al, show that lung ultrasound can quickly and non-invasively allow physicians to literally see the identity of something else wrong’ other than blood clots in the lung. This advantage can help them be more confident in deciding not to order expensive testing that causes large doses of radiation exposure to patients.’

UPI http://tinyurl.com/jzleagl

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Health diagnosis through bio-signal measuring electrodes on IoT devices

, 26 August 2020/in E-News /by 3wmedia

DGIST announced that Professor Kyung-in Jang’s research team from the Department of Robotics Engineering succeeded in developing bio-signal measuring electrodes that can be mounted on Internet of Things (IoT) devices through joint research with a research team led by professor John Rogers of the University of Illinois, USA.

The bio-signal measuring electrodes developed by the research team can be easily mounted on IoT devices for health diagnosis, thus they can measure bio-signals such as brain waves and electrocardiograms without additional analysis and measurement equipment while not interfering or restricting human activities.

Conventional hydro-gel based electrodes required external analysis and measurement devices to measure bio-signals due to their pulpy gel forms, which made their attachment to and detachment from IoT devices instable. In addition, since these electrodes were wet-bonded to the skin, there have been disadvantages that the characteristics of the electrodes deteriorated or their performance decreased when the electrodes were dried in the air over a long period.

In contrast, the electrodes developed by Professor Kyung-in Jang can be easily interlocked as if they are a part of IoT devices for health diagnosis. Also, since they are composed only of polymer and metal materials, they have the advantage of there being no possibility of drying in the air.

Long-term usability with wireless EMG recording. Data captured using a) a hydrogel electrode and b) soft, folded magnetic electrode. Each red triangle indicates a specific point of muscle contraction of the flexor carpi radialis of the forearm.

The bio-signal measurement electrodes developed by the research team consist of a composite material in which a magnetic material is folded with a soft and adhesive polymer, with a conductive electrode material wrapped around the composite material. The conductive electrode material electrically connects the bottom surface touching the skin and the top surface touching the electrode of the IoT device.

Electrodes with this structure reacting to the magnetic field can be easily attached and detached by using the attraction that occurs between the magnet and the electrode mounted on the IoT devices. Then, through the conductive electrode materials that connect the skin and the electrode part of the IoT device, the electric signals generated on the skin can be directly transmitted to the IoT device for health diagnosis.

The research team succeeded in storing and analyzing brain waves (electroencephalogram, EEG), electrocardiograms (ECG), eye movements (electrooculogram, EOG), and limb movements and muscle contractions (electromyogram, EMG) of the wearer for a long period through an experiment in which IoT devices with the electrodes are attached to various parts of the human body.

The bio-signal measurement electrodes can measure the bioelectric signal generated from the skin without loss or noise by using the IoT platform, thus they are expected to be applicable to the medical and healthcare fields since they cannot only measure the electrical signals of the body, but also analyze various forms of bio-signals such as body temperature change, skin change, and in-body ion concentration change.

DGIST en.dgist.ac.kr/site/dgist_eng/menu/508.do?siteId=dgist_eng&snapshotId=3&pageId=429&cmd=read&contentNo=33460

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Towards better hip replacements

, 26 August 2020/in E-News /by 3wmedia

Some potentially good news for aging Baby Boomers: researchers believe that they have developed a hip replacement that will last longer and create fewer problems for the people who receive them than those currently in use. The secret? An implant that "tricks" the host bone into remaining alive by mimicking the varying porosity of real bones.

Interestingly, the key factor that distinguishes the new implant is that is LESS rather than more solid than those in current use, while still being just as strong.

Damiano Pasini, the man behind the design of the new hip replacement, points at the pyramid-like shapes visible on its surface. The implant is known as a femoral stem and connects the living femur with the artificial hip joint. "What we’ve done throughout the femoral stem is to replicate the gradations of density found in a real femur by using hollowed-out tetrahedra," he explains. "Despite the fact that there are spaces within the tetrahedra, these forms are incredibly strong and rigid so they’re a very efficient way of carrying a load. Just think of the lattice-work in the legs of the Tour Eiffel."

Pasini teaches mechanical engineering at McGill University and first started working on the concept for the implant more than 6 years ago. He smiles ruefully as he pulls earlier versions of the implant down from the shelves in his office to show how far he has come since then. He elaborates:

"So because the implant loosely mimics the cellular structure of the porous part of the surrounding femur, it can "trick" the living bone into keeping on working and staying alive. This means that our implant avoids many of the problems associated with those in current use."

Indeed, the main problem with most implants is that because they are solid, or only porous on the surface, they are much harder and more rigid than natural bone. As a result, the implants absorb much of the stress along with the weight-bearing role that is normally borne by the living femur. Without sufficient stress to stimulate cell formation, the bone material in the living femur then becomes reabsorbed by the body and the bone itself begins to deteriorate and become less dense. This is one of the reasons that many implants become painful and need to be replaced after a time. It also explains why people often have difficulty if they have to have the same hip replaced a second time, because there simply isn’t enough normal, healthy bone to hold the implant in place.

It is a problem that orthopaedic surgeons are seeing more and more frequently.

McGill University www.mcgill.ca/newsroom/channels/news/towards-better-hip-replacements-263893

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Scientists apply new imaging tool to common brain disorders

, 26 August 2020/in E-News /by 3wmedia

A Yale-led team of researchers developed a new approach to scanning the brain for changes in synapses that are associated with common brain disorders. The technique may provide insights into the diagnosis and treatment of a broad range of disorders, including epilepsy, Alzheimer’s disease, schizophrenia, depression and Parkinson’s disease.
Certain changes in synapses – the junctions between nerve cells in the brain – have been linked with brain disorders. But researchers have only been able to evaluate synaptic changes during autopsies. For their study, the research team set out to develop a method for measuring the number of synapses, or synaptic density, in the living brain.
To quantify synapses throughout the brain, professor of radiology and biomedical imaging Richard Carson and his co-authors combined PET scanning technology with biochemistry. They developed a radioactive tracer that, when injected into the body, binds with a key protein that is present in all synapses across the brain. They observed the tracer through PET imaging and then applied mathematical tools to quantify synaptic density. The researchers used the imaging technique in both baboons and humans. They confirmed that the new method did serve as a marker for synaptic density. It also revealed synaptic loss in three patients with epilepsy compared to healthy individuals.
‘This is the first time we have synaptic density measurement in live human beings,’ said Carson, who is senior author on the study. ‘Up to now any measurement of synaptic density was post-mortem.’
The finding has several potential applications. With this non-invasive method, researchers may be able to follow the progression of many brain disorders, including epilepsy and Alzheimer’s disease, by measuring changes in synaptic density over time. Another application may be in assessing how pharmaceuticals slow the loss of neurons. ‘This opens the door to follow the natural evolution of synaptic density with normal aging and follow how drugs can alter synapses or synapse formation.’

Yale University http://tinyurl.com/hnrz9y8

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Non-invasive method to detect bone marrow cancer

, 26 August 2020/in E-News /by 3wmedia

For the first time, researchers have shown that using Magnetic Resonance Imaging (MRI) can effectively identify bone marrow cancer (myelofibrosis) in an experimental model. The findings may change the way this disease is diagnosed which is now through invasive bone marrow biopsies.

Myelofibrosis is a slow evolving condition hallmarked by increased myeloid cells and in the case of primary myelofibrosis, with an excessive number of large bone marrow cells called megakaryocytes. The pathology also is characterized by structural abnormality of the bone marrow matrix, which at end-stage manifests in excessive deposition of reticulin fibres and cross-linked collagen in the bone marrow, suppression of normal blood cell development and bone marrow failure. Currently the diagnosis is made via an invasive bone marrow biopsy and histophatology to assess cellularity and reticulin deposition in the marrow.

Researchers at Boston University School of Medicine (BUSM) led by Katya Ravid, PhD, designed and tested whether a T2-weighted MRI could detect bone marrow fibrosis in an experimental model. The group was able to show that an MRI could detect a pre-fibrotic state of the disease with a clear bright signal, as well as progressive myelofibrosis. The investigators proposed that the abundance of large megakaryocytes contribute to the signal, since in T2-weighted MR-images, increased water/proton content, as in increased cellularity, yield high (bright) MR-signal intensity.

This is the first study to evaluate a T2-weighted MRI in an experimental model of myelofibrosis with examination of potential sources of the MRI signal, researchers said. ‘Our study provides proof-of-concept that this non-invasive modality can detect pre-fibrotic stages of the disease,’ said Ravid, professor of medicine and biochemistry at BUSM. ‘It is intriguing to speculate that future pre-biopsy MRI of the human pathology might guide in some cases decisions on if and where to biopsy,’ she added.

Boston University School of Medicine www.bumc.bu.edu/busm/2016/11/14/researchers-propose-non-invasive-method-to-detect-bone-marrow-cancer/

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Measurement helps craniofacial surgeons better evaluate children with skull deformity

, 26 August 2020/in E-News /by 3wmedia

A baby’s skull is made of several plates of bone that fuse together over time to form a single structure. Previous research has shown that approximately one in 2,000 babies have plates that fuse too early – a condition called craniosynostosis – causing cranial deformities that can lead to learning impairments and other neurodevelopmental problems. Craniofacial surgeons across the country differ on when surgical intervention is needed for some abnormalities. Now, researchers at the University of Missouri School of Medicine are recommending a new method to help determine when surgery is needed.

‘Children with a condition known as metopic craniosynostosis develop a vertical ridge in their foreheads due to a premature fusing of the cranium’s frontal bones,’ said Arshad Muzaffar, MD, professor in the Division of Plastic Surgery at the MU School of Medicine and senior author of the study. ‘This can create increased pressure on the brain that can lead to neurodevelopmental disorders and learning problems. However, depending on the severity of the skull abnormality, recommendations on when to surgically intervene vary among craniofacial surgeons. At MU, we take a multidisciplinary approach that incorporates a measurement known as cephalic width-intercoronal distance ratio.”

The study included 104 infants diagnosed with metopic craniosynostosis and who received CT scans at MU between 2006 and 2012. The children were divided into two groups: those who were recommended for surgery and those who were recommended for close observation. The babies’ skull development was evaluated using five existing standard cranial measurements.

In addition to these standard measurements, the researchers evaluated the cephalic width-intercoronal distance ratio, which indicates how narrow the front of the skull is compared to the back. When the ratio is above a certain value, the measurement shows a potential need for surgery. The measurement can be performed at no additional cost to the patient.

Muzaffar cautioned, however, that the ratio should not be the only factor when making a decision about surgery. Instead, it should be used as one component of a suite of data gathered from a comprehensive, multidisciplinary evaluation which, when taken together, helps the team make recommendations regarding the need for surgical treatment.

‘While it may not be a suitable measurement for all craniosynostosis patients, in certain cases in which the premature fusion of the frontal bones is not as pronounced, surgeons can benefit by adding the cephalic width-intercoronal distance ratio to their evaluation,’ said Muzaffar, who also serves as the director of craniofacial and pediatric plastic surgery at MU. ‘We feel this is another tool to help treatment centers around the country make surgical decisions in cases that do not present a clear course of action. It is a quick, easy-to-perform objective measurement that provides extra insight to ensure patients receive care at the most appropriate time.’

University of Missouri School of Medicine medicine.missouri.edu/news/20160926-measurement-helps-craniofacial-surgeons.php

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Lower level vitamin D during remission contributes to relapse in ulcerative colitis patients

, 26 August 2020/in E-News /by 3wmedia

A new study led by researchers at Beth Israel Deaconess Medical Center (BIDMC) has found that lower levels of vitamin D in the blood increase the risk of clinical relapse in patients with Ulcerative Colitis (UC), an inflammatory bowel disease that causes long-lasting inflammation and ulcers in the colon.

Lower vitamin D levels have been associated with active disease in patients with UC, but it has been unknown whether they increase disease relapses. ‘Prior studies in patients with Crohn’s disease and Ulcerative Colitis had linked low vitamin D levels to disease flare-ups,’ said senior author Alan Moss, MD, a gastroenterologist at the Digestive Disease Center at BIDMC and Associate Professor of Medicine at Harvard Medical School. ‘However, it has been unclear if the flare-up was lowering vitamin D levels, or if low vitamin D levels were causing the flare-up. We thought that if we looked at vitamin D levels when the disease was inactive and then followed patients moving forward, the impact of baseline vitamin D levels on future events may be clearer.’

Moss and colleagues collected vitamin D serum levels through a physician-blinded prospective study of 70 patients with UC in clinical remission who were followed up after a surveillance colonoscopy at BIDMC. The study measured vitamin D levels in blood samples and levels of inflammation through blood tests and biopsies. The researchers then followed the patients for 12 months and compared the data from participating patients who remained well and the others who experienced relapses. The investigators found the mean baseline vitamin D level to be lower in patients who later relapsed than those who did not.

‘Patients who had higher vitamin D levels when their disease was in remission were less likely to experience a relapse in the future,’ said John Gubatan, MD, a physician at BIDMC and first author of the study. ‘This suggests that higher vitamin D levels may play some role in preventing the UC relapse.’ The threshold level of blood vitamin D that was protective was greater than 35ng/ml, which is within the range recommended by the National Institutes of Health for a healthy individual.

Ongoing work by Gubatan and Moss is now examining the link between vitamin D and a protein called cathelicidin in the cells lining the colon. The link may have beneficial effects on microbial composition, an important component of a healthy colon. Building on this research, investigators are trying to unravel how vitamin D may protect cells in the colon and the microbial composition of the bacteria, fungi, protozoa and viruses that live on and inside the human body, Moss noted.

Beth Israel Deaconess Medical Center www.bidmc.org/News/PRLandingPage/2017/February/Moss-Ulcerative-Colitis-Vitamin-D.aspx

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Light combined with time-based data sees more deeply inside the body

, 26 August 2020/in E-News /by 3wmedia

New light-based technologies that facilitate a ‘look inside’ the human body using light – and without cutting into the tissue – promise to enable both compact, wearable devices for point-of-care diagnostics as well as powerful new systems that provide even more information and from even deeper under the skin.
Recent work and visionary future directions are detailed in a new open-access article by Antonio Pifferi and colleagues at the Politecnico di Milano and Istituto di Fotonica e Nanotechnologie CNR .
The article is part of a special section on Clinical Near-Infrared Spectroscopy and Imaging under Guest Editors Marco Ferrari (Universita degli Studi dell Aquila), Joseph Culver (Washington University School of Medicine in St. Louis), Yoko Hoshi (Hamamatsu University School of Medicine), and Heidrun Wabnitz (Physikalisch-Technische Bundesanstalt).
The desirability of noninvasively probing human tissues and their functions has sparked new physical concepts, theoretical models, instruments, measurement approaches, and applications, note the authors in ‘New frontiers in time-domain diffuse optics.’
We are at the dawn of the next generation of time-domain systems, with a breakthrough in performance, size, cost, and flexibility that has the potential for great impact on new and widespread applications, the authors assert. This breakthrough is enabled by impressive advancements in single-photon detection boosted by high-energy physics and positron-emission tomography systems.
In diffuse optical imaging, light is injected into the surface of a medium, such as the body. The light signal is re-emitted elsewhere on the surface and analysed as to how it has changed. The analysis yields information about the chemical composition of the tissues, their densities, and other aspects.
The simplest methods compare continuous-wave properties of the original signal and the re-emitted light.
Systems that also analyse frequency or time changes in the light signal provide additional data. Current state-of-the-art methods use technologies that enable time-to-digital conversion of the signal, providing even more detail.
Wearable time-domain devices already have been developed for continuous-wave systems, enabling studies in breast cancer detection, brain mapping, muscle monitoring, and non-invasive assessment of lipids, bone, and collagen. Time-domain techniques have also been used in non-destructive characterization of food, wood, pharmaceuticals, and semiconductor powers.
Over the next 20 years researchers envision that such systems will become smaller, making feasible their integration into wearable devices, and smarter, increasing their overall accuracy in detecting and identifying tissue components.
Future devices could be used in brain monitors or muscle oximeters, even for in vivo detection of the brain function during motor or cognitive tasks.
‘What makes the future technology unique is its potential to probe noninvasively and in greater depth into human functions and chemical composition, yet with simple personal appliances usable at home and compatible with normal life,’ Pifferi said. Currently unreachable organs and functions would be accessible, including the heart.
Quite surprisingly, Pifferi noted, after the thermometer and the blood pressure meter, not many other diagnostic devices for personal healthcare have been brought into the home.
‘The new smart sensors, interacting in the ambient environment and transmitting hidden internal information over the cloud, will populate the Internet of Things to the benefit of clinical, industrial, and consumer-level applications,’ he said.

SPIE http://tinyurl.com/j3v43kn

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Lab-on-a-Stick: fast detection of antibiotic resistance

, 26 August 2020/in E-News /by 3wmedia

A portable power-free test for the rapid detection of bacterial resistance to antibiotics has been developed by academics at Loughborough University and the University of Reading.
The new test termed Lab-on-a-Stick is an inexpensive microfluidic strip – comprising of tiny test tubes about the size of a human hair – capable of identifying bacteria found in urine samples and checking if they are resistant to common antibiotics.
Simple to use and cheap to manufacture, the Lab-on-a-Stick is a dip and read’ method using a transparent micro-capillary film suitable for naked eye detection or measurement with portable, inexpensive equipment such as a smartphone camera.
The test, which is at least 12 times faster than current microbiological tests, is the result of research by Dr Nuno Reis, Lecturer in Chemical Engineering at Loughborough University, and Dr Al Edwards, Associate Professor in Biomedical Technology at the University of Reading.
The study showed that dipstick tests routinely used for testing in a variety of scenarios from soil pH strips for the garden to pregnancy tests, could be updated using the latest approach in miniaturized testing technology to help form the basis of a new generation of advanced, yet affordable, point-of-care tests for global diagnostics.
As part of the study, different cellular tests were carried out to demonstrate the full potential of Lab-on-a-Stick devices for a range of clinical situations:
Anti-microbial resistance – this was measured with E. coli samples typical of common urinary tract infection (UTIs). UTIs can be hard to treat with antibiotics because antibiotic resistance is so common and lab testing takes at least two days. The assay detects antibiotic resistance – in other words, can the cells grow in the presence of the antibiotic, and how much antibiotic is needed to stop cell growth? This demonstrated the advantage of using the microcapillary film which enables 10 different concentrations of antibiotic per sample to be tested with a single test strip. The research team are currently optimizing this so that the test, which currently requires overnight incubation in a multi-well plate, could in the future be completed in less than two hours in a single test strip.
Bacteria identification – classical analytical microbiology tests used for the identification of bacteria were miniaturized and performed in parallel microcapillaries, resulting in simple and rapid identification of bacteria. To identify bacteria, many different tests must be performed on every sample, illustrating again the benefits of microcapillary film which performs 10 tests per test strip. This study demonstrated a four-hour test to distinguish two very closely related bacteria – a harmless laboratory strain of E. coli from a type of Salmonella that causes food poisoning.
ABO blood typing – a simple blood test that takes only two minutes was miniaturized and the results were recorded using an everyday digital camera.
Dr Reis said: ‘This is a major step towards miniaturizing complex, routine microbiological and clinical tests that cannot at the moment be performed outside of the laboratory setting.
‘Our secret is simplicity. We have shown how micro-engineered film material made from a very transparent plastic with special optical properties, makes it easy to perform laboratory tests without lab equipment. Previously, we showed how a portable Lab-in-a-briefcase made it possible to record blood test results with the assistance of a simple smartphone.’

Loughborough University http://tinyurl.com/hb4mrph

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