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Jul 18
Stroke risk rises if blood pressure drugs not taken rightly
Hypertension patients who do not take their blood pressure medications systematically have a greatly increased risk of suffering a stroke and dying from it compared to those who take their medication correctly, a study has shown.

A study of 73,527 patients with high blood pressure, published online Wednesday in the European Heart Journal, found that patients who did not adhere to their medication had a nearly four-fold increased risk of dying from stroke in the second year after first being prescribed drugs to control their blood pressure, and a three-fold increased risk in the tenth year, compared with adherent patients.

"These results emphasise the importance of hypertensive patients taking their ant-hypertensive medications correctly in order to minimise their risk of serious complications such as fatal and non-fatal strokes," Dr Kimmo Herttua said.

Dr Herttua, the first author of the study, is a senior fellow in the Population Research Unit at the University of Helsinki, Finland.

"Non-adherent patients have a greater risk even 10 years before they suffer a stroke. We have also found that there is a dose-response relationship. The worse someone is at taking their anti-hypertensive therapy, the greater their risk," Herttua wrote.

The researchers, including scientists from Finland and University College London, UK, used nationwide registers in Finland that give details of prescriptions, admissions to hospital and deaths.

Jul 18
Need some mental boost? Drink water
Drinking plain water may help boost your mental performance, a new study has claimed.

According to the study published in the journal Frontiers in Human Neuroscience, participants who drank about three cups of water (775 millilitres) before taking a battery of cognitive tests performed better on a test that measured reaction times compared with those who did not drink water.

This finding was particular true for thirsty people. The researchers speculate that the sensation of thirst may take some attention away from the task at hand, and thus impair response time.

For the reaction test, 34 adult participants had to press a button as soon as they saw an object on a computer screen. Reaction times were 14 percent faster among the water group than the no water group.

Water consumption did not significantly affect performance on other tests of cognition, such as memory of words, researchers found.

The study results suggest that a "freeing up of attention resources" occurs when people quench their thirst, the researchers wrote.

However, water consumption may not always improve cognition. In another test of rule-learning, participants actually fared better if they did not drink water before the test.

Future research should try to explain why drinking water appears to have beneficial effects on some cases, but negative effects in others, the researchers said.

"It might be that physiological processes [of drinking or not drinking water] affect performance on different tasks in different ways," said study researcher Caroline Edmonds, of the University of East London School of Psychology in England.

"Thirst might lead to better performance on some tasks, because the hormone vasopressin, which activates the thirst response, has also been linked to attention and arousal," Edmonds told a website.

Jul 17
Aspirin could lower women's colorectal cancer risk
Women who take aspirin every other day could lower their risk of developing colon cancer by 20 percent, new research has suggested.

For the study, researchers at the Brigham and Women`s Hospital in Boston, looked at 39,876 women in the age group of 45 and older.

For the study, participants took a 100 mg dose pill of aspirin or a placebo every other day from when they were enrolled in the study until 2004.

The participants also completed questionnaires about their cancer status, how often they took their medication, any negative effects, any additional aspirin use and other risk factors.

After the study, researchers followed 33,682 participants, who were not given additional aspirin or placebos for this additional time frame, through March 2012.

After nearly two decades, women in the aspirin group had a 20 percent less chance of developing colon cancer than those who were taking placebos.

And women who continued taking aspirin after the end of the trial had the lowest colon cancer risk, CBS News reported.

The study, funded by the U.S. National Cancer Institute and U.S. National Heart, Lung, and Blood Institute, appeared in the Annals of Internal Medicine.

Jul 17
Missing brain enzyme found to cause abnormal levels of fear
A new research from neuroscientists and molecular biologists at University of Southern California has shown that a missing brain protein may be the culprit in cases of severe over-worry, where the fear perseveres even when there`s nothing of which to be afraid.

The researchers examined mice without the enzymes monoamine oxidase A and B (MAO A/B), which sit next to each other in our genetic code as well as on that of mice.

Prior research has found an association between deficiencies of these enzymes in humans and developmental disabilities along the autism spectrum such as clinical perseverance - the inability to change or modulate actions along with social context.

"These mice may serve as an interesting model to develop interventions to these neuropsychiatric disorders," senior author Jean C. Shih, USC Professor and Boyd and Elsie Welin Professor of Pharmacology and Pharmaceutical Sciences at the USC School of Pharmacy and the Keck School of Medicine of USC, said.

"The severity of the changes in the MAO A/B knockout mice compared to MAO A knockout mice supports the idea that the severity of autistic-like features may be correlated to the amounts of monoamine levels, particularly at early developmental stages," Shih said.

The study is published in the Proceedings of the National Academy of Sciences.

Jul 16
Rising stress causing headaches; women more affected
"I have a splitting headache". Be it your colleague at work or your spouse at home, this has probably become one of the most often heard complaint today.

Considering the statistics - one-third of Indian women and one-fifth of Indian men suffer from migraine - the frequency is hardly of any surprise. Doctors blame lifestyle changes and stress for this literally gnawing headache and say that women suffer more than men.

At the very outset, it`s important to know the difference between a headache and a migraine.

"Headache is a pain in the head region, while migraine is a type of headache. Migraine is not a disease but a syndrome. One should know that not every headache is a migraine, but a migraine can be termed as a headache," P.N. Renjen, senior consultant, neurology, at the Apollo Hospital said. Migraine is usually accompanied by a throbbing headache, photophobia and vomiting.

According to Renjen, around 30 percent of the patients he sees every day are cases related to headache and migraine.

"Women are more prone to headache and migraine because of hormonal changes in their body and the stress and strain of daily life," he said. Erratic meal timings and a bad sleep cycle are contributing factors.

"Around 75 percent of migraine sufferers are women," Manoj Khannal, consultant, neurology, at Max Hospital, Shalimar Bagh said. "Although the incidence of migraine is similar in boys and girls during childhood, it increases in girls after puberty. Migraine most commonly affects women in the age group of 20-45 years."

"Fluctuation of female hormones like estrogen and progesterone appear to increase the risk of migraine and its severity in some women. About half the women with migraine report headaches associated with their menstrual cycle. For some women, migraines also tend to be worse during the first trimester of their pregnancy, but improve during the last trimester," he added.

Warning against popping of pills at the drop of a hat, Rajashekhar Reddi, consultant in the neurology department of Max healthcare, said that too much medication can itself cause you a headache!

"It is not advisable to frequently pop pills. Too much medication can cause medication-overuse headache," he said. Too much of painkillers can also harm the kidneys and other organs.

Migraine can be controlled. Khannal talked about one of his patients, a 35-year-old woman who came to him in December 2012 complaining of a throbbing type of headache for the last 10 years. Now the headache had become continuous. "We started her on anti-migraine medications and after reaching the adequate dose of prophylactic medications, her migraine was treated. She is headache- free for the last two months."

Neurologists, however, advise to watch out for symptoms that may indicate health complications beyond a headache or migraine attack.

Renjen gave the example of one of his patients, a 40-year-old woman who came to him complaining of a headache on one side of her head and of migraine. "Migraine is more common among those in the age bracket of 20-25 years, so we sent her for some tests. Her MRI scan revealed a clot in the brain," he said.

The advice, therefore?

Try to lead a stress-free life, eat and sleep well and, when in pain, go to the doctor instead of frequently popping painkillers.

Jul 16
Proteins associated with immunity may cause cancer
Scientists have discovered that a set of proteins that are a part of the body`s natural defences cause mutations in human DNA, which could potentially lead to cancer, says a study.

According to a study led by researchers at the National Institutes of Health, these naturally occurring mutations are just as powerful as known cancer-causing agents in producing tumours, reports Science Daily.

The proteins are part of a group called apolipoprotein B mRNA like (APOBEC) cytidine deaminases. The investigators found that APOBEC mutations can outnumber all other mutations in some cancers, accounting for over two-thirds in some bladder, cervical, breast, head and neck, and lung tumours.

The scientists published their findings online July 14 in the journal Nature Genetics. Dmitry Gordenin, Ph.D., is corresponding author of the paper and a senior associate scientist at the National Institute of Environmental Health Sciences (NIEHS), part of NIH.

He said scientists knew the main functions of APOBEC cytosine deaminases were to inactivate viruses that attack the body and prevent ancient viruses present in the human genome from moving around and causing disrupting mutations.

Because they are so important to normal physiology, he and his collaborators were surprised to find a dark side to them; that of mutating human chromosomal DNA.

Jul 15
Common acid reflux drug could cause heart disease
A new study suggests that drugs that help millions of people cope with acid reflux may also cause cardiovascular disease.

It is the first time researchers have shown how proton pump inhibitors, or PPIs, might cause cardiovascular problems.

In human tissue and mouse models, the researchers from Houston Methodist Hospital found PPIs caused the constriction of blood vessels.

If taken regularly, PPIs could lead to a variety of cardiovascular problems over time, including hypertension and a weakened heart.

In the paper, the scientists call for a broad, large-scale study to determine whether PPIs are dangerous.

"The surprising effect that PPIs may impair vascular health needs further investigation," John Cooke, M.D., Ph.D., the study`s principal investigator, said.

"Our work is consistent with previous reports that PPIs may increase the risk of a second heart attack in people that have been hospitalized with an acute coronary syndrome.
"Patients taking PPIs may wish to speak to their doctors about switching to another drug to protect their stomachs, if they are at risk for a heart attack," he said.

The study is published in the journal Circulation.

Jul 15
Obesity leading to deaths worldwide
Obesity has reached epidemic proportions worldwide, with around 2.8 million people dying each year as a result of being overweight or obese, according to international health experts.

Globalisation has brought fast food culture to Chinese cities, contributing to major obesity problems. A study in 2006 found that over one-fifth of the one billion obese or overweight people in the world are Chinese, Xinhua reported.

One of the fattest nations in the developed world, Australia also shares this obesity problem. If Australians` weight gain continues at current levels, almost 80 percent of adults will be overweight or obese by 2025, according to Monash University.

To discuss the problem of obesity and evaluate a solution being developed by the Public Health Association of Australia, international nutrition experts met at an obesity and nutrition conference in Sydney.

The rise of multinational fast food outlets has been a key change in our environment leading to fatter foods and fatter people, said Bruce Neal, professor at the George Institute for Global Health in Sydney.

"As fast as we get rid of all our traditional vectors of disease -- infections, little microbes, bugs -- we are replacing them with the new vectors of disease, which are massive transnational, national, multinational corporations selling vast amounts of salt, fat and sugar," Neal said.
Over time, consumers in developed countries have become acculturated to larger serving sizes that are well above what`s necessary for an enjoyable, sensible and nutritious meal, said Tim Gill, associate professor at the University of Sydney`s Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders.

"People will consume a portion that`s put in front of them. People will seek value by purchasing the largest portion size, because it`s relatively cheap compared to the smaller size. We`ve just had a disconnect in terms of what we need to eat and what we can purchase," he said.

A 2005 study by American scientists found that diners who ate from a bowl of soup that kept refilling would not only eat far more than normal, but they did not notice that they had eaten more, and did not feel more sated.

Most shoppers base their food choices on price rather than nutritional value, with lower socio-economic status consumers more likely to eat high energy-dense foods such as sugary drinks, said Marion Hetherington, a professor of biopsychology at the University of Leeds.

However, Jennie Brand-Miller, a professor at the University of Sydney`s School of Molecular Bioscience, said low-fat diets may not in fact be best for our health.

"Low-fat dietary advice has not been helpful on a population level. It is consistently associated with weight regain. It does not reduce the risk of chronic disease," said Brand-Miller.

"We need to pay more importance to protein. Protein is satiating, and we`ve undervalued it. We need to pay more attention to the sources of carbohydrate -- we need to switch from high GI to low GI carbohydrates," she said.

At the heart of the obesity issue is the question of responsibility, and whether it`s up to the consumers to look after their own needs, or industry to provide more healthy foods.

"In Britain, the public health responsibility has been an important initiative in the sense that companies will sign up, they will pledge to reduce the amount of calories in their food, to reduce the amount of salt," said Hetherington.

By lowering salt, sugar and calorie content of their foods independently, industry will not face competitive pressure caused by only some producers providing more healthy foods in the marketplace, she said.

Jul 13
Cheap condoms could cause skin infections, diarrhoea: Research
Every year the government spends exorbitant amounts of money on advertisements and campaigns to educate people about safe sexual intercourse. But a recent research conducted on condoms in Pune presents a grim and disconcerting picture.

Recently a research was conducted on condoms by four Microbiology students and one Botany student, under the guidance of Prof Bharat Ballal, assistant professor at Yashwantrao Mohite College (YMC), Bharati Vidyapeeth Deemed University .The results of this research has revealed that three out of 12 brands of condoms popular in the market contain traces of disease-causing pathogens which raises pertinent questions about their safety and genuinity.

These three varieties are locally-produced and are thoroughly purchased. These brands are priced at Rs 30 for a pack of 10, compared to high-end brands that are sold for Rs 100 or 110 for a pack of 10. And one of these brands in the red is recognized by the government and is freely distributed by Population Services International, India (PSI).

"The results are shocking. The pathogen found in one brand showed similarities to Bacillus anthracis, which is an anthrax agent," said Harpreet Matey, one of the researchers. "The two other varieties had microorganisms similar to Bacillus endophyticus and Micrococcus luteus respectively. "Bacillus anthracis can cause cuteneous anthrax (severe skin infection), pulmonary anthrax (haemorrhagic pneumonia) and intestinal diseases like bloody diarrhoea," said Professor Ballal. Although Bacillus endophyticus and Micrococcus luteus are not proven pathogens, Ballal said, "They might be harmful if they come in contact during intercourse."

Researchers took 12 different samples across high-end, medium-end and low-end condom brands for the study.They took the surface culture of the contraceptives, using sterile cotton swabs and plated them. After 25 hours, 10 samples (all of which were medium-end and low-end brands) showed signs of microbe colonisation.

On performing cultural morphological and biochemical tests of the colonies, it was found that seven medium-end contraceptives had organisms which are found in the human body anyway and were thus considered non-pathogenic. However, the other three were found to have microorganisms that showed unusual characteristics, which could not be confirmed by biochemical tests.

The samples were then sent to National Centre for Cell Sciences (NCCS), located in University of Pune for 16S ribosomal typing - a test to match the microorganisms with the ones existing in the database. The sequences were then scrutinised and submitted to the National Centre for Biotechnology Information(NCBI) to include in their database.

"The infected samples were sourced from Budhwar Peth`s red light area," said Ankush Jee Bhat, another researcher. "One of the brands is recognised by the government and the one that was found to have Bacillus anthracis is popular amongst homosexuals," said Tejaswi Sevekari, director of Saheli, an NGO that works for sex workers.

When questioned, a PSI official said all freely distributed condoms were safe to use. "All condoms are tested in World Health Organisation labs. Only after the tests, does the government send them to us in sealed packets, which are then distributed," he said.

Jul 13
Human trial for wonder drug to fight cancer to start in 2014
Stanford researchers are on track to begin human trials of a potentially potent new drug against cancer by next year, it has been revealed.

The progress comes just two months after the groundbreaking study by Dr Irv Weissman, who developed an antibody that breaks down a cancer`s defense mechanisms in the body, the New York Post reported.

A protein called CD47 tells the body not to "eat" the cancer, but the antibody developed by Dr Weissman blocks CD47 and frees up immune cells called macrophages - which can then engulf the deadly cells.

The new research shows the miraculous macrophages effectively act as intelligence gatherers for the body, pointing out cancerous cells to cancer-fighting "killer T" cells.

The T cells then "learn" to hunt down and attack the cancer, the researchers claimed.

The clinical implications of the process could be profound in the war on cancer.

When macrophages present "killer T" cells with a patient`s cancer, the T cells become attuned to the unique molecular markers on the cancer.

This turns them into a personalized cancer vaccine.

The team of researchers at Stanford plan on starting a small 10-100 person phase I clinical human trial of the cancer therapy in 2014.

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