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Jan 22
Plasma 'could cut dentist pain'
People who live in fear of the dentist's drill could be in for a more comfortable future - as new plasma technology arrives.

"Plasma jets" could one day be used to clean out bacteria from tooth cavities, say researchers from Saarland University in Homburg, Germany.

Tests reported in the Journal of Medical Microbiology found the plasma destroyed bacteria in infected teeth.

They say plasma dentistry may be available within three to five years.

Matter can be either solid, liquid, a gas or a fourth type, plasma, which is actually the most common in the universe.

While there are many natural forms of plasma, including the contents of our sun and lightning, modern technology relies heavily on plasma technology - for example in fluorescent lighting and the manufacture of semiconductors.

Artificial plasmas can be created when energy is added to a gas, perhaps using an electrical field or a laser.

The resulting matter can behave differently when it comes into contact with other particles.

While many artificially-created plasmas are extremely hot - for example, the flame on an arc welder - advances in recent years have allowed the creation of much cooler plasmas.

This, in turn, has opened the possibility of using them on the human body, where they could offer a very precise way of targeting tiny areas.

In this case, the properties of the plasma are harmful to bacteria, without affecting the surrounding tissue.

Normally, a dentist's drill is used to clean out bacteria from a cavity, before the filling is inserted.

The German team used a plasma jet to do the same job and found that it was able to do this quickly and efficiently, even where the bacteria were arranged in resistant "biofilms" on the dentine - the main part of the tooth under the enamel.

'Uncomfortable'

Dr Stefan Rupf, who led the study, said the low temperature killed the microbes while preserving the tooth.

He said:"Drilling is a very uncomfortable and sometimes painful experience. Cold plasma, in contrast, is a completely contact-free method that is highly effective.

"Presently, there is huge progress being made in the field of plasma medicine and a clinical treatment for dental cavities can be expected within 3 to 5 years."

Professor Bill Graham, a physicist from Queen's University Belfast, said that plasma medicine had the potential to pick out tiny targets, perhaps even single cells.

He said that "plasma scalpels" were already being used in sports medicine to treat collagen problems, and there was great interest in the technology for use in burns patients.

He said: "Obviously, as with any new treatment, we need to check that it can be used safely, but there is no evidence at the moment that there are any problems."

Jan 21
Common chemical linked to thyroid
A "ubiquitous" chemical widely used in the manufacture of non-stick frying pans is linked to thyroid disease, researchers say.

A study involving almost 4,000 people in the United States found people that those with the highest levels of man-made perfluorooctanoic acid - also known as PFOA - in their blood were twice as likely to be diagnosed with thyroid disease or taking medication compared with those with the lowest levels.

PFOA is widely used in industry because it excels at repelling heat, water, grease and stains, and traces of the chemical are found in water, air and soil throughout the world.

But the researchers from the University of Exeter, who carried out the latest study, stressed that further research was needed to establish whether the chemical was a direct cause of illness in humans.

Previous studies in animals have suggested that high exposure to the chemical can affect the action of the thyroid gland, located in the neck, which is responsible for controlling the body's rate of metabolism through the release of hormones.

Tamara Galloway, Professor of Ecotoxicology at Exeter, said that it was likely that the chemical could be ingested or inhaled from the air or as a component of household dust, and might stay in the bloodstream for about five days.

Her team analysed an American database of 3,966 adults aged 20 and older, because no figures for blood levels of PFOA is available in Britain. Of these, 163 women and 46 men reported having current thyroid disease and were taking medication.

But a total of 16 per cent of women with the highest blood levels of the chemical (above 5.7ng/ml) reported having thyroid disease or were taking related medication, compared to 8 per cent of those with the lowest levels. the trend was similar in men, but not said to be statistically significant because of the low numbers of individuals involved.

"Our results highlight a real need for further research into the human health effects of low-level exposures to environmental chemicals like PFOA that are ubiquitous in the environment and in people's homes. We need to know what they are doing," Professor Galloway said.

But Diane Benford, Head of Toxicology of Food, Food Standards Agency, commented: "This type of study investigates associations and cannot establish causality. It is important to look at the consistency of the data with the results of other studies, and with what is known about the toxicity of PFOA and PFOS, which differ.

"Studies of workers with higher exposure to these compounds have not shown consistent evidence of increased risk of thyroid disease, which would be expected if effects are occurring in the general population. More research is needed to establish whether this association is causal."

Ashley Grossman, Professor of Neuroendocrinology, at Queen Mary, University of London, said that it was also unknown how PFOA might affect the thyroid gland.

"Thyroid disease is often caused by the body's own immune system attacking the thyroid gland so perhaps this chemical is having some effect on the immune system, rather than directly on the thyroid," he said.

"We'd need to do a lot more research to verify this link and to understand how the two are linked. In the meantime, it's important to remember that thyroid disease can be successfully treated."

Jan 20
H1N1 vaccine trails start in India
Even as questions are raised about the efficacy of the H1N1 vaccine, India has given leading French pharmaceutical company Sanofi Pasteur permission to start trials from Wednesday. While the trials will take about three weeks, the single dose vaccine
will be available from the second week of February.

"The vaccines which we will have in India are safe and effective. Those having adverse effects are adjuvant, while all our vaccines are non-adjuvant," Drug Controller General of India (DCGI) Dr Surinder Singh told The Indian Express. The Sanofi Pasteur vaccine trials will be conducted on over 100 subjects in Chandigarh, Pune and Delhi.

Meanwhile, the domestically developed H1N1 vaccine will be available in the second half of April for about Rs 80 per dose, said the DCGI. "There are about 145 types of Influenza. While there are influenza vaccines available abroad, in India we do not have any. This will be the domestic vaccine for influenza," said Union Health minister Ghulam Nabi Azad.

As of now four Indian companies have got permission to conduct clinical trials for developing H1N1 vaccine with Zydus Cadila already starting human trials in January. While the Serum Institute has got approval for an intra-nasal vaccine earlier this month, Panacea and Bharat Biotech are yet to begin trials.

Jan 19
Genes may play a role in breast cancer
Breast cancer screening may not be appropriate for all women, warned the experts from the University of Michigan. A genetic mutation that plays a significant role in increasing a woman's risk of developing breast cancer and ovarian cancer has been discovered.

Breast cancer, estimated to increase by 3 percent per annum up to 2015 in India, result from genetic abnormalities. However, only five to ten percent of the cases are due to inherited genetic factors, mostly due to abnormalities in two genes, BRCA1 and BRCA2. These two genes may be inherited from either of the parents and may pose a higher lifetime risk of developing breast and ovarian cancer, more likely to develop at an earlier stage.

Lifetime risk of breast cancer in these women jumps from 12.5 percent in the general population to approximately 60 percent in women with BRCA mutations. It should also be kept in mind that occurance of most of breast and ovarian cancers are random and may not be due to BRCA gene inheritence.

According to Dr Sofia Merajver, director of the Breast and Ovarian Risk Evaluation Program at the University of Michigan Comprehensive Cancer Centre, it is important that the right women seek out genetic testing for breast and ovarian cancer.

Though it is a simple blood test, the interpretation of the results may be complicated. Doctors recommend genetic testing for those with family history of cancer cases and diagnoses through several generations, older family members (above 50) diagnosed with cancer, family member with cases of multiple cancers like breast and ovarian and also male breast cancer, or other cancers like colon, stomach or prostrate cancers.

Undergoing genetic tests can help assess the risk factor of the person diagnosed with cancer.

Jan 18
Diabetes gene points way to new treatments
One of the largest genetic studies ever undertaken has discovered nine new genes linked to type 2 diabetes, opening a door to new understanding and possible treatment.

Scientists from 174 research centres around the world, who studied the genes and blood glucose level of more than 120,000 volunteers, were able to identify a set of genes that control the body's response to glucose in the blood.

It is hoped the discovery could lead to new treatments for diabetes, which affects more than 220 million people worldwide. Ninety per cent of those have type 2 diabetes, also known as late-onset diabetes because it typically develops later in life.

It occurs when the tissues of the body become resistant to the effects of insulin, needed to regulate glucose. Sufferers may control the disease with diet and exercise but often have to take drugs and in more serious cases have to inject insulin.

Jim Wilson, a geneticist from Edinburgh University who heads the Scottish cohort study, said: "This is an incredibly important finding. The discovery of these new genes influencing blood-sugar levels is the first step on the important journey to developing new therapies for diabetes.

"It opens up a whole new area of research to find which proteins are 'druggable'. Genetics is like a can-opener: it allows us to get inside and understand what's going on."

The hope is that in five to ten years scientists will be able to pinpoint which individuals are genetically susceptible to developing type 2 diabetes, and that there will be a drug available which can prevent its onset. "What we have found may not contribute to personalised medicine becoming a reality today, but it will contribute to it happening tomorrow," Dr Wilson said.

The nine new genes include those that influence blood sugar levels and also the first gene influencing levels of insulin. A subset of the genes was associated with diabetes itself.

Dr Wilson said the biological pathways that the genes highlighted were those involved in the control of blood sugar and might point to novel drug targets for glycaemic control. The pathways included not only glucose transport and sensing and pancreatic cell development, but also circadian rhythms and fatty acid metabolism.

To find out which genes are involved in glucose control, the team studied the genes of 50,000 healthy volunteers, also measuring glucose. It then sought to replicate the findings in approximately 75,000 more people.

Jan 16
Non-invasive technique to remove fibroids
A new technique to remove uterine fibroids without surgery will soon be available in the city. Jaslok Hospital in south Mumbai is set to launch Magnetic Resonance (MR)-focused ultrasound system to remove them. The non-invasive procedure uses high intensity ultrasound waves to ablate tissue in combination with Magnetic Resonance Imaging (MRI) that guides, monitors and controls the treatment.

Uterine fibroids are non-cancerous tumours found in women aged between 30 and 40. "Submucosal fibroids develop just under the lining of the uterine cavity and causes heavy bleeding, infertility and even miscarriages. They need to be removed without harming other organs," said Dr Rishma Pai, obstetrician, gynaecologist and infertility specialist at Jaslok Hospital.

"This procedure will stop the fibroid to recur again in the same region and increases the chances of fertility."

"Ultrasound is a form of energy that can pass through skin, muscle, fat and other soft tissues. High intensity ultrasound waves focused on a small target raises the temperature and destroys the tissue. This procedure is called thermal ablation," said Dr W M Gedroye, consultant radiologist at St Mary's Hospital in London. Dr Gedroye has treated over 500 patients using this technology. "Success rate is about 80 per cent," he said.

Studies show that this procedure can even remove liver tumours. "Studies are under way in Japan to establish this procedure can successfully treat breast and prostrate cancer also," said Dr Gedroye.

Jan 15
Stress can cause cancer: Study
Stress kills, doctors often say. And, now a new study has claimed that it can cause cancer as it aids the growth of tumour cells.

Experts had suspected that stress was involved in the development of cancer, but had no biological evidence. Earlier studies failed to establish any link between the condition and the disease.

Now, an international team has found that it may not necessarily be the emotional stress, but could be physical stress or even the stress which occurs in people's bodies as they fight infection and this may lead to cancer.

The study has revealed mutant genes that are primed to turn cancerous can be made active by stress signals, British newspaper the Daily Express reported.

Lead researcher Prof Tian Xu from Yale University's School of Medicine said: "A lot of different conditions can trigger stress, signalling physical stress, emotional stress, infections, inflammation - all these things. Bad news for cancer."

For their study, the researchers focused on the activity of two mutant genes known to be involved in human cancers.

One, called RAS, has been involved in 30 per cent of cancers. The other, tumour-suppressing gene called "scribble", allows cancers to develop when it becomes defective. Neither can cause cancer on its own.

Jan 14
Extra pounds at birth reduce TB risk
New research at the University of Michigan suggests that every 1.1 pounds of birth weight reduces the possibility of developing tuberculosis later in life by almost 46percent in identical twins.

According to Eduardo Villamor, study author and associate professor at the U-M School of Public Health, tuberculosis risk came down by 87percent for each pound in males, whereas it was only about 16 percent for every 1.1 pounds of birth weight in girls.

Villamor, who worked with a team at the Karolinska Institute in Sweden and began the research at Harvard, also pointed out that low birth weight of babies is widespread problem in developing countries, but prevalent elsewhere too.

Although Villamor said it is too early to conclude that insufficient prenatal growth leads to clinical tuberculosis, it may be the case.

He added: "Prenatal exposure to environmental insults, including maternal malnutrition, could program what happens later on in terms of our immune responses to infection, possibly through programming of the immune system. This study is an example of that."

The study, "Evidence for an effect of fetal growth on the risk of tuberculosis," will be published in the Feb. 1 edition of the Journal Infectious Disease. (ANI)

Jan 13
Blood pressure drugs cut dementia risk
The blood pressure drugs that block the protein angiotensin could reduce the risk of developing Alzheimer's disease and other forms of dementia, according to the online British Medical Journal Wednesday.

In a study, scientists in U.S. found that older people taking a certain type of blood pressure medication known as angiotensin receptor blockers (ARBs) were significantly less likely to develop the brain-wasting illnesses.

"We think it (angiotensin) is one of the most important factors determining healthy blood vessels and also acts in the brain to help neurons to be a little more resilient," said Benjamin Wolozin, the senior author of a report on the findings.

Wolozin, also a professor of pharmacology and neurology Boston University School of Medicine, and his colleagues looked at the incidence of dementia in 800,000 mostly male patients in the U.S. from 2002 to 2006. They all had heart disease and were 65 or older.

The patients were divided into three groups. One of them was using ARBs, another was taking a different type of the blood pressure lowering drug, an angiotensin-converting enzyme (ACE) inhibitor called lisinopril, and a third was on other heart medications.

Among patients, those who took ARBs were nearly half as likely to be needing admission to a nursing home by the end, according to the study.

The team also found that ARBs have an added effect when combined with ACE inhibitors in patients who had already developed Alzheimer's or dementia. Those taking both drugs were less likely to die early or be admitted to nursing homes.

However, the study had its limitations. Colleen Maxwell and David Hogan of the University of Calgary, Canada, said the study did not factor in family history of dementia; was rather short in duration; and did not look at dementia among women.

There are 35 million people worldwide having a form of dementia such as Alzheimer's disease and the tally will almost double every 20 years -- to 66 million in 2030 and more than 115 million in 2050, Alzheimer's Disease International predicted.

Jan 13
Kids brain cancer can arise from stem cells
A new study has shed light on the role of stem cells in medulloblastomas, the most common type of children's brain tumor.

Researchers at Queen Mary, University of London, studied equivalent cells taken from mouse brains. Principal investigator Silvia Marino, Professor of Neuropathology at Queen Mary, University of London, and her team showed that medulloblastomas can grow from a type of brain stem cell and that these cancers are a distinct form of the disease which may require a completely different approach to treatment.

She said "This type of brain tumour can pose a great challenge to doctors. In some children, treatment works well but in others the cancer is aggressive and far harder to treat. As scientists we have been trying to understand how these cancers which look the same can behave so differently. This study is a major advance for us because it shows for the first time that some of these tumours develop from endogenous stem cells."

She added " This is important for two reasons. First, it could help us to tell which cancers will respond well to treatment and which will need a more aggressive therapy. Second, this new understanding could help us to find much-needed new drugs for the disease."

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