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Sep 19
Bad cholesterol feeds brain tumours
Bad cholesterol fuels the growth of the commonest type of brain cancer, glioblastoma, just as hormones drive the growth of certain breast and prostate cancers.

Glioblastomas are also the most aggressive and difficult to treat, with an average survival rate of 15 months from diagnosis.

US scientists say the finding will pave the way for developing drugs that will target them specifically. They found that up to 90 per cent of glioblastomas have a 'hyperactive signalling pathway' for cholesterol, reports the journal Cancer Discovery .

This implies their cells are programmed to suck up LDL or bad cholesterol, which feeds tumour growth in turn, the Telegraph reports.

Deliang Guo, assistant professor of radiation oncology at Ohio State University who led the study, said: "Our research shows that the tumour cells depend on large amounts of cholesterol for growth and survival."

"Pharmacologically depriving tumour cells of cholesterol may offer a novel therapeutic strategy to treat glioblastoma," added Guo.

Paul Mischel, professor of pathology at the Jonsson Cancer Center, University of California-Los Angeles, added: "It potentially offers a strategy for blocking that mechanism and causing specific tumour-cell death without significant toxicity."

In Britain, of about 5,000 people diagnosed with brain cancer, 3,600 die annually.

Sep 17
One more dead in Delhi high court blast, toll rises to 15
Rattan Lal, injured in the September 7, Delhi high court blast succumbed to his injuries. The death toll now stands at 15.

58-year-old Rattan Lal was in a serious condition and both his legs were amputated. Doctors at the Ram Manohar Lohia hospital said he died at
8:20am.

"Yesterday, he had expressed his desire to meet his wife and son and we had agreed," the doctor said.

Twenty-four victims of the blast are undergoing treatment in different city hospitals - 11 in RML, five in AIIMS, four in Safdarjung, two in Max and one each in Moolchand and LNJP.

NIA has claimed that they have a break-through in the case. The terrorist attack left over 76 people injured.

Sep 16
Want to be happier and slimmer? Get up earlier
The next time you are tempted to hit the snooze button on your alarm clock, hold fire.

Research suggests that early risers are slimmer, happier and healthier than those who get up later in the day.

Worst off are night owls, with late nights seemingly taking their toll on health and happiness.

Roehampton University researchers quizzed almost 1,100 men and women about their health and sleeping habits.

Some 13 per cent of those questioned were larks, getting up before 7am during the week and seeing no need for a lie-in at the weekend.

Night owls, who fall out of bed just before 9am Monday to Friday and sleep in on Saturdays and Sundays, accounted for another 6 per cent.

The remaining 81 per cent fell somewhere in between.

The analysis revealed the early risers to have fewest signs of depression and anxiety.

They were also more likely to eat breakfast - something that has previously been linked with slimness, a British Psychological Society conference heard.

Researcher Dr Jorge Huber said: 'These effects are small - and in some occupations and situations there are clearly advantages to being an evening person - but they are highly statistically significant.

'If you are an evening type, you are not necessarily a miserable person but there is some difference.'

He isn't sure of the cause, but it may be that late bed times make for a worse night's sleep.

Sep 15
Body odour? Gene disorder may be the culprit
For some people with troublesome, unexplained body odour, an uncommon genetic disorder once known as "fish-odour syndrome" may be to blame, according to a study.

The condition, known clinically as trimethylaminuria, is caused by emitting excessive amounts of the compound trimethylamine (TMA). TMA is produced when people digest foods rich in a substance called choline -- including saltwater fish, eggs, liver and certain legumes, such as soy and kidney beans.

"Individuals with the metabolic disorder trimethylaminuria may sporadically produce malodours despite good hygiene," wrote study leader Paul Wise, at Monell Chemical Senses Centre in Philadelphia, in the American Journal of Medicine.

"The psychosocial impact of trimethylaminuria may be considerable. However, trimethylaminuria is difficult to diagnose without specialized tests."

Trimethylaminuria is caused by defects in a gene known as FMO3, which hinder the body's ability to metabolize TMA and turn it into odour-free compounds.

TMA itself has a strong fishy smell, but only about 10 to 15 percent of people with trimethylaminuria have that specific malodour, which may make it tougher to get a diagnosis.

For someone to have the disorder, he or she must inherit a defective copy of the FMO3 gene from both parents, who themselves would be unaffected "carriers." Of course, if either of the parents had the disorder, they would also pass it on.

Studies in the UK have estimated that up to 1 percent of white people carry a flawed copy of FMO3, with some ethnic groups -- including people from Ecuador and New Guinea -- having a higher rate.

For the current study, Wise and his colleagues looked at how often trimethylaminuria was diagnosed in patients who came to Monell seeking help for unexplained, persistent body odour.

They found that about one-third of the 353 patients tested positive for trimethylaminuria. Testing involves measuring the level of TMA in the urine after a person drinks a beverage with added choline.

Of the 118 patients who tested positive, just 3.5 percent had complained of a "fishy" odour. Far more often, they reported general body odour, bad breath and a bad taste in the mouth.

Many of the patients in the study had seen several doctors and dentists before being referred to Monell for testing. Some contacted the centre on their own -- which Wise said was the major limitation of the study.

So it's unlikely that they are actually representative of all the people with unexplained body odour problems, he added, meaning researchers cannot conclude that one-third of all such individuals have trimethylaminuria.

George Preti, a Monell researcher who also worked on the study, said that in their experience, the second-most common culprit in unexplained body odour is chronic halitosis, or bad breath.

"It can be mistakenly perceived as body odour, because the odour is projected around your body when you speak or exhale."

Only a few labs in the United States perform testing for the disorder, but one way to gauge on your own whether you have it or not would be to make diet changes, such as avoiding choline-rich foods, Wise said.

If cutting out those foods improves your problem, that's a strong clue as to the underlying cause, he added.

Sep 14
Extra weight doesn't always mean heart woes
Carrying extra weight doesn't necessarily mean your heart is ailing, according to a Greek study that adds to a growing body of evidence suggesting that overweight people aren't always unhealthy.

The study, published in the Journal of the American College of Cardiology, found that fewer than 10 percent of healthy obese people in their 50s and 60s without risk factors for heart disease went on to develop heart failure over six years.

By contrast, 16 percent of their slimmer peers, also without the suite of risk factors known as metabolic syndrome, ended up with the debilitating condition.

"Being normal weight does not necessarily mean we are healthy," said Christina Voulgari, at Athens University Medical School, who led the study.

Voulgari and her colleagues followed 550 men and women, a quarter of whom were obese. Participants averaged about 55 years old.

More than two-thirds of the obese individuals harbored risk factors for heart and blood vessel disease, such as high fat levels in the blood, low "good" cholesterol, high blood pressure, insulin resistance and a large waistline -- commonly referred to as "metabolic syndrome."

By comparison, only a little more than one third of normal-weight individuals did.

Whether or not a person was obese had little impact, though, on his or her risk of heart failure, in which the heart muscle weakens and cannot supply enough oxygen-rich blood to the body. The most common cause of heart failure is clogged vessels supplying inadequate blood to the heart.

But metabolic syndrome made a big difference in who experienced heart failure, even after accounting for smoking, physical activity and other factors tied to heart disease.

For instance, 63 percent of normal-weight people with metabolic syndrome developed heart failure, compared with 16 percent of those without the syndrome.

As it turned out, Voulgari said, heavy people actually had fewer cases of heart failure than their normal-weight and overweight peers.

Among obese participants with metabolic syndrome, 54 percent developed the problem, whereas only nine percent of those without metabolic syndrome did.

Voulgari said her study didn't mean people without metabolic syndrome should eat fast food without worrying about the consequences -- instead, everybody should aim for a healthier lifestyle.

"We should try to focus more on exercise, follow the 10,000-steps-daily rule, follow a healthier lifestyle and not smoke to say in shape," she said.

Eating a Mediterranean diet, which has been tied to heart benefits, is also a good idea. The diet includes olive oil and plenty of fruits and vegetables, legumes, whole grains, fish and moderate amounts of red wine.

Sep 13
Putting baby in daycare raises risk of heart disease
Working moms, please note -- putting babies in daycare could raise their risk of developing heart disease later in life as it sends stress levels soaring, a leading psychologist has claimed.

According to Dr Aric Sigman, a fellow of the Royal Society of Medicine, spending long periods being cared for by strangers in the first years of life can send levels of stress hormones soaring.

This could raise the odds of a host of problems, from coughs and colds in the short-term, to heart disease in the years to come; children deprived of their mother's attention during the vital years in which the brain blossoms may also find it harder to form relationships as adults, he said.

"The uncomfortable question remains: which is better for a young child during weekdays -- the biological mother or a paid career at an institution?" Sigman said.

In his article for 'The Biologist' journal, Dr Sigman has cited studies which show higher levels of the stress hormone cortisol in children who go to daycare. The increase appears only up until the age of three or so, but he says it is still important, as the brain develops rapidly during these years.

High levels of cortisol are linked to lower resistance to infection in the short-term and heart disease in long-term.

Dr Sigman added: "The effects of daycare on the child continues to be discussed through the prism of adult sexual politics and women's rights.

"This has been a significant impediment, involving a serious conflict of interest: Women's rights and self-fulfilment are not the same issue as a child's well-being and may often compete for precedence."

Sep 13
High blood pressure genetic clues
More than 20 new sections of genetic code have been linked to blood pressure by an international team of scientists.

Almost everyone will carry at least one of the genetic variants, according to studies published in Nature and Nature Genetics.

Researchers believe their findings could be used to develop new treatments.

The British Heart Foundation said lifestyle was still key to a healthy blood pressure.

High blood pressure - or hypertension - can run in families as well as being influenced by obesity, exercise and the amount of salt in the diet.

While the lifestyle risks are well known, the genetic element of hypertension has been poorly understood.

Researchers now say they have made a "major advance" in understanding the role of genes.

In the first study, scientists from 24 countries around the world analysed data from more than 200,000 people.

They identified 16 new points on the genome which were linked to blood pressure.

One of the lead researchers, Prof Mark Caulfield, from Barts and The London Medical School, said each genetic variant was in at least 5% of people, while some were much more common.

"This is having an influence across the population," he said.

Uncovering the genetic basis of blood pressure has revealed processes in the body which could one day be targeted with drugs.

One series of chemical reactions involving nitric oxide, which opens up blood vessels, has been highlighted as a potential target.

Gene puzzle

Prof Caulfield said: "There is substantial potential for moving the findings from the lab to the clinic.

"There are, in development or in existence, drugs which could be considered."

However, researchers say they have still uncovered only 1% of the genetic contribution to blood pressure.

A second study, presented in Nature Genetics, identified a further six new stretches of genetic code.

The British Heart Foundation's medical director, Prof Peter Weissberg, said: "Researchers from across the world have now identified some of the genes linked to blood pressure control, which could pave the way for new treatments in the future.

"But your genes are only one piece of the puzzle. You are less likely to have high blood pressure if you stick to a healthy diet, do plenty of exercise, and maintain a healthy weight."

Sep 13
BMC blinks after 4 days, doctors call off strike
Citizens will now think twice before assaulting doctors in public hospitals.

After incidents of relatives of patients beating up doctors, public hospitals will now be equipped with LCD screens along with Closed-Circuit Television (CCTVs) cameras to monitor and prevent untoward incidents.

This was one of several demands of the Maharashtra Association of Resident Doctors (MARD) accepted by the Brihanmumbai Municipal Corporation (BMC) and Directorate of Medicinal Education and Research (DMER).

The doctors called off their 86-hour strike after the BMC agreed to their demands of forming a committee to review security in hospitals, submit a report in 15 days and inclusion of resident doctors in the panel that will review the status of emergency medicines and instruments in hospitals every week.

"The authorities have agreed to install TV/ LCD screens along with CCTV cameras on the hospital premises," said Dr Pankaj Nalawade, president, central MARD.

The number of CCTV cameras on the hospital premises will also be increased and this will be done after a security committee review in the next seven days."Our demand for a police chowky on the hospital premises has been accepted. The DMER is going to send a proposal to the state home ministry requesting a police chowky with two armed policemen on the hospital premises," added Dr Nalawade.

The college hospitals such as KEM and Nair will have doctors in the security committee to review security issues in seven days. The authorities agreed to have resident doctors in the committee that will review the quota of emergency medicines and equipment in the hospital.

"We have sprung into action and deployed additional security and purchased the required equipment. We need an approval from the standing committee and we have put a proposal," said Dr Sanjay Oak, public health director and dean of KEM hospital.

Sep 08
Many survive the blast but battle for a life with scars
Mridul Bakshi's family spent hours running from one hospital to the other but were unable to find him. "We have gone through all the lists and have checked each ward and mortuary but there is no information on him," said Kajal, his sister. After about four hours, the family received a call that gave them a breather, albeit a small one.

Bakshi had been seen on TV being carried into an ambulance. " At least he is not dead. Now we have to locate where he is," said Kajal.

However, the spate of bad news was not to end. Bakshi's brain had been embedded with shrapnel and he had fractured both legs and arms. "While we were looking for him, he had been in the operation theatre at RML. They initially operated on his stomach. At night they took him for brain surgery. His condition is highly critical," said Kajal.

Twenty-seven-year-old Deepak Kumar's family doesn't know whether he will be able to walk again without any support. Kumar, a court clerk, was waiting for one of his lawyer's client to get his gate pass made on Wednesday morning. His left leg had multiple factures coupled with serious splinter injuries and the right leg too was fractured. He was shifted from Ram Manohar Lohia Hospital to the AIIMS Trauma Centre for surgery. Doctors say he has to undergo three to four surgeries to fix the multiple fractures in the left leg. "The doctors are not sure whether he will be able to walk or not. He has to undergo three more surgeries and only then can doctors say whether he can walk or not,'' said Virender Sinha, advocate.

"The femur and other bones are completely shattered due to the splinters. It will take a lot of time for him to recover. We have just cleaned the dead tissues and fixed the bones temporarily. We are hopeful that he will be able to walk again. We have got two patients, both with lower limb injuries,'' said Dr MC Misra, chief, AIIMS Trauma Centre.

Like Deepak, most victims have suffered serious lower limb injuries. According to sources at RML, close to 20
surgeries, including one amputation, were performed on Wednesday of which a majority of them were for lower
limb injuries.

Sanjay Kumar had to carry his brother, Harish, to the PCR van as both his legs were fractured in the blast. "They are putting rods in his legs as nothing remains of his bones. We have no idea whether he will be able to walk again," said Kumar.

Since the explosive was kept in a suitcase, probably placed on the ground, most people sustained injuries in the lower part of their bodies. Several victims ended up with fractures limbs and most had several shrapnel injuries. In some cases people, including those who were on the road when the explosion occurred, complained of hearing loss.

Tarsem Singh, who arrived at the court about 10 minutes before his employers to get them passes, ended up withy injuries in his chest. His condition was so bad that he had to be placed in the intensive care unit at RML Hospital and doctors were fighting hard to control his bleeding. "He is still critical. The doctors extracted iron nails from his leg and had to insret a rod in his arm. All his fingers were smashed and we have no idea whether he will recover," said Balvinder Kaur, his sister-in-law. Another blast victim, Nitin, too is said to be critical. Nitin has suffered serious injuries on the back and legs. Post-surgery doctors say that his condition is critical as there is internal bleeding.

Tarun Kumar, who was at the court with six other friends, was the unluckiest of the lot. While the rest managed to escape with minor injuries, mostly shrapnel wounds, Tarun's thigh was smashed with a solid metallic rod that pierced right through. "It is like a gaping hole in his thigh. The doctors are trying to remove the rod and operation is on," said Anuradha Singh, a colleague, at night.

Sep 08
Day after: Death toll rises to 12 in Delhi blast, hunt on for culprits
One more person succumbed to injuries today taking the death toll to 12 in the deadly Delhi high court suitcase bomb blast, in which over 75 people were injured. Police had got vital clues about the person who had sent an email claiming responsibility for the Delhi High Court blast after raids on a cyber cafe in Kishtwar in the state, officials said Thursday.

On questioning owners of the Global Internet Cafe in Kishtwar, about 230 km from here, investigators garnered some information about how the man looked.

"We have got some details about the physical features of the person. Police parties have been deputed to trace him," a senior police officer working on the investigations said.

No formal arrest had been made so far, he said.

The owners, Khajwa Mehmood Aziz and his brother Khalid Aziz, were being questioned and police were scanning the records of the cyber cafe and the people who visited it Wednesday.

Jammu and Kashmir Police had conducted raids after it became known that the email, purportedly by Harkat-ul Jehadi Islami, had been sent from a cyber cafe in Kishtwar.

The National Investigation Agency zeroed in on Global Internet Cafe at Malik Market in Kishtwar as the place from where the email was sent.

The Pakistan-based HuJI had sent the email to two television channels demanding that the hanging of 2001 parliament attack convict Afzal Guru be immediately repealed.

The records of mails and details of all those who sent it are being scanned, they added.

Twelve people were killed and 91 injured when a powerful bomb concealed in a briefcase exploded at a gate of the high court in New Delhi Wednesday morning.

A bomb went off at the busy Gate No. 5 of the Delhi high court. It killed 11 people and left 76 others injured. The bomb went off barely 300 metres away from the spot where a minor explosion had taken place on May 25, which was also a Wednesday.

Police officials now say it could have been a test run for this blast.

The blast was claimed by Harkat-ul Jihad Islami (HuJI) in an emailed statement which demanded that Parliament attack accused Afzal Guru be reprieved ffrom hanging or face attacks on other high courts and Supreme Court.

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