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Nov 27
Your organ donation will save many lives
Human organ donation, which was legalised in India way back in 1994, is an endeavour that not only saves precious lives, but also creates goodwill in society.

Did you know that a brain-dead person, by means of a multi-organ donation, can save as many as 12 lives?

Various organs of the human body, including the kidneys, lungs, heart, heart valves, blood vessels, middle ear, liver, pancreas, skin, eyes and bone marrow, can be used to save precious lives - provided the relatives of the patient consider organ donation seriously and make it happen.

Unfortunately, 16 years after the country passed the Transplantation of Human Organs Act 1994, only kidney donations by live donors are in vogue - cadaver donations have still not picked up.

At present, out of the 1,50,000 patients requiring kidney transplants across India every year, only 200 get kidneys by way of donations from the deceased.

"To bridge this gap, the states of Tamil Nadu, Gujarat, Maharashtra and Karnataka have started various awareness drives to promote cadaveric donation. And due to their efforts, the country has seen a small leap from 0.08 per million in 2008 to 0.1 in 2010 - which is promising," says Sunil Shroff, managing trustee of the support group Multi Organ Harvesting Aid Network (MOHAN) Foundation in Chennai.

Shroff estimates the total number of kidney transplants done in the country annually to be in the range of 6,000. "If the cadaveric donation rate is pushed to 1 per million, we can get 1,100 donors and 2,200 kidneys for transplants," he added.

About 1,40,000 road accident deaths occur annually in India, of which, 67 percent are due to severe head injuries, says Shroff.

"However, not even 1% of potential organ donors are tapped for cadaveric multi-organ donations," said Lalitha Raghuram, country director for MOHAN Foundation.

"On the other hand, in most developed countries, the cadaveric conversion is approximately 25% to 30%. This results in 90% of all organs for transplants coming from brain-dead donors," he said, adding that successfully undertaking such a donation process requires organising brain death certification and consent from relatives, followed by procurement of different organs and transplant by different teams of surgeons within a critical time limit.

Due to lack of a regional or national registry in place with accurate statistics on requirement of organs waiting to be transplanted or donated for transplantation, the medical fraternity has to rely on guesstimates. And the recent estimates portray an alarming rise in requirement for organ transplants in India.

According to the estimated statistics, every three minutes, a patient is added to the list of people requiring a transplant in the country.

"And to meet this rising demand, raising awareness regarding cadaveric organ donation is the only option," said Dr HL Trivedi from the city's Institute of Kidney Diseases and Research Centre, which is actively involved in promoting this cause.

Nov 27
Diabetes drug 'may treat Alzheimer's'
A new study by scientists from Berlin, Bonn and Dundee has shown that the diabetes drug Metformin has an effect against one of the main causes of the Alzheimer's disease.

Metformin, a drug used in type 2-diabetes, might have the potential to also act against Alzheimer's disease. This has been shown in a study from scientists of the German Center for Neurodegenerative Diseases (DZNE), the University of Dundee and the Max-Planck-Institute for Molecular Genetics.

The researchers have found that the diabetes drug metformin counteracts alterations of the cell structure protein Tau in mice nerve cells. These alterations are a main cause of the Alzheimer's disease
. Moreover, they uncovered the molecular mechanism of metformin in this process.

"If we can confirm that metformin shows also an effect in humans, it is certainly a good candidate for an effective therapy on Alzheimer's diseases," says Sybille Kraua from DZNE.

Neurons in their brains die, leading to cognitive impairment. At the molecular level, the disease is characterized amongst others by the formation of Tau protein deposits in nerve cells. Tau is a molecule that usually binds to the supportive cytoskeleton and performs a function in the transport system of the cell. In Alzheimer's disease, Tau is tipped too strongly with phosphate groups. This phosphorylation causes removal of Tau from the cytoskeleton and aggregation.

To counteract this problem, researchers aimed at regulating the protein PP2A. This protein is normally responsible for removing phosphate groups from Tau protein. In Alzheimer's disease, PP2A is not active enough - leading to an increased phosphorylation and deposition of Tau. The scientists around Sybille Kraua and Susann Schweiger (University of Dundee) therefore looked for a drug that increases the activity of PP2A.

In cell culture experiments with mouse nerve cells, the researchers showed that metformin directly protects PP2A against degradation by preventing the binding to special degradation proteins. This mechanism of metformin has been unknown so far. In addition, an increase in PP2A activity leads to a reduction in Tau phosphorylation. In a next step, the scientists added metformin to drinking water of healthy mice. This also led to a reduction of Tau-phoshorylation in brain cells.

The results have been published in the scientific journal PNAS.(ANI)

Nov 25
No Link Between Heartburn Drugs and Birth Defects: Study
Babies born to women who took a popular class of heartburn drugs while they were pregnant did not appear to have any heightened risk of birth defects, a large Danish study finds.

This class of drugs, known as proton-pump inhibitors (PPIs), include blockbusters such as Prilosec (omeprazole), Prevacid (lansoprazole) and Nexium (esomeprazole). All were available by prescription-only during most of the study period (1996-2008), but Prilosec and Prevacid are now sold over-the-counter.

While the authors and an editorialist, publishing in the Nov. 25 issue of the New England Journal of Medicine, called the results "reassuring," experts still recommend using drugs as little as possible during pregnancy.

"In general, these are probably safe but it takes a lot of time and a lot of exposures before you see some of the abnormalities that might exist," explained Dr. Eva Pressman, professor of obstetrics and gynecology and director of maternal-fetal medicine at the University of Rochester Medical Center. "My recommendations are always to avoid medication exposure if at all possible. There are very few life-threatening disorders that require these PPIs," she noted.

"There are other ways to get the same effect," added Pressman, who was not involved in the study. "Most pregnant women have heartburn but most of it is relatively easy to treat with simple antacids such as Tums and Maalox and Mylanta, all of which are locally acting and absorbed, and don't pose any risk to the fetus."

Even propping yourself up so you're in a semi-vertical position, as opposed to lying flat, can help, said Dr. Michael Katz, senior vice president for research and global programs at the March of Dimes.

The research was funded by the Danish Medical Research Council and the Lundbeck Foundation.

The authors of the new study used linked databases to glean information on almost 841,000 babies born in Denmark from 1996 through 2008, as well as on the babies' mothers' use of PPIs during pregnancy.

PPI use by expectant women was the highest between 2005 and 2008, when about 2 percent of fetuses were exposed, but exposure during the critical first trimester was less than 1 percent.

Babies were followed until they were one year old.

The proportion of babies with birth defects hovered at about 3 percent in both groups -- 3.4 percent of those who had been exposed to a PPI in utero, and 2.6 percent for unexposed babies.

In an unexpected finding, there was a 39 percent increased risk of major birth defects among children whose mothers had taken PPIs in the month before conception, a finding the authors are attributing to either chance or to another factor, perhaps the reason the mother was taking the medication in the first place. This could have been infection with Helicobacter pylori, the bacteria that causes most ulcers.

In addition to Prilosec, Prevacid and Nexium, the authors also looked at Aciphex (rabeprazole) and Protonix (pantoprazole).

Prilosec was the only drug not associated with an increase in birth defects when taken during the month before conception, leading the editorial author to suggest this drug as a first line of treatment.

A related journal editorial, written by Dr. Allen A. Mitchell, director of the Slone Epidemiology Center at Boston University School of Medicine, also noted some caveats. These included the fact that even this big of a sample may not have been large enough to detect specific birth defects (such as heart defects) or to ascertain the effect of specific drugs within the class. Nor can the influence of other factors be ruled out, Mitchell wrote. Perhaps folic-acid supplementation during pregnancy is hiding the true effects of the PPIs, Mitchell said.

The bottom line, according to the experts, is that it's still not clear whether these drugs are safe or not for pregnant women.

"Having negative observations is never absolutely reassuring," Katz said. "All you can say is that within that range [in this case, 800,000 infants], the probability is that it is safe," he explained.

"The balance in pragmatic terms is how important is it to treat the symptoms that any drug is designed to treat versus the safety of pregnancy," he added. "That's a very difficult decision to make."

Nov 25
Soon, a pill to wipe out painful memories!
Often there are moments that we wish to forget because they cause us so much pain like the death of a loved one or a childhood trauma - now it might be possible to do so just by popping a pill.

US researchers have discovered that proteins can be removed from the brain's fear centre to wipe out traumatic memories.

Their findings could be of benefit to soldiers who have experienced distressing events and victims of violence, or even help couples get over the hurt of painful break-ups.

Break upProfessor Richard Huganir and his colleagues discovered a 'window of vulnerability' when unique receptor proteins are created in the brain as painful memories are made. Because the proteins are unstable, they could be removed with drugs to eliminate the memory forever.

"When a traumatic event occurs, it creates a fearful memory that can last a lifetime and have a debilitating effect on a person's life," the Daily Mail quoted him as saying.

He said his findings "raise the possibility of manipulating those mechanisms with drugs to enhance behavioural therapy for such conditions as post-traumatic stress disorder."

However, Kate Farinholt, of a mental health support group in Maryland, is not entirely convinced by the idea.

"Erasing a memory and then everything bad built on that is an amazing idea. But completely deleting a memory is a little scary. How do you remove a memory without removing a whole part of someone's life, and is it best to do that, considering that people grow and learn from their experiences?" she asked.

Paul Root Wolpe, of the Centre for Ethics, at Emory University in Atlanta, said, "Human identity is tied into memory. It creates our distinctive personalities. It's a troublesome idea to begin to be able to manipulate that, even if for the best of motives."

Nov 23
IANS Sickle cell patients number rising globally: Experts
The number of patients suffering from sickle cell anaemia - a form of blood disorder - are increasing across the world due to lack of awareness about it, experts at an international meet here on the disease said Monday.

Citing the lack of screening facilities in interior areas as well as less awareness about the disease, the experts suggested that a time-bound strategy be worked out to reach out to the rural patients so that they can't transmit the disease to the next generation.

They said thousands of people were succumbing to sickle cell anaemia annually in poor countries because most of the patients who live in illiteracy-hit pockets are not turning up at health centres for blood tests and thus end up passing on the disease to their children.

The six-day 4th International Sickle Cell Congress was inaugurated by former president A.P.J. Abdul Kalam in the presence of Chhattisgarh Chief Minister Raman Singh, Governor Shekhar Dutt and state Health Minister Amar Agrawal.

Over 250 experts from India and abroad are attending the convention is being organised by the Sickle Cell Disease International Organisation and the Chhattisgarh government.

Around 15-18 percent of the Chhattisgarh's 20.08 million population is affected by the disease. More than 50 percent of the affected children in the state die before the age of five.

Experts from Chhattisgarh confessed that though the disorder is prevalent in all the 18 districts of the state, it is alarming in 10 of them which have a high population of certain Other Backward Classes (OBC) communities and tribes. The main bottleneck to tackle the disease is that rural masses are not much aware about it, they admitted.

P.K. Patra, head of the state government's Centre for Genetic Diseases and Molecular Biology, said: 'The sickle cell disorder is an inherited genetic lifelong blood disorder characterised by red blood cells assuming an abnormal, rigid, sickle shape. Sickling decreases the cell's flexibility and results in a risk of serious complications.'

'Chhattisgarh should be considered a nucleus of the sickle cell disorder in India, though it is also prevalent in Maharashtra, Orissa, Jharkhand, Madhya Pradesh and parts of Andhra Pradesh,' he added.

Nov 23
Dental Implants That can Reduce Costs Developed
A group of Indian dentists have successfully created a new dental implant which could cut down the cost for dental treatment by more than 60 percent.

The titanium based implant was the product of a five year research funded by the Council of Scientific and Industrial Research and developed in collaboration with the Indian Institute of Technology, Delhi.

Lead researcher Professor Mahesh Varma revealed that the new implants not only replace a lost tooth, but also allow the users to chew with as much force as it could have been possible with natural teeth.

"The implants can not only replace missing teeth, they allow the individual to bite with a force equal to, if not more than, that possible with natural teeth. Toothless people no longer need to struggle with their complete dentures. Implant supported dentures address all the common complaints of instability and looseness", he said.

Currently the price for a dental implant is anywhere between Rs 25,000 to Rs 30,000 but the new dental implant could cut down the cost to as low as Rs 7,000. According to latest reports, more than 12 percent of the population over 60 years of age have no teeth with many unable to afford the expense of teeth replacement.

Nov 22
Eating a variety of fruit cuts lung cancer risk: study
Eating a variety of fruits and vegetables regularly could slash the risk of developing lung cancer by almost a quarter, a new study has claimed.

Experts often recommend to eat five portions of fruit and vegetables daily as a means to prevent cancer. Now, the new study carried out by researchers from 10 European nations showed that regular consumption of a variety of fruits and vegetables cuts the risk of lung cancer by up to 23 per cent.

"This research looks more deeply into the relationship between diet and lung cancer", said Maria Jose Sanchez Perez, director of the Granada Cancer Registry in Spain and co-author of the study.

"Aside from the amount consumed, it's also important to take into account the variety. A varied diet reduces the risk of developing this cancer, above all in smokers," she said.
The results of this study, published in the journal Cancer Epidemiology, Biomarkers & Prevention, showed that eating "more than eight sub-groups" of vegetables cuts this risk by 23 per cent compared with eating "less than four sub-groups".

In addition, this risk falls by a further four per cent for each unit added to the diet from another sub-group.

"A significant link was only found in smokers", the researcher stressed. "For every two additional units of different kinds of fruits and vegetables in the diet, the risk of lung cancer falls significantly by 3 per cent.

"So if smokers increase the variety of fruit they eat they could have a lower risk of developing this type of cancer".

The European Prospective Investigation into Cancer and Nutrition (EPIC) study involved 23 centres from 10 European countries and a sample of 500,000 European subjects.
Lung cancer continues to be one of the most common cancers in developed countries. For this reason, despite the encouraging results of this study, Sanchez Perez said "the most effective way of preventing it continues to be reducing the prevalence of tobacco consumption among the populace".

Greater variety in fruit and vegetable consumption is associated with a lower risk of developing epidermoid carcinoma of the lung, with an additional two units of fruit and vegetable consumption leading to a 9 per cent reduction in risk. This effect is clearer among smokers (where the risk falls by 12 per cent).

No significant association between fruit and vegetable consumption and the risk of developing lung cancer was seen for the other kinds of tissues affected (adenocarcinoma and small and large cell carcinoma).

Nov 22
Genetic infertility treated successfully at Mumbai hospital
A woman with a rare genetic disorder 'Robertsonian Translocation', resulting in infertility, has delivered a healthy baby girl at the Jaslok Hospital and Research Center.

"With this first Invitro fertilisation (IVF) using pre-implantation genetic diagnosis (PGD), India joins a handful of countries that have accomplished successful management of this disorder," Dr Firuza Parikh, Director, Assisted Reproduction and Genetics at Jaslok and former Professor at the Yale University School of Medicine, USA, said.

The baby girl was delivered yesterday at city's Jaslok hospital, Parikh said adding that this case report was published as a cover article in the peer reviewed 'Journal of Prenatal Diagnosis and Therapy' (January- June 2010).

Attributing the success to her team of 40 individuals particularly Dr Prochi Madon, Dr Arundhati Athalye, Mr Nandkishor Naik and Dattatray Naik, Parikh explained, "We are born with 46 chromosomes which occur in pairs. Each chromosome of a pair is a mirror image of the other. Although this harmony ismaintained in nature, an occasional slip results in a translocation."

"As the name suggests, a segment or an arm of one chromosome transports itself onto another chromosome and one such rearrangement is called a RobertsonianTranslocation after the American geneticist Dr W Robertson," she said.

"The rearrangement can occur in males and females who do not manifest any clinical symptoms. The problem manifests when the couple tries to conceive," Parikh said.

"An embryo derives half its chromosomes from the father and half from the mother. Hence if the chromosome with extra genetic material goes into the embryo, the amount of genetic material of that chromosome triples resulting in miscarriage or mental retardation," the In-vitro fertilization (IVF) expert said.

The embryos were screened using Pre-implantation Genetic Diagnosis (PGD).

Eleven years ago, Parikh and Madon established PGD for genetic disorders for the first time in India at the Jaslok Hospital and Research Centre.

Parikh who led this procedure, said, "PGD requires years of perfection, team work and a thorough knowledge of reproductive biology and genetics. The couple first undergoes IMSI (intracytoplasmic morphologically selected sperm injection).

In this procedure the egg and the sperm are magnified 7000 times. With the help of a sharp pipette a single sperm is injected into the egg and the resulting embryo is ready for PGD when it reaches the eight cell stage."

"A laser beam swiftly cuts open the shell of the embryo, a fine glass pipette is advanced towards one of the cells of the embryo. Using gentle suction, a single cell is aspirated. This cell is then processed by the genetics team," Parikh said.

Madon, chief geneticist added, "The cell is put through an overnight procedure called Fluorescence In Situ Hybridisation (FISH), a procedure to zip open the DNA strands and attach coloured probes, to identify the chromosomes of interest."

In this particular couple, the wife had a translocation between chromosomes 13 and 14. Two embryos underwent the procedure of PGD. This embryo was transferred into the mother's womb, resulting in the birth of a healthy baby girl.

"PGD is an effective form of treatment for couples at a risk for Down Syndrome and other chromosomal abnormalities, for women approaching 40, those with repeated failed attempts at IVF/ICSI (Intracytoplasmic sperm injection), those women showing poor quality embryos and for severe male factor infertility. It is also helpful in some rare genetic diseases like haemophilia," Parikh said.

"We are now in the process of setting up a facility for PGD to detect embryos at a risk of Thalassemia. We have also started offering this procedure routinely to couples undergoing IVF/ICSI in order to select normal embryos so that less number of embryos are transferred," she said.

This will increase the chances of a normal pregnancy and decrease the chances of a miscarriage. This technique is called pre-implantation genetic screening (PGS), Parikh added.

Nov 20
Superbug spreading in Europe: health expert
A recently emerged superbug is spreading in Europe and prudent use of antibiotics can be the key to effective prevention, a senior health expert said Thursday.

According to the European Center for Disease Prevention and Control (ECDC), the European Union's medical watchdog based in Stockholm, a total of 77 cases of what is known as NDM-1 have been detected in 13 European countries since 2008, Dr. Dominique Monnet, an ECDC program coordinator, told Xinhua in a telephone interview.

Among the reported cases, Britain accounted for 51, or 66 percent, and Klebsiella pneumoniae, a bacterium that can cause pneumonia, was the most frequently reported bacterium harboring NDM-1, Monnet said.

NDM-1 cases have also been found Australia, Canada, Singapore, the United States and a number of other countries and regions. A majority of the cases had a history of recent travel and hospital admission on the Indian subcontinent.

NDM-1, or New Delhi metallo-beta-lactamase, refers to an enzyme that renders bacteria resistant to almost all known antibiotics. As its name suggests, it originated from the Indian capital of New Delhi.

ECDC statistics showed that 31 of the infected had previously traveled or been admitted to a hospital in India or Pakistan, and five had been hospitalized in the Balkan region.

The gloomy picture "is very serious because the NDM-1 bacteria and some other types like them are resistant to even the most powerful class of antibiotics known as carbapenems," Monnet said. "The options for treatment is very limited."

While there is almost no way to treat these cases, he said, there are ways to prevent it from spreading, such as improving the hygiene situation in hospitals and health care places and promoting public awareness.

"One should use antibiotics only when it is necessary," Monnet said, noting that bacteria began to have resistant effects since the first type of antibiotics, or penicillin, was introduced.

Nov 20
Pomegranate juice could help kidney patients
There may be a seed of truth amidst the many health claims for pomegranate juice, researchers from Israel said Thursday, at least for kidney patients on dialysis.

They found that such patients who gulped a few cups of the tart liquid every week lowered their chances of infections, the second-leading killer of the more than 350,000 Americans on dialysis.

The findings were presented at the American Society of Nephrology's meeting in Denver -- aka Renal Week -- and have not yet been vetted by independent experts.

"It's a very intriguing study," said Dr. Frank Brosius, who heads the nephrology division at the University of Michigan Health System and was not involved in the research.

"I certainly don't know of anything else that would have such a profound effect," he told Reuters Health, cautioning at the same time that the study needed to be replicated by other centers.

The results come in the wake of a U.S. crackdown on allegedly false advertising by POM Wonderful, which claims its pomegranate products can help everything from heart disease to prostate cancer and erectile dysfunction.

The Israeli researchers, led by Dr. Batya Kristal of Western Galilee Hospital in Nahariya, did not use POM juice, but a brand sold by Naturafood.

In lab tests, Kristal told Reuters Health, that brand ranked highest in polyphenol antioxidants, which can reduce cell damage caused by so-called free radicals.

Antioxidants are found in different levels in fruits and vegetables, such as blueberries or broccoli.

"Pomegranate juice was shown in the last three years to contain the highest levels of polyphenols among a variety of products," Kristal said. "Much higher than red wine, for instance."

The researchers figured an antioxidant-rich diet might help patients with kidney failure, because the level of free radicals in their blood increases as the blood circulates through the dialysis device. That, in turn, may rev up inflammation in their tissues.

In the study, funded by the Israeli Ministry of Health, 101 patients were randomly assigned to either a concoction without pomegranate juice, or the real thing.

After downing about half a cup three times a week over a year, those who drank the real thing had a reduction of inflammatory molecules in their blood.

They also made fewer trips to the hospital.

"We found significant reductions in hospitalization due to infections, with more than 40 percent reduction in the first hospitalization and 80 percent in the second," said Kristal.

However, the researchers were only able to rule out chance as the cause of the reduction in the second visit to the hospital.

According to the findings, among 50 patients drinking pomegranate juice for a year, about two would have to go to the hospital at least twice. By comparison, that number would be nearly 11 in patients not drinking the juice.

The researchers say they don't know if their results extend to other brands as well, and suggest squeezing your own juice. A 16-oz bottle of POM Wonderful sells for about $4.

She said her team had found no side effects, but added that kidney patients should be aware of the high potassium content in the juice, given the delicate balance of nutrients in their blood, and talk to their doctor if they consider drinking it.

Brosius was skeptical of the benefits, although he said the juice was unlikely to cause harm.

"I would prefer to see this validated at other centers before we come out and say this is the thing to do," he said. Even if the findings hold up, he said, it is still unclear what accounts for them. "Who the heck knows what the active ingredients are?"

Marion Nestle, a nutrition expert at New York University, said the effects might not be unique to pomegranate juice.

"This study does not demonstrate anything special about pomegranate juice," she told Reuters Health in an e-mail. "The effects of juice were compared to a placebo, not to any other kind of juice that might have exactly the same effect."

"The pomegranate people are spending millions to prove what I could have told them in the first place," she added. "Pomegranate juices -- like most if not all fruit and vegetable juices -- have antioxidant activity. Does this make pomegranates better than any other fruit? Investigators have yet to show this."

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