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Jan 09
India's swine flu toll touches 1,046
Nine swine flu deaths were reported Friday, taking the toll to 1,046, Indian health authorities said here.

Also, 88 new cases were recorded, taking the total number of people affected with the contagious virus to 27,610.

While four deaths were recorded in Karnataka, where the number of casualties have touched 137, two deaths each were reported from Gujarat and Rajasthan. In Gujarat, the toll has jumped to 144, while in Rajasthan it is 158.

One death was also reported from Himachal Pradesh where eight people have succumbed to the deadly virus so far.

India reported its first swine flu death Aug 3 from Maharashtra's Pune town. The state has so far reported 284 deaths - the highest in the country.

In the national capital, 23 new cases were reported, taking the total in the city to 9,533.

'There were 23 new cases of Influenza A(H1N1) yesterday (Friday), of which three were children. This makes the total number of swine flu cases in Delhi touch 9,533,' Anjana Prakash, assistant nodal officer for swine flu cases in the capital, told IANS.

While there were no new deaths recorded Friday, there have been 83 deaths because of swine flu in the capital so far.

'Till date, samples from 116,498 people have been tested for Influenza A (H1N1) in government laboratories and a few private laboratories across the country and 27,610 of them have been found positive,' said an official statement issued here.

New cases were also reported from Maharashtra (20), Gujarat (23), Haryana (4), Uttar Pradesh (8) Rajasthan (5) and Assam (1).

Jan 08
Migraine linked to childhood abuse
A new study by the American Headache Society's Women's Issues Section Research Consortium strongly suggests that migraine is linked to childhood abuse.

Researchers found that migraineurs who had been physically or emotionally abused as children and/or had suffered neglect had noticeably higher number of comorbid pain conditions compared to those who had not been abused.

Gretchen E. Tietjen from the University of Toledo Medical Center and his team examined 1348 headache clinic patients with physician-diagnosed migraine to come up with their findings.

Sixty one percent participants at least one comorbid pain condition and 58percent said they had a history of abuse or trauma.

It was seen that the number of maltreatment types suffered in childhood were related to the number of comorbid pain in adulthood.

Dr. Tietjen said: "Our study found that while childhood maltreatment is associated with depression, the child abuse-adult pain relationship is not fully mediated by depression."

He added: "Since migraine onset preceded onset of the comorbid pain conditions in our population, treatment strategies such as cognitive behavioral therapy may be particularly well suited in these cases."

The study has been published in the January issue of Headache: The Journal of Head and Face Pain.

Jan 07
Cancer blueprint shows DNA faults
A DNA blueprint of kidney cancer has revealed previously unknown faults in the genetic code that may contribute to the disease.

Scientists screened DNA containing more than 3,500 genes from around 100 samples of the most common type of kidney cancer. In more than half the samples, mutations were found in a gene called VHL already known to be linked to clear cell renal carcinoma (ccRCC).

But the researchers also found new evidence of cancer mutations in other genes, three of which were involved in modifying proteins called histones that play a role in gene regulation.

Professor Mike Stratton, from the Wellcome Trust Sanger Institute in Hinxton, Cambridgeshire, where the research was carried out, said: "This extensive mutational screen of clear cell renal cancer has uncovered abnormalities in genes that encode the machinery which determines the structure of chromatin - the three-dimensional environment of proteins that hold DNA.

"This machinery is critical to the fine regulation of transcription of genes into RNA and therefore to the functioning of all cells. We have now shown that several components of the machinery are mutated in cancer and the consequent abnormalities in their function contribute to the development of the disease."

The researchers also found recurrent mutations in the NF2 gene, which codes for an anti-cancer protein.

Unmasking the genetic links to ccRCC will ultimately help in the diagnosis and treatment of the disease, say the scientists, whose work was published in the journal Nature.

Each year renal cell carcinoma accounts for about 209,000 new cases of cancer worldwide and causes 102,000 deaths.

Dr Elizabeth Rapley, from the Institute of Cancer Research, based in London and Sutton, Surrey, said: "This study highlights how systematic studies of cancer genomes can successfully identify new genes that drive cancers and provide valuable insights into the role of genetic subtypes in clinical behaviour.

Jan 07
Possible key to fight obesity
Shutting down an energy-controlling mechanism in mice left them leaner than normal mice and could be a new way to fight obesity in humans, US researchers said in a study published on Tuesday.

And the finding is big news in the United States, where around a third of the adult population is considered obese, meaning they have a body mass index (BMI) greater than 30, according to the American Obesity Association. BMI is calculated by dividing a person's body weight in kilogrammes by their height in meters squared.

The researchers found that by switching off potassium channels which are sensitive to adenosine triphosphate (ATP) - a molecule in cells that stores the energy we need to do just about everything - made mice burn more energy and left them leaner than normal mice. The effect was evident even when the mice were fed high-fat 'Western' diets and was long-lasting, too, with the mice remaining slim throughout their lives, scientists from the Mayo Clinic, University of Iowa, University of Connecticut and New York University reported in the journal Cell Metabolism.

The channels - called KATP - sense pools of ATP molecules in cells and regulate heart and muscle performance according to what they find. Usually the KATP channels would spring into action to limit the duration or amplitude of heart and muscle actions, to prevent energy depletion.

By shutting off the mechanism in mice, the researchers got them to burn more stored energy by giving off more heat, both at rest or when active.

One finding was that mice in whom the KATP channel had been switched off burned more glycogen - the form in which carbohydrates are stored in the body and the primary source of energy for endurance athletes - and stored body fat than ordinary mice. That means that achieving greater leanness by deactivating KATP channels comes at the cost of reduced endurance. -- AFP

Jan 06
Later-to-bed teens risk sadness, suicidal thoughts
Adolescents whose parents enforced bedtimes of 10 p.m. or earlier were significantly less likely to be depressed and to have suicidal thoughts than their peers whose parents allowed them to go to bed at midnight or later, Dr. James E. Gangwisch of Columbia University Medical Center in New York City and his colleagues found.

"It's kind of a common idea that older adolescents don't need as much sleep as younger adolescents, but that's really not true--they still need about 9 hours of sleep at night," Gangwisch told Reuters Health.

Short sleep times and depression have been linked in both teens and adults, he and his colleagues note in their report, and this relationship could be "bidirectional"-meaning getting too little sleep boosts depression risk, while being depressed makes it harder to sleep.

Gangwisch and his colleagues looked at a nationally representative group of more than 15,000 seventh- through twelfth-graders surveyed in 1994-1996. Fifty-four percent of parents said their son or daughter had to go to bed at 10 p.m. or earlier on school nights. Another 21 percent said their child's bedtime was 11 p.m., while 25 percent allowed their children to go to bed at midnight or later.

More than two-thirds of the adolescents said they went to bed when they were supposed to.

Given that parents who were stricter about bedtime might have other qualities that could protect their child from depression, the researchers asked adolescent study participants how much their parents cared for them, and accounted for this in their analysis of the relationship between sleep duration and depression risk.

There was no link between whether a teen had a set bedtime and how much they felt their parents cared for them, but there was a strong relationship between bedtime and whether or not that teen felt he or she was getting enough sleep. And kids with bedtimes at midnight or later were 24 percent more likely to be depressed, and 20 percent more likely to have suicidal thoughts than teens who had to hit the hay at 10 p.m. or earlier.

Kids who got five hours of sleep nightly or less were 71 more likely to be depressed, and 48 percent more likely to have suicidal thoughts, than their peers who got at least eight hours of sleep a night.

And study participants who said they felt they usually got enough sleep were 65 percent less likely to be depressed and 29 percent likely to have suicidal thoughts than those who didn't feel they were sleeping enough.

"Getting adequate sleep is really important for our mental health as well as being able to focus and have the necessary energy and motivation to do the things we need to do during the day," Gangwisch noted.

Getting adolescents to go to bed at a reasonable hour is no easy task, he added, especially given the temptation to text and surf the Internet into the wee hours of the morning. "It's a tall order, especially with adolescents, they kind of have a mind of their own, and they should."

Nevertheless, he added, just asking a teen to give going to bed early try for a few days may convince them, once they see how much better they feel after getting enough sleep.

Jan 05
Leukaemia vaccine being developed
British researchers have developed a treatment that can be used to stop the disease returning after chemotherapy or bone marrow transplant.

Eventually it is hoped the drug, which activates the body's own immune system against the leukaemia, could be used to treat other types of cancers.

The first patients will be treated in the New Year as part of a small clinical trial at King's College London.

The patients in the trial have the form known as Acute myeloid leukaemia (AML), the most common form in adults. Even with aggressive treatment half would usually find the disease returns.

The idea behind cancer 'vaccines" is not necessarily to prevent the disease. Instead, once a patient has been diagnosed, the 'vaccine' programmes the immune system to hunt down cancer cells and destroy them.

The vaccine then prompts the immune system to recognise leukaemia cells if they return which prevents a relapse of the disease.

The vaccine is created by removing cells from the patient's blood and manipulating them in the laboratory.

The cells are given two genes which act as flags to help identify the leukaemia. It effectively focuses and boosts the immune system's ability to seek out and destroy cancer cells.

The research is due to be published in the Journal of Cancer Immunology, Immunotherapy shortly.

Leukaemia is a cancer of the white blood cells and bone marrow and affects around 7,200 patients a year. Around 4,300 die from the disease annually.

Treatment comes in two stages - chemotherapy to rid the body of the disease, then to prevent it returning either further chemotherapy or a bone marrow transplant.

Latest survival rates show that more than half the people with leukaemia die within five years of diagnosis.

The study led by Professors Ghulam Mufti and Farzin Farzaneh and Dr Nicola Hardwick at University College London, has involved intricate work to develop a man-made virus, similar to HIV, which carries the two genes into the immune system.

Prof Farzaneh, Professor of Molecular Medicine at King's College London, said if the trials are successful then it could "rolled out" to treat other leukaemias and cancers.

"It is the same concept as normal vaccines. The immune system is made to see something as foreign and can then destroy it itself. This has the chance to be curative."

The work, which has taken 20 years to develop, has more recently been funded by the Department of Health and various charities including the Leukaemia Research Fund (LRF) and the Elimination of Leukaemia Fund (ELF).

In the initial stages patients will be enrolled in the trial if they have had chemotherapy and a bone marrow transplant.

If early trials are successful the vaccine may be tested in patients who cannot have a bone marrow transplant because they are unsuitable or a match cannot be found.

Dr David Grant, scientific director of the charity Leukaemia Research, said: "Vaccines against cancer are becoming a very interesting area of research and can offer a very beneficial alternative to punishing chemotherapy.

"However it is very early days and we need to see the results of these trials before we know if this potential is going too be realised."

Jan 04
Indian-made vaccine for swine flu
MADURAI: Indigenous vaccine for swine flu will be available by March along with testing kits at just 25 per cent of the cost of its foreign counterpart, according to Dr V M Katoch, secretary, Department of Health Research and Director General of Indian Council of Medical Research.

He said that five Indian companies were working on it and had made good progress.

Opining that H1N1 would be wiped out in the country within a year as humans would develop immunity in due course, he said a national- level network among universities would be created to assist National Centre for Disease Control (NCDC) and the National Institute of Virology (NIV) in tackling such epidemics in future.

When asked about the progress on genetically modified mosquito that are resistant to malaria, Katoch said a policy decision was yet to be taken on the issue, as it requires detailed assessment of its likely impact.

A better way is to keep surroundings clean and avoid mosquito breeding, he said.

Jan 04
How medicines affect pregnancy
For the first time a study has been launched that will gauge how exactly common medications affect pregnancy.

The FDA and a consortium of HMOs have launched a huge set of studies to find out how medications affect women during pregnancy.

"These data will guide regulatory policy and influence medical practice," Webmd quoted the FDA Commissioner Dr. Margaret Hamburg, as saying in a news release.

While many women do take some kind of medicine during pregnancy, but very few drugs are tested in pregnant women.

But now, the Medication Exposure in Pregnancy Risk Evaluation Program (MEPREP) has been launched.

The program is a collaboration between the FDA, Kaiser Permanente, Vanderbilt University (using Tennessee Medicaid data), and a consortium of HMOs called the HMO Research Network Center for Education and Research in Therapeutics (managed by Harvard University).

The study will analyze health care data on about 1 million U.S. births from 2001 to 2007.

The idea is to gather information on all medications prescribed for pregnant women and to look for health effects and birth outcomes.

"Results of these studies will provide valuable information for patients and physicians when making decisions about medication during pregnancy," said Dr. Gerald Dal Pan.

Until the data become available, women and their doctors will have to make their own decisions on whether a drug provides enough of a benefit to pregnant women to override concerns about possible risk.

Jan 02
Rapid H1N1 testing method developed
Scientists in the US have developed a rapid and automated swine flu testing method that will enable quick and effective diagnosis decisions.

Researchers from the Wisconsin Medical College and Children's Hospital have developed a rapid and automated system to differentiate strains of influenza, Journal of Molecular Diagnostics reported.

The method -- Real-Time Reverse Transcriptase Polymerase Chain Reaction (real-time RT-PCR) is a sensitive and specific method for identifying flu substrains; however, technician and assay time are significantly longer than less accurate rapid influenza diagnostic tests
.

The team led by Dr Kelly J Henrickson of the Medical College of Wisconsin said, the test which will detect influenza A, influenza B and respiratory syncytial virus (RSV) in no time, is needed in order to make quick and effective public health decisions in time of pandemic infection.

The test can successfully detect human H1N1, H3N2, and swine-origin H1N1 viruses as well as distinguish these from influenza B and RSV infections, Henrickson said.

He said, these assays could test large numbers of samples over a very short time, allowing for a significant decrease in both technician and assay time.

Jan 01
Stem cell therapy hold hope for blindness
Advances in stem cell treatment may make it possible to cure blindness. This was demonstrated when eight partially blind patients, who participated in the trial of a new treatment to restore vision at the North East England Stem Cell Institute (NESCI), Newcastle, reported radically improved vision among other benefits.

Among the patients was 38-year-old Russell Turnbull from Consett, Durham. He lost most of the vision in his right eye in 1994, when he had ammonia sprayed on his face even as he attempted to intervene in a quarrel on a bus. His cornea was burnt as a result of this leading to clouded sight, sensitivity to light and pain while blinking.

The chemical burn damaged Turnbull's limbal stem cells - a collection of special cells in the eye that are important to maintain the smooth, transparent outer surface of the cornea. As a result he suffered a limbal stem cell deficiency (LSCD), a condition that causes the retina to become cloudy and rough, causing pain and sensitivity to light.

Doctors used limbal stem cells from Turnbull's functioning eye to grow more of these in a laboratory. These cells were then spread over a human amniotic membrane, which is the tissue that generally supports fetuses while they are in the womb. The stem cell grafts were then used to replace the damaged corneal tissue, enabling Turnbull to get back his sight.

Turnbull who, apart from blindness, also complained of pain and constant watering, has now almost recovered normal vision with no pain, just about a year and a half after the treatment. He has started working again and has resumed jet skiing and riding, hobbies which he had had to give up after the accident.

The trial of the treatment procedure was carried out by Dr Francisco Figueiredo and Dr Sajjad Ahmad, of the Royal Victoria Infirmary. All eight patients, with blindness in one eye due to LSCD, reported improvement about 19 months after the treatment.

Currently the treatment procedure is only useful for patients with one undamaged eye, from which stem cells can be removed and grown, explained Dr Ahmad. However in the future it may even be possible to use cells from other parts of the body to grow limbal stem cells to treat patients with bilateral blindness, he hoped.

About eight million people worldwide are estimated to suffer from blindness induced by corneal cloudiness each year. A report on the new treatment has been published in the journal Stem Cells.

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