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May 10
Eating pepper could help prevent Parkinson's
Eating food, which contains even a small amount of nicotine, like peppers and tomatoes, may help reduce risk of developing Parkinson`s disease, a new study has claimed.

According to the research, Solanaceae-a flowering plant family with some species producing foods that are edible sources of nicotine-may provide a protective effect against Parkinson`s disease.

Parkinson`s disease is a movement disorder that is caused by loss of brain cells that produce dopamine. Its symptoms include facial, hand, arm, and leg tremors, stiffness in the limbs, loss of balance, and slower overall movement.

For the present population-based study Dr. Susan Searles Nielsen and her colleagues from the University of Washington in Seattle recruited 490 patients newly diagnosed with Parkinson`s disease at the university`s Neurology Clinic or a regional health maintenance organization, Group Health Cooperative.

Another 644 unrelated people without neurological conditions were used as controls.

Questionnaires were used to assess their lifetime diets and tobacco use, which researchers defined as ever smoking more than 100 cigarettes or regularly using cigars, pipes or smokeless tobacco.

Vegetable consumption in general did not affect Parkinson`s disease risk, but as consumption of edible Solanaceae increased, Parkinson`s disease risk decreased, with peppers displaying the strongest association.

Researchers noted that the apparent protection from Parkinson`s occurred mainly in men and women with little or no prior use of tobacco, which contains much more nicotine than the foods studied.

Nielsen said that similar to the many studies that indicate tobacco use might reduce risk of Parkinson`s, their findings suggests a protective effect from nicotine, or perhaps a similar but less toxic chemical in peppers and tobacco.
The study has been published in Annals of Neurology, a journal of the American Neurological Association and Child Neurology Society.

May 10
Pets may help reduce heart disease risk
Having a pet might lower your risk of heart disease, an American Heart Association scientific statement has said.

Glenn N. Levine, M.D., professor at Baylor College of Medicine in Houston, Texas, and chair of the committee that wrote the statement after reviewing previous studies of the influence of pets, said that pet ownership, particularly dog ownership, is probably associated with a decreased risk of heart disease.

According to research, pet ownership is probably associated with a reduction in heart disease risk factors and increased survival among patients.

But the studies are not definitive and don`t necessarily prove that owning a pet directly causes a reduction in heart disease risk.

Dog ownership in particular may also help in reduction of cardiovascular risk.

People with dogs may engage in more physical activity, as they walk them.

In a study of more than 5,200 adults, dog owners engaged in more walking and physical activity than non-dog owners, and were 54 percent likely to attain the recommended level of physical activity.

Another study showed that owning pets may be associated with lower blood pressure and cholesterol levels, and a lower incidence of obesity.

Pets can also have a positive effect on the body`s reactions to stress.
Levine said that in essence, data suggests that there probably is an association between pet ownership and decreased cardiovascular risk.

He added that even with a likely link, people shouldn`t adopt, rescue or buy a pet solely to reduce cardiovascular risk.

The statement has been published online in the journal Circulation.

May 09
Why people with restless legs syndrome have difficulty falling asleep
Johns Hopkins researchers believe they may have solved the mystery behind sleepless nights associated with restless legs syndrome (RLS), a symptom that persists even when the disruptive, overwhelming nocturnal urge to move the legs is treated successfully with medication.

Neurologists have long believed RLS is related to a dysfunction in the way the brain uses the neurotransmitter dopamine, a chemical used by brain cells to communicate and produce smooth, purposeful muscle activity and movement.
Disruption of these neurochemical signals, characteristic of Parkinson`s disease, frequently results in involuntary movements. Drugs that increase dopamine levels are mainstay treatments for RLS, but studies have shown they don`t significantly improve sleep.

The small new study, headed by Richard P. Allen, Ph.D., an associate professor of neurology at the Johns Hopkins University School of Medicine, used MRI to image the brain and found glutamate - a neurotransmitter involved in arousal - in abnormally high levels in people with RLS. The more glutamate the researchers found in the brains of those with RLS, the worse their sleep.

"We may have solved the mystery of why getting rid of patients` urge to move their legs doesn`t improve their sleep. We may have been looking at the wrong thing all along, or we may find that both dopamine and glutamate pathways play a role in RLS," Allen said.

For the study, Allen and his colleagues examined MRI images and recorded glutamate activity in the thalamus, the part of the brain involved with the regulation of consciousness, sleep and alertness.

They looked at images of 28 people with RLS and 20 people without. The RLS patients included in the study had symptoms six to seven nights a week persisting for at least six months, with an average of 20 involuntary movements a night or more.

The researchers then conducted two-day sleep studies in the same individuals to measure how much rest each person was getting. In those with RLS, they found that the higher the glutamate level in the thalamus, the less sleep the subject got. They found no such association in the control group without RLS.

Previous studies have shown that even though RLS patients average less than 5.5 hours of sleep per night, they rarely report problems with excessive daytime sleepiness. Allen said the lack of daytime sleepiness is likely related to the role of glutamate, too much of which can put the brain in a state of hyperarousal - day or night.

If confirmed, the study`s results may change the way RLS is treated, Allen said, potentially erasing the sleepless nights that are the worst side effect of the condition.

Dopamine-related drugs currently used in RLS do work, but many patients eventually lose the drug benefit and require ever higher doses. When the doses get too high, the medication actually can make the symptoms much worse than before treatment.

As more is understood about this neurobiology, the findings may not only apply to RLS, he said, but also to some forms of insomnia .

The findings are published in the May issue of the journal Neurology.

May 09
Soy-tomato combo may help prevent prostate cancer
Tomatoes and soy foods, when eaten together, could be more effective in preventing prostate cancer than when either of them is eaten alone, a study has claimed.

John Erdman a University of Illinois professor of food science and nutrition, said that for their study they used mice that were genetically engineered to develop an aggressive form of prostate cancer.

He said that even so, half the animals that consumed tomato and soy had no cancerous lesions in the prostate at study`s end.

However, all the mice in the control group-no soy, no tomato-developed the disease, he said.

From the time the mice were 4 to 18 weeks old, the animals were fed one of four diets, (1) 10 percent whole tomato powder; (2) 2 percent soy germ; (3) tomato powder plus soy germ; and (4) a control group that ate neither tomato nor soy.

Erdman said that the 4- to 18-week time frame modelled an early and lifelong exposure to the bioactive components in these foods.

He said that eating tomato, soy, and the combination all significantly reduced prostate cancer incidence. But the combination gave us the best results.

Erdman asserted that only 45 percent of mice fed both foods developed the disease compared to 61 percent in the tomato group, and 66 percent in the soy group.

Erdman noted that soy isoflavone serum and prostate levels in the mice are similar to those found in Asian men who consume one to two servings of soy daily. In countries where soy is eaten regularly, prostate cancer occurs at significantly lower levels.

Krystle Zuniga, co-author of the paper, said that the results of the mouse study suggests that three to four servings of tomato products per week and one to two servings of soy foods daily could protect against prostate cancer.

Erdman said that it`s better to eat a whole tomato than to take a lycopene supplement and it`s better to drink soy milk than to take soy isoflavones.

He said that when people eat whole foods, they expose themselves to the entire array of cancer-fighting, bioactive components in these foods.

He added that of the isoflavones, genistein gets most of the attention. But soy germ is very high in the other isoflavones, daidzein and glycitein, and low in genistein.

May 08
WHO removes India from polio endemic nations` list
The World Health Organisation (WHO) has removed India from the list of countries with active endemic wild poliovirus transmission.

In written reply to a question in the Rajya Sabha, Minister of State for Health and Family Welfare Abu Hasem Khan Choudhury said Polio free is certified for WHO regions by the Regional Certification Commission and not for individual country.

The South-East Asia Regional Commission for Polio Eradication (SEA-RCCPE) has examined the data of 31 states/Union Territories of India and has accepted the report of the Indian National Certification Committee for Polio Eradication and has concluded that the wild polio virus is not circulating in these states.

Each region can consider certification only when all countries in the area demonstrate the absence of wild poliovirus transmission for at least three consecutive years in the presence of certification standard surveillance.

In addition, all facilities holding wild poliovirus infectious and potentially infectious materials must have implemented bio-containment measures for laboratory containment of wild poliovirus.

A task force for laboratory containment of wild polioviruses has been constituted. The first phase of laboratory containment started by surveying laboratory to identify laboratory with wild poliovirus, infectious materials or potential wild poliovirus infectious materials and encourage them for destruction of all unneeded materials.

All States/UTs have been communicated about the successful interruption of wild poliovirus transmission in India and the possible certification in 2014 and requested for political and administrative support required for completion of laboratory containment activities in their respective States.

Support of WHOs National Polio Surveillance Project (NPSP) is also being obtained to survey all laboratories in their database and provide information of the Laboratories to the Task Force.

An inventory of laboratories/Institutes of Department of Bio Technology (DBT) / Department of Science and Technology (DST), Council of Scientific and Industrial Research (CSIR) and Indian Institutes of Technology (IITS)/ National Institute of Information Technology (NIITs), databases of bio-medical laboratories in Department of Health Research (DHR), bio-tech laboratories in Biotechnology Industry Research Assistance Council (BIRAC) database has been prepared for information on storage of potentially infectious material.

May 08
Functional 3-D `heart patch` created in lab
Making a breakthrough in cell-based therapies, Duke University biomedical engineers have grown three-dimensional human heart muscle that acts just like natural tissue.

This advancement could be important in treating heart attack patients or in serving as a platform for testing new heart disease medicines.

The "heart patch" grown in the laboratory from human cells overcomes two major obstacles facing cell-based therapies - the patch conducts electricity at about the same speed as natural heart cells and it "squeezes" appropriately.

Earlier attempts to create functional heart patches have largely been unable to overcome those obstacles.

The source cells used by the Duke researchers were human embryonic stem cells. These cells are pluripotent, which means that when given the right chemical and physical signals, they can be coaxed by scientists to become any kind of cell - in this case heart muscle cells, known as cardiomyocytes.

"The structural and functional properties of these 3-D tissue patches surpass all previous reports for engineered human heart muscle," said Nenad Bursac, associate professor of biomedical engineering at Duke`s Pratt School of Engineering.

"This is the closest man-made approximation of native human heart tissue to date," Bursac stated.

Bursac said this approach does not involve genetic manipulation of cells.

"In past studies, human stem cell-derived cardiomyocytes were not able to both rapidly conduct electrical activity and strongly contract as well as normal cardiomyocytes. Through optimization of a three-dimensional environment for cell growth, we were able to `push` cardiomyocytes to reach unprecedented levels of electrical and mechanical maturation," Bursac said.

The rate of functional maturation is an important element for the patch to become practical. In a developing human embryo, it takes about nine months for a neonatal functioning heart to develop and an additional few years to reach adult levels of function; however, advancing the functional properties of these bioengineered patches took a little more than a month, Bursac said. As technology advances, he said, the time should shorten.

"Currently, it would take us about five to six weeks starting from pluripotent stem cells to grow a highly functional heart patch ," Bursac said.

"When someone has a heart attack, a portion of the heart muscle dies," Bursac said. "Our goal would be to implant a patch of new and functional heart tissue at the site of the injury as rapidly after heart attack as possible. Using a patient`s own cells to generate pluripotent stem cells would add further advantage in that there would likely be no immune system reaction, since the cells in the patch would be recognized by the body as self."

In addition to a possible therapy for patients with heart disease, Bursac said that engineered heart tissues could also be used to effectively screen new drugs or therapies.

The current experiments were conducted on one human pluripotent stem cell line. Bursac and his colleagues have reproduced their findings on two other cell lines and are testing additional lines. They are also planning to move to larger animal models to learn how the patch would become functionally integrated with its host and how the patch establishes connections with the circulatory system.

The results of Bursac`s research, which is supported by the National Heart Lung and Blood Institute, were published on-line in the journal Biomaterials.

May 07
Fish oil may not help prevent age-related blindness
Adding the carotenoids lutein and zeaxanthin, the omega-3 fatty acids DHA and EPA, or both to a formulation of antioxidant vitamins and minerals that has shown effectiveness in reducing risk of progression to advanced age-related macular degeneration (AMD) did not further help reduce the risk, a new study has found.

Age-related macular degeneration is the leading cause of blindness in the developed world, according to background information in the article.

Without more effective ways of slowing progression, the number of persons with advanced AMD is expected to double over the next 20 years, resulting in increasing socioeconomic burden, the researchers wrote.

"Oral supplementation with the Age-Related Eye Disease Study (AREDS) formulation (antioxidant vitamins C, E, and beta carotene and zinc) has been shown to reduce the risk of progression to advanced AMD. Observational data suggest that increased dietary intake of lutein and zeaxanthin, omega-3 long-chain polyunsaturated fatty acids (docosahexaenoic acid [DHA] and eicosapentaenoic acid [EPA]), or both might further reduce this risk," they said.

Emily Y. Chew, M.D., of the National Eye Institute, National Institutes of Health, Bethesda, Md., and colleagues with the Age-Related Eye Disease Study 2 (AREDS2) Research Group examined whether adding lutein + zeaxanthin, DHA + EPA, or both to the AREDS formulation might further reduce the risk of progression to advanced AMD.

A secondary goal was to evaluate the effect of eliminating beta carotene, lowering zinc doses, or both in the AREDS formulation. AREDS2, a multicenter, randomized phase 3 study was conducted in 2006-2012, enrolling 4,203 participants 50 to 85 years of age at risk for progression to advanced AMD with bilateral large drusen (tiny yellow or white deposits in the retina of the eye or on the optic nerve head) or large drusen in 1 eye and advanced AMD in the fellow eye.

Participants were randomized to receive lutein (10 mg) and zeaxanthin (2 mg), DHA (350 mg) + EPA (650 mg), lutein + zeaxanthin and DHA + EPA, or placebo. All participants were also asked to take the original AREDS formulation or accept a secondary randomization to 4 variations of the AREDS formulation, including elimination of beta carotene, lowering of zinc dose, or both.

A total of 1,608 participants had experienced at least 1 advanced AMD event by the end of the study (1,940 events in 6,891 study eyes). The researchers found that the probabilities of progression to advanced AMD by 5 years were 31 percent for placebo, 29 percent for lutein + zeaxanthin, 31 percent for DHA + EPA, and 30 percent for lutein + zeaxanthin and DHA + EPA. In the primary analyses, comparisons with placebo demonstrated no statistically significant reductions in progression to advanced AMD.

"There was no apparent effect of beta carotene elimination or lower-dose zinc on progression to advanced AMD. More lung cancers were noted in the beta carotene vs. no beta carotene group (23 [2 percent] vs. 11 [0.9 percent]), mostly in former smokers," the authors wrote.

None of the nutrients affected development of moderate or worse vision loss.

The researchers added, "these null results may be attributable to the true lack of efficacy. Other factors to consider include inadequate dose, inadequate duration of treatment, or both."

"Based on apparent risks of beta carotene and possible benefits that are only evident within exploratory subgroup analyses, lutein + zeaxanthin requires further investigation for potential inclusion in the AREDS supplements."

The study has been published online by JAMA to coincide with its presentation at the Association for Research in Vision and Ophthalmology annual meeting.

May 07
Magnesium as important as calcium for kids` bone health: Study
Most parents make sure that their children drink milk and eat other calcium-rich foods, as it helps build strong bones.

Now, a new study has suggested that it would be beneficial if they also give their kids salmon, almonds and other foods high in magnesium - another nutrient that may play an important role in bone health.

"Lots of nutrients are key for children to have healthy bones. One of these appears to be magnesium," said lead author Steven A. Abrams MD, FAAP, professor of pediatrics at Baylor College of Medicine in Houston.

"Calcium is important, but, except for those children and adolescents with very low intakes, may not be more important than magnesium," he noted.

While it is known that magnesium is important for bone health in adults, few studies have looked at whether magnesium intake and absorption are related to bone mineral content in young children. This study aimed to fill that gap.

Researchers recruited 63 healthy children ages 4 to 8 years old who were not taking any multivitamins or minerals to participate in the study. Children were hospitalized overnight twice so their calcium and magnesium levels could be measured.

Participants filled out food diaries prior to hospitalization. All foods and beverages served during their hospital stay contained the same amount of calcium and magnesium they consumed in a typical day based on the diaries.

Foods and beverages were weighed before and after each meal to determine how much calcium and magnesium the subjects actually consumed. In addition, parents were given scales to weigh their child`s food for three days at home after the first inpatient stay and for three days at home prior to the second inpatient stay so that dietary intake of calcium and magnesium could be calculated accurately.

While hospitalized, children`s levels of calcium and magnesium were measured using a technique that involved giving them non-radioactive forms of magnesium and calcium, called stable isotopes, intravenously and orally.

Urine was collected for 72 hours. By measuring the stable isotopes in the urine, the researchers could determine how much calcium and magnesium were absorbed into the body. Bone mineral content and density were measured using total body dual-energy X-ray absorptiometry.

Results showed that the amounts of magnesium consumed and absorbed were key predictors of how much bone children had. Dietary calcium intake, however, was not significantly associated with total bone mineral content or density.

"We believe it is important for children to have a balanced, healthy diet with good sources of minerals, including both calcium and magnesium," Dr. Abrams concluded.

The study is to be presented at the Pediatric Academic Societies (PAS) annual meeting in Washington, DC.

May 06
First kidney transplant from deceased donor in UAE
In a landmark surgery in the UAE, a hospital carried out a kidney transfer and transplant from a deceased donor from Saudi Arabia to a 23-year-old woman patient from Abu Dhabi.

The surgery was done at the Sheikh Khalifa Medical City (SKMC), owned and operated by the Abu Dhabi Health Services Company (SEHA).

The health of the patient, Latifa Sai`ed, who had suffered kidney problems for 16 years, is said to be improving daily. The organ is functioning normally and she is no longer on dialysis.

Ali Abdulkareem al-Obaidli, chief clinical officer at SEHA, spoke about the patient recipient.

Latifa Sai`ed, born and raised in the UAE, suffered from a rare syndrome that resulted in kidney failure at the age of seven. She was on dialysis for 16 years ever since and endured multiple problems common to long-term dialysis patients, such as blood clots, inflammation and painful procedures such as cathertization.

Word was received that a young man died in a traffic accident in Saudi Arabia, and his family decided to donate his organs to help save the lives of those needing organ transplants.

Tests showed that Latifa was a near perfect match for the kidney and arrangements were made to rush it from Saudi Arabia to the UAE by a jet.

Al Qubaisi praised the medical team, and thanked the family of the donor for their generous and selfless act of kindness.

Sheikh Khalifa Medical City has conducted 75 kidney transplants, all from living related donors in the past. Among them were seven children, the youngest being four years old, while the oldest person was 64 years old. However, this was the first transplant from a deceased donor.

May 06
Want to keep stress at bay? Join a laughter club
As dawn breaks, a group of men and women standing in a circle in a neighbouring park twirl their arms in the air, waddle like penguins and start laughing. They are part of an increasing number of people who are choosing laughter therapy to cure distress.

According to doctors, laughter therapy entered India around 1995 and as of now, there are over 7,000 laughter clubs and 10,000 members across the country. World Laughter Day is celebrated on the first Sunday of every May.

The Delhi Laughter Club, which includes National Captial Region (NCR) towns like Gurgaon and Noida has 27 clubs and over 1,000 members.

Laughter therapy involves laughing for about 20 minutes without any specific reason while laughter yoga therapy combines gentle breathing exercise and stimulated laughter at regular intervals.

According to Delhi Laughter Club, the therapy has gained more steam in recent years.

"I started the laughter clubs in the national capital in 2001 with just 10 members. But now there are over 1,000 members," Umesh Sahgal, a dentist and president of the Delhi Laughter Club, told IANS.

"Mirthful laughter is the equivalent of internal jogging because it can lower blood pressure, stress and boost the immune system, much like moderate exercise," he explained.

On the other health benefits of laughter therapy, Sahgal said: "People practising laughter therapy report several positive changes. Many diabetics have switched to pills from insulin after laughter therapy."

He said shared laughter is one of the most effective stress-busting tools and fake laughter turns into real after a few months.

People practising laughter therapy say they have seen tremendous change in their lives for the better.

"Laughter provides instant relief and gets you out of depression. Dealing with criminals day in and day out made me so stressed that I became like a robot. I have been practising laughter yoga for past few months and it has made me happier and calm," a senior officer of the Delhi Police Crime Branch said.

Thirty-eight-year old Satish Chawla, a businessman, said, "The session makes me feel better. I feel healthy and it`s more than just laughing: You bring your good energy to whatever you do in life. The simple and playful exercises - waddling like a penguin, roaring like a lion and hooting like an owl - pump up your energy levels and elevate your mood."

Psychologists say that when one laughs, the body responds by releasing feel good neuro-chemicals into the brain.

"The brain is divided into two sets of nerves - the sympathetic system and the para-sympathetic system. Each of these nervous systems releases chemicals that affect mood, behaviour and body," Nikhil Raheja, psychiatrist, National Institute of Psychiatry told IANS.

According to cardiologists, laughing together not just binds people but increases happiness and intimacy, besides instigating healthy physical changes in the body.

"Laughter is good for overall health. It has positive benefits on mental health and also helps the body fight infection, besides relaxing the muscles," Z.S. Meharwal, director, cardiac surgery at Fortis Escorts Heart Institute, said.

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