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Jun 18
Artificial pancreas can restrain diabetes epidemic: Study
People with Type 1 diabetes walk an endless tightrope daily, monitoring their blood glucose levels and manually taking insulin by injection or from a pump. Not any more.

Researchers from Boston University and Massachusetts General Hospital in the US have developed a bionic pancreas that could help patients keep blood glucose levels consistent throughout the day.

People with Type 1 diabetes who used a bionic pancreas instead of manually monitoring glucose in the study were more likely to have blood glucose levels consistently within the normal range, with fewer dangerous lows or highs, researchers noted.

"The bionic pancreas system reduced the average blood glucose to levels that have been shown to dramatically reduce the risk of diabetic complications," said Steven Russell, an assistant professor of medicine at Massachusetts General Hospital.

During the study, researchers found about 37 percent fewer interventions for low blood glucose (hypoglycemia) and a more than two-fold reduction in the time in hypoglycemia in adults using the bionic pancreas than with the manual pump.

For adolescents using the bionic pancreas, results showed more than a two-fold reduction in the need for interventions for hypoglycemia.

The bionic pancreas around the size of an i-Pod is attached to patients' clothing with a small monitor.

The device uses a removable tiny sensor located in a thin needle inserted under the skin that automatically monitors real time glucose levels.

When the blood sugar level drops, it administers a dose of insulin.

"A bionic pancreas would function more like an automated thermostat, automatically monitoring blood glucose and delivering insulin or glucagon when needed to keep glucose within the normal range," Russell informed.

The study was published online in the journal New England Journal of Medicine.

Jun 18
Lifestyle diseases affecting more young men in metros
Lifestyle diseases are taking toll on men's health with a new survey showing how men need to get proactive about their health in today's often fast-paced society.

According to a survey released on the occasion of World Men's Health Week, lifestyle diseases, such as diabetes and high cholesterol, are now hitting more young Indian men in metropolitan cities.

The survey by Metropolis Healthcare states that more than half of the men in major cities like Delhi, Mumbai, Ahmedabad and Chennai suffer from diabetes, despite rising awareness.

Of the 38,966 samples screened during June 9-15, 56.81 percent reported high diabetes levels.

Over 41.48 percent of the samples were in the age group of 20-40, indicating an increasing trend of younger population getting hit by diabetes.

The survey also found 8.21 percent with high cholesterol levels and 23.01 percent in the same age group with growing rate of cholesterol in another sample collected from 35,886 males.

While high diabetes levels are usually associated with age, other factors like body mass index, stress, family history of the disease, lack of physical activity etc significantly add to the problem.

Both diabetics and high-cholesterol patients are highly risk-prone to cardiovascular diseases besides other major health problems.

The study suggested that besides regular screenings, people should go for preventive measures like reducing obesity, increasing physical activity, decreasing salt intake, among others.

Moreover, the study also disclosed a worrying trend of prostrate cancer.

Of 20,054 samples tested for it, 4,064 samples showed marginally high risk of prostrate cancer.

"Individuals have become more aware of the fact that heart disease is not just a disease of the elderly and are now a lot more determined to go a long way in combating this disease."

"Regular screening of unhealthy cholesterol and lipid levels would help identify people who are at a greater risk of high cholesterol,"said a statement from Metropolis Healthcare.

Jun 17
Indian-origin scientist paves way for improved epilepsy treatments
Researchers at the University of Toronto, including one of Indian-origin, have now discovered a complex network of proteins that could help in the treatment of neurological disorders such as epilepsy, autism spectrum disorder and schizophrenia.

"Our study pertains to the discovery of the ying-yang for neuronal cross-talk that is essential for normal healthy brain function," Chennai born Vivek Mahadevan, a Ph.D student at the University of Toronto in Canada, was quoted as saying to IANS.

Neurons in the brain communicate with other neurons through synapses, communication that can either excite or inhibit other neuron.

According to lead investigator of the study, professor Melanie Woodin, "an imbalance among the levels of excitation and inhibition - a tip towards excitation, for example, causes improper brain function and can produce seizures."

"We identified a key complex of proteins that can regulate excitation-inhibition balance at the cellular level," Woodin added.

This complex brings together three key proteins - KCC2, Neto2 and GluK2 - required for inhibitory and excitatory synaptic communication.

KCC2 is required for inhibitory impulses, GluK2 is a receptor for the main excitatory transmitter glutamate, and Neto2 is an auxiliary protein that interacts with both KCC2 and GluK2.

The discovery of the complex of three proteins is path breaking as it was previously believed that KCC2 and GluK2 were in separate compartments of the cell and acted independently of each other.

"Finding that they are all directly interacting and can co-regulate each other's function reveals for the first time a system that can mediate excitation-inhibition balance among neurons themselves," Mahadevan added.

As there is no cure for epilepsy and the treatments which are available can only curb its effects such as convulsions and seizures, the main focus should be on its prevention.

Mahadevan, along with other biologists carried out the study on mice brain via biochemistry, fluorescence imaging and electrophysiology experiments.

The findings appeared in the journal Cell Reports.

Jun 17
Digital addiction a psychiatric disorder: Experts
Is your smartphone your best friend? Do you find it difficult to leave it even for a minute? Do you become restless when you have to part with it? Do you have constant cravings to check it every now and then? If your answer is yes, there is a huge chance that you have become an addict and you require professional help.

Psychiatrists say that the medical authorities worldwide need to formally recognise addiction to internet and digital devices as a disorder.Adrian Wang, a psychiatrist at the Gleneagles Medical Centre in Singapore, said that digital addiction should now be classified as a psychiatric disorder.

"Singaporeans spend an average of 38 minutes per session on Facebook, almost twice as long as Americans," revealed a study by Experian, a global information services company.

"Patients come for stress anxiety-related problems but their coping mechanism is to go online, go on to social media," Wang was quoted as saying in a South China Morning Post report.

Obsession with online gaming was the main manifestation in the past but addiction to social media and video downloading are now the trend.

In terms of physical symptoms, more people, especially young, are reporting "text neck" or "iNeck" pain."Many people have their heads lowered and are now using their mobile devices constantly on the go while queuing or even crossing the roads, leading to neck pain," psychiatrists said.

Digital addiction is defined by symptoms like inability to control craving, anxiety when separated from a smartphone, loss in productivity in studies or at work and the need to constantly check one's phone.

Jun 16
Improving diet can keep diabetes at bay
A new study suggests that improving the overall quality of one's diet helps to prevent type 2 diabetes.

The study by researchers at the Harvard School of Public Health, found that those who improved their diet quality index scores by 10 percent over four years - by eating more whole grains, fruits and vegetables, and less sweetened beverages and saturated fats, for example - reduced their risk for type 2 diabetes by about 20 percent, compared to those who made no changes to their diets. Dietary quality was measured using the 110-point Alternate Healthy Eating Index 2010.

The study also examined whether improved diet was a marker of other lifestyle changes, such as weight loss or increased physical activity, or if it could independently reduce a person's risk for developing type 2 diabetes.

"We found that diet was indeed associated with diabetes independent of weight loss and increased physical activity," lead researcher Sylvia Ley, PhD, a post-doctoral fellow at the Harvard School of Public Health said.

"If you improve other lifestyle factors you reduce your risk for type 2 diabetes even more, but improving diet quality alone has significant benefits. This is important because it is often difficult for people to maintain a calorie-restricted diet for a long time. We want them to know if they can improve the overall quality of what they eat - consume less red meat and sugar-sweetened beverages, and more fruits, vegetables and whole grains - they are going to improve their health and reduce their risk for diabetes," she said.

The study also showed that it didn't matter how good or poor a person's diet was when they started out, she said.

The study was presented at the American Diabetes Association's 74th Scientific Sessions.

Jun 16
Nicotine gums too may cause cancer, shows study
Nicotine patches may have helped many to kick the butt, but these can be equally dangerous as smoking as nicotine itself is carcinogenic, a new study shows.

Nicotine is such a powerful carcinogen that nicotine-infused products designed to help people give up smoking may not be safe, the findings showed.

Nicotine is one of 4,000 chemicals found in cigarette smoke.

While many of these chemicals are recognised as carcinogens, nicotine has, until now, only been considered addictive rather than carcinogenic.

Nicotine exposure causes thousands of mutations in a cell's DNA and this could be a precursor to cancer.

"These results are important," Harold Garner from Virginia Bioinformatics Institute in the US was quoted as saying.

"This is because for the first time they directly measured large numbers of genetic variations caused only by nicotine, showing that nicotine by itself can mutate the genome and initiate cancer," Garner added.

Jun 02
New genetic cause of male reproductive birth defects revealed
Researchers have defined a previously unrecognized genetic cause for two types of birth defects found in newborn boys.

Lead author Dr. Dolores Lamb, director of the Center for Reproductive Medicine at Baylor, professor and vice chair for research of urology and molecular and cellular biology at Baylor, asid cryptorchidism and hypospadias are among the most common birth defects but the causes are usually unknown.

Cryptorchidism is characterized by the failure of descent of one or both testes into the scrotum during fetal development. In the adult man, the testes produce sperm and the male hormone, testosterone. Hypospadias is the abnormal placement of the opening of the urethra on the penis.

Both birth defects are usually surgically repaired during infancy.

Lamb and colleagues used a method of genome wide screening (essentially a molecular karyotype) called array comparative genomic hybridization to study children with these defects. The method looks specifically at changes in chromosomal regions that have undergone duplication or deletions too small to see under a microscope, termed copy number variations.

These genomic changes can alter gene dosage (gene gains or losses) resulting in a change in cell function.

In its analysis, the team showed that the cause of these birth defects in a subset of children with these defects of testis and penile development resulted from a change in the number of copies of a gene, VAMP7.

The role of VAMP7 gene duplication in causing these male birth defects was important because of the type of protein family it belongs to - it is a SNARE (Soluble N-ethylmaleimide-sensitive factor activating protein receptor) protein (a large protein superfamily consisting of more than 60 members in yeast and mammalian cell), Lamb said.

The report has been published in the journal Nature Medicine.

Jun 02
Subtle changes in DNA determine our hair colour
Researchers have claimed that a molecule critical to stem cell function plays a major role in determining human hair color.

The study describes for the first time the molecular basis for one of our most noticeable traits. It also outlines how tiny DNA changes can reverberate through our genome in ways that may affect evolution, migration and even human history.

David Kingsley , PhD, professor of developmental biology, said they've been trying to track down the genetic and molecular basis of naturally occurring traits - such as hair and skin pigmentation - in fish and humans to get insight into the general principles by which traits evolve.

He said now the find that one of the most crucial signaling molecules in mammalian development also affects hair color.

The researchers found that the blond hair commonly seen in Northern Europeans is caused by a single change in the DNA that regulates the expression of a gene that encodes a protein called KITLG, also known as stem cell factor.

This change affects how much KITLG is expressed in the hair follicles without changing how it's expressed in the rest of the body. Introducing the change into normally brown-haired laboratory mice yields an animal with a decidedly lighter coat - not quite Norma Jeane to Marilyn Monroe, but significant nonetheless.

The study shows that even small, tissue-specific changes in the expression of genes can have noticeable morphological effects. It also emphasizes how difficult it can be to clearly connect specific DNA changes with particular clinical or phenotypic outcomes. In this case, the change is subtle: A single nucleotide called an adenine is replaced by another called a guanine on human chromosome 12.

The change occurs over 350,000 nucleotides away from the KITLG gene and only alters the amount of gene expression about 20 percent - a relatively tiny blip on a biological scale more often assessed in terms of gene expression being 100 percent "on" or "off."

The study has been published online in the journal Nature Genetics.

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